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HomeMy WebLinkAboutExhibitCONTRACT NO. 2210-7580 BETWEEN THE CHILDREN'S TRUST AND City of Miami FOR Group, Individual, and Home Visitation Agency's address: Agency's federal identification number: Vendor's identification number: Effective term: Contract amount shall not exceed: Required match amount (if applicable): Approved by resolution number: Agency's authorized official for notices Agency's custodian of public records (applicable if Agency is subject to Chapter 119, Florida Statutes): 444 SW 2nd Ave, loth Floor Miami, FL 33130 59-6000375 CITY0758 8/1/2021 through 9/30/2022 $202,032.00 $0.00 ,2021-51 THIS CONTRACT is between The Children's Trust, whose address is 3150 SW 3rd Avenue, 8th Floor, Miami, FL 33129, and City of Miami, ("Provider,") whose address is listed above. In consideration of the mutual covenants herein, The Children's Trust and Provider (collectively referred to as "Parties") agree as follows: This Contract is subject to funding availability and Provider's performance. A. TERMS OF RENEWAL, if applicable At the sole discretion of The Children's Trust, this Contract may be renewed with Provider's authorization. Contract renewals will be contingent upon The Children's Trust's Board of Directors' ("board") approval and in accordance with applicable solicitation documents for services provided. Such renewal may not exceed five (5) one- year terms. In determining whether to renew Provider's contract, The Children's Trust will consider factors that include, but are not limited to the following: 1. Continued demonstrated and documented need for the services. 2. Provider's satisfactory program performance, fiscal performance, and compliance with the terms of the Contract, as determined by The Children's Trust at its sole discretion. 3. Availability of funds. B. SCOPE OF SERVICES All Providers Provider agrees to render services in accordance with Attachment A: Scope of Services (hereafter "Services"), to this Contract. Provider shall implement the Services in a manner deemed satisfactory to The Children's Trust. Any modification to the Services shall not be effective until approved, in writing, by The Children's Trust and Provider. Provider agrees to document the delivery of services and performance measures, as well as report accurate data and programming information, that will be used in the evaluation of Provider's overall performance. Provider agrees that all funding for direct community services provided by The Children's Trust, pursuant to this Contract, will be used exclusively for services in and for the benefit of Miami -Dade County residents. Direct community services consist of programs or services offered to children and families in Miami -Dade County. School -Based Health Providers only In addition to the three requirements above, the school -based health providers must abide by the following: 4. Services under this Contract shall be available to all students, upon referral, at the designated school sites regardless of financial status or social/economic background. Provider is responsible for the clinical supervision of all direct staff. 5. Provider is solely responsible for securing compliance with any applicable state and federally mandated requirements for consents for health services, including medical treatment, and compliance with notification of privacy practices. Provider shall secure parental consent for health services. All consents for treatment shall specifically state that all treatment is being rendered by Provider and not by The Children's Trust. 6. Provider shall comply with, and is solely responsible for compliance with, all applicable state and federal laws and regulations for health care related services, including, but not limited to Health Insurance Portability and Accountability Act of 1996 (HIPAA), as well as all regulations promulgated thereunder (45 CFR Parts 160, 162, and 164, as may be amended), and Miami -Dade County Public Schools' (M-DCPS) policies and regulations relating to the confidentiality of student records and information. Provider shall provide the parents, or the student who is beyond the age of eighteen (18), the right of access to medical records, as specified in section 228.093, Florida Statutes, and Rule 6A-1.0955, Florida Administrative Code, as may be amended. 7. Provider shall ensure its direct staff assigned to the schools have all appropriate credentials and/or licenses. Upon request from the Florida Department of Health, Provider shall provide evidence of appropriate credentials and/or licenses of all direct staff assigned to the schools. 8. Provider is solely responsible for and may apply for Medicaid reimbursement, third party billing or any other type of reimbursement available to patients. C. TOTAL FUNDING Subject to the availability of funds, the maximum amount payable for Services rendered under this Contract shall not exceed the amount stated above. Provider agrees that the amount payable under this Contract may be reduced at the sole option of The Children's Trust with a proportional reduction in services. Provider agrees to adhere to Attachment B: Other Fiscal Requirements, Budget and Method of Payment and Attachment B1: Payment Structure (if applicable), of this Contract. D. FISCAL MANAGEMENT 1. Double Billing and Payments Provider costs or earnings claimed under this Contract may not also be claimed under any other contract or grant from The Children's Trust or, unless such claim is denied by The Children's Trust, from any other agency. Any claim for double payment by Provider shall be a material breach of this Contract. 2. No Supplanting of Existing Public Funds The Children's Trust funding may not be used as a substitute for existing resources or for resources that would otherwise be available for children's services, or to replace funding previously provided by, and currently available from, local and state funding sources for the same purpose. A violation of this section is a material breach of this Contract. 3. Capital Equipment Capital equipment refers to individual items with a value of $5,000.00 or greater that have a life expectancy of more than one (1) year. All capital equipment acquired by Provider valued at less than $10,000.00 and reimbursed by The Children's Trust shall be capitalized by the Provider, and Provider shall retain all rights and possession of equipment unless this Contract is subject to termination or early cancellation. Should this Contract be terminated or not renewed, The Children's Trust may, at its sole discretion, acquire rights and possession of all reimbursed capital equipment that is not fully depreciated. All capital equipment acquired by Provider valued at equal to or greater than $10,000.00 and reimbursed by The Children's Trust shall be capitalized by The Children's Trust, and The Children's Trust shall retain all rights to that equipment until the item is fully depreciated. Should this Contract be subject to termination or early cancellation, The Children's Trust, at its sole discretion, may acquire possession of all reimbursed capital equipment that is not fully depreciated. Any or all such qualifying capital equipment shall be returned to The Children's Trust or its designee(s) upon request. Provider is to maintain proof of insurance coverage in accordance with the insurance requirements prescribed in Section K: Insurance Requirements of this Contract. 4. Assignments and Subcontracts Provider shall not assign this Contract, in whole or in part, to another party. Provider shall not subcontract any Services under this Contract without prior written approval of The Children's Trust and any change in subcontractors must also receive prior written approval. For Contracts involving direct community services, Provider and subcontractor must be qualified to conduct business in the state of Florida at the time that a subcontractor agreement is executed. The Children's Trust may, at its sole discretion and at any time, withdraw its approval of any subcontractor. In any subcontract, Provider shall incorporate language from this Contract into each subcontract and shall require each subcontractor providing Services to be governed by the terms and conditions of this Contract. Provider shall submit to The Children's Trust a copy of each subcontract to this Contract within 30 (thirty) calendar days of its execution. Subcontractors are only entitled to reimbursement for services rendered upon receipt of executed subcontracts. All subcontractors are subject to monitoring by Provider and/or The Children's Trust, in the same manner as the Provider is subject to monitoring by The Children's Trust under the terms of this Contract. Provider acknowledges and agrees that The Children's Trust and any subcontractor to this Contract have authority to communicate and exchange information about the Contract, Services, the program and/or fiscal issues. Provider waives any and all claims, demands, and/or legal action against The Children's Trust that arise from or are based upon any such communications. Notwithstanding any subcontracts, Provider shall be solely responsible for all Services performed and all expenses incurred under this Contract, including Services provided and expenses incurred by any and all subcontractors. Provider, not The Children's Trust, shall be solely liable to any subcontractor and for all expenses or liabilities incurred under any subcontract. All payments to any subcontractor shall be paid directly by Provider to the subcontractor. The Children's Trust shall not pay any subcontractor unless specifically agreed to in writing by The Children's Trust with notification to the Provider. In such instances, The Children's Trust reserves the right to require verification from Provider and/or subcontractor of payment due for satisfactory work performed by the subcontractor. 5. Religious Purposes Provider and/or its faith -based community partner shall not use any funds provided under this Contract to support any inherently religious activities, including, but not limited to, any religious instruction, worship, proselytization, publicity or marketing materials. Any such use by Provider shall be a material breach of this Contract. 6. Lobbying Provider shall not use any funds provided under this Contract or any other funds provided by The Children's Trust for lobbying any local governments or federal, or state or legislators. Any such use by Provider shall be a material breach of this Contract. 7. Adverse Action or Proceeding Provider shall not use any funds awarded by The Children's Trust, under this Contract or otherwise for legal fees, or any legal or other such actions, including, but not limited to, active investigations that Provider is a party or witness. Any such use by Provider shall be a material breach of this Contract. 8. Compliance Provider agrees to maintain and ensure its compliance, as applicable, with federal, state, county and local laws. This includes, but is not limited to, adherence to IRS rules and regulations requiring timely filing of tax documents to maintain tax-exempt status and payment of payroll taxes, as applicable, throughout the term of the Contract and any such renewals thereof. Provider further agrees to maintain a current listing of its agency, program(s) and site(s) in the HELP_ Pagesresourc, directory available online and used by 211, Miami -Dade County's health and human services information and referral helpline, managed by Jewish Community Services of South Florida, Inc. E. INDEMNIFICATION BY PROVIDER 1. Government Entity (or other entity entitled to coverage by section 768.28, Florida Statutes) Subject to the limitations of section 768.28, Florida Statutes, Provider shall indemnify, defend, and hold harmless The Children's Trust and its officers, employees, agents and instrumentalities from any and all liability, losses or damages, including attorney's fees and costs of defense, which 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 Contract by Provider or its employees, agents, servants, partners, principals or subcontractors. Additionally, Provider pay all claims and losses in connection therewith and shall investigate and defend all claims, suits or actions of any kind or nature in the name of The Children's Trust where applicable, including appellate proceedings, and shall pay all costs, judgments and reasonable attorney's fees which may issue thereon, subject to the limitations of section 768.28, Florida Statutes. 2. All Other Providers Provider shall indemnify, defend, and hold harmless The Children's Trust and its officers, employees, agents and instrumentalities from any and all liability, losses or damages, including reasonable attorney fees and costs of defense, which The Children's Trust or its officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of action or proceedings of any kind or nature arising out of, relating to, or resulting from the performance of this Contract by Provider or Provider's employees, agents, servants, partners, principals or Subcontractors, except to the extent arising from The Children's Trust's willful or wanton acts or omissions. Provider shall pay all claims and losses in connection therewith and shall investigate and defend all claims, suits or actions of any kind or nature in the name of The Children's Trust where applicable, and in the discretion of The Children's Trust, including appellate proceedings, and shall pay all costs, judgments and reasonable attorney fees which may issue thereon. The United States Health Resources and Services Administration, in accordance with the Federally Supported Health Centers Assistance Act, as amended, and Sections 224(g)-(n) of the Public Health Service Act, 42 U.S.C. § 233(g)- (n), deems qualified Federally Qualified Health Centers to be federal employees for medical negligence liability claims and provides liability protection under the Federal Tort Claims Act, 28 U.S.C. §§ 1346(b), 2672. Provider agrees that any insurance protection required by this Contract or otherwise provided by Provider shall in no way limit the responsibility to indemnify, keep and save harmless and defend, The Children's Trust or its officers, employees and agents. The provisions of this section on indemnification shall survive the expiration or termination of this Contract. F. INTELLECTUAL PROPERTY AND RIGHT TO DEVELOPED MATERIALS When funding from this Contract is used to produce original or non -minor alterations and/or enhancements to software designs or methods or techniques, writing, data, sound recordings, pictorial reproductions, drawings or other graphic representations and works of similar nature (hereinafter "developed materials"), legal title and every right, interest, claim or demand of any kind in and to any copyright, trademark or patent, or application for the same, in such developed materials will vest in Provider. Notwithstanding the foregoing, Provider agrees to grant The Children's Trust a worldwide, perpetual, royalty -free and non-exclusive license for The Children's Trust to use, duplicate and/or disclose such developed materials, in whole or in part, to others acting on behalf of The Children's Trust, and other providers funded by The Children's Trust, provided that such use, duplication, or disclosure does not compromise the validity of any developed materials or any copyright, trademark or patent rights thereto. Such license shall not extend to scientific publications. In the event of a dispute, both parties agree to participate in meditation to resolve the matter. G. INTELLECTUAL PROPERTY LICENSING FEES AND COSTS If Provider incorporates Intellectual Property or third party software, to provide Services required under this Contract, Provider is solely responsible for payment of required licensing fees and costs. Such licensing should be in the exclusive name of Provider. H. PUBLIC RECORDS For purposes of this section, the term "public records" shall mean all documents, papers, letters, electronic communications, maps, books, tapes, photographs, films and video recordings, sound recordings, data processing software, or other material, regardless of the physical form, characteristics or means of transmission, made or received, pursuant to law or ordinance or in connection with the transaction of official business by The Children's Trust, including this Contract and the Services provided thereunder. Pursuant to section 119.0701, Florida Statutes, if the Provider meets the definition of "Contractor" as defined in section 119.0701(1)(a), the Provider shall: 1. Keep and maintain public records required by The Children's Trust to perform the Services under this Contract. 2. Upon request from The Children's Trust's custodian of public records, provide The Children's Trust with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in chapter 119, Florida Statutes, or as otherwise provided by law. 3. Ensure that public records that are exempt and/or confidential from public records disclosure requirements are not disclosed except as authorized by law for the duration of the Contract term and following completion of the Contract if the Provider does not transfer the records to The Children's Trust. 4. Upon completion of the Contract, transfer, at no cost, to The Children's Trust all public records in possession of Provider or keep and maintain public records required by The Children's Trust to perform the service. If Provider transfers all public records to The Children's Trust upon completion of the Contract, Provider shall destroy any duplicate public records that are exempt and/or confidential from public records disclosure requirements. If Provider keeps and maintains public records upon completion of the Contract, Provider shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to The Children's Trust, upon request from The Children's Trust's custodian of public records, in a format that is compatible with The Children's Trust's information technology systems. IF THE PROVIDER HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE PROVIDER'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT 305.571.5700, MURIEL.JEANTY@THECHILDRENSTRUSMORG, 3150 SW 3RD AVENUE, 8TH FLOOR, MIAMI, FLORIDA, 33129. In the event Provider does not comply with the public records requirements set forth in chapter 119, Florida Statutes, and of this Contract, The Children's Trust may avail itself of the remedies set forth in Sections I: Breach of Contract and Remedies and J: Termination By Either Party of this Contract. Additionally, a Provider who fails to provide the public records as required by law within a reasonable amount of time may be subject to penalties under section 119.10, Florida Statutes. In the event the Provider fails to meet any of these provisions or fails to comply with Florida's Public Records laws, the Provider shall be responsible for indemnifying The Children's Trust in any resulting litigation, including all final appeals, and the Provider shall defend its claim that any public record is confidential, trade secret, or otherwise exempt from inspection and copying under Florida's Public Records laws. I. BREACH OF CONTRACT AND REMEDIES 1. Breach A material breach by Provider shall have occurred under this Contract as specified in other sections of this Contract, and also if Provider, through action or omission, causes any of the following: a. Fails to comply with Background Screening, as required under this Contract or applicable law. b. Fails to provide the Services outlined in the Scope of Services, Attachment A, within the effective term of this Contract and to the satisfaction of The Children's Trust. c. Fails to correct an imminent safety concern or take acceptable corrective action, as determined by The Children's Trust. d. Improperly uses The Children's Trust's funds allocated under this Contract as defined in Attachment B: Other Fiscal Requirements, Budget and Method of Payment, Attachment B or B1: Payment Structure (if applicable), and/or Attachment A: Scope of Services. e. Fails to maintain valid and current site licensure as required by the Florida Department of Children and Families for Youth Development K 5 after -school programs. f. Fails to furnish or maintain the certificates of insurance required by this Contract or as determined by The Children's Trust. g. Fails to meet or satisfy the conditions of award required by this Contract. h. Fails to submit, or submits incorrect or incomplete, proof of expenditures to support Services & Activities Management System (SAMIS) disbursement requests or advance funding disbursements; or, fails to submit, or submits incomplete or incorrect, detailed reports of requests for payment, expenditures or final expenditure reports, including, but not limited to, budgets, invoices and amendments in SAMIS or any other format prescribed by The Children's Trust. i. Fails to submit, or submits incomplete or incorrect, required reports pursuant to the Scope of Services, Attachment A, of this Contract. j. Refuses to allow The Children's Trust access to records or refuses to allow The Children's Trust to monitor, evaluate and review Provider's program, including required client data. k. Fails to comply with child abuse and incident reporting requirements. I. Attempts to meet its obligations under this Contract through fraud, misrepresentation or material misstatement. m. Fails to correct deficiencies found during a site visit/observation, evaluation or review within a specified reasonable time. n. Fails to meet the terms and conditions of any obligation or repayment schedule to The Children's Trust or any of its agencies. o. Fails to maintain the confidentiality of client files, pursuant to state and federal laws. p. Fails to fulfill in a timely and proper manner any and all of its obligations, covenants and stipulations in this Contract. q. Fails to submit an Annual Financial Statement Audit and a Program -Specific Audit, as applicable, in accordance with Section O: Records, Reports, Audits and Monitoring and Attachment D: Program - Specific Audit Requirements of this Contract. r. Fails to submit an Audit Engagement Letter for either the Annual Financial Statement Audit or the Program - Specific Audit within thirty (30) calendar days after Provider's fiscal year end. s. Fails to notify The Children's Trust within thirty (30) calendar days of nonpayment of payroll or other required taxes imposed by the federal government, state of Florida, Miami -Dade County or other authorized taxing entity. t. Fails to comply with Section T: Regulatory Compliance, #9: Mandatory Disclosure. The Children's Trust's decision not to enforce a breach of any of the provisions of this Contract does not entail waiver of such breach unless expressly provided in writing by The Children's Trust. Additionally, waiver of any provisions of this Contract shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this Contract. 