HomeMy WebLinkAboutExhibit BEXHIBIT B — WORK PROGRAM
ELDERLY SERVICES - MEALS
SUBRECIPIENT understands that the National Objective is assistance to low -to
moderate income households.
2. SUBRECIPIENT will recruit program participants that meet the following
criteria:
a) Must be a resident of the City of Miami
b) Must be a member of a low -to moderate income household
c) Must be at least 62 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.
4. SUBRECIPIENT must keep on file proof of the information listed below
demonstrating that each program participant is eligible to receive program
benefits:
a) Proof of living in the CITY
b) Proof of income
c) Proof of age
This information must match the information listed by the SUBRECIPIENT in
the participant Program Application form submitted to the CITY. A copy of this
form must also be kept in the participant's file.
5. SUBRECIPIENT may replace program participants who stop receiving program
benefits by providing the information required in items 2 and 3 for the new
participant. SUBRECIPIENT will not invoice the City of Miami until the
proposed participant is certified as eligible by the City of Miami.
6. SUBRECIPIENT will provide:
a) Congregate Meals to participants times per day on the
following days: _ Monday, _ Tuesday, _Wednesday, _ Thursday,
Friday, _ Saturday, ` Sunday, at the following addresses:
Address:
Meals will be provided for up to a total of
b) Homebound Meals to participants
following days: _ Monday, ` Tuesday,
Friday, _ Saturday, _ Sunday.
Meals will be provided for up to a total of
7. Program will commence on
SIGNED:
program days.
times per day on the
Wednesday, _ Thursday,
program days.
and will end on September 30, 2009.
Name: Date
Executive Director
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this
by , Executive Director of [Name of 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)