HomeMy WebLinkAboutExhibit 5N
EXIIIBIT B — WORK PROGRAM
CHILDCARE PROGRAM
SUBRECIPIENT understands that the National Objective is assistance to low to moderate income
households.
SUBRECIPIENT will recruit program participants who meet the following criteria:
a) Reside in the City of Miami
b) Is a member of a low -to moderate income household
C) Children ranging in age from infant to 6 years old
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 of Miami 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.
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.
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 of Miami.
SUBRECIPIENT will provide:
a) Childcare to a minimum of participants on a monthly basis, at the following
sites:
Childcare will be provided for up to a total of program days. The childcare
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.
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
[Name] [Title] [Agency]
by
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)