HomeMy WebLinkAboutExhibit 2CITY OF IML,01I, FLORIDA
CONB'IUNITY DEVELOPMENT BLOCK GRANT
CONBIERCLA-L, FACADE AND CODE COMPLL�TCE PROGRAM AGREEMENT
THIS Agreement (hereinafter the "Agreement") is entered into this day of
2010 between the City of Miami, a municipal corporation of the State of Florida
(hereinafter referred to as the "CITY"), and ; a Florida not for profit
corporation (hereinafter referred to as the "SUBRECIPIENT").
FUNDP G SOURCE
AMOUNT:
TERM OF THE AGREEMENT:
PROJECT N,U'-NIBER:
ADDRESS:
Community Development Block Grant Funds
S
Effective date of this Agreement shall be the latter of
October 1. 2010 or the date that the Citv Clerk attest the
signature of the City Manager through September 30, 2011
with the Citv of Miami retaining the option to extend the
tenn hereof for a period not to exceed one (1) year, subject
to extension of Prouaim availability and appropriation of
grant funds.
1tOW, THEREFORE, in consideration of the mutual covenants and obligations herein set forth,
the parties understand and agree as follows:
ARTICLE I
EXHIBITS AND DEFINITIONS
1.1 EXHIBITS: Attached hereto and foi-r=g a part of this Agreement are the following Exhibits:
Exhibit A Corporate Resolution Authorizing Execution of this Agreement.
Exhibit B Work Program
Exhibit C Compensation and Budget Summary
Exhibit D Certification Regarding Lobbying Form
�.1
Exhibit E Certification Regarding Debarment, Suspension and other Responsibility
Matters (Primary Covered Transactions Form).
Exhibit F Crime Entity Affidavit
Exhibit G Insurance Requirements
1.2 DEFINED TERMS: As used herein the following terms shall mean:
Act: Title I of the Housing and Community
Development Act of 1974, as amended.
Aareement Records: Any and all books, records, documents,
information, data, papers, letters, materials, and
computerized or electronic storage data and media,
- whether written, printed, computerized, electronic
or electrical, ho-wever collected or preserved which
is or was produced, developed, maintained,
completed, received or compiled by or at the
direction of the SUBRECIPIENT or any
subcontractor in carrying out the duties and
obligations required by the terms of this Agreement,
including, but not limited to, financial books and
records, ledgers, drawings, maps, pamphlets,
designs, electronic tapes, computer drives and
diskettes or suiveys.
CDBG Program:
Community Development Block Grant Program.
CDBG Reciuirements: The requirements contained in 24 CFR Part 570,
Rule 9I of the Florida Administrative Code and as
established by the City of Miami, Florida.
2
Department: The City of Miami Department of Conirnunity
Development.
Federal Award: Any federal funds received by the SUBRECIPIENT
from any source during the period of time in which
the SUBRECIPIENT is performing the obligations
set forth in this Agreement.
Low- and -Moderate- Income A member of a low- or moderate -income family
Person: whose income is within specific income levels set
forth by U.S. HUD.
U.S. HUD or HUD: The United States Department of Housing and
Urban Development,
ARTICLE II
BASIC REQUIREMENTS
The following documents must be approved by the CITY and must be on file with the
Department prior to the CITY's execution of this Agreement:
2.1 The Work Program submitted by the SUBRECIPIE?ITT to the CITY which shall become
attached hereto as Exhibit `B" to this Agreement and shall include the following:
2.1.1 The description section shall detail the activities to be carried out by the
SUBRECIPIENT. It should specifically describe the activities to be carried out
as a result of the expenditure of CDBG Funds. Where appropriate it should list
measurable objectives; define the «ho, what, where and when of the project, and
in general detail how these activities will ensure that the intended beneficiaries
will be sei-ved.
2.1.2 The schedule of activities and measurable objectives play an essential role in the
grant management system. The schedule should provide projected milestones and
deadlines for the accomplislunent of tasks in carrying out the Work Program.
These projected milestones and deadlines are a basis for measuring actual
progress during the term of this Agreement. These items shall be in sufficient
J
detail to provide a sound basis for the CITY to effectively monitor performance
by the SUBRECIPIENTT under this Agreement.
2.2 The Compensation and Budget Summary attached hereto as Exhibit "C", which shall
include completion of the SUBRECIPIENT's Itemized Budget, Cost Allocation and any
subcontracts.
2.3 A list of the SUBRECIPIENT's present officers and members of the Board (names,
addresses and telephone numbers).
2.4 A list of key staff persons («,ith their titles) who will carry out the Work Program.
2.5 Completion of an Authorized Representative Statement.
2.6 Completion of a Statement of Accounting System.
2.7 A copy of the SUBRECIPIENT's corporate personnel policies and procedures.
2.8 Job description and resumes for all positions funded in whole or u1 part under this
Agreement.
2.9 Copy of the SUBRECIPIENT's last federal income tax return (IRS Forn 990).
2.10 The following corporate documents:
(i) Bylaws, resolutions and incumbency certificates for the SUBRECIPIENT, certified
by the SUBRECIPIENT's Corporate Secretary, authorizing the consummation of
the transactions contemplated hereby, all in a forn satisfactory to the CITY.
2.11 ADA Certification.
2.12 Drug Free Certification.
2.13 All other documents reasonably required by the CITY.
ARTICLE III
TERMS -kND PROCEDURES
3.1 CITY AUTHORIZATION:
For the purpose of this Agreement, the Department will act on behalf of the CITY in the
fiscal control, programmatic monitoring and modification of this Agreement, except as otherwise
provided by in this Agreement.
3.2 EFFECTIVE DATE AND TERM:
Effective Date of this Agreement shall_ be the latter of October 1, 2010 or the date that the
City Clerk attests the signature of the City Manager through September 30, 2011, with the City
0
of Miami retaining the option to extend the term hereof for a period not to exceed one (1) year,
subject to extension of Program availability and appropriation of grant funds.
3.3 OBLIGATIONS OF SUBRECIPIENT:
The SUBRECIPIENT shall carry out the services and activities as prescribed in its 'Work
Program, «,hick is attached and incorporated herein and made a part of this Agreement, in a
manner that is lav7ful, and satisfactory to the CITY, and in accordance with the written policies,
procedures, and requirements as prescribed in this Agreement, and as set forth by HUD and the
CITY.