2. Remedies In the event of breach, The Children's Trust will provide written notice to Provider and specify the time period, if any, within which Provider must cure the breach. If Provider fails to cure the breach within the time frame provided in the written notice from The Children's Trust identifying the breach, The Children's Trust may pursue any or all of the following remedies: a. The Children's Trust may, at its sole discretion, issue a written Performance Improvement Plan (PIP), for Provider to cure any breach of this Contract, as may be permissible under state or federal law. Any such remedial plan shall be an addition to this Contract and shall not affect or render void or voidable any other provision contained in this Contract, costs, or any judgments entered by a court of appropriate jurisdiction. The Children's Trust may suspend payment in whole or in part under this Contract by providing written notice of suspension to Provider and specifying its effective date, at least five (5) business days before said date. On the effective date of suspension, Provider may, at risk of nonpayment from The Children's Trust, continue to perform the Services in this Contract but Provider shall promptly cease using The Children's Trust logo and any other reference to The Children's Trust in connection with such Services. All payments to Provider as of the date of suspension shall cease, except that at the sole discretion of The Children's Trust, verified requests for payment for Services that were performed and/or for deliverables that were substantially completed prior to the effective date of such suspension shall be rendered. The Children's Trust may also suspend any payments in whole or in part under any other contracts entered into between The Children's Trust and Provider by providing separate written notice to Provider of each such suspension and specifying the effective date of suspension, which must be at least five (5) business days before the effective date of such suspension. In this event, The Children's Trust shall continue to review and pay verifiable requests for payment as provided for in such other contracts for services that were performed and/or for deliverables that were substantially completed, at the sole discretion of The Children's Trust, prior to the effective date of such suspension. Provider shall be responsible for all direct and indirect costs associated with such suspension, including reasonable attorney fees. In the event the Children's Trust determines that Provider engaged in fraud, misrepresentation, or material misstatement, and that it is in the best interest of The Children's Trust to terminate this Contract, The Children's Trust may do so by giving written notice to Provider of such termination and specifying the effective date thereof at least twenty-four (24) hours before the effective date of termination. In other instances of breach, The Children's Trust may terminate this Contract by giving written notice to Provider of such termination and specifying the date of termination at least five (5) business days before the effective date of termination. In the event of termination, The Children's Trust may: (a) request Provider to deliver to The Children's Trust clear and legible copies of all finished or unfinished documents, studies, surveys and reports prepared and secured by Provider with The Children's Trust funds under this Contract, subject to the rights of Provider as provided in Sections F: Intellectual Property and Rights to Developed Materials and G: Intellectual Property Licensing Fees and Costs; (b) seek reimbursement of any Children's Trust funds which have been improperly paid to Provider under this Contract; (c) terminate further payment of The Children's Trust funds to Provider under this Contract, except that The Children's Trust shall continue to review and pay verifiable requests for payment for Services that were performed and/or deliverables that were substantially completed, at the sole discretion of The Children's Trust, prior to the effective date of such termination; and/or (d) terminate or cancel, without cause, any other Contracts entered into between The Children's Trust and Provider by providing separate written notice to Provider of each such termination and specifying the effective date of termination, which must be at least five (5) business days before the effective date of such termination, in which event The Children's Trust shall continue to review and pay verifiable requests for payment as provided for in such other Contracts for services that were performed and/or for deliverables that were substantially completed, at the sole discretion of The Children's Trust prior to the effective date of such termination. Provider shall be responsible for all direct and indirect costs associated with such termination, including reasonable attorney fees. d. The Children's Trust may seek enforcement of this Contract, including, but not limited to, filing an action with a court of appropriate jurisdiction. Provider shall be responsible for all direct and indirect costs associated with such enforcement, including reasonable attorney fees, costs and any judgments entered by a court of appropriate jurisdiction, including all direct and indirect costs and reasonable attorney fees through conclusion of all appellate proceedings, and including any final settlement or judgment. J. TERMINATION OF THE CONTRACT Notwithstanding any other provision in this Contract, the Parties agree that this Contract may be terminated by either party for convenience and without cause by providing written notice to the other party of intent to terminate at least thirty (30) calendar days prior to the effective date of such termination. K. INSURANCE REQUIREMENTS All Providers, Except State Agencies or Subdivisions Upon execution of this Contract, or on the date commencing the effective term of this Contract, whichever is earlier, Provider's insurance agent(s) shall submit the following, as may be applicable, to insurance@thechildrenstrust.org: 1) certificates of insurance naming The Children's Trust as an additional insured and the certificate holder on all applicable policies; and all applicable policies shall be maintained in full force and effect for the entire term of this Contract; or 2) A letter of self-insurance indicating coverage applicable to a Florida municipal corporation required under this section or as determined by The Children's Trust, except as required by Florida law for government entities. Provider's failure to comply with this section shall be a material breach of this Contract. The Children's Trust will not disburse any funds under this Contract until all required certificates of insurance or letter(s) of self-insurance have been provided to and have been approved by The Children's Trust. Provider will carry insurance policies in the amounts and with the requirements indicated below: 1) Workers' compensation insurance covering all employees, non -incorporated independent contractors or consultants, and incorporated independent contractors or consultants that do not have workers' compensation coverage or a valid state of Florida exemption on file with the Department of Labor, as required by Florida Statutes, chapter 440. Provider must notify The Children's Trust and provide the necessary certificate of insurance upon the termination of the exemption. In the event that the Provider is no longer exempt from obtaining workers' compensation insurance, the Provider must notify The Children's Trust and provide the necessary certificate of insurance upon the termination of the exemption. The employer's liability portion will be a minimum of $500,000.00/$500,000.00/$500,000.00. 2) Comprehensive general liability insurance, which shall include a rider or separate policy for sexual molestation liability, in an amount not less than $500,000.00 combined single limit per occurrence and $1,000,000.00 aggregate in a policy year. The Children's Trust must be designated and shown as an additional insured and the certificate holder with respects to this coverage. The general liability policy must contain coverage for the following: a. Bodily injury b. Property damage c. No exclusions for abuse, molestation or corporal punishment d. No endorsement for premises, only operations 3) Automobile liability coverage for all owned and/or leased vehicles of Provider, and non -owned coverage for its employees and/or subcontractors and transportation companies transporting program participants. The amount of coverage is $1,000,000.00 combined single limit per occurrence for bodily injury and property damage. The Children's Trust must be designated and shown as an additional insured and the certificate holder with respect to this coverage. Coverage can be purchased as non -owned without hired auto coverage when the cost is prohibitive for hired automobile coverage, such as the case with the Florida Automobile Joint Underwriting Association; but rental cars cannot be used in the course of Provider's regular operations. Rental cars may be used for travel to attend conferences outside the tri-county area. Transportation companies used by the Provider for the funded program must list The Children's Trust as a certificate holder and as an additional insured. 4) Automobile liability coverage for all owned and/or leased vehicles of Provider, and non -owned coverage for its employees and/or subcontractors not transporting program participants. The minimum amount of coverage is $300,000.00 combined single limit per occurrence for bodily injury and property damage. The Children's Trust must be designated and shown as an 'Additional Insured as Its Interests May Appear" with respect to this coverage. Coverage can be purchased as non -owned without hired auto coverage when the cost is prohibitive for hired automobile coverage, such as the case with the Florida Automobile Joint Underwriting Association; but rental cars cannot be used in the course of Provider's regular operations. Rental cars may be used for travel to attend conferences outside the tri-county area. 5) If applicable, special events coverage, as determined by The Children's Trust. The liability coverage will be the same as the coverage and limits required for comprehensive general liability, and The Children's Trust must be designated and shown as 'Additional Insured as Its Interests May Appear." Special events policies are for short-term functions and not meant to replace annual liability policies. The coverage is for the day or days of the event and must provide coverage the day prior and the day following the event. 6) If applicable, professional liability insurance, as determined by The Children's Trust, with coverage amounts determined by The Children's Trust, but not less than $250,000.00 per claim and in the aggregate. Defense costs may be inside the limits of liability and the policy can be written on claims made form. Professional liability insurance is generally required when the Scope of Services uses professional services that require certification(s) or license(s). 7) If applicable, cyber security insurance with coverage amounts determined by The Children's Trust, but not less than $1,000,000.00 for the duration of the Agreement and three years following its termination to respond to privacy and network security liability claims including, but not limited to: 1) liability arising from theft, dissemination, and/or use of The Children's Trust's confidential information, including, but not limited to, bank, credit card account and personally identifiable information, such as name, address, social security numbers, etc. regardless of how stored or transmitted; 2) network security liability arising from (i) the unauthorized access to, use of, or tampering with computer systems, including hacker attacks or (ii) the inability of an authorized third party to gain access to supplier systems and/or The Children's Trust data, including denial of service, unless caused by a mechanical or electrical failure; 3) liability arising from the introduction of a computer virus into, or otherwise causing damage to, a customer's or third person's computer, computer system, network, or similar computer related property and the data, software, and programs thereon; 4) crisis management expenses (i.e., notification, public relations, reputation damage, forensics, etc.) for a data breach. 8) Proof of property coverage is required for all capital equipment greater than or equal to $10,000.00, and when Provider has capital equipment owned by The Children's Trust and said capital equipment is under the care, custody and control of Provider. The Children's Trust must be shown on the evidence of property coverage as a Loss Payee. Property coverage shall survive the expiration or termination of this Contract until such time the ownership of the capital equipment is transferred to Provider, or such capital equipment is returned to The Children's Trust. 9) All required coverages may be afforded via commercial insurance, self-insurance, a captive or some combination thereof. Certificate Holder Certificate holder must read: The Children's Trust 3150 SW 3'd Avenue, 8th Floor Miami, FL 33129 Classification and Rating If the coverage will be provided via commercial insurance, all required policies listed above shall be issued by companies authorized to do business under the laws of the state of Florida, with the following qualifications: 1. The company must be rated no less than "B" as to management, and no less than "Class W as the financial strength, by the latest edition of Best's Insurance Guide, published by A.M. Best Company, Oldwick, New Jersey, or its equivalent, subject to the reasonable approval of The Children's Trust. 2. Provider and or Provider's insurance agent, as applicable, shall notify The Children's Trust, in writing, of any material changes in insurance coverage, including, but not limited, to any renewals of existing insurance policies, not later than thirty (30) calendar days prior to the effective date of making any material changes to the insurance coverage except for ten (10) calendar days for lack of payment changes. Provider shall be responsible for ensuring that all applicable insurances are maintained and submitted to The Children's Trust for the duration of this Contract. 3. In the event of any change in Provider's Scope of Services, Attachment A, The Children's Trust may increase, waive or modify, in writing, any of the foregoing insurance requirements. Any request by a Provider to decrease, waive or modify any of the foregoing insurance requirements must be approved, in writing, by The Children's Trust prior to any such decrease, waiver or modification. 4. In the event that an insurance policy is canceled, lapses or expires during the effective period of this Contract, The Children's Trust shall withhold all payments to Provider until a new certificate of insurance, as required under this Contract, is submitted and approved by The Children's Trust. The new insurance policy shall cover the time period commencing from the date of cancellation of the prior insurance policy. Provider shall submit the required certificate of insurance within thirty (30) calendar days of cancellation, lapse or expiration. Failure to provide said certificate of insurance will be considered a material breach of the Contract, which may result in The Children's Trust waiving payment or terminating the Contract. 5. The Children's Trust may require Provider to furnish additional and different insurance coverage, or both, as may be required from time to time under applicable federal or state laws or The Children's Trust's requirements. Provision of insurance by Provider, in no instance, shall be deemed to be a release, limitation, or waiver of any claim, cause of action or assessment that The Children's Trust may have against Provider for any liability of any nature related to performance under this Contract or otherwise. All insurance required hereunder may be maintained by Provider pursuant to a master or blanket policy or policies of insurance. Insurance Requirements for state of Florida Agencies or Political Subdivisions As an agency or political subdivision of the state of Florida, Provider agrees it is subject to the express provisions and limitations of section 768.28, Florida Statutes. L. PROOF OF TAX STATUS Provider is required to keep and have the following documentation readily available for review by The Children's Trust: An Internal Revenue Service (IRS) tax status determination letter, if applicable. The two (2) most recent IRS form 990 or applicable tax return filing within six (6) months of the end of Provider's fiscal year or other appropriate filing period permitted by law. IRS form 941: employer's quarterly federal tax return. If required by The Children's Trust, Provider agrees to submit form 941 within the timeframe established by IRS Publication 15, and if applicable, all state and federal unemployment tax filings. If form 941 and unemployment tax filings reflect a tax liability, then proof of payment must be submitted within sixty (60) calendar days after the quarter ends. M. NOTICES Any written notice(s) required by this Contract shall be sent via electronic mail or postal mail for each party appearing on the first page of this Contract. Notices to The Children's Trust shall be marked to the attention of its president/CEO. Notices to Provider shall be marked to the authorized official identified on page 1 of this Contract. Each party is responsible for advising the other party, in writing, of any changes to responsible personnel for accepting notices under this Contract, electronic address, mailing address, and/or telephone number. N. AUTONOMY The Parties agree that this Contract recognizes the autonomy of, and stipulates or implies no affiliation between, the contracting Parties. Provider is only a recipient of funding support and is not an employee, agent or instrumentality of The Children's Trust, and Provider's agents and employees are not agents or employees of The Children's Trust. O. RECORDS, REPORTS, AUDITS AND MONITORING, and DATA SECURITY 1. Accounting Records Provider shall keep accounting records that conform to generally accepted accounting principles (GAAP). In addition to any requirements for retaining records pursuant to Section H, Public Records, all such records will be retained by Provider for not less than five (5) years beyond the last date that all applicable terms of this Contract have been complied with, final payment has been received and appropriate audits have been submitted to and accepted by The Children's Trust. However, if any audit, claim, litigation, negotiation or other action involving this Contract or modification hereto has commenced before the expiration of the retention period, then the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular retention period, whichever is later. 2. Financial Statement Audit Within one hundred eighty (180) calendar days from the close of its fiscal year, Provider's independent certified public accounting firm (CPA) must electronically submit to The Children's Trust all the following documents, which together comprise an Annual Financial Statement Audit conducted in accordance with GAAP and standards contained in Government Auditing Standards issued by the Comptroller General of the United States (The Yellow Book). The required items are: a. An annual financial statement audit, performed by a CPA firm that is licensed and registered to conduct business with the Florida Department of Business and Professional Regulation. b. An Annual Financial Statement Audit conducted in accordance with auditing standards generally accepted in the United States of America, and the standards applicable to financial audits contained in Government Auditing Standards. c. Written communication encompassing the requirements of AU-C section 265, "Communicating Internal Control Related Matters Identified in an Audit." d. Written communication encompassing the requirements of AU-C section 260, "The Auditor's Communication With Those Charged With Governance." e. A Single Audit conducted in accordance with OMB "Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards" or the Florida Single Audit Act, section 215.97, Florida Statutes, if applicable. f. A management letter; if no management letter is prepared by Provider's CPA firm, then the CPA firm must expressly confirm, in writing, that no management letter was issued. If Provider's Annual Financial Statement Audit is prepared by the Florida Auditor General, then the due date for submitting the annual financial statement audit, as defined, is two hundred seventy (270)calendar days after the close of Provider's fiscal year. If Provider is required to have a Single Audit, it agrees to have its CPA firm submit the schedule of expenditures pertaining to awards, summary schedule of prior audit findings, applicable auditor's reports and the corrective action plan, if applicable. 