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Home My WebLink AboutPre-LegislationCity of Miami Legislation Resolution: R-14-0012 City Hall 3500 Pan American Drive Miami, FL 33133 www.miamigov.com File Number: 13-01407 Final Action Date: 1/9/2014 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), ESTABLISHING A SPECIAL REVENUE PROJECT ENTITLED: "2013-2014 MEMORANDA OF AGREEMENT -DISCHARGE PLANNING GRANT" AND APPROPRIATING FUNDS, IN AN AMOUNT NOT TO EXCEED $340,000.00, CONSISTING OF A GRANT FROM THE MIAMI-DADE COUNTY HOMELESS TRUST, TO PROVIDE EXTENDED OUTREACH, AND HOUSING SERVICES TO HOMELESS INDIVIDUALS REFERRED THROUGH MIAMI-DADE COUNTY JUDICIAL AND HEALTH SYSTEMS; AUTHORIZING THE CITY MANAGER TO EXECUTE THE EXTENSION AND AMENDMENT NO. 4 TO THE 2010 MEMORANDUM OF AGREEMENT -DISCHARGE PLANNING , IN SUBSTANTIALLY THE ATTACHED FORM, BETWEEN THE CITY OF MIAMI AND MIAMI-DADE COUNTY AND ANY OTHER NECESSARY DOCUMENTS, IN A FORM ACCEPTABLE TO THE CITY ATTORNEY, IN ORDER TO IMPLEMENT THE ACCEPTANCE AND ADMINISTRATION OF SAID GRANT AWARD. WHEREAS, pursuant to Resolution No. 10-0007, adopted January 14, 2010 the Miami -Dade County Homeless Trust awarded the City of Miami ("City") a grant in the amount of $340,000.00 for the provision of services to homeless Individuals referred through the Miami -Dade County Judicial and Health System; and WHEREAS, pursuant to Resolution Nos. 10-0517, 11-01087 and 12-01320, adopted November 18, 2010, December 15, 2011 and November 19, 2012, respectively, the Miami -Dade County Homeless Trust awarded an extension and amendments of the initial grant to the City for three (3) consecutive years, in the amount of $340,000.00 'each to continue providing said services; and WHEREAS the City has been awarded an additional extension and amendment of said grant, in the amount of $340,000.00, for the operation of the Miami Homeless Assistance Programs for Fiscal Year 2013-2014; and WHEREAS, said funds will be used by the Miami Homeless Assistance Programs to provide intervention services for the temporarily and chronically homeless as well as provide housing, transportation and other supportive services as necessary; and WHEREAS, it is appropriate for the City Manager to accept said grant and to establish a special project fund for the appropriation of said grant award; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The recitals and findings contained in the Preamble to this Resolution are adopted by reference and incorporated as fully set forth in this Section. Section 2. The following Special Revenue Project is established and resources are appropriated City of Miami Page 1 of 2 File Id: 13-01407 (version: 1) Printed On: 5/18/2015 File Number: 13-01407 Enactment Number R-14-0012 as described below: FUND TITLE: 2013-2014 Memorandum of Agreement -Discharge Planning Grant RESOURCES; Miami -Dade County Homeless Trust $340,000,00 APPROPRIATIONS: $340,000.00 Section 3. The City Manager is authorized{1} to execute the Extension and Amendment No. 4 to the 2013-2014 Memorandum of Agreement -Discharge Planning, in substantially the attached form, between the City and Miami -Dade County to provide extended outreach and housing services to homeless individuals referred through the Miami -Dade County Judicial and the Health System, and to further execute any other necessary documents in a form acceptable to the City Attorney , in order to implement the acceptance and administration of said grant award. Section 4. This Resolution shall become effective immediately upon its adoption and signature of the Mayor.{2} Footnotes: {1 } The herein authorization is further subject to compliance with all requirements that may be imposed by the City Attorney, including, but not limited to, those prescribed by applicable City Charter and Code provisions. {2} If the Mayor does not sign this Resolution, it shall become effective at the end of ten (10) calendar days from the date it was passed and adopted. If the Mayor vetoes this Resolution, it shall become effective immediately upon override of the veto by the City Commission. City of Miami Page 2 of 2 File Id:: 13-01407 (Version: 1) Printed On: 5/18/2015 11111 •M I AM IMF COUNTY miamidade.gov February 18, 2014 AMEN DIME NT # 4 Homeless Trust I bl OVe ti 27th Floor Suite 310 Miami, Florida 33128-1930 T305-375-1490 F 305-375-2722 Mr, Sergio Torres, Program Administrator The City ef Miami Homeless Assistance Program 444 SW 2" Avenue Miami, FL 33/28 RE; Ttlomorandmri of Agreement (MOA) Program Grant Number: IPC.1.314.M0A Dear M. Torres: Enclosed, please find for your file, one (1) fully executed original of the Agreement between Miami -Dade County, through the Miami -Dade County Homeless Trust and The City of 1Vliami for the abovementioned program, Please feel five to contact us at (305) 375.1490 if you have softy questions or l'equire additional information,. Thank you for your continued effbrts with addressing the needs of the homeless of oar cottintanity, Sincerely, Fernandez cativo Director Enclosures have received the executed Agreement for above-refereneed grants, Signature of Authorized .Agency Representative Date Printed Name of Agency I:epresentative EXTENSION AND AMENDMENT #4 OF THE AGREEMENT BETWEEN MIAMI-DADE COUNTY AND THE CITY OF MIAMI — MEMORANDUM OF AGREEMENT (IVIOA) PROGRAM CONTRACT#: PC-1314-MOA THIS,AMNDMNT OF AGREEMENT #4 (the "Agreement Amendment") is made as of by and between IVIlaml-Dado County, through the Miami -bade County omelesi Trust (the "County') and The City of Miami, a recipient of grant funds to serve homeless Individuals, hereinafter referred to as the "Provider". WITNESSETH: WHEREAS, On February 1, 2010, the County and the Provider entered into a Grant Agreement ("Agreement") which provides funding for the provision of housing and Benefices to homeless individuals and 'families in Mlami-Dade County. WHEREAS, On January 6, 2011, February 22, 20.12 and January 22, 2013, said Agreement was amended and extended for one (1) year; and WHEREAS, this Agreement provides for certain rights and responsibilities of the County; and WHEREAS, the Agreement allows for amendments and extensions at the sole discretion of the County; and WHEREAS, the County, is desirous of extending and amending the Agreement for one (1) additional year pursuant to the terms of the Agreement; NOW, THEREFORE, DE IT RESOLVED, for and consideration of the mutual agreements between the County and the Provider, which are set forth In this Amendment of the Agreernent #4, the reoeipt and sufficiency of which are acknowledged, the County and the Provider amend this Agreement as follows; ARTICLE I Recitals The foregoing recitals are true and correct and constitute a part of this Amendment of the Agreement #4. ARTICLE II — Ratification of the Agreement Other than expressly modified or amended herein, all other terms, and conditions of the Agreement shall remain in full force and effect. The City of Miami-Memorandirri of Agreement Program Contraot Number; PC-1314,M0A ARTICLE HI Amendments The Agreement is hereby amended as follows: Article 2 is replaced as follows: ARTICLE 2. AMOUNT PAYAI3LE. Subject to available funds, the maxirnum amount payable for services rendered under this contract shall not exceed: Memorandum of Agreement (MOA) Program $3401000.00 Both parties agree that should available County funding be reduced, the amount payable under this Contract may be proportionately reduced at the sole discretion and option of the County. All services undertaken by the Provider before the County's execution of this Contract shall be at the Providers risk and expense. It is the responsibility of the Provider to maintain sufficient financial resources to meet the expenses incurred during the period between the provision of services and payment by the County. The County, at its sole discretion, may allow Provider an advanoe of NIA once the Provider has submitted an appropriate request and submitted an invoice in the form required by the County, Article 3 is replaced as follows: ARTICLE 3. SCOPE OF SERVICES 4 The Provider shall render services in accordance with the 2013-2014 Scope of Servioes Incorporated herein and attached hereto as Attachment A. The Provider shall implement the Scope of Services as described in Attachment A in a manner deemed satisfactory to the County. Any modification or amendment to the Scope of Services shall not be effective until approved by the County and Provider in writing, 2 The City of Miami-lAomorandum of Agroomant Program Contract Numbor: P C-13 14-MOA Arttcle 4 Is replaced as follows: ARTICLE 4. BUDG T 8 ,IMMARY The Provider agrees that all expenditures or costs shall be made in accordance with the 2013-2014 Budget, which Is attached hereto and incorporated herein as Attachment B. The parties agree that the Provider may, with the County's prior written approval; revise the schedule of payments in Article 17 of the contract or the line item budget (Attachment B), and such revision shall not require an amendment to this Contract. Article 5 is replaced as follows: ARTICLE 5, EFFECTIVE TERM Both parties agree that the Effective Term of this Contract shall commence on pctober 1, 2013 and terminate at the close of business on September 30 2014, Contingent of the existence of sufficient funding and the approval of the County, this Contract may be extended for one (1) additional one (1) year term, at the County's sole discretion, SIGNATURES APPEAR ON THE FOLLOWING PAGE The City of Miami -Memorandum Qf Agreement Program Contract Nomber; PC- 13 14-MOA IN WITNESS WHEREOF, the parties have caused this four (41 page Amendment #4 of the Agreement to be executed by their respective and duly authorized, officers the day and year first above written. WITNESSES CITY CLEM Approved as to F011/1 aticl Correctness: By: ENTITY: CITY OF MIAMI, FLORIDA A municipal corporation of The State of Florida By; 1-Th1NY CITY MA Approve ‘wance uiremer ICTO A MENDEZ CALV 1$ •CITY A TORNEY , RISK EMENT ATTEST: HARVEY RUViN, CL BY: Affix Incorporation SEAL bore Miami -Dade County, a political subdivision of The .State f F111 CARLOS A, G1MENBZ MAYOR 4 c Ti Provider er will, provides Memoranda la e f .Agretetxaant (`MU'A') ,vot loos apeoit scl boloww, The MOA partleiput1ug' butate s aaro MiarnL Dade County Deparizniont of Corraetions atxci. Rdkhabilitation, The iot:ida Deapartment. of Coneotions, Tlxa p'lorida D p xt uent of 611clren and Varrillos, The State of Florida 11 rat ktdioiai Mutt, 3aolason l amotiai. llos lte p rblio Reath 'ate, Oi T iclsy Ine, and Cotarniaxai'ty.10:nxatal Heath Fo311t[es ("MOA Entities", The t;oJlatvitag savieas will be;pxavide4: • xornelass oufx ed )h set; vices from 5 0 pm, ,to gild a, n,. Monday through Ridgy and 24 hour � 1 onaoless ontread, on Saturdays and Sundays Cowtty4de, Ontrearla sprri000 w inblode sta 'fin the >< omei'ess I- e[pl,ble during tlioso hour's and oacuapting Gals txozxn MOA pattcip�:tixa entitles as closori1 ed abA'o and as a .tiiraexd. its the MOB. do umant (.Att>zr,Ix apt • SstabliAb, a team of three (3) Housing Specialists, (dedexated. staff who 'Will devslop housing resouroos) !:[liked to the lionleIess alplxtzg, who will aczept; xat rais axed servo as .A/4iropt.ato within aVaiiablia ,resources) homeless . tdivaduals ox chose at Ask of 61:oiesaness, `tor all of -the Ohm pates involved i z this Agreez lent, Thersa ,spnoialittts nifty bo loaeiteet at of ategip looationa (e,g. The, ,Ytiistioa Center) or ether sitar to ba Lid—A:mined by the kion:teleass '.C'rugt uad wzll unapt ;edemaf. bm MOA Wities in nod of sQrv'ioe) for ui,tiav1c1t It and :families at risk of laolnelessnogs who tAzc oiating•thoix systOnM. • • -rousing; f po ia7isfs shall kas,i t toe o1loizts wlh ua seai°oh and. plaox'ne .t into affordable housing lid nx app opxiata homefless%ther prorans, • xYarising Specialists shall devklopfidentx y an, lxav61:1017 of approl .'iato laoxtbi> g add ' ; szrvi cos far individuals refortec by the MOA 1,ntiti.ens. • Idettify 1a6us ng and antwios, wthin available; r'escrazo oa i:1ar'c3*gb.'the devdlopinent of w resou roes within budg tacy tit c.'1 legal limitations, for tomeless individuals or dingo at risk n: hoxnelvianesp referred by the MOA ntxtie),�. 'Utilize the Holders Trust JFloxaxolese 'Manageoaaot Informaatiai 5ystatan (11M8):rot Cent mfarral, tree lcim and o aea management p upoaos. Waxlt wvit:;Is. tho othec age noiog under this Agreement to abllc.et data on those iratfi�racltiais x f'orrod, pl coed, aid/o:c' amble tc bo served; to identity tt'wdds, MO utilizers, uln mods, : and "harrlors to pla4e,omnt, • )dent 1 r O .7, nloally XXornoIossp ,i 1a Utilizers of multiple systems of aaa.'w who will be tofemed to tho Klot eleus ,crust uocarci uated outrertch, prop= (operated by Ci'tx'ns I�foaith ' Network) toltroilitato are xals to low demand rla tie t ampearttve homing, oa- otei hubi 'x',g ond ,s(st`viom as available and al?pxopz'iato. P rovido bun tokens to individuals in nod of trosportaton s,ssi,stanoo a.o.ttsa'.t'e4 by to MOA Lea tuxes. txsav;t o 0, 90, 1gI and :365 day postplaoetneut reporting v[a. l IS and narrative data a:ta pnoplo placoel through -this pt'ogr arn,, „ Re; Budget Amendment Request for Memorandum of Agreement FY 13-1,4 Contract arn', Miami Homeless Assistance Program is respectfully submitting for your review and approval the enclosed Budget Amendment Request for Memorandutn of Agreement FY 13-1,4 Contract. The program is requesting shift in funding ti E.; tiyi WM I V I ii'l UM 41,1 14111,11141.1.1 VA. Alk6A. VVALL VAIL lo r.. 4 AM 4.