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HomeMy WebLinkAboutR-89-0776J-89-833 9/6/89 RESOLUTION NO. 89- 7f h A RESOLUTION, WITH ATTACHMENTS, ALLOCATING $21,353 OF THE 15TH YEAR COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS TO THE MIAMI JEWISH HOME AND HOSPITAL FOR THE AGED, TO OPERATE A SENIOR ADULT DAY CARE CENTER AT LEGION PARK AND $55,892 OF 15TH YEAR COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS TO THE COCONUT GROVE FAMILY HEALTH CENTER, INC. TO PROVIDE A PRIMARY HEALTH CARE PROGRAM TO RESIDENTS OF THE COCONUT GROVE AREA OF THE CITY OF MIAMI, SAID FUNDS HAVING BEEN PREVIOUSLY APPROPRIATED BY ORDINANCE NO. 10594, ADOPTED JUNE 7, 1989; FURTHER AUTHORIZING THE CITY MANAGER TO EXECUTE AGREEMENTS WITH SAID AGENCIES FOR SAID PURPOSE, IN SUBSTANTIALLY THE ATTACHED FORM. WHEREAS, the City Commission adopted Resolution No. 89-388 at its meeting of April 27, 1989, which authorized the City Manager to submit the Final Statement for the proposed use of Fifteenth Year Community Development Block Grants to the U.S. Department of Housing and Urban Development; and WHEREAS, the Final Statement included an allocation of $21,353 to operate a senior adult day care program; and WHEREAS, the Miami Jewish Home and Hospital for the Aged, Inc. has been previously funded by the City of Miami to operate a senior adult day care program at Legion Park; and WHEREAS, the Final Statement included an allocation of $55,892 for a primary health care project in the Coconut Grove target area of the City of Miami; and WHEREAS, the Coconut Grove Family Health Center operates a primary health care program for residents of the Coconut Grove area which was funded by the City in the 14th C.D. Year; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. $21,353 of 15th Year Community Development Block Grant Funds, previously appropriated by Ordinance No. 10594, adopted June 7, 1989, are hereby allocated to the Miami Jewish Home and Hospital for the Aged, Inc, for the purpose of providing a senior adult day care program at Legion Park. Section 2. $55,892 of 15th Year Community Development Bl,o94 •�1 x . �� }� � Ir i tt A CITY COMMISSION MEETING OF SEP 14 1989 99-- ( IF Grant furAs, previously appropriated by Ordinance 140. adopted June i, 1909# are hereby allocated to the Con Ott grave Family Health Center, Inc. to provide a primary health Care program to residents of the Coconut Grove target area. SECTION 3. The City Manager is hereby authorized to execute agreements, in substantially the form attached, with the aforementioned agencies to implement their respective projects, subject to the conditions and limitations contained herein and in the City Code. Section 4. This Resolution shall become effective immediately upon its adoption pursuant to law. PASSED AND ADOPTED this 14thday of September , 1989. .:�ATTES XAVIER L. S A Z, MAYOR MATTY HIRAI, CITY CLERK BUDGETARY REVIEW: MANOHAR SURANA, DIRECTOR COMMUNITY DEVELOPMENT REVIEW: 1M FRANK CASTANEDA, DIRECTOR �C'" FINANCE REVIEW: A CITY OF MIAMI SOCM SERVICES AGREEMENT THIS AGREEMENT, entered into this day of : 19� between the City of Miami, a municipal corporation of the State of Florida, (hereinafter referred to as the "CITY"), and Coconut Grove Family Health Center, Inc., a Florida not for profit corporation, (hereinafter referred to as the "GRANTEE"). FUNDING SOURCES Community Development Block Grant Funds- 15th Year TERM OF THE AGREEMENT: July 1, 1989 through June 30, 1990 AMOUNT: $55,892 i i VENDOR NUMBER: 025125 TAX IDENTIFICATION NUMBER: 59 1481561 ■ 1 NOW, THEREFORE, in consideration of the mutual covenants and obligations herein set forth, the parties understand and agree as follows: ARTICLE I. As a necessary part of this Agreement, the GRANTEE shall provide the CITY with the following: 1.1 Corporate Resolution authorizing execution of this Agreement. .1.2 Work Program (approved by the CITY). 1.3 Budget Summary, to include: completion of GRANTEE'S Program/Line-Item Budget/Expenditure Justification, Total Actual and Projected Funds Disclosure, and Staff Salaries Schedule (on forms supplied by the CITY); budget for program - generated income; copies of all sub -contracts and/or management services agreements funded in whole or in part under this agreement. 1.4 Copy of GRANTEE's Articles of Incorporation, Charter and By- laws. 1.5 List of. Present Principal Governing Board Officers and Members of the Board (names, addresses and telephone numbers). 1.6 List of Key Staff Persons, with their titles, who will carry r out this program. 1.7 Certificate of Insurance which reflects GRANTEE'S current M Y CITY OF MIAMI SOCIAL SERVICES AGREEMENT THIS AGREEMENT, entered into this day of _, 19 0 between the City of Miami, a municipal corporation of the State of Florida, (hereinafter referred to as the "CITY"), and Coconut Grove Family Health Center, Inc., a Florida not for profit corporation, (hereinafter referred to as the "GRANTEE"). FUNDING SOURCEs Community Development Block Grant Funds- 15th Year TERM OF THE AGREEMENTS July 1, 1989 through June 30, 1990 AMOUNT: $55,892 VENDOR NUMBER: 025125 TAX IDENTIFICATION NUMBER: 59 1481561 NOW, THEREFORE, in consideration of the mutual covenants and obligations herein set forth, the parties understand and agree as i follows: ARTICLE I. As a necessary part of this Agreement, the GRANTEE shall provide the CITY with the following: 1.1 Corporate Resolution authorizing execution of this Agreement. 1.2 Work Program (approved by the CITY). 1.3 Budget Summary, to include: completion of GRANTEE'S Program/Line-Item Budget/Expenditure Justification, Total Actual and Projected Funds Disclosure, and Sbaff Salaries Schedule (on forms supplied by the CITY); budget for program - generated income; copies of all sub -contracts and/or management services agreements funded in whole or in part under this agreement. 1.4 Copy of GRANTEE's Articles of Incorporation, Charter and By- laws. 1.5 List of. Present Principal Governing Board Officers and Members of the Board (names, addresses and telephone numbers). 1.6 List of Key Staff Persons, with their titles, who will carry out this program. 1.7 Certificate of Insurance which reflects GRANTEE'S current — - liability insurance, naming the CITY as primary or additional insured as determined by the Law Department of the CITY current Workdrs' Compensation insurance; current Fidelity Bond (applicable for all persons who are authorized to receive and disburse funds under this Agreement)= and other coverage as deemed necessary (i.e. automobile insurance). 1.8 Completion of Authorized Representative Statement (on form supplied by the CITY). 1.9 Completion of Statement of Accounting System (on form supplied by the CITY). 1.10 A letter from an independent Certified Public Accountant which expresses the opinion that the GRANTEE's internal controls are adequate to safeguard the organization's assets. 1.11 Corporate Personnel Policies and Procedures. 1.12 Job Description and Resumes for all positions funded in whole or in part under this Agreement. 1.13 GRANTEE's Corporate Seal (to be affixed to Signatory Page, and Corporate Resolution). 1.14 Final Expenditures Report (to be submitted to the CITY on an approved form no later than 30 days after the expiration of this Agreement). 1.15 Certified Independent Audit (to be submitted to the CITY no later than 120 days after the expiration of this Agreement). ARTICLE II. 2.1 TIME OF PERFORMANCE The term of this Agreement shall be from July 1, 1989 through June 30, 1990. 2.2 CITY AUTHORIZATION For the* purpose of this Agreement, the City of Miami Department of Community Development (hereinafter the "DEPARTMENT") will act on behalf of the CITY in the fiscal control, programmatic monitoring, and modification of this Agreement, except as otherwise provided by this Agreement. 2.3 OBLIGATION OF GRANTEE The GRANTEE shall carry out the services as prescribed in its . - 2 - 89-7G � ry Work Program (Attachment I), which is attached and incorporated herein and made a part of this Agreement, in a lawful, and proper manner, satisfactory to the CITY, in accordance with the written policies, procedures, and requirements as prescribed in this Agreement, as set forth by the United States Secretary of Treasury and the City of Miami Department of Community Development. 2.4 BUDGET SUMMARY AND LINE ITEM BUDGET JUSTIFICATION GRANTEE shall comply with its Program/Line-Item Budget/Expenditure Justification (Attachment II) which is attached and incorporated herein and made a part of -this Agreement. 2.5 RETENTION OF RECORDS GRANTEE shall retain all financial records, supporting documents, statistical records, and all other records pertinent to this Agreement for a period of three years. The retention period starts from the date of the submission of the final expenditure report. Records for non -expendable property acquired with funds under the Agreement shall be retained for a period of three years after its final disposition. All records retained pursuant to this section shall be retained beyond the three-year period if audit findings have not been resolved. 2.6 BONDING AND INSURANCE GRANTEE shall maintain insurance and bonding coverages acceptable to the CITY's Insurance Management Division of the Law Department. Prior to commencing any activity under this Agreement, the GRANTEE shall furnish to the CITY certificates of insurance and bonding indicating that the GRANTEE is in compliance with the provisions of this article. GRANTEE shall provide the following coverages: A) Insurance coverage that reflects sound business practices acceptable to the CITY's Insurance Management Division of the Law Department. B) Fidelity bonding for all persons handling funds received - 3 - 89-7716 or disbursed under this Agreement in an amount equal to or greater than the maximum amount of cash held at any one time. Compliance with the foregoing requirements shall not relieve the GRANTEE of its liability and obligations under this section or under any other section of this Agreement. 2.7 LEVEL OF SERVICE Should start-up time for a program be required or any delays in service occur, the Department of Community Development is to be notified in writing immediately, giving all pertinent details and indicating when service shall begin and/or continue. It is understood and agreed that the level of services, activities, and expenditures by the GRANTEE, in existence prior to the initiation of services hereunder, shall be continued and shall not be reduced in any way as a result of this Agreement. Programs funded through this Agreement shall not result in the displacement of employed workers, impair existing contracts for services, or result in the substitution of funds allocated under this Agreement for other funds in connection with work which would have been performed in the absence of this Agreement. 2.8 PURCHASING AND INVENTORY GRANTEE shall use its best efforts to obtain all supplies and equipment for use under this Agreement at the lowest practical costs and shall solicit three bids for the purchase of capital equipment. The three bids shall accompany all requests for payment. All non -expendable property acquired for the program with CITY funds shall revert to the CITY at the end of CITY's funding of the Program (non -expendable property being properties which shall not be consumed or lose identity). GRANTEE shall be responsible to CITY for any damage or destruction to said property and shall reimburse CITY for such damage or destruction. GRANTEE shall establish and maintain a property control system and shall be responsible for maintaining a current inventory on all - 4 - 89-- 7'7C _ a AbMao capital items purchased with CITY funds. All capital expenditures over $50.00 must be approved by CITY prior to purchase. All items purchased remain the property of CITY and are to be inventoried as such, which shall include a property record listing the description, model, serial number, date of acquisition, and cost. Such property shall be inventoried semi-annually, and an inventory report submitted to CITY. GRANTEE shall permit CITY staff access to the premises where property is kept for the purpose of performing inventory monitoring functions. GRANTEE shall not dispose of real or personal property purchased with CITY funds through sale, loan, or relocation without receiving prior written approval of the City Manager. T 2.9 MINORITY PROCUREMENT COMPLIANCE CLAUSE GRANTEE acknowledges that it has been furnished a copy of Ordinance No. 10536, the Minority Procurement Ordinance of the City of Miami, and shall comply with all applicable substantive and procedural provisions therein, including any amendments thereto. 2.10 DISCLOSURE OF FUNDS GRANTEE shall disclose all sources (public or private) and amounts of funds reflecting the total budget whether they be real or in -kind at the commencement of the Agreement period, as well as any changes in the amount of funds through program z income or the sources received during the term of this Agreement, within 30 days of such change. Examples of in - kind funds include free rent, labor, and office equipment. 2.11 FINAL EXPENDITURE REPORT A final expenditure report shall be submitted to the CITY within 30 days after the expiration of this Agreement. This report shall reflect actual expenditures, by line -items, versus budgeted expenditures. All persons employed and paid pursuant to this Agreement are to be listed by name, title, Social Security number, date hired or terminated, ethnic sss! background, and total salary reflecting both CITY and other funding sources. s s 5 - 89" "'7G s` sue; . 