3. Program -Specific Audit Within one hundred eighty (180) calendar days of the close of its fiscal year, Provider is required to provide a Program - Specific Audit related to the Contract to The Children's Trust, in addition to the Annual Financial Statement Audit. The Program -Specific Audit shall be performed by an independent CPA firm that: is licensed and registered to conduct business with the Florida Department of Business and Professional Regulation; has performed audits under Government Auditing Standards; and is either a member of the AICPA or FICPA peer review program to include government engagement reviews. This Program -Specific Audit must encompass an audit of The Children's Trust's Contract(s) as specified in Attachment D: Program -Specific Audit Requirements. The Provider's independent CPA firm may submit audit confirmation requests electronically to au+ai[.confirmations@thechildrenstrust.oi,,. 4. Audits Submission Method The Provider's CPA firm must transmit Provider's annual financial statement audit and the required Program -Specific Audit related to the Contract to The Children's Trust, within the timeframe specified above in Section O, subsections 2 and 3, via the online system identified by The Children's Trust, unless otherwise previously agreed upon, in writing, by The Children's Trust and Provider. 5. Audit Extensions Audit extensions may be granted by The Children's Trust upon receipt, in writing, of such request with appropriate justification by Provider and for a period of time not to exceed sixty (60) calendar days after the initial due date. A copy of the engagement letter, along with the anticipated audit completion date and any concerns from Provider's CPA firm related to the audit must accompany the request. Approved audit extension requests allow for the continuation of payment until such time that the extension expires. In the event that either the Annual Financial Statement Audit or the Program -Specific Audit is not received in a timely manner and in accordance with the previously stated due dates and an audit extension has not been approved, The Children's Trust shall withhold all payments to Provider until the documents are received and deemed by The Children's Tru st. 6. Engagement Letters Audit engagement letters are due to The Children's Trust thirty (30) calendar days after the end of Provider's fiscal year. Provider agrees to submit an audit engagement letter electronically to engagementletters@thechildrenstrust.org,. Failure to submit an audit engagement letter may result in a breach of Contract, or other remedy, as deemed appropriate by The Children's Trust. 7. List of Approved Certified Public Accounting Firms To receive reimbursement for the preparation of the Program -Specific Audit, as defined, Provider must choose from a list of pre -qualified approved CPA firms, which are posted on The Children's Trust's website. Inclusion in Pre -Qualified Approved Program -Specific Auditing Services requires a CPA firm to meet three (3) criteria, which are enumerated in Attachment B: Other Fiscal Requirements, Budget and Method of Payment. 8. Access to Records Provider shall permit The Children's Trust access to all records, including subcontractor records, as per the Supporting Documentation Requirements in Attachment B: Other Fiscal Requirements, Budget and Method of Payment, which relate to this Contract at its place of business during regular business hours at a date and time mutually agreed upon by Provider and The Children's Trust. Provider agrees to deliver such assistance as may be necessary to facilitate a review or audit by The Children's Trust to ensure compliance with applicable accounting, financial and programmatic standards. This would include access by The Children's Trust, or its designee, to Provider's independent auditor's work papers for complying with federal, state and local requirements. The Children's Trust reserves the right to require Provider to submit to an audit by an auditor of The Children's Trust's choosing and at The Children's Trust's expense. 9. Program Metrics Provider agrees to permit The Children's Trust personnel or The Children's Trust contracted agents/consultants to perform site visits, both scheduled and/or unscheduled site visits, reviews and evaluations of the program which is the subject of this Contract, including any subcontracts under this Contract. Provider shall permit The Children's Trust or contracted agents to conduct, client interviews, client assessment surveys, fiscal/administrative review and other assessments deemed reasonably necessary at the sole discretion of The Children's Trust. Program Metrics reports, which provides real time data can be accessed through Trust Central. Administrative or Fiscal findings will be discussed with Provider and, in accordance with specifications provided by The Children's Trust, Provider will remedy all deficiencies cited in the report from Trust Central as described in Section I: Breach of Contract and Remedies. 10. Client Records School -Based Health Providers only School Health Programs are comprehensive services and shall be provided in accordance with section 381.0056, Florida Statutes. Provider agrees and shall require all sub -contractors to comply with all applicable state and federal privacy and confidentiality laws, as relevant to the Services provided under this Contract. The Florida Department of Health is statutorily authorized to review school health records of all students enrolled in the public -school system, regardless of the form in which these records are kept, at all reasonable times for as long as records are retained and in accordance with applicable law. All other Providers Provider shall enter all information, required by Attachment A: Scope of Services and Attachment C: Data Requirements and Program Metrics, directly in Trust Central or any other electronic data reporting system required by The Children's Trust. If the Provider chooses to maintain physical records for participants, Provider agrees to comply with all applicable state and federal laws on privacy and confidentiality. All Providers Safeguards of Electronic Protected Health Information (ePHI) The Children's Trust and Provider agree to use appropriate safeguards to prevent use or disclosure of protected health information (PHI), covered under (HIPAA) that is produced, saved, transferred or received in an electronic form. The Parties shall maintain a comprehensive written information security program that includes administrative, technical, and physical safeguards appropriate to the size and complexity of their respective operations. Provider maintains that it will use appropriate safeguards to protect the confidentiality, integrity, and availability of the PHI and ePHI that are created, received, maintained, or transmitted. 11. Internal Documentation/Records Retention Provider agrees to maintain and, upon request of The Children's Trust, provide for inspection by The Children's Trust during regular business hours the following, as may be applicable and subject to applicable confidentiality requirements: (1) personnel files of employees, which include hiring records, background screening affidavits, job descriptions, verification of education and evaluation procedures; (2) authorized time sheets, records and attendance sheets to document the staff time billed to provide Services pursuant to this Contract; (3) daily activity logs and monthly calendars of the provision of Services pursuant to this Contract; (4) training modules; (5) pre- and post -session questionnaires; (6) all participant attendance records; (7) participant consent and information release forms; (8) agency policies and procedures; and (9) such other information related to Services provision as described in Attachment A: Scope of Services and as required by this Contract. In addition to any requirements for retaining records pursuant to Section H, Public Records, Provider shall retain all records for not less than five (5) years beyond the last date that all applicable terms of this Contract have been complied with and final payment has been received, and appropriate audits have been submitted to and accepted by The Children's Trust and/or other appropriate agency. 12. Confidentiality Provider and The Children's Trust understand that during the course of performing the Services hereunder, each party may have access to certain information or records of the other party that are specifically designated as "confidential" or "exempt" from Florida's Public Records laws, pursuant to state or federal laws or regulations, such as social security numbers, financial account numbers, credit card numbers, or biometric identification information. The Parties shall protect such confidential and/or exempt information and comply with applicable federal and state laws on confidentiality, and engage in measures to prevent unauthorized use, dissemination, or publication of this confidential information regardless of the source of such information. Any confidential information must be clearly marked as such. 13. Data Security Obligation A. Standard of Care 1. Provider acknowledges and agrees that, in the course of its Contract with The Children's Trust, Provider may, directly or indirectly, receive or have access to Personal Identifiable Information (PII). PII is defined as an individual's (i) government -issued identification number (including, without limitation, social security number, driver's license number or state -issued identified number); (ii) financial account number, credit card number, debit card number, credit report information, with or without any required security code, access code, personal identification number or password, that would permit access to an individual's financial account; or (iii) biometric or health data or any of the following. An individual's first name or first initial and last name in combination with any one or more of the following data elements for that individual: 1. A social security number; 2. A driver license or identification card number, passport number, military identification number, or other similar number issued on a government document used to verify identity; 3. A financial account number or credit or debit card number, in combination with any required security code, access code, or password that is necessary to permit access to an individual's financial account; 4. Any information regarding an individual's medical history, mental or physical condition, or medical treatment or diagnosis by a health care professional; or 5. An individual's health insurance policy number or subscriber identification number and any unique identifier used by a health insurer to identify the individual. 6. User name or e-mail address, in combination with a password or security question and answer that would permit access to an online account. Notwithstanding the foregoing, PII shall not include information (1) about an individual that has been made publicly available by a federal, state, or local governmental entity; or (2) that is encrypted, secured, or modified by any other method or technology that removes elements that personally identify an individual or that otherwise renders the information unusable. Provider shall comply with the terms and conditions set forth in this Contract in its collection, receipt, transmission, storage, disposal, use and disclosure of such PII, and shall be responsible for the unauthorized collection, receipt, transmission, access, storage, disposal, use and disclosure of PH under its control or in its possession. Furthermore, Provider shall be responsible for the actions and omissions of its employees and subcontractors who are authorized to access PH for obligations under this Contract (Authorized Persons) as if they were Provider's own actions and omission. Prior to being given access to PH, Provider shall ensure that Authorized Persons are bound in writing by confidentiality obligations to protect PH in accordance with the terms and conditions of this Contract. 2. All data collected on behalf of The Children's Trust is deemed to be property of The Children's Trust and is not property of Provider. 3. In recognition of the foregoing, Provider agrees and covenants that it shall: a. Keep and maintain all such PH strictly confidential. Use and disclose PH solely and exclusively for the purposes for which the PH, or access to it, is provided pursuant to the terms and conditions of this Contract, and shall not divulge, communicate, use, sell, rent, transfer, distribute, or otherwise disclose or make available PH for Provider's own purposes or for the benefit of anyone other than The Children's Trust, without The Children's Trust's prior written consent, which may be withheld at The Children's Trust's sole and absolute discretion. Not, directly or indirectly, disclose PH to an Unauthorized Third Party, without express written consent from The Children's Trust, which may be withheld at its sole and absolute discretion. An Unauthorized Third Party is any person other than an Authorized Person. If any person or authority makes a demand on Provider purporting to legally compel it to divulge any PH, Provider shall: (i) immediately notify The Children's Trust of the demand before such disclosure so that The Children's Trust may first assess whether to challenge the demand prior to Provider's divulging of such PII; (ii) be responsible to The Children's Trust for the actions and omissions of such Unauthorized Third Party concerning the treatment of such PH as if they were Provider's own actions and omissions; and (iii) require the Unauthorized Third Party that has access to PH to execute a written Contract agreeing to comply with the terms and conditions of this Contract relating to the treatment of PH. Provider shall not divulge such PH until The Children's Trust either has concluded not to challenge the demand, or has exhausted its challenge, including appeals, if any. B. Personal Identifiable Information Security Provider shall protect and secure data in electronic form containing such PII. At a minimum, Provider's safeguards for the protection of PH shall include: 1. Encrypting, securing or modifying such PH by any method or technology that removes elements that personally identify an individual or that otherwise renders the information unusable. 2. Limiting access of PH to Authorized Persons. 3. Securing business facilities, data centers, paper files, servers, back-up systems and computing equipment, including, but not limited to, all mobile devices and other equipment with information storage capability. 4. Implementing network, device application, database, and platform security. 5. Securing information transmission, storage, and disposal; and implementing authentication and access controls within media, applications, operating systems and equipment. 6. Encrypting PH stored on any mobile media. 7. Encrypting PH transmitted over public or wireless networks. 8. Implementing appropriate personnel security and integrity procedures and practices, including, but not limited to, conducting background checks consistent with applicable law, as required by The Children's Trust from time to time. 9. Providing written copies of appropriate privacy and information security training to Provider's employees, as required by and to The Children's Trust. 10. Purchasing and maintaining cyber insurance coverage, in accordance with Section K. 7. 11. Provider shall dispose, or arrange for the disposal, of customer records that contain PH within its custody or control when the records are no longer required to be retained pursuant to Sections H and O. Such disposal shall involve shredding, erasing or otherwise modifying PH in its control or possession to make it unreadable or undecipherable. 12. During the term of each Authorized Person's employment by Provider, Provider shall at all times cause such Authorized Persons to abide strictly by Provider's obligations under this Contract. Provider further agrees that it shall maintain a disciplinary process to address any unauthorized access, use or disclosure of PH by any of Provider's officers, directors, partners, principals, employees, agents or contractors. Upon The Children's Trust's request, Provider shall promptly identify all Authorized Persons as of the date of such request to The Children's Trust in writing. 13. Upon The Children's Trust's written request, Provider shall provide The Children's Trust with a network diagram that outlines Provider's information technology network infrastructure and all equipment used in relation to fulfilling its obligations under this Contract, including, without limitation: (i) connectivity to The Children's Trust and all third Parties who may access Provider's network to the extent the network contains PII; 00 all network connections including remote access and wireless connectivity; (iii) all access control devices, such as (solely by way of example) firewalls, packet filters, intrusion detection and access -list routers; (iv) all back-up or redundant servers; and (v) permitted access through each network connection. C. Security Breach Procedures For purposes of this Contract, "Security Breach" is defined as unauthorized access of data in electronic form containing PII or a breach or alleged breach of this Contract relating to such privacy practices. Good faith access of PII by an employee or agent of the covered entity shall not constitute a breach of security under this Contract, so long as the information is not used for a purpose unrelated to the business of The Children's Trust, or as a result of any other unauthorized use. In the event of a Security Breach, Provider shall: 1. Notify The Children's Trust of a Security Breach immediately, but not later than forty-eight (48) hours, after Provider becomes aware of it by emailing The Children's Trust with a read receipt at datasecurity__Lthechildrenstrust.org,; and with a copy of such email to Provider's program manager at The Children's Trust. The notice shall include, at a minimum: (1) the date, estimated date, or estimated date range of the Security Breach; and (2) a description of the PII that was accessed or reasonably believed to have been accessed as a part of the Security Breach. 2. To the extent legally permissible, confer with The Children's Trust prior to informing any third party of any Security Breach related to this Contract. Provider and The Children's Trust shall communicate regarding: (i) whether notice of the Security Breach is to be provided to any individuals, regulators, law enforcement agencies, consumer reporting agencies or others as required by law regulation, or otherwise; and (ii) the contents of such notice, whether any type of remediation may be offered to affected persons, and the nature and extent of any such remediation. 3. Take steps to immediately remedy any Security Breach and prevent any further Security Breach at Provider's expense in accordance with applicable privacy rights, laws, regulations and standards, or as otherwise required by The Children's Trust at its sole and absolute discretion. Provider shall be solely responsible for all costs associated with a Security Breach and The Children's Trust may seek to recover any costs it expends as a result of such breach from Provider. P. AMENDMENTS Any amendment to this Contract, shall only be valid when it has been reduced to writing, duly approved and signed by both Parties. Q. GOVERNING LAW AND VENUE This Contract shall be interpreted and construed in accordance with and governed by the laws of the state of Florida without regard to its conflicts of law provisions. Any controversies or legal problems arising out of the terms of this Contract and any action involving the enforcement or interpretation of any rights hereunder shall, to the exclusion of all others, be submitted to the jurisdiction of the state courts of the Eleventh Judicial Circuit, in and for, Miami -Dade County, Florida. R. STAFF AND VOLUNTEER BACKGROUND CHECK REQUIREMENTS Level 2 background screenings must be completed through the Florida Department of Law Enforcement (FDLE) VECHS .(Volunteer & Employee Criminal History System) Program. Satisfactory background screening documentation will be accepted from those agencies that already conduct business with either the Florida Department of Children and Families (DCF), the Florida Department of Juvenile Justice (DJJ) or (M-DCPS). In addition: 1. Provider shall complete Attachment E-1: Affidavit for Level 2 Background Screenings. The affidavit shall cover employees, volunteers and subcontractors performing services under this Contract who are required to complete a Level 2 background screening as defined in this section. 