—V 5? ',5 1, I k,N., . , . . Supportive Services Expense Current Budget 13.0FTS (2.100% , 10.20%,1-60%)Co mint m ity Outreaoh Sp eoialist, Total 126,604.19 Salary 117,514,33 FICA 8,999,86 2,0 FTEHousIng Speoltflt Total 71,100.42 Salary 06,094,22 FICA 6,056,20 1.00 FL 19% PrOVE1111 Clerk Total 6,711,12 Salary 0,234,20 PICA 476.02 1,00 FIT HousingSpeeiallst Supervisor Total 48,693,26 Salary 46,232.94 FICA 3,400,32 2.00 FT] 20% Sp eeial Projoot Assistant, ' Total 24,463,03 Salary 22,716,30 FICA 5 1,737,73 I, WI I 1 I 1,00 VTR 20% Case Manager Assistant Total 10,747.78 Salary 9,984.00 FICA 763,78 1,00 FTF, 54% reedin g Coordinator Total 18,019,76 Salary 16,739.21 FICA 1,280.56 1 '. 7-rfi?i': fif41071440-Mai, Jaliegkei1Aid,d1iNda4,4xidgfiiti, ,,diciilliAAi;ii,1".„. wirrtv:ij CO ID4pIl, loatio n ,,s 4,600.00 Hotel / Ivietel (temporal emergetlo ho LIS lag for famillos 7,000,00 990.00 Rout of FL) tylp rnen,t, ,, , ,.. Offloo space, utilities and rnaintna1s east 2,680,44 Transportation 11,250,00 „ . operating Sup plie a,000. 00 , .Indiroot Admin Is trative Costs 4,300,00 Total - . 340,000.00 1 City of Miami Legislation Resolution: R-12-0478 City Hall 3500 Pan American Drive Miami, FL 33133 www.miamigov.com File Number: 12-01320 Final Action Date: 12/13/2012 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), ESTABLISHING A SPECIAL REVENUE PROJECT ENTITLED: "2012-2013 MEMORANDA OF AGREEMENT -DISCHARGE PLANNING GRANT", AND APPROPRIATING FUNDS, IN AN AMOUNT NOT TO EXCEED $340,000, CONSISTING OF A GRANT FROM THE MIAMI-DADE COUNTY HOMELESS TRUST, TO PROVIDE EXTENDED OUTREACH, AND HOUSING SERVICES TO HOMELESS INDIVIDUALS REFERRED THROUGH MIAMI-DADE COUNTY JUDICIAL AND HEALTH SYSTEMS; AUTHORIZING THE CITY MANAGER TO EXECUTE THE EXTENSION AND AMENDMENT NO. 3 TO THE 2010 MEMORANDUM OF AGREEMENT -DISCHARGE PLANNING , IN SUBSTANTIALLY THE ATTACHED FORM, BETWEEN THE CITY OF MIAMI AND MIAMI-DADE COUNTY, AND ANY OTHER NECESSARY DOCUMENTS, IN A FORM ACCEPTABLE TO THE CITY ATTORNEY, IN ORDER TO IMPLEMENT THE ACCEPTANCE AND ADMINISTRATION OF SAID GRANTAWARD. WHEREAS, pursuant to Resolution No. 10-0007, adopted January 14, 2010, the Miami -Dade County Homeless Trust awarded the City of Miami ("City") a grant in the amount of $340,000, for the provision of services to homeless individuals referred through the Miami -Dade County Judicial and Health Systems; and WHEREAS, pursuant to Resolution Nos. 10-0517 and 11-01087, adopted November 18, 2010 and December 15, 2011, respectively, the Miami -Dade County Homeless Trust awarded an extension and amendment of the initial grant to the City for two consecutive years, in the amount of $340,000 each to continue providing said services; and WHEREAS, the City has been awarded an additional extension and amendment of said grant, in the amount of $340,000, for the operation of the Miami Homeless Assistance Programs for Fiscal Year 2012-2013; and WHEREAS, said funds will be used by the Miami Homeless Assistance Programs to provide intervention services for the temporarily and chronically homeless, as well as provide housing, transportation and other supportive services as necessary; and WHEREAS, it is appropriate for the City Manager to accept said grant and to establish a special project for the appropriation of said grant award; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The recitals and findings contained in the Preamble to this Resolution are adopted by reference and incorporated as fully set forth in this Section. City of Miami Page 1 of 2 File Id: 12-01320 (Version: 1) Printed On: 5/18/2015 File Number: 12-01320 Enactment Number: R-12-0478 Section 2. The following Special Revenue Project is established and resources are appropriated as described below: FUND TITLE: 2012-2013 Memorandum of Agreement -Discharge Planning Grant RESOURCES: Miami -Dade County Homeless Trust $340,000 APPROPRIATIONS: $340,000 Section 3. The City Manager is authorized {1} to execute the Extension and Amendment No, 3 to the 2012-2013 Memorandum of Agreement -Discharge Planning, in substantially the attached form, between the City and Miami -Dade County to provide extended outreach and housing services to homeless individuals referred through the Miami -Dade County Judicial and the Health System, and to further execute any other necessary documents, in a form acceptable to the City Attorney, in order to implement the acceptance and administration of said grant award. Section 4. This Resolution shall become effective immediately upon its adoption and signature of the Mayor.{2} Footnotes: {1} The herein authorization is further subject to compliance with all requirements that may be imposed by the City Attorney, including, but not limited to, those prescribed by applicable City Charter and Code provisions. {2} If the Mayor does not sign this Resolution, it shall become effective at the end of ten (10) calendar days from the date it was passed and adopted. If the Mayor vetoes this Resolution, it shall become effective immediately upon override of the veto by the City Commission. City of Miami Page 2 of 2 File Id: 12-01320 (Version: 1) Printed On: 5/18/2015 4. • AMENDMENT # 3 EXTENSION AND AMENDMENT #3 OF THE AGREEMENT BETWEEN IVIIAMWADE COUNTY AND THE CITY OF IVIIAMI — MEMORANDUM OF AGREEMENT (MCA) PROGRAM CONTRACTTh PC-1213-MOA THIS AMENDMENT OF AGREEMENT 03 (the "Agreement Amendment") is made as of by and between Miami.Dade County, through the Miami -Dade County Homeless Trust (the "County") and The City of Miami, a provider of services to homeless individuals, hereinafter referred to as the "Provider, WITNESSETH: WHEREAS, On February 1, 2010, the County and the Provider entered into an Agreement ("Agreement") which provides funding for the provision of housing and services to homeless individuals and families in Miami -Dade County. WHEREAS, On January 8, 2011 and February 22, 2012, said Agreement was amended and extended for one (1) year; and WHEREAS, this Agreement provides for certain rights and responsibilities of the County; and' WHEREAS, the Agreement allows for amendments and extensions at the sole discretion of the County; and WHEREAS, the County is desirous of extending and amending the Agreement for one (1) additional year pursuant to the terms of the Agreement; NOW, THEREFORE, BE IT RESOLVED, for and consideration of themutual agreements between the County and the Provider, which are set forth in this Amendment of the Agreement #3, the receipt and sufficiency of which are acknowledged, the County and the Provider amend this Agreement as follow: ARTICLE I — Recitals The foregoing recitals are true and correct and constitute a part of this Amendment of the, Agreement ita ARTICLE 11 — Ratification of the Agreement Other than expressly modified or amended herein, all other terms and conditions of the Agreement shall remain in full force and effect, • The City of Miami-Mem orandum of Agreement Program Contract Number: PC -I 112-MOA ARTICLE III —Amendments The Agreement is hereby amended as follows: Article 2 is replaced as follows: ARTICLE 2. AMOUNT PAY&I3LE. Subject to available funds, the maximum amount payable for services rendered under this contract shall not exceed: Memorandum of Agreement (MOA) Program $340,000,00 Both parties agree that should available County funding be reduced, the amount payable under this Contract may be proportionately reduced at the sole discretion and option of the County. All services undertaken by the Provider before the County's execution of this Contract shall be at the Provider's risk and expense. It is the responsibility of the Provider to maintain sufficient financial resources to meet the expenses inclined during the period between the provision of services and payment by the County. The County, at its sole discretion, may allow Provider an advance of J\I1A once the Provider has submitted an appropriate request and submitted an invoice in the form required by the County. Article 3 is replaced as follows: ARTICLE 3, SCOPE OF SERVICES The Provider shall render services in acoordanbe with the 2012-2013 Scope of Services Incorporated herein and attached hereto as Attachment A. The Provider shall implement the Scope of Services.as described in Attachment A in a mariner .deereed satisfactory to the County. Any modification or amendment to the Scope of Services shall not be effective until approved by the County and Provider in writing. 'rho City of Miami-D/10=mnd= of Agreement Program Contract Numbor PC-11124140A Article 4 is replaced as follows: ARTICLE 4. BUDGET SUMMARY The Provider agrees that all expenditures or costs shali be made in accordance with the 2012-2013 Budget, which is attached hereto and incorporated herein as Attachment B. The parties agree that the Provider may, with the County's prior written approval; revise the schedule of payments in Article 17 of the contract or the line item budget (Attachment 13), and such revision shall not require an amendment to this Contract. Article 5 is replaced as follows: ARTICLE 6, EFFECTIY8,TERIVI Both parties agree that the Effective Term of this Contract shall commence on October 1, 2012 and terminate at the close of business on Septhmber 30, 201q. Contingent of the existence of sufficient funding and the approval of the County, this Contract may be extended for two (2) additional one (1) year terms,. at the County's sole discretion. SIGNATURES APPEAR ON THE FOLLOWING PAGE IN \WITNESS WHF,REOF, the parties have caused this four (4) page Amendment of the Agreement #3 to be executed by their respective and duly authorized officers the day and year first above written, THE CITY 0 MAMI By: Name: Joh Title: Date: 13y: Narne:TitIkfr T.kgages,0*-91MC tgkre$, Paiitc" City/Clerk Date: 1244 9 gitsivianaor r000000i Approved as to13rm and Correctness: By; '1ame jIieC, Bru \i Title: jCfty Attorney Date: 162 'iciti. Approved OG to Ipdirance R tee< By: , „ Name: „Calvin Ellis Title: ... Director, Rj Date:. -1,..-- Attest: Print Name: Title; Authorized Person OR Notary Public Corporate Seal OR Notary Seal/Starno: — • MIAMI-DADE CDUNTY By: Name: Titia: Date: Attest: HARVEY RUVIN Clerk Board of CoLrntyTssiJ o By: Print Narne: ATTAOHMENT A SCOPE OF SERVICES The Provider will provide Memoranda of Agreement ("1\40A") services E8 specified below, 'rhe MOA participating entities are Miami -Dade County Department of Corrections and Rehabilitation, The Florida Department of Corrections, The Florida Department of Children and Families, The State of Florida 11thJudicial Circuit, Jackson Memorial Hospital/Public Health Trust, Our Kids, Inc. and Community Mental Health Facilities ("MOA Entities". The following services will be provided: Homeless outreach services from 5:00.pm to 800 a.m. Monday through Friday and 24 hour homeless outreach on Saturdays and Sundays County -wide. Outreach services will. include staffing the Homeless Helpline daring these hours and accepting calls from Ivi0A participating entities as described above and as outlined in the MOA document (Atta annuli A4): Establish a team of three (3) Housing Specialists, (dedicated staff who Will develop housing resources) linked. to the Homeless Helpline, who will accept referrals and serve as appropriate within available resources, homeless individuals or those at risk of homelessness., from all of the other parties involved in this Agreement, These specialists • may be located at strategic locations (e.g. The Justice Center) or other sites to be determined by the Homeless Trust and will accept referrals from MOA entities in need of SerVi0e8 for individuals and families at risk of homelessness who are exiting their systems. 