3.4 MANUALS:
3.4.1 POLICIES AND PROCEDURES MANTUAL, The SLBRECIPIENT is aware of
and accepts the "Policies and Procedures Manual for Community Development
Block Grant Sub -recipients" ("Policies and Procedures Manual") as the official
document which outlines the fiscal, administrative and federal guidelines which
shall regulate the day-to-day operations of the SUBRECIPIENT. The Policies
and Procedures Manual is incorporated herein and made a part of this Agreement.
The City of Miami reserves the right to update this Policies and Procedures
Manual via Program Directives. These Program Directives and updated versions
of this Policies and Procedures Manual shall be incorporated and made a part of
this Agreement.
3.4.2 COMMERCIAL FACADE TREATMENT PROGRAM 1vLaNUAL. The
SUBRECIPIENT is aware of and accepts the "Commercial Facade Treatment
Program Manual" which shall regulate the performance of the activities
performed by the SUBRECIPIENT in fulfillment of the 'Work Program. The
"Commercial Facade Treatment Program Manual" is incorporated herein and
made a part of this Agreement. The City of Miami reserves the right to update this
Manual via Program Directives. These Program Directives and updated versions
of the "Cornimercial Facade Treatment Program Manual" shall be incorporated
and made apart of this Agreement.
3.4.3 COMMERCIAL CODE. CONULIANCE PROGRAM MANUAL. The
SUBRECIPIENT is aware of and accepts the "Commercial Code Compliance
5
Program Manual' which shall regulate the performance of the activities
performed by the SUBRECIPIENT in fulfillment of the Work Program. The
"Commercial Code Compliance Program Manual" is incorporated herein and
made apart of this Agreement. The City of Miami.resen�es the right to update this
Manual via Program Directives. These Program Directives and updated versions
of the "Corm-LLCode Compliance Program Manual'' shall be incorporated
and made a part of this Agreement.
3.5 LEVEL OF SERVICE:
Should start-up time for the Work Program be required or in the event of the occurrence
of any delays in the activities thereunder, the SUBRECIPIENT shall immediately notify the
Department in writing, giving all pertinent details and indicating when the Work Program shall
begin and/or continue. It is understood and agreed that the SUBRECIPIENT shall maintain the
level of activities and expenditures in existence prior to the execution of this Agreement. Any
activities funded through or as a result of this Agreement shall not result in the displacement of
employed workers, impair existing agreements for services or activities, or result in the
substitution of funds allocated under this Agreement for other funds in connection with work
which would have been perfonned in the absence of this Agreement.
ARTICLE IV
CDBG FUNTDPi TG AND DISBURSEMENT REQUIRKMENTS
4.1 COMPENSATION:
The amount of compensation payable by the City to the SUBRECIPIENT shall be based
on the rates, schedules and conditions described in Exhibit "C" attached hereto, which by this
reference is incorporated into this Agreement.
4.2 RNTSURANCE:
At all tunes during the term hereof, the SUBRECIPIENT shall maintain insurance
acceptable to the CITY. Prior to commencing any activity under this Agreement, the
SUBRECIPIENT shall furbish to the CITY original certificates of insurance indicating that the
SUBRECIPIENT is in compliance with the provisions described in Exhibit "G" attached hereto,
which by this reference is incorporated into this Agreement.
4.3 FINANCIAL ACCOUNTABILITY:
G
The CITY reserves the right to audit the records of the SUBRECIPIENT at any time
during the performance of this Agreement and for a period of five (5) years after its
expiration/tennination. The SUBRECIPIENTT agrees to provide all financial and other
applicable records and documentation of services to the CITY. Any payment made shall be
subject to reduction for amounts included in the related invoice which are found by the CITY; on
the basis of such audit and at its sole discretion, not to constitute reasonable and necessary
expenditures. Any payments made to the SUBRECIPIENT are subject to reduction for
overpayments on previously submitted invoices.
4.4 RECAPTURE OF FUNDS:
The CITY reserves the right to recapture funds in the event that the SUBRECIPIENT
shall fail: (i) to comply with the terms of this Agreement, or (ii) to accept conditions imposed by
the CITY at the direction of the federal, state and local agencies.
4.5 CONTINGENCY CLAUSE:
Funding pursuant to this Agreement is contingent on the availability of funds and
continued authorization for CDBG Program activities, and is also subject to amendment or
termination due to lack of funds or authorization, reduction of funds, and/or changes in
regulations.
ARTICLE V
AUDIT
5.1 As a necessary part of this Agreement, the SUBRECIPIENT shall adhere to the following
audit requirements:
5.1.1 If the SUBRECIIPIENT expends 5500,000 or more in the fiscal year it shall have
a single audit or program specific audit conducted for that year. The audit shall
be conducted in accordance -w th Generally Accepted Goventinent Auditing
Standards (GAGAS) and OMB Circular A-133. The audit shall detennine
whether the financial statements are presented fairly in all material respects in
conformity ,with generally accepted accounting principles.
In addition to the above requirements, the auditor shall perform procedures to
obtain an understanding of internal controls and perform sufficient testing to
ensure compliance with the procedures. Further the auditor shall determine
7
whether the SUBRECIPIENT has complied with laws, regulations and the
provisions of this Agreement.
A reporting package shall be submitted within the earlier of thirty (30) days after
receipt of the auditor's report(s) or nine (9) months after the end of the audit
period. The reporting package will include the certified financial statements and
schedule of expenditures of Federal Awards; a summary schedule of prior audit
findings; the auditor's report and the coirective action plan. The auditor's report
shall include:
a) An opinion (or disclaimer of opinion) as to «Thether the financial statements
are presented fairly in all material respects in conformity with generally
accepted principles and an opinion (or disclaimer of opinion) as to whether the
schedule of expenditures of Federal Awards is presented fairly in all material
respects in relation to the financial statements taken as a whole.
b) A report on internal controls related to the financial statements and major
programs. This report shall describe the scope of testing of internal controls
and the results of the test, and, where applicable, refer to the separate schedule
of findings and questioned costs.
c) A report on compliance with laws, regulations, and the provisions of contracts
and/or this Agreement, noncompliance with which could have a material
effect on the financial statements. This report shall also include an opinion (or
disclaimer of opinion) as to whether the SUBRECIPIENT complied with the
laws, regulations, and the provisions of contracts and this Agreement which
could have a direct and material effect on the program and, where applicable,
refer to the separate schedule of findings and questioned costs.
d) A schedule of findings and questioned cost which shall include the
requirements of OMB Circular A-133.