2.12 REPORTS AND EVALUATIONS GRANTEE shall transmit to CITY, in writing, in a format acceptable to CITY, quarterly reports regarding current activity and the progress of the GRANTEE's activities. GRANTEE shall submit to CITY such additional reports as may be requested. GRANTEE shall prepare, in writing, in a format acceptable to CITY, any reports or documentation that may be required by Federal, State or Local Directives. The GRANTEE shall comply with the Federal Directive required by the U.S. Department of Housing and Urban Development (USHUD) to document that program activities are provided for the benefit of low to moderate income persons. In accordance with the Code of Federal Regulations 24 CFR Part 570.506, records shall be maintained for each activity to determine that services benefit low and moderate income persons. The following criteria shall be used to document said requirement: (i) Documentation establishing that the service provides a presumptive benefit to low and moderate income persons (i.e. senior citizens, handicapped persons, battered spouses, abused 'children, the homeless, illiterate persons or migrant farm workers); or (ii) Documentation describing how the nature and, if applicable, the location of the service establishes that it is used predominantly by low and moderate income persons; or (iii) Data showing the size and annual income of the family of each person receiving the benefit. At the request of CITY, GRANTEE shall transmit to CITY written statements of GRANTEE's official policy on specified issues relating to GRANTEE's activities. CITY may carry out monitoring and evaluation activities, including visits and observations by CITY staff; GRANTEE 6 - i � a shall ensure the cooperation of its employees and Board members in such efforts. Any inconsistent, incomplete, or inadequate information either received by the CITY on a quarterly basis or obtained through monitoring and evaluation by the CITY, shall constitute good cause for the CITY to terminate this Agreement at any time thereafter. ; 2.13 AUDITS GRANTEE will comply with all applicable federal regulations relating to the submission of an independent audit from a certified public accountant. CITY will advise the GRANTEE, in writing, of said audit requirements within three (3) months of the commencement of this agreement. The GRANTEE agrees to budget sufficient funds allocated under this Agreement to secure an independent audit froin a certified public accountant which must include the expression of an opinion on the financial statements, and a compliance letter which tests whether the GRANTEE is in conformity with Community Development Block Grant or other applicable regulations. Line Item Change Requests will be accepted to cover the cost of the required audit. Additional funds will not be granted for this purpose. If applicable, said audit shall be submitted to the City's Department of Community Development no later than 120 days after the expiration of this Agreement. 2.14 CPA LETTER GRANTEE shall submit to the CITY at the commencement of the Agreement a letter from an independent Certified Public Accountant (CPA) which expresses the opinion that the GRANTEE's accounting system has adequate internal controls to safeguard the assets of the organization. Expenses incurred to secure the CPA letter may be covered by the CITY grant and must be included in the expenditure justification form of the budget summary. ARTICLE III. 3.1 COMPENSATION A. CITY shall pay GRANTEE, as maximum compensation for the - 7 - services required pursuant to Article II hereof, $55,892. k B. CITY shall have the right to review and audit the time records and related records of GRANTEE pertaining to any payments by CITY. 3.2 METHOD OF PAYMENT j A. Upon execution of this Agreement and with a written request from GRANTEE, CITY may advance 1/6th of the d• appropriated funds to GRANTEE. The advance shall be justified as follows: one-half (1/2) in nine (9) equal monthly installments commencing in the third month of this Agreement and continuing through the eleventh month of this Agreement; one-half (1/2) in the twelfth and final month of this Agreement. This method of justifying the advance may be amended by the DEPARTMENT. Funds shall not be advanced by the CITY if the GRANTEE is in default under this Agreement. B. All payments shall be reimbursements for expenditures incurred only during the term of this Agreement, and in compliance with the previously approved Line -Item Budget. Such written request shall contain a statement declaring and affirming that all expenditures were made in accordance with the approved budget. All documentation in support of such request shall be subject to approval by CITY at the time the request is made and all invoices are required to be paid by GRANTEE prior to submission. All reimbursements must be in line -item form and be in accord with this Agreement. All expenditures must be verified by original invoice with a copy of the check which was used to pay that specific invoice. Within 60 days of submitting reimbursement request, copies of the cancelled checks shall be submitted. In the event that an invoice ` • is aid b various funding sources, a copy of the invoice P Y 9 may be submitted but must indicate the exact amount paid by various funding sources equaling the total of the invoice. No miscellaneous categories shall be accepted as sssss�- a line item in the budget. Request for line item changers are allowable, with prior review and approval by the CITY. All line -item changes must be made prior to the end of the term of the agreement. Co Requests for payment should be made at least on a monthly basis. Reimbursement requests should be submitted to the CITY within thirty (30) calendar days after the indebtedness has been incurred. Failure to comply may result in the rejection for repayment of those invoices within the reimbursement package which do not meet this requirement. D. GRANTEE must submit the final request for payment to the CITY within 30 calendar days following the expiration date or termination date of this Agreement. If the GRANTEE fails to comply, all rights to payment are forfeited and the CITY shall not honor .any request submitted after the aforesaid agreed upon period. E. Any payment due under this Agreement may be withheld pending the receipt and approval by the CITY of all reports due from the GRANTEE as a part of this contract and any modifications thereto. 3.3 FINANCIAL ACCOUNTABILITY CITY reserves the right to audit the records of GRANTEE at any time during the performance of this Agreement and for a period of three years after final payment is made under this Agreement. GRANTEE agrees to provide all financial and other applicable records and documentation of services to CITY. Any payment theretofore made shall be subject to reduction for amounts included in the related invoice which are found by CITY,. on the basis of such audit, not to constitute allowable expenditures. Any payments made to GRANTEE are subject to reduction for overpayments on previously submitted invoices. 3.4 RE OF FUNDS CITY shall reserve the right to recapture funds when the a - 9 - 899 77 GRANTEE shall fail (i) to comply with the terms of this Agreement or (ii) to accept conditions imposed by CITY at the direction of the federal, state and local agencies. 3.5 CONTINGENCY CLAUSE Funding for this Agreement is contingent on the availability of funds and continued authorization for program activities and is subject to amendment or termination due to lack of funds or authorization, reduction of funds, and/or change in regulations. 3.6 SALARIES, FRINGE BENEFITS, JOB DESCRIPTIONS To be eligible for reimbursement for personnel costs, GRANTEE shall submit to CITY for prior written approval, in accordance with U.S. Department of Labor guidelines, a detailed statement of the personnel policies of GRANTEE. These personnel policies are to include, but are not limited to, pay schedules, fringe benefits, resumes from staff, method used to compute vacations and ill time, working hours, office procedures, paid holidays, computation of wages, job descriptions to include qualifications for job, an affirmative action plan, an equal employment opportunity statement, disciplinary procedures and methods, and format for and frequency of employee evaluations. The CITY shall not reimburse GRANTEE for family health care insurance premiums, nor shall the CITY reimburse GRANTEE for employee retirement benefits. ARTICLE IV. 4.1 PROJECT PUBLICITY GRANTEE shall abide by affirmative action regulations in informing residents of the geographical area to be served hereundep and of the services to be offered by utilizing any available means for advertisement, as necessary for recruitment and outreach. All literature, advertising, publicity or promotion regarding GRANTEE's activities will be submitted to CITY for review and approval prior to release or distribution. No press - 10 - R Conference shall be scheduled without written notice to CITY. 4,2 NONDISCRIMINATION GRANTEE agrees that it shall not discriminate as to race+ sex, color, creed, national origin or physical handicap in connection with its performance under this Agreement. 4.3 CONFLICT OF INTEREST 4 GRANTEE covenants that no person under its employ who presently exercises any functions or responsibilities in connection with this Agreement has any personal financial interests, direct or indirect, with CITY except as permitted pursuant to this Agreement. GRANTEE further covenants that, in the performance of this Agreement, no person having a conflicting interest shall be employed. Any such interests on the part of GRANTEE or its employees, must be disclosed in writing to CITY. GRANTEE is aware of the conflict of interest laws of the City of Miami (City of Miami Code Chapter 2, Article V), Dade County Florida (Dade County Code Section 22-11.1) and the State of Florida, and agrees that it shall fully comply in all respects with the terms of said laws. 4.4 INDEMNIFICATION GRANTEE shall indemnify, defend and save CITY harmless from and against any and all claims, liabilities, losses, and causes of action which may arise out of GRANTEE's activities under this Agreement, including all other acts or omissions to act on the part of GRANTEE, including any person acting for or on its behalf; from and against any relevant orders, judgments, or decrees which may be entered against the CITY; and from and against all costs, attorney's fees, expenses, and liabilities incurred by the CITY in the defense of any such claims or in the investigation thereof. 4.5 COMPLIANCE WITH FEDERAL, STATE, AND LOCAL LAWS Both parties shall comply with all applicable laws, 4.6 AMENDMENTS No amendments to this Agreement shall be binding on either party unless in writing and signed by both parties. 4.7 SUBCONTRACTS GRANTEE agrees to give advance written notification to the CITY of any subcontract. None of the services covered by this Agreement shall be subcontracted without the prior written approval of CITY. Any work or services sub- contracted hereunder shall be subject to the terms and conditions of this Agreement. Proper documentation in accordance with the DEPARTMENT and CITY guidelines and directives must be submitted to and approved by the DEPARTMENT prior to the execution of any subcontract. The advance notification process shall include the followings .t A. Identification of the subcontractor and services to be provided. B. The proposed subcontract, together with a complete and accurate breakdown of the price on a component -by - component basis, and all bid documents. C. Identification of the type of subcontract to be used. D. Summary of actions taken to select the subcontractor. Nothing contained herein shall create any contractual relationship between CITY and any subcontractor working for GRANTEE. 4.8 OWNERSHIP OF DOCUMENTS All documents developed by GRANTEE under this Agreement shall be delivered to CITY by said GRANTEE upon completion of the services required pursuant to this Agreement and shall become the property of CITY, without restriction or limitation on its use.. GRANTEE agrees that all documents maintained and generated pursuant to this contractual relationship between CITY and GRANTEE shall be subject to all provisions of the Public Records Law, Chapter 119, Florida Statutes. • It is further understood by and between the parties that any documents or thing which is given by CITY to GRANTEE pursuant - 12 - . to this Agreement shall at all times remain the property of CITY and shall not be used by GRANTEE for any other purposes whatsoever without the written consent of CITY. 4.9 AWARD OF AGREEMENT GRANTEE warrants that it has not employed or retained any person employed by the CITY to solicit or secure this Agreement and that it has not offered to pay, paid, or agreed to pay any person employed by the CITY any fee, commission percentage, brokerage fee, or gift of any kind contingent upon or resulting from the award of this Agreement. 4.10 NON-DELEGABILITY The obligations undertaken by the GRANTEE pursuant to this Agreement shall not be delegated or assigned to any other person or firm unless CITY shall first consent in writing to the performance or assignment of such services or any part thereof by another person or firm. 4.11 CONSTRUCTION OF AGREEMENT This Agreement shall be construed and enforced according to the laws of the State of Florida. 4.12 OBLIGATION TO RENEW Upon expiration of the term of this Agreement, GRANTEE agrees and understands that CITY has no obligation to renew this Agreement. 4.13 TERMINATION OF CONTRACT 44 CITY retains the right to terminate this Agreement at any time prior to the completion of the services required pursuant to this Agreement without penalty to CITY. In that event, notice of termination of this Agreement shall be in writing to GRANTEE, who shall be paid for those services performed . prior to the date of its receipt of the notice of i termination. In no case, however, shall CITY pay GRANTEE an amount in excess of the total sum provided by this Agreement. It is hereby understood by and between CITY and GRANTEE that • any payment made in accordance with this Section to GRANTEE shall be made only if said GRANTEE is not in default under the terms of this Agreement. if GRANTEE is in default, then CITY shall in no way be obligated and shall not pay to GRANTEE any sum whatsoever. 