0 • Housing Specialists shall assist those clients with housing search and placement into affordable housingand or appropriate homeless/other programs, ▪ Housing Specialists shall develop/identify an inventory of appropriate housing and services for individuals referred by the MOA Entities, • Identify housing and services, within available resources, or .through the development of new resources within budgetary and legal limitations, for homeless individuals or thew at risk of homelessness referred by the MOA Entities Utilize the Homeless Trust Homeless Management Information System (HMIS) for client referral, tracking, and ease management purposes, • Work with the other agencies under this Agreement to collect data on those individuals referred., placed, and/or. unable to by served; to identify trends, high utilizers, unmet needs, and barriers to placement, Identify Chronically Homeless -High Utilizers of multiple systems of care who will be referred to the Homeless Trust coordinated outreach program (operated by Citrus Health Network) to facilitate referrals to low demand permanent supportive housing or other housing and services as available and appropriate, • Provide bus tokens to individuals in need of transportation assistance refermd by the MOA Entities.. , • Provide 30, 90, '180 and 365 day post -placement reporting via HMIS and narrative data .on people placed through this program. City of Miami Legislation Resolution: R-11-0499 City Hall 3500 Pan American Drive Miami, FL 33133 www,miamigov.com File Number: 11-01087 Final Action Date: 12/15/2011 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), ESTABLISHING A SPECIAL REVENUE PROJECT ENTITLED: "2011-2012 MEMORANDUM OF AGREEMENT -DISCHARGE PLANNING GRANT", AND APPROPRIATING FUNDS, IN AN AMOUNT NOT TO EXCEED $340,000, CONSISTING OF GRANT FROM THE MIAMI-DADE COUNTY HOMELESS TRUST, TO PROVIDE EXTENDED OUTREACH, AND HOUSING SERVICES TO HOMELESS INDIVIDUALS REFERRED THROUGH THE MIAMI-DADE COUNTY JUDICIAL AND HEALTH SYSTEMS; AUTHORIZING THE CITY MANAGER TO EXECUTE THE EXTENSION AND AMENDMENT NO, 2 TO THE 2011-2012 MEMORANDUM OF AGREEMENT -DISCHARGE PLANNING, IN SUBSTANTIALLY THE ATTACHED FORM, BETWEEN THE CITY OF MIAMI AND MIAMI-DADE COUNTY, AND ANY OTHER NECESSARY DOCUMENTS, IN A FORM ACCEPTABLE TO THE CITY ATTORNEY, IN ORDER TO IMPLEMENT THE ACCEPTANCE AND ADMINISTRATION OF SAID GRANT AWARD. WHEREAS, pursuant to Resolution No. 10-0007, adopted January 14, 2010, the Miami -Dade County Homeless Trust awarded the City of Miami ("City") a grant in the amount of $340,000, for the provision of services to homeless individuals referred through the Miami -Dade County Judicial and Health Systems ; and WHEREAS, pursuant to Resolution No. 10-0517, adopted November 18, 2010, the City was awarded an extension and amendment of the initial grant with additional funds in the amount of $340,000, for the operation of the Miami Homeless Assistance Programs for Fiscal Year 2010-2011; and WHEREAS, the City has been awarded an additional extension and amendment of said grant, in the amount of $340,000, for the operation of the Miami Homeless Assistance Programs for Fiscal Year 2011-2012; and WHEREAS, said funds will be used by the Miami Homeless Assistance Programs to provide intervention services for the temporarily and chronically homeless, as well as provide housing, transportation and other supportive services as necessary; and WHEREAS, it is appropriate for the City Manager to accept said grant and to establish a special project for the appropriation of said grant award; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The recitals and findings contained in the Preamble to this Resolution are adopted by reference and incorporated as if fully set forth in this Section. City of Miami Page 1 of 2 File Id: 11-01087 (Version: 1) Printed On: 5/18/2015 File Number: 11-01087 Enactment Number: R-11-0499 Section 2. The following Special Revenue Project is established and resources are appropriated as described below: FUND TITLE: 2011-2012 Memorandum of Agreement -Discharge Planning Grant RESOURCES: Miami -Dade County Homeless Trust $340,000 APPROPRIATIONS: $340,000 Section 3. The City Manager is authorized {1} to execute the Extension and Amendment No. 2 to the 2011-2012 Memorandum of Agreement -Discharge Planning, in substantially the attached form, between the City and Miami -Dade County to provide extended outreach and housing services to homeless individuals referred through the Miami -Dade County Judicial and the Health System, and to further execute any other necessary documents, in a form acceptable to the City Attorney, in order to implement the acceptance and administration of said grant award. Section 4. This Resolution shall become effective immediately upon its adoption and signature of the Mayor.{2} Footnotes: {1} The herein authorization is further subject to compliance with all requirements that may be imposed by the City Attorney, including, but not limited to, those prescribed by applicable City Charter and Code provisions. {2} If the Mayor does not sign this Resolution, it shall become effective at the end of ten (10) calendar days from the date it was passed and adopted. If the Mayor vetoes this Resolution, it shall become effective immediately upon override of the veto by the City Commission. City of Miami Page 2 o, f2 File Id: 11-01087 (Version: 1) Printed On: 5/18/2015 AMENDMENT#2 HomelestriJtit 111 KW '16180001 #2,6 Ploor.S811e3 10 Word, Florki.1$ 3314.8-1930 311,ti-3:F8-1100 1"30,5-$71,i-242 roirouldattcpw Febotaty 21,2012 Mr, Jpituny Ninitirumz Oky Ntantqttr Sorgto Tortaz, Progrom Di,ratitar City,otlYilorat. 1490 t4W )41 AvErnro, 111.3 FL:131.3Q kl3; .2011-2012 Piritmury Cm Prcivitra —'1:11o.OLy oir H&c min ;Intl Atfileitclinatt of (to Own Agrotnwat far the VIliffl f 4,mprimt (MA) Prqrfrin Dav M. IviznIttez: Endosoa, 1)1a3ofid 1Dr put flip, ca. (I) ttilly tReecod iiI o ram Agmornmit bcmcca poianii-:DAttO eaumiy, 113R1uut1 1.4011;06,411 Tril!it oval lJi CIL.y of Mimro I for Um MentovAlithau „Agivoimtrt (,41).A) Progatan, P kasa fit01 fItto to contain 83 at (3'0S) 375-1490 if yisu have .ruly questionr,or rocittlyp add ItIonal inforniation, Thortk you For yr)'1,11' awdAund Efirorto 1081 p(Idiroalvw thiujtdof 1110 Itorualtam orart L.111111Ellliti 8in,Cergibt, w id Rarymond 131tourdw Divedin. flaProiros I' how rer*Iveftl. ielorm•ul .AgIvoniaat for allove-rdibrdhbod waat, SIvoitallorAWILDLimil .Agettcy Rtpre,nentittLve Data ii ono Agwy mpuntotIvo trIXTRI% .1.D AMENDMENT P2 OF IIITE AGREEMENT 'BETWEEN MIAMI-DADE COUNTY AND T}1E C1 Y 0)%14131A —MEMORANDUM OF AG EMT ( A) NOG.. CONT litACTU PC-11.12-MOA 'PAM AMENDMENT OF AiGREUMEtrt 11.2 (the "AgmmtritM Isintiondmont") i Marie 11.3if 2410- by and tievimoen Miami -Dade Cfniwriy, through the twitiarn'I.Dadis Cotay 1-Winless Trust (the '''Coliaty") and City of Miami, piuvider fservioas to horrieleffs tiereinatigir ra faired to ssth "Provickr". WITNEVJETIfi WHERBAS, On Fthruary I, 2010, IN County and the Proviakir tvitemid htt inAsiiieinent ("A greemann with% providiss Coding for the provision or howling and iiieirvios honnoiossi intfividiWa and arra Lk's in Miami -Dade County'. 'WHEREAS, On houttry 8, 2011, said Agmanieint votis amended Rod tixtonded for ono (*your; sad Watroleia, th.FAgcm-artt ritovidias 'tor certain tights and respensibititles ge the County; motj WHEREAS, to Agreotoont Mitws. for toramdmentis and mem:ions U. the Role discretion of the County; end WItEllattgAS, the County i$ eleisirous of mtentlirig and amending itlyslwoement One (i) additional year gittarartt.4) terira of tilo Agreoiroc NOW, TIlliatEFORE, DE rr itz ativED, r nd .00nsitioratioll, of the mutual agiterronts between the Couri), and the Ptovicier, wbicth are set faith in this Amendment or Agreement 02, the itz4ipt and SuffiCicIlry arti atikivimfixiged, the County and the Provider anooti this Agremuun Is. as. foil ova; ' ARTICLE Radtais "rho faregoing 'recitals out o.nd torreot snd constitute in pon of this Arnotridtnent atho Ngeommi....112. ARTY:CLIC II —Dtatittleatitia of th Other than expressly modifiea or .arnca60.-el be.rein, ail valor ternina and oorviitiom -of the Agmarst shalt irommin 3ri 11311 fol.= had nitriK.t II/4 City Or MililliMMflITIZITIglitiftlIt dApproxInlient Prograirk Coruna alaratt 1:10,1 I 19,-MQA. ARTICLE III —Atooralmorits The Agmetneat is hereby amended as followtir Article 2 is replaced as follows: ARTICLE', %, A410Il'N'T PAYADVIL Subject to atrailtblo funds, the 1118xlirillit tumoritrat pay eentrmil,: shalt Mt tal)Otil: Marauraudloal of ,Xgregtinent ,(61,0A) Prugrult1 t !services ,roodured tattler tirjB $340,01.10.0 Beth parties Agree .thot should available County feuding rt,C1tWed, the utoiamt payable, unclez this CoAtraot may be roporliottatNy redid. at the sole distvotion end optlori dem County, All services untleriskeu by the 13A-ovider boike the Corinty's execution of tido Cuatreett sltall be at tbePrevidor's risk rod expanse. It is 0,0 nsparmibility f tJ Ppovidetv to• mitiritem oaf firitunt foraucial l'aSOUntS TrifiOt the eallertSea inalITQA tho porlogl batmen tt-ry ptottuituo ,%Ortrfcrz and payinart by the. Coonty. The County:, at its sole distretion, way allow Provider en advance of ouee the if-11.0,41,dere Ins submitted an aiiipnopeiate :request And 311bl-flit-Cod on invoice,lii tb fbraa require/a, by the Comity. Arad& 3 is reploPad tis ARTICLE 3„ acog OF 80%10 me ?toy:Wm.:dull rendor =vitas in acootetangto w'itb tiro 2011-2012 SoOpoQfvioos inommated tiara alAltaetted Ira Attacluvent A, The Provider shall ii.upleraont tho &Apoof ir1rC' i dik1scir1t4 AttnAiroont A a tratilmer deartrttori Eatistfrubxy to the GluntyAny modifinattott or amoodnumt to the &Ave of Serviees shall not bo effeetive until approved by the County cod Provider in writing. 2 Tiog, City or i4kinti,4 ratkikutta Avovettiletit F'rograin Comma Ntunbtr PC-1 1 12440A Art tele 4 is re-pi/100cl A1/4,1r11CLit,' tIThMM Ry 'rho Provicittur agrvem UllstI1txittilditartlo cat:' ,0119tti, shall be, zutiohiglLtii0C,01*M1 with 4ht 2011-2012 BdcI, wItioll satitct011ed heiretra and imorpormed Itexclax AtitRtIkraetlis fA, The pull= agroe that LW Prolittam may, 'ill,1*.i011 Iii 00ValitY'S Prieu tiPProvtil,t• redtict. ale sejledu,10 of 1,,,,,aytornitR or the Tiuo 'tat brIclot, Nath CV1131011 h11 no L •L'Oclulto tykrienditromi 61,.) this Corattlict. •iwo s reoy.x4ei a9. %nu ws.: AR:ricLE 5grFus..cr„rre:g TAtm B.04,1j, pill/jog agree.. that iihb attpain, Tann of tilts (mrtrazt, shail oomantataw, pia tzurninate thi6 ,olom or busitrmsci/49)0,1r0,6 :CoxatinasAU oJT thx li:ir ufxffLdit fairk[ling marl ii:apprOval Of'the CriciTgx, COUATACI: rotly bet extRaded foT two (2) rde,irlitional arta (1) year term% Eit flu: Goa:110Pa floit NATURES APPEAR ON THE' FOLLOWNG AGE GRANT Ne'rvilgRft :2(11.E/2012. PIrlinory Cum l'iMirAtri City ormiait4 Nioawtandtini ApwirEaut WITZT,Z8$ NVIIIMECIT, the parties LIIMPTIO 116N+P mood ikgreloislent to hv etwut,dvx1byillefr vempedivia nogi duly timLborit,tx1 orkkors tho day awl yewfirst abovo WEAL) ATTEST: P3SCILLA, A T1 ruwac Approved as tia Vona .1)and Cocrootom; 1L1 ' '.116 CrtY A'aTORNEY ITARVEY VW • • • r • wrs ' 0.• tzx ...Y,,19:13211,601.noRro,A. ,A ormilotpoi tk Skala Florida ANNY IAA CI rry MANA / • / Apptoved au to Ilisurr remears..; e' r , 1.-\„.r.6•IWK C.AQMENT ..----r,0.04,...,.... . : N. 0,-` ..?' t., 05. .e. ,,,,t'''P,C01, 23,,,.4..'Wkr, ' ' ". 1,. M.0 '5002.:,Dief,..,* P'..q.. -. •• r....n P.9.1." 4,.." tARPOPTdilIVX -.11.1.:.„,,, e 4P MIX&UBRDamENT mCattpoRATIoN SEAL) refLA,101,-1),Artg,41,QPN'IL,V A pal:1o] sabdiviston v r Oita Stole Flarkin (firea75-7 CARLOS:t64111kia------- COUNTY MAYOR Slige rinotworkirgionfl ‘L.9.tod Lcdi ba.1_ apprrykrod aNto farm oad GRANT Yam tiER1 city ormi,om prEq4a7.111/ Pk1;144) 20 Vt.:1u ATTACHMENT A SOOr..13 OF StERVICP„S The Provie.tor will provide 14ermoranda of ,,,A,groemetat (140A1 Dervices slwcified below Tha :1'440A pewating t Oroaray DepiartiTitlit of Corrine:dam Rehabilitation, The Florida rkpartinent of Corm miens, '11,I‘n Florida ativirtrael-rt of Claidnaa and Parredielt, The Siste of Florid rt i judieial Jadk.sou. Nokmorip,a rioNoloyPubric., Health Tem., Om. Int- mid Community t',4eynicil fith Par.glitiIAGAt, Entities", fbIl owl:11g aertriOQS Min be Frin'A.E.16: Aciroipilei141' al:Art:0110h ver,400$ from 560 pm. 'tea 8.:0C1 ,•,1„iri..Monday %retell ihit'loy and 24 hour Ivarnalms c.n.tresett. on Satan:lays and Sundays CA-Jeuoty.viltle„ 01.ttrena strvidesvill ;11.TaThode Ntatring.thVontiale...gmI 1p1a ring the britara and @coal:ding calls from MOA pattioipat5tm entiti2es fts dmgaibed mbere kind •Oic_l outlined in Ali IMOA detutnemt (A till altalent A-2): Establtsb team of three () Homing, Spncialists, (dedicated atelf who "442.1 diTvelop renusing restnitiees) linked to the Ploratkesalpli, w1to will .iteetpt reform:is rine ok...,3111', •appPi)piriiVel: lrektilRb3ei If09011,P:',0a, tiYIndeSil 4.7ir theEle kit titt. of hotoele.mstleag, l'Yorn .01 if the .*-111:$1:. parties Involved izi this .Agraem.m.:11. Thew plimi-.141.1isto may bo. 1.strate4v, lovaticats (c,g. The, Jarlitioe Cznter) or (Ahoy often to be elerattrtind by tho Hort16 ass Triat and -will atlovt Telerrais from 1-40A males i ixio.f sezvieetsfb iudividuals and fa -willies at AA fholnellesaaitAs who are exiting tboi2. 6ystems. Jo, .Hctwiu tisholl waist ixsith bouisii wu4 nd 1riLiaik) Eifl'ort.30131e boudlag, an.cl octiHyptopfgate botrraelevsktbet programs. Frottsiins de-ottopAttentify aiini.vontory of op:prop:41B homing tmd. ''SeaViCi(18 f0),' individuatz 'Lrefea:red by The MOA Ic.CwItiry ilousin,g and veridical., availltbie remtames, i4n" through the: ciev6.1opmett Dew regouiv4s writhin budir4.tfiry land 10gel llonvaoss inorlivklmits :Dv those af. iirtik vfholm 0.1 eirsracU refixTed Ivy the MOA the IgclumpAoissTn format!ion (11141S) frvAimat Tettn. tam'oixis, and casemriirt plAirpCdtS. ci .14j 1ththe °that.; watmewies /alder th Agroorrneni ocoiiczt dLir. on. those iticlividnals referrod, plsood, Dud/or -tumble lob rveri:', to 1(103-X019 Irv:wig, high utiliz5m, tlilmest needs. Mind bard era to .'