HomeMy WebLinkAboutExhibit 1PROFESSIONAL SERVICES AGREEMENT
BETWEEN
CITY OF MIAMI, FLORIDA
AND
OPERATION HOPE, INC.
This Agreement is entered into this day of , 2013 by and between the City of
Miami, a municipal corporation of the State of Florida, whose address is 3500 Pan American
Drive, Miami, -Florida 33133 (hereinafter referred to as the "City") and Operation Hope, Inc., a
State of Florida non-profit corporation qualified to do business in Florida ("Provider"), whose
address is 707 Wilshire Blvd., Suite 3030, Los Angeles, CA 90017
RECITALS:
A. WHERAS, the Office of Grants Administration as part of the City of Miami
Poverty Initiatives and ACCESS Miami programs, applied for and was awarded a financial
literacy and financial empowerment coaching grant from the Citi Foundation, in the amount of
$150,000 (the "Grant"), for the purpose of providing oversight, financial empowerment coaching
and one-on-one financial consultation to at least 200 individuals (the "Program") as required by
the Grant application attached herein as Attachment "A"
B.
The Commission of the City of Miami, by Resolution No. , adopted
on , approved the selection of Provider for the provision of the Services
required under the Program, and authorized the City Manager to execute a contract, under the
terms and conditions set forth herein.
NOW, THEREFORE, in consideration of the mutual covenants and promises herein
contained, Provider and the City agree as follows:
RSR #13-715L
TERMS:
1. RECITALS: The recitals are true . and correct and are hereby incorporated into and
made a part of this Agreement.
2. TERM: The term of this Agreement shall commence on June 1st, 2013 through
July 31st, 2014 and shall continue until completion of the Program by Provider under the Grant.
3. OPTION TO EXTEND: The City shall have the option to extend the term hereof for
two (2) additional similar periods, subject to the availability of funds and Grant requirements.
4. SCOPE OF SERVICE:
A. Provider agrees to provide the Services as specifically described, and under the
special terms and conditions set forth in Attachment "A" hereto, which by this reference is
incorporated into and made a part of this Agreement.
B. Provider represents and warrants to the City that: (i) it possesses all qualifications,
licenses and expertise required for the performance of the Services; (ii) it is not delinquent
in the payment of any sums due the City, including payment of permit fees, occupational
licenses, etc., nor in the performance of any obligations to the City, (iii) all personnel
assigned to perform the Services are and shall be, at all times during the tetiu hereof, fully
qualified and trained to perform the tasks assigned to each; and (iv) the Services will be
performed in the manner described in Attachment "A" under the section "Your Program".
5. BUDGET:
A. The amount of budget payable by the City to Provider shall be based on the rates
and schedules described in Attachment "B" hereto, which by this reference is incorporated into
this Agreement; provided, however, that in no event shall the amount of the program's operating
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budget exceed $150,000. The city shall have no liability for any cost, fee, debt, expense or
charge in excess of this amount.
B. Unless otherwise specifically provided in Attachment "B", payment shall be made
within forty five (45) days after receipt of Provider's proper invoice, as such term is defined by
Section 218.72 fo the Florida Statutes which shall be accompanied by sufficient supporting
documentation and contain sufficient detail, to allow a proper audit of expenditures, should City
require one to be performed. If Provider is entitled to reimbursement of travel expenses, then all
bills for travel expenses shall be submitted in accordance with Section 112.061, Florida Statutes.
6. OWNERSHIP OF DOCUMENTS: Provider understands and agrees that any
information, document, report or any other material whatsoever which is given by the City to
Provider or which is otherwise obtained or prepared by Provider pursuant to or under the terms
of this Agreement is and shall at all times remain the property of the City. Provider agrees not to
use any such information, document, report or material for any other purpose whatsoever without
the written consent of City, which may be withheld or conditioned by the City in its sole
discretion.
7. AUDIT AND INSPECTION RIGHTS:
A. The City may, at reasonable times, and for a period of up to three (3) years
following the date of final payment by the City to Provider under this Agreement, audit, or cause
to be audited, those books and records of Provider which are related to Provider's performance
under this Agreement. Provider agrees to maintain all such books and records at its principal
place of business for a period of three (3) years after final payment is made under this
Agreement. All audits shall be subject to and made in accordance with, the provisions of Section
18-102 of the Code of the City of Miami of Miami, Florida, as amended.
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B. The City may, at reasonable times during the term hereof, inspect Provider's
facilities and perform such tests, as the City deems reasonably necessary, to determine whether
the goods or services required to be provided by Provider under this Agreement conform to the
terms hereof and/or the terms of the Grant application, if applicable. Provider shall make
available to the City all reasonable facilities and assistance to facilitate the performance of tests
or inspections by City representatives. All tests and inspections shall be subject to, and made in
accordance with; the provisions of Section 18-101 of the Code of the City of Miami, Florida, as
amended.
8. AWARD OF AGREEMENT: Provider represents and warrants to the City that it
has not employed or retained any person or company employed by the City to solicit or secure
this Agreement and that it has not offered to pay, paid, or agreed to pay any person any fee,
commission, percentage, brokerage fee, or gift of any kind contingent upon or in connection
with, the award of this Agreement.
9. PUBLIC RECORDS: Provider understands that the public shall have access, at all
reasonable times, to all documents and information pertaining to City contracts, subject to the
provisions of Chapter 119, Florida Statutes, and agrees to allow access by the City and the public
to all documents subject to disclosure under applicable law. Provider's failure or refusal to
comply with the provisions of this section shall result in the immediate cancellation of this
Agreement by the City.
10. COMPLIANCE WITH PROGRAM REQUIREMENTS AND FEDERAL, STATE
AND LOCAL LAWS: Provider shall comply with all requirements imposed by the Grant
for the Program, including reporting, record keeping and other requirements. Provider shall also
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comply with and observe all applicable federal, state and local laws, rules, regulations, codes and
ordinances, as they may be amended from time to time.
11. INDEMNIFICATION: Provider shall indemnify, defend and hold harmless the
City and its officials, employees and agents (collectively referred to as "Indemnities") and each
of them from and against all loss, costs, penalties, fines, damages, claims, expenses (including
attorney's fees) or liabilities (collectively referred to as "Liabilities") by reason of any injury to
or death of any person or damage to or destruction or loss of any property arising out of,
resulting from, or in connection with (i) the performance or non-performance of the services
contemplated by this Agreement which is or is alleged to be directly or indirectly caused, in
whole or in part, by any act, omission, default or negligence (whether active or passive) of
Provider or its employees, agents or subcontractors (collectively referred to as "Provider"),
regardless of whether it is, or is alleged to be, caused in whole or part (whether joint, concurrent
or contributing) by any act, omission, default or negligence (whether active or passive) of the
Indemnities, or any of them or (ii) the failure of the Provider to comply with any of the
paragraphs herein or the failure of the Provider to conform to statutes, ordinances, or other
regulations or requirements of any governmental authority, federal or state, in connection with
the performance of this Agreement. Provider expressly agrees to indemnify and hold harmless
the Indemnities, or any of them, from and against all liabilities which may be asserted by an
employee or former employee of Provider, or any of its subcontractors, as provided above, for
which the Provider's liability to such employee or former employee would otherwise be limited
to payments under state Workers' Compensation or similar laws.
