HomeMy WebLinkAboutExhibit 3EXHIBIT B — WORK PROGRAM ELDERLY MEALS
1. SUBRECIPIENT understands that the National Objective is Limited Clientele.
2. 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
3. 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
4. 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.
5. S.UBRECIPIENT 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:
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 the Monthly Report of Clients Served form 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 the Monthly Report of Clients Served form and
charged to the City of Miami Program.
6. Program will commence on October 1, 2007 and will end on September 30, 2008.
SIGNED:
Name: r Date.
Executive Director
STATE OF FLORIDA
COUNTY OF
•
The foregoing instrument was acknowledged before me this
by a , Executive Director of [Name of Agency], 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)
EXHIBIT C- COMPENSATION AND BUDGET - ELDERLY MEALS
A. All payments shall be reimbursements for Meals served. Sub -recipient will be reimbursed
per meal provided during the term of this Agreement, and according to the rates specified
below:
Reimbursement per served meal' $5.00 per meal per client
Reimbursement per delivered meal $6.50 per meal per client
Rates may be negotiated for providers with active government agreements reflecting a
hig"her rate for the identical service.
The CITY shall pay the SUBRECIPIENT, as maximum compensation for the services
required pursuant,to this Agreement the sum of $ 75,100 .
B. SUBRECIPIENT'S Itemized Budget, Cost Allocation, Budget Narrative, Staff Salaries
Schedule are attached hereto and made part of this contract.
C. During the term hereof and for a period of four (4) years following the date of the last
payment made hereunder, the CITY shall have the right to review and audit the time
records and related records of the SUBRECIPIENT pertaining to any payments by the
CITY...
D. Requests for payment should be made at least on a monthly basis. Reimbursement
requests should be submitted to the CITY within thirty (30) calendar days after the
indebtedness has been incurred in a form provided by the Department. Failure to comply
with these time frames for requesting reimbursement/payment may result in the rejection
of those invoices within the reimbursement package which do not meet these
requirements.
E. The SUBRECIPIENT must submit the final request for payment to the CITY within 30
calendar days following the expiration date or termination date of this Agreement. If the
SUBRECIPIENT fails to comply with this requirement, the SUBRECIPIENT shall
forfeit all rights to payment and the CITY shall not honor any request submitted
thereafter.
F. Any payment due under this Agreement may be withheld pending the receipt and
II approval by the CITY of all reports due from the SUBRECIPIENT as a part of this
Agreement and any modifications thereto.
Name: Date i
Title:
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