_(,.1a,:mtatrillt, Idgultify riircinitriaDy Horne] ass-l-fia UJr fmultipE0 systurrisofImre whewU mfaTredth tie iloolelets ',Crust. oardinated otitrearli program (01.°411.11e4 1•"!? CirFitudal N,,,,,,0110 to forzilitate refemds lc love dor-nand pri!nroanent, I'veppoitive lionsing, or oiller homing citnti aervic::es n:',03115111e.id40Prolviatta provide, bt .01;teis. t i didta n neied 1/41niperiEkii:VO agSiN:LaneCi 'ety th0 11,A OA. En:ill11v s. Fl"ntividat 30. INK 14t4) Eand ,3.6.5 day pa w..-plinoiment xv.portitv HMIS tn,:t clato• on peopk placed 'tInvogh thiv p5-ograin. ±12gialtpx 81,-*:4100.....PIDIERgri respectrAy ttibmEttl ft.lr y•r review orbci apprep,,t1 tht BudKet Amendment ROI:Seta for Dtie.morandino of Agreement FA,." 1tI2 Contra et. The proa no Lime sCrts: Olt% hi funcll'og. act I1/11.1v; for Memorandum of 014,reefritntI.t2.xervIces,. .:•§Ipportilve Services Fix oen,5e Budget 1,3.0171"E (4- I DO% „ 11-2014„1- 01.1.0retach Itoctoced i.oFTE, Snlary FICA .Orrii 2414a Linke mod Refenrti Speck,11'st Satkiry 1,1,t7„ik A - F� HiiffiSpeam la; Ttatril SWatry FICA. PTV,. NAM. 11;3,436.36 105,2,75,16 6 061 90 F.111.5.w PttOgiltia CleTk Total Salary FICA ii ...pet.10 LSI Supervisor TONI LJLry FICA. rra .2ou ASSOMmant. A.cf, Spotieatt Tu.lod Salnry FICA rtaamanimamsrm namomaaamaunnaxas.taaa, 1 . GO FT :27,4 Sir;Zil PAidt .t.fra3fottnic "kW Stfibuy RCA_ ma.alailnarae. araa-naar-aaaaaaa 1. 0% CPelar,saermviztoxr: TotY.A agrify • FMA PIE 4 af, ThlFii stapiry 4944.14 4,692,791 '361.36: 12,218,1 67,r:186%10 0, 32,00_ f3,7$3,60 6,4372.60 414.00 487.41 45,227,61 3,469.00 11,022,24 10,238.96 783,2,6 7,28161 6,771.58 a.„00 B,805.21 7.957„1 611,02 17,9,08,24 10,349,50 sai<ation kitf Moto (tornptrmy trgenty hLIth .1br 'ran !IWO "rrisiporratlon pea l'i#8; ;gap -plies: InclirQct AdaiiiniltroLtlw CD.4tN Re: • Su de t Amend rnent Requfflit far 1 rdum f kgratiment F 11-12 Contract City of Miami Legislation Resolution: R-10-0517 City Hall 3500 Pan American Drive Miami, FL 33133 www.miamigov.com File Number: 10-01264 Final Action Date: 11/18/2010 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), AUTHORIZING THE CITY MANAGER TO EXECUTE THE EXTENSION AND AMENDMENT #1 TO THE 2009-10 MEMORANDUM OF AGREEMENT - DISCHARGE PLANNING, IN SUBSTANTIALLY THE ATTACHED FORM, BETWEEN THE CITY OF MIAMI AND MIAMI-DADE COUNTY TO PROVIDE EXTENDED OUTREACH, AND HOUSING SERVICES TO HOMELESS INDIVIDUALS REFERRED THROUGH THE MIAMI-DADE COUNTY JUDICIAL AND HEALTH SYSTEMS; ESTABLISHING A SPECIAL REVENUE PROJECT ENTITLED: "2010-11 MEMORANDUM OF AGREEMENT -DISCHARGE PLANNING", AND APPROPRIATING FUNDS, IN AN AMOUNT NOT TO EXCEED $340,000 CONSISTING OF GRANT FROM THE MIAMI-DADE COUNTY HOMELESS TRUST; AUTHORIZING THE CITY MANAGER TO EXECUTE THE NECESSARY DOCUMENTS IN ORDER TO IMPLEMENT THE ACCEPTANCE AND ADMINISTRATION OF SAID GRANTAWARD. WHEREAS, pursuant to Resolution No, 10-0007, adopted January 14, 2010, the Miami -Dade County Homeless Trust awarded the City of Miami ("City") a grant in the amount of $340,000, for the provision of services to homeless individuals referred through the Miami -Dade County Judicial and Health Systems; and WHEREAS, on February 1, 2010, the City entered into an agreement with Miami -Dade County ("County") to memorialize acceptance of the grant and provide extended outreach and housing services to homeless individuals referred through the Miami -Dade County Judicial and Health Systems (the "2009-10 Memorandum of Agreement -Discharge Planning"); and WHEREAS, the City has been awarded an extension and amendment of the initial grant with additional funds in the amount of $340,000, for the operation of the Miami Homeless Assistance Programs for Fiscal Year 2010-2011; and WHEREAS, said, funds will be used by the Miami Homeless Assistance Programs to provide intervention services for the temporarily and chronically homeless as well as provide housing, transportation and other supportive services as necessary; and WHEREAS, it is appropriate for the City Manager to accept said grant and to establish a special project fund for the appropriation of said grant award; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1, The recitals and findings contained in the Preamble to this Resolution are adopted by reference and incorporated as if fully set forth in this Section. Section 2. The City Manager is authorized {1} to execute the Extension and Amendment #1 to City of Miami Page 1 of 2 File Id: 10-01264 (Version: 1) Printed On: 5/18/2015 File Number: 10-01264 Enactment Number: R-10-0517 the 2009-10 Memorandum of Agreement -Discharge Planning, in substantially the attached form, between the City and the County to provide extended outreach and housing services to homeless individuals referred through the Miami -Dade County Judicial and the Health System, and further execute any other necessary documents in order to implement the acceptance and administration of said grant award. Section 3. The following new Special Revenue Project is established and resources are appropriated as described below: PROJECT TITLE : 2010-11 Memorandum of Agreement - Discharge Planning Grant RESOURCES: Miami -Dade County Homeless Trust APPROPRIATIONS: $340,000 $340,000 Section 4. This Resolution shall become effective immediately upon its adoption and signature of the Mayor.{2} Footnotes: {1} The herein authorization is further subject to compliance with all requirements that may be imposed by the City Attorney, including, but not limited to, those prescribed by applicable City Charter and Code provisions. {2} If the Mayor does not sign this Resolution, it shall become effective at the end of ten (10) calendar days from the date it was passed and adopted. If the Mayor vetoes this Resolution, it shall become effective immediately upon override of the veto by the City Commission. City of Miami Page 2 of 2 File Id: 10-01264 (Version: 1) Printed On: 5/18/2015 AMENDMENT # 1 EXTENSION AND AMENDMENT #1 OF THE AGREEMENT BETWEEN MI. MI-DADE COUNTY AND THE CITY OF MIAMI -- MEMORANDUM OF AGREEMENT (MOA) PROGRAM CONTRACT#: PC•-:1011 MOA THIS A.MENDMIfaNT OF AGREEMENT (the "Agreement Amendment") is made as of t _d(�1 L by and between Miami -Dade County, through the It4liaini4Dade County ameless Trust (the "County") and The City of Miami, a provider of services to homeless ndividuals, hereinafter referred to as the "Provider" • WJTNESSETfl: WHEREAS, On February 1, 20:10, the County and the Provider entered into an Agreement (".Agreement") which provides funding for the provision of housing and servieesto homeless individuals and families in Miami -Dade County. - V:R.EaAS, this Agreement provides for certain rights and responsibilities of the County; and WHEREAS, the Agreement allows for amendments and extensions at the sole discretion of the County; and WHEREAS, the County is desirous of amending the Agreement pursuant to the terms of the Agreement; NOW, THEREFORE, BE IT RESOLVED, for and consideration of the mutual agreements between the County and the Provider, which are set forth in this Amendment of the Agreement, the receipt and. sufficiency of which are acknowledged, the County and the Provider amend this Agreement as follows: ARTICLE I -- Recitals The foregoing recitals are true and correct and constitute a part of this Amendment of the Agreement. ARTICLE ;11— Ratification of the Agreement Other than expressly modified or amended herein, all other terms and conditions of the Agreement shall remain in full force and effect. The City of Miami -Memorandum of Agreemelit Program Contract Number PC-1 011-MOA ARTICLE — Amendments The Agreement is hereby amended 'as follows: Article 2 is replaced as follows: ARTICLE 2. AMOUNT PAYABLE. Subject to available funds, the maximum amount payable for services rendered under this contract shall not exceed Memorandu.nt of Agreement (MOA) Program $340A0.00 Both parties agree that should available County funding be reduced, the amount payable under this Contract may be proportionately reduced at the sole discretion and option of the County. All services undertaken by the Provider before the County's execution of this Contract shall be at the Provider's risk and expense, It is the responsibility of the Provider to maintain sufficient financial resources to meet the expenses incurred during the period between the provision of services and payment by the County.. The County, at its sole discretion, may allow Provider an advance of N/A once the Provider has submitted an appropriate request and submitted an invoice in the form required by the County. Article 3 is replaced as follows: ARTICLE 3. SCOPE OF SERVICES The Provider shall. render services in accordance with the 2010-2011 Scope of Services incorporated herein and attached hereto as Attachment A. The Providershall implement the Scope of Services as described in .Attachment A in a manner deemed satisfactory to the County. Any modification or amendment to the Scope of Services shall not be effective until approved. by the County and Provider in writing. The City of Miatni-iviemoranclum of Agreement Program Contract NuMber PC.101 I-1VIOA Article 4 is replaced as follows: ARTICLE 4. .BUD(IET SUMMARY The Provider agrees that all expenditures or costs shall be made in accordance with the 2010-2011 Budget, which is attached hereto and incorporated herein as Attachxnent a The parties agree that the Provider may, with the County's prior written approval; revise the schedule of payments or the line item budget, and such revision shali not require an amendment to this Contract. Article 5 is replaced as follows: ARTICLE S. yFFECTIVE TERM Both parties agree that the Effective Term of this Contract shall commence on October 1, 2010 and terminate at the close of business on September 30, 2011. Contingent of the existence of sufficient funding and the approval of the County, this Contract may be extended for three (3) additional one (1) year terms, at the County's sole discretion. SIGNATURES APPEAR ON THE FOLLOWING PAGE 3 The Otty of Mlaml-Memorancium of Agreement Program Contract Number: PC-1011-MOA IN WITNESS WHEREOF, the parties have caused this fourApage Amendment of the Agreement to be executed by their respective and duly authorized officers the clay and year first above written THE CITY Or MIAMI MIAMI.DADE COUNTY, FLORIDA By: Name: Title: Date: By: C RLOS A. MIGOYA CITY MANAGER Name: PRISCILLA A. THOMPSO Title: Date: CITY CLERK Approved as to Form and Correctness: By: Name: Title: Date: JULIE 0. BRU CITY ATTORNEY e/. 4 By: Name: Title: Date: Attest: HARVEY RUVIN, Clerk Board of County Commissioners 30 0,444,7y,,„ By: Print Narr,re: Approved as to Insurance RequIrements: By: Name: -GARY R KY Title: Date: Attest: Print Name: Title: RISK MANAGEMENT Authorized Person OR Notary Public Corporate Seal OR Notary Seal/Stamp: 5 GRANT NUMBER: PC-MOA City of MiuTi, — MOA program/ Page 20 of20 ATTACHMENT A SCOPE OF SERVICES The Provider will proVide Memoranda of A.greement ("MOA") services as specified below, The MOA participating .entities are Miami -Dade County Department of Corrections and Rehabilitation, The Florida Department of Corrections, The Florida Department of Children and Families, The State of Florida 111h Judicial Cireuit,.Jacksori Memorial Hospital/Public Health Trust Our Kids, Inc. and Community Mental Health Facilities ("MOA Entities". The following services will be provided: Homeless outreach services from 5:00 pm, to 8:00 RAIL Monday through Friday and 24 hour homeless outreach on Saturdays and Sundays County -wide. Outreach services will include staffing the Homeless Helpline during these hours and accepting calls from 1VIOA participating entities as described above and es outlined in the MOA document (Attachment A-1): Establish a team of three (3) Housing Spec,ialists, (dedicated staff who ifl develop housing resources) linked to the Homeless Helpline, who will accept referrals and serve as appropriate, within available resources, homeless individuals or those at risk of homelessness, from all of the other parties involved in this Agreement. These specialists may be located at strategic locations (e.g. The Justice Center) or other sites to be determined by the Homeless Trust and will accept referrals from MOA entities in need of services for individuals and families at risk of homelessness who are exiting their )istems. • . Housing Specialists shall assist those clients with housing search and. placement into affordable housing and or appropriate homeless/other programs. Housing Specialists shall deveiop/identify an inventory of, appropriate housing and services for individuals referred by the MOA Entities. • Identify housing and services, within available resources, or through the development of new resources within budgetary and legal limitations, for homeless individuals or those at risk of horocleSSIICSS referred by the MOA Entities. UtUize the Homeless Trust Homeless Management information System (HMIS) for client • referral, tracking, and case management purposes. Work