HomeMy WebLinkAboutExhibit 3EXHIBIT B — WORK PROGRAM FOR AFTER SCHOOL AND SUMMER/SCHOOL RECESS
CARE
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 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
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 requir H in 2 abo ,- cUBRECIPIENT will not invoice the City of Miami until the
proposed participant is certified as eligible by the City of Miami.
5. 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) Sumner 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
2008.
SIGNED:
Name:
Title:
STATE OF FLORIDA
COUNTY OF
, 2007 and will end on
Date
The foregoing instrument was acknowledged before me this by
[Date]
[Name]
[Title) [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)