HomeMy WebLinkAboutExhibit BEXHIBIT B —WORK PROGR4A1
AFTER SCHOOL AND SUMNIER/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) Is a member of a low -to moderate income household
3. 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.
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
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. SUBRECIPIE;NTT 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 -
6. SUBRECIPIENT will provide:
a) After school care to _/L? participants from __Q_ pm to & pm on the following
days: ,Monday, ✓Tuesday, "Wednesday. /Thursday, ;/Friday, at the following
sites:
-y
al 1-1-11 or A�? E"7L_r1A ,�� C
10.-2. d tJ -74
M.:fA,,_Q EL .33i,,27
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 Q`�� am to 4
pn on the following days: t✓Monday. ;Tuesday, L/Wednesday, p --Thursday,
Friday, at the following sites:
I
The summer program/ school recess will be provided for up to a total of 7 LJ program
days.
i. Program will commence on L2 '; gL-A- % 2008 and will end
2009.
SIGNED:
Name: c WYL � t OG Date
Title: gXee i7 7yd &,- 0042- .
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this 9j' 2 by
[Date]
[Name] [Title] [Agency]
a Florida not-for-profit corporation; on behalf of the corpor ion. He/she is personally kno« n to m or has
produced
Print Notary
(SEAL.)
e ki`r COMMISSION # DD 488918
4�c of F r:P1RES: February 17, 2010
. e..� _.K.—I'Mv Fl Mctmv Discount Assoc. Co.
as identification.
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