12. DEFAULT: If Provider fails to comply with any term or condition of this Agreement,
or fails to perform any of its obligations hereunder, then Provider shall be in default. Upon the
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occurrence of a default hereunder the City, in addition to all remedies available to it by law, may
immediately, upon written notice to Provider, terminate this Agreement whereupon all payments,
advances, or other compensation paid by the City to Provider while Provider was in default shall
be immediately returned to the City. Provider understands and agrees that termination of this
Agreement under this section shall not release Provider from any obligation accruing prior to the
effective date of termination. Should Provider be unable or unwilling to commence to perform
the Services within the time provided or contemplated herein, then, in addition to the foregoing,
Provider shall be liable to the City for all expenses incurred by the City in preparation and
negotiation of this Agreement, as well as all costs and expenses incurred by the City in the re -
procurement of the Services, including consequential and incidental damages.
13. RESOLUTION OF AGREEMENT DISPUTES:
Provider understands and agrees that all disputes between Provider and the City based
upon an alleged violation of the terns of this Agreement by the City shall be submitted to the
City Manager for his/her resolution, prior to Provider being entitled to seek judicial relief in
connection therewith. In the event that the amount of compensation hereunder exceeds Twenty -
Five Thousand Dollars and No/Cents ($25,000), the City Manager's decision shall be approved
or disapproved by the City Commission. Provider shall not be entitled to seek judicial relief
unless: (i) it has first received City Manager's written decision, approved by the City
Commission if the amount of compensation hereunder exceeds Twenty -Five Thousand Dollars
and No/Cents ($25,000), or (ii) a period of sixty (60) days has expired, after submitting to the
City Manager a detailed statement of the dispute, accompanied by all supporting documentation
ninety (90) days if City Manager's decision is subject to City Commission approval); or (iii) City
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has waived compliance with the procedure set forth in this section by written instruments, signed
by the City Manager.
14. CITY'S TERMINATION RIGHTS:
A. The City Manager shall have the right to terminate this Agreement, by giving
Provider at least five (5) business days prior written notice, upon discontinuance, modification or
termination of the Program, unavailability of funds under the Grant, or if the City Manager
determines, in its sole discretion, that continuation of the Program or of Provider's services are
no longer in the best interest of the City. In such event, the City shall pay to Provider
compensation for services rendered and expenses incurred prior to the effective date of
termination. In no event shall the City be liable to Provider for any additional compensation,
other than that provided herein, or for any consequential or incidental damages.
B. The City Manager shall have the right to terminate this Agreement, without notice
or liability to Provider, upon the occurrence of an event of default under the Grant or under this
Agreement. In such event, the City shall not be obligated to pay any amounts to Provider and
Provider shall reimburse to the City all amounts received while Provider was in default under
this Agreement.
15. INSURANCE: Provider shall, at all times during the term hereof, maintain such
insurance coverage as may be required by the City. All such insurance, including renewals, shall
be subject to the approval of the City for adequacy of protection and evidence of such coverage
shall be furnished to the City on Certificates of Insurance indicating such insurance to be in force
and effect and providing that it will not be canceled during the performance of the services under
this contract without thirty (30) calendar days prior written notice to the City. Completed
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Certificates of Insurance shall be filed with the City prior to the performance of services
hereunder, provided, however, that Provider shall at any time upon request file duplicate copies
of the policies of such insurance with the City.
If, in the judgment of the City, prevailing conditions warrant the provision by Provider of
additional liability insurance coverage or coverage which is different in kind, the City reserves
the right to require the provision by Provider of an amount of coverage different from the
amounts or kind previously required and shall afford written notice of such change in
requirements thirty (30) days prior to the date on which the requirements shall take effect.
Should the Provider fail or refuse to satisfy the requirement of changed coverage within thirty
(30) days following the City's written notice, this Contract shall be considered terminated on the
date that the required change in policy coverage would otherwise take effect.
16. NONDISCRIMINATION: Provider represents and warrants to the City that Provider
does not and will not engage in discriminatory practices and that there shall be no discrimination
in connection with Provider's performance under this Agreement on account of race, color, sex,
religion, age, handicap, marital status or national origin. Provider further covenants that no
otherwise qualified individual shall, solely by reason of his/her race, color, sex, religion, age,
handicap, marital status or national origin, be excluded from participation in, be denied services,
or be subject to discrimination under any provision of this Agreement.
17. ASSIGNMENT: This Agreement shall not be assigned by Provider, in whole or in
part, without the prior written consent of the City's, which may be withheld or conditioned, in
the City's sole discretion.
18. NOTICES: All notices or other communications required under this Agreement shall
be in writing and shall be given by hand -delivery or by registered or certified U.S. Mail, return
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receipt requested, addressed to the other party at the address indicated herein or to such other
address as a party may designate by notice given as herein provided. Notice shall be deemed
given on the day on which personally delivered; or, if by mail, on the fifth day after being posted
or the date of actual receipt, whichever is earlier.
TO PROVIDER: TO THE CITY:
Operation Hope, Inc.
707 Wilshire Blvd., Suite 3030
Los Angeles, CA 90017
City Manager, City of Miami
444 SW 2°d Ave., 10th Floor
Miami, FL 33130
19. MISCELLANEOUS PROVISIONS:
A. This Agreement shall be construed and enforced according to the laws of the State
of Florida.
B. Title and paragraph headings are for convenient reference and are not a part of
this Agreement.
C. No waiver or breach of any provision of this Agreement shall constitute a waiver
of any subsequent breach of the same or any other provision hereof, and no waiver shall be
effective unless made in writing.
D. Should any provision, paragraph, sentence, word or phrase contained in this
Agreement be determined by a court of competent jurisdiction to be invalid, illegal or otherwise
unenforceable under the laws of the State of Florida or the City of Miami, such provision,
paragraph, sentence, word or phrase shall be deemed modified to the extent necessary in order to
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conform with such laws, or if not modifiable, then same shall be deemed severable, and in either
event, the remaining terms and provisions of this Agreement shall remain unmodified and in full
force and effect or limitation of its use.
E. This Agreement constitutes the sole and entire agreement between the parties
hereto. No modification or amendment hereto shall be valid unless in writing and executed by
properly authorized representatives of the parties hereto.
20. SUCCESSORS AND ASSIGNS: This ' Agreement shall be binding upon the parties
hereto, their heirs, executors, legal representatives, successors, or assigns.
21. INDEPENDENT CONTRACTOR: Provider has been procured and is being
engaged to provide services to the City as an independent contractor, and not as an agent or
employee of the City. Accordingly, Provider shall not attain, nor be entitled to, any rights or
benefits under the Civil Service or Pension Ordinances of the City, nor any rights generally
afforded classified or unclassified employees. Provider further understands that Florida
Workers' Compensation benefits available to employees of the City are not available to Provider,
and agrees to provide workers' compensation insurance for any employee or agent of Provider
rendering services to the City under this Agreement.
