HomeMy WebLinkAboutExhibit3EXHIBIT B
WORK PROGRAM - CHILD CARE SERVICES
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 between the ages of infant and 5 years of age
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 parent or by legal guardian
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. SUBRECIPIENT will provide:
Child care to participants on the following days: — Monday, _ Tuesday,
_ Wednesday, _ Thursday, _ Friday, ^ Saturday, _ Sunday, at the following sites:
SUBRECIPIENT will provide proof of having provided the child care service 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.
6. Program will commence on July 10, 2008 and will end on September 30, 2009.
SIGNED:
Name:
Title:
Date
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this
[Date]
by of ,a
[Name] [Agency Name]
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)