4.14 GENERAL CONDITIONS A. All notices or other communications which shall or may be given pursuant to this Agreement shall be in writing and shall be delivered by personal service, or by registered mail addressed to the other party at the address indicated herein or as the same may be changed from time to time. Such notice shall be deemed given on the day on which personally served; or, if by mail, on the fifth day after being posted or the date of actual receipt, whichever is earlier. ; CITY OF MIAMI GRANTEE 3500 Pan American Drive Coconut Grove Family Health Miami, Florida 33133 Center, Inc. 3230 Hibiscus Street Miami, Florida 33133 B. Title and paragraph headings are for convenient reference and are not a part of this Agreement. C. In the event of conflict between the terms of this Agreement and any terms or conditions contained in any attached documents, the terms in this Agreement shall control. D. No waiver or breach of any provision of this Agreement 4- shall constitute a waiver of any subsequent breach of the same or any other provision hereof, and no waiver shall be effective unless made in writing. E. Should any provisions, paragraphs, sentences, words or phrases contained in this Agreement be determined by a court of competent jurisdiction to be invalid, illegal or otherwise unenforceable under the laws of the State of Florida or the City of Miami, such provisions, paragraphs, sentences, words or phrases shall be deemed modified to the extent necessary in order to conform with such laws, or if not modifiable to conform with such laws, then same be deemed severable, and in either event, the - 14 - 59--77G remaining terms and provisions of this Agreement shall remain unmodified and in full force and effect. 4,15 INDEPENDENT CONTRACTOR GRANTEE and its employees and agents shall be deemed to be independent contractors and not agents or employees of CITY, and shall not attain any rights or benefits under the Civil Service or Pension Ordinances of CITY or any rights generally afforded classified or unclassified employees; further, they shall not be deemed entitled to the Florida Workers' Compensation benefits as an employee of CITY. 4.16 SUCCESSORS AND ASSIGNS This Agreement shall be binding upon the parties herein, their heirs, executors, legal representatives, successors, and assigns. 4.17 DEFAULT PROVISIONS In the event that GRANTEE shall fail to comply with each and every term and condition of this Agreement or fails to perform any of the terms and conditions contained herein, then CITY, at its sole option, upon written notice to GRANTEE, may cancel and terminate this Agreement, and all payments, advances, or other compensation paid to GRANTEE by CITY while GRANTEE was in default of the provisions herein ® contained shall be forthwith returned to CITY. y ARTICLE V. GRANTEE CERTIFICATIONS 5.1 GRANTEE certifies that: A. It possesses the legal authority to enter into this Agreement by way of a resolution, motion, or similar action that has been duly adopted or passed as an official act of GRANTEE's governing body, authorizing the execution of the Agreement, including all understandings and s: assurances contained herein, and directing and authorizing the person identified as the official representative of the GRANTEE to act in connection with the Agreement and to provide such additional information as may be required. - 15 - 89-77 . s 8. It shall comply with the provisions of the Hatch tact which limits the political activity of employees. C. No program under this Agreement shall involve political activities. D. It shall prohibit employees from using their positions for a purpose that is or gives the appearance of being motivated by desire for private gain for themselves or others, particularly those with whom they have family, business, or other ties. E. Participants or employees in the program pursuant to this Agreement shall not be employed on the construction, operation, or maintenance of that part of any facility which is used for religious instruction or worship. F. Appropriate standards for health and safety in work and training situations shall be maintained. G. Persons employed in public service jobs under this Agreement shall be paid wages which shall not be lower than whichever is the highest of (a) the minimum wage ■ which would be applicable to the employer under Federal standards, (b) the State or local minimum wage for the most nearly comparable covered employment, or (c) the prevailing rates of pay for persons employed in similar occupations by the same employer. H. It shall comply with the Civil Rights Act as amended. 4, I. It shall comply with the uniform administrative requirements of the Office of Management and Budget Circular A-122, "Cost Principals for Non Profit Organizations", and Attachments A, B, C, F, H, N and O of OMB Circular No. A-110. J. It shall comply with the Anti -Kickback Act, Title 18, USC s� Section 874, and provisions of the Federal Labor Standards, Title 29. K. It shall comply with the procedures set forth in the Policies and Procedures Manual for Community Based Organizations. - 16 - 4 r,.fSs r.cr-We+vH+r'rt.5.!•R"2M'-'Is'Pi. ARTICLE VI ENTIRE AGREEMENT i IN WITNESS WHEREOF, the parties hereto have caused this instrument to be executed by the respective officials thereunto duly authorised on the first date above written. ATTEST: MATTY HIRAI City Clerk ATTEST: l Corporate_-ecretary / _ SE&L CITY OF MIAMI, a municipal Corporation of the State of Florida 8y CESAR H. ODIO City Manager GRANTEE: Coconut Grove Family Health Center, Inc., a Florida not for profit corporation GUARANTEE I Leon G. Robinson , in consideration of the City of Miami's execution of the foregoing Agreement, the undersigned, guarantee the performance of the terms and conditions in said Agreement required to be performed by the Grantee including but not limited to the provisions relating to default, assurances, and certifications. Dated this 21 day of June . 1989. Leon G. Robinson WITNESS: APPROVED AS TO INSURANCE REQUIREMENTS: , an individual individually APPROVED AS TO FORM AND CORRECTNESS: JORGE L. FERNANDEZ CITY ATTORNEY WHERENG•-1•-•the--Boa rd—o-f -Di re-ctoT-s—of-•- COCONUT GROWL FAMILY HEALTH CENTER, INC. has examined terms, conditions, and obligations of the proposed 'contract with the .• City of Miami' for Community Development Block.'Grant Funds WHEREAS, the Board of Directors at .a duly.held corporate meeting have considered the matter in accordance with the by-laws of the corporation; NOW, THEREFORE, BE IT -RESOLVED BY THE BOARD OF DIRECTORS OF ,. COCONUT GROVE FAMILY HEALTH CENTER, INC. that the President and Sec--etary are hereby authorized and instructed to enter into a contract in the name of,. and on behalf of this corporation, with the City of Miami for Community Development Block Grant Funds, in - d ume is fur 'shed b the City of � .accordance with the contract oc _� ru. y y . Miami, and for the price sand upon the terms and payments contained in the proposed •-cbntract submitted by, th'e City of Miami.. IN WITNESS WHEREOF, this 21 day of June , 1989 0 WVb . COCONUT 'GROVE FAMILY 11EALTH CENTER, I1`tC. Work Program Bpecifications tar the Coconut Grove Health Center July 1, 1989 - June 30, 1990 RECOGNIZING THATr (i) The Agency as -a -whole and through its combined funding sources provides medical, dental and family planning services to Dade County residents (i.e., average of 3,250 unduplicated persons per year)t (Li) The funds received by the Agency from any one fnttdincy source (see funding disclosure) are insufficient to cover the full costs incurred in operating the clinics and (iii) F'iff.eenth Year community Development funds are heinq provided by the City to supplement health care sarvicas to residents of Coconut Grove Target Areas (iv) The contract term for FY 1989-90 Fifteenth Year Community Development Contract is for the period July 1, 19©9-•Tone 30, 1990. i The following work program specifications for the tonal operation of the Coconut Grove Family Health Center during tho 1989-90 Community Development year are hereby outlined and prorated provisions have been specified to conform to Community Development reguirementst -o- -o- -o- 'o- -o- -a- --o- -p- I. CENTER will provide outpatient medical, dental and/or family planning services to a minimum of 1,500 unduplicated City or Miami` residents by the end of the contract terms A. A minimum of 40% of all persons served (unduplicated) will be residents of the Coconut Grove Target Area, as defined by the City in the attached botindories designation. b. A minimum of 751 of all persons served (unduplicated) will be low -and -moderate income persons, as defined by the City in the attached income eligibility guidelines. C. 255 "program days" (defined as operational days dttrin which clients attend the Center and receive services? will be provided by the end of the contract term. D Days and hours of operation will be Honda y through Friday, 800 a.m• through 500 p.m. (excluding holidays). L. Services to be provided are as follows: 1. PRIMARY BERVIcesr a. Medical Care Primary medical care will include examination, diagnosis and provision of a t rest-rment: plan for thlose conditions with which clients present' themselves to the center. This includes the following areass eneral family practice, pediatrics, obstetrics gynecology, and preventive 400ro (immunizations, etc.). Q �•y,w�' SEP- 115- 0s Web P . 0 -P b. Dental Care Dental care will include examination, dincgnosis and treatment of most routine dental problems. This will include restoration of repairable teeth, extraction (when indicated), anti Instructions in proper oral hygiene to prevesit. further dental problome. Q. raamity_planning Services Family planning Services will he provided on an as -needed -or -desired basis and will assist CO educate and instruct clients in t:he tnetitods of birth control. Services will also include the dispensing of contraceptives and birth control devices. !Service will be provided by a physician and/or rami.ly Planning Counselor/Nurse. 2. SECONDARY SUPPORT SERVICE31 a. Transportation Transportation will be provided to Clients of the Center on an ae-needed-or-desired basis. 'tripe will be made to and from the Center, clients' homes, and government and other service organizations. All transportation servicen will be documented in accordance with the Center's transportation log. b. Referral and Follow-up Services Referral and follow-up services will be provided to clients on an as-peeded-or-destred hasis for servicee not provided directly by the Center, such as food stamps, medicaid, social security assistance, as well as other government acjoncies and/or service organizations. trot low -lip activities will be conducted by Center staff to insure the clients receive the services for which they are being referred. Services in this category will be provided by a social worker. F. Each client will be assessed a service fee based upon hie/her ability to pay and in accordance with the attached sliding fee schedule and service charges. No client will be denied service based upon the inability to pay. II. RECOGNIZING that the Agency receives funding from ot1►er sources, including the U.S. Department of health and Yuman services and is required to comply with certain performance and reporting standards, the center: will comply with all requirements of the Public Heralt.h Service, which include: A. The achievement and maintenance of a 90% imtntinization level for all registered patients of ttte Center, 0-17 years of aye; 0. The achievement of specified "administrative effiLcioncy indicator" standards (as defined by the Qurea►t of Community Health Services in the "Funding Criteria Manual" maintained on file by the City of Miami, Social Programs Division), which include: 1. No more than 161 of total ambulatory care attributable to administration (excluding housekeeping and maintenance); 2. BaLween 4,200 and 6,000 "on -site encounters" per 'staff personnel equivalent physician per year (excluding psychiatrists): as-0r7e �o 3. A minimum of 2,400 "on -site dental encounters" per staff personnel equivalent dentist per years and 4. Average cost per medical encounter (excluding laboratory and X-ray) to be between the range of $16 and $28. C. Compliance with all reporting requirements of the Public Health Service (BCRR reporting forms and instruction manual are maintained on file by the Social Programs Division.) III. CENTER will utilize the following operational definitions for statistical and City reporting purposes: Service Provider - an individual duly licensed by the State of Florida to provide health care services (i.e., medical, dental and/or family planning). This would include the following professional practitioners: physicians, dentists, licensed practical nurses, registered nurses, laboratory technicians. User - an eligible client who has received health care services at any time during the contract period regardless of the number or type of encounters he/she has had. Encounter - an on -site face to face contact between one user and one service provider wherein that user is provided with health care services or consultation between one service provider and another on behalf of one user. Encounters will be further subdivided as follows: Medical Encounter - encounter with a physician Dental Encounter - encounter with a dentist Family Planning Encounter - encounter with a family planning counselor/nurse Other Encounter - encounter with a laboratory technician or consultation between service providers on behalf of a client. IV. CENTER will maintain complete, updated and accurate records for each client served and will utilize the following forms to document services rendered to client: A. Intake and Financial Evaluation Forms: - Individual Data Base ' - General Consent for Treatment - Financial Evaluation Record (based upon sliding fee schedule) 44 B. Encounter Form C. Medical Record - Problem List - Progress Notes - Medication Flow Sheet - Percentile Measurement Chart (Boys, Girls) - Laboratory Reports - OB/GYN Records D. Dental Records 8. Family planning Records Request for family planning Services Client Registration Information - Client Visit Record Oral Contraceptive Consent Form Family Planning Record F. Vehicle Mileage Control Log V. RECOGNIZING that the Agency is already required by the Public Health Service to complete a statistical and financial service report ("SCRR Report") every six (6) months, the Center will also submit a copy of this report to the Social Programs Division, Community Development Department, City of Miami, on or before the following reporting dates: January 15, 1990 and July 15, 1990. VI. CENTER will also complete a quarterly activity report (see attached form) and will submit it to the Social Programs Division, City of Miami, by the tenth working day of the following quarter. This activity report will contain the following data: i A. Number of unduplicated persons/users served during the quarter: 1. Number of City residents 2. Number Coconut Grove Target Area residents 3. Number Low -and -Moderate income persons 4. Number of males (White non -Latin, Black non -Latin, Latin, Other) 5. Number of females (White non -Latin, Black non -Latin, Latin, Other) 6. Number Female Head of Household B. Number of Program Days for quarter C. Number of encounters for quarter 1. Number Medical 2. Number Dental 3. Number Family Planning 4. Number Other D. List full-time equivalent medical staff (by name, hours and percentage of time providing direct services). E. List full-time equivalent dentists (by name, hours and percentage of time providing direct services). F. Listing of the names of all unduplicated persons served f �• `, L:enser Lnu* 3230 Hibiscus Street Coconut Grove, Florida 3313 NOTPUBLrC SIGNATURE# -SEAL •AND. STAMP { i •.NOTARY ►UB41C. iTATE OF F10RIDA AT LAR6i MT'COIA1i1SS10Nti11RESNOV. 