22. CONTINGENCY CLAUSE: Funding for this Agreement is contingent on the
availability of funds and continued authorization for program activities and the Agreement is
subject to amendment or termination due to lack of funds, reduction of funds and/or change in
law, rules, regulations, upon thirty (30) days notice.
23. REAFIRMATION OF REPRESENTATIONS: Provider hereby reaffirms all of the
representations contained in the Solicitation Documents.
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24. ENTIRE AGREEMENT: This instrument and its attachments constitute the sole and
only agreement of the parties relating to the subject matter hereof and correctly set forth the
rights, duties, and obligations of each to the other as of its date. Any prior agreements, promises,
negotiations, or representations not expressly set forth in this Agreement are of no force or
effect.
25. COUNTERPARTS: This Agreement may be executed in two or more counterparts,
each of which shall constitute an original but all of which, when taken together, shall constitute
one and the same agreement.
IN WITNESS WHEREOF, the parties hereto have caused this instrument to be
executed by their respective officials thereunto duly authorized, this the day and year above
written.
"City"
CITY OF MIAMI, a municipal
ATTEST: corporation
By:
Todd Hannon, City Clerk Johnny Martinez, P.E.
By:
APPROVED AS TO FORM AND
CORRECTNESS:
APPROVED AS TO INSURANCE
REQUIREMENTS:
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Julie O. Bru Calvin Ellis
City Attorney Director
Risk Management
Operation Hope, Inc ("Provider") Attest:
By:
Authorized Corporate Officer Corporate Secretary
(Corporate Seal)
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ATTACHMENT A - SERVICES
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Dear Grantseeker,
Thank you for your submission. For your records, here is a copy of the contents of your
application.
If the contents of your application do not appear below, please contact
FoundationSupporticDciti.com immediately.
Please note that no changes can be made to your application now that it has been submitted.
Please note that the e-mail address and password you use for this account will be what you use to
access submitted applications, pending interim/final reports, and submitted reports. Please make
sure to share this information with any additional individuals at your organization who may need
access to the account.
Sincerely,
Citi Foundation
84307
2013 Citi Foundation Direct Service Application Form (non-501(c)(3))
Your Organization
Submission Information
Please note that you are required to submit a draft of your application to the Citi Foundation for review
before you are authorized to officially submit your application for funding consideration. Once you
complete the.application and upload the required documentation, please use the 'E-mail Draft for
Preview" button and send a draft of your full application to the Citi Foundation at
CCDGrantsOciti.COrn.,:please note that all draft applications must be received by the CitiFpUndatipp
no later than No\reinber 19 2012 The Citi Foundation will review yobr:draft application and
documentation:and-Will contact you directly ifadditional information is required beforeyou are
authorized to submit Your final application. : =
THE DEADLINE FOR DRAFT SUBMISSIONS IS NOVEMBER 19, 2012 AT LOCAL COB
THE DEADLINE FOR OFFICIAL SUBMISSIONS IS:JANUARY 18:2013 AT.LOCAL: COB,
Organization's General Information
Organization Name
City of Miami
Orgatuzation I,egal Name . : , : • •
(The name that appears on your IRS determination letter)
City of Miami
Acronyms, DBA or other names by which organization is known
N/A
Mailing Address
444 SW 2nd Ave, 5th Floor
City •
Miami
State
FL
Postal Code
33130
Country
United States
Website
http://www.miamiaov.com/home/
What is your orgamzation's current mission?
Guidance: Describe the overall focus and objective of your organization. If the mission includes
serving low- to moderate -income individuals or communities, please include this information in your
response.
The City of Miami's mission is to facilitate a comprehensive and coordinated effort to affect and
improve the self-sufficiency and financial empowerment of its low/moderate income working families
and business entrepreneurs.
Through intentional efforts, ACCESS Miami (Assets, Capital, Community, Education, Savings, and
Success), a strategy of four focused areas, was created: access to existing benefits, access to capital,
building wealth and accumulating assets, and improving financial literacy. It is a citywide,
comprehensive and intentional empowerment strategy aimed at increasing low and moderate income
working families and low income small business owners' access to the financial tools and education
that are fundamental to economic prosperity and success. The ACCESS model aspires to equip the
entire City of Miami community with the wealth -building tools necessary for economic self-sufficiency.
Is your organization a certified Community Development Financial Institution (CDFI)?
Guidance: To qualify as a CDFI, your organization must be certified by the Community Development
Financial Institutions Fund of the United States Department of the Treasury.
No
Board of Directors and Organization's Senior Staff List
Guidance: This attachment is REQUIRED upon submission for your application to be processed.
Please download and complete the template in its required format by clicking the link below and
saving the document on your computer. You can attach the completed document by clicking the
"Browse" button to locate the saved document on your computer and then clicking the "Upload" button
to attach document to your application. Click here to download REQUIRED template
Board of Directors.xls
Primary Contact
Prefix
Ms.
First Name
Lillian
Last Name
Blondet
Title
Director of Grants Administration
E-mail
Iblondetmiamioov.com
Direct Phone
305-416-1536
Financial Officer
Prefix
Ms.
First Name
Janice
Last Name
Larned
Title . .
Chief Financial Officer
E-mail
JLarnedna,miamigov.com
Direct Phone
305)416-1011
Financial infoiuiation
If a grant to your organization is approved, the funds will be sent via ACH electronic payment
(not wire transfer). Please provide your bank account information for ACH electronic payments
below. You are required to attach either a: copy of a voided. checkor a letter from your:bank
confirming the account and routing numbers. The Citi Foundation will use this to validate the
information that you provide below.:If the document that you attach (the voided check or bank
letter) does not validate the information below. the Citi Foundation will contact you for
clarification.
Bank Name
Wells Fargo Bank
Bank Code/Routing Transit Number/ABA # for ACH Electronic Payments
This is a NUMBER field only. Please include all 9-Digits including leading zeros.
The Citi Foundation transfers funds via ACH electronic payment, so please make certain to confirm
that the number you provide here is for ACH electronic payments and not wire transfers. The Citi
Foundation requires you to attach a copy of your organization's voided check or a letter from your
bank confirming your organization's bank account information. The bank account number you provide
below must match against the documentation you attach below.
063000021
Bank:Account Number
This is a NUMBER field only. Please include all digits including leading zeros.
The Citi Foundation requires you to attach a copy of your organization's voided check or a letter from
your bank confirming your organization's bank account information. The bank account number you
provide below must match against the documentation you attach below.
2696204833948
Copy_ of Cancelled Check or Bank Letter for Verification,of Depository;Account
Guidance: Please scan a copy of a voided check from your organization's checking account or a
bank verification letter confirming your depository account information. The account name that
appears on the document should be your organization's legal name and the routing and account
numbers on the check should verify the information you provided above.
This attachment is REQUIRED upon submission for your application to be processed. You can attach
the document by clicking the "Browse" button to locate the saved document on your computer and
then clicking the "Upload" button to attach document to your application.