2. Provider shall complete Attachment E-2: Child Care Affidavit of Good Moral Character, Attachment E-3: Child Abuse & Neglect Reporting Requirements and Attachment E-4: Background Screening & Personnel File Requirements. 3. Provider shall maintain Attachment E-1: Affidavit for Level 2 Background Screenings, Attachment E-2: Child Care Attestation of Good Moral Character, Attachment E-3: Child Abuse & Neglect Reporting Requirements and Attachment E-4: Background Screening & Personnel File Requirements, in Provider's personnel, volunteer, and subcontractor files. 4. Provider shall ensure that all employees, volunteers and/or subcontractors complete Level 2 background screening no later than every five (5) years. To ensure that none of its employees are identified on the Dru Sjodin National Sex Offender Public Websltc_(NSOPW), Provider is required to review said site annually, at minimum. If a Provider's employee is on the list, the employee must be removed from The Children's Trust funded program immediately. School -Based Health Providers only All school staff members or sub -contracted agency personnel assigned to work at a site where they have access to children (under 18 years of age) must satisfy Level 2 background screening requirements and comply with all necessary school procedures prior to commencing services within M-DCPS or doing any work for The Children's Trust related to this Contract. Pursuant to section 1012.32, Florida Statutes, non -instructional school district employees or contractual personnel who are permitted access on school grounds when students are present, have direct contact with students or have access to or control of school funds must meet Level 2 background screening requirements. All of Provider's employees who work in a school must satisfy Level 2 background screening requirements as provided in section 1012.32, Florida Statutes. All employees who work in a school must inform their employer within forty-eight (48) hours if convicted of any disqualifying offenses included in M-DCPS's Employee Manual, while he or she is employed or under contract in that capacity. If Provider employs a person, under this Contract or with The Children's Trust's funds, to work in a school who does not satisfy Level 2 background screening requirements, the employee shall be immediately suspended from working in that capacity. A clearance letter or an identification badge issued by M-DCPS will be accepted as proof that the employee satisfactorily completed background screening. A copy of said clearance letter or identification badge must be on file for each employee hired to work within the school setting. All Other Providers Subject to the provisions, limitations and exceptions of all relevant statutory provisions, including sections 1012.465 and 1012.468, Florida Statutes, all employees, volunteers and subcontracted personnel who work in direct contact with children or who may come into direct contact with children at the site in question must complete a Level 2 background screening and comply with the requirements thereto prior to commencing work pursuant to this Contract. This requirement applies to all volunteers who provide more than ten (10) hours of service in any given calendar year to children, youth and their families. Occasional or transient repair or maintenance persons, vendor representatives, contractors or subcontractors who have not completed a Level 2 background screening and appear on the site should be escorted to their work areas and supervised for the entire time they are present on the site by a member of Provider's staff who has satisfactorily completed a Level 2 background screening. S. CHILDREN WITH DISABILITIES AND THEIR FAMILIES Provider shall comply with all relevant provisions of the Americans with Disabilities Act and other state, federal or local laws that mandate the accessibility of programs, services and benefits for persons with disabilities. The Children's Trust also requires Provider implement reasonable programmatic accommodations to include children with disabilities and their families, whenever possible. T. REGULATORY COMPLIANCE 1. Nondiscrimination and Civil Rights Provider shall not discriminate against an employee, volunteer or client of Provider based on an individual's protected class, which includes race, color, religion, ancestry, national origin, sex, pregnancy, age, disability, marital status, familial status, gender identity, gender expression, sexual orientation, source of income, or actual or perceived status as a victim of domestic violence, dating violence or stalking. Provider shall have standards, policies, and practices necessary to render services in a manner that respects the worth of the individual and protects and preserves an individual's dignity. Additionally, Provider agrees to abide by chapter 11A of the Code of Miami -Dade County, as amended, which prohibits discrimination in employment, housing and public accommodations; Title VII of the Civil Rights Act of 1968, as amended, which prohibits discrimination in employment and public accommodation; the Age Discrimination Act of 1975, 42 U.S.C. section 6101, as amended, which prohibits discrimination in employment because of age; Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. section 794, as amended, which prohibits discrimination on the basis of disability; and the Americans with Disabilities Act, 42 U.S.C. section 12101 et seq., as amended, which, among other things, prohibits discrimination in employment and public accommodations, and by local governments on the basis of disability. It is expressly understood that upon receipt of evidence of discrimination under any of these laws, The Children's Trust shall have the right to terminate all or any portion of this Contract. If Provider or any owner, subsidiary, or other firm affiliated with or related to Provider, is found by the responsible enforcement agency or the courts to be in violation of these laws, said violation will be a material breach of this Contract and The Children's Trust will conduct no further business with Provider. 2. Verification of Employment Eligibillity (E Verify) Provider is obligated to comply with the provisions of section 448.095, Florida Statutes, titled "Employment Eligibility" This includes but is not limited to utilization of the U.S. Department of Homeland Security's E Verify System to verify the employment eligibility of all newly hired employees by Provider effective, January 1, 2021, and requiring all subcontractors to provide an affidavit attesting that the subcontractor does not employ, contract with, or subcontract with any individual who is not authorized under federal law to be employed in the United States. Provider must verify work status using E Verify within (3) business days of date of hire. If The Children's Trust has a good faith belief that a Provider has knowingly violated section 448.09(1), Florida Statutes, The Children's Trust shall terminate its Agreement with the Provider and will not enter into another Agreement or contract with Provider for at least one year after the termination date of the Agreement. This grounds for termination is not considered a breach of this Agreement. If The Trust has a good faith belief that a Provider's subcontractor knowingly violated section 448.09(1), Florida Statutes, but the Provider has otherwise complied section 448.09 and 448.095, the Children's Trust shall promptly notify the Provider and order the Provider to immediately terminate the subcontract. Any challenge to termination under this provision must be filed in the Circuit Court no later than twenty (20) calendar days after the date of termination, and the Provider may be liable for any additional costs incurred by The Children's Trust resulting from the termination of the Contract. If this Contract is terminated for a violation of the statute by the Provider, the Provider may not be awarded a contract with The Children's Trust for a period of one year after the date of termination. Public and private employers must enroll in the E Verify System ,(http://www.uscis.gov/e-verify) and retain the I-9 Forms for inspection. 3. Public Entities Crime Act Provider will not violate the Public Entities Crimes Act, section 287.133, Florida Statutes, which applies to a person or affiliate who is a Provider, consultant or other direct service provider and who has been placed on the convicted vendor list following a conviction for a public entity crime. Such person or affiliate may not: (a) submit a bid on a Contract to provide any goods or services; (b) submit a bid for the construction or repair of a public building or public work; (c) submit bids on leases of real property; (d) be awarded or perform work as a Provider supplier, subcontractor or consultant; and (e) transact any business in excess of the threshold amount provided in section 287.017, Florida Statutes, for certain statutorily defined purchases for a period of thirty-six (36) months from the date of being placed on the convicted vendor list. Violation of this section shall result in cancellation of this Contract and recovery of all monies paid hereto, and may result in debarment from The Children's Trust's competitive procurement activities. 4. Conflict of Interest Provider represents that the execution of this Contract does not violate Miami -Dade County's Conflict of Interest and Code of Ethics Ordinance or Chapter 112, Part III, Florida Statutes, as amended, which are incorporated by reference as if fully set forth herein. Provider agrees to abide by and be governed by these conflict of interest provisions throughout the course of this Contract and in connection with its obligations hereunder. (Refer to http://ethics.miamidade.gov/libra y2/ 016-publications-rqo/sec%20 2 11- 1 conflict of interest and code of ethics ordinance ianl6.pdf). In addition, Provider agrees to: • Prohibit members of the Provider's board of directors from directly or indirectly receiving any funds paid by The Children's Trust to the Provider under this Contract. • Prohibit members of the Provider's board of directors from voting on matters relating to this Contract which may result in the Provider's board member directly or indirectly receiving funds paid by the Provider under this Contract. • Prohibit members of the Provider's board of directors from voting on any matters relating to this Contract if they are related to the person or entity seeking a benefit as 1) an officer, director, partner, of counsel, consultant, employee, fiduciary, beneficiary, or 2) a stockholder, bondholder, debtor, or creditor. • Prohibit employees of the Provider from directly or indirectly receiving any funds paid by The Children's Trust to the Provider under this Contract, with the exception of the employee's salary and fringe benefits or portion of the employee's salary and fringe benefits included in Attachment B. • Maintain a written nepotism and conflict of interest policy that applies to hiring, providing services to clients, and procuring supplies or equipment. • Immediately disclose and justify in writing to The Children's Trust any business transactions between the Provider on one side, and its board member(s) or its staff on the other side, as well as all related -party transactions with shareholders, partners, officers, directors, or employees of any entity that is doing business with the Provider that are funded, partially or entirely, under the Contract with The Children's Trust, or are in any way related to The Children's Trust -funded program. 5. Compliance with Sarbanes-Oxley Act of 2002 Provider shall comply with applicable provisions of the Sarbanes-Oxley Act of 2002, including the following: a. Provider agrees not to alter, cover up, falsify, or destroy any document that may be relevant to an official investigation. b. Provider agrees not to punish whistleblowers or retaliate against any employee who reports suspected cases of fraud or abuse. 6. Licensing Provider (and subcontractor, as applicable,) shall obtain and maintain in full force and effect during the term of this Contract any and all licenses, certifications, approvals, insurances, permits and accreditations required by the state of Florida, Miami -Dade County, relevant municipalities, The Children's Trust or the federal government. Provider must be qualified and registered to do business in the state of Florida both prior to and during the Contract term with The Children's Trust. 7. Incident Reporting An incident is defined as any actual or alleged event or situation that creates a significant risk of substantial or serious harm to the physical or mental health, safety or well-being of a child participating in the program. Reportable incidents include, but are not limited to, allegations of abuse, neglect or exploitation of a child; injury of a participant; missing child or abandoned child; loss of property use for the program; or destruction of property used in the program. Incident definitions can be found on the sample incident report form located on The Children's Trust website. Provider and its employees are mandated to immediately report knowledge or reasonable suspicion of abuse, neglect or abandonment of a child, aged person or disabled adult to the Florida Abuse Hotline on the statewide toll -free telephone number (800.962.2873), as required by Chapters 39 and 415, Florida Statutes. Provider shall notify the program manager of any incident as defined within three (3) calendar days after Provider is informed of such incident. The notification must be in writing and include a copy of the incident report. The report must contain the following: Name of reporter (person giving the notice) Name and address of victim and guardian Phone number where reporter can be contacted Date, time and location of incident Complete description of incident and injuries, if any Police report and actions taken shall be submitted to The Children's Trust within fifteen (15) calendar days of the incident. Provider shall provide written notification to The Children's Trust, within seven (7) calendar days of any legal action related to the incident. Sexual Harassment Provider shall complete an incident report in the event a program participant, client or employee makes an allegation of sexual harassment, sexual misconduct or sexual assault by a Provider employee, volunteer or anyone involved with service arising out of the performance of this Contract, and Provider has knowledge thereof. Provider shall provide written notification to The Children's Trust within three (3) business days after Provider is informed of such an allegation. Provider shall submit written notification to The Children's Trust within seven (7) business days of any legal action which is filed as a result of such an alleged incident. 9. Proof of Policies Provider and subcontractor, as applicable, shall keep on file copies of their policies, including, but not limited to those related to, confidentiality, incident reporting, sexual harassment, nondiscrimination, equal opportunity and/or affirmative action, Americans with Disabilities Act, and drug -free workplace. 10. Mandatory Disclosure Provider shall disclose to The Children's Trust all administrative proceedings, active investigations and legal actions (collectively referred to as 'Actions") that it is a party to related to any program funded by The Children's Trust upon becoming aware of any such Actions including, but not limited to, financial fraud, misuse of funds, child abuse, data breach, or of confidentiality violations that may lead to potential civil or criminal liability. To the extent feasible, the Provider shall notify its assigned program manager within twenty-one (21) days of the Provider becoming aware of such Actions. Failure to comply with this requirement could be deemed a material breach of this Contract, as determined at the sole discretion of The Children's Trust. Additionally, The Children's Trust, at its sole discretion, will determine whether such Actions could have an adverse impact on the Provider's ability to deliver the contractual services and whether to terminate this Contract. U. CONSENT Provider must obtain parental/legal guardian consent for all minor participants to participate and/or for adult participants in the program for Services, and to share information with The Children's Trust for monitoring and evaluation purposes. Additionally, prior to taking or using still photographs, digital photographs, motion pictures, television transmissions and/or videotaped recordings of participants, Provider shall ask participants to sign a voluntary Authorization for PhotographNideo form located on The Children's Trust's website. The form is produced in English, Spanish and Haitian Creole and shall be made available to Provider. Any refusal of consent must be properly documented and signed by the parent or legal guardian on the consent form. V. PROGRAMMATIC DATA REPORTING Demographic and service information on program participants will be provided to The Children's Trust. Provider agrees to comply and participate in any data collection reporting, including participant data as required by The Children's Trust and described in Attachment C: Data Requirements and Program Progress Metrics, subject to confidentiality requirements. In addition, Provider agrees to furnish The Children's Trust with complete and accurate reports in the timeframe and format to be reasonably specified by The Children's Trust, and as described in Attachments A: Scope of Services and C: Data Requirements and Program Progress Metrics. W. MARKETING & PUBLICITY Provider shall publicize that it has been awarded funding by The Children's Trust. Good quality photos/video increase the chances that a news media outlet will promote the story. Said news/press release, and multi -media material, must be submitted to The Children's Trust Communications Department (communicationscompliance@thechildrenstrust.org) for approval prior to distribution. Provider shall prominently place The Children's Trust program sign decal on the main entry door or in a visible area of each of its Trust -funded site locations (unless such placement of signage is specifically prohibited by Provider's lease). Provider shall ensure that the current The Children's Trust logo is displayed and used in all internal and external materials. The official The Children's Trust logo shall be displayed on the home page of its website (if Provider maintains a website) and link it to The Children's Trust website (www.thechildrenstrust.org,); or, if Provider maintains another page on its website that displays the names and logos of its funding partners, Provider shall include the official The Children's Trust logo on that page and link it to The Children's Trust website (www.thechildrenstrust.org.). If the funded program is part of a larger entity, such as a university, the logo may be placed on the web page dedicated to that program on the Provider's website. In addition, the Provider shall include the following paragraph, along with the logo, on the web page dedicated to the program funded by this Contract, or elsewhere on its website (in English/Spanish or English/Haitian Creole or all three languages, depending upon population served): English: [Provider Program Name] is funded by The Children's Trust. The Children's Trust is a dedicated source of revenue established by voter referendum to improve the lives of children and families in Miami -Dade County. Espanol: El [Provider Program Name] esta financiado por The Children's Trust. The Children's Trust es una fuente de financiacion, creada por los votantes en referendum para mejorar la vida de los ninos y las familias en Miami -Dade. Kreyol: Se Children's Trust ki finanse[Pwogram Sa-a]. Children's Trust se you sous finansman elekte Miyami-Dade to kreye nan you referandom. Finansman sa a dedye you pwogram k'ap amelyore lavi ti moun ak fanmi yo. Note: In cases where funding by The Children's Trust represents only a percentage of Provider's overall funding, the above language can be altered to read "[Provider Program Name] is funded in part by The Children's Trust..." OR "El [Provider Program Name] esta financiado en parte por The Children's Trust..." OR "Se Children's Trust ki finance you pati nan[Pwogram Sa-a]..." Provider agrees that all program services, activities and events funded by this Contract shall recognize The Children's Trust as a funding source in any and all publicity, public relations and marketing efforts/materials created under its control on behalf of the program. Provider, when appropriate, shall promote with the families and community they serve other Trust funded initiatives that include, but are not limited to, The Children's Trust Book Club and the Parent Club. 1. COMMUNICATION WITH MEDIA/NEWS OUTLETS Provider shall request all media representatives to recognize The Children's Trust as a funding source when inquiring with Provider about the program services, activities, and events funded by this Contract. 2. VIDEO Provider agrees that any video it produces that depicts activities, services and events funded by this Contract shall include a full -screen graphic at its end recognizing The Children's Trust as a funding source. 