5.1.2 If the SUBRECIPIENT expends less than 5500,000 in the fiscal year it is
exempted from Federal audit requirements for that year and consequently the
audit cost is not a reimbursable expense. The CITY, however; may request the
SUBRECIPIENT to have a limited scope audit for monitoring purposes. These
limited scope audits will be paid for and arranged by the CITY and address only
one or more of the following types of compliance requirements: activities allowed
N
or disallowed; allo A able costs/cost principles; eligibility; matching, level of
effort, earmarking; and, reporting.
All reports presented to the CITY shall, where applicable, include sufficient infonnation
to provide a proper perspective for judging the prevalence and consequences of the
findings, such as whether an audit finding represents an isolated instance or a systemic
problem. 'Where appropriate, instances identified shall be related to the universe and the
number of cases examined and quantified in terms of dollar value.
ARTICLE VI
RECORDS ALNTD REPOR'T'S
6.1 The SUBRECIPIENT shall establish and maintain sufficient records to enable the CITY
to determine whether the SUBRECIPIENT has met the requirements of the CDBG Program.
At a minimum, the following records shall be maintained by the SUBRECIPIENT:
6.1.1 Records providing a full description of each activity assisted (or being assisted)
with CDBG Funds, including its location (if the activity has a geographical locus),
the amount of CDBG Funds budgeted, obligated and expended for the activity,
and the specific provision in 24 CFR Subpart C of the CDBG Program regulations
under which the activity is eligible.
6.1.2 Records demonstrating that each activity undertaken meets one of the criteria set
forth in 24 CFR 570.208 of the CDBG Program regulations. Where information
on income by family size is required, the SUBRECIPIENT may substitute
evidence establishing that the person assisted qualified under another prograin
having income qualification criteria at least as restrictive as that used in the
definitions of "low- and moderate -income person'' and "ImA - and moderate -
income household" as set forth in 24 CFR 570.3; or, the SUBRECIPIENT may
substitute a copy of a verifiable certification from the assisted person that his or
her family income does not exceed the applicable income limit established in
accordance with 24 CPR 570.3; or. the SUBRECIPIENT may substitute a notice
that the assisted person is a referral from any governmental agency that
determines persons to be "lmv- and moderate -income persons" based upon
HUD's criteria and agrees to maintain documentation supporting those
determinations. Such records shall include the following information:
(i) For each activity determined to benefit low- and moderate -income
persons, the income limits applied and the point in time «when the benefit
was determined.
(ii) For each activity determined to benefit low- and moderate -income persons
based on the area served by the activity, only activities located in census
blocks with a percentage of low and moderate income persons in excess of
51 percent will be undertaken by the SUBRECIPIENT and report it to the
CITY;
(iii) For each activity determined to benefit low- a. -Lid moderate-inconie persons
because the activity involves a facility or service designed for use by a
limited clientele consisting exclusively or predominantly of low- and
moderate -income persons:
(a) Documentation establishing that the facility or service is designed
for and used by senior citizens, disabled persons, battered spouses,
abused children, the homeless, illiterate persons, or migrant faun
workers, for which the regulations provide presumptive benefit to
low- and moderate -income persons; or
(b) Documentation describing how the nature and, if applicable, the
location of the facility or service establishes that it is used
predominantly by low- and moderate -income persons; or
(c) Data showing the size and annual income of the family of each
person receiving the benefit.
6. 133 Equal Opportunity Records containing:
(i) Data on the extent to which each racial and ethnic group and single -
headed households (by gender of household head) have applied for,
narticipated in, or benefited from, any program or activity funded in whole
or in part with CDBG Funds. Such information shall be used only as a
basis for further investigation relating to compliance with any requirement
to attain or maintain any particular statistical measure by race, ethnicity, or
gender in covered programs.
(ii) Documentation of actions undertaken to rr eet the requirements of 24 CFR
570.607(b) which implements Section 3 of the Housing and Urban
10
Development Act of 1968, as amended (12 U.S.C. 1701U) relative to the
hiring and training of low- and moderate -income persons and the use of
local businesses.
6.1.4 Financial records, in accordance with the applicable requirements listed in 24
CFR 570.502.
Records required to be maintained in accordance with other applicable laws and
regulations set forth Ln Subpart K of 24 CFR.
6.2 RETENTION AND ACCESSIBILITY OF RECORDS:
6.2.1 The Department shall have the authority to review the SUBRECIPIENT's
records, including Project and programmatic records and books of account, for a
period of five (5) years from the expiration/tennination of this Agreement (the
"Retention Period"). All books of account and supporting documentation shall be
kept by the SUBRECIPIENT at least until the expiration of the Retention Period.
The SUBRECIPIENT shall maintain records sufficient to meet the requirements
of 24 CFR 570. All records and reports required herein shall be retained and
made accessible as provided thereunder. The SUBRECIPIENT further agrees to
abide by Chapter 119, Florida Statutes, as the same may be amended from time to
tune, pertaining to public records.
The SUBRECIPIENT shall ensure that the Agreement Records shall be at all
tirnes subject to and available for full access and review, inspection and audit by
the CITY, federal personnel and any other personnel duly authorized by the
CITY.
6.2.2 The SUBRECIPIENT shall include in all the Department approved subcontracts
used to engaae subcontractors to carry out any eligible substantive project or
progranLnatic activities, as such activities are described in this Agreement and
defined by the Department, each of the record-keeping and audit requirements
detailed in this Agreement. The Department shall; in its sole discretion,
detemZine when services are eligible substantive project and/or programinatic
activities and subject to the audit and record-keeping requirements described in
this Agreement.
6.2.3 If the CITY or the SUBRECIPIENT has received or given notice of any kind
indicating any threatened or pending litigation, claim or audit arising out of the
11
activities pursuant to the project, the activities and/or the Work Program or under
the terms of this Agreement, the Retention Period shall be extended until such
time as the threatened or pending litigation, claim or audit is; in the sole and
absolute discretion of -the Department fully, completely and finally resolved.
6.2.4 The SUBRECIPIENT shall notify the Department in writing both during the
pendency of this Agreement and after its expiration/ternnination as part of the final
closeout procedure of the address where all Agreement Records will be retained.
6.2.6 The SUBRECIPIEINTT shall obtain the prior written consent of the Department to
the disposal of any Agreement Records within one (1) year after the expiration of
the Retention Period.