Bank Information.odf
By checking this box, I verify that the above bank account informationis for the applying
organization; and that the information provided is correct. I understand that providing the
bank account information for the applying organisation does not constitute an offer, promise
or guarantee of funding from the Citi Foundation, Citigroup Inc., or any: of its subsidiaries. If..
a grant is awarded and funds from the Citi Foundation are deposited into theapplymg
organi7ation's bank account, I verify that the funds will only be used for charitable purposes:
as described within this online application.
Yes
Annual Operating Budget
What is your organization's total annual operating budget for the current year? (Whole numbers only.
Include commas.)
$469,797,554
For what year is your most recent, completed audit?
This audit should have been completed in at least 2011 and should be the audit attached to this
request.
2011
What were reported revenues as it appears in the attached audited financials?
Whole numbers only. Include commas.
676,255,525
What were reported expenses as it appears in the attached audited financials?
Whole numbers only. Include commas.
763,191,492
What were net assets (or equity) for your organization as it appears m the attached audited
fmancials?,•
Whole numbers only. Include commas.
447,843,412
What were liabilities for your organization as it appears -in the attached audited financials?
Whole numbers only. Include commas.
1,241,334,514
If your organization has excessive liabilities, please provide a detailed explanation and your
plan to resolve the cause of the excessive liabilities. If applicable, pleaselalso address why
expenses exceed revenues, and/or if there are any legal or fiduciary issues highlighted in -the
auditor's notes. If these scenarios are applicable, we respectfully ask that you provide the
'
auditor's -opinion in �nglish, if �``\��!'��
The City ofMiami experienced revenue decreases inthe following areas: Pub|ioFoci|itiennndPub|in
Safety Departments, property tax revenues, Public Services Tax, investment income, and oone-timo
contribution to the State of Florida for the Port Tunnel's construction. Expenses also exceeded
revenues due to an increase in the following expenses: General Government, Community
Development and Interest onLong-term debt.
For the 2012fiscal year, the City of Miami has improved its financial condition and achieved a
balanced budget.
Organizati:on's Most Recent Audite.d.Financial Statements (two years of comparative i-:-� -.z:�,,:-
Guidance: This attachment is REQUIRED upon submission for your2pplication to be processed. You
oenattaohthedocumontbydioNngthe"Bmwse,buttonto|ocatethaaaveddooumontonyour
computer and then clicking the "Upload" button to attach document to your application.
Audit-2O11.odf
Most Recent Form 99O
Guidance: This attachment is REQUIRED upon submission for your application to be processed. You
can attach the document by clicking the "Browse" button to locate the saved document on your
computer and then clicking the "Upload" button to attach document to your application.
gQOExemotion.pdf
Prior Citi Foundation
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A) Has Ci� �ot�� '
No
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B\If- ~ -was-funded bv
the Citi Foundation
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Your Program
Program Overview
Investment Type
Direct Service
1. Program Title
Guidance: The program title should be no longer than 7 words.
Financial Empowerment Center Coaching
2. Focus Area for the Program
Guidance: If you are uncertain, please ask your Citi Contact.
Financial Capability & Asset Building
3. What is the community need or issue you seek to address'?
Guidance: If your organization operates at the local level, clearly state the local community need or
issue affecting low- to moderate -income individuals or small businesses. If your organization operates
on a national level, please include national needs, trends and statistics that relate to the issue you
seek to address. Low- to moderate -income is defined as individual household income that is less than
80% of the Area Median Income (AMI). Small businesses are defined as businesses having annual
revenues of $1,000,000 or less.
The City of Miami is the largest municipality in Miami Dade County with 409,000 residents according
to the 2011 census. Miami has an overwhelming amount of poverty affecting low to moderate income
individuals, many of whom are low income small business owners. In 2006-2010, the median
household income was only $29,621, versus $47,661 nationally and 27.3% of residents were living
below the poverty level, double the 13.8% national level. Further, 42% of households had a net worth,
insufficient to support them at the federal poverty level for 3 months without income; 12% were
unbanked. The net worth was less than $4,577 for families of 3 in 2009. Also, 33% of residents do not
have a high school diploma, which directly contributes to the high rate of poverty. The Financial
Empowerment Center (FEC) sites will address the poverty experienced by low and moderate income
Miami residents and low income small business owners by increasing their access to the financial
tools and education that are fundamental to economic prosperity and success.
Example: In just the past seven years, the household debt of residents in Bronx, New York has almost
doubled and earning power per household has dramatically diminished over the course of the last two
years. As a result,more families are in financial distress, the middle class is shrinking auicklv;and
foreclosure and bankruptcy levels in this community are up 33% in the last year. The low to
moderate -income individuals served through our program will learn strategies to help them retain their
financial assets and leam to better manage their household needs
4; Program Summary
Guidance: Provide a summary of the program in no more than five sentences.
The Financial Empowerment Center sites will provide free individualized financial coaching to 200
residents annually to empower them to play a more proactive role in their economic independence
and self-sufficiency. The coaching will address establishing a budget, evaluating debt and creating a
debt elimination plan, establishing an emergency fund, understanding and reducing expenses,
funding saving accounts and planning for the future. The free financial counseling will assist clients in
improving their credit score, increasing their savings and improving their money management skills.
Additionally, the FEC will also provide interactive educational classes on topics such as budgeting,
credit and money management.
Example: Through our Financial Capability Program, we will conduct financial assessments,
education and one-on-one coaching for 450 low- to moderate -income individuals facing the threat of
foreclosure, bankruptcy or income loss. Counselors will work with them to help establish a plan to
stabilize their financial situation and provide long-term support in order to meet their financial goals.
By the end of the grant period, we anticipate at least 250 participants will become financially stable
through debt reduction, increased savings, improved credit scores and foreclosure prevention.
5. Total Program Budget
Guidance: This must equal the dollar amount stated in the required program budget that you will
attach to this application. (Whole numbers only. Include commas.)
$150,000
6. Amount Requested
Guidance: This must equal the dollar amount stated in the required program budget that you will
attach to this application as agreed upon with your Citi Contact. (Whole numbers only. Include
commas.)
$150,000
Program Budget
Guidance: This attachment is REQUIRED upon submission for your application to be processed.
Please download and complete the template in its required format by clicking the link below and
saving the document on your computer. You can attach the completed document by clicking the
"Browse" button to locate the saved document on your computer and then clicking the "Upload" button
to attach document to your application. Click here to download REQUIRED template
2013 Program Budget .xis
7. How will Citi Foundation funds be used?
Guidance: Please limit your description to no more than 5 sentences.
Grant funds will be used to pay for the following:
The salary of two (2) full-time financial coaches and one (1) part-time clerical/administrative assistant,
local travel, program supplies, printing, design, data mining training, administrative and other
miscellaneous expenses.
Example: Funds will be used to purchase program materials and support staff time for our financial
counselors.
8. Program Start Date •
Guidance: Indicate the date that you will begin to use the requested funds. Note that the Citi
Foundation requires the funds to be used within a 12-month period and that the deadline for your
interim and final reports will be based on this date.