280199! 80RMTRRU NUCKLM111 f ASSOCIATES ` K 4 F X . { *fi r f{ {, ¢1 t , , 1 �S r� ➢ 7 t . �' 2 S iF..f''. }7" • ` t ( gyp, [ D yju S 3`^£��" �y �31 A--+,3,.-0tl:, ...r :'� _ .. _�� ,l{,���F.l'.}..1F - .. .. .. - SF. r=,2 G•���' S<: Ctim or MIAMI EMNOITUIRE _JUSTIFICATION _FORM AGENCY:,FAMILY iEi4M 2. _ INC. FR.OJECT: FUNDING SOURCE: MIAMI COMMUlMY DE IA P18C:AL YEARIAMA DATE: #w•`�A••�19�� Social. Progr�i:rts Division) A x � � xn` ��� 1,:r- �ik� ,'f `c� y�'�is:�4.'»�,d�`S .,�1°t x � .. , _ � _ ' c ' p �, s • a - R CITY OF MIAMI C"UNITY DEVELOPMENT DEPARTMENT PROJECT SALARY AGENCY: COCONUT GROVE FAMILY HEALTH CENTER FUNDING SOURCE: MCD TITLE OF PROJECT: FISCAL YEAR: 1989-90 POSITION TITLE (list each position and employee name separately ANNUAL SALARY If PAY PERIODS PER YEAR HOURS WORKED PER PAY PERIOD TOTAL SALARY PER PAY PERIOD % OF TIME OE- VOTED TO PROJECT % OF SALARY CHARGED TO CITY TOTAL At4 CHA.RCED CITY FOR PROJECT MEDICAL PROVIDER 47,300 26 FT 208.42 100% 11.46% 5 4I9__ Hoa Nguyen, J. Pina . R. Solorzano REGISTERED NURSE 31,551 26 FT 357.86 100% 29.49% 9 303 Ermerine Rose MEDICAL RECORDS SPUR. 17,547 26 FT ,212.25 00 ,518_ Carmen R. Salinas REG./EVAL. CLERK 13,395 26 FT 483.04 100% 93.75% 12,559 O'Cynthia Quarry LAB TECH ASSISTANT 16,491 26 FT 274.96 100% 43.35% 7.148_ Marie Benson DRIVER NURSE AIDE 12,378 13 FT 234.61 100% 19.17% 100_ 4 CITY OF MIAMI DEPARTMENT OF COMMUNITY DEVELOPMENT TOTAL CONTRACTOR BUDGET AND FUNDS DISCLOSURE :CONTRACT OR : Cooaiut GroVe . Fami3.y Health Center, INC. Form 7 LINE -ITEM DESCRIPTION PAL 511-Ol�ca']. Provider Inkind 8 Real Con- tributions Program- Income & Donations . 10,347 Community Develop. , 5,419 ede- . ral Revenue Sharin 112 115,139 i OTHER Jade County. 11,625 FUNDING United Way S eci� H.H.S. 119, 709 Health Access r Total per Line -Item 47,300 55,692 I511-01 Internist (NHS) 511-03 Pediatrician ( 6,207 755,692 50,827 36,905 157,321 114 , 191 ! I 1114,355 62,395 521-07 Dentist !11,299 ! 511-08 OB/GYN Consul tan 25,000 25,000 513-01 Registered e= 10,343 9,303 11,905 I 31,551 513-02 IPN 12,600 12,600 513-03 LPN #2 ( 11,794 111,794 513-04 LPN #3 643 734 ! 13,377 513-05 LPN #4 514-03 Nurse Aide 11,375 �2,119 13,341 14,716 I 8,881 11,000 91 4-D5 Nurse Aide #2 1,000 l I 111,000 514-05 Nurse Aide i i 1,000 1.1,000 6-01 Exec. Administra r �0,254 1 122,107 , 57,500 516-03 Finance Director 0.1 260 �3,860 8,530 33,650 516-05 Maintenance 760 9,240 10,000 - -7.... .......� av �.caa. /,i,ou/ 14,/L< 150,011 35,860 198,336 49,394 522,930 N II II h.�..�.`ii�i i-i­t­ 7 71iii►�i �i IiI:I I I II II I I II h 1 11h �I l l l h l�I � lliholl i--'il ,T li79I CITY OF MIAMI DEPART14ENT OF COMMUNITY DEVELOPMENT TOTAL CONTRACTOR BUDGET AND FUNDS DISCLOSURE CONTRACTOR: Coconut Grove Fwdly Health Center, EC. Form 7 - DESCRIPTION OTHER FUNDIN Saecf Aer Line -Item Inkind & Real Con- tributions ,Donations Program- Income b Community Develop. ederal Revenue Sharin Dade Count. United way _ H.H.S.LINE-ITEM thTotal ss PAYROLL (Con't) 51_6-06 Social Worker�Mc�r. � _ 1 _ I 2,613 23,474 I 23,474 �+1 F12 PRX1At �toi n1-mignt 516-13 Accounting Clerk 516-14 Dental Assistant 24 5,064 2,428 1 17,677 11,283 + 13,711 516-15 Hygienist 1,165 16,640 17,805 516-17 Administrative.24t. 11990 + 20,080 I 22,000 516-19 Med. Rec. S 1 6,399 5,518 15,630 17,547 516-21 Regis. uation 836 12,559 i 113,395 51.6-22 Dental Reoeptiondt I 450 � 19,550 I 1 110,000 516-23 Med. Rec. Clerk # ' 19,550 1 (. 1 9,550 517-01 Lab. Tec. Supervi or 18,798 ! 12,295 1 121,093 - 343 7,148 1 116,491 - 1 4.467 4,333 + 18,800 - - I 19,240 1 I 19,240 516-20 Med. Rec. Clerk ( 3,486 I 1 ! 9,348 ! 112,834 1P 4vL.a.c 3i,4joc ZD,cca 1 V 4 G CITY OF MIAMI Fore, 7 DEPART14ENT OF COMMUNITY DEVELOPMENT �+ TOTAL CONTRACTOR BUDGET AND FUNDS DISCLOSURE CONTRACTOR: Co=ut Grove Family Health Center, nc. LINE-ITE14 DESCRIPTION OTHER FUNDING (Specify): _ Total per Line -Item Inkind 5 Real Con- tributions Program- Intone 8 Donations Connunity Develop. edera Revenue Sharing Dade County United Way H.H.S. Health Access PAYWU (Cxmt I d) I I190,998 _ I 1 517-05 Cashier 517-08 Driver/Nurse Aide 6,278 6,100 7,807 12,983 1 20,790 I 12,378 517-09 Security Guard 12,000 ( 1 12,000 Sub Total 6,278 6,100 19,807 12,983 58,742 I 1 45,168 Total Payroll 118,367 146,047 146, 884 242,677 58,742 803,215 I I 1 I FRINGE B&'N=TS 520-21 FICA 13,814 3,021 1 13,302 7,1141 14,9261 5,588 1 1 57,765 520-22 Group Health Ins. 28,765 2,547 1 2,7471 2,6961 745 1_ 1 37,500 F-520-23 Fla Unemployment 1 566 1 30 3671 297 1 1 1,260 520-24 Workers Cmp. 13,219 I 1 13,219 TDTAL FRINGE BENEFITS 56,364 SySc)R ( I 17 919 6, -4-13 linQ-7AA I I l f i PAYRML & FP,= BENEFIT TOTAL 1174 , 731 51, 645 I 1 I I i I I I 1 L CITY OF MIAMI DEPATIT14ENT OF COMMUNITY DEVELOPMENT TOTAL CONTRACTOR BUDGET AND FUNDS DISCLOSURE CONTRACTOR: 00=wt Grcri*e Pami1Y Health Center, INC. Form 7 CD 1Z) LINE -ITEM DESCRIPTION I i OTHER FUNDING (Specif Total per Line -Item Inkind & jProgram. Real Con- I tributions IDonations Incotne 8 Corinunity Develop. Federal Revenue Sharing Dade County. United way H.H.S.Health Access 9,A;I-nl I 9, 20L 9.200 3,100 02-02 Caxdialogy 533-01 Accounting/legal I 3,100 505 7,220 7,725 533-02 Lab Services 1 11 500 I 11,500 533-03 Security System 4,800 t 4,800 533-04 Other Contracts 2,100 2,100 533-05 Ourputer Service 1 6,850 6,850 575 Electricity 7.000 7.000 551 MedicaLl SuppLies 110,075 129,500 552 Lab SwpLies 1 18,300 I 118.300 K- 3—X-7fty S=lies 12.121 112.123 555 Dental Sumlies 12.500 I112,500 559-01 Office Supplies 6.000-1 F;.nQQ 559-02 JAIjUaria ZW. 561 mcmi- L=1 S62 Travel-<)uf---()f Mmm Trtal sbis Page 2.525 .40Q ;,-nnn R;r; go-,7-, 4nQ 000 22-1,)1 dr, 72n IQ AIR r- L t CITY OF MIAMI DEPARTMENT OF COMMUNITY DEVELOPMEMT TOTAL CONTRACTOR BUDGET A14D FUNDS DISCLOSURE CONTRACTOR: Coconut Grove Fani3'y Health Center, DC. Form 7 GC LINE -ITEM DESCRIPTION 563 Van Expenses OTHER FUNDING Soecir : Total perH.H.S. Line -Item 3,450 Inkind b Real Con- tributions Program Intone 8 Donations 3,450 Community Develop. ISharingCounty. edera Revenue I I _ fade Unitedealth Way I H Access 574 R & M Building 574-01 R& M Eguipment �- 3,000 2,000 576-0 L i I I I I I 1,500 I 11,002 ' 6,480 576-07 Xerox Rent 2,368 I 3,110 591-01 Malpractice Ins. 20,783 1,137 I 153,930 ( I 75,850 591-02 Content & Liab. I 1,600 I 1,600 591-03 Bonding 175 I , I 175 591-04 Van Insurance 2,400 ( 4 F 2,400 592-02 Printing 2,550 I I. I 2,550 592-03 Dues & Subscrip. I 400 I I 400 ( i 400 594 Telephone 12,500 I 12,500 95 Postage 3.500 ( 3,500 6 Advertisin 500 I I ( 500 597 Meetings 549 Licenses & Fees 2.500 � 50 l I ( I 2 500 I ( I 50 (Subtotal) __ j 1 6 4,247 , 1204,300I168,73J 54,932 84,SC lBUDGET 118,455 GRAND TOTAL 291,862 55,892 204,300 168,735 361,748 84,500 1,167,037 RACTOR: COCONUT GROVE FAMILY HEALTH CENTER, INC. DING SOURCE (Be Specific): AMOUNT REQUESTED PURPOSE OF GRANT/FUNDS: FUNDING PERIOD EXPECTED DATE OF From: To: NOTIFIGATIOU 361,748 Personnel, Fringe Benefits, Supplies and Services Dade County 204,300 Personnel & Fringe Benefits Health Access —'HRS 84,500 Personnel & Fringe Benefits United flay 168,735 Personnel & Fringe Benefits and Supplies IL ri4�" IhII�IIIAIIfl�1NIII�ILI��IIIIIIIIAIIl.l,llllll�All TOTAL I 818;383 I 10/1/89 - 9/30-90 Sept., 1989 10/1/89 - 9/30/90 Sept., 1989 10/1/89 - 9/30/90 Sept., 1989 7/1/89 - 6/30/90 June, 1989 Defined as non -monetary services or materials in excess of $50 which is provided to the Program free=af-charger by soeces' other than those identified in this budget. ' Funds collected from the charging of fees and/or cash donations/contributions.{* ? 'iA^ zZ - .' :,.. ,'.. :.,z 1 •Y' 5' i'+^ k'^ n-w4i"k'• "ing F ��, F --- Aeo,401:11. CERTIFICATE OF INSURANCE �=� ' "`"��"" "'�°°"Y' PRODUCER El l ic>U, tfcKiever & Stowe, INc. :9. Flagler St. 141 alai, FL. 33135 CODE SUB -CODE INSURED Coconut Grove Family Clinic, Inc. 3230 hibiscus Strec: Coconut Grove. FL. 33133 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS , NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND' EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY LETTER A St. Maui Fire fi Shrine Insurance: Company COMPANY B LETTER Travelers Insurance Company COMPANY C LETTER COMPANY D LETTER COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER .TR POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS DATE (MMIMYY) DATE (MMIDDIYY) GENERAL LIABILITY GENERAL AGGREGATE S 11000 1j X COMMERCIAL GENERAL LIABILITY FK00900741 9/ 1/w 9/ V69 PRODUCTS-COMPIOPS AGGREGATE S 1 F000 , CLAIMS MADE X OCCUR. PERSONAL S ADVERTISING INJURY S boo , A OWNER'S 3 CONTRACTOR'S PROT. EACH OCCURRENCE i 500. FIRE DAMAGE (Any one fire) S MEDICAL EXPENSE (Any one person) S AUTOMOBILE LIABILITY COMBINED A X ANY AUTO FK00900741 9/1/68 9/1/89 SING $ 11000, X A-L OWNED AUTOS y SCHEDULED AUTOS .IBODILY NJURY S (Per person) X HIRED AUTOS BODILY NON•OWNEO AUTOS it INJURY S (Per eeddeM) GARAGE LIABILITY PROPERTY S X Uninsured Fil;torists-$500,000. (Non-Stackud) DAMAGE EXCESS LIABILITY EACH AGGREGATE !- OCCURRENCE OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION 6KUB682JQ93U3 STATUTORY 8/ 13/88 8/ 13/89 AND : 100, (EACH ACCIDENT) EMPLOYER/ LIABILITY S 500, (DISEASE—POUCYLIM!! i loot (DISEASE —EACH EMPL-•` A OTHER FK00900741 911188 9/1/b9 buildings, Contents, and Ca ix.-rcial Package Trailer Policy t�� S DESCRIPTION OF OPERATIONWLOCATKINSNEHICLESIREBTRICTIONSISPECIAL ITEMS I� CItdiE COVERAGE WITH A $100.00 UE:UUCTIBLE. ;U Commercial Blanket Band -• $5U,000.0U SEP 20 1988 . .tyum►y..4. St:curities d..__.205Uu.t3U, Iris idE:;;2000.00 Outside i CERTIFICATE HOLDER CANCELLATION Cocyol\fu GROVE I SHOULD ANY OF THE ABOVE DESCRIBED POLI�S�BE 0A<�Dj�RE T:- LiIuITILhhi' ISiSUitE(1: EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR �' � �Il gII1� MAIL aU— DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO T: I��+rJ il. i1. 11Li: Strc+~t LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION / I atci T FL. 33136, LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS'9111 kEPRESENTATWE- 41714♦ i Ji)yC4 bell AUTHORIZED REPRESENTATIVE _�.__.;.... ... Lc;rr,• ti. ,St,okc� f; r ,,�� 400RD 25.3 (3m) CORD CQRPGf1ATIOW 2121 Porwe Dr bean 1Nvd. P.O. tax 149MI Carat Gable Florida 33114 CERTIFICATE OF INSURANCE "'....., � tee tu•i�oe , :: TO: City of Miami Dept. of Community Development 1145 N.W. 11 Street Miami, FL 33136 THIS IS TO CERTIFY, that -a , NAME: ` Sharon A. Rodriguez, M.D. CERTIFICATE NUMBER: 10067il -; ADDRESS: 3230 Hibiscus Street =j Coconut Grove, FL 33133 is insured for professional liability as a member of PHYSICIANS_, PROTECTIVE TRUST FUND (a physician's self-insurance trust authorized; under 627.357, Florida Statutes), 2121 Ponce de Leon Boulevard, Suite 350, Coral Gables, Florida, 33134, with limits of liability. 'of. �5250.000/$750,Q00 , for the indemnity period beginning January 1, 1989 and ending December 31, 1989 This "Certificate of Insurance neither affirmatively nor negatively;" amends, extends or alters the coverage afforded by the Indemnity. Agreement described herein. In the. event of any material change in, or cancellation of, said Indemnity Agreement, the undersigned Trust will endeavor to give., written notice to the party to whom this Certificate is issued.,.; but; fa;ilure.'to .give such notice shall impose no obligation nor liability' upon the Trust. PHYSICIANS PROTECTIVE TRUST FUND vl } fi k 4ui ze Represent: ve i .. o t77, � @py 3�A ��..„a1 Y 4 4 rr 7R�5i.,�7.•d ,...;rQid'i+; a {,u: , (h�,�,a _ '•..r}as'¢F,'"f �yTh#4# •1S! Al�f!t?R i�/ R ice"" _ i ,W�a � r" s:! #' ��'S3'' ,,..� r•w r,,t y.,. x r i t t - t a"".rX5i. rx4 , 4 c, i ,dr'it xx�cd r 2121 116oce to Leon mvd AdrnMif ►awr t>t �122•#11! PA. belt 14"Ot 1 tom! 2221210 ` Ce►a1 Csbkm Mils 22111 CERTIFICATE -OF INSUR%NCS Culrny (3" 442,401 1 ttir 222•idON TO: City of Miami Dept. of Community Development Q 1145 N.W. 11 Street FL 33136 s Miami, 2e THIS IS TO CERTIFY, that NAME: Sharon A. Rodriguez, M.D. CERTIFICATE NUMBER: 1006712 ADDRESS: 3230,Hibiscus Street Coconut Grove, FL 33133 is insured for professional liability as a member of PHYSICIANS,,` PROTECTIVE TRUST FUND (a physician's self-insurance trust authorized•. under 627.3570 Florida Statutes), 2121 Ponce de Leon Boulevard; Suite 350, Coral Gables, Florida, 33134, with limits of liability, of $250.000/$750.000 , for the indemnity period beginning .Taffy 1. 1989 � aunt ending December 31, 1989 This Certificate of Insurance neither affirmatively nor negatively, amends; extends or alters the coverage afforded by the Indemnity Agreement described herein. in the event of any material change in, or cancellation of,, said" Indemnity Agreement, the undersigned Trust will endeavor to give, written notice to the party to whom this Certificate is issued, . but-- failure''to`„give such notice shall impose no obligation nor liability, upon `'the` Trust. `PHYSICIANS'PROTECTIVE TRUST FUND 00, DATE's J n 4r ''Aut oz ze Representative ,l . �� �` 7'St �'1 S'���,R ' �h��7/�* �� !