6.3 PROVISION OF RECORDS:
6.3.1 At any time, upon request by the Department, the SUBRECIPIENT shall provide
all Agreement Records to the Department. The requested Agreement Records
shall become the property of the Department without restriction, reservation, or
limitation on their use. The Department shall have unlimited rights to all books,
articles, or other copyrightable materials developed in the perfonnance of this
Agreement. These rights include the right of royalty -free, nonexclusive, and
irrevocable license to reproduce, publish, or otherwise use, and to authorize others
to use the Work Program for public purposes.
6.3.2 If the SUBRECIPIENT receives funds from, or is udder regulatory control of
other governmental agencies; and those agencies issue monitoring reports,
regulatory examinations, or other similar _reports, the SUBRECIPIENT shall
provide a copy of each such report and any follow-up communications and reports
to the Department immediately upon such issuance, unless such disclosure would
be prohibited by any such issuing agency.
6.4 MONITORING:
The SUBRECIPIEL\TT shall pen -nit the Department and other persons duly authorized by
the Department to inspect all Agreeinent Records, facilities, goods; and activities of the
SUBRECIPIENT which are in any way connected to the activities undertaken pursuant to the
terms of this Agreement, and/or intervie7\-v any clients; employees, subcontractors or assignees of
the SUBRECIPIENT. Follm ging such inspection or interviews, the Department will deliver to
12
the SUBRECIPIENT a report of its findings. The SUBRECIPIENT will rectify all deficiencies
cited by the Department within the specified period of time set forth in the report or provide the
Department with a reasonable justification for not correcting the same. The Department will
determine in its sole and absolute discretion whether or not the SUBRECIPIENT's justification
is acceptable.
At the request of the CITY, the SUBRECIPIENT shall transrnit to the CITY written
statements of the SUBRECIPIENT's official policies on specified issues relating to the
SUBRECIPIENT's activities. The CITY will carry out monitoring and evaluation activities,
including visits and observations by CITY staff, the SUBRECIPIENT shall ensure the
cooperation of its employees and its Board members in such efforts. Any inconsistent,
incomplete, or inadequate information either received by the CITY or obtained through
monitoring and evaluation by the CITY shall constitute cause for the CITY to terminate this
Agreement.
6.5 RELATED PARTIES:
The SUBRECIPIENT shall report to the Department the name, purpose for and any and
all other relevant infonnation in connection with any related -party transaction. The tern
"related -party transaction" includes, but is not limited to, a for-profit or nonprofit subsidiary or
affiliate organization, an organization with an overlapping Board of Directors and an
organization for «=hich the SUBRECIPIENT is responsible for appointing memberships. The
SUBRECIPIENT shall report this information to the Department upon forming the relationship,
or if already formed, shall report such relationship prior to or simultaneously with the execution
of this Agreement. Any supplemental information shall be promptly reported to the Department.
ARTICLE VII
OTHER CDBG PRGGRA<NT REQUIRENTENTS
7.1 The SUBRECIPIENT shall maintain current documentation that its activities are CDBG
eligible in accordance with 24 CFR Part 570.201.
7.2 The SUBRECIPIENT shall ensure and maintain documentation that conclusively
demonstrates that each activity assisted in whole or in part with CDBG Funds is an activity
which provides benefit to low and moderate -income persons.
13
7.3 The SUBR.ECIPIENT shall comply with all applicable provisions of 24 CFR Part 570
and shall carry out each activity in compliance with all applicable federal laws and regulations
described therein.
7.4 The SUBRECIPIENT shall cooperate with the Department in informing the appropriate
citizen participation structures, including the appropriate area committees, of the activities of the
SUBRECIPIENT in adhering to the provisions of this Agreement, Representatives of the
SUBRECIPIENT shall attend meetings of the appropriate committees and citizen participation
structures upon the request of the citizen participation officers or the Department.
7.5 The SUBRBCIPIENT shall; to the greatest possible, give low -and -moderate -income
residents of the service areas opportunities for training and employment.
7.6 The SUBR.ECIPIENT shall use the funds to carry out commercial rehabilitation activities
eligible under 24 CFR Part 570.202(a)(3). No other activities will be funded under this
Agreement, unless work Program is amended in writing by mutual agreement.
7.7 The SUBRECIPIENT shall carry out its Work Program in compliance with all Federal
laws and regulations, described in Subpart K of the CDBG Program regulation (24 CFR
570.600-612), which by this reference, is incorporated into and made a part of this Agreement.
7.8 The SUBRECIPIENT shall not assume the CITY's environmental responsibilities
described in 24 CFR 570.604, of the CDBG Program regulations, and the CITY's responsibility
for initiating the review process under Executive Order 12372.
7.9 NON -DIS CRIVINATION:
The SUBRECIPIENT shall not discriminate on the basis of race, color, national origin,
sex, religion, age, marital or family status or handicap in connection with the activities and/or the
«York Program or its perfonnnance under this Agreement.
Furthennore, the SUBRECIPIENT agrees that no othenvise qualif7ed individual shall,
solely by reason of his/her race, sex, color, creed, national origin, age, marital status or handicap,
be excluded from the participation in, be denied benefits of or be subjected to discrimination
under any prog-�am or activity receiving federal financial assistance.
7.10 The SUBR.ECIPIENT and its subcontractors shall comply with the Davis -Bacon Act, the
Lead -Based paint Poisoning Prevention Act, and any other applicable laws, ordinances and
regulations.
7.11 The SUBR.ECIPIENT shall abide by the Federal Labor Standards provisions of U.S.
HUD Foram 4010 incorporated herein as part of this Agreement.
14
7.12 UNIFORM ADMINISTRATIVE REQUIREMENTS: The SUBRECIPIENT shall
comply with the requirements and standards of 0l\/1B Circular No. A-122, "Cost Principles for
Non -Profit Organizations" and with the applicable requirements of 24 CFR Part 84 (the revised
OMB Circular No. A-110).
7.10 RELIGIOUS ORGANIZATIONS/CONSTITUTIONAL PROHIBITION: If the
SUBRECIPIENT is or was created by a religious organization, the SUBRECIPIENT agrees that
all CDBG Funds disbursed under this Agreement shall be subject to the conditions, restrictions,
and limitations of 24 CFR Part 570.2000).
