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HomeMy WebLinkAboutExhibit 3EXHIBIT 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, _ Friday, _ Saturday, _ Sunday, at the following addresses: Address: De Hostos Senior Center 2902 NW 2"d Ave. Miami, FL 33127 Phyllis Wheatley Center 1701 NW 2"d Ave Miami, FL Meals will be provided for up to a total of program days. SUBRECEPIENT 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: T Monday, _ Tuesday, Wednesday, _ Thursday, Friday, T 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: Esther Couvertier Date Chief Executive Officer STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this by Esther Couvertier, Chief Executive Officer of De Hostos Senior Center, 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)