HomeMy WebLinkAboutExhibit 1EXHIBIT "A"
TRANSFER OF CDBG DISTRICT 3 RESERVE ACCOUNT FUNDS
From
IDIS # Entity Name
City of Miami Department of Community
Development District 3 CDBG Reserve
Account
a- 017
Amount
$28,887
Total $28,887
To
Entity Name
Allapattah Community Action, Inc.
Southwest Social Services Programs, Inc.
Curley's House of Style, Inc.
The Liberty City Optimist Club of Florida, Inc.
Amount
$10,000
$10,000
$5,000
$3,887
Total $28,887
AMENDMENT #1
This Amendment to that Agreement between the City of Miami, a municipal
corporation of the State of Florida ("City") and ("Sub -
recipient") dated (the "Agreement") is entered into this day of
, 2011.
RECITAL
WHEREAS, pursuant to Resolution No. 10-0388, passed and adopted by the
City of Miami Commission on September 16, 2010 the City and Sub -recipient, have
heretofore entered into the Agreement which sets forth the terms and conditions pursuant
to which the City provided Sub -recipient the sum of ($ );
and
WHEREAS, the City Commission adopted Resolution No. R-11-XXX on
March 24, 2011 wherein Subrecipient was given the additional sum of
($ ), as authorized by the City Commission to continue
to carry -out Public Service activities for services; and
WHEREAS, all the funds are subject to the same terms and conditions contained
in the Agreement;
NOW, THEREFORE, in consideration of the foregoing, the City and Sub -
recipient hereby agree to amend the Agreement as follows:
1. EXHIBIT B of the Agreement (Work Program) is amended to the new Exhibit B
attached to this Amendment.
2. EXHIBIT C of the Agreement (Compensation and Budget) is amended to the
new EXHIBIT C attached to this Amendment.
3. _--Maximum -Compensation_ for -. this _Agreement is increased _to ____..________ _.__.
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IN WITNESS WHEREOF, the parties hereto have caused this instrument to be
executed by their respective officials thereunto duly authorized on the date above written.
SUBRECIPIENT
Name of Agency
Address
City, State Zip
a Florida not for profit corporation
ATTEST:
Name Date Name:
Title Title:
CORPORATE SEAL:
Date
ATTEST: CITY OF MIAMI, a municipal Corporation
of the State of Florida
Priscilla A. Thompson Date Tony E. Crapp, JR. Date
City Clerk City Manager
APPROVED AS TO APPROVED AS TO FORIVI AND
INSURANCE REQUIREMENTS: CORRECTNESS:
Gary Reshefsky
Risk Management
Date Julie O. Bru
City Attorney
Date
EXHIBIT B — WORK PROGRAM
SERVICES
National Objective:
1. SUBRECIPIENT understands that the National Objective for this activity is
assistance to low to moderate income persons by serving a limited clientele as defined
in 24 CFR 570.208(a)(2) and that the HUD matrix code associated with this activity
is 05A (Senior Services).
Scope of Services:
1. SUBRECIPIENT will provide and related services to eligible
program participants from to with funding from the 2011-
2012 CDBG Program Year.
2. SUBRECIPIENT will provide
Other tasks to be performed by the SUBRECIPIENT in connection with the provision of meals
and related services include, but are not limited to, the following:
3. Perform eligibility determination:
—A.-.SUBRECIPIENT_ will_ .submit -the_ following.._ information __to__,the ...Department . to.
obtain certification that proposed participant is eligible to receive -program
benefits and for SUBRECIPIENT to invoice the CITY for services provided:
a. Program Application, in a form provided by the Department, signed by
prospective participant and the SUBRECIPIENT. A copy of this form must
also be kept in the participant's file.
B. SUBRECIPIENT must keep in file proof of the information listed below
demonstrating that each program participant is eligible to receive program
benefits:
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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.
SUBRECIPIENT may replace program participants who stop receiving program
benefits by providing the information required in items 3.a and b for the new
participant. SUBRECIPIENT will not invoice the CITY until the proposed
participant is certified as eligible by the CITY.
4. At all times, maintain facilities in conformance with all applicable codes, licensing,
and other requirements for the operation of an elderly center and/or provision of
meals. The facilities must be handicapped accessible.
5. Procure meals in a manner that provides, to the maximum extent, practical, open and
free competition and in compliance with 24 CFR 84.40-48.
6. As part of the congregate meal program, provide a range of structured social and
cultural activities.
7. As part of the homebound meal program, ensure that meals are delivered in a timely
manner.
8. Maintain program and financial records documenting the eligibility, attendance,
provision of services, and SUBRECIPIENT expenses relative to the elderly
individuals receiving meals services as a result of the assistance provided through the
CDBG program.
9. SUBRECIPIENT will provide the following program reports to the City:
SIGNED:
a. A monthly report for the services provided to eligible participants in a form
provided by the CITY. This report must include the date range when services
were provided, the name of the client(s), the last five digits of the client's social
security_ number and -the .number_ of days served. ._:This _form .must_be_signed..by_. the __
Program Manager and Executive Director.
b. A final Close -Out (financial report) and inventory report.
c. A final performance report.
Name: Date
Executive Director
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this day of , 2011 by
,Executive Director of
, a Florida not -for -profit corporation, on behalf of the corporation.
He/she is personally known to me or has produced as
identification.
Signature of Notary
State of Florida
Type, Print or stamp name of
Notary Public
EXHIBIT C
COMPENSATION AND BUDGET
A. The maximum compensation under this Agreement shall be
B. SUBRECIPIENT's Itemized Budget, Cost Allocation, Budget Narrative, Staff Salaries
Schedule are attached hereto and made part of this Agreement.
C. Requests for payment should be made at least on a monthly basis. Reimbursement requests
should be submitted to the CITY within thirty (30) calendar days after the indebtedness has
been incurred in a form provided by the Department. Failure to comply with these time
frames for requesting reimbursement/payment may result in the rejection of those invoices
within the reimbursement package which do not meet these requirements.
D. Each written request for payment shall contain a statement declaring and affirming that
services described in Exhibit B Scope of Services were provided to certified program
participants and in accordance with the approved Work Program and Program Budget. All
documentation in support of each request shall be subject to review and approval by the
CITY at the time the request is made.
E. All expenditures must be verified with a copy of the original invoice and a copy of a check
or other form of payment which was used to pay that specific invoice. Within 60 days of
submitting each reimbursement request, copies of the cancelled checks or other CITY
approved documents evidencing the payments by the SUBRECIPIENT, for which
reimbursement was requested, shall be submitted. In the event that an invoice is paid by
various funding sources, the copy of the invoice must indicate the exact amount (allocation)
paid by various funding sources equaling the total of the invoice. No miscellaneous
categories shall be accepted as a line -item budget.
F. The SUBRECIPIENT must submit the final request for payment to the CITY within ten (10)
calendar days following the termination date of this Agreement. If the SUBRECIPIENT
fails to comply with this requirement, the SUBRECIPIENT shall forfeit all rights to
payment and the CITY shall not honor any request submitted thereafter.
. Any payment -due -under this Agreementmaybe-withheld-pending the receipt -and approval -- ---
by the CITY of all reports due from the SUBRECIPIENT as a part of this Agreement and
any modifications thereto.
H. During the term hereof and for a period of five (5) years following the date of the last
payment made hereunder, the CITY shall have the right to review and audit the time records
and related records of the SUBRECIPIENT pertaining to any payments by the CITY.
Name:
Title:
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Date