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 have a medical certification of visual impairment.
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 visual impairment
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) Transportation to program participants times per day on the
following days: _ Monday, T Tuesday, _Wednesday, — Thursday,
Friday, _ Saturday, _ Sunday.
Transportation will be provided for up to a total of program days.
SUBRECIPIENT will provide proof of having provided the transportation 10 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 and will end on
SIGNED:
Date
Executive Director
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this by
, Executive Director of Lions Home for the Blind, Inc., a Florida
not -for -profit corporation, on behalf of the corporation. She is personally known to me or has
produced as identification.
Print Notary Public's Name Signature
(SEAL)