*YM�ls lFf�}7h•9 �. ��D'► s t ter^45 f!",,.Y P''k - tmy - r� 'fa'.3t� � -4 a LL^r��r • a- qt "„' i r�, { - 9 �dccctrytd 2121 Toot De Leon 91vd. P.O. box 149001 Coral Cable% Elands 33114 a or- VC eedl 5�1e�iel CERTIFICATE OF INSURANCE TO: City of Miami Dept. of Community Development 1145 N.W. 11 Street Miami, FL 33136 •THIS IS TO CERTIFY, that NAME: Pedro G. Hernandez, M.D. ADDRESS: 3230 Hibiscus Street Coconut Grove, FL 33133 AJ�nU+i,uetive (i0�'442->1119 1 {1100) :222•S11f Clahm (305) 442.4001 . 1 (800) 222-ON $e D Q' •CERTIFICATE NUMBER: 1005968 0 is insured for professional liability as a member. of PHYSICIANS - PROTECTIVE TRUST FUND (a physician's self-insurance trust.authorited udder 627.357, Florida Statutes), 2121 Ponce de Leon Boulevard, .Suite 350, Coral Gables, Florida, 33134, with limits of liability'.of . _M0,000/$750,000__ , for the indemnity period beginning January 1, 1989 an .ending December 31, 1989 .This Certificate of Insurance neither affirmatively nor negatively :,amends, extends or alters the coverage afforded by the Indemnity Agreement described herein. In the event of any material change in, or cancellation of, said _.Indemnity Agreement, the undersigned Trust will endeavor to, give written notice to the party to whom this Certificate is issued; but failure to ,give such notice shall impose no obligation nor liability upon .the ,Trust. {,..PHXSICIANS PROTECTIVE TRUST FUND r, • t4orlzed Repr9sentative u a Jt idi 44 ' r 1 :. j'i G%''. ,yn� � 1S. J i 2 f Jt�. r ; e _ . lit ..L - a J'...; '� _ ,.' � • _— "`F�'_3.—^".,� CITY OF MIAMI SOCIAL SERVICES AGREEMENT THIS AGREEMENT# entered into this day of 19_ between the City of Miami, a municipal corporation of the State of Florida, (hereinafter referred to as the "CITY"), and Miami Jewish Home and Hospital for the Aged, Inc. a Florida not for profit corporation, (hereinafter referred to as the "GRANTEE"). FUNDING SOURCE* Community Development Block Grant Funds- 15th Year TERM OF THE AGREEMENT: October 1, 1989 through June 30, 1990 AMOUNT: $21,353 VENDOR NUMBER: 030050 TAX IDENTIFICATION NUMBER: 59 0624414 NOW, THEREFORE, in consideration of the mutual covenants and obligations herein set forth, the parties understand and agree as follows: ARTICLE I. 1.1 As a necessary part of this Agreement, the following documents which have been approved by the CITY are attached: A. Corporate Resolution authorizing execution of this Agreement. B. Work Program. C. Budget Summary, to include: completion of GRANTEE'S - Program/Line-Item Budget/Expenditure Justification, Total Actual and Projected Funds Disclosure, and Staff Salaries Schedule (on forms supplied by the CITY); budget for program -generated income; copies of all subcontracts and/or management services agreements funded in whole or in part under this agreement. D. Certificate of Insurance which reflects GRANTEE'S current liability insurance, naming the CITY as primary or additional insured as determined by the Law Department of i1 the CITY; current Workers' Compensation insurance; current Fidelity Bond (applicable for all persons who are authorized to receive and disburse funds under this Agreement); and other coverage as deemed• necessary (i.e. :_ automobile insurance). 11, GRAME s Corporate Seal (to be affixed to Signatory Page.# and Corporate Resolution). 1.2 As a necessary part of this Agreement, the following documents have been approved by the CITY prior to the execution of this Agreement and are on file with the Department of Community Development: A. Copy of GRANTEE's Articles of Incorporation, Charter and Bylaws. B. List of Present Principal Governing Board Officers and Members of. the Board (names, addresses and telephone numbers). C. List of Key Staff Persons, with their titles, who will carry out this program. D. Completion of Authorized Representative Statement. E. Completion of Statement of Accounting System. F. A letter from an independent Certified Public Accountant which expresses the opinion that the GRANTEE's internal controls are adequate to safeguard the organization's • assets. G. Corporate Personnel Policies and Procedures. H. Job Description and Resumes for all positions funded in whole or in part under this Agreement. 1.3 As a necessary part of this Agreement, the GRANTEE shall • provide the following documents to the Department of i•' Community Development, in accordance with the requirements of the Agreements A. Final Expenditure Report to be submitted no later ;than July 31, 1990. 5: ARTICLE II. 2.1 TIME OF PERFORMANCE t' The term of this Agreement shall be from October 1, 1989 through June 30, 1990. 2.2 CITY AUTHORIZATION For the purpose of this Agreement, the City of Miami a� Department of Community Development (hereinafter the 2 R "DEPARTMENT") will act on behalf of the CITY in the fiscal i� control, programmatic monitoring, and modification of this Agreement, except as otherwise provided by this Agreement. 2.3 OBLIGATION OF GRANTEE The GRANTEE shall carry out the services as prescribed in its • Work Program (Attachment I), which is attached and incorporated herein and made a part of this Agreement, in a lawful, and proper manner, satisfactory to the CITY, in accordance with the written policies, procedures, and requirements as prescribed in this Agreement, as set forth by the United States Secretary of Treasury and the City of Miami Department of Community Development. 2.4 BUDGET SUMMARY AND LINE ITEM BUDGET JUSTIFICATION GRANTEE shall comply with its Program/Line-Item Budget/Expenditure Justification (Attachment II) which is attached and incorporated herein and made a part of this Agreement. 2.5 RETENTION OF RECORDS GRANTEE shall retain all financial records, supporting documents, statistical records, and all other records pertinent to this Agreement for a period of three years. The retention period starts from the date of the submission of the final expenditure report. Records for non -expendable = property acquired with funds under the Agreement shall be retained for a period of three years after its final disposition. All records retained pursuant to this section shall be retained beyond the three-year period if audit findings have not been resolved. 2.6 BONDING AND INSURANCE GRANTEE shall maintain insurance and bonding coverages acceptable to the CITY's Insurance Management Division of the _ Law Department. Prior to commencing any activity under this - Agreement, the GRANTEE shall furnish to the CITY certificates - of insurance and bonding indicating that the GRANTEE is in compliance with the provisions of this article. 3 - 89'"''7"76 __ t x r GRANTEE shall provide the following coverages: A) Insurance coverage that reflects sound business practices acceptable to the CITY's Insurance Management Division of the Law Department. R) Fidelity bonding for all persons handling funds received or disbursed under this Agreement in an amount equal to or greater than the maximum amount of cash held at any one time. Compliance with the foregoing requirements shall not relieve the GRANTEE of its liability and obligations under this section or under any other section of this Agreement. 2.7 LEVEL OF SERVICE Should start-up time for a program be required or any delays in service occur, the Department of Community Development is to be notified in writing immediately, giving all pertinent details and indicating when service shall begin and/or continue. It is understood and agreed that the level of services, activities, and expenditures by the GRANTEE, in existence prior to the initiation of services hereunder, shall be continued and shall not be 'reduced in any way as a result of this Agreement. Programs funded through this Agreement shall not result in the displacement of employed workers, impair existing contracts for services, or result in the substitution of funds allocated under this Agreement for other funds in connection with work which would have been performed in the absence of this Agreement. ". 2.8 PURCHASING AND INVENTORY GRANTEE shall use its best efforts to obtain all supplies and equipment for use under this Agreement at the lowest practical costs and shall solicit three bids for the purchase of capital equipment. The three bids shall accompany all ® requests for payment. All non -expendable property acquired for the program with CITY funds shall revert to the CITY at the end of CITY's funding of the Program (non -expendable property being properties which shall not be consumed or lose identity). GRANTEE shall be responsible to CITY for any - 4 - damage or destruction to said property and shall reimburse CITY for such damage or destruction. GRANTEE shall establish and maintain a property control system and shall be responsible for maintaining a current inventory on, all capital items purchased with CITY funds. All capital expenditures over $50.00 must be approved by CITY prior to purchase. All items purchased remain the property of CITY and are to be inventoried as such, which shall include a property record listing the description, model, serial number, date of acquisition, and cost. Such property shall be inventoried semi-annually, and an inventory report submitted to CITY. GRANTEE shall permit CITY staff access to the premises where property is kept for the purpose of performing inventory monitoring functions. GRANTEE shall not dispose of real or personal property purchased with CITY funds through sale, loan, or relocation without receiving prior written approval of the City Manager. 2.9 MINORITY PROCUREMENT COMPLIANCE CLAUSE GRANTEE acknowledges that it has been furnished a copy of Ordinance No. 10538, the Minority Procurement Ordinance of the City of Miami, and shall comply with all applicable substantive and procedural provisions therein, including any amendments thereto. 2.10 DISCLOSURE OF FUNDS GRANTEE shall disclose all sources (public or private) and amounts of funds reflecting the total budget whether they be real or in -kind at the commencement of the Agreement period, as well as any changes in the amount of funds through program income or the sources received during the term of this Agreement, within 30 days of such change. Examples of in - kind funds include free rent, labor, and office equipment. 2.11 FINAL EXPENDITURE REPORT A final expenditure report shall be submitted to the CITY by July 31, 1990. This report shall reflect actual expenditures, by line -items, versus budgeted expenditures. All persons employed and paid pursuant to this Agreement are 5 - 89--776 i to be listed by name, title, Social Security number, date hired or terminated, ethnic background, and total salary reflecting both CITY and other funding sources. 2.12 REPORTS AND EVALUATIONS GRANTEE shall transmit to CITY, in writing, in a format acceptable to CITY, quarterly reports regarding current activity and the progress of the GRANTEE's activities, GRANTEE shall submit to CITY such additional reports as may be requested. GRANTEE shall prepare, in writing, in a format acceptable to CITY, any reports or documentation that may be required by Federal, State or Local Directives. The GRANTEE shall comply with the Federal Directive required by the U.S. Department of Housing and Urban Development (USHUD) to document that program activities are provided for the benefit of low to moderate income persons. In accordance with the Code of Federal Regulations 24 CFR Part 570.506, records shall be maintained for each activity to determine that services benefit low and moderate income persons. The following criteria shall be used to document said requirement: (i) Documentation establishing that the service provides a presumptive benefit to low and moderate income persons (i.e. senior citizens, handicapped persons, battered spouses, abused children, the homeless, illiterate persons or migrant farm workers); or (ii) Documentation describing how the nature and, if applicable, the location of the service establishes that it is used predominantly by low and moderate income persons; or Data showing the size and annual income of the family of each person receiving the benefit. S At the request of CITY, GRANTEE shall transmit to CITY written statements of GRANTEE's official policy on specified issues relating to GRANTEE's activities. 89--'?'7 S 15 t39 WEb 40jL. Ai F> r 03 CITY may carry out monitoring and evaluation activities# including visits and observations by CITY staffs GRANTEE shall ensure the cooperation of its employees and board members in such efforts. Any inconsistent, incomplete, or inadequate information either received by the CITY on a quarterly basis or obtained through monitoring and evaluation by the CITY, shall constitute good cause for the CITY to terminate this Agreement at any time thereafter. 2,13 AUDITS GRAN E? E will comply with all applicable federal regulations relating to the submission of an independent audit from a certified public accountant. CITY will advise the GRANTEE, in writing, of said audit requirements within three (3) months of the commencement. of this agreement.. The GRANTER agrees to budget sufficient funds allocated under this Agreement to secure an independent audit from a certified public accountant which must include the expression of an opinion on the financial statements, and a compliance letter which testa whether the GRANTEE is in conformity with Community Development Block Grant or other applicable regulations. Line Item Change Requests will be accepted to cover the cost of the required audit. Additional funds will not be granted for this purpose. If applicable, said audit shall be submitted to the Social Programs Division of the CITY's Department of Community Development no later December 1f 1990. 2.14 CPA LETTER GRANTEE shall submit to the CITY at the commencement of the Agreement a letter from an independent Certified Public Accountant (CPA) which expresses the opinion that the GRANTEH's accounting system has adequate internal controls to safeguard the assets of the organisation. Expenses incurred to secure the CPA letter may be covered by the CITY grant and must be included in the expenditure justification form of the budget summary. 89-'776 ARTICLE 111. 