with the other agencies under this AMCIlleili to collect data on those indiViduals referred, placed, and/or unable to be served; to identify trends, high utilizers, Urilllet needs, and barriers to placement. Identify Chronically Homeless -High Utilizers of multiple systems of care who will be referred to the Homeless Trust coordinated outreach program (operated by Citrus Health Network) to facilitate referrals to low demand permanent supportive housing, or other housing and services as available and appropriate. • Provide bus tokens to individuals in need of transportation assistance referred by the MOA Entities, Provide 30„ 90, l 80 and 365 day post -placement reporting via HMIS and narrative data on people placed throne) this program, A'ITAC-1PD.a T B Rer Revised Budget , Mo irieat an. / Justification for Memorandum of Agreement Stqi'ieTs 1\!CIArni Horn elessAssistance .Pr•ourant, )`'I1dun Hon] eless Assistance, Tier; ran is rr:;spec:tfu.l1v suhmitiing for your review and approval the enclosed Budget Amendment Rec}uesi for Memorandum of Agreement Services Contract The program is requesting shift in funding activities for the .MC1A program. SupportiVe ,Services Expense Current Budget Modification Difference 6.0 FTE Community Outreach Specialist (Fi. 1;] 2,00/hour to cover for nights and weekends (approximately $25,000 per annual per staff member), reduce to 2.4 917TE , Total 150,000 71,41'1.59 (78.588,41)' Salary 66,336.82 FICA 5,0774,77 nintake and Referral Specialist for add 0.80 FTE a@ Total 25,000.00 25.000.0() Salary • 23,2'y3.41 FICA 1,7'7 6.59 2.0 FTE Housing Specialist. @ $15.8] /hour • Requesting, reduce to 1.62 FTE Total 60.000 Program Clerk. add 1.56 FTE (irk, Total 50.000.00 50,000.00 Salary 46,446,82 FICA 3,553,18 1.,68TE Housing Specialist Supervisor @ S2 r.73/ amour, ' Total 40.0OG 43,588,41 3.588.41. Salary 40,490.86 FICA 3,097.55 Rotel /Motel (temporary emergency housing for 10,000 10,000.00 families) Slrelter.Beds 65,700 65,700,00 Transportation (bus tokens for clients) 10,000 10,000.00 Indirect Admini5 'ativc Costs . 4,300 4,300.00 TOTAL 340,000 340,000,00 0 D 1 tg, From: Silajoct: Memora4 Deartab or 15,20:10. P,stephanie Remik, Msistant County Attorney 4 hunk:Dale County Attornny's °Hien Rariontl, Exactitivo Diroot or .1.tami-Darle County Homeless Trust. Approvn I of Agraetheni, 0 SIthdreoipiont 0 US, HUD Gam/ Agreement 'Cl Stale M Other: 'Primary •Core Services 1111'0'11nd, picase iind for your review and approval, throe (3) ortginalsof the referenced Grant Agreement: bewail Miura 14)atio Couniy, through the Miami -Dada County Homeless 'Trust and the agency listed belowl A gooey: Tiu City or Miami Contract Number / Name,: 1?C-S.011-1410A Ment.orandum of Agri:mu:tit Program Contfael Amount; $ 340,000,00 8.1.11): 0 STATE:0 OTHER 0 (Speci,f1: urn ration Authorized by Resolutlotn New Renewal Authorized by A) 3-38: 0 1111 New Renewal We ale requesting your assistance with reviewing and approving the A gretinont as to form and legal suflieloney as 80011 ns possible. Please coaled our ualce once lilt Agreements Wive been signed at(n 375-1490i As &mays, thank yOt.i. for your assistance. I uPpriwe 411.6 above referenced agreement tbr form. mid legal g dila:1T Cy ,01) 3110 V?,siephartle Resta Ode 4,a Nile iluk Assistant County Attornoy 04/et thiyre?J H 15 1 tio not approve the flbOVO.reforarmed agroamout rm. form and legal ii„Ats,Si,-741„ 0 4.301,,Kos)111 8111fidelkil beCIA140. __,,,,,„__„,„_„,,,,,,_ , — A:„ -W‘la 80f-g- yi .. — Psi- 1 V. o3 AClarli,-(0,C„r_ ,,,1 k 1?1ease resubmit again for raview after 1-17ese'probleins hove bean addressed, ,,O1 6..."-(-4-• .1-degk 4 1-* , ;1- -- , „iv' City of Miami Legislation Resolution: R-10-0007 City Hall 3500 Pan American Drive Miami, FL 33133 www.miamigov.com File Number: 09-01460 Final Action Date: 1/14/2010 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), ESTABLISHING A SPECIAL REVENUE PROJECT ENTITLED: "2010 MEMORANDUM OF AGREEMENT -DISCHARGE PLANNING", AND APPROPRIATING FUNDS, IN AN AMOUNT NOT TO EXCEED $340,000, FOR A TWELVE (12) MONTH PERIOD, CONSISTING OF A GRANT AWARD FROM THE MIAMI-DADE COUNTY HOMELESS TRUST, TO PROVIDE EXTENDED OUTREACH, AND HOUSING SERVICES TO HOMELESS INDIVIDUALS REFERRED THROUGH THE MIAMI-DADE COUNTY JUDICIAL AND HEALTH SYSTEMS; 'AUTHORIZING THE CITY MANAGER TO EXECUTE THE CONTRACT, IN SUBSTANTIALLY THE ATTACHED FORM, IN ORDER TO IMPLEMENT THE ACCEPTANCE AND ADMINISTRATION OF SAID GRANT. BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The following Special Revenue Project is established and resources are appropriated as described below: PROJECT TITLE : 2010 Memorandum of Agreement -Discharge Planning RESOURCES: Miami -Dade County Homeless Trust $340,000 APPROPRIATIONS: operation of the City of Miami Homeless Assistance Program $340,000 Section 2. The City Manager is authorized{1} to execute the Contract, in substantially the attached form, in order to implement the acceptance and administration of said grant award. Section 3,This Resolution shall become effective immediately upon its adoption and signature of the Mayor.{2} Footnotes: City of Miami Page 10/'2 File Id: 09-01460 (Version: 1) Printed On: 5/18/2015 File Number: 09-01460 Enactment Number: R-10-0007 {1} The herein authorization is further subject to compliance with all requirements that may be imposed by the City Attorney, including but not limited to those prescribed by applicable City Charter and Code provisions. {2} If the Mayor does not sign this Resolution, it shall become effective at the end of ten calendar days from the date it was passed and adopted. If the Mayor vetoes this Resolution, it shall become effective immediately upon override of the veto by the City Commission. City of Miami Page 2 of 2 File Id: 09-01460 (Version: 1) Printed On: 5/18/2015 L. ORIGINAL CONTRACT Homeless Trust 111 NW 1st Street * 27th Feo * Suito 310 Miami, Florida 3312/34930 T 305-375-1490 F 305.375-2722 Carlos Alvarez, Mayor February 1, 2010 Mr, Pedro Hernandez, City Manager c/o Sergio Torres, Program Director The City of Miami 1490 NW ri Avenue Miami, FL 33136 • ' ORIGINAL CONTRACT ff mlamidade,gov RE: Memorandum of Agreement (MOA) Program PC-0910-MOA Dear Mr. Hernandez: . Enclosed, please find for your file, one fully executed original of the Agreement between Miami - Dade County, through the Miiimi-Datle County HomelessTiut and The.City of Miami, for the above refereneed grant. Please feel free to contact us at (305) 375-1490 if you have any questions or require information. Thank you for your continued efforts with addressing, the needs of the homeless of our coonnunity. ocreiy, and irector Enolosures 1••••••••••••umes.wmanv,•••••••msymm.,•••••nwpcmai I have received one fully executed Agreerxient for .each of the above -referenced programa. Signature of Authorized. Agency Representative Date Printed Name of Agency Representative Tho City or IVIlami Memorandum 1Agrceint (MCA) Progrurn/Grut Maribor; PC M 10”MOA CONTRACT This Contract made and entered Into as of this , day of 201° by and betweenMiarnl-Dade County, a political subdivision of the State of Florida (the "County"), having its, principal office at 111 N.W, 1 Street, .27th Floor, Miami, Florida 33128 end The City of flitiaml/FEINit: 69-6000376, a corporation organized and existing under the iews of the State of Florida, having it principal office at 444 SW 2 Avenue, Miami, rioricla 33130 ("Provider"), states conditions and covenants for the rendering of human and social servioes ("Sentioes") for the County. WHEREAS, the Horne Rule Charter authorizes the County to provide for 'the uniform health and welfare of the residents throughOut the County and further provides that ail functions not otherwise specifically assigned to, others under.the Charter shall be performed wider the supervision of the Mayor or the Mayor's designee; and WHEREAS, the Provider provides or will develop services of value to the County and has demonstrated an ability or desire to provide these services; and WHEREAS, the County Is desirous of assisting the Provider in providing those services and the Provider is desirous of providing such service; and WHEREAS, the County has appropriated funds for the proposed services; NOW, THEREFORE, in consideration of the mutual covenants and agreements herein contained, the parties hereto agree as follows: ART1CLE1, D4P1NITIONS The following words end expressions used In this Contract shall be construed as follows, except when it is dear from the context that another meaning is intended; a) The words "AgreementContraot or "Oontraot Doournents" hall mean collectively these terms and conditions, the Scope of Services Attachment A and the Budget Documents Attachment 13 and all other attachments hereto, as well as all amendments or budget revisions issued hereto. b) The words "Contract Manager" shall mean IVIlarni-Dade County's Direotor of the Homeless Trust ("County") or the Director's designee, or the duly authorized representative designated to manage the Contract, ' c) The word "Days" shall mean 'Calendar Days, unless -otherwise specifically' noted, d) . The word "Deliverable' shall mean all doeLimentatien and any items of any nature submitted by the Provider to the County for review and approval pursuant to the terms of this Contract, • e) The words "directed", 'required", "permitted", "ordered", "designeted", "selected", "preseribed" or words of like Impott to mean respectively, the direction, requirement, permission, order,. designation, seleotion or prescription of the County's' Contract Page 1 of 26 The Clty orMlarni Ivlemoranclarn 'of Agre'emont (MOA) Program/Grant Tlurnbor: PC0910-M0A. Manager; and, similarly the words 'approved", acceptable'', "satisfectory'', "equal", "necessary'', or words of like Import to mean respectively, approved by, or acceptable or satisfactory to, equal or necessary in the solo discretion of the County' s Contract Manager, f) The words "E-ffeotive Term" hall mean the date on which this Contract is effeotive, Including start date and end date, g) The words "Extra Work" or "Change Order" or "Additional Work' shall mean resulting in additions or deletions or modifications to the amount, type or value of the Work and Services as required in this Contract, as directed and/or approved by the County, • h) "HIPAA" means Health Insurance Portability and Accountability Act of 1996, The .words "Scope of Services" shall Mean .the docunient appended hereto as Attachment A, whloh details the work to be performed by the Provider, The word "subcontractor" or "sub consultent" shall mean any person, entity, firm or corporation, other than the employees of the Provider, who furnishes labor and/or materiels, in eonnection with the Work, whether directly or indirectly, on behalf and/or under the direction of the Provider and whether or not in privities of contract with the Provider, J) k) The words "Work", "Services" "Program", or "Project" shall mean all rnatters and things required to. be done by the Provider in accordance with the provisions of this Contract. ARTICLE Z AMOUNT PAYABL. Subject to available funds, the maximum amount payable for services rendered under this contract shall not exceed: I. Memorandum of Agreement (M0A) Program 040,000,00 Both parties agree that should 'available County funding be reduced, the amount payable under this Contraot maybe proportionately reduced at the sole discretion and option of the County, All services undertaken by the Provider before the bounty's execution of this Contract shall be , et the Provider's risk and expense, It is the responsibility of the Provider to maintain sufficient financial resources to meet the expenaes incurred during the period between the provision of services and payment by the County, The County, at its sole discretion, may allow Provider an advance of NIA once the Provider has subrnItted an appropriate request and submitted an Invoice in the form required by the County. Page 2 of 26 The City orMiarni Memorandum of Agreement (M0A). Program/Grant Number: PC09104A2A ARTICLE 3. ACOPE OF SERVICES The Provider shall render services in accordance. with the Scope of Services incorporated herein and attached hereto as Attachment A. The Provider shall implement the Scope of Services as described In Attachment A In manner deemed satisfactory to the County. Any modification or amendment to the Scope of Services shall not be effective until approved by the County and Provider in writing, ARTICLE 4. BUDGET SUMMARY The Provider agrees that ail expenditures or costs shall be made in accordance with the Budget, which is attached hereto and incorporated herein as Attachment 8, The parties agree that the Provider may, with the County's prior written approval; revise the schedule of poyments or the line Item budget, and suoh revision shall not require an amendinent to this Contract. ARTICLE 6. • EFFECTIVE TERM Both parties egree that the Effective Term of this Contract shall commence• on patober , 2009 arid terminate at the close of business on 6epternber 304'2010. ARTICLE 6. IN BY PROVIDER