In accordance with the First Amendment of the united States Constitution, particularly
regarding the relationship between church and State, as a general rule, CDBG assistance may not
be used for religious activities or provided to primarily religious entities for any activities,
including secular activities, as provided in 24 CFR Part 570.2000). The SUBRECIPIENT shall
comply «ith those requireinents and prohibitions when entering into subcontracts.
7.14 REVERSION OF ASSETS: Upon expiration /termination of this Agreement, the
SUBRECIPIENT must transfer to the CITY any CDBG Funds on hand at the time of
expiration/termination and any accounts receivable attributable to the use of CDBG Funds.
7.15 ENFORCEMENT OF THIS AGREEMENT: Any violation of this Agreement that
remains uncured thirty (30) days after the SUBRECIPIENT's receipt of notice from. the CITY
(by certified or registered mail) of such violation may, at the option of the CITY, be addressed
by an action for damages or equitable relief. or any other remedy provided at law or in equity. In
addition to the remedies of the CITY set forth herein, if the SUBRECIPIENT materially fails to
comply v,ith the terns of this Agreement, the CITY may suspend or terminate this Agreement in
accordance with 24 CFR Part 85.43, as set forth more fully below in Article IX of this
Agreement.
ARTICLE VIII
PRQGR:kM D CQNIE
8.1 Program income means gross income received by the SUBRECIPIENT 7,,hich has been
directly generated from the use of the CDBG Funds. When such income is generated by an
activity that is only partially assisted with the CDBG Funds, the income shall be prorated to
reflect the percentage of CDBG Funds used. Program income generated by CDBG funded
activities shall be used only to undertake those activities specifically approved by the CITY on
and for the Woik Program. All provisions of this Agreement shall apply to such activities. Any
15
program income on hand when this Agreement expires/tenninates or received after such
expiration/termination shall be paid to the CITY, as required by 24 CFR 570.503(b)(3) of the
CDBG Program regulations.
The SUBRECIPIENT shall submit to the CITY monthly a Program Income Report and a
Work Program Status Report. The Program Income Report shall identify CDBG activities Ili
which income was derived and how income has been utilized.
8.2 REPAYMENTS: Any interest or other return on the investrnent of the CDBG Funds
shall be remitted to the CITY on a monthly basis. Any CDBG Funds funded to the
SUBRECIPIENT that do not meet the eligibility requirements, as applicable, must be repaid to
the CITY.
ARTICLE IX
REMEDIES, SUSPENSION, TERI UNTATION
9.1 REMEDIES FOR N0',N7COMPLIANCE: The CITY retains the right to tenninate this
Agreement at any time prior to the completion of the services required pursuant to this
Agreement without penalty to the CITY. In that event, notice of termination of this Agreement
shall be in -writing to the SUBRECIPIENTT, who shall be paid for those services perfonned prior
to the date of its receipt to the notice of termination. In no case, however, shall the CITY pay the
SUBRECIPIENT an amount in excess of the total sum provided by this Agreement.
It is hereby understood by and between the CITY and the SUBRECIPIENT that any
payment made in accordance with this Agreement to the SUBRECIPIENTT shall be made only if
the SUBRECIPIENT is not in default under the terms of this Agreement. If the
SUBRECIPIENT is in default, the CITY shall not be obligated and shall not pay to the
SUBRECIPIENT any suin -whatsoever.
If the SUBRECIPIENT materially fails to comply with any teen of this Agreement, the
CITY may take one or more of the follo-wing courses of action:
9.1.1 Teirporarily withhold cash payments pending correction of the deficiency by
the SUBRECIPIENT, or such more severe enforceme_7t action as the CITY
detennines is necessary or appropriate.
9.1.2 Disallow (that is, deny both the use of funds and matching credit) for all or part
of the cost of the activity or action not in compliance.
9.1.3 Wholly or partly suspend or tenninate the current CDBG Funds awarded to the
SUBRECIPIENT.
16
9.1.4 Withhold further CDBG grants and/or loans for the SUBRECIPIENT.
9.1.5 Take all such other remedies that may be legally available.
Notwithstanding any other provision of this Agreement, if the SUBRECIPIENT
materially fails to comply with any term of this Agreement, the SUBRECIPIENT, at the sole
discretion of the CITY, shall pay to the CITY an amount equal to the current market value of any
real property, under the SUBRECIPIENT's control, acquired or improved in -A"hole or in part
with CDBG Funds (including CDBG Funds provided to the SUBRECIPIENT in the form of a
loan and/or grant), less any portion of the value attributable to expenditures of non-CDBG funds
for the acquisition of. or improvement to, the property. The payment is pro9rain income to the
CITY.
9.2 SUSPENSION:
9.2.1 The Department may, for reasonable cause, temporarily suspend the
SUBRECIPIENT's operations and authority to obligate funds under this
Agreement or withhold payments to the SUBRECIPIENTT pending necessary
corrective action by the SUBRECIPIENT, or both. Reasonable cause shall be
determined by the Department in its sole and absolute discretion, and may
include:
(i) Ineffective or improper use of the CDBG Funds by the SUBRECIPIENT;
(ii) Failure by the SUBRECIPIENT to materially comply with any tenn or
provision of this Agreement;
(iii) Failure by the SUBRECIPIENT to submit any documents required by this
Agreement; or
(iv) The SUBRECIPIENT's submittal of incorrect or incomplete documents.
9.2.2 The Department may at any time suspend the SUBRECIPIENTT's authority to
obligate funds; withhold payments, or both.
9,2.3 The actions described in paragraphs 9.2.1 and 9.2.2 above may be applied to all or
any part of the activities funded by this Agreement.
9.2.4 The Department will notify the SUBRECIPIENT in writing of any action taken
pursuant to this Article, by certified mail, return receipt requested, or by in person
delivery with proof of delivery. The notification will include the reasons) for
such action, any conditions relating to the action taken, and the necessary
corrective action(s).
17
9.3 TERMINTATIONT:
M.1 Teamination Because of Lack of Funds.
In the event the CITY does not receive funds to finance this Agreement from its
fundiang source; or in the event that the CITY's funding source de -obligates the
rands allocated to fund this Agreement, the Depart?nent may terminate this
Agreement upon not less than twenty-four (24) hours prior notice in writing to the
SUBRECIPIENT. Said notice shall be delivered by certified mail, return receipt
requested, or by in person delivery with proof of delivery. In the event that the
CITY's funding source reduces the CITY's entitlement under the CDBG
Program, the CITY shall determine; in its sole and absolute discretion, the
availability of funds for the SUBRECIPIENT pursuant to this Agreement.