3.1 COMPENSATION A. CITY shall pay GRANTEE, as maximum compensation for the services required pursuant to Article II hereof, $21,353• B. CITY shall have the right to review and audit the time records and related records of GRANTEE pertaining to any payments by CITY. 3.2 METHOD OF PAYMENT A. Upon execution of this Agreement and with a written request from GRANTEE, CITY may advance 1/6th of the appropriated funds to GRANTEE. The advance shall be justified as follows: one-half (1/2) in nine (9) equal monthly installments commencing in the third month of this Agreement and continuing through the eleventh month of this Agreement; one-half (1/2) in the twelfth and final month of this Agreement. This method of justifying the advance may be amended by the DEPARTMENT. Funds shall not be advanced by the CITY if the GRANTEE is in default under this Agreement. B. All payments shall be reimbursements for expenditures incurred only during the term of this Agreement, and in compliance with the previously approved Line -Item Budget. ® Such written request shall contain a statement declaring and affirming that all expenditures were made in accordance with the approved budget. All documentation in support of such request shall be subject to approval by CITY at the time the request is made and all invoices are required to be paid by GRANTEE prior to submission. All reimbursements must be in line -item form and be in accord with this Agreement. All expenditures must be verified by original invoice with a copy of the check which was used to pay that specific invoice. Within 60 days of submitting reimbursement request, copies of the cancelled checks shall be submitted. In the event that an invoice is paid by various funding sources, a copy of the invoice may be submitted but must indicate the exact amount paid - 8 - ff 89--776 t 4x by various funding sources equaling the total of the r invoice. No miscellaneous categories shall be accepted as a line item in the budget. Request for line -item changes j' are allowable, with prior review and approval by the CITY. All line -item changes must be made prior to the end of the term of the agreement. C. Requests for payment should be made at least on a monthly basis. Reimbursement requests should be submitted to the CITY within thirty (30) calendar days after the indebtedness has been incurred. Failure to comply may result in the rejection for repayment of those invoices within the reimbursement package which do not meet this requirement. D. GRANTEE must submit the final request for payment to the CITY within 30 calendar days following the expiration date or termination date of this Agreement. If the GRANTEE fails to comply, all rights to payment are forfeited and the CITY shall not honor any request submitted after the aforesaid agreed upon period. E. Any payment due under this Agreement may be withheld pending the receipt and approval by the CITY of all reports due from the GRANTEE as a part of this contract and any modifications thereto. 3.3 FINANCIAL ACCOUNTABILITY CITY reserves the right to audit the records of GRANTEE at any time during the performance of this Agreement and for a period of three years after final payment is made under this Agreement. GRANTEE agrees to provide all financial and other applicable records and documentation of services to CITY. Any payment theretofore made shall be subject to reduction for amounts included in the related invoice which are found by CITY, on the basis of such audit, not to constitute allowable expenditures. Any payments made to GRANTEE are • subject to reduction for overpayments on previously submitted O� invoices. 9 - $9-176. s,, 3Ep S"'-09 WE I) 9 1 3 I 3.4 RECAPTURE Or rate! CITY shall reserve the rlyht to recapture funds When they GRANTEE shall fail (i) to comply with the terms of this Agreement or (ii) to accept conditions imposed by CITY At the direction of the federal, state and local agencies. 3.5 CONTINGENCY CLAUSE Funding for this Agreement is contingent on the availability of funds and continued authorization for program activities and is subject to amendment or termination due to lack of funds or authorization, reduction of funds, and/or change in regulations. 3.6 SALARIES, FRINGE BENEFITS, JOB DESCRIPTIONS To be eligible for reimbursement for personnel costs, GRANTEE shall submit to CITY for prior written approval, in accordance with U.S. Department of Labor guidelines, a detailed statement of the personnel policies of GRANTEE. These personnel policies are to include, but are not limited to, pay schedule*, fringe benefits, resumes from staff, method used to compute vacation* and ill time, working hours, office procedures, paid holidays, computation of wages, job _= descriptions to include qtftlifications for job, an affirmative action plan, an equal employment opportunity statement, disciplinary procedures and methods, and format for and frequency of employee evaluations. The CITY shall not reimburse GRANTEE for family health care insurance premiums, nor shall the CITY reimburse GRANTEE for employee retirement. benefits. ARTICLE IV. 4.1 PROJECT PUBLICITY GRANTEE shall abide by affirmative action regulations in informing residents of the geographical area to be served hereunder and of the services to be offered by utilizing any available means for advertisement, as necessary for recruitment and outreach. All literature, advertising, publicity or promotion regarding GRANTEE's activities will be submitted to CITY for review and 89-776 approval prior to release or distribution. No press s conference shall be scheduled without written notice to CITY. - 4.2 NONDISCRIMINATION GRANTEE agrees that it shall not discriminate as to race, sex, color, creed, national origin or physical handicap in connection with its performance under this Agreement. 4.3 CONFLICT OF INTEREST GRANTEE covenants that no person under its employ who presently exercises any functions or responsibilities in connection with this Agreement has any personal financial interests, direct or indirect, with CITY except as permitted pursuant to this Agreement. GRANTEE further covenants Gnat, in the performance of this Agreement, no person having a conflicting interest shall be employed. Any such interests on the part of GRANTEE or its employees, must be disclosed in writing to CITY. zzl GRANTEE is aware of the conflict of interest laws of the City of Miami (City of Miami Code Chapter 2, Article V), Dade County Florida (Dade County Code Section 22-11.1) and the State of Florida, and agrees that it shall fully comply in all respects with the terms of said laws. 4.4 INDEMNIFICATION GRANTEE shall indemnify, defend and save CITY harmless from and against any and all claims, liabilities, losses, and causes of action which may arise out of GRANTEE's activities under this Agreement, including all other acts or omissions to act on the part of GRANTEE, including any person acting for or on its behalf; from and against any relevant orders, judgments, or decrees which may be entered against the CITY; and from and against all costs, attorney's fees, expenses, and liabilities incurred by the CITY in the defense of any such claims or in the investigation thereof. 4.5 COMPLIANCE WITH FEDERAL, STATE, AND LOCAL LAWS Both parties shall comply with all applicable laws, ordinances, and codes of federal, state and local r governments. 0 89-77G P IY 02 4.6 AMENDMENTS No amendments to this Agreement shall be binding on either party unless in writing and signed by both parties. 4.7 SUBCONTRACTS GRANTEE agrees to give advance written notification to the CITY of any subcontract. None of the services covered by this Agreement shall be subcontracted without the prior written approval of CITY. Any work or services sub- contracted hereunder shall be subject to the terms and conditions of this Agreement. Proper documentation in accordance with the DEPARTMENT and CITY guidelines and directives must be submitted to and approved by the DEPARTMENT prior to the execution of any subcontract. The advance notification process shall include the followings A. Identification of the subcontractor and services to be provided• A. The proposed subcontract, together with a complete and accurate breakdown of the price on a component -by - component basis, and all bid documents. C. Identification of the type of subcontract to be used. D. summary of actions taken tc6 select the subcontractor. Nothing contained herein shall create any contractual relationship between CITY and any subcontractor working for ORANTER. 4.8 OWNERSHIP OF DOCUMENTS All documents developed by GRANTEE under this Agreement shall be delivered to CITY by said GRANTEE upon completion of the services required pursuant to this Agreement and shall become the property of CITY, without restriction or limitation on its use. GRANTEE agrees that all documents maintained and generated pursuant to this contractual relationship between CITY and 1iRANTEE shall be subject to all provisions of the Public Records Law, Chapter 119, Florida Statutes. It is further understood by and between the parties that Any documents or thing which is given by CITY to GRANTEE pursuant. r Seim 6-04A web 9 3? 03 to this Agreement shell at all times remain the property of CITY and shall not be used by GRANTEE for any other purposes whatsoever without the written consent of CITY. 4.9 AWARD OF AGREEMENT GRANTEE warrants that it has not employed or retained any person employed by the CITY to solicit or secure thin Agreement and that it has riot offered to pay, paid, or agreed to pay any person employed by the CITY any fee, commission percentage, brokerage fee, or gift of any kind contingent upon or resulting from the award of this Agreement. 4.10 NON-DELEGABILITY The obligations undertaken by the GRANTEE pursuant. to this Agreement shall not be delegated or assigned to any other person or firm unless CITY shall first consent in writing to the performance or assignment of such services or any part thereof by another person or firms 4.11 CONSTRUCTION OF AGREEMENT This Agreement shall be construed and enforced according to the laws of the State of Florida. 4.12 OBLIGATION TO RENEW Upon expiration of the term of this Agreement, GRANTEE agrees 4.13 and understands that CITY has no obligation to renew this Agreement. TERMINATION OF CONTRACT CITY retains the right to terminate this Agreement at any time prior to the completion of the services required pursuant to thin Agreement without penalty to CITY. In that event, notice of termination of this Agreement shall be in writing to GRANTEE, who shall be paid for those service* performed prior to the date of its receipt of the notice of termination. In no cane, however, shall CITY pay GRANTEE an amount in'axceas of the total sum provided by this Agreement. It is hereby understood by and between CITY and GRANTEE that any payment made in accordance with this Section to GRANTEE shall be made only if said GRANTEE is not in default under 13 89-7 6, the terms of this Agreement. If GRANTEE is in default, then CITY shall in no way be obligated and shall not pay to GRANTEE any sum whatsoever. 4.14 GENERAL CONDITIONS A. All notices or other communications which shall or may be given pursuant to this Agreement shall be in writing and shall be delivered by personal service, or by registered mail addressed to the other party at the address indicated herein or as the same may be changed from time to time. Such notice shall be deemed given on the day on which personally served; or, if by mail, on the fifth day after being posted or the date of actual receipt, whichever is earlier. CITY OF MIAMI GRANTEE 3500 Pan American Drive Miami Jewish Home and Hospital Miami, Florida 33133 for the Aged, Inc. 151 N.E. 52 Street Miami, Florida 33137 B. Title and paragraph headings are for convenient reference and are not a part of this Agreement. t C. In the event of conflict between the terms of this Agreement and any terms or conditions contained in any attached documents, the terms in this Agreement shall control. D. No waiver or breach of any provision of this Agreement shall constitute a waiver of any subsequent breach of the same or any other provision hereof, and no waiver shall be effective unless made in writing. E. Should any provisions, paragraphs, sentences, words or phrases contained in this Agreement be determined by a court of competent jurisdiction to be invalid, illegal or otherwise unenforceable under the laws of the State of Florida or the City of Miami, such provisions, paragraphs, sentences, words or phrases shall be deemed modified to the extent necessary in order to conform with such laws, or if not modifiable to conform with such laws, then same shall be deemed severable, and in either event, the 14 - 89-"7764 . remaining terms and provisions of this Agreement shall remain unmodified and in full force and effect. 4,15 IMPENDENT CONTRACTOR GRANTEE and its employees and agents shall be deemed to be independent contractors and not agents or employees ot CITY, and shall not attain any rights or benefits under the Civil Service or Pension ordinances of CITY or any rights generally afforded classified or unclassified employees; further, they shall not be deemed entitled to the Florida Workers' Compensation benefits as an employee of CITY. 4.16 SUCCESSORS AND ASSIGNS This Agreement shall be binding upon the parties herein, their heirs, executors, legal representatives, successors, and assigns. 