A. Government Entity. Government entity shalt indemnify and hold harmless the County and its officers, employees, agents arid Instrumentalities from any. :and all liability, losses or damages, including attorneys' fees and costs of defense, which the County or its officers, employees, agents or instrumentalities may nour as a result of olaims, demands, suits, causes of actions or proceedings of any kind or nature arising out of, relating to or resulting from the performance of this Contract by the government entity or its employees, agents, servants, partners, principals or subcontractors. Government entity shall pay all claims and losses in connection therewith and shag Investigate and defend all oialms, suits or actions of any kind or nature in the name of the County, where appliceble, 'Including appellate proceedings, end snail pay all oosts, judgments, and attorneyfees which may issue thereon, Provided, however, this Indemnification shall only be to the extent and within the limitations of Section 766.28, He. Stat., subject to the provisions of that Statute whereby the government entity shall not be held liable to pay a personal injury or property damageolaim or judgment by any one person which exceeds the sum of $100,000, or any. claim or jedgmene or portions thereof, which, when totaled with all other dal= or judgment paid by the government entity arising out of the same Incident or occurrence, exceed ihe sum of $200,000 from any and all personal injury or property damage claims, liabilities, losses or causes of action which may arise as a result of the negligenCe of the. government entity. B. All Other Providers, Provider ehail indemnify and hold harmless the County and its officers, employees, agents and Instrumentalities from any and all liability, losses or • Page 3 of 26 The City endiami Meitoraridurri otAgreement (MOA) Program/Grant Number: PC0914.10A damages, including attorneys' fees and costs of defense, which the County .or its officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of actions or proceedings of any kind or nature arising out of, relating to or resulting from the performance of this Contract . by the Provider or Its employees, agents, servants, partners principals or subcontractors, , Provider shall pay all claims and losses in connection therewith and shall Investigate and defend all claims, suits or actions of any kind or nature in the name of the County, where applicable, including appellate proceedings, and shall pay all costs, judgments, and attorney's fees which may issue thereon. Provider expressly understands and agrees that any Insurance protection required by this Contract or otherwise provided by Provider shall in no way limit the responsibility to Indemnify, keep and save harmless and defend the County or its officers, eiriPloyees, agents and instrumentalities as herein provided. C, , Term of Indemnification.. The provisions of Article 6 shah survive the expiration or termination of this Contract. ARTICLE 7. ,INSU RAN PIE If the total dollar value of all County contracts with the Provider exceeds $25,000 then, the following insurance coverage Is required: A. Government Entity, If the Provider is the State of Florida or an agency or political subdivision of the State as defined by section. 768,2B, Florida Statutes, the Provider shall furnish the County, upon request, written verification of liability protection in accordance with section 768,28, Florida Statutes. Nothing herein shall be construed to extend any party's liability beyond that provided In section 758.28, Florida Statutes. The proVider shall also furnish the County, upon request, written verification of Workers Compensation protection in . accordance with Florida Statutes, Chapter 440. B. Ail Other Providers:. 1. Minimum Insurance Requirements: Certificates of insurance, The Provider shall submit to MiarnkDade County, .c/o Mierni Dade County Homeless Trust (COUNTY), 111 N.W. 14Street, 2.7th Floor, Miami, Florida 33128-1994, original Certificate(s) of Insurance indicating that insurance coverage has been obtained which meets the requirements as outlined below: A All Insurance certificates must list the County es "Certificate Holder" In the following manner: Miami -Dade County .111 N.W. lstStreet, Suite 2340 Warn'', Florida 33128 B. VVorker's Compensation Insurance for all employees' of the Provider as required by Florida Statutes, Chapter 440. C. Commercial General Liability Insurance in ,an amount not less than $300,000 combined single limit per .occurrence for bodily injury and property damage, Miami -Dade County must be shown as an additional insured with respect to this coverage, Page 4 of 26 The City of Miami Memorandum of Agreement (MO) Program/Grant Number; P0091 0.;1\40A D. Automobile Liability insurance covering all owned, nen-owned, and hired vehicles used in connection with the Work prevlded under this Contract, In an amount not less than $300,000* combined single limit per occurrenoe for bodily Injury and property 'damage, *NOTE: For Providers supplying vans or mini -buses with seating oapaaties of fifteen (113)' passengers or more, the limit of liability requirecl.for Auto Liability Is $600,3000. E. Professional Liability Insurance in the name of the. Provider, when applicable, in an amount not less than $250,000. F. All Insurance policies required above shall be issued by companies authorized to do lousiness under ,the laws of the State of Florida, with the following qualifioations: 1, The company must be rated no less than "B" as to management, and no less than "Class V" as to financial strength, according to the latest edition of Best's Insurance Guide published. by A.M. Best Company, Oldwlok, New Jersey, or its equivalent, subject to the approval of the County's Risk 'Management Division, OR • 2. The company must hold si valid Florida Certificate of Authority as shown in the latest "List of All Insurance Companies Authorized or Approved to Do Business in Florida," issued by the State of Florida Department of insuranoe, and must be a member of the Florida Guaranty Fund, G, Certificates will indicate that no modification or change in insurance snail be made without thirty (30) days advance written notice to the Certificate Holder, H. Compliance with the foregoing requirements shall not relieve the Provider of its liability and obligations under this Section or under any other section of this Contract. The County reserves the right to inspect the Provider's original insurance policies at any time during the term of this Contract. J. Applicability of this Article Providers whose combinedtotal award for all services funded under this contract exceed a $2.6,000 threshold. In the event that the Provider whose original total combined award in less than $26,000, but receives additional funding during the contract period which makes the total combined award exceed $25,000, thenlhe requirements in this Article shall apply. K. Failure to 'Provide Certificates' of insurarme, .The Contractor shall be responsible for assuring that the insurance certificates required in conjunotion with this Section remain in force for the duration of the effective term of this Contract. lf Insurance certifioates are scheduled to expire during the effective - term, the Provider shall be responsible for submitting new or renewed insurance certificates to the County prior to expiration. • Page 5 of 26 '.rhe City ofMiumi Momorandurn of Agrerintent (MOA) Program/Grant Number; PC04i0-MCM In the event that expired certificates are not replaced with 'new or renewed certificates which cover the effective term, the County may suspend the Contract . until such time as the new or renewed certificates are received by the County in the mariner prescribed herein; provided, however, that this suspended period does not exceed thirty (30) calendar days. Thereafter, the County 'may, et its sole discretion, terminate this Contract. ARTICLE 8., PROOF .OF L.ICirNSURE/CERTIFICATfON MID BACKGROUND CRBENJNG A. LIcensure, if the Provider is required by the State of Florida or Miami -Dade County to be licensed or certified to provide the services or operate the facilities outlined in the Soope of Services (Attachment A), the Provider sha11maintain a copy of all, required ourrent licenses or certificates, , This documentation should remain on file at the Provider's agency and Mail be made available to the County for, on -site review end audit. Examples of services or operations requiring such litaneure ,or certification include but are not limited to resldentlel substance abuse centers, child care, daycare, nursing homes, end boarding homes, If the Provider fails to furnish the County with the licenses or certificates requested under this Section, the County shall not disburse any funds until it is provided with such licenses or cert'lffoates. Failure to .provide the licenses or CQrtificates within forty-five (45) days of the County's request May result in term€nation of this Contract. Be ' Background Screening. in the event criminal background screening is required by law, the State of Florida and/or the. County) only ,employees and subcontracted personnel with a satisfactory national criminal background check through .an appropriate screening agency,(l.e., the Fioride Department of Juvenile Justice, Florida Department of Law Enforcement or Federal Bureau of Investigation) may work in direct contact with Juveniles, Unless specifically requested by the County in writing, the Provider le not required to submit any background screening information to the' County. This doburnentetlon should remain on file at the Provider's agency and shall be made available to the County for on -site review and audit, When applicable, if the Provider fails to furnish the County with proof of the -satisfactory background screening required under this Article, 'the County shall not .disburse any funds until the County is provided with documented proof that the required background screening was Initiated. The County requires that only employees and subcontracted personnel with a satisfactory .background check as described in Section ,39,0O1 (2), Florida Statutes and Through an appropriate screening agency (i.e., the Florida .Department of Juvenile .Justine, Monde Department of Law Enforoement, Federal Bureau of Investigation) work with direct contact with juveniles. Pursuant to S'ectio'n 985,012(a) Florida Statutes, "each contract entered into...for services delivered on an appointment or intermittent basis by a .provider that does hot 'huve. regular custodial responsibility for children,_ must ensure that the owners,. operators, and .ail personnel Who have direct contact with childrenare of good moral oherecter..." In order to ensure this condition "(b) The Depertrnont of Juvenile Justice... shall require employment screening Page 6 of 28 • Tho City oiMiaml Iviomorandum of Agiter9ent (MOA) Programiciraut Number: PC0910-MOA pUrsuant to ohapter 435, using the level 2 standards set forth in that chapter for perSonnel in programs for children or youths." Pursuant to the above passages from Florida Statutes,. It is required that MI provider agency persohnel working directly with children must have a completed Level 1 Screening response from the Florida Department of Law Enforcement that indicates that there has been no prior involvement in any of the disallowed conditions, before beginning work with client youths; Lever 1 Screenings can be accomplished electronically on line with the Florida Department of Law Enforcement www,fdle,stateilms/Orimlnall-ilstorvi, Iti. addition, recognizing that LeVe1 2 Screening can take several weeks, Level 2 °Screening must be initiated prior to beginning work directly with elients. Any employee receiving positive response(s) to any of the enumerated charges as defined in Level 1 and Level 2 background checks must immediately cease working with children or youths. All employee 'personnel .files shall reflect the 'Initiation and completion of the required background screening cheoks, From the 'date of execution of this Contract, Provider shall furnish the County with proof that background screening Level 1 was completed. lf, the Provider fails to furnish to the County proof that background screening Level 1 was completed and Level 2 was initiated prior to working directly with client youths, the County shall not disburse any further funds and this Contract may be subject to termination at the sole discretion of the County. The County requires that only employees and subcontracted employees with a satisfactory background check as described in Section 435,03(3)(a), and through an appropriate screening agency (Le, Florida Department of Law Enforcement, Federal Bureau of Investigation) work in direct contact with the elderly, disabled and pereont with mental illness, in settings such as but not limited to adult day care center; assisted living facilities, home equipment screening miming homes, home health agencies, facilities for developmentally disabled, and mental health treatment facilities, Within