HomeMy WebLinkAboutexhibit3BEXHIBIT B — WORK PROGRAM FOR AFTER SCHOOL AND SUMMER CARE
1, SUBRECIP1ENT will recruit program ofparticipants that meet the following criteria:
a) Must be a resident of the City
i
b) Must be a member of
ages of 6 and 17 years of ageousehold
c) Must be between g
2. 5UBRECIPIENT will submit the following information to the certificationty of particilpantiisDepgible to
artment
of Community Development to obtain that proposed
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
notamb invoicenefits the City
y
providing the information required in 2 above. SUBRECIPIEN will
of Miami until the proposed participant is certified as eligible by the City of Miami.
4. SUBRECIPIENT will provide: artici ants from pm to pm on the
a) After school care to p Tuesday,
following days: J Monday, Y, Wednesday, ^Thursday,
Friday, at the following sites:
After school care will be provided for up to a total of program days.
SUBRECIPIENT will present proof of having provided the after school care via
signatures of parent or guardian on sheets which specify arrival and departure
times for each day that services were provided and charged to the City of Miami
Program.
from am to _ pm on the
b) Summer day care to participants Tuesday,Wednesday, � Thursday,
following days: Monday,
Friday, at the following sites:
The summer program will be provided for up to a total of program days.
SUBRECIPIENT will present proof of having provided the summer day care via
signatures of parent or guardian on sheets which specify arrival and departure
times for each day that services were provided and charged to the City of Miami
Program.
S. Program will commence on
SIGNED:
Samuel K. Johnson
Executive Director
STATE OF FLORIDA
COUNTY OF
2004 and will end on
Date
The foregoing instrument was acknowledged before me this
Samuel K. Johnson, Executive Director of The Liberty City Optimist
Florida not -for -profit corporation, on behalfas the corporation.
rpora ion. He/she
me or has produced
by
Club of Florida, Inc., a
is personally known to
Print Notary Public's Name Signature
(SEAL)
2