HomeMy WebLinkAboutExhibit 3EXHIBIT B — WORK PROGRAM FOR CHILD CARE AFTER SCHOOL AND
SUMMER/SCHOOL RECESS CARE
1. SUBRECIPIENT will recruit program participants that meet the following criteria:
a) Must be a resident of the City of Miami in the District funding the program
b) Must be a member of a low -to moderate income household
c) Must be between the ages of 6 and 15 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) After school care to participants from pm to pm on the
following days: _ Monday, Tuesday, Wednesday, — Thursday,
Friday, at the following sites:
After school care will be provided for up to a total of program days.
SUBRECIPIENT will present proof of having provided the after school care via
signatures of parent or guardian on sheets which specify arrival and departure
times for each day that services were provided and charged to the City of Miami
Program.
b) Summer day care or school recess care to participants from am to
pm on the following days: _ Monday, Tuesday, Wednesday,
Thursday, Friday, at the following sites:
The summer program will be provided for up to a total of program days.
SUBRECIPIENT will present proof of having provided the summer day care via
signatures of parent or guardian on sheets which specify arrival and departure
times for each day that services were provided and charged to the City of Miami
Program.
5. Program will commence on July 1, 2007 and will end on September 30, 2007.
SIGNED:
[Name of Executive Director] Date
Title:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this [Date] by
[Title] of
[Agency name], 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)