thirty (30) days of execution of this Contract, Provider shall furnish the ,County with proof that background screening was initiated, if the Provider fails to furnish to the County proof that background screening was initiated within thirty (30) days of exeoution of this contract, the County shell not disburse any further funds and this Contract may be subject to termination et the sole discretion of the COunty. ARTICLE 9, CONFLICT OF IINTREST A. The Provider agrees to abide by and be governed by IVilami-Dede County Ordinance No, 72-82 (Conflict of Interest Ordinance codified at Section 2-11,1 et al, of the Code of Miami -Dade County), as amended, which is 'incorporated herein by reference as if fully set forth herein, in conneotion with its contract obligations hereunder, B. No person under the employ Of the County,- who exercises any funotion or responsibilities in connection with this. Contract, ha e at the time this Contract Is entered into, or shall have during the term of this Contraot, any personal financial interest, direct or indirect, in this Contract, Page 7 Of 26 The City of Miami Memorandum arAgrooment (MOA) Program/OWmbor: PC09 10-MCA acto2,1mt Notwithstanding 'the aforementioned provision, no relative of 'any •officer, board of director, manager, or supervisor employed by the Provider shall be employed by the Provider unless the employment preceded the execution of this Contract by one (1) year. No family member of any employee may be .employed by 'the Provider if the family member is to be employed In a direct supervisory or administrative relationship either supervisory or subordinate to the employee, The assignment of family members in the, same organizational unit shall be discouraged. A conflict of interest .in 'employment arises whenever an Individual would otherwise have the responsibility to make, or participate actively in making decisions or recommendations relating to the employment status of another indIvIdua! if the two individuals (herein sometimes called "related individuals") have one of the following relations hips: I, By blood or adoption: Parent, child, sibling, first cousin, uncle, aunt, nephew, or niece; • ' 2, By marriage: Current or former spouse, brother., or sister-in-law, father- or mother -In-law, son- or daughter-in-law, step-parent, or etep-ohlicl; or 3. Other relationship: .A current or former relationship, occurring outside the work setting that would make it difficult for the individual with the responsibility to make a decision or recommendation to be objective, or that would create the appearance that such individual could not be objective, Examples include, but are not limited to, personal relationships and significant business relationships, For purposes of this section, decisions or recommendations related to employment status Include decisions related to hiring, salary, working conditions, working responsibilities, evaluation, promotion, and termination. An 'individual, however, is not deemed to make or actively participate in 'making decisions or recommendations if that individual's participation Is limited to routine approvals and the individual plays no role involving the exercise of any discretion in the decision -making processes. If any question arises whether an individual's partiolpation ,is greater than. is permitted by this paragraph, the matter shell be immediately referred to the Miaml-Dade County Commission on Ethics and Public Trust, 'This section applies to both full-time and pert -time employees and voting members of the .Provider's Board of Directors, D. No person, Including but not limited to any officer, board of directors, manager, or supervisor employed by the Provider, who is in the position of authority, and who exercises any 'function or responsibilities in connection with this •Contract, has at the time this Contract Is entered into, or shall have during the term of this Contract, received any of the services, or direct or instruct any empioyee under their supervision to provide such services as described in the Contract, Notwithstanding the before mentioned provision, any officer, board of directors, manager or supervisor employed by the Provider, who is eligible to receive any of the services described herein may utilize such services if he or she can demonstrate that he or she does not have direct supervisory responsibility over Provider's employee(s) or service program. Staff members, or their irnmediate family .rnembers (spouse, children, siblings, mother or father) of 1-10M91988 Trust funded programs, who are eligible for and wish to receive .services from 0 Homeless Trust funded program must receive the approval. of the -Executive Director of their employer (Le, the Provider) prior. to applying for and receiving those services, This approval. •Page 8 of 26 The City of Miami 11p.morand UM of Agreement (MOA.) Program/Grant 'Number: .PC091 (Hvi0A must be in writing and accompany any referral for such services. Any Provider, knowingly accepting a referral of an employee of a Homeless Trust funded program, and providing services without the written approval of the Executive Director of the Provider, will be subject to the recoupment/disallowance of any funds paid for services to this individual and/or their immediate family member. When the, services are to be provided at the same agencythe employee works for, this information must be disclosed in writing to the director of the Homeless Trust, which shall be reviewed, for eligibility determination and a sign off must come from the County. This provision does not apply to staff members seeking emergency shelter, medical or legal services, Providers must complete a Client Service s Authorization Form (Attachment P) for staff members seeking services,. ARTICLE 10. CIVIL RIGHTS The Provider agrees to abide by Chapter 11A of the Code. of Miami -Dade County ("County Code), as amended, which prohibits discrimination in employment, housing and public accommodations on the basis of race, creed, religion, color, sex, familial status, marital status, .sexual Orientation, pregnancy, age, ancestry, national origin or handicap; Title VII of the Civil Rights Act of 1968, es amended, which prohibits discrimination in employment and public accommodation; the Age Discrimination Act of 1975, 42 tJ,S,C, §6101, as amended, which prohibits discrimination In employment beoause of age; the Rehabilitation Act of 1973, 29 §794, as amended, which prohibits discrimination on the basis of disability; the Americans with Disabilities Act, 42 U.S.C, §12101 et seq, Which prohibits discrimination in employment end public accommodations because of disability; the Federal Transit Act, 49 U3.0, §1612,, as amended; and the Pair Hodsing Mt, 42 U,S,C, §3601 et se2It is expressly understood that the Provider must submit an affidavit attesting that It is not In violation of the Acts. if the Provider or any owner, subsidiary, or other firm affiliated with or related to the Provider is found by the responsible enforcement agency, the Courts or the County to be in violation of these acts, the County will condbot no further business with the Provider. Any contract entered into based upon a false affidavit shall be voidable by the County. If the Provider violates any of the Aots during the term of any contract the Provider has with the County, such contract shalt be voidable by the County, even If the Provider was not in violation at the time it submitted its affidavit The Provider agrees that it is in Compliance with the Domestic Violence Leave, codified as § 11A-60 et seq. of the IVIiami-pade County Code, which requires an employer, who in the regular course of business has fifty (50) or more employees working In Miami-Dede County for each working day during each of twenty (20) or more calendar work weeks to provide domestic violence leave to its employees. Failure to comply, with this local law rnay he grounds for voiding or terminating this Contract or for commencement of debarment proceedings against Provider. ARTICLE 11. HEALTH INLIRANCn PORTABILITY AND ACCOUNTABILTY ACT1 Any poison or entity that peifotme or assists Miami -Dade County with a function or activity involving the use or disclosure of "indiviclualiy identifiable health information (111-11)" and/or "Protooted Health information (PHI)" shall comply with the Health insurance Portability and Accountability Act (HIPAA) of 1996 and the Miami -Dade County Privacy Standards Administrative Order. HIPAA mandates tor privacy, security and electronic transfer standards, Page 9 of 26 , The, City of Miami Memorandum of AgreemoM (M0A) PtogramiGrant Number: P009.10-NIOA include but are not limited td: 1. Use of information only for performing servfoes required by the contract or as required by law; 2, Use of appropriate safeguards to prevent non -permitted disclosures; 3. 'Reporting to MlarrikDade County of any non -permitted use or disclosure; 4, Assurances that any agents and subcontractors agree to the same restrictions and conditions that apply to the Provider. and reasonable assurances that. IIHI/PHI will be • held confidential; • , 5, Making Protected 'Health Information (PHI) available to the customer; ,e, Making PH( available to the client for review and amendment; and incorporating any amendments requested by the client; 7, Making PHI available to Miami -Dade County.for an accounting of disclosures; and. ' 8, Making internal practices, books, and records related to PHI available to Miami -Dade • County for compliance audits, PHI. shall maintain its protected status regardless of the form and method of transmission (paper records and/or electronic transfer of data), The Provider must give its clients written notice of its privacy information practices, Including specifically, a description of the types of uses and -disclosures that would be made with protected health Information. Provider must post, and distribute upon request to service recipients, a copy of the County's Notice of Privacy -Practices, ARTICLE 12. NOTICE REqUIREIIIIENTS Notice under this Contract shall be sufficient if made in writing, delivered personally or sent via U.S, mail, electronic mail, facsimile, or certified mall with return receipt requested and postage prepaid, to the parties at the following addresses (or to such other party and at such other address es a party may specify by notice to others) and as further specified within this Contract. If notice Is sent via electronic mail or facsimile, confirmation of the correspondence being sent will be maintained In thezender's files. If to the COUNTY: If to the PROVIDER: Miaml-Dade County Homeless Trust 111 N.W,.1sE Street, 27th Floor Miami, Florida 33128 • Attention: David Raymond, Executive Director Electronic mall: dray@miamiciade.gov Pedro Hernandez , City.Manager The City of Miami 444 SW 2nd Avenue Miami, Florida 33130 Electronic Mali; pgh©miamigov,com Either party may at any time designate different address ancitor contact person by giving written notice as.provided above to the other party. Such notices shall be deemed given upon Page 16 of 26 Tho City of Miami Iviornorandurn oi'Avmotrient (MOA) Program/Grant Number: ?CO91 0-1\40A receipt by the addressee, ARTICLE 13. 