03/30/2013
9. Program Narrative
Guidance: Describe your program in detail. Outline the key elements of your program, interaction
with participants, and provide any additional information that is pertinent to successful implementation.
The Financial Empowerment Center coaches will primarily serve low to moderate income residents
and low income small business owners of the City of Miami but will be open to the general public. This
additional funding will enable the city to leverage and take its existing financial literacy program which
has served over 11,000 residents and low income small business owners to the next level of
individualized coaching. This direct funding will enable the city to add two (2) Coaches and one (1)
administrative staff to expand the group financial literacy trainings to personalized one-on-one
coaching. The enhanced program will be promoted through a variety of channels, from our housing
program to our successful tax preparation sites where attendees will be encouraged to take
advantage of their tax refunds and create an emergency fund or pay off debt. In the tax preparation
sites alone, the City of Miami provides services to more than 1,200 City residents. The short term
group sessions will provide a financial literacy training curriculum regarding credit and money
management. These group trainings will be conducted by either VISTAs, the Financial Coaches
and/or volunteers recruited by the VISTAs depending on the coaches' workload and availability. A
dedicated program manager/coordinator will implement the financial coaching model with fidelity. The
city proposes one centrally located hub at its administrative offices and three satellite locations
established with local partners. The program will be enhanced by the support of two (2) AmeriCorps
VISTA's (Volunteers In Service to America). The City of Miami has maintained this AmeriCorps VISTA
grant for the last 5 years. Contingent on continued national program funding, each VISTA will support
each coach and develop new group instructional and referral opportunities. The group trainings will
cover lessons on credit and/or money management which will steer attendees to more in-depth one-
on-one coaching and development of personal goals. These financial literacy group classes are given
on a bi-weekly or monthly basis in cooperation with various partner sites. These group settings will be
crucial to providing the initial point of contact to increase the awareness and need for financial
discipline. The Financial Coaching and one-on-one session will be heavily promoted and encouraged
at these group trainings which will act as a primary referral source for the coaches. Each of the
coaches will also be able to provide group trainings and one-on-one counseling sessions at each of
the other satellite locations on an as needed basis and make adjustments to services such as housing
assistance, and work supports to meet the needs of the constituents and/or of the referral partners.
The group training sessions will be used as a recruitment tool for the one-on-one coaching sessions.
The experience of other nationally established financial coaching programs indicates that
approximately 50%of the attendees will prescribe to the individualized coaching. Therefore, although
a large pool of about 400 to 500 individuals will be recruited for the group sessions and obtained
through referrals, only about 200 will utilize the one-on-one ongoing counseling. The FEC program will
serve a total of 200 participants in a 12 month period) who will develop a more detailed financial plan
and will be followed up at 4 prescribed intervals to help them achieve financial self-sufficiency. Most of
these outcomes can take more than one session to achieve. They will also have at least one of the
following outcomes: create a budget, open a bank account or transition to a better account; begin
saving, increase income, reduce expenses, establish a credit history, increase their credit score,
decrease debt or use a budget to manage income and expenses. During the first 12 months, each
participant will attend at least one individualized (1) coaching session and will return and generate
additional sessions via telephone, email and face to face. It is estimated that these 200 initial
coaching clients will generate at least 4 additional sessions during which the coaches will address
behavioral changes needed to achieve financial empowerment. There will be follow-up connections
made with this cohort, either in -person, by email, or phone at 1, 3, 6 and 9 month intervals to
encourage and reinforce their personal goals. Additional sessions will occur over a one to two year
period depending on complexity. Each initial coaching session will be marked with the completion of a
financial health assessment. This assessment or "financial triage" will capture demographic
information and baseline data such as education level, employment, income, services that interest
participants such as, banking and financial services, budgeting, credit score improvement and debt
reduction. It will also be used to determine immediate needs like housing and to refer them to
providers for assistance. Providers will be entities such as, social service programs, the city's Benefit
Bank and tax sites, faith -based organizations, the 3-1-1 Call Center, Neighborhood Enhancement
Teams (city satellite offices), community college partners, Legal Services of Greater Miami, the City of
Miami's workforce center, city programs and community based organizations providing essential
services citywide. The counselors will coordinate with those organizations to facilitate access by
clients by ensuring that staff is aware of the available financial counseling services and how their
clients can benefit.
10.-Program Timeline
Guidance: We do not need a list of every activity you will undertake, but are looking for major
activities of your program. Ensure that the timeline you provide covers the entire duration of the
requested grant and that at least one activity focuses on program evaluation activities.
Month 1: At award confirmation, City of Miami is to produce and schedule a legislative resolution to be
presented to the City of Miami Commission for approval and acceptance of the grant funds.
Month 2-3: Recruit, interview and hire new financial coaches and administrative assistant. Set up
grant award in city financial system.
Month 3: Train staff on city processes and financial counseling model, client continuum and reporting.
Execute agreements with financial coaching partner.
Month 4-16: Implement program, set up referral system and procedures, conduct financial literacy
classes and initial coaching sessions.
Month 4-16: Capture data points to track clients' continuum of improving their financial standing.
Evaluate data and report final findings of program's results for evaluation.
Month 16: Complete the provision of at least 200 individualized coaching sessions to City of Miami
residents and businesses.
Example:
(Month 1) 1) Work with partner agencies, to conduct outreach to introduce community to program
Enroll 450 potential participants in the program
(Months 2-5) 3) Conduct eight financial capability classes and an initial coaching session.4) 400
participants'attend all courses and develop a financial plan based on course !earnings and individual
coaching received..: ;
(Month 6):5). Submit Interim grant report.
(Months 741.1): 6) 375 participants attend six monthly financial coaching sessions as theyimplemenf
their plan.;7) Coaches track progress and evaluate client outcomes
(Month 12): 8) Analyze data on, client results and identify at least one change in program to improve
participant outcomes.
(Month 13): 9) Submit Final grant report.
11. What are the strengths, expertise and track record of your organization and the key
individual(s) leading the program that will ensure successful implementation?
The City of Miami has an established legacy in implementing financial empowerment and asset -
building initiatives. This funding will enable the city to add two (2) coaches and one administrative staff
to enable us to go from just group financial literacy trainings to a more personalized long-term one-on-
one coaching geared towards financial empowerment. Beginning ten (10) years ago, in 2002, the City
of Miami established its Anti -Poverty Initiative, which the city augmented in 2003 by offering free
income tax preparation assistance at various locations throughout the city. In 2005, the more
comprehensive ACCESS Miami program was launched and continues to operate. To date, we have
accomplished the following:
- Over 85,000 tax returns completed, generating over $188 million in tax refunds.
- Started over 4,000 Individual Retirement Accounts and new bank debit cards generating over $6
million in new deposits.
Saved residents over $3.6 million in tax preparation fees.
- Committed over $245,000 in funds and generated a 2:1 IDA Matched Savings Fund to over 100
clients who purchased homes totaling $12 million in assets.
- Generated over 350 micro business loans totaling $2.2 million which produced 31 jobs and retained
an additional 79.