9.3.2 Tennnination for Breach.
The Department may terminate this Agreement, in whole or in part, in the event
the Department determines, in its sole and absolute discretion that the
SUBRECIPIENT is not materially complying with any tern or provision of this
Agreement.
The Department may terminate this Agreement, in whole or in part, in the event
that the Department determines, in its sole and absolute discretion, that there
ex,ists an event of default under and pursuant to the terns of any other agreement
or obligation of any kind or nature whatsoever of the SUBRECIPIENT to the
CITY, direct or contingent, whether now or hereafter due, existing, created or
arising.
9.3.3 Unless the SUBRECIPIENITT's breach is waived by the Department in writing, the
Department may, by , ritten notice to the SUBRECIPIENT, terminate this
Agreement upon not less than t«7enty-four (24) hours prior written notice. Said
notice shall be delivered by certified mail; return receipt requested; or by in
person delivery with proof of delivery. Waiver of breach of any provision of this
Agreement shall not be deemed to be a waiver of any other breach and shall not
be construed to be a modification of the terms of this Agreement. The provisions
hereof are not intended to be, and shall not be, construed to limit the Department's
right to legal or equitable remedies.
ARTICLE X
MISCELLANEOUS PROVISIONS
10.1 IhTDEMINTIFICATION: The SUBRECIPIENT shall pay and save the CITY harmless
from and against any and all claims, liabilities, losses; and causes of action which may arise out
of the SUBRECIPIENT's activities related to the Work Program or otherwise under this
Agreement, including all acts or omissions to act on the part of the SUBRECIPIENT and'or any
persons acting for or on its behalf. and from and against any relevant orders, judgments, or
decrees which may be entered against the CITY, and from and against all costs, attorney's fees,
expenses, and liabilities incurred by the CITY in the defense or investigation of any such claims
or other matters.
10.2 AMENDMENTS: No amendments to this Agreement shall be binding unless in Ivriting
and signed by both parties hereto. Budget modifications shall be approved by the Department in
writing.
10.5 OWNERSHIP OF DOCUMENTS: All documents developed by the SUBRECIPIENT
under this Agreement shall be delivered to the CITY upon completion of the activities required
pursuant to this Agreement and shall become the property of the CITY, without restriction or
limitation on their use if requested by the City. The SUBRECIPIENT agrees that all documents
maintained and generated pursuant to this Agreement shall be subject to all provisions of the
Public Records Law. Chapter 119, Florida Statutes.
It is further understood by and bet- een the parties that any document which is given by
the CITY to the SUBRECiPIENTT pursuant to this Agreement shall at all times remain the
property of the CITY and shall not be used by the SUBRECIPIENT for any other purpose
whatsoever without the prior written consent of the CITY.
10.4 A"\VA_RD OF AGREEMENT: The SUBRECIPIENT warrants that it has not employed or
retained any person employed by the CITY to solicit or secure this Agreement and that it has not
offered to pay, paid, or agreed to pay any person employed by the CITY any fee, commission,
percentage, brokerage fee, or gift of any kind contingent upon or resulting from the award of this
A areement.
19
10.5 NTONT-DELEGABILITY: The obligations undertaken by the SUBRECIPIENT pursuant
to this Agreement shall not be delegated or assigned to any other person or firm, in whole or in
part, without the CITY's prior written consent which may be granted or withheld in the CITY's
sole discretion.
10.6 CONSTRUCTION OF AGREEMENT: This Agreement shall be construed and enforced
according to the laws of the State of Florida.
10.7 CONFLICT OF INTEREST:
10.7.1 The SUBRECIPIEhTT covenants that no person under its employ who presently
exercises any functions or responsibilities in connection with CDBG Program
funded activities has any personal financial interest, direct or indirect, in this
Agreement. The SUBRECIPIENT further covenants that, in the performance of
this Agreement, no person having such a conflicting interest shall be employed.
Any such interest on the part of the SUBRECIPIENTT or its employees must be
disclosed in -writing to the CITY.
10.7.2 The SUBRECIPIENT is aware of the conflict of interest laws of the City of
Miami (City of Miami Code Chapter 2, Article V), Miami Dade County, Florida
(Dade County Code Section 2-11-1) and the State of Florida (Chapter 112,
Florida Statutes), and agrees that it shall comply in all respects with the terms of
the same.
10.7.3 PROCUREMENT. The SUBRECIPIEI\TT shall comply with the standards
contained within 24 CFR Part 84 (the _revised OMB Circular No. A-110).
10.7.4 In all other cases, the SUBRECIPIENTT shall comply with the standards contained
within 24 CFR 570.611
10.8 NO OBLIGATION TO RENEW: Upon expiration of the term of this Agreement; the
SUBRECIPIENT agrees and understands that the CITY has no obligation to renew this
Agreement.
10.9 ENTIRE AGREEMENT:
This instrm-nent and its attachments constitute the only Agreement of the parties hereto
relatingto the CDBG Funds and sets forth the rights, duties, and obligations of each of the
parties hereto to the other as of its date. Any prior agreements,. promises, negotiations; or
representations not expressly set forth in this Agreement are of no force or effect.
10.10 GENERAL CONDITIONS:
20
10.10.1 All notices or other communications which shall or may be given pursuant to
this Agreement shall be in writing and shall be delivered by in person delivery
or by registered mail addressed to the other party at the address indicated herein
or as the saine maybe changed from -time to time, upon notice in writing. Such
21
notice shall be deemed given on the day on which personally served, or, if by
mail, on the fifth day after being, posted or the date of actual receipt, whichever is
earlier.
CITY OF MIAMI
George Mensah, Director
Department of Community Development
444 Southwest 2nd Avenue, 2nd Floor
INZiami, Florida 33 13 0
SUBRECIPIENT
10.10.2 Title and paragraph headings are for convenient reference and are not a part of
this Agreement.
10.10.3 In the event of conflict between the terns of this Agreement and any terms or
conditions contained in any attached documents, the terms in this Agreement
shall control.
10.10.4 No waiver of breach of any provision of this Agreement shall constitute a
waiver of any subsequent breach of the same or any other provision hereof, and
no waiver shall be effective unless made in writing.