3. SOCIAL MEDIA Providers that maintain social media accounts are encouraged to: Post an update on its social media accounts (e.g., Facebook, Twitter, Instagram, etc.) announcing it has been awarded a funding Contract by The Children's Trust, and tag The Children's Trust's profile on those social media networks. If The Trust does not have a profile on a particular social media network, the post should link back to www.thechildrenstrust.orc . b. State it is funded by The Children's Trust on all of its social media networks' 'About" sections. c. Tag and/or mention The Children's Trust on all posts related to services, activities and events funded by this Contract. d. List The Children's Trust's fan page under "Liked by This Page" on its Facebook page (if Provider maintains a Facebook page). e. Follow The Children's Trust Facebook, Twitter, Instagram, Linkedln, YouTube and Pinterest accounts (if Provider maintains an account on any of these social media platforms). f. Please make sure to have a signed photo/video release form from the child/minor parent(s)/guardian(s), in case you plan to share these on social media, videos or any other form of marketing materials. 4. PRINTED MATERIALS Provider shall ensure that any and all printed materials it creates for program services, activities and events funded by this Contract, including, but not limited to, newsletters, press releases, brochures, fliers, advertisements, signs/banners, letters to program participants and/or their parents/guardians, or any other materials released to the media or general public, shall state that these program services, activities and events are funded by The Children's Trust and a. shall also employ the use of the appropriate The Children's Trust logo. b. Proofs of all printed material referenced herein must be submitted to The Children's Trust Communications Department (communicationscompliance@thechildrenstrust.org) for approval prior to production/printing and release/distribution. c. Provider agrees to deliver to The Children's Trust, without charge, at least three (3) copies of any and all printed materials it creates for program services, activities and events funded by this Contract. d. Provider agrees that The Children's Trust will have use of copyrighted materials developed under this Contract to the extent provided in, and subject to, the provisions of Sections F: Intellectual Property and Rights to Developed Materials and H: Intellectual Property Licensing Fees and Costs. 5. TERMINATION OF CONTRACT Upon termination of this Contract by either party or its expiration and nonrenewal, Provider shall remove all references to The Children's Trust from its site(s), website, social media accounts, advertisements and promotional materials, to coincide with the effective date of such termination or expiration. X. MISCELLANEOUS 1. HEADINGS, USE OF SINGULAR AND GENDER Paragraph headings are for convenience only and are not intended to expand or restrict the scope or substance of the provisions of this Contract. Wherever used herein, the singular shall include the plural and plural shall include the singular, and pronouns shall be read as masculine, feminine or neutral as the context requires. 2. NO THIRD PARTIES There are no intended or unintended third party beneficiaries to this Contract. Y. JOINT PREPARATION The Parties hereto acknowledge that they have sought and received whatever competent advice and counsel as was necessary for them to form a full and complete understanding of all rights and obligations herein and that the preparation of this Contract has been their joint effort. The language agreed to expresses the Parties' mutual intent and the resulting document shall not, solely as a matter of judicial construction, be construed more severely against one of the Parties than the other. Z. TOTALITY OF CONTRACT/SEVERABILITY OF PROVISIONS This Contract with its attachments as referenced below contains all the terms and conditions agreed upon by the Parties: Attachment A: Scope of Services Attachment B: Other Fiscal Requirements, Budget and Method of Payment Attachment B-1: Payment Structure, if applicable Attachment C: Data Requirements and Program Metrics Attachment D: Program -Specific Audit Requirements Attachment E-1: Affidavit for Level 2 Background Screenings, if applicable Attachment E-2: Child Care Attestation of Good Moral Character, if applicable Attachment E-3: Child Abuse & Neglect Reporting Requirements, if applicable Attachment E-4: Background Screening & Personnel File Requirements, if applicable Attachment F: Additional Insurance Requirements, if applicable Attachment G: Other Matters, if applicable No other Contract, oral or otherwise, regarding the subject matter of this Contract shall be deemed to exist or bind the Parties. If any provision of this Contract is held invalid or void, the remainder of this Contract shall not be affected thereby if such remainder would then continue to conform to the terms and requirements of applicable law. [REMAINDER OF PAGE INTENTIONALLY BLANK] City of Miami By: (signature of Authorized Representative) Date Provider Federal ID# 59-6000375 Provider Vendor ID# CITYO758 By: Date: The Children's Trust MIAMI-DADE COUNTY, FLORIDA (signature) James R. Haj, President and CEO This Contract is not valid until signed by both Parties. Attachment A - Scope of Services Group, Individual, and Home Visitation PROGRAM OVERVIEW AGENCY SIGNER Arthur Noriega INITIATIVE Group, Individual, and Home Visitation PROGRAM NAME Families First Parenting Program PROGRAM DESCRIPTION The City of Miami Families First Parenting Program (FF) is a year round parenting program that serves parent/caregivers and supportive family members of children ages 3 to 6 in Flagami, West Coconut Grove, Allapattah, Little Haiti, Overtown and Little Havana. FF ensures accommodations are made to include parents/children with disabilities (CWD) and accommodates families of CWD. FF targets high risk populations that are soc io-econ om ic ally disadvantaged and highly stressed because of increased risk factors such as parental unemployment, low education, housing difficulties, single parenthood, poor nutrition, and new immigrant status. Families First uses the Incredible Years evidence based curriculum. The program is comprised of 18 sessions per cohort and provides workshops to parents/caregivers which enables them to develop advanced competence and confidence as caregivers. By building parenting competencies and encouraging involvement in children's school experiences the program strengthens parenting skills and fosters more tolerant communities. Before and after each parenting workshop session, individual parenting consultation sessions are available to families needing further assistance to learn the lessons and acquire the skills covered in the class. The sessions are taught in English, Spanish or Creole depending on the need at each site. Additionally, FF offers supplemental group sessions to reinforce the curriculum. These supplemental sessions include instruction in financial empowerment, career assistance, child safety and injury prevention education to families and children. Field trips to cultural outings include various events, museums and fairs and are implemented as a way of fortifying the knowledge gained in the training and as a means to practice skills learned in a large public environment. CONTRACT TIMEFRAME Year -Round EVIDENCE -BASED AND PROMISING PROGRAM (EBP): The Incredible Years EVIDENCE -BASED AND PROMISING PROGRAMS (EBPS)/CURRICULA The associated requirements for each selected curriculum(a) are listed below. This contract assumes adherence to these requisites. The basis for recruitment indicates whether the contracted number of families or participants information will be used to calculate recruitment and the basis for retention information indicates whether the number of total sessions or monthly sessions information will be used to calculate retention in determining whether the program is meeting the contractual obligations for the program participation metric. Validated Field Output EBP Incredible Years/ Preschool Basic Program Curriculum* Curriculum Program Type Group Parenting Education Basis for Rec ruitment:Pa rtici pants Basis for Retention:Total Required Sessions EBP The Preschool Basic parenting program strengthens parent -child interactions and attachment, Description reducing harsh discipline and fostering parents' ability to promote children's social, emotional, and language development. Parents also learn how to build school readiness skills and are encouraged to partner with teachers and day care professionals so they can promote children's emotional regulation and social skills. In the parenting groups, trained Incredible Years@ facilitators use video clips of real -life situational vignettes to support the training and trigger parenting group discussions, problem solving, and practice exercises. Optional Curriculum Enhancement: The Advanced Program builds on the Preschool and School Age Basic Programs by focusing on parents' interpersonal issues such as effective communication and problem solving skills, anger and depression management, and ways to give and get support. For parents with children ages 4- 12 that completed the Preschool or School Age Basic Program. Per EBP requirement, the target child/youth IS NOT expected to attend required activity sessions. Attendance is not captured for children, even if attending childcare, however demographics information must be collected and entered under the demographics only activity in SAMIS. Minimum Child Age: 3 Maximum Child Age: 6 Minimum Staff: 2 group leaders where at least 1 of them has a Master's degree or higher Staffing Staffing Caseloads: 10-14 parents/caregivers per group Qualifications Supervisors: Supervisors of direct service staff must meet EBP minimum supervisor qualifications in addition to meeting EBP minimum staff qualifications. Additional All Parenting programs are expected to support at -risk and challenged families who are Program experiencing early signs of problem behaviors and/or more likely to experience social, behavioral Requirements or health problems based on social, educational, economic or environmental factors. PARTNERS & SERVICE LINKAGE Partners & Service Linkage Professional Services: EXCEPTIONAL CONSULTING FOR EDUCATIONAL LEADERS, INC., Associated Activity: I -Parenting Workshops: Preschoolers Description of Role & Expertise: EXCEL provides trained Program Manager whose role is oversight of the program. Service End Date: PROGRAM ACTIVITIES Attendance -based activities are ongoing intensive services with participants for whom demographics and individual attendance are reported. This table specifies the unduplicated number of participants expected to complete the program (i.e., attend the required number of sessions). The number of participants and the responsible staff/facilitators per activity are identified below in the activities section. Number of children, parents, and families indicate the expected number of participants who will meet the number of required activity sessions. A family may be comprised of one or more parent/caregiver and one or more child. Number of Sessions Offered and Required specifies the number of sessions program will offer participants and the minimum number of sessions a participant must complete as per Trust requirement. For required activities this is pre -filled based on EBP curricula and Trust requirement. Participants attending rolling enrollment activities, have varied expectation depending on their time in the program and Monthly Required Sessions for the activity (i.e., the number of sessions each participant is expected to have attended per month in the program). Activity Name and Description EBP Curriculum:lncredible Years/ Preschool Basic Program Curriculum* Required or Optional:Required Activity Name: Parenting Workshops: Preschoolers Parenting Workshop/Training activities are delivered to parents of preschoolers in a group setting by a trained facilitator who not only covers the specific content included in the curriculum, but also creates opportunities for participants to build social supports, expand their insights and understanding, as well as acquire knowledge and skills around parenting. Approaches to Implementation: The City of Miami Families First Parenting Program uses the Incredible Years Preschool Basic prevention curriculum to provide parenting training groups to cover topics such as: Child directed play; Academic persistence; Social coaching; Encouraging cooperative behavior; Establishing rules and limits; Effectively managing misbehavior; Helping children self -regulate; Teaching children time out; Home safety proofing; and Teaching children beginning problem solving steps. The curriculum provides valuable, consistent and encouraging parenting practices that set children on their way to a lifetime of success. The program provides materials in child development awareness and developing positive interactions between parents and children. Two activity facilitators (Program Instructors) take on the roles of Leader and Scribe, depending on planning and division of responsibilities. The leader responsibilities include but not limited to leading in disseminating content, problem -solving efforts, teaching directly when necessary, mediating vignettes. While the Scribe role has primary responsibility in supporting group engagement and process: group support in running smoothly, brainstorming, group scanner, back-up of the Leader when a principle or key curriculum is missed, sharing observations with Leader during break and afterword about group dynamics and process, etc. Program Manager may as well serve as a co -facilitator. As an incentive, the program offers each cohort an opportunity to attend a family event at end of the program. The program will provide transportation, admission, and meals for participating families who attend, as a way of reinforcing the knowledge gained in the training, and as a means to practice skills learned while in a public environment. Throughout each cohort, participants will also partake in three -five indoor activities where parents can practice curriculum skills and later engage in similar activities with their children at home. Schedule: Occurs during cohort (of 56 families/cohort). Cohort 1 (August 2021 - December 2021) and Cohort 2 Qanuary 2022 - May 2022). Schedule Type: Cohort Activity displayed includes modifications to EBP requirements Service to 30% of families can be delivered via virtual mode POPULATION AND SITES POPULATIONS TO SERVE Low Income or High Need OTHER TARGET POPULATION DETERMINE ELIGIBILITY Activity Details Frequency:) time(s) per week Intensity:120 minutes Duration:18 Weeks Sessions Offered: 18 Total Req u i red Sessions:15 Monthly Req u i red Sessions: 3 Families:112 Parents:112 Children: 0 Families First targets high risk populations that are socio-economically disadvantaged and highly stressed because of increased risk factors such as parental unemployment, low education, housing difficulties, single parenthood, poor nutrition, and new immigrant status. Participant eligibility is determined by parent/caregiver responses to an eligibility form indicating the following: marital status, parental status, education status, current employment status, US citizenship, and income level. The program is open for enrollment to anyone in the community who is a parent/caregiver or supportive family member of a child ages 3 to 6 in Flagami, West Coconut Grove, Allapattah, Little Haiti, Overtown, and Little Havana. Participation is open to Miami residents, people who work in the city or those who live in close proximity to program sites. SERVICE SITES The table below includes sites where services primarily take place. Therefore, families/parents/children receiving services in multiple locations should only be included in the numbers for the main location. Site Name and Address Tiniciti Preschool (The Roads Campus) 2500 SW 3rd Ave. Miami 33129 Service Dates: 8/1/2021 - 9/30/2022 Our Child Care Inc (DBA Our Little Ones) 8037 NE 2nd Ave. Miami 33138 Service Dates: 8/1/2021 - 9/30/2022 Bola Childcare and Learning Center 70 NE 80th St. Miami 33138 Service Dates: 8/1/2021 - 9/30/2022 Holy Comforter Day Care Center 150 SW 13th Ave. Miami 33135 Service Dates: 8/1/2021 - 9/30/2022 St. Alban's Child Enrichment Center 3465 Brooker St. Miami 33133 Service Dates: 8/1/2021 - 9/30/2022 Rainbow Intergenerational Child Care- Little Havana 700 SW 8th St. Miami 33130 Service Dates: 8/1/2021 - 9/30/2022 Virtual 3150 SW 3rd Ave. Miami 33129 Service Dates: 8/1/2021 - 9/30/2021 PARTICIPANTS Number of Site EBP Curriculums(s) at the Site Participants Fees Incredible Years/ Preschool Basic Program Families:14 NO Curriculum* Parents: 14 $ Children: 0 Incredible Years/ Preschool Basic Program Families:14 NO Curriculum* Parents: 14 $ Children: 0 Incredible Years/ Preschool Basic Program Families:13 NO Curriculum* Parents: 13 $ Children: 0 Incredible Years/ Preschool Basic Program Families:13 NO Curriculum* Parents: 13 $ Children: 0 Incredible Years/ Preschool Basic Program Families:13 NO Curriculum* Parents: 13 $ Children: 0 Incredible Years/ Preschool Basic Program Families:13 NO Curriculum* Parents: 13 $ Children: 0 Incredible Years/ Preschool Basic Program Families:32 NO Curriculum* Parents: 32 $ Children: 0 The table below includes the number of unduplicated children, parents, and families expected to complete the program (i.e., attend the "required" number of sessions for all core activities). Only children expected to attend the curriculum sessions, as per EBP, are included here. A family may be comprised of one or more parent/caregiver and one or more child. It is expected that at least half of the contracted participants/families will be enrolled in the program by mid -year. Programs offering cohort activities should ensure that the proposed cohort schedule accounts for this expectation. Generally, total enrollment numbers must exceed the target number of "completers" since not every family enrolled will complete the program. Type of Number of Number of participants Percentage of Families with Child Target Child Age Participant Participants awarded with Disabilities Range Children/Youth 0 0 0% 3 - 6 Families 112 112 5% 0 -0 Parents/Caregivers 112 0 0% 0 -0 PARTICIPANT OUTCOMES The table below includes the outcomes required based on the EBP curriculum(a) selected. If more than one curriculum is included, the same outcome may be displayed repeatedly. It will also contain any additional outcomes proposed (up to two (2)) that relate to specific benefits expected as a result of the program. Targets are justified on the basis of past actual achievement and target population. The percentage indicated refers to the number of participants served expected to meet the meaningful improvement benchmark. Where applicable, screenings are not expected to have a target percent. Outcome Data Source and Measurement Details Administration End Details Date Agree: Tool Details: Adult -Adolescent Parenting Inventory (AAPI-2): EBP Curriculum: 80% of Parents/primary (Constructs B through E)• # Items: 40 (33 items related to B-E)• Incredible Years/ caregivers increase Scoring: Sten Scores • Range: 1 (highest risk of abusive parenting Preschool Basic positive parent -child behaviors) to 10 (lowest risk) for each construct Program interactions. (Required) Curriculum* Meaningful Improvement: Post-test Sten score of 5 or higher on each of the constructs (out of the high risk category) OR Post-test score of 5 Service or higher on Construct B and a 1 point increase in 2 of the 3 other Component: constructs from Pre- to Post-test Parent Measures Timing Details: Pre -test is administered by the 2nd session of the program and Post-test is administered within the last two sessions of program completion. Agree: Tool Details: Strengths and Difficulty Questionnaire (SDQ) (Parents of 80% of Children/Youth children 2-17 years old)- # Items: 25 (20 items comprised of all but the decrease problem Prosocial scale are used for this outcome)- Scoring: Sum (each item is behavior or maintain scored using a likert-scale from 0-2)Range: 0-40 appropriate behavior. (Required) Meaningful Improvement: A Post-test score below 17 (in the borderline to normal range) OR If Pretest score is at or higher than 17 (the abnormal range) the post test score must be 2 points lower than pre test Timing Details: Pre -test is administered by the 2nd session of the program and Post-test is administered within the last two sessions of program completion. STAFFING TABLE Related Activity: Parenting Workshops: Preschoolers EBP Curriculum: Incredible Years/ Preschool Basic Program Curriculum* Service Component: Child Measures Related Activity: Demographics Only All persons delivering the services required by this contract must have the knowledge and skills, either by training, experience, education, or a combination thereof, to adequately and competently perform the duties, obligations, and services set forth and to provide and perform such services to The Children's Trust's satisfaction. To this end, ongoing program evaluation and professional development supports are offered and providers are expected to actively participate. Supervisory and direct service staff must be trained in their selected EBP and maintain fidelity through ongoing EBP trainings and supports such as coaching and/or peer learning as applicable. In addition, supervisors and