- Started a small business center as a cost share partner with the Department of Commerce which
now serves over 300 businesses each year, generating over $18 million in contracts, and $12 million
in financial awards and over $2 million in increased sales.
- Created www.AccessMiamiJobs.com workforce site which has generated over 800,000 unique
visits, over 6 million page views and over 48,000 live jobs.
- Our financial literacy efforts have impacted over 11,000 attendees and residents.
William Porro, Special Projects Administrator, is a bilingual Spanish and English speaker with over 25
years of financial planning expertise. Mr. Porro also has over 8 years' experience creating and
administering the city's anti -poverty program. William's career in the financial services industry spans
more than 20 years, including positions of high level responsibility in both international and domestic
financial services and marketing for such Fortune 500 Companies as American Express Financial
Advisors, Citibank and CIGNA. A financial advisor by trade, William and his wife have helped
countless people "get their financial house in order" by offering free seminars on everything from
budgeting to eliminating debt.
Demographic Data
Gui,dance:�,Ajsearch. box. it provi.d.e� so t at you May.eatily Take your sefecbon(s)� In the-searc., box,
you MaV enter, the full. name of. the state county. o hot include the -word c66h� n itt e�
Are:_a'�IVISA). Select the correct 6 rareaserved from this list an inc ude the percentage OT:
If the program is se rving a national or statewide audience, please select the state\countyWSA of
your Headquarter office.
You may enter upto1Ocounties. Ifyour program serves more than 1Ocounties, please select 0
counties Yo h /d list additional counties in question_#l, IIf the area(s) where your program will take place. have not yet been determined please select
"Other". You will baasked to provide this information when, it is available.
If the program is serving -ap area outsid,e of. the-Unite8 states, select, ".*International"� If you-sel'ect
. ' Served:
UNITED STATES -United States -United S��s-:F|ohda'Miami-Dade\ 3124(10096)
er
Click here to find the Metropolitan Statistical Area (MSA) code based on the address of where this
program will beimplemented.
Not applicable
14. Area Median Income and Census Tracts
A) Provide the Area Median Income (AMI) for e.achIyletropolitan Statistical Are
you provided in questions #12and #13
If you answered *Other" in question #12 because the geographical area(s) sewed by this
program is unknown at this time, please when you anticipate you will be able to:provide ovide this
information You will be asked to provide the AMI when the geographical ai ea(s) sewed
information is available. -
Guidance: In order to find the AMI data for each MSA you provided in questions #12 and #13, please
access the 2012 FFIEC Estimated Metropolitan Area Median Family Income listing found here.The
listing is sorted by MSA name and you should indicate the FFIEC Estimated Median Family Income
for each MSA you provided in questions #12 and #13 in your response.
According to the 2012 FFIEC Estimated Metropolitan Area Median Family Income listing, the AMI in
this MSA is $52,600.
Example: According to the 2012 FFIEC Estimated Metropolitan Area Median Family Income listing,
the AMI in this MSA is $67,400.
B) If this program is serving small businesses, please provide the census tract income level
for the address of each business served. If the businesses being served have not yet been
identified, please provide the census track income level for the location where the program
will be implemented Similarly, i f the program will be implemented m a government
designated redevelopment zone, empowerment zone or disasterarea, please include the
census tract data for each MSA provided in questions #12 and #13 -`
Guidance: For programs serving small businesses that are located in low- to moderate -income
geographies or that will take place in government -designated redevelopment, empowerment zones or
disaster areas, you will also need to provide the census tract data for each MSA. To do this, please
visit the FFIEC website by clicking here. Once you access this page, you will be able to enter a street
address along with either a city and state or a zip code. Entering this information will take you to the
Geocode page for the specific MSA. In order to find the census tract for the MSA, click on "Get
Census Demographic" and include the Tract Code and Tract Income Level in your answer. Be certain
to include this information for each MSA you provided in questions #12 and #13.
This program will be open to the general public and low income small business owners throughout the
City of Miami. Those that are low income small business owners will meet the same criteria as our low
& moderate income residents
Example: According to the FFIEC website, the small businesses we will serve are located in tract
code'1408.00 and the tractincome level for this MSA is"Low'
15.: Describe the individuals, micro and small businesses and/or organizations thatyou will
serve during this program
The Financial Empowerment Center will serve low to moderate income residents and low income
small business owners in the City of Miami. These residents have experienced an overwhelming
amount of poverty and have median household incomes which are well below the national average.
Furthermore, many residents do not have a high school diploma, are financially illiterate, English is
their second language and in general are not familiar with the US banking/financial system. The
Financial Empowerment Center will address the poverty experienced by these residents by increasing
their access to the financial tools and education that are fundamental to economic prosperity and
success.
Example: The populationserved is largely low- to moderate income. individuals in Bronx, New. York
who have an urgent need and a strong desire to improve their financial management skills so that
they may avoid and/or break the cycle of over-indebte dness and ultimately build end: preserve assets
and family wealth. Many have recently lost their jobs, have significant debt issues, and most have no
long-term financial plans to build or preserve their wealth.
16. Ethnicity Served by Program
(The majority served by this program)
All (not specified by ethnicity)
17. Gender Served by Program
(The majority served by this program)
General Population
18 Population Served byProgram
(The majority served by this program)
General Population
19 Is the,population or area served by. this grant priinanly (51% or more) low ao moderate
mcome and/or, if applicable, small busmesses7 Low. to moderate-mcome is defined as
individual' annual household mcome that is less than 80% of the Area Medianlncome (AMI):
A small business is defined as a business with revenues of $1,000;000 or: less and, for our
purposes,:is located in a low to moderate mcome census tract
Yes
20 How do you verify the percentage of low- to in moderate come individuals and
businesses that have annual revenues of $1,000,000_or less and are locatedin low ,1
moderate incomecensus tractsive a specific description of how you determined
answer provided in the previous question (Please use the examples provided to=guide you as ?:
you answer this question:)
Guidance: Acceptable forms of data used to verify this percentage are: client intake forms that
capture information related to household income and address of each participant; data that verifies
the annual revenue and/or address of each small business served; client income verification; and
federal free or reduced cost lunch data. If you are using household income to determine this
percentage, include how you will verify that the participants or small business owners served will meet
the less than 80% AMI criteria. If you are using federal free or reduced cost lunch data to determine
this percentage, include the name(s) of the target school(s) and the percentage of students that
qualify for free or reduced lunch at each school. If you are using census tract information, include how
you will verify that the participants or small businesses served are located within a low- to moderate -
income census tract(s).
At intake clients will complete forms capturing their household income, address and other
demographic data. Clients will be asked to provide information indicating household members who
receive free or reduced lunch, Medicaid, cash assistance, or SNAP (food stamps). Staff will use this
information to determine that 51 % or more of the clients served have an annual household income
that is less than 80% of AMI.
Examples:
Financial Capability & Asset Building: NFCi will determine the number of participants who are
classified as low- to moderate -income by collecting client intake forms from each participant which will
capture data related to household income. Based on the client intake forms, we will determine that
51 % or more of our program participants have annual household income that is less than 80% of the
AMI.
