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 District that funded the program
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: 6985 NW 2'd Avenue, Miami 33138
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.
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.
SUBRECLPIENT 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 June 6, 2006 and will end on September 30, 2006.
SIGNED:
Name: Date
Executive Director
STATE OF FLORIDA
'COUNTY OF
The foregoing instrument was acknowledged before me this
by Richard Turcotte, PHD, Chief Executive Officer of Catholic Charities of the
Archdioceses of Miami, Inc./Little Haiti Senior Center, a Florida not -for -profit
corporation, on behalf of the corporation. He/she is personally known to me or has
produced as identification.
Print Notary Public's Name Signature
(SEAL)