HomeMy WebLinkAboutExhibit 3EXHIBIT B — WORK PROGRAM
AFTER SCHOOL :AND SUNIAIERSCIIOOL 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 follo-vving criteria:
a) Reside in the City of Miami
b) Is a member of a low -to moderate income household
SUBRECIPIENT will submit the following information to the City of Miami Department of
Conununity 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 fowl provided by the City of Miami Department of
Con-ununity Development, signed by prospective participant or by legal guardian.
4. SUBRECIPIENT must keep in file proof of the inforniation listed below demonstrating that each
program participant is eligible to receive program benefits:
a) Proof of living in the City
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 of Miami until the proposed participant is certified as eligible by the City of
Miami.
SUBRECIPIENT will provide:
a) After school care to participants from pm to pin on the following
days: _ Monday, ,Tuesday _Wednesday, _ Thursday, _ Friday, at the following
sites:
After school care will be provided for up to a total of program days.
b) Summer day care or school recess care to participants from am to
pm on the following days: , Monday, _ Tuesday, _Wednesday, ` Thursday, _
Friday, at the following sites:
The summer program/ school recess will be provided for up to a total of program
days.
7. Program will conunence on 2005 and will end on
2'009.
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)