HomeMy WebLinkAboutExhibit 2 V2CITY OF MIAMI
DEPARTMENT OF COMMUNITY DEVELOPMENT
CDBG PROGRAM
Addendum 1
To:
Dear
TECHNICAL ASSISTANCE REQUEST FORM
This letter is to request the assistance of
purposes of:
n
n
Financial Consultation
Completing a Loan Package
Equipment Lease / Purchase
Permits / Licenses
Zoning
Infrastructure
Identifying Tenants
Locate Business Space
Lease Purchase Negotiations
Locate professional Assistance
Our firm,
n
H
n
n
n
n
n
Security Improvements
Accounting
Marketing / Advertising
Management
Legal
Franchising
Employee Training
Prepare a Business Plan
Bookkeeping
Other:
for the
(hereafter referred to as
"Applicant") is located at , Miami, FL
and it is a (type of business entity) registered
with the State of Florida.
A brief description of my Economic Development Project which this assistance
supports:
This assistance will avoid my business from:
C
Moving to another area
Laying Off Employees
Closing
Other:
FORM J-105
Becoming Tess efficient
Losses
Receiving Penalties /Summons
Page 1 of 3 Revised Nov. 30, 2004
CITY OF MIAMI
DEPARTMENT OF COMMUNITY DEVELOPMENT
CDBG PROGRAM
Addendum 1
It is our understanding that we qualify for this assistance because:
We serve the low / moderate income residents of the area
We will be creating new positions, 51 % of which are for low / moderate
income residents, the job descriptions for these positions will be provided
We will be retaining positions, 51 % of which are for low / moderate
income residents.
By providing this assistance to my business, the expected public benefits are:
11
n
II
n
Stability of Low / Moderate Income Families
Help to Low / Moderate Income Families
New Business in the Area
More and / or Better Services
Possible Jobs Creation / Retention
II
Il
II
n
Revitalization of the Area
Stability of the Business
Better Prices and Quality
Increased Tax Base
Protection / Safety
Our firm agrees to provide all information and documentation requested. It is also
certified that any information, documentation and representations provided will be true
and correct. It is agreed that any documents provided will be come the property of
. All information will be treated as confidential.
WAIVER OF LIABILITY
The Applicant releases , its officers, directors,
employees, agents, affiliates, and independent contractors (hereafter referred to as the
"Protected Parties") from all and any damages, claims, demands, and causes of action
which the Applicant now has or may have in the future against the Protected Parties by
reason of any occurrence, including, without limitation, damages, injuries and losses of
any type or manner arising from any services which the Protected Parties provide or fail
to provide under this waiver of liability, including the release of information deemed
confidential.
The Applicant hereby agrees to indemnify and hold harmless the Protected Parties from
any and all damages, claims, demands and causes of action, including, but not limited
to amounts paid upon judgments, attorneys' fees, costs and amounts paid in settlement,
reasonably incurred in connection with the defense or settlement of any claim, action,
suit or proceedings in which any of the Protected Parties may be involved by virtue of
services which they provide or fail to provide on behalf of the Applicant pursuant to this
Waiver of Liability. The Applicant further agrees that in conjunction with this
indemnification, the Applicant shall defend the Protected Parties at its own expense,
specifically including, without limitation, attorneys' fees, court costs, experts' fees,
investigation fees and expenses; provided, however, that any counsel chosen by the
Applicant must be acceptable to the Protected Parties involved in the particular
litigation.
FORM J-105
Page 2 of 3 Revised Nov. 30, 2004
CITY OF MIAMI
DEPARTMENT OF COMMUNITY DEVELOPMENT
CDBG PROGRAM
Addendum 1
It is understood that either or the Applicant
may terminate the services hereunder at any time. It is further agreed that the services
will be provided by as time permits. Any services
provided by will be provided free of charge.
Thank you for your cooperation.
Dated:
FORM J-105
Applicant
By:
Title:
Page 3 of 3 Revised Nov. 30, 2004