HomeMy WebLinkAboutexhibitBEXHIBIT 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, _ Tuesday, Wednesday, _ Thursday, r_ Friday, —.
Saturday, — Sunday, at the following addresses:
Address:
Meals will be provided for up to a total of program days.
SUBRECIP1ENT 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.
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:
Jorge Villalba Date
Executive Director
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this by Jorge
Villalba, Executive Director of Sisters and Brothers Forever, 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)