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HomeMy WebLinkAboutExhibit 12E) Switchboard of Miami, Inc. Switchboard O ��.inc. 701 SW 27`h Avenue, Suite 1000 Miami, FL 33135 Phone: (305) 358-1640 Fax: (305) 377-2269 Please complete this Agency information form and use a separate Program information form for each program, service and/or location. If you have any questions please call 358-1640. AGENCY INFORMATION Agency Name: Also Known As: In Charge of Agency/Title: Federal ID #: Tax Exempt #: Address of Administrative Office: Phone: Fax: TDD/TTY: Web Address: E-Mail Address: Type of Agency: UNon-Profit QFor Profit °Religious Affiliation °Public/Governmental Office Hours: Licenses/Accreditation: Summary of Direct Services Provided: Funding Sources: Contact Person for Future Updates: Signature of Administrator: Date: OUT -OF -SCHOOL PROGRAMS RFP #2005-06 Page 69 of 78 Switchboard of Miami, Inc. 701SW 27" Avenue, Suite 1000 Miami, FL 33135 Phone: (305) 358-1640 Fax: (305) 377-2269 PROGRAM INFORMATION Page 2 of 2 Please duplicate this form and use a separate form for each site and/or distinct program. Criteria for Indigence Determination: Client Fees: Accepts Medicare: °Yes ONo Other Insurance Accepted: Transportation/Bus Routes: Transportation Provided by Facility: °Yes ONo Cost: Service Area where services are provided: Total Bed/Slots: Security Level: Staff/Client Ratio: Staff Credentials: Aftercare Services Provided: Sliding Scale: OYes ONo Accepts Medicaid: °Yes ONo List Any Special Program Categories: e.g. HIV, Homeless,. etc... If there is additional information that you feel is relevant to make an appropriate referral to your program please include it below: If you have any questions please contact Gonzalo Gonzalez at (305) 358-1640, ext 120. Thank you for your assistance in making this valuable information available to our community. OUT -OF -SCHOOL PROGRAMS P FP #7C}ns-06 Page 70 of 78 F) Nutrition USDA's After -School Snack Program for Children The After -school Snack Program (ASP) provides reimbursement for certain snacks served at eligible after -school program sites. Reimbursementhi dren over ise 1vailable for snacks served to children through age 18 a Who can participate in the US Department of Agriculture (USDA) After -School Snack Program? In Miami -Dade county, programs operating at school sites are eligible through the Miami -Dade County Public Schools. Parks and recreation programs, after -school camps, churches and other after school groups that offer after -school programs can meet eligibility requirements if they are located in an area served by a school in which adtmeet to al 50 /a d state heao of the lth/led saflety standardglren are bie for free or reduced -price meals an Organizations requesting funding from The Children's Trust must provide daily nutritious snack for participants in after -school programs, and this is an easy way to accomplish that. There are several ways to apply for participation in Miami -Dade County. 1. If your after -school program is located at a Miami -Dade County Public School site, MDCPS can provide the snacks and food. Olga Botero is the coordinator and can be reached at 786-275-0400. Applications for this sponsor need to be completed before this grant proposal is submitted to The Children's Trust. 2. If your after -school program is not located on a school site, the Daily Bread Food Bank (a sponsor of The Florida Department of Health after -school snack program) is open to collaborate with any agency applying to the Children's Trust for after -school funds where there is a need for nutritional foods. Contact Robert Peters at (305) 633-9861 extension 217 for more information. Applications for this sponsor must be completed before the grant application package is submitted to The Children's Trust. 3, The Florida Department of Health, provides cash reimbursement for certain snacks served at eligible after -school program sites. This program is funded by the U.S. Department of Agriculture and is administered by the Florida Department of Health, Bureau of Child Nutrition Programs. For further information regarding the application process and eligibility criteria, contact Marlene Dubois at the Florida Department of Health, Bureau of Child Nutrition Programs, 4052 Bald Cypress Way, Bin # A-17, Tallahassee, Florida 32399- 1727, Telephone: (850) 414-1622.We oc�all, at (3 5) 377t5630 and (305) 377� Earl and Jorge Batista can be contacted Y 7022 respectively, regarding this program. The process through the Florida Department of Health may involve a lengthy application process. Training is required prior to participation once a site is approved, a pnproved, and onthly bass the completion of considerable paperwork must be submitted OUT -OF -SCHOOL. PROGRAMS RFP #2005-06 Page 71 of 78 Summer Food Service Program The Summer Food Service Program (SFSP) provides free, nutritious meals and snacks to help children in low-income areas get the nutrition they need to learn, play, and grow throughout the summer months when they are out of school. This program is funded by the U.S. Department of Agriculture (USDA) to provide nutritious meals during the summer at locations throughout the community. Local sponsors receive federal reimbursement from the USDA for administering the program at feeding sites. Sites eligible to operate a summer food service are those in which 50% or