HomeMy WebLinkAboutexhibit2BEXHIBIT B — WORK PROGRAM ELDERLY MEALS
1. SUBRECIPIENT will recruit program participants that meet the following
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 be at least 62 years of age
2. 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 if prospective participant is incapable of
doing so
b) Proof of residency
c) Proof of income
d) Proof of age
3. SUBRECIPIENT may replace participants who stop receiving program benefits
by providing the information required in 2 above. SUBRECIPIENT will not
invoice the City of Miami until the proposed participant is certified as eligible by
the City of Miami.
4. SUBRECIPIENT will provide:
a) Congregate Meals to participants times per day on the
following days: _ Monday, T Tuesday, Wednesday, _ Thursday,
Friday, Saturday, — Sunday, at the following addresses:
Address:
Meals will be provided for up to a total of
program days.
SUBRECIPIENT will provide proof of having provided the congregate
meals to the elderly via signed attendance sheets for each day that meals
were provided and charged to the City of Miami Program.
b) Homebound Meals to participants times per day on the
following days: _ Monday, _ Tuesday, Wednesday, _ Thursday,
Friday, ^ Saturday, _ Sunday.
Meals will be provided for up to a total of program days.
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SUBRECIPIENT will provide proof of having provided the congregate
meals to the elderly via signed attendance sheets for each day that meals
were provided and charged to the City of Miami Program.
5. Program will commence on , 2004 and will end on
SIGNED:
Name:
Title:
Date
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this
by , of James E. Scott
Community Association, Inc., 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)
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