Microfinance/Enterprise Development:. We' obtain_ client intake forms from each small business
-
owner which captures information related to the small business, including address and annual
revenue. Based on the client intake forms, we will determine that 51% or more of small businesses
served by this program have annual revenue of $1 million or less and are located Within a HUD
classified low to moderate -income census tract.
College,Success: As outlined in our mission, we only serve students from low -to moderate.income
communities This program will take place at the Stadium School, where 66% of the students'are
eligible for federal free or reduced cost lunch, and the Heritage School,: where,8% of students are
eligible for free Cr reduced cost lunch. This program will serve:50 students from the Heritage School ,
and 50 students from the Stadium School; therefore, we can confirm that this program: will primarily
serve students who are classified as low -to moderate -income
Neighborhood Revitalization We require a copy of federal income tax returns, pay stubs and the
most recentutilitybill of each program participant in order to determine. -the percentage of low- to
moderate -income participants served by. this program; Since this program will serve the same;
participants as served in 2011, we know that 51 % or more of ourrparticipants have annual household
Incomethat is less than 80% of the AMI }
Results
21 Results Statement
Guidance: The fact that the participants in your program have completed the activities you
implemented, read your materials, and sat through counseling or a workshop is not the result. Do not
focus on activities, programs implemented or levels of participation satisfaction. The results we are
referring to are the changes in the behaviors or conditions of your participants during the 12-month
duration of the requested grant based on your program's activities, services, and support. For
additional reference materials for defining your program results, review Defining Direct Service
Program Results and Program Results Examples. Any numbers provided in your statement must
be consistent with those you provide below.
Use the example as a guide in providing your response. Note that your results statement
should be 100 words or Tess. You will not be able to submit your application if your answer
exceeds 100 words.
90% (180 participants) will create a budget to follow, 25% (50 participants) will open a bank account
or transition to a better account, 10% (20 participants) will begin a savings plan, 20% (40 participants)
will begin a debt reduction plan, 10% (20 participants) will improve their credit score, 20% (40
participants) will establish an emergency fund, and 20% (40 participants) will increase their income to
expense ratio.
Example: By the end of the grant period, of the 450 participants: 1) 54% (245 participants) will reduce
their debt by at least 15%; 2) 42% (187 participants) will start an emergency savings account; 3) 31%
(140 participants) will improve their credit score; 4) 17% (75 participants) will avoid foreclosure and
remain in their homes.
How many individuals (including microentrepreneurs or small business owners) will this
program serve directly during the grant period?
(Whole numbers only. Include commas.)
200
If the goal of this program is tobuild the capacity of other' organizations (i e microfinance
institutions, community development financial institutions', community development
organisations, etc.), how many do you plan on serving directly during the grant -period?
Guidance: Exclude your own organization and any with which you will partner to provide services.
0
Quantify your results
Guidance:Participants may achieve more than one result within a grant period and therefore;: it is
possible that the sum ofyour entries may exceed the number of participants served . Providea
response for only those questions. that apply to your program ,Numbers provided must_be consisten
withyour resultstaternent;_
As a result of this program, by the end of the grant period (whole numbers only);
How many:. individuals will demonstrate financial knowledge and skills?
180
How many individuals will change and maintain changes to their financial behavior?
(Use a budget, improve credit score, reduce debt, pay bills on time, use a bank account)
100
How many individuals will build fmancial assets?
(Accumulate savings)
60
How many individuals' will preserve financial assets as -a result of this program?
(Protect assets against financial loss through foreclosure prevention and/or insurance)
0
How many individuals will begin to use financial products to help improve their financial
stability?
(Products include: savings, credit, insurance)
50
How many students will be better prepared to enroll in postsecondary education?
0
How many students will enroll in postsecondary education?
(Only applicable to high school seniors)
0
How many students will continue postsecondary. education?
(Only applicable if your program will provide services to students already enrolled in postsecondary
education)
0
How many students will graduate with a postsecondary degree?
(Only applicable to students in their final year of postsecondary education)
0
How many new micro or small enterprises will be created?
0
How many existing micro or small enterprises will be improved or expanded?-
0
How many new jobs will be created?
(Creation of a new enterprise must also result in the creation of at least one new job)
0
How many -on,ts of affordable housing will be created
For predevelopment projects, please enter the anticipated number of affordable housing units that will
be created/made available upon completion of the development.
0
How many•nntsof affordable housing will be rehabilitated or preserved?
0
How many community facilities will be created or revitalized?
0
Of the organizations served, how many will be better able to provide services to clients?
Only applicable if the goal of your program is to build the capacity of other organizations
0
22. What data_ will you collect to verify your program's results? What specific tools will you
use to collect this data?
Guidance: Evaluation tools may include: randomized control trials, third -party evaluation, pre- and
post-tests, surveys, focus groups, site visits, client follow-ups, etc. You may be able to use existing
data sources, rely on existing measurement instruments, or use observations and reports by others
and, in some cases, self -reported behaviors.
Our financial assessment tool (Client Registration Form) will provide an overall view of each
participant. This form will be used with every participant that is seen by the financial coaches. This
form contains demographic and income based background information. The second section contains
questions that relate to services in which the participant is interested, such as obtaining a bank
account, benefit screening and credit score improvement. It also identifies the referral source and
captures whether or not the counseling mode is "one-on-one", on the phone, or in a group setting.
A topline view of their budget including (savings, monthly income, expenses, debt and debt payments)
will be obtained and debt to income ratios will be calculated. Probing questions such as "did you ever
default on a loan", "feel short on cash before payday" and "do you have a budget" will be utilized. A
deeper investigation of an individual's use of financial services is also conducted by querying them
regarding their use of these services. To that end, they are asked if they have a bank account, a
savings account, if they have been rejected for a bank account, their use of ATM and debit cards and
if they have health insurance. Finally, an ongoing service plan is created for clients using the Financial
Health Assessment and focuses on various elements such as, opening a bank account, credit score
improvement, savings and debt reduction. The City of Miami will attempt to mirror the reporting
system used by New York's Financial Empowerment Centers, but will capture the data points
described above in Miami's database. The financial coaches will be accessible and help each
participant with each step of the service plan to ensure success. Each Financial Coach will follow up
and set up predetermined calls/emails/meetings in months 1, 3, 6, and 9 to make each participant
accountable for their own success. These follow up sessions will allow the Financial Coaches to
assess and gather data to help direct each client towards their stated goal(s). The administrative staff
will help set up these follow up sessions with each clients and report the successes achieved along
the way. The forward looking plan will encourage "baby steps" which consist of
1. Completing and understanding their budget
2. Developing an emergency fund
3. Eliminating debt, via a debt reduction plan
4. Developing a savings and retirement fund
5. Savings vehicles such as, taking advantage of 401 k and employer sponsored savings.
6. The financial coaches and the administrative staff will input the data on a timely basis to adhere to
the grant requirements and program goals. The rate of improvement for participants and how many
outcomes they are able to achieve will also are monitored. A "next step" plan of action will be noted
and agreed upon after each session with the participant. These "next steps" i.e. baby steps will drive
the participant towards true behavioral change. These small steps in one direction, such as
establishing an emergency fund are both a behavioral change and an increase in assets at the same
time. Both will be monitored via scheduled follow ups established by the financial coaches and
confirmed by the administrative staff and then input into a database.