4.17 DEFAULT PROVISIONS In the event that GRANTEE shall fail to comply with each and every term and condition of this Agreement or fails to perform any of the terms and conditions contained herein, then CITY, at its sole option, upon written notice to GRANTEE, may cancel and terminate this Agreement, and all payments, advances, or other compensation paid to GRANTEE by CITY while GRANTEE was in default of the provisions herein contained shall be forthwith returned to CITY.. ARTICLE V. GRANTEE CERTIFICATIONS 5.1 GRANTEE certifies that: d A. It possesses the legal authority to enter into this Agreement by way of a resolution, motion, or similar action that has been duly adopted or passed as an official act of GRANTEE's governing body, authorizing the execution of the Agreement, including all understandings and assurances contained herein, and directing and authorizing the person identified as the official representative of the GRANTEE to act in connection with the Agreement and to provide such additional information as may be required. - 15 - ic. j B. it shall comply with the provisions of the Hatch Act which limits the political activity of employees. • C, No program under this Agreement shall involve political activities. D. It shall prohibit employees from using their positions for a purpose that is or gives the appearance of being motivated by desire for private gain for themselves or others, particularly those with whom they have familyt business, or other ties. ' E. Participants or employees in the program pursuant to this Agreement shall not be employed on the construction, operation, or maintenance of that part of any facility which is used for religious instruction or worship. F. Appropriate standards for health and safety in work and training situations shall be maintained. G. Persons employed in public service jobs under this Agreement shall be paid wages which shall not be lower than whichever is the highest of (a) the minimum wage which would be applicable to the employer under Federal standards, (b) the State or local minimum' wage for the most nearly comparable covered employment, or (c) the prevailing rates of pay for persons employed in similar occupations by the same employer. k H. It shall comply with the Civil Rights Act as amended. I. it shall comply with the uniform administrative requirements of the Office of Management and Budget Circular A-1221? "Cost Principals for Non Profit Organizations", and Attachments A, B, C, F, H, N and O of OMB Circular No. A-110. J. It shall comply with the Anti -Kickback Act, Title 18, USC Section 874, and provisions of the Federal Labor Standards, Title 29. K. It shall comply with the procedures set forth in the Policies and Procedures Manual for Community Based Organizations. --16- 89- 776 AIMCLE VI Et�1'i`itt8 At'�1tEEMENT IN WITNESS WHEREOF, the parties hereto have caused this inutruNGht to be executed by the respective officials thereunto duly authorized on the first date above written. CITY OF MIAMI, a municipal Corporation of the State ATTEST: of Florida By MATTY HIRAI CESAR H. ODIO City Clerk City Manager ATTEST: GRANTEE: Miami Jewish Home and Hospital for the Aged, Inc, a Flo- rida not for profit corporation Ben'B.Ut'en Secretary SEAL By Iry ng Cyp , Ch�lrman r GUARANTEE I , in consideration of the City of Miami's execution of the foregoing Agreement, the undersigned, guarantee the performance of the terms and conditions in said Agreement required to be performed by the Grantee including but not limited to the provisions relating to default, assurances, and certifications. Dated this day of , 1989. an individual By individually , WITNESS: APPROVED AS TO INSURANCE REQUIREMENTS: APPROVED AS TO FORM AND CORRECTNESS: 1 appa y a`a PO a�� ATIC LUTI0N WHEREAS, the Hoard of Directors of The Miami Jewish__1tome__. and�Hospital for the Acted has ermined term®, conditions and obligations of the proposed agreement with the City of Miami for t WHEREAS, the Board of Directors at a duly held corporate Y meeting have considered the matter .in accordance with the bylaws of the corporation; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS OF The Miami Jewish Home and Hospital for the Aged that the President and Secretary are hereby authorized and instructed to enter into agreement in the name of, and on behalf of this corporation, with the City of Miami for in accordance with the agreement documents furnished by the City of Miami, and for the price and upon terms and payments contained in the proposed agreement submitted by the Citv of Miami. At i t►e M�t�1t T MIAMI JEWISH HOME AND HOSPITAL FOR THE AGED, INC. Work Program Specifications for the Douglas Gardens City of Miami Senior Adult Day Center at Legion Park October 1, 1989 - June 30, 1990 RECOGNIZING THATs (i) The Agency as -a -whole and through its combined sources of funding provides multiple, comprehensive and coordinated geriatric programs for Dade County residentsi (ii) Among these is the Douglas Gardens Senior Adult Day Centers; and (iii) Funds provided by the City represent 11% of the support to operate the Douglas Gardens' City of Miami Senior Adult Day Center at Legion Park, -91 The following work program specifications for the operation of the aforementioned Center during FY 1988-89 are hereby outlineds I. CENTER will provide senior adult day care services to a minimum of 100 elderly persons by the end of the contract term: A. All persons served (unduplicated) will also be elderly persons, 60 years of age or older (computed as age at intake). B. A minimum of 50 persons will be City of Miami residents. C. A minimum of 190 "program days" (defined as operational days during which clients attend the Center and receive program services) will be provided by the end of the contract term. D. A minimum of 6,650 "client days" (computed as daily client attendance per number of client days) will be provided by the end of the contract term (i.e., average of 2,175/three month period; 725/mo.). E. Minimum enrollment will not be less than 70 throughout the contract term, and average daily attendance (computed quarterly) will not be less than 35. F. A minimum of 38,175 "Service Units" will be provided by the end of the contract term and at least 12,725 will be provided each three month period (i.e., average of 4,240 /mo.). A "service unit" is defined as one (1) unit of a particular type of service which is provided by the Center and is classified as one of the following: Congregate Meal Unit - defined as the serving of one 1 nutr tonally -sound meal, which meets one-third or more of the current daily recommended dietary allowance, to an eligible person in a congregate setting (i.e., at the Center). . Simp '' —04b THU to • sue . Counseling Unit - defined as a one -hour interactive process er' ein one client is provided direct guider►Ge and assistance in the utilization of needed health and social services and help in coping with personal problems through the establishment of a supportive staff -client relationship. Counseling may be conducted on a one-to-one or group basis. Education Unit - defined as a one -hour time period ur n9 which one eligible client is provided with formal training by an instructor which is designed to provide opportunities directed toward personal enrichment or nutritional health. Recreation Unit - defined as the participation in or attendance o one person (during a 24-hour period) at one or more planned events or other leisure time activities of the program, such as games, sports, theatres, field tripe, a*c. Transportation Unit - defined as a one -way -person trip, or the ick-up and drop-off of one client from one locationyaddress to another. Transportation units will be further categorized as fellows (categorized according to purpose of trip); Medical/Dental - doctor/dental/counseling appo ntments, medical centers for treatment, physical therapy, speech therapy, movement therapy, etc. Government Services, non -Rehabilitative - food stamp o cos, social security offices, etc. Sho in - food, clothes, etc. T : where a staff escort accompanies the client and provides assistance in the selection and purchase of items, no credit will be given as a unit of transportation; rather, credit will be given and documented as a unit of "shopping escort"). Recreation/social - includes all trips to the Center site, as well as to other activities, recreation or meals centers, parks, theatres, civic meeting*, field trips, sport activities, etc. Rehabilitation, non -Medical - rehabilitation treatment and/or training centers, counseling services, etc. Trips, Home - client residence d. Days and hours of operation will be Monday through Friday (excluding holidays), StdO a.m. through 4t0e p.m. H. Direct services to be provided to clients of the program are as followat (NOTEt It is recognized that most. pro g ram services are provided on an as -needed -or -desired basis and as Ruch, no quantitative service level requirements have been not for each individual service unit. component with the exception of meals service)t 1. SCREENINGo ASSESSMENT AND INTAKE; All applicants requesting programs services will be individually screened for eligibility in accordance with program requirementss to addition to the age and residency criteria established in Section 1(A) and (8), each prospective client, will be assessed for physical and psychological conditions and/or level of functional impairment. 89-776 VIA-i0 tWU (i) An assessment instrument (see Attachment 6-9 s P), coupled with the referring agent/family interview will be the primary mechanisms utilised in determining eligibility. (ii) Medical certification for each client is required before determining eligibility. b. Determination of client eligibility will requite that the clients (i) Be a City of Miami resident, 60 years of age or older= (ii) Be capable of benefiting from the Program (from a preventative, treatment or maintenance standpoint) ; (iii) Be communicative, e.g•, has the ability to relate to other individuals and participate in inter -group activities; (iv) Needs on -going supervision in a protective environment; (v) Not exhibit violent or psychotic behavior; and (vi) Not be permanently incontinent. e. Required application for service, assessment, registration and intake evaluation forms will be completed for each person accepted for service, and said forma will be retained as part of the client's permanent record (see attached forms). (i) The intake evaluation made on each client will include a written service plan which will, at the minsmum, identify the following informations - Client's specific needs; - The services and/or activities to be provided to meet the client's specific needs; and - The frequency of participation needed by the client and the days of the week during which the client will be attending (ex.: 2 days; Monday and Thursday). (ii) Clients will be re-evaluated every 90 days to determine progress in the program, to modify service plans (if needed), to describe the support services needed by and/or secured for the client, and/or to address other client concerns. The "Progress Notes" form will be utilized for this purpose (see attached). Z. M�6t a. Program will provide daily on -site luncheon meals to Center clients. Meals will be provided Monday through Friday, excluding holidays. Each meal will meet one-third of the daily recommended dietary allowance. (morning and afternoon) will also O. c. Average daily luncheon meals service (computed quarterly) will not be less than 35. d. A minimum of 6,650 Congregate Meal Units will be provided by the end of the contract term, and an average of 2,175 will be provided each three month period (i.e., average of 725/month). 3. ACTIVITIES AND SUPPORT SERVICES: a. Counseling Services - will be provided to clients on an as -needed -or -desired basis and will serve to address, resolve and/or provide assistance in coping with reality and/or adjustment problems. In all cases, the client's problem(s) will be stated in his/her case record, a corrective action/service plan will be identified, and the services rendered by staff to resolve the problem(s) will be noted. Counseling may be provided on an individual and/or group basis. b. Education - will be provided as outlined in each quarters activities schedule. Most classes will be conducted by an instructor supplied gratis by Miami Dade Community College and/or other educational institution and will include such subjects as Reality Orientation, Drug Abuse, Nutrition, Health, Cooking, Painting, Sewing, Current Events, Music Appreciation, Drama, and Human Relations. (i) Program will submit its quarterly activities schedule to the Monitoring Unit of the Community Development Department (City) with each quarterly activity report submission (i.e., tenth working day of the following quarter). c. Recreational and Leisure Time Activities - will be provided as outlined 71n each quarterly activities schedule. Recreational and leisure time activities will include, arts and crafts, dance, therapy (music and movement), singing, games, movies, discussion groups, book reviews, birthday parties, exercise groups, field trips to local places of interest, variety shows and plays. d. Transportation - will be provided to clients on an as -needed basis between 8:00 a.m. and 4:00 p.m., Monday through Friday (excluding holidays). (i) Each trip provided to Center, clients will be documented (see attached transportation service log) and will be classified into one of the six (6) categories identified in I (F) of this Section, entitled "Transportation Unit". I. The Project will now utilize 1.5 vehicles, identified as follows: 70% DOT ID # - 89308 Make and Model - 1983 Ford Minibus License Plate - DG4839 Passenger Capacity - 15 Equipment - Wheelchair lift - gate and tie -downs 30% DOT ID # - 19901 Make and Model - 1985 Ford Van License Plate - 211EXB Passenger Capacity - 15 Equipment - None . ? - 4 - II. The Center's sliding fee schedule for 1989-90 will be submitted to the City by October 1, 1989 and made a part of this Work Program. III. CENTER will maintain complete, updated and accurate records during the contract term to document services rendered to clients. The following forms will be utilized: A. Client Registration Card (individualized) S. Application for Service Form (individualized) C. Initial Assessment/Treatment Forms (individualized) D. Quarterly Progress Notes (individualized) E. Monthly Summary of Client Services (individualized) F. Weekly Attendance Record (aggregate use) G. Daily Driver Tally Sheet (aggregate use) H. Monthly Vehicle Log (aggregate use) I. Monthly Summary of Client Services (aggregate use) J. Monthly demographies (aggregate use) IV. CENTER will complete a quarterly activity report (see attached forms) and will submit it to the Monitoring Unit, Community Development Department, City of Miami, by the tenth working day of the following quarter. The quarterly report will contain the following information: A. Number of unduplicated persons served by the Center during the quarter: 1. # of City of Miami residents 2. # of Males (White non -Latin, Black non -Latin, Latin, Other) 3. # of Females (White non -Latin, Black non -Latin, Latin, Other) 4. # of Elderly, 60+ 5. #Female Head of Household B. Quarterly activity participation levels broken down by type of service. C. Number of service units provided during the quarter, broken down by category: 1. # Congregate Meal 2. # Counseling 3. # Education (Nutrition, Continuing) 4. # Recreation 5. # Transportation (Medical/Dental; Government Services, non -Rehabilitative; Shopping; Recreation/Social= Rehabilitation, non -medical; Trips, Home) D. Number of clients withdrawn/terminated during the quarter S. Number of active clients at end of quarter 89-'7` 6 Tl 0 A*z vs, Nowber of praotme chyle for 4u&rtor do Number of client days for quarter H Poes collected from clients during the quarter V, CINTER will maintain updated# complete and &6curate client service records during the contract term and will retain them in one central place at the Agency's administrative officeSt located at 151 N.T. 52nd Street, Miami# Florida 331376 � � a th *,%@Oaf` �° , b CITY' or 141"1 • i �t�►SN'G1TUR� a�'tisT�tr����1c�N trot AGENCY& 1�tiA#�I ,� iIS #0M9 6 TIdSPtTAL POR THE_AGED , INC. PRWKCT: SENIOR ADULT CARE AT LEGION MARK FUNDING SOURCE COHM I DEVEtAPMEP t. BLOCK GRANT FUNDS EXPENDITURE DESCRIPTION AND JUSTIFICATION Projected on estimated 7,800 meals (195 days times 40 clients per day) and 15,600 snacks (2 daily) as follows: Requested to City: 4,862 Meals @ 3.13 9,724 Snack @ 0.34 4,862 Su 1. @ 0.581859 TOTAL M3rAMI JEWtSH HOME AND AGENCY: 1i06PITAL FOR THE A®. INC. SENIOR ADULT'DAY HEALTH, TITLE OF PROJECT:- CALIF AT r_gr;IM PARK - CITY OF MIA41 6MMUNITY DEVELOPMENT DEPARTMENT PROJECT SALARY DEVELOPMENr C70NMIJNTTY FUNDING SOURCE: FISCAL YEAR: 1989-90 POSITION TITLE (list each position and employee name separately ANNUAL SALARY (9 months) # PAY PERIODS PER YEAR 9 mmnths HOURS WORKED PER PAY PERIOD TOTAL SALARY PER PAY PERIOD % OF T114E DE- VOTED TO PROJECT % OF SALARY CHARGED TO CITY TOTAL At• CHARGED CITY FOI PROJECT Nurse 22,463 19.5 so 00 1,151.94, 865.8 inn%'• Activities Cooridnator• A. Ec1inberg 16jej 19.5 Driver W. Wilhelmin 9,310 19. 