HomeMy WebLinkAboutExhibit 3EXHIBIT B — WORK PROGRAM
AFTER SCHOOL AND SUMMER/SCHOOL RECESS CARE
SUBRECIPIENT understands that the National Objective is assistance to low to
moderate income households.
2. SUBRECIPIENT will recruit program participants who meet the following criteria:
a) Reside in the City of Miami
b) A member of a low -to moderate income household
SUBRECIPIENT will submit the following information to the City of Miami Department
of Community Development to obtain certification that proposed participant is eligible to
receive program benefits and for SUBRECIPIENT to invoice the CITY for services
provided.
a) Program Application, in a form provided by the City of Miami Department of
Community Development, signed by prospective participant or by legal guardian.
4. SUBRECIPIENT must keep in file proof of the information listed below demonstrating
that each program participant is eligible to receive program benefits:
a) Proof of living in the City of Miami
b) Proof of income
C) Proof of age
This information must match the information listed by the SUBRECIPIENT in the
participant Program Application form submitted to the CITY. A copy of this form must
also be kept in the participant's file.
5. SUBRECIPIENT may replace program participants who stop receiving program benefits
by providing the information required in items 2 and 3 for the new participant.
SUBRECIPIENT will not invoice the CITY until the proposed participant is certified as
eligible by the CITY.
6. SUBRECIPIENT will provide:
a) After school care to a minimum of participants from on a monthly basis,
at the following sites:
After school care will be provided for up to a total of program days. The
after school program is available between P.M. and P.M.
b) Summer day care or school recess care to a minimum of participants
from a monthly basis, at the following sites:
The summer program/ school recess will be provided for up to a total of
program days. The summer program/ school recess program is available between
A.M. and P.M.
SUBRECIPIENT will provide program reports for the services provided to the
participants in a form provided by the CITY.
7. Program will commence on 2009 and will end on
, 2010.
SIGNED:
Name:
Title:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this
of
[Date]
Date
by
[Name] [Title] [Agency]
a Florida not-for-profit corporation, on behalf of the corporation. He/she is personally known to me or has
produced
as identification.
Print Notary Public's Name Signature
(SEAL)