HomeMy WebLinkAboutwork programEXHIBIT B — WORK PROGRAM TRANSPORTATION OF VISUALLY IMPAIRED
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 a times per day on
the following days: v Monday, "Tuesday, /Wednesday, ✓I'hursday,
Friday, _ Saturday, _ Sunday.
Transportation will be provided for up to a total of 26,0 program days.
SUBRECIPIENT will provide proof of having provided the transportation to the
participants via signed transportation sheets for each day that transportation is
provided and charged to the City of Miami Program.
5. Program will commence on
ep4. 304:4 , 2oa5
SIGNED:
is iraldo-De la Hoz
Executive Director
STATE OF FLORIDA
COUNTY OF 2 Y-b_'
cDc4. 164, 24)04-, 2004 and will end on
The foregoing instrument was acknowledged before me this
Date
(G,2cC4-- by Luis
Giraldo-De la Hoz, Executive Director of Lions Home for the Blind, Inc.. a Florida not -for -profit
corporation, on behalf of the corporation. He/she is personally known to me or has produced
r 2 3' Z /) 3 as identification.
Gf , 1 A. DGi Z' %Id Z $
Print Notary Public's Name
(SEAL)
AuxNrww, Espnon
My Commission DD311005
�► ExOre• AM 20.30N
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