HomeMy WebLinkAboutChecklist for CompletionMIAMI-DADE COUNTY
DEPARTMENT OF HUMAN SERVICES
BYRNE GRANT ADMINISTRATION
CHECKLIST FOR CONTRACT COMPLETION
AND SIGNATURES
1 Mayor/City Manager to sign and affix Corporate Seal on page 12 of each
contract (4 copies).
2. Attachment D: Miami -Dade County Affidavits- ALL blank spaces must
be filled in with "X" if it pertains to contract, "N/A" if it does not apply. Page
5 must be signed AND notarized.
3. Attachment D1: Code of Business Ethics- must be signed AND
notarized.
4. Attachment D2: Miami -Dade County Debarment Disclosure Affidavit -
must be signed AND notarized.
5. Attachment D3: State Public Entities Crime Affidavit- ALL blank spaces
on Pages 1 & 2 must be filled in. Page 2 must be signed AND notarized.
Attachment E: Provider's Disclosure of Subcontractors and
Suppliers- Fill in name and address of municipality, type in "No
subcontractors will be used", and "No suppliers will be used" under
respective items. Do not state "N/A" and do not leave blank. The bottom
section must be signed and completed.
Be sure to complete a checklist on each contract package prior to returning them
to this office. This will avoid errors and omissions that delay execution of your
contract. If you have any questions about the contract or attachments, please
call LaWanda Scott, Program Planner at (305) 514-6125 or Michaela Doherty,
Project Director at (305) 514.6038.