program staff are also expected to attend general trainings relevant to their service delivery models identified in The Children's Trust Training Expectations document. Position Title and Details Qualifications, Responsibiliites, and Certifications Program Manager Qualifications: Bachelor Degree or equivalent experience in program management; Category:Other Certified Incredible Years Curriculum Group Leader. Number of Staff: 1 Classification:Professional Responsibilities: Serves as curriculum co -facilitator; Services Facilitates and supervises the Incredible Years (IY) curriculum sessions and Direct Service Staff:YES supplemental sessions with program partners; Supervisory Staff:YES Sets up program sites; Meets with the site directors; Assesses site readiness for the program; Creates advertising and marketing strategies and tools for participants' recruitment; Creates program schedules and year calendar for collaborators; Recruits participants using grassroots strategies in the communities; Attends site parent meetings and Open House orientation at the sites; Assists participants with the Children's Trust Registration packets; Administers program evaluation tools; Administers and interprets the program checklist at the end of each session for the teachers and the participants; Reviews all data to assure program fidelity and effective teaching modalities; Facilitates ongoing support groups and peer review with the parents; Completes final evaluation of the program and interpretation of all data; Coordinates with Staff Services Assistant three City-wide events highlighting child safety, school readiness, parent/child interaction, and family activities. Instructors Qualifications: Based on the staffing educational/ experience requirements specified by the Evidence Based Program (EBP), as well as training and/or Category:Instructor/Facilitator certification for the EBP. Certified Number of Staff: 2 Responsibilities: Deliver specialized evidence based practices which may Classification:Professional include home visitation, group facilitation parent activities, and/or individual Services family support activities as defined by the Evidence Based Program. Direct Service Staff:YES Supervisory Staff:NO Creole Instructor Qualifications: Based on the staffing educational/ experience requirements specified by the Evidence Based Program (EBP), as well as training and/or Category:Instructor/Facilitator certification for the EBP. Certified Number of Staff: 2 Responsibilities: Deliver specialized evidence based practices which may Classification:Volunteer include home visitation, group facilitation parent activities, and/or individual Direct Service Staff:YES family support activities as defined by the Evidence Based Program. Supervisory Staff:NO Related Subcontractor Budget Staff Services Assistant 39943 Category:Other Number of Staff: 1 Classification:Part- time/Seasonal Direct Service Staff:NO Supervisory Staff:NO Education Coordinator 39956 Category:Support Staff Number of Staff: 1 Classification:Full Time Direct Service Staff:NO Supervisory Staff:YES Qualifications: High School Diploma or Associate Degree Responsibilities: Responsible for open and closing of program, attend and assist Program Manager at site parent meetings and Open House orientation, assist with the registrations, pre & post tests, survey's, collect weekly attendance and sign -in log, plan field trips and activities for program. Assist Program Manager with assigned on site programmatic duties as necessary, assist with classes and events as necessary. Perform data entry for program, including but not limited to program attendance and measurement tool scores. Qualifications: A high school diploma or General Equivalency Diploma (GED). Responsibilities: Performs other duties related to program delivery. May be responsible for a variety of assignments such as bus driver, cook, and maintenance worker, etc. ATTACHMENT B OTHER FISCAL REQUIREMENTS, BUDGET and METHOD OF PAYMENT Budget amendments/revisions Budget amendments/revisions require written approval from the designated Program Manager and The Children's Trust's Chief Financial Officer or their designees. Requests for budget amendments/revisions must be submitted to the Program Manager using Trust Central, or the appropriate form, as designated by The Children's Trust. All budget amendments/revisions are subject to final approval by The Children's Trust. Budget amendments/revisions cannot be used to increase the total Contract amount or to modify the Scope of Services. No more than two budget amendments/revisions may be approved during the Contract term. Budget amendments/revisions will be disallowed if they seek to revise retroactive costs not previously budgeted. All budget amendments/revisions must adjust for operational activity effective as of the previously billed period. Budget amendment/revision requests must be submitted sixty (60) days prior to the expiration of the Contract. Approved budget amendments/revisions will be incorporated into the Contract. Invoice/ Request for Payment Requirements Provider shall submit an invoice/request for payment, utilizing the format prescribed by The Children's Trust and in accordance with the approved budget or approved budget revision(s). This format may entail the electronic submission of an invoice/request for payment in the SAMIS module in accordance with the approved budget or budget amendments/revisions, paper invoice, spreadsheet, or other submission method. The Children's Trust will notify the Provider of the method of submittal. Invoices/request for payments not submitted in the SAMIS module shall be submitted by the Provider to The Children's Trust at: accountspayable@thechildrenstrust.orc and to the Provider's Trust staff member assigned to this Contract. The invoice/request for payment must include The Children's Trust's issued Purchase Order number, agreement number, and a unique invoice number assigned by the Provider. Submissions to accountspayable@thechildrenstrust.org, must contain only the invoice/request for payment and no additional correspondence. Attachments and other documentation included with the invoice/request for payment submitted to accountspayable@thechildrenstrust.org, will render the invoice as being not properly submitted. The invoice/request for payment is due on or before the fifteenth (15th) day of the month following the month in which expenditures were paid (exclusive of legal holidays or weekends) or when the deliverable was accepted by The Children's Trust. The Children's Trust will consider all invoices/request for payment received after the fifteenth (15th) of each month as late, even if the cause of a late submission is due to the delayed approval of a budget or amendment in the SAMIS module. The Children's Trust agrees to reimburse Provider on a monthly basis, provided that the Contract utilizes a cost reimbursement method of payment. Any expense included on an invoice/request for payment relating to a reimbursement request that pertains to a check dated greater than two months prior to the invoice/request for payment will not be approved. The Children's Trust reserves the right to request any supporting documentation related to this Contract. For the purpose of payment only, a subcontractor is defined as an independent agency or entity that has entered into an agreement with a Trust -funded provider to perform and oversee multiple components of the program service delivery as well as programs participants on behalf of that provider. If there are subcontractors to this Contract, and the invoices/request for payment are to be submitted using SAMIS, then Form D: Attestation of Payment must be uploaded to The Children's Trust's electronic system Document Repository no later than thirty (30) days after payment to subcontractor. If invoices/requests for payment are submitted using SAMIS, upon the close of this Contract, Provider is required to complete Form E: Close-out Attestation of Payment, which must be uploaded to The Children's Trust's electronic system Document Repository no later than thirty (30) days after payment to subcontractor. These forms may be downloaded from The Children's Trust's website. A final invoice/request for payment (for the last month of the Contract term) from Provider will be accepted by The Children's Trust up to forty-five (45) days after the expiration of this Contract. If Provider fails to comply, then all rights to payment shall be forfeited. If The Children's Trust determines that Provider has been paid funds, which are not in accordance with this Contract and to which it is not entitled, then Provider shall return such funds to The Children's Trust or submit appropriate documentation to support the payment within thirty (30) days of notification by The Children's Trust. After thirty (30) days, The Children's Trust may recapture amounts due to The Children's Trust from this or any Contract by reducing amounts requested to be reimbursed less the amount owed to The Children's Trust. The Children's Trust shall have the sole discretion in determining if Provider is entitled to such funds in accordance with this Contract. The Children's Trust decision on this matter shall be binding. In the event that Provider, its independent CPA firm or The Children's Trust discovers that an overpayment has been made, Provider shall repay the overpayment within thirty (30) calendar days of discovery of the event by the Provider or notification of overpayment by the Provider's independent CPA firm or The Children's Trust. If Provider fails to serve the contracted number of participants and/or fails to utilize the funds in accordance with the Contract, The Children's Trust may amend the Contract to reduce the amount funded. Any delay in amendment by The Children's Trust is not deemed a waiver of The Children's Trust right to amend or seek reimbursement for under -serving participants in accordance with the Contract. An invoice/request for payment will be deemed proper as defined by the Florida Prompt Payment Act, chapter 218, Part VII, Florida Statutes, if the request complies with the requirements set forth in this Contract and is submitted on the forms prescribed by The Children's Trust. Invoices/requests for payment and/or documentation returned to Provider for corrections may be cause for delay in the receipt of payment. Late submission may result in delay in the receipt of payment. Upon receipt of Provider's properly submitted invoices/request for payment and/or other required documentation, The Children's Trust shall pay Provider in accordance with the Florida Prompt Payment Act. The Children's Trust may retain any payments due until all required reports, deliverables, or monies owed to The Children's Trust are submitted and accepted by The Children's Trust. Indirect Administrative Costs In no event shall The Children's Trust fund indirect administrative costs in excess of 10 percent of the total Contract amount. "Indirect administrative costs" includes operational costs that support the performance of programmatic functions but are not directly incurred as a result of the program. Match Requirement When a specific solicitation or procurement require partial match funding, said funds should be reasonable, necessary, and/or required for the program. Match funding requirements may be satisfied with cash or in -kind contributions including non-federal cash dollars, donated items, and/ or services that are part of the overall cost of operating the program. Matching funds must originate from a funding source other than The Children's Trust. The Children's Trust reserves the right to ask for substantive documentation to support the match at any time and such documentation must be presented to Provider's independent auditors as part of its annual financial statement audit. Direct Deposit of Payment As a requirement of this Contract with The Children's Trust, Provider agrees that prior to, or on the date commencing the effective term of this Contract, Provider will enroll in The Children's Trust's direct deposit program. Payment may be withheld until such time enrollment is completed. The direct deposit program requires that all payments received from The Children's Trust are directly deposited into the Provider's designated bank account held in a financial institution located int the United States. Cost Reimbursement Method of Payment Where indicated herein or Attachment Blthe parties agree that this is a cost reimbursement method of payment Contract. Provider shall be paid in accordance with the approved budget and/or approved budget amendments/revisions as set forth herein, as well as based on the actual costs incurred. Provider will be paid in accordance with the approved budget, typically after expenses are incurred. Provider also agrees to pay its subcontractors, vendors and employees for the fulfillment of services provided on a timely basis. The Trust expects that Provider maintain sufficient funds in the amount of at least 15 percent of its operating budget. Adequate working capital is considered a best practice and is necessary when managing a cost reimbursement contract. Provider is expected to possess the funds necessary to cover initial program expenses, and then request reimbursement from The Trust. Deliverable -Based Method of Payment Where indicated herein or Attachment B1, the parties agree that this is a deliverable based Contract, and Provider will be paid based on acceptance by The Children's Trust of deliverables as outlined in Attachment A and the fee per deliverable as stated herein or Attachment B1. Provider will submit required reports and/or deliverables in accordance with the deliverable schedule set forth in Attachment 131 or in Attachment A if not included herein. If Provider fails to submit approved deliverables in accordance with the Contract, The Children's Trust may amend the Contract to reduce the amount of dollars representing the deliverables not provided. Any delay in amendment by The Children's Trust is not deemed a waiver of The Children's Trust's right to amend or seek reimbursement for deliverables not provided in accordance with the Contract. Timely Payment by Provider Provider also agrees to timely pay subcontractors, vendors, and employees for the fulfillment of services provided in this Contract. Every request by Provider for payment for services provided, work performed, or costs incurred pursuant to this Contract, except for any advanced payments by The Trust, shall be accompanied by an invoice/request for payment from The Children's Trust. Advance payment requests The Children's Trust offers advance payments up to 15 percent of the total Contract value. The Children's Trust will only approve advance requests that are equivalent to the total amount of the first two (2) months programmatic expenditures and up to 15 percent of the total Contract value. Determinations of programmatic expenditures will be supported by the immediate prior year's performance or a detailed listing of estimated expenditures. Advance requests shall be limited to governmental entities and not -for -profit corporations, in accordance with section 216.181(16)(b), Florida Statutes. Advance requests must include the amount requested and a justification for the request. Advance requests must be submitted using the designated form and must be approved in writing by The Children's Trust's Program Manager and Chief Financial Officer or their designees. Advance payments are made at and within the sole discretion of The Children's Tru st. Advance repayment Upon receipt of an advance, repayment must be credited to proceeding reimbursement requests within sixty (60) calendar days. Provider shall report the amount of the advance repayment in The Trust electronic system using the "advances/adjustments" button on the reimbursement screen. If a Provider does not use the specified Trust electronic system, the Provider is required to deduct its advance repayment from each invoice/request for payment, consecutively, until the advance is repaid in full. List of Pre -Qualified Program -Specific Auditing Services To receive reimbursement for the preparation of the program specific audit, as defined, Provider must choose from a list of pre -qualified independent Certified Public Accounting (CPA) firms, which are posted on The Children's Trust website. The amount requested for reimbursement must meet the requirements of The Children's Trust. Inclusion in this pre - qualification requires that a CPA firm meet the following three criteria: (a) participation in either the American Institute of Certified Public Accountants (AICPA) or the Florida Institute of Certified Public Accountants peer review program as evidenced by submitting a triennial System Review Report with a passing score to The Children's Trust; (b) providing documentation that a CPA firm, or one of its associates, has adequate experience in governmental accounting and/or nonprofit accounting with the application of Government Auditing Standards. and (c) completion of a training session on the audit requirements of The Children's Trust contract conducted by The Children's Trust Finance Department. Alternatively, Provider may also receive reimbursement if Provider is subject to audit by a federal, state or local Office of Inspector General and such Office of Inspector General conducts an audit and charges Provider for said audit services. Supporting Documentation Requirements Provider shall maintain original records documenting actual expenditures and services provided according to the approved budget and Scope of Services. Supporting documentation shall be made available and provided to The Children's Trust upon request. Provider shall keep accurate and complete records of any fees collected, reimbursement or compensation of any kind received from any client or other third party, for any service covered by this Contract, and shall make all such records available to The Children's Trust upon request. Provider shall maintain a cost allocation methodology that is used to allocate its costs to ensure that The Children's Trust is only paying its fair share of costs for services, overhead and staffing devoted to the program or services funded by this Contract. Such methodology shall be made available to The Children's Trust upon request. THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK CSC Program Allocation: $202,032 Budget Status: Pending Contract Approval Salary Accounts Account # Title Budget Summary Report City Of Miami - PAR XX10-7580 City of Miami Fiscal Year 21-22 (8/01/21 - 9/30/22) Contract M 2210-7580 Original Original Amended Program CSC CSC Budget Budget Budget 511 Regular Salaries and Wages 95,650.00 22,944.00 22,944.00 521 FICA/MI CA 7,317.00 1,755.00 1,755.00 522 Retirement Contributions 0.00 0.00 0.00 523 Life and Health Insurance 0.00 0.00 0.00 524 Workers Compensation 0.00 0.00 0.00 525 Unemployment Compensation 0.00 0.00 0.00 Expense Accounts Account # Salary Totals: Title 102,967.00 Original Program Budget 24,699.00 Original CSC Budget 24,699.00 Amended CSC Budget 531 Travel (other than participants) 1,120.00 1,120.00 1,120.00 532 Travel (participants) 1,680.00 1,680.00 1,680.00 533 Meals (participants) 20,580.00 20,580.00 20,580.00 534 Space 14,400.00 0.00 0.00 535 Utilities 630.00 630.00 630.00 536 Supplies (office) 4,041.00 4,041.00 4,041.00 537 Supplies (program) 9,878.00 9,878.00 9,878.00 540 Non -Capital Equipment 4,925.00 4,925.00 4,925.00 550 Capital Equipment 0.00 0.00 0.00 591 Indirect Cost 14,567.00 14,567.00 14,567.00 611 Subcontractor 0.00 0.00 0.00 711 Professional Services (instructors) 11,340.00 11,340.00 11,340.00 721 Professional Services (certified teachers) 0.00 0.00 0.00 731 Professional Services (tutors) 0.00 0.00 0.00 741 Professional Services (consultants) 0.00 0.00 0.00 791 Professional Services (other) 80,001.00 80,001.00 80,001.00 811 Other (advertising) 0.00 0.00 0.00 821 Other (background screening) 0.00 0.00 0.00 831 Other (admission to field trips) 15,000.00 15,000.00 15,000.00 891 Other (other) 3,920.00 3,920.00 3,920.00 529 Fringe Benefits (other) 0.00 0.00 0.00 841 Program Specific Audit 6,000.00 6,000.00 6,000.00 751 Professional Services (Evaluation) 0.00 0.00 0.00 Expense Accounts Account # Title Original Original Amended Program CSC CSC Budget Budget Budget 851 Other (Volunteers) 4,120.00 0.00 0.00 852 Other (Special Events) 0.00 0.00 0.00 853 Other (Required Staff Training) 0.00 0.00 0.00 854 Other (Discretionary Funds) 3,651.00 3,651.00 3,651.00 855 Other (conference registration) 0.00 0.00 0.00 2000 Salary Summary 0.00 0.00 0.00 2005 EBP Trainings 0.00 0.00 0.00 Expense Totals: Salary and Expense Totals: 195,853.00 298,820.00 177,333.00 202,032.00 177,333.00 202,032.00 Program Funders Summary Funders Funder Type Funder Total Comment In -Kind Contributions In -Kind Contributions (Summary) 96,788.00 City Education Coordinator Salary, Volunteer In Kind, Center Space, Summary Funder Totals: 96,788.00 Comprehensive Budget/Amendment Report City Of Miami - PAR XX10-7580 City of Miami Fiscal Year 21-22 (8/01/21 - 9/30/22) Contract #: 2210-7580 Original Budget and Approved/Unapproved Amendments Salary Data Position Orig Amend Orig Amend Orig Amend Orig Amend Orig Amend Orig Amend Salary Salary FICA FICA Retire Retire Insur Insur WC WC Unemp Unemp Education Coordinator (39956) Staff: Balsera, Esther (31831) Gross: 82,640.00 82,640.00 6,322.00 6,322.00 Program: 72,706.00 72,706.00 5,562.00 5,562.00 CSC: 0.00 0.00 0.00 0.00 Time Period # Of People Rate Wks Funded Year Round 1.00 39.73 61.00 Total Distribution to Program Salary Percentage of Distribution to Gross Salary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Original Distribution Program Allocation CSC Allocation Match Allocation Hrs/Week Amt Hrs/Week Amt Amt 30.00 72,706.00 0.00 0.00 88% 72,706.00 0% 0.00 100% 72,706 88% 0% 88% Original Budget Narratives: Work Status: Full -Time Paid: Bi-Weekly Source of Match: City of Miami Budget Amendment Narratives: Approved Date: Position Orig Amend Orig Amend Orig Amend Orig Amend Orig Amend Orig Amend Salary Salary FICA FICA Retire Retire Insur Insur WC WC Unemp Unemp Fringe Benefits (40126) Staff: Benefits, Fringe (41506) Gross: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Program: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CSC: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Original Budget Narratives: FICA/MICA At 7.65% rate of salaries totaling $95,650.00 Total Program Cost: $7,317.00 Total CSC request: $1,755.00 Source of Match: City of Miami Worker's Comp: The provider is self -insured for workers' compensation. They do not currently cost allocate any premium surcharges back to the originating departments, so there are currently no premium charges to report. Unemployment: The provider is a fully reimbursable entity and as such does not incur any premium charges. They reimburse all costs incurred due to former employees claiming unemployment benefits on the basis of actual charges incurred. As such, there are no specific premium charges being incurred for unemployment insurance. Budget Amendment Narratives: Approved Date: Position Orig Amend Orig Amend Orig Amend Orig Amend Orig Amend Orig Salary Salary FICA FICA Retire Retire Insur Insur WC WC Unemp Staff Services Assistant (39943) Staff: Gonzalez, Stepahnie (46454) Gross: 19,559.00 19,559.00 1,496.00 1,496.