477.44• se Aide 19.5 80 478.92 Nurse Aide W. Pendilton 9.160 19.5 469.74 Nurse Aide N. Harrington 2,535 19.5 An 488.96 Social Worker Martinez19.5 681.02 - TOTALS j2AQ 9_ 9.5 613 : 84 26 � :.•, "';.. :.: ,.; :i ii: w•�"4'/jam - G 8 'vim /�' _ 9 • • 6. 0110 �I ,II�III NFU IUyN II l�1NllNN INNINlNhN fN IINNNNII N IN NN �INI NN N �1 N _ �K Ni ii��� ii i� ����������� � N Ni CITY OF MIAMI DEPARTMENT OF COMMUNITY DEVELOPMENT TOTAL CONTRACTOR DU(rCET AND FUIIDS DISCLOSURE CONTRACTOR: MIAMI JEWM HOM AND HOSPITAL FOR THE AGM, INC. Form 7 LINE -ITEM DESCRIPTION Inkind l Real Con- tributions Program Income & Donations OTHER FUNDING (Specifyl: Total Per Line-Iterr Community Develo Federal Revenue Sharing UHC/ ADHC WAIVER. DONA- TIONS MISC. RECEIM. SATARIES ► 1 Program Director $22,463, 1 Activities Coor. = $16,883, 1 Driver $9,310, 3 Nurses Aides $28,034, 1 Social Worker $13,280 21,908 58,462 9,600 89,970 .Bmpl es Health Insurance Based on eligibility (6 mos. after eployment) 63 eligible employees/ _ . months at $123.64 _ 1,897 5,061 831 7,789, Fla. Unemployment CmVen- sation based on our Curren rate and maxim m uu '� Page l of 8 CITY OF MIAMI DEPARTMENT OF CI14MUNITY DEVELOPMENT TOTAL CONTRACTOR DUIK,ET AND FUNDS DISCLOSURE CONTRACTOR: MrAml rFKvrrxx fjr _mp r xr)sarmT, mp mxF AGED, INC. Farm 7 :` :� LIRE -ITEM DESCRIPTION taxable salaries for Ieal Con � Real Con- tributions Program � Insane & Donations Ca��nunity Develop. Federal Revenue Sharing OfyER—•0ff AUDfCi/ DCNA- TIONS N _peci MISC. FTC= : Total Per Lone -Item the period TAXABLE TAX SALARIES RATE AMT. - $44,100 .2% $88 21 57 10 88 RETIREMENT PLAN _ Actual participation on the NiM4A Pension,' Life Insurance and Disability r inom a plan offered to all 7 Sur k'![IjJloyees based on 5.504% averse rate on ;89,970 eligible salaries 1 206 3,218 528 4,952 " ;OCTAL SECSMM used on 7.58% rate 89,970 total salaries _ 1,661 4,431 72$ 6,820 Page`2 of-8 � I LU����I p l� I Ijl p pgl.l�l 11 llll l l II Ul1,Il 1U � �9�L,d! CITY OF MIAMI DEPARTMENT OF COI4MUNITY DEVELOPMENT TOTAL CONTRACTOR BUDGET AND FUNDS DISCLOSURE CONTRACTDR: MIAMI JEWM HCME AND HOSPITAL FOR THE AGM, INC. Farm 1 LINE -ITEM DESCRIPTION Inkind�& _ Real Con- tribctions Program Income & Donations OTHER FUNDING S ecif : Total Pe Line-Ite, Community Develop. Federal Revenue Sharing UHC ADHC DONA- MSC. INSURANCE WOPiM'S Y Code 8868 $13.116 @___ 0.58% and $26,230 @ 0.92% _ $317 Code 7380 $9,311 @ 9.20% = $857 Code 8841 $9,344 @ 5.26% and $18,690 @ 7.37% _ $1,868 Code 8742: $4,426 @ 1.05% dh and $8,853. @ 1.39% $169 = $3,247 less experi 2,003 329 3,083 modification 4% = $3 083 751 TRAVEL. 400 miles per year @ .21 ------ 84 84 miles Page 3 of 8 ILA �_LllilJ�«IJ_IIIII�LIJ IIIII�II��I�IIII�_11111__ 111111.1.1_I _ _ IIIII IIIIJI IIIIIILIIIIIIIIIIIII I Idll �i I II II I1II IIIIIII � � IJIII_II�I � � ��� ������������u� ��� ��i�iii�iiiiin�ii���i��l Mill ..«.. .. w.-w+a.-a.e....n....+......-.....:..:�...--............_.:....._:_�r�,+f......W.._-�...«.-�+�:.:-T«SL'r=.'�.Srs---.-._....vva'.v�nn.ua. ..a..n-.e.+r..«.«.-«.. .... ..----_... - CITY OF MIAMI Fornt DEPART11E1VT AC CA14M11 ' tJITY AEVELOPMEPIT • t • TOTAL CONTRACTOR BUDGET AIM FUNS DISCLOSURE CONTRACTOR: MIAMI JEWISH HOME AND HOSPITAL FOR THE AGED ,INC. •-•- -- .--- - - - �------��--- - ----- - ---- OTHER FUtJOIN(Specif Inkind«✓a Program Feclera UHC DONA MISC. Real Con- Income & Comnunity Revenue ADxC LINE -ITEM DESCRIPTION tributions Donations Develop. S1�arinc� TIONS RECEIPT TELEPHONE Basic service and long distance calls OFFICES SUPPLIES & EXPENSES Office costs, copying cost, stationary and miscellaneous A ART AND CRAFTS 644 467 Yarn, leather, wool and ceramics estimates at $191-per month 419 MEDICAL & THERAPEUTIC ,;;Supplies estimated at Total per Line -Item 1.718 282 2,644 — I 1,246 204 1,917 I1,117 183 $71 per month _j i 156 I I 415 68 1,719 639 Page 4 of 8 CITY OF MIM1I DEPARTMENT OF C014MUNITY DEVELOPMENT t TOTAL CONTRACTOR BUDGET AND FUNDS DISCLOSURE CONTRACTOR: MIAMI JEWISH HOME AND HOSPITAL FOR THE AGED ,INC. _ ..._ ._ . . .--- - . .. _ _ ----- - - -_ _. _. _ OTHER FUNDIN (Sped I+kind_. Program r Federal UHC DONA MISC Real Con- Intone & Community Revenue ADHC LlUE-ITEM DESCRIPTION tributions Donations Develop. Sharing wATyn TIONS RECEIPT FOOD 7, 800�1g.@_ �3. =24.4 4 15 - 600 snacks @_ .14=5 . 304 10,705 suppl @ $©.581859=6,229 3,554 21,353 9,483 1,557 PUBLIC INFORMATION ADVERTISING r ' Recruitment of personnel, printing, printing of community information, publications, distribution of participant XNews Bulletin 88 234 �r .t Form 7 Total per Line -It ea �o 35,947 38 360 Page 5 of 8 i I, � v CITY OF MIAMI DEPARTMENT OF CO11MUNITY DEVELOPMENT TOTAL CONTRACTOR BUDGET AND FUllDS DISCLOSURE CONTRACTOR: MIAMI JEWISH HOME AND HOSPITAL FO_R THE AGED , INC. Inkind G Program edera Real Con- Income & Calmsunity Revenue LINE -ITEM DESCRIPTION tributions Donations Develop. Sharing POSTAGE Program mailings racTTei i A�OR D iiPf 5 - ver year 8 hours _ a. vi is oer day S5 78325— I CONSULTANTS As required by FL adult Da Health reeul__ ations 1 movement theca ist ? $35/week for 39 weeks= _ $1 365 1 speech therapis_• $150 per 9 mos.=$1,350 ` 661 UHC J DONA— I MISC . ADHC 1,764 1 290 Forn► 7 Total Per I ina..Ftam 232 2,715 Page 6 of 8 w w CITY OF MIA? DEPART14ENT OF C014MUN I1 TOTAL CONTRACTOR BUDGET AN C011TRACTOR: MIAMI JEWISH HOME AND HOSPITAL FOR THE AGED ,INC. LINE-TTEM DESCRIPTION Inkind L Real Con- tributions Program, Incase & Donations TITER FUNDING (Specify): Total per line-Iter Community Develop. Federal Revenue Snaring UiIC ADHC WATVgk DONA- TIONS MISC. RECEIPT INSURANCE i Automobile Insurance O 16 passenger fees=$7,•320r General Liability = 710 Umbrella =3,368 2,775 7,407 1,216 11,398 REPAIRS & `,MAINTENANCE Estimates @$95 per mo. 208 556 91 855 i DUES & LICENSES 109 293 48 450 TRANSPORTATION Parts & Repairs $2,925 I Vehicle Rental 2,250 Fuels and Oil 3,575 2,130 5686 , 934 8,750 _ n '., gals= / Wi � r , t &I#If--. /LVI l,L. INDIRECT COST Provided to the program based on 20.6% of $180,477 TOTAL BUDGET w � +A 1111�1111���1�llllllllfllllJ�llllll�llllllll�l�lllll111IIII IIIIIIIIIIII III III I II II II I ,III IIII III III I I i lil � u�l�i Form 7 Total per Line -item 37,178 , r Page DING SOURCE (Be Specific): AMOUNT REQUESTED PURPOSE OF GRANT/FUNDS: FUNDING PERIOD From: To: EXPECTED DATE OF NOTIMATIOR. Program income $ 409260 Adult Day Health Center Care October I thru • services for functionally impaired June 30/89 N/A City of Miami* 21,353 elderly persons. Services include October I thru hot nutritious meals and June 30/89 N/A United Home Care Services Inc.** 107,435 snacks, transportation, health. July 1 thru care monitoring, -psychological, June 30/89 N/A Miami Jewish Home and social, recreational and October I thru Hospital for the Aged 30,660 educational. i June 30/89 N/A Miscellaneous 306 Donations 17,641 • October I thru June 30/89 N/A 217,655 TOTAL Inkind and Real Contributions: Defined as non -monetary services or materials in excess of $50 which is_provided to the Program free -of -charge by sources - other than those identified in this budget. Program Income and Donations : Funds collected from the charging of fees and/or cash donations/contributions. * Community Development Block Grant Funds. 1 ' **Adult Day Health Card - Medicaid Funds ` i r i►irrrr.,r.•,•Af .. .MCi,iiS�f•� N w •' t • ••r`rv. waHv:�yraw.•. �►. �.+ i ....• •, i • I . �",, • u, ,,n� u-14-da 1 c • our m t marsh and MCLonnan-4 30 754 4530;* 2 AD ,.. ,. ,...' t ..I, tea,.. ,..� ,'j4h t.- i n�uf►N. ...;�. 1 � be. i, .►1+ �i/Sx-';�AA ` , 4' u' r�E r� ; q�IN DST[ YI - 4 08-14-99 ' � ... _._... ._ .... .. �.. . ._ ra . r1I� .1"!,:r.'•h .i '.1,-�,. _U �•,7 ,115 .G. ..!•.7 �SIrrI�i0.�11'�11���:1�7'f. _ .. .. _.. __.. .. P�Oo1RDltII ~ ` THIS CERTIFICATE 1918SUED AS A MATTER OF INFORMATION ONLY AND CONMRS NO 1416HU UPON THE CERTIFICATE HOLDER, THIB CERTIFICATE QOES NOT AMEND, NINA i 01000111lip um VITBND OR ALTIM THE OOVEMOE AFFOPOED BY THE POLICIES RMC W mot �,t 33134 COMPANIES AFFORDING COMRADE I � A o"pw it Itertti aII■Itlea Doe[ De»•000� � .._ ......�.___ ......__.....__._.__ ._.._ __. ____...__.___. __.__... h _ ooRaPANv S LXTT"_.�.__ ...__-. _...�. _... __.. .____ .._._........._..__ _. _.___..... of we • LtTTaR _.c �R, �._..._._. ____ ...... _ _........._..__ .... _. _.__..__.. _ _._ ._ I tsi. !9i ed gh� 0 COMPANY ` LETTV ' - .-. w�....:.L-..r's+�.wrn`•'relsttlMmf'!e�v�aM�l1'i+!?i�}it.rrYl:�'fFf1i'�%11Ph '� THIS IS TO CERTIFY THAT THE POLICIES CPjINSURANCE LISTED BELOW HAVE BEEN 189UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANOINO ANY REQUIREMENT, TUN OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CIPMFtCATK MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIM DESCRIBED HEREIN It SUBJECT TO ALL THE TERIM& EXCLUSIONS AND CONDITIONS OF OUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN RBDUOEO BY PAID CLAIMS. TM OP INSURANDS POLICY NUMSSN DATE L . ALL LIMITS IN THOURAWN I _ ___ ...._ ORKR L LIAMITY I j I OSNSRAL AoGREGATE A; X COMMSRCU►L G!N[RAL LIASIIrrY P"DUCT8tOMWOP11 A801460AT>E 1 :obi CLANS MAD[ T OCCUR.! I ' PVWNAL ! AOMTISimo INJURY 1 s_ s OWNER's a coNTRACTo -G mw, Di�of /�O:rM REACH occuRRemit I 1 1e010• r1� , _ 1 I MEDICAL J . - NSt (Arty one _ _.. SINtD _I AUTONCELR LIAMLIW MOL r ANY AUTO LIMIT All QwYNEO AUTOS 1 SODILY-_...... _,.... j SCHSOO AUTOS j i ` I (P r INJURY I / UL>E, ! P r � :t MIR= AUTOS ' WON-OWNIM AUTOS I j INJURY wo, i OARAQ[ L1AIIIUTY PaOPERTY I1 iOAMAAE A ' SXCEiS L1A81UTY i I. Aq F.. . A6A11E�IT� x itiso0r s.LR. , iss� �� owsiot THAN uMSRnLA Pow ' I STATUTORY I woN1aR'S corlRwaAnoN ! _ -. ... ..._ _. AND (EACH ACCID111" , _... A SMPLOYTIS' LIANUTY I _ _ _ '(DISEAItE-POLICY LIMIT) S I I �• f (MBEASR-SAOH EMPLOYI OTN[II a r nVAMi Damp'sonamI >�0" e d �" • �tr DWRIJITION OR OP�[IIAT�IOIiSfLOCAT10NtlYQStS �fRISTIIICTIONS1SPtOfLI ITEM _ ilk tft • N "47�*0. 70 OP1140 1 L"* !10dft (g SHOULD ANY OF THE ABOVE DESCRIBED FOLIOIES Bt CANCELLED BEFORE THE of NML T SXP(RA_210N DATE THEREOF, THE ISSUING COMPANY WILL iNOSAVOR TO taws MAILOW DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ift" am LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. • AUlimmu ATM YV ;f �d•Z�•N ryfA7>l�','.ja _ , •., .1:�ar;Zy: •;t... ',.�:.'.^f', ...•r. .. . J CA=24CITY OF MIAMI. FLORIDA INTER -OFFICE MEMORANDUM TO. The Houorable Mayor and Members DATE: SEP WO FILE. of the(City Commission SUBJECT: Resolution Allocating 15th Year C.D. Funds �r r for Public Services FROM: Cesar H. Odio REFERENCES: City Commission Agenda City Manager September 14, 1989 ENCLOSURES: One (1) Resolution RECOMMENDATION It is respectfully recommended that the City Commission adopt the attached resolution which allocates $21,353 of 15th Year Community Development Block Grant Funds to the Miami Jewish Home and Hospital for the Aged, Inc. and $55,892 of 15th Year Community Development Block Grant- Funds to the Coconut Grove Family Health Center, Inc. and further authorizes the City Manager to execute agreements with these agencies in t substantially the form attached. BACKGROUND At its meeting of April 27, 1989, the City Commission adopted Resolution 89-388, which authorized the City Manager to submit the Final Statement of Community Development Objectives and Projected Use of Funds for the 15th Year to the U.S. Department of Housing and Urban Development (USHUD). As a follow-up to this action, the Department of Community Development has submitted the Final Statement to USHUD. The approved Final Statement includes the allocation of $21,353 to be directed to the operation of an adult day care center. This is an on -going activity operated by the Miami Jewish Home and Hospital for the Aged, Inc. at Legion Park. The Final Statement also includes the allocation of $55,892 to 4' the Coconut.Grove Family Health Center, Inc. to provide a primary health care program to residents of the Coconut Grove target area. For the 15th C.D. Year, a total of $1, 761, 300 is available for public service programs. Previously, the City Commission had adopted Resolution 89-615 which allocated $1,6360726 to non profit organizations providing social service programs to City residents. The aforementioned allocations to the Miami Jewish Home and Hospital to the Aged, Inc. and the Coconut Grove Family AAq