10.10.E Should any provision, paragraph, sentence, word or phrase contained in this
Agreement be determined by a court of competent jurisdiction to be invalid,
illegal or othenvise unenforceable under the laws of the State of Florida or the
City of Miami, such provision, paragraph, sentence, word or phrase shall be
deeined modified to the extent necessary in order to conform with such laws, or
if not modifiable to conform with such laws, then same shall be deemed
severed, and in either event, the remaining terms and provisions of this
Agreement shall remain unmodified and in full force and effect.
10.11 IN, CONTRACTOR: THE SUBRECIPIENT and its employees
and agents shall be deemed to be independent contractors and not agents or
22
employees of the CITY, and shall not attain any rights or benefits under the Civil
Service or Pension Ordinances of the CITY or any rights generally afforded
classified or unclassified employees; further; they shall not be deemed entitled to
the Florida Worker's Compensation benefits as employees of the CITY.
10.12SUCCESSORS AND ASSIGNS: This Agreement shall be binding upon the
parties hereto, and their respective heirs, executors, legal representatives,
successors, and assigns.
10.13SUBRECIPIENT CERTIFICATION. The SUBRECIPIENT certifies that it
possesses the legal authority to enter into this Agreement pursuant to authority that
has been duly adopted or passed as an official act of the SUBRECIPIENT's
governing body, authorizing the execution of the Agreement, including all
understandings and assurances contained herein, and directing and authorizing the
person identified as the official representative of the SUBRECIPIENT to act in
connection with this Agreement and to provide such information as may be
required.
SUBRECIPIENT
Miami, FL Zjp
a State of Florida not-for-profit
corporation
ATTEST:
By: By:
Name: Date Name: Date
Title Title:
CORPORATE SEAL
23
CITY OF MLA—MI, a municipal
Corporation of the State of Florida
ATTEST:
By: By:
Priscilla A. Thompson Date
City Clerk
APPROVED AS TO
IN REQUIREMENTS:
By:
LeeAnn Brelur Date
Risk Management
24
Carlos Migoya Date
City Manager
APPROVED AS TO FORM AND
CORRECTNESS:
Julie 0. Bru
City Attorney
Date
EXHIBIT B — WORK PROGRAIN'I
COIL IERCIAL FA(�AUE kNTD COBE COMPLLANCE PROGR-kM
1. The SUBRECIPIENT understands that benefiting low to moderate income persons is the
National Objective as an Area Benefit activity as stipulated at 24 CFR 570.208(a)(1)(i).
2. The SUBRECIPIENT will provide assistance to eligible for-profit businesses located in the
district from which the SUBRECIPIENT was funded.
3. The SUBRECIPIENT understands that eligible facade improvements include signs,
shutters, windows, doors, awnings, pressure cleaning and painting.
4. The SUBRECIPIENT understands eligible corrections of a code violation ("Code
Violation Project",) must include rehabilitation to the building structure as stated on the
notice of code violation issued by the CITY and specified in the City of Miami Commercial
Facade Treatment and Code Compliance Program Policies and Procedures Manual (the "
Manual") .
5. SUBRECIPIENT understands that project work cannot begin until the HUD environmental
process is completed and the agency receives written authorization from the City to
proceed in the form of the environmental clearance letter (Approval for Project
Commencement form).
6, SUBRECIPIENT not submit an activity for approval whose Letter of Interest is
incomplete or dated more than six (6) months prior to the date of submission for the
approval of the City of Miami.
7. The SUBRECIPIENT should complete
4 A minimum of facade projects
® A minimum of code correction projects
8. The SU-BRECIPIENTT understands that facade and code compliance projects must be
completed by September 30, 2011. Any treatment/project completed by September 30,
2011 will count towards the 36th Program Year accomplishments. SUBRECIPIENT
understands that a project/treatment is considered completed the date the property owner
signs the Final Payment Release Authorization form.
9. SUBRECIPIENT understands and agrees that the following report must be submitted to
comply with the program requirements: v
i. SUBRECIPIENT must submit a monthly report, which is due no later than the 10th
of the following month. The monthly report is to be submitted using Form F102.
1
10. The work performed under this Work Program shall be subject to inspection and approval
by the CITY.
11. The SUBRECIPIEN'T agrees with and understands that assistance shall be provided as per
the program requirements and guidelines set forth in the Manual, incorporated by
reference; which may be amended from time to time by the CITY.
12. By signing below, the SUBRECIPIENTT hereby acknowledges receipt of the Manual.
Narne:
Agency:
2
Date
EXHIBIT C - COMPENSATION AND BUDGET SUIMA-1ARY
COYDERCIAL FACADE A -ND CODE COMPLIANCE PROGRAIRZ
A. The CITY will compensate the SUBRECIPIENT on a performance basis as follows:
a. For each facade project, the CITY will compensate the SUBRECIPIENT at a rate of
20% of the actual project cost up to a maximum of 510,000.00 project cost per
business, or a maximum of $2,000 in compensation per business location.
b. For each code compliance project. the CITY will compensate the SUBRECIPIENTT
at a rate of 20% of the actual project cost up to a maximum of SI5,000.00 project
cost per business, or a maximum of 53;000 in compensation per business location.
B. The CITY will compensate the SUBRECIPIE TT for their implementation of a project after
the facade treatment and/or code compliance project is completed.
C. The maximum total compensation for this Agreement shall be
SUBRECIPIENT understands that:
a. Facade Projects:
The SUBRECIPIENT's maximum compensation for facade projects is $
and the CITY will reimburse up to S for the facade projects hard
costs. The CITY will not reimburse the SUBRECIPIENTT and/or contractors for
project costs exceeding these amounts.
b. Code Compliance Projects:
The SUBRECIPIENT's maximum compensation for code compliance projects is
$ and the CITY will reimburse up to $ for the code
compliance projects hard costs. The CITY will not reimburse the SUBRECIPIENT
and/or contractors for project costs exceeding these amounts.
D. SUBRECIPIENT's Itemized Budget, Cost Allocation, Budget Narrative, and Staff Salaries
Schedule are attached hereto and made part of this contract.
E. During the term hereof and for a period of five (5) years following the date of the payment
made hereunder, the CITY shall have the right to review and audit the related records of the
SUBRECIPIENT pertaining to any payments by the CITY.
F. Reimbursement requests should be submitted to the CITY xxithin fifteen days after the
project is completed.