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Program: 22,944.00 22,944.00 1,755.00 1,755.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CSC: 22,944.00 22,944.00 1,755.00 1,755.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Time Period # Of People Rate Wks Funded Year Round 1.00 12.75 61.00 Year Round 1.00 12.75 61.00 Total Distribution to Program Salary Percentage of Distribution to Gross Salary Amend Unemp 0.00 0.00 0.00 0.00 0.00 0.00 Original Distribution Program Allocation CSC Allocation Match Allocation Hrs/Week Amt Hrs/Week Amt Amt 0.00 0.00 29.50 22,944.00 29.50 22,944.00 0.00 0.00 117% 22,944.00 100% 22,944.00 0% 0 117% 117% 0% Original Budget Narratives: Work Status: Part -Time Paid: Bi-Weekly Source of Match: N/A Budget Amendment Narratives: Approved Date: Salary Totals Percentage of Program Distribution to Gross Salary: 94% Percentage of CSC Distribution to Gross Salary: 22% Orig Amend Orig Amend Orig Amend Orig Amend Orig Amend Orig Amend Salary Salary FICA FICA Retire Retire Insur Insur WC WC Unemp Unemp Gross: 102,199.00 102,199.00 7,818.00 7,818.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Program: 95,650.00 95,650.00 7,317.00 7,317.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CSC: 22,944.00 22,944.00 1,755.00 1,755.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense Data Account # Account Name 531 Travel (other than participants) Original Budget Calculation: (.56*200.10) Original Budget Narratives: Mileage for staff services assistant travel to sites (.56 x 200 miles x 10 months = $1,120.00) Budget Amendment Narratives: Approved Date: Account # Account Name 532 Travel (participants) Original Budget Calculation: 48*5*7 Original Budget Narratives: Buses for families for field trip: $48 per bus/per hour x 5 hours x 7 buses (1 per center) _ $1,680. Based on the nature of the event, we are required as needed by the program to transport participants to and from the event. Orig CSC Budget Amend CSC Budget Orig Frog Budget Amend Frog Budget 1.120.00 1.120.00 1.120.00 1.120.00 Orig CSC Budget Amend CSC Budget Orig Frog Budget Amend Frog Budget 1,680.00 1,680.00 1,680.00 1,680.00 Budget Amendment Narratives: Approved Date: Account # Account Name Orig CSC Budget Amend CSC Budget Orig Prog Budget Amend Prog Budget 533 Meals (participants) 20,580.00 20,580.00 20,580.00 20,580.00 Original Budget Calculation: (4.93*224*18)+ (3.51*100*2) Original Budget Narratives: Per EBP Incredible Years Curriculum, daily dinner at each session: $4.93 per participant x 224 participants (112 adults + 112 children) x 18 sessions + Field trip meals in which participants receive lunch. $3.51 per participant x 200 individuals (60 per cycle - parents & children + additional family members) Source of Match: N/A Budget Amendment Narratives: Approved Date: Account # Account Name Orig CSC Budget Amend CSC Budget Orig Prog Budget Amend Prog Budget 534 Space 0.00 0.00 14,400.00 14,400.00 Original Budget Calculation: (6*200*12) Original Budget Narratives: 6 child care centers, operational for two cycles, at $12 per square ft and approximately 200 sq. feet. Source of Match: City of Miami Childcare Centers Budget Amendment Narratives: Approved Date: Account # Account Name Orig CSC Budget Amend CSC Budget Orig Prog Budget Amend Prog Budget 535 Utilities 630.00 630.00 630.00 630.00 Original Budget Calculation: (60*14*.75) Original Budget Narratives: Cell Phone Allowance for Education Coordinator $60 per month x 14 months x 75% Budget Amendment Narratives: Approved Date: Account # Account Name 536 Supplies (office) Original Budget Calculation: 4040.64 Original Budget Narratives: Within 2% of the funding amount. Budget Amendment Narratives: Approved Date: Orig CSC Budget Amend CSC Budget Orig Prog Budget Amend Prog Budget 4,041.00 4,041.00 4,041.00 4,041.00 Account # Account Name Orig CSC Budget Amend CSC Budget Orig Prog Budget Amend Prog Budget 537 Supplies (program) 9,878.00 9,878.00 9,878.00 9,878.00 Original Budget Calculation: (24.95* 112)+(32.00*112)+(50.00*10*7) Original Budget Narratives: The Incredible Years: A Troubleshooting Guide for Parents of Children Aged 3-8 Years (24.95 * 112). The Incredible Years: Wally's Detective Books for Solving Problems Set of 4 Books (32.00*112). Materials for IY Teacher session use ($50 per month * 10 months * 7 sites). Based on program needs, supplies may be replaced per approval of the Trust. Budget Amendment Narratives: Approved Date: Account # Account Name 540 Non -Capital Equipment Original Budget Calculation: 300 + 230 + 321.99 + 219.80 + 400 + (489*4) + (499*3) Original Budget Narratives: Storage Cabinet $300 5-Shelf Bookcase $230 14-Sheet Cross -Cut Shredder $321.99 Guest Chair $219.80 LaserJet Printer $400 Dell Laptops 489*4 Epson® EX3280 XGA 3LCD Portable Projector $499*3 Orig CSC Budget Amend CSC Budget Orig Prog Budget Amend Prog Budget 4,925.00 4,925.00 4,925.00 4,925.00 Total Program & CSC: $4,925 Budget Amendment Narratives: Approved Date: Account # Account Name Orig CSC Budget Amend CSC Budget 591 Indirect Cost 14,567.00 14,567.00 Original Budget Calculation: 14567 Original Budget Narratives: Less than 10% of total funding amount Budget Amendment Narratives: Approved Date: Account # Account Name Orig CSC Budget Amend CSC Budget 711 Professional Services (instructors) 11,340.00 11,340.00 Original Budget Calculation: (30.00*216)+(30.00*162) Original Budget Narratives: 4 English/Creole speaking centers x 18 IY sessions = 72 sessions. 3 hours per session x 72 sessions = 216 hours. $30.00 an hour x 216 hours = 6,480 3 English/Spanish speaking centers x 18 IY sessions = 54 sessions. 3 hours per session x 54 sessions = 162 hours. $30.00 an hour x 162 hours = 4,860 Budget Amendment Narratives: Approved Date: - Account # Account Name Orig Prog Budget Amend Prog Budget 14,567.00 14,567.00 Orig Prog Budget Amend Prog Budget 11,340.00 11,340.00 Orig CSC Budget Amend CSC Budget Orig Prog Budget Amend Prog Budget 791 Professional Services (other) 80,001.00 80,001.00 80,001.00 Original Budget Calculation: (1777.8*45.00) Original Budget Narratives: EXCEL(Exceptional Consulting for Educational Leaders): Constitutes of a Program Manager, certified in the Incredible Years Curriculum. EXCEL will facilitate and supervise the Incredible Years (IY) curriculum parenting training sessions and parenting supplemental sessions. $45 per hour x 148.15 hours per month x 12 months=$80,001 80.001.00 Budget Amendment Narratives: Approved Date: Account # Account Name Orig CSC Budget Amend CSC Budget Orig Prog Budget 831 Other (admission to field trips) 15,000.00 15,000.00 15,000.00 Original Budget Calculation: (25-200.3) Original Budget Narratives: $25 per participant X 200 participants (100 per cycle - parents, children, and families) X 3 field trips (2 indoor field trips and 1 outdoor field trip). Indoor field trip may include and not limited to Cooking with Kids, Gymboree, and Arty Van Gogh. Out door field trip may include and not limited to Frost Museum and The Children's Museum. Budget Amendment Narratives: Approved Date: Account # Account Name Orig CSC Budget 841 Program Specific Audit 6,000.00 Original Budget Calculation: 6000 Original Budget Narratives: $6,000 for required Program Specific Audit Budget Amendment Narratives: Approved Date: Account # Account Name Orig CSC Budget 851 Other (Volunteers) 0.00 Original Budget Calculation: 25.43*162 Original Budget Narratives: 3 Creole Speaking Centers x 18 sessions = 54 sessions. 3 hours per session x 54 sessions = 162 hours. $25.43 p/h x 162 hours. Budget Amendment Narratives: Approved Date: Amend Prog Budget 15.000.00 Amend CSC Budget Orig Prog Budget Amend Prog Budget 6,000.00 6,000.00 6,000.00 Amend CSC Budget Orig Prog Budget Amend Prog Budget 0.00 4,120.00 4,120.00 Account # Account Name Orig CSC Budget Amend CSC Budget Orig Prog Budget Amend Prog Budget 854 Other (Discretionary Funds) 3,651.00 3,651.00 3,651.00 3,651.00 Original Budget Calculation: 3651 Original Budget Narratives: Within 2% of award amount Budget Amendment Narratives Approved Date: Account # Account Name Orig CSC Budget Amend CSC Budget Orig Prog Budget Amend Prog Budget 891 Other (other) 3,920.00 3,920.00 3,920.00 3,920.00 Original Budget Calculation: (25+10)"16'7 Original Budget Narratives: Milestone Rewards will be provided to participants throughout the course of the program. Incentives will include family activity games, puzzles, books, cd's, baby care products and educational games. Milestone Rewards: $25 per participant x 16 participants x 7 centers = $2,800 End of Program Recognition will be provided to participants who complete the required program sessions. Participants will receive certificates and program shirts on their last session. End of Program Recognition Rewards: $10 per participant x 16 participants x 7 centers = $1,120.00 Budget Amendment Narratives: Approved Date: - Expense Totals Orig CSC Budget Amend CSC Budget Orig Prog Budget Amend Prog Budget 177,333.00 177,333.00 195,853.00 195,853.00 Salary, Expense, and Subcontractor Totals Orig CSC Budget Amend CSC Budget Orig Prog Budget Amend Prog Budget 202,032.00 202,032.00 298,820.00 298,820.00 Grand Total: $0.00 $0.00 $0.00 ATTACHMENT C: Data Requirements and Program Metrics The Children's Trust requires Providers to continually collect metrics on the quantity, quality and impact of service efforts. The purpose of data collection, reporting and analysis is to promote continuous improvement in program quality and participant outcome achievement. Contract -specific reporting requirements are identified in Attachment A - Scope of Services. The Program Metrics tool can be found on the Children's Trust website and it details the components that are regularly reviewed by Trust staff or approved contractors. These components —as well as the way they are rated —are specific to the initiative and can be revised throughout the funding cycle. Successful programs regularly monitor the quality of their own implementation at the site level, offer staff training and coaching on program components, and incorporate feedback from participants and staff. Data requirements: As applicable, provider is expected to collect and enter demographic, attendance, screening, and assessment data in a timely manner, while incorporating practices that ensure data quality and integrity. Data must be collected using the appropriate tools (e.g., required demographic fields can be found in the Child and Adult Information Forms found on The Children's Trust website) and entered in a timely manner into a Trust approved data system. All data entered must be reviewed and validated by the provider no later than the 15th of month following the month in which services were delivered. As applicable, provider may also be expected to complete a Program Narrative Report (see initiative specific requirements - including timing —in the Initiative Specific Reporting Requirements on The Children's Trust website) that captures a brief account of the program's successes, challenges, and supports needed. With each submission, the provider attests, based on his/her best knowledge, information and belief, that all data submitted in conjunction with the reports are accurate, truthful and complete. The Trust and Trust approved partners shall access these data —either via direct access to the system used by the provider and/or via a data feed to The Trust's Integrated Data Repository—, use it and analyze it for evaluation and strategic planning purposes. Program Metrics: • Compliance Items: Provider shall fulfill all applicable compliance items specified in the safety, administrative and fiscal compliance component in the Program Metrics tool, as well as in the Required Documentation Checklist posted on The Children's Trust website. • Quarterly or Yearly Growth Plan: In partnership with the Contract Manager, the provider will develop and implement Growth Plans up to four times per contract year. A Growth Planning Guidance Document with additional information can be found on The Children's Trust website. Additional Program Continuous Quality Improvement Requirements: Provider must ensure appropriate staff and subcontractors attend various Trust -sponsored or facilitated trainings. Training requirements by initiative are detailed on The Children's Trust website. At a minimum, staff will be required to attend the following annually: Contract management trainings The Children's Trust provider meetings SAMIS training for budgets, amendments, invoices, SAMIS programmatic and reports trainings Content -specific trainings related to program quality and performance measures (e.g., Injury Free, ACT, Project RISE, evidence -based programs, and measurement tools). Attachment D Program -Specific Audit Requirements The Program -Specific Audit must encompass an audit of The Children's Trust Contracts in accordance with Section O: Records, Reports, Audits and Monitoring of this Contract. The comprehensive nature of auditing performed in accordance with the standards set forth below places on the independent certified public accounting firm (CPA) the responsibility for ensuring that (1) the audit is conducted by personnel who have the necessary skills; (2) independence is maintained; (3) applicable standards are followed in planning and conducting audits and reporting the results; (4) the organization has an appropriate internal quality control system in place; and (5) the organization undergoes an external quality control review. Program -Specific Audits must be conducted in compliance with AU-C 935 and are required to include performing tests of controls over compliance. An auditor's risk assessment must include an expectation of the operating effectiveness of controls over compliance, and in doing so, the assessed control risk must be assessed at low during the planning stage. If the auditor determines a lack of controls and identifies risk of material noncompliance that demonstrates internal controls do not exist or are not effective regarding the compliance requirement, a response to such risks should be developed, and a finding (significant deficiency or material weakness) should be reported. The auditor's test work and sample size of each compliance requirement should be the result of the assessed level of inherent risk and control risk as it relates to each compliance requirement as stated in The Children's Trust Contracts. The Program -Specific Audit requires the following components (a sample format may be found on The Children's Trust website): 1. Independent Auditor's Report on the Schedule of Expenditures of The Children's Trust Contracts 2. Schedule of Expenditures of The Children's Trust Contracts 3. Notes to Schedule 4. Independent Auditor's Report on Compliance for each of The Children's Trust Contracts and Report on Internal Control over Compliance 5. Schedule of Findings and Questioned Costs At a minimum, the auditor must include the following tests in its audit program to ensure that the compliance requirements set forth in The Children's Trust compliance supplement are met. They are: The Children's Trust Compliance Supplement to the Program -Specific Audit: Compliance Program -Specific Audit Example Requirement Implication a) Internal Controls 1) An auditor's risk assessment A) Controls tested during the financial must include an expectation of statement audit may not consider the operating effectiveness of compliance as it relates to The controls over compliance, and in Children's Trust's Contract. Overall doing so, the assessed control control risk must consider each risk must be assessed at low compliance requirement tested during during the planning stage. If the the Program -Specific Audit. Separate auditor determines a lack of risk assessment procedures and controls and identifies risk of materiality should be performed and material noncompliance that generated for a Program -Specific demonstrates internal controls Audit. do not exist or are not effective regarding the compliance requirement, a response to such risks should be developed, and a finding (significant deficiency or material weakness) should be reported. The auditor's test work and sample size of each compliance requirement should be the result of the assessed level of inherent risk and control risk as it relates to each compliance requirement as stated in The Children's Trust Contracts b) Budget vs. Actual 1) The approved budget is to A) Test work should include a schedule Expenditures include the original approved identifying each Contract and its Contract as well as any original/ amended budget, monthly approved budget billings, Contract utilization and any amendments/revisions. analytical expectations that may identify any overbillings. i. The current Children's Trust electronic system does not allow providers to overbill any budgeted line item or Contract allocation, however, if Contract utilization is greater or less than expected, this could indicate that a budgeted salary rate is not the employee's actual rate. Provider must compensate employees at the rate stated on the budget. Any difference in rate would warrant a finding in the Program -Specific Audit Report. c) Allowable/Unallowable Activities and Costs Common unallowable costs: 1. Salary rates, payroll methods and hours billed that do not match original or amended budgets. 2. Fringe benefits billed to The Children's Trust for employees not included in Contract budget and are unrelated to the program. 3. Professional services billed within regular salaries and wages. 4. Capital purchases disguised as repairs. 5. Sales taxes and tips. 6. Fuel. 7. Food and beverage costs for parties, celebrations, end -of - program events, and conferences or conventions, unless while attending an out- of-town conference or convention. 8. Monetary gift cards as incentives. A detailed listing of all costs and activities considered allowed and unallowed can be viewed in the Budget Guidelines form on The Children's Trust website. d) Cash Management 1) Requires that the nature of services and type of costs paid are in agreement with the contractual budget and/or budget amendment/revision's Scope of Services and budget guidelines. AND/OR Requires that activities performed or costs paid with The Children's Trust funds are listed in the contractual budget narrative or a contractual budget amendment/revision narrative. 2) Any cost or service billed that is not approved in the Contract's budget is a finding and reported as a questioned cost on the Program -Specific Audit Report. 3) If any cost or service is billed in more than one Contract, and the billings are in excess of the total disbursement or approved allocation, the expense has been overbilled or double billed and should be considered a finding. 