HomeMy WebLinkAboutExhibit 5EXHIBIT B- WORK PROGRAM
MICRO -ENTERPRISE ASSISTANCE
1 Business receiving assistance should be located within the district from which the SUB -
RECIPIENT was funded.
2. SUB -RECIPIENT understands that the National Objective for this program is Limited
Clientele.
3. SUB -RECIPIENT needs to be certified with the City of Miami as a low to moderate
income individual. The following documents can be used for proof of income:
i. Social Security Statement
ii. Medicaid Cards
iii. Section 8 certification
iv. AFDC / Food Stamp Authorization Statement
v, Bank Statement showing direct deposit amount (not older than 90 days)
vi. Pay stubs (not older than 90 days)
vii. Employer Statement / Letter (not older than 90 days). If statement is not in the
name of client, a letter must be attached stating that client resides on the stated
premises.
viii. Latest Individual Income Tax Return Form
4. SUB -RECIPIENT understands the business must be for -profit businesses. The following
documents can be used as proof:
i. State of Florida Corporate Registration
ii. Business Income Tax Return
iii. Schedule C of IRS form 1040
5. SUB -RECIPIENT needs to demonstrate that the business has 5 or fewer employees
(including owner). The following documents can be used as proof:
i. Copy of Payroll
ii. Copy of UCT6 — State Unemployment Return
iii. Copy of US 941 — Federal Quarterly Payroll Tax Forms
6. SUB -RECIPIENT understands that it is mandatory for the business owner to attend and
complete a business course approved by the City of Miami for Micro -Enterprise grant
recipients. Upon completion of the program, the SUB -RECIPIENT must provide the City a
Certificate of Completion. Failure to meet this program requirement will result in non-
compliance with this Agreement and may affect disbursement payments.
7. The SUBRECIPIENT understands that they will be assigned to work with an agency that will
provide technical assistance with the program requirements.
8. SUB -RECIPIENT should have all the valid and applicable City of Miami and Miami -Dade
County business licenses (occupational license and certificate of use) and any other
professional licenses. If the business does not have the appropriate licenses when this
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contract is executed, then they must be obtained and forwarded to the City. The SUB -
,RECIPIENT can utilize this grant to obtain said licenses.
9. The work performed under this Work Program shall be subject to inspection and approval by
the City.
By:
Name: Date
Owner/Authorized Representative
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this by
, Owner of , a Florida for -profit
corporation, on behalf of the corporation. He is personally known to me or has produced
as identification.
Print Notary Public's Name Signature
(SEAL)
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EXHIBIT C - COMPENSATION AND BUDGET SUMMARY
MICRO -ENTERPRISE ASSISTANCE
A. The City shall pay on behalf of the SUBRECIPIENT, as maximum compensation
pursuant to this Grant Agreement, the sum of $ 10,000 .
B. All payments shall be in compliance with the approved program line -item
(Itemized) budget attached hereto and for the approved business. Each written
request for disbursement shall contain a statement declaring and affirming that all
expenditures were made in accordance with this approved budget.
C. 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 in a form provided I y the Department. If the SUBRECIPIENT shall
forfeit all rights to payment and the CITY shall not honor any request submitted
thereafter.
D. Any payment due under this Agreement may be withheld pending the receipt and
approval by the CITY of all reports, certificates and licenses due from
SUBRECIPIENT as part of this Agreement and any modifications thereto.
Owner/Authorized Representative Date
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