Cr. The SUBRECIPIENT must submit the request for final payment to the CITY within 30
calendar days following the expiration date or termination date of this Agreement in a form
to be provided by the Department. If the SUBRECIPIENT fails to comply with this
requirement, the SUBRECIPIENT may forfeit all rights to parnent and the CITY may not
honor any request submitted thereafter. The final reimbursement request might not be
processed if the close out package has been properly completed and submitted to the
Department of Community Development by the due date.
H. Any payment due under this Agreement may be withheld pending the receipt and approval
by the CITY of all reports due from the SUBRECIPIENT as a part of this Agreement and
any modifications thereto.
Name:
Agency:
4
Date
EXHIBIT C
COMPENSATION AND BUDGET SUNLVARY
TECHNTTCAL ASSISTANCE TO FOR-PROFIT BUSINESSES
JOB CREATION
A. The CITY will compensate the Agency on a performance basis for the Technical
Assistance Program. A job is considered created when it is fully documented as provided
for under the regulations. For a Technical Assistance Project, payments will be made at
the rate of $75.00 -per verifiable hour. Verifiable hours of service related to technical
assistance are those hours of service provided by the SUBRECIPIENT that can be
substantiated by the payroll and other pertinent records and which are reasonable,
necessary and directly allocable to the business receiving the technical assistance from
the agency. Hours of service must be reported in the monthly perforinance report and
must be fully documented by the agency (using form F-102).
The accomplishment of one National Objective (one FTE job created for a low and
moderate income person) will provide the agency with a maximum of $15,000.00 of
justifiable reimbursement based on the verifiable hours of service related to technical
assistance and documentation that a national objective has been attained.
B. The maximum total compensation for this Agreement shall be S
C. SUBRECIPIENT's Itemized Budget, Cost Allocation, Budget Narrative, and Staff
Salaries Schedule are attached hereto and made part of this contract.
D. Requests for payment should be made at least on a monthly basis in a form to be
provided by the Department. Reimbursement requests should be submitted to the CITY
within thirty (30) calendar days after the indebtedness has been incurred in a form
provided by the Department.
E. Each written request for payment shall contain a statement declaring and affirming that
services were provided to certified program participants and in accordance with the
approved Work Program and Program Budget. All documentation in support of each
_request shall be subject to review and approval by the CITY at the time the request is
made.
F. All expenditures must be verified with a copy of the original invoice and a copy of a
check or other form of payment which was used to pay that specific invoice. Within 60
days of submitting each reimbursement request, copies of the cancelled checks or other
CITY approved documents evidencing the payments by the SUBRECIPIENT, for which
reimbursement was requested, shall be submitted. In the event that an invoice is paid by
various funding sources, the copy of the invoice must indicate the exact amount
(allocation) paid by various funding sources equaling the total of the invoice. NTo
miscellaneous categories shall be accepted as a line -item budget.
G. The payments to the agency absent the creation of at least one half of the required jobs
will be capped to one half the amount of the grant. Once the agency documents the
creation of at least one half of the required jobs, payments at the rate of $75.00 per
verifiable hour can resume.
H. During the term hereof and for a period of five (5) years following the date of submission
of the City of Miami's CAPER in which the specific activity is reported for the last time
(unless there is litigation, claims, audit, negotiation, or other actions involving the records
which has started before the expiration of the 5 -year period; in such cases, the records
must be retained until the completion of the action and resolution of all issues which arise
from it or the end of the regular 5 -year period whichever is longer), the CITY shall have
the right to review and audit the related records of the SUBRECIPIENT pertaining to any
payments by the CITY.
I. The SUBRECIPIENT must submit the request for final payment to the CITY within
thirty (30) calendar days following the expiration date or termination date of this
Agreement in a form to be provided by the Department. If the SUBR.ECIPIENT fails to
comply with this requirement, the SUBRECIPIENT shall forfeit all rights to payment and
the CITY may not honor any request submitted thereafter.
J. Any payment due under this Agreement may be withheld pending the receipt and
approval by the CITY of all reports due from the SUBRECIPIENT as a part of this
Agreement and any modifications thereto.
Name:
Title:
Date
EXHIBIT B — WORK PROGRAM
TECHNICAL ASSISTANCE TO FOR-PROFIT BUSINESS FOR
JOB CREATION
1. The SUBRECIPIENT understands that creation of jobs that will be filled by low to
moderate income people is the activity that has been identified as a priority by the CITY
for this Grant to meet the National Objective of benefiting low to moderate income
persons.
2. The SUBRECIPIENT will provide Technical Assistance to eligible businesses
a. Located in the City and/or in the district from which the SU-BRECIPIENT was
funded; or
b. Creating jobs in the City and/or in the district from which the
SUBRECIPIENT was funded.
3. To be eligible, the entity receiving technical assistance must be an operating for profit
business, either having both a business tax receipt (occupational license) and a certificate
of use; or must be in the process of starting a business in the City and preferably in the
district from which the SUBRECIPIENT was funded.
4. SUBRECIPIENT will perform complete intake of for-profit business requesting technical
assistance.
5. SUBRECIPIENT will Complete "Evaluation and Selection of Economic Development
Projects' which includes Appropriateness Determination.
6.. SUBRECIPIENT will submit Complete Documentation of Technical Assistance Project
to City of Miami for Approval. Documentation must identify expected number of jobs to
be created in the City and/or for City residents as result of Technical Assistance to be
provided.
7. If City of Miami approves the project, SUBRECIPIENT will initiate the assistance to the
business and will document the assistance provided through the use of the Cost
Allocation Code Chart.
8. _When the Technical Assistance Project is completed or jobs are created as the project
progresses, the SUBRECIPIENT will provide documentation of results via the
submission of "Job Creation Certification" Form and/or "Project Completion
Certification" Form.
9. SUBRECIPIENT will track payments from the City and maintain a precise record of
expenditures associated with each Technical Assistance Project.
10. The SUBRECIPIENT agrees to comply with the City of Miami Economic
Development Activities Technical Assistance Program Policies and Procedures
Manual, which is a part of this contract, as the same may be amended by the City in its
sole discretion from time to time, by Program Directives.
11. By signing below, the SUBRECIPIENT hereby acknowledges receipt of the City of
Miami Economic Development Activities Technical Assistance Program Policies and
Procedures Manual
SUBRECIPIENT:
Name:
By:
Name:
Title
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this by
, Executive Director of a Florida not-for-profit corporation, on
behalf of the corporation. He is personally known to me or has produced
as identification.
Print Notary Public's Name Signature
(SEAL)