Example: Our counselors will review the financial goals set by the participant and then ask for/use
copies of documents that show they have achieved those goals. Examples of documents may include
credit reports, savings or checking account statements, bill statements and budgeting sheets. These.
will be obtained during their monthly check in. session to confirm success. We also captureclient
information that will help to inform program decision and refinements aswell as marketing efforts; this..
includes demographic data, perceptions about banks and banking products, method of entry
(marketing data), debt levels, numbers of credit cards,' and more. At the end of each workshop:
module, trainers enter test scores for all participants. All of this data is available online in our.,secure
client management database for both trainers and counselors to use. Counselors will.also review,
module test scores to provide additional support where needed. If participants are not making strong ..'
progress towards their goals, counselors canuse this information to help participants.identifyivhere
they are. stuck and provide additional resources/perspectives to help them get back on track towards
their goals.
Additional Information
Program Visibility
23. How will this program be communicated to the public,.professional peers: and thought _ .
leaders? Be specific and include details such as press releases, social media, convenings, web
postings, ,brochures or other related matenals.
If applicable, please ensure that acknowledgement of our grant funding credits the Citi Foundation.
The FEC program will be communicated using the following:
A kickoff event attended by City of Miami Mayor and press. Radio advertisement and distribution via
City of Miami neighborhood satellite offices. Showcase kick-off on TV channel and Public Service
Announcement.
Through the use of an extensive database, emails will be sent to residents, homeowners' associations
and community based groups and colleges citywide. Brochures and program materials will be
provided to selected partners to ensure the neediest residents are also informed of the program.
The City of Miami will utilize its own radio and TV broadcasting capabilities, coverage via its
partnership with the public radio station WLRN, and the Haitian Creole and Hispanic radio stations to
inform residents of the FEC.
24. Will this program include publication of any reports and/or research white papers?
No
If yes, when is this report expected to be produced? And, if known, specify the anticipated
•
title of the publication.
Note: The Citi Foundation would like to highlight the accomplishments of our nonprofit partners on the
Citi Foundation website by featuring any reports and/or white papers that are produced as a result of
our funding. If your program will produce a publication, please complete a licensing agreement, the
form of which is available for download in the link below, and attach the signed agreement to the last
page of this application. Please ensure that the agreement is reviewed and signed by an individual
with the authority to enter into a legal agreement on behalf of the organization that is producing the
publication. Signing this agreement does not constitute an offer, promise or guarantee of funding from
the Citi Foundation, Citigroup Inc., or any of its subsidiaries or affiliates. The Citi Foundation reserves
the right to determine, in its sole discretion, whether or not to feature the publication on the Citi
Foundation website. Click here to download the agreement form.
Licensing Agreement
You can attach the document by clicking the "Browse" button to locate the saved document on your
computer and then clicking the "Upload" button to attach document to your application.
Citi Engagement
25.-Will Citi employees participate/volunteer in this program?
No
If yes or if there are opportunities, please indicate how many and describe in what capacity
Please note that although we encourage the engagement of Citi employees in Citi Foundation funded
programs, the involvement of Citi employees is not a determining factor for funding consideration.
26. Is there a Citi employee on the Board of the organization
If there is a Citi employee on the Board of your organization, provide the Citi employee's full name,
Citi business, and title as well as board position and/or whether the Citi employee serves in an
advisory capacity regarding the finance, governance, or fundraising for the organization. Please note
that the involvement of Citi employees is not a determining factor for funding consideration.
No
Citi Contact Information
27. Citi Inviter Name
Provide the name of the Citi Contact who invited your organization to apply for a grant. Enter the
name exactly as it appears in the Invitation to Apply that your organization received. Do not include
title or address.
Patricia Algaze
28. Grant Program
South Region (Business Partner Sourced)
Compliance
29 Group _Exemption
Is your organization an affiliate of a large, national parent organization and does that organization
have an IRS group tax exemption ruling?
No
If yes, please include a scanned.copy of the -page from the most recent published directory or;;
online database, which identifies your organization' as an affihhate_inember of the parent
organ»ation Please upload this document here
You can attach the document by clicking the "Browse" button to locate the saved document on your
computer and then clicking the "Upload" button to attach document to your application.
. .. .., .... .................:..,...„ __.. ...........:. - . . . . ..... ._, .
' . -:.,-_-: :.,- ......: --.•..-.:::.,
30. Fiscal Sponsorship
Is your organization acting as an official Fiscal Sponsor for this project/program?
No
If yes, please review the fiscal sponsorship guidelines by clicking. here and attach the required
You can attach the document by clicking the "Browse" button to locate the saved document on your
computer and then clicking the "Upload" button to attach document to your application.
31: Supporting Organi7ation „:_- z-.-
As a 501 (c)(3), your organization may be further classified by the Internal Revenue Service (IRS). Is
your organization a supporting organization as described in section 509 (a)(3)? (You can find this
classification in your organization's IRS determination letter.)
No
If yes, please note that you are required to complete and attach the Supporting Organization
Form here. Click here to download the required form..
You can attach the document by clicking the "Browse" button to locate the saved document on your
computer and then clicking the "Upload" button to attach document to your application.
32. Public Schools and School Districts
• r • • . ' • . " • •
If youT organi7ation is a public school or school district, please locate your or6anization On
one of the. following web sit0'. You will be asked to include a scanned copy here
Public Schools Search
Public School Districts Search
Public Colleges and Universities
By checking this box, 1 understand that submission of an applicationdoes �tconstittite an
offer, promise or guarantee of funding from the Citi Foundation, Citigroup Inc., or any of its
subsidiaries.
Yes
Please note that you are, required to e-maila draft of the completed application to the Citi.
Foundation for preview before you can officially submit this application -for funding
consideration
When you have completed the entire application and attached all required documentation to
the application form,°please select "E-mail Draft' at the bottom of,this screen and Send `a draft
of the application to CCDGrants@citi.com._The Citi Foundation will review the draftapplication
..:
and contact you if additional information is required before: submission
Once the Pit' Foundation authorizes the official submission of the_ application form, you wi
receive a: Submission. Code to` enter in question #32`
Please note that the deadline to submit a draft application to the Citi Foundation for.
authorization is November 19, 2012.
33. Submission Code
Once the Citi Foundation authorizes the official submission of this application form, you will be
provided with a Submission Code. Please enter this Submission Code exactly as it appears in the
authorization e-mail sent to you by the Citi Foundation.
8040
ATTACHMENT B - BUDGET
PER ATTACHED, SUBJECT TO FINAL NEGOTIATION
com: DRAFT PSA for Operation Hope Services for Citi Foundation grant will- Legal Dept Edits as of May 7