more of the children qualify for free or reduced price school meals. For more information on SFSP, and if you MorrisreFood rested in and Nutrit�onoming a Managementl sponsor, contact Liz Doreen or Michelle 1-800-504-6609 or visit Florida Department of Education, at www.fnm.doe.state.fl.us. Who can participate in the SFSP? Schools, parks and recreation programs, summer camps, churches that offer summer programs for children, parochial schools that offer summer school, and other groups that provide summer activities for children during the summer may be eligible. Programs could partner with local housing projects, food banks, perks and summer foodtion, p ogramools, summer w with activitiesctha�sarersenior already centers to coordinate th available. Organizations requesting funding from The Children's Trust must provide daily nutritious meals and snacks for participants in full -day programs, and this is an easy way to accomplish that. There are a few ways to apply with a local sponsor program in Miami -Dade County. 1. If your summer program is located at a Miami -Dade County Public School site, MDCPS can provide the snacks and/or meals. Olga Botero is the coordinator, and can be reached at 786-275-0400. Applications for summer food service program site need to be completed as part of the grant proposal. If your summer program is not located at a school site, the Miami -Dade County Community Action Agency ca coprovide rleted by snacksand 25, 2005. Applications for this sponsor must bep Application requests can be made to Lillian dadea ory and ial�ailableServices with Supervisor at 305-638-5730 or licaban@ 9 the download of the RFP in a printable PDF format as well as Word document. 2. The Daily Bread Food Bank is also open to collaborate with any agency applying to the Children's Trust where there is a need for nutritional foods. Contact Robert Peters at (305) 633-9861 extension 217 for more information. Applications for this sponsor must to completed before the grant application package is submitted to The Children's Trust. OUT -OF -SCHOOL PROGRAMS RFP #2005-06 Page 72 of 78 G) Approved Bus Companies The following is a list of bus companies approved by Miami -Dade County Public Schools, This list is updated periodically and available online at http://dot.dadeschools,net/. 1. A1A Transportation, Inc. 501 N. W. 159 Street, Miami, Florida 33169-6648 Phone: (305) 949-2700 Fax: (305) 940-8510 www.A1ATransportation.com Mr. Eddie Hernandez 2. ABC Club, Inc. 4701 5. W. 132 Avenue Miami, Florida 33175 Phone: (305) 221-3272 Fax: (305) 221-6500 Cell: (786) 487-4086 Ms. Luisa Hernandez 3. Air B School Bus Transportation, Inc. 6241 S. W. 16th Terrace, Miami, Florida 33155 Phone: (305) 267-1001 Fax: (305) 267-3139 Cell: (786) 290-5245 Mr. Henry Beltran 4. J. C. Arver School Bus Service, Inc. 18520 N. W. 47th Avenue, Miami, Florida 33055 Phone: (305) 624-1247 Fax: (305) 556-5919 Mr. J. C. Arver 5. First Student, Inc. d/b/a J. Balsera School Bus Service, Inc. 5874 West Flagier Street, Miami, Florida 33144 Phone: (305) 448-1521 Fax: (305) 445-0694 www.FirstStudentinc.com Mr. Julio Balsera & Mr. Luis M. Mata 6. Bestway School Bus Service Maricel & Rey Morera 4501 SW 142 Place, Miami, Florida 33175 Phone: (305) 227-0135 Fax: (305) 220-6682 CeII: 305-796-1523 Mr. & Mrs. Rey Morera 7. Carlos & Susanna School Bus Service 3340 S.W. 80th Avenue, Miami, Florida 33172 Phone: (305) 261-8571 Fax: (305) 266-2284 8. Del Aguila Bus Service, Inc. 825 Lisbon Street, Coral Gables, Florida 33134 Phone: (305) 446-6001 Fax: (305) 446-8272 Mr. Jose Del Aguila OUT -OF -SCHOOL PROGRAMS RFP #2005-06 Page 73 of 78 9. Franmar Corporation 10400 S. W. 187 Street, Miami, Florida 33157 Phone: (305) 253-5086 Fax: (305) 253-8427 Ms. Fran Martinelli 10. J & A Hernandez 9400 S. W. 15 Street, Miami, Florida 33174 Phone : (305) 559-6771 and (786) 236-3800 Fax: (305) 559-5995 Mr. J. Hernandez 11. Edicta & Evelio Jomarron School Bus Service 3101 S. W. 26 Street, Miami, Florida 33133 Phone: (305) 443-4799 fax: (305) 443-9604 Attn: Mr. Evelio Jomarron 12, Jomarron, Mayra School Bus Service 13777 S. W. 24 Street, Miami, Florida 33175 Phone: (305) 223-6392 fax: (305) 559-1779 Ms. Mayra Jomarron 13. M & M Marroquin School Bus Service, Inc. 2930 5. W. 17 Street Miami, Florida 33145 (305) 446-0246 Fax: (305) 444-4549 14. Manolo School Bus Service 150 S. W. 49 Avenue Miami, Florida 33134 305-446-7917 fax: (305) 442-8923 Ms. Elsa Losas 15. Manolin & Pilar Martinez School Bus Service 2830 S. W. 79 Court, Miami, Florida 33155 Phone: (305) 444-2240 Fax: (305) 262-7208 Ms. Pilar Martinez 16. Maranata School Bus Service Corporation 7161 S. W. 7 Street, Miami, Florida 33144 Phone: (305) 264-8423 Fax: (305) 971-3934 Mr, Ulysis Arias 17. A. Oliveros, Inc. 3114 W. 69th Place, Hialeah, Florida 33018 Phone: (305) 822-3270 Fax: (305) 557-1371 Mr. A. Oliveros OUT -OF -SCHOOL PROGRAMS RFP #2005-06 Page 74 of 78 18. J. Ruiz School Bus Service, Inc. 1021 W. 46 Street, Hialeah, Florida 33012 Phone: (305) 821-4681 Fax: (305) 827-9179 Mr. Jose A. Ruiz 19. United Bus Service, Inc. 3660 S. W. 9th Terrace #2 Miami, Florida 33135 Phone: (305) 476-0746 Fax: (305)476-8756 Cell: (305) 807-9624 Mr. Marco Marroquin 20. J & M Vera School Bus Service, Inc. 2597 West 70th Street, Hialeah, Florida 33016 Phone: (305) 822-0615 Fax: (305) 822-0507 Mr. J. Vera OUT -OF -SCHOOL PROGRAMS RFP #2005-06 Page 75 of 78