4) The Children's Trust funds must supplement a program; supplanting of funds is unallowable. A provider may not use Contract funds to defray any costs that the recipient already is obligated to pay. (See example F) 1) With the exception of the last month of the Contract period, monthly invoices must represent costs actually paid during the Contract period (cash basis), rather than costs incurred or accrued. A) If Provider asks to be reimbursed for six (6) field trips to teach children social skills, only field trips enumerated in either the contractual budget narrative or the contractual Scope of Service will be reimbursed. B) If the contractual budget, lists a program coordinator position at $25.00/hour, the provider must pay the program coordinator and charge The Children's Trust $25.00/hour. The provider cannot substitute funding identified for the program coordinator to any other position. C) If the contractual budget, lists a program coordinator's position, with dedicated time charged to The Children's Trust program of 25%, the provider must keep records of an employee's time to substantiate that 25% of time was in fact earned and charged to The Children's Trust program. D) If three Contracts list a program coordinator's total budgeted salary as $100,000.00 and each Contract will reimburse $35,000.00 (35%), then a possible overbilling of $5,000 may have occurred ($35,000.00*3=$105,000.00 or 35%*3=105% Children's Trust salary allocation). E) If an invoice is submitted to The Children's Trust that includes food charges for end -of -year parties and celebrations, those costs are NOT allowable per The Children's Trust budget guidelines and cannot be paid by The Children's Trust. F) If a provider, prior to applying to participate in the contracted program, committed to purchase 10 new computers for another program, the provider must purchase those 10 computers in addition to any other computers requested for The Children's Trust program. A) If payroll is paid on 3/31, it should be disclosed in March's reimbursement. B) If payroll is paid on 4/1, but represents time charged in March, it should be disclosed in April's reimbursement. e) Period of Availability 1) Requires provider to charge A) If the active Contract period extends The Children's Trust grant with from 8/1 through 7/31, and provider only allowable costs resulting expends $250.00 for office supplies on from obligations incurred during 9/30 during said Contract period, that the funding period. expenditure must support program services performed during the Contract term. f) Special Provisions 1) Eligibility requirements related to Contract expectations such as type of participants served, number of participants served and background checks should NOT be tested as part of The Children's Trust Program -Specific Audit. The Program -Specific Audit is meant to test the fiscal viability of the provider. Therefore, certain -Contract provisions that support the fiscal viability of the provider should be tested. B) The following items warrant the most attention at the beginning and end of Contract periods: i. Payroll from expired Contracts is not allowed to be billed in the first month of the renewed Contract if it was paid during the invoiced month but was incurred in prior Contract. Reporting requirements for final invoice allow this payroll to be expensed and reimbursed in prior Contract. Only the portion of payroll incurred during the Contract period may be billed. ii. Utilities iii. Insurances Each of the following special provisions must be tested: A) Insurance requirements (further described in Section K: Insurance Requirements of this Contract) Auditor should determine if all applicable insurance policies were carried during the fiscal year. B) Proof of tax status (further described in Section L: Proof of Tax Status of this Contract) ii. Auditor should vouch that applicable documents verifying that all incurred payroll and unemployment taxes have been paid. C) Data security obligation (further described in Section O: 12 of this Contract) i. Auditor should obtain and/or understand the provider's data security policy. D) Subcontractor agreements (if applicable) i. Auditor should obtain and understand any agreements made with subcontracted parties. Additionally, the auditor should obtain and understand any provider monitoring procedures. E) Matching Funds In some cases, a required match is contracted. This will be indicated in Section C: Total Funding of this Contract. Verify the applied method the provider uses to satisfy match requirements. Also, verify that provider maintains documentation to back up match requirements. F) DCF License Requirement i. For some Trust funded programs (After -school and early childhood programs), a Florida Department of Children and Families (DCF) license is required for each site delivering services. If during the contract period a funded site (s) has lapse its DCF license(s) coverage, the auditor should test the invoice period when the lapse occurred. No direct costs in association with the delivery of program services at the unlicensed site (s) should be invoiced to the Trust during the lapsed period. For contracts with multiple sites, The Trust would reimburse for the delivery of services at the at the licensed sites only. The independent auditor's report shall state that the audit was conducted in accordance with: (1) auditing standards generally accepted in the United States of America; (2) the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States; and (3) the Program -Specific Audit Requirements listed in The Children's Trust Contract. ATTACHMENT E-1 Affidavit under Penalty of Perjury for Level 2 Background Screenings Affidavit under Penalty of Perjury Affirming Compliance with Background Screening for Provider Personnel, Volunteers, and Subcontracted Personnel, as applicable. In accordance with sections 943.0542, 984.01, 39.001 and Chapters 435, and 402, Florida Statutes, and pursuant to the requirements of Paragraph R. Background Screening of this Contract, the undersigned affiant makes the following statement under oath and under penalty of perjury, which is a first -degree misdemeanor, punishable by a definite term of imprisonment not to exceed one year and/or a fine not to exceed $1,000, pursuant to sections 837.012 and 775.082, Florida Statutes. All full-time, part-time, contracted staff and volunteers, along with the staff and volunteers provided to the program by a subcontractor have been checked against The Dru Sjodin National Sex Offender Public Website http://www.nsopw.gov/eng. (Check must have taken place within 30 calendar days prior to the signing of this document.) STATE OF FLORIDA COUNTY OF MIAMI-DADE Before me, the undersigned authority, personally appeared (CEO/Executive Director) Authorized Provider Representative of (Provider Name) who being by me first duly sworn, deposes and says: I swear and affirm that the above -named contracted Provider is compliant with the requirements for personnel background screening detailed in sections 943.0542, 984.01, Chapter 435, 402, 39.001, and 1012.465, Florida Statutes, as applicable, for all personnel having direct contact with children. (Signature of CEO/Executive Director/HR Director) Date Sworn to and subscribed before me at Miami -Dade County, Florida this _ day of , 20_ by Who is personally known to me Who produced identification: Type of identification Signature of Notary Public State of Florida at Large Print, type or stamp name of notary public My Commission Expires: W 4 w Le �r`6 1p A `~ MVF I FA M I I I F.S.CoM State of Florida ATTACHMENT E-2 CHILD CARE ATTESTATION OF GOOD MORAL CHARACTER Before me this day personally appeared (Applicant's/Employee's Name) County. who, being duly sworn, deposes and says: As an applicant for employment with, an employee of, a volunteer for, or an applicant to volunteer with , I affirm and attest under penalty of perjury that I meet the moral character requirements for employment, as required by Chapter 435, Florida Statutes, in that: I have not been arrested with disposition pending or found guilty of, regardless of adjudication, or entered a plea of nolo contendere or guilty to, or have been adjudicated delinquent and the record has not been sealed or expunged for, any offense prohibited under any of the following provisions of the Florida Statutes or under any similar statute of another jurisdiction for any of the offenses listed below: Relating to: Section 393.135 sexual misconduct with certain developmentally disabled clients and reporting of such sexual misconduct Section 394.4593 sexual misconduct with certain mental health patients and reporting of such sexual misconduct Section 415.1 1 1 adult abuse, neglect, or exploitation of aged persons or disabled adults or failure to report of such abuse Section 741.28 criminal offenses that constitute domestic violence, whether committed in Florida or anotherjurisdiction Section 777.04 attempts, solicitation, and conspiracy Section 782.04 murder Section 782.07 manslaughter, aggravated manslaughter of an elderly person or disabled adult, or aggravated manslaughter of a child Section 782.071 vehicular homicide Section 782.09 killing an unborn child by injury to the mother Chapter 784 assault, battery, and culpable negligence, if the offense was a felony Section 784.011 assault, if the victim of offense was a minor Section 784.03 battery, if the victim of offense was a minor Section 787.01 kidnapping Section 787.02 false imprisonment Section 787.025 luring or enticing a child Section 787.04(2) taking, enticing, or removing a child beyond the state limits with criminal intent pending custody proceeding Section 787.04(3) carrying a child beyond the state lines with criminal intent to avoid producing a child at a custody hearing or delivering the child to the designated person Section 790.1 15(1) exhibiting firearms or weapons within 1,000 feet of a school Section 790.1 15(2) (b) possessing an electric weapon or device, destructive device, or other weapon on school property Section 794.011 sexual battery Former Section 794.041 prohibited acts of persons in familial or custodial authority Section 794.05 unlawful sexual activitywith certain minors Chapter 796 prostitution Section 798.02 lewd and lascivious behavior Chapter 800 lewdness and indecent exposure Section 806.01 arson Section 810.02 burglary Section 810.14 voyeurism, if the offense is a felony Section 810.145 video voyeurism, if the offense is a felony Chapter 812 theft and/or robbery and related crimes, if a felony offense Section 817.563 fraudulent sale of controlled substances, if the offense was a felony Section 825.102 abuse, aggravated abuse, or neglect of an elderly person or disabled adult Section 825.1025 lewd or lascivious offenses committed upon or in the presence of an elderly person or disabled adult Section 825.103 exploitation of disabled adults or elderly persons, if the offense was a felony Section 826.04 incest Section 827.03 child abuse, aggravated child abuse, or neglect of a child Section 827.04 contributing to the delinquency or dependency of a child Former Section 827.05 negligent treatment of children Section 827.071 sexual performance by a child Section 843.01 resisting arrest with violence Section 843.025 depriving a law enforcement, correctional, or correctional probation officer means of protection or communication Section 843.12 aiding in an escape Section 843.13 aiding in the escape of juvenile inmates in correctional institution Chapter 847 obscene literature Section 874.05(1) encouraging or recruiting another to join a criminal gang Chapter 893 drug abuse prevention and control only if the offense was a felony or if any other person involved in the offense- was a minor Section 916.1075 sexual misconduct with certain forensic clients and reporting of such sexual conduct Section 944.35(3) inflicting cruel or inhuman treatment on an inmate resulting in great bodily harm Section 944.40 escape Section 944.46 harboring, concealing, or aiding an escaped prisoner Section 944.47 introduction of contraband into a correctional facility Section 985.701 sexual misconduct in juvenile justice programs Section 985.711 contraband introduced into detention facilities I understand that I must applicable acknowledge the existence of any criminal record relating to the above lists of offenses including those under any similar statute of another jurisdiction, regardless of whether or not those records have been sealed or expunged. Further, I understand that, while employed or volunteering at in any position that requires background screening as a condition of employment, I must immediately notify my supervisor/employer of any arrest and any changes in my criminal record involving any of the above listed provisions of Florida Statutes or similar statutes of another jurisdiction whether a misdemeanor or felony. This notice must be made within one (1) business day of such arrest or charge. Failure to do so could be grounds for termination. I attest that I have read the above carefully and state that my attestation here is true and correct that my record does not contain any of the above listed offenses. I understand, under penalty of perjury, all employees in such positions of trust or responsibility shall attest to meeting the requirements for qualifying for employment and agreeing to inform the employer immediately if arrested for any of the disqualifying offenses. I also understand that it is my responsibility to obtain clarification on anything contained in this affidavit which I do not understand prior to signing. I am aware that any omissions, falsifications, misstatements or misrepresentations may disqualify me from employment consideration and, if I am hired, may be grounds for termination or denial of an exemption at a later date. SIGNATURE OF AFFIANT: Sign Above OR Below, DO NOT Sign Both Lines To the best of my knowledge and belief, my record contains one or more of the applicable disqualifying acts or offenses listed above. I have placed a check mark by the offense(s) contained in my record. (If you have previously been granted an exemption for this disqualifying offense, please attach a copy of the letter granting such exemption.) (Please circle the number which corresponds to the offense(s) contained in your record.) SIGNATURE OF AFFIANT: Sworn to and subscribed before me this day of 20 SIGNATURE OF NOTARY PUBLIC, STATE OF FLORIDA (Print, Type, or Stamp Commissioned Name of Notary Public) (Check one) Affiant personally known to notary OR Affiant produced identification ATTACHMENT E-3 Child Abuse & Neglect Reporting Requirements ,• 9 p 9 q All child"care 'personnel are mandated by law to report their suspicions of child abuse, neglect, or abandonment to the Florida Abuse Hotline in accordance with section 39.201, Florida Statutes. Child care personnel must be alert to the physical and behavioral indicators of child abuse and neglect. "Child Abuse or Neglect" is defined in section 39.201, Florida Statutes, as "harm or threatened harm" to a child's health (mental or physical) or welfare by the acts or omissions by a parent, adult household member, other person responsible for the child's welfare, or for purposes of reporting requirements by any person. Categories include: - Physical Abuse or Neglect (i.e. unexplained bruises, hunger, lack of supervision...) - Emotional Abuse or Neglect (i.e. impairment in the ability to function, depression...) - Sexual Abuse (i.e. withdrawal, excessive crying, physical symptoms...) Reports must be made immediately to the Florida Abuse Hotline Information System by -Telephone at 1-800-96-ABUSE (1-800-962-2873), or - Fax at 1-800-914-0004, or - Online at httr)://www.dcf.state.fl.us/abuse/rer)ort/. Failure to perform duties of a mandatory reporter pursuant to section 39.201, Florida Statutes, constitutes a violation of the standards in sections 402.301 - 402.319, Florida Statutes, and is a felony of the third degree. Remember, it is each child care personnel's responsibility to report suspected abuse and/or neglect. All reports are confidential. However, persons who are mandated reporters (child care personnel) are required to give their name when making a report. It is important to give as much identifying and factual information as possible when making a report. Any person, when acting in good faith, is immune from liability in accordance with section 39.203(1) (a), Florida Statutes. For more information about child abuse and neglect, visit the Florida Department of Children and Families' ("Department") website at www.myflorida.com/childcare and select "Training Requirements." The Department offers a 4-hour Identifying and Reporting Child Abuse and Neglect course for child care providers. This course is an overview of the various types of abuse and neglect, indicators that may be observed, the legal responsibility of mandatory reporters, and the proper procedure for reporting abuse and neglect, as required by sections 402.305(2) and 402.313(1), Florida Statutes. The course is offered both online and in person with an instructor throughout Florida. This statement is to verify that on 20 , I, Date Print Name of Employee Read and understood the information and my mandated ATTACHMENT E-4 r.pEPAj?,_ � # f BACKGROUND SCREENING & PERSONNEL FILE REQUIREMENTS Place in employee file and attach all background screening documentation. 'N AND Authority: sections 402.301- 402.319 and Chapter 435, MYFLFAMILiES.COM Florida Statutes Name of Employee: Name of Facility: *Social Security #: Date of Birth: Employment Date: *The Department's license/registration application requires personnel to give their Social Security number for the purposes of background screening. Social security numbers are only used by the Department for identity verification. Position Classification (check one) Position Type (check all that apply) Age Group Assigned (check one) Education Level (check one) Child Care Personnel Owner 0 - 12 Months No High School/GED Intermittent Volunteer Director 1 Year High School Student Other Personnel Lead Teacher (must 2 Years High School/GED select age group) 3 Years National Early Childhood Credential VPK Instructor 4 Years Birth Through Five Child Care Credential Assistant Teacher 4 Years VPK School -Age Child Care Credential Substitute 5+ Years Associates Degree Mixed Bachelor's Degree NotApplicable Master's Degree or Higher SCREENING DOCUMENTATION All child care personnel are required by law to be screened pursuant to Chapter 435, Florida Statutes, as a condition of employment and continued employment. Initial Screen Date Livescanned Date completed FINGERPRINT FDLE FBI FDLE FBI Affidavit of Good Moral Character N/A (due on or before employment, following a 90 day break, or when changing employers) 5 Year Re -screen Date Livescanned Date completed FINGERPRINT FINGERPRINT FINGERPRINT OTHER REQUIREMENTS Date Employment References Checked: Names of References (attach additional documentation if necessary): Leave of Absence Documentation from Employer (if applicable): ATTACHMENT G Data Security Definitions "Authorized Employees" means Provider's employees who have a need to know or otherwise access Personal Information to enable Provider to perform its obligations under this Agreement. "Authorized Persons" means (i) Authorized Employees; or (ii) Provider's subcontractors approved by The Children's Trust who have a need to know or otherwise access Personal Information to enable Provider to perform its obligations under this Agreement, and who are bound in writing by confidentiality obligations sufficient to protect Personal Information in accordance with the terms and conditions of this Agreement. "Unauthorized Third Party" means any person other than Authorized Employee or Authorized Person(s). "Highly -Sensitive Personal Information" means an individual's (i) government -issued identification number (including, without limitation, social security number, driver's license number or state -issued identified number); (ii) financial account number, credit card number, debit card number, credit report information, with or without any required security code, access code, personal identification number or password, that would permit access to an individual's financial account; or (iii) biometric or health data. "Personal Information" includes Highly -Sensitive Personal Information or any of the following: An individual's first name or first initial and last name in combination with any one or more of the following data elements for that individual: 1. A social security number; 2. A driver license or identification card number, passport number, military identification number, or other similar number issued on a government document used to verify identity; 3. A financial account number or credit or debit card number, in combination with any required security code, access code, or password that is necessary to permit access to an individual's financial account; 4. Any information regarding an individual's medical history, mental or physical condition, or medical treatment or diagnosis by a health care professional; or 5. An individual's health insurance policy number or subscriber identification number and any unique identifier used by a health insurer to identify the individual. User name or e-mail address, in combination with a password or security question and answer that would permit access to an online account. Notwithstanding the foregoing, the term "Personal Information" shall not include information (1) about an individual that has been made publicly available by a federal, state, or local governmental entity; or (2) that is encrypted, secured, or modified by any other method or technology that removes elements that personally identify an individual or that otherwise renders the information unusable. "Security breach" or "breach" means unauthorized access of data in electronic form containing personal information, or a breach or alleged breach of this Agreement relating to such privacy practices. Good faith access of Personal Information by an employee or agent of the covered entity shall not constitute a breach of security under this Agreement, so long as the information is not used for a purpose unrelated to the business of The Children's Trust, or as a result of any other unauthorized use.