HomeMy WebLinkAboutExhibit 3EXHIBIT B — NN ORK PROGRA-N1
PUBLIC SERN-ICE - HAN-DICAPPED A_ND -NZENT_A-L: HEALTH SERVICES
1. SLBRECLpIENT understands that the National Objective is assistance to low to moderate
income persons.
?. SLBRECIPIENT «-ill recruit program participants that meet the follo«-inR criteria:
a. Must be a resident of the City of Miami
b. Must be a member of a low -to moderate ;income household
C. Must a medical certification for a developmental disability
d. Must be at least 18 years of age
3. SUBRECIPIENT �� ill 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
Corimunity Development; signed by prospective participant or by legal guardian if
prospective participant is incapable of doin6 so
4. SUBRECIPIENT must keep in file proof of the information listed below demonstrating that each
program participant is eligible to receive program benefits:
a. Program Application; in a form provided by the City of Miarni Department of
Community Development, signed by prospective participant or by legal guardian if
prospective participant is incapable of doing so
b. Proof of residency
C. Proof of income
d. Proof of ape
e. Medical Certification of developmental disability
5. SUBRECIPIENT may replace participants who stop receiving program benefits by
providing the information required in 2 above. SLBRBCIPIENT will not invoice the CITY
until the proposed participant is certified ed as eligible by the CITY.
6. SUBRECIPIENT will provide:
a. Vocational training and other services to disabled individuals will be provided to a
minimum of qualified participants on a monthly basis; at the following
sites:
Vocational training and other services to disabled individuals will be provided for
up to a total of grogram days. The program is az ailabie berg een
P.',\,1. and P.M.
SLBRECIPIENT will provide program reports for the seivices provided to the
participants in a form provided b�, the CITY
Program «-ill commence on October 1. 2009 and will end on September 30. 2010.
SIGNED:
Name: Date
Title:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument w -as acknowledged before me this
a Florida not-for-profit corporation;
corporation. He/she is personally kno«,-n to me or has produced
identification.
Prnit Notary Public's Name
(SEAT.)
Signature
by
on behalf of the
as