6,LITON9.MY Both parties agree that this Contract recognizes the autonomy of the contracting parties and implies no affiliation between the contraoting parties, It is expressly understood and intended that the Provider. Is only a recipient of funding support and is not an agent or instrumentality of the County, Furthermore, the Provider's agents and employees are not agents or employees of the County, ARTICLE 14. SURVIVAL The parties acknowledge that any'of the obligations in this Contract, including but not limited to Provider's obligation to indemnify the County, will survive the term, terminafion, end cancellation hereof. A000rdingly, the respective obligations of the Provider under this Contract, whiCh by nature would continue beyond the terminetion, cancellation or expiration thereof, shall survive termination, cancellation or expiration hereof. ARTICLE 16. pREACH O1 CONITRACTi COUNTY REMEDIES A. Breach. A breach by the Provider shall have occurred under this Contract if: (1) the Provider falls to proVide the servioes outlined in the Scope of Services (Attactiment A) within the effective term of this Contract (2) the Provider ineffectively er improperly uses the County funds allocated under Contract (3) the Provider does not furnish the Certificates of insurance required by this Contraot. or as determined by the County's Risk Management DIvielon; (4) If applicable, the Provider does not furnish upon request by the County proof of ilcensureicertification or proof of background soreening required by this. Contract; (5) the Provider falls to submit; or. submits incorrect or incomplete, proof of expenditures to support disbursement requests or advance funding ,disbursements or fells te submit or submits incomplete or incorrect detailed reports of expenditures or final expenditure reports; (6). the Provider does not submit or submits incomplete or incorrect required reports; (7) the Provider refuses to allow the County access to records or refuses to .allow the County to monitor, evaluate and review the Provider's program; (8) the Provider discriminetes under any of the laws outlined In Article 10 Of this Contract, (9) the Provider, attempts to meet Its obligations wider this Contraot through fraud, misrepresentation, or material misstatement; (10) the Provider fails to Correct defloiencies found during a monitoring, evaluation, or review wHbin the specified time as described and defined in its Performance Improvement Plan (PIP); (11) the Provider fails to issue prornpt payments to small business subcontractors or follow dispute resolution procedures regarding a disputed payment; (12) the Provider fails to submit the Certifioate of Corporate Status, Board of Direetors requirement, or proof of tax status; and (13) the Provider fails to fulfilkin-alimely-and-propeemannee any.and-all,of itS..obligationsr covenantsr agreements, and stipulations in this contract; (14) the Provider fails to meet any of the terms and conditions of the IVIlemi-Dade County Affidavits (Attachment C) and the State Affidavits (Atimehrpent D). D Applicable & Not Applicable er (15) the Provider fails to fulfill In a timely and proper manner any and all of ita obligutione, covenants, agreements and stipulations In this Contract. Waiver of breach of any provisions of this Contract shall not be deemed to be a waiver of any other breech and shall not be construed to be a modification of the terms of' this Contract. Page 11 of 26 The City of Miami IvIembrandurrk of Agreement (MOM PrOgrunAirtult Number: PC09104.40A In the event that the County determines certain ,Coritract goals (as defined in the Scope of Services) are not being met then the County, in Its sole discretion may plaoe the Provider on Performance Improvement Plan (PIP), The following is a delineation of the instances where a. PIP may be required: a, HIVI1S- Based on Provider's past performance on prior contracts in the area of Homeless Management Information System compliance it Is subject to a PIP during this contract term. The Provider is required to submit a Monthly Progress Report and an HM1S-generated Monthly Progress Report for each month of the contract. Compliance will be determined when it .is deemed that the two (2) reports are in substantial conformity with each other for a period of two consecutive months, (Substantial conformity as meaning minimum of '96% accuracy on all elements). At the time of compliance, the Provider Shall only be required to submit the HM1S-generated Monthly Progress Report, El Applicable Er Not Applicable b. Utilization - I3ased on Provider's past performance on prior contracts in the area of utilization compliance, this contract is subject to a PIP. During this contract term, the Provider must submit ell invoices in .a timely manner, The Provider shall invoice at a rate of 956/0 of targeted expenditures for the invoicing period. If the Provider fails to comply, all rights to payments will be forfeited if the' County so chooses. Failure to submit accurate Invoices for appropriately documented and eligible expenditures at p rate of 95% of targeted expenditures. by the end of the third quarter of this contract term may result in the termination of this contract by the County. • O Applicable E. Not Applicable c, Program Performance - Eased on Provider's past performance on prior contracts in the area of program goals and outcome objectives, this Contract is subject to e PIP. During this Contract term, the Provider must achieve those goals specified in the Contract, Performance against these annual goals shall be evaluated on a quarterly basis., and if by the end of the third quarter of the contract period substantial compliance (meeting the targeted goals) is not achieved, it may result in the termination of thisoontract with the County, LI Applicable El Not Applicable The above Is subject to the review and approval of the County • B. County Remedies. If the Provider breaches this Contrect, the County may pursue any or all of the following remedies: 1, The County may terminate this Contract by giving written notice to the Provider- of,. s,uch.. termination_and-sp,e,cifying_the_, effective_ date , thereof- in. the, event of tennination, the County may: (a) request the return of finished or unfinished documents, data 8ttu dies, surveys, drawin'gs, maps, models, photographs, reports prepared and, secured by the Provider with County 'funds under tits Contract; (b) seek reimbursement of County funds allocated to the Provider under this Contract; (c) terminate or cancel any' other contracts entered into between the county and the Provider. The Provider shall be responsible for all direct and indirect oc.)sts associated with such termination, including attorneys fees; 2, The County may suspend payment In whole or In part under this Contract • by providing written notice to the Provider of such suspension and specifying the effective date Page 12 of 26 The City of Miami Mamorandum of Agroorriont (MCA) Progam/Ormt Numbor; PC091 0.100A thereof, if payments are suspended, the 'County shall specify in writing the actions thet must be taken by the Provider aS condition precedent to resumption of payments and shall .speolfy reasonable date for compliance. The County may also suspend eny payments In whole ar in part under any other contracts entered into between the County and the -Provider, The Provider shall be responsible for ell direct and indirect costs essoolated with suoh suspension, including attorney's fees; 3, The County may seek enforcement of this Contract including but not limited to filing an action in a •court of appropriate Jurisdiction, The Provider shall be responsible for all direct and indlreet costs associated with such enforcement, including attorney's fees; 4. The County may debar the Provider from future County contracting; 5, If, for any reason, the Provider should atterhpt to meet Its obligations under this Contraot through fraud, misrepresentation or material misstatement, the County shall, whenever practicable terminate this Contract by giving written notice to the Provider of such termination and epeoifying the effective date, The County may terminate or cenoel any other contracts which such individual or entity has with the County, Such Individual or entity shall be ,responsible for all direct and indirect costs associated with such termination or cancellation, including attorney's fees. Any individual ar entity who attempts to meet its contractual obligations with the County through fraud, misrepresentation, or material misstatement may be debarred from county, contracting for up to five (6) years; 6. Any other remedy available at law or equity, C, Authorization to Terminate Contract. The Mayor or the Mayor's designee Is authorized to terminate this Contract on behalf bf the County. , ID. Failures or waivers to insist on strlot performance of any covenant, condition, or provision of this Controot by the County shall not be deemed a waiver of any rights or remedies, nor shall it relieve the Provider from ,performing any subsequent obligations striotly in accordance with the term of this Contraot. No waiver shall be effeotive unless in writing. and signed by the parties. Such waiver shall be limited to provisions of this Contract specifically referred to therein and shall not be deemed a waiver of any other provision, No waiver shall constitute a continuing Waiver unless the writing states otherwise. E. Damages Sustained. 'Notwithetanding the above, the Provider shall not be relieved of liability to the County Icedamages ustained by the County by virtue of any breach of the Contract, and the County may withhold any payments to the Provider until such time as the exact amountof damages due the County is determined, The County may also purslm eny remedies available at law or equity to compansate for any damages sustained by the breach, The Provider.sheil-be responsible„for, elLdirecteand-indirect.costseaseociatedewIth_such_aetion„ including attorney's fees. ARTICLE 16. ;TERMINATION FOR, cONVEMENCE The County may terminate this Contract, In whole or part, when both parties agree that the contirmiatio.n of the activities would not produce berrefieial results ,eommensurate with further expenditure of the funds, 5oth parties shall agree upon the termination conditions, including the effective date and in the wee of partial terminetion, the portion to be terminated, However, lithe County determines In the case of partial termination that the reduced ar modified portion of the Page 13 of 26 • The City of Miami Mmorandarn of A grounent (MOA) Progratn/Cirant Numbor: P0091 0..M0A. orant will not accomplish the purposes for which the prent was made It may terminate) the grant In Its entirety. The Provider understands and acknowiedges that if the County determines in its sole discretion that termination of the Contract Is necessary for the healthy, safety, or welfare of the County then it may clue so upon twenty-four (24) hours notice to the Provider. ARTICLE 17. PAYMENT PROCEDURES The County agrees to pay the Provider for services rendered under this Contract based on the payment sohedule, timely Provision by the Provider of required reports and of supporting documentation of expenses and activities as described In this Contraot, and the line item budget (Attachment B), Payment shall be made in accordance with procedures outlined below and if applicable, the Sherman S. Winn Prompt Payment Ordinance (Ordinance 94-40), 1. Performance Rased Contract : How nevment will be made, Payment requests shall be made to the County on a monthly basis and shall be signed by the Executive Director and the Financial Officer ef the Provider, unless otherwise approved in writing, on the form incorporated herein as Attachment E "Primary Care invoice for Servioes". The payment request for the previous month is due by the 16th of the month following the month for which payment is invoiced, 2. Any reimbursement may be withheld pending the receipt and approval by the , County of all reports end documents required herein. 3. Maximum monthly reimbursements are limited to11;28z3$3.33,. 4, As applicable, during the period of N/A_ throLigh N/A the Provider will submit a record of those °individuals served utilizing Social Security Administration repayments as specified in the Sop e of Servioes, The Provider will utilize these funds to serve those clients as specified and authorized in the Scope of Services 6. N/A Providers with cumulative utilization rates greater than ninety-five cement (95%)' during the first nine (9) months of this Contraot may exceed this maximum number of billable bed days during the last quarter of the Contract term, up to the total Contract award aMount, with the prior approval of the ExecutiVe Director of the Homeless Trust, 6, N/A Providers with cumulative utilization rates lower than ninety-five percent (95%) may be suiojeot to a reduction. in funding. 7. Within thirty (30) days of the termination or expiration of this Contract, afinal report of expenditures shall be submitted to the County: If after the receipt of ,such final report, the County determined that the Provider has been paid funds not in compliance with the Contract, and to which it is not entitled, the Provider will be required to return such funds to the County or submit documentation ,demonstrating that the expenditure was in compliance with this Contract, The County„shall have the sole and absolute discretion to determine if the Provider is entitled to suet' funds and the County's decision in this matter shall be final and binding. B. Dwetjto the County: The County reserves the right, in its sole discretion, to reduce payments to the Provider in order to reoapture any monies owed to the County. in accordance with County Administrative Order No, 3-2@, the Provider that is in arrears to the County IQ prohibited from obtaining new County contracts or extensions of Page 14 of 26 The Pity of Miami Memorandum of Agreement (MOA) Program/Grant Nui1r; PC0910-MOA contracts until such time as the arrearage has been paid in full or the County has agreed in writing to an approved payment plan, The County reserves the right, at its sple discretion to convert this Contract to a oost-based Contract in which the Provider shall be paid through reimbursement payment based on the budget approved under this Contract and when documentation ofcompleted and satisfactory service delivery ie provided. Thus, it is imperative .that the Provider maintain appropriate supporting documentation for all expenditures from the beginning of the Contrect term (i.e., receipts, bank stetements, cancelled checks, employee timesheet, etc.), • Onoe the County, in its sole discretion has made the determination to convert toecost-based method, the Provider hall submit to the Contract Maneger, the Monthly Reimbursement form provided by the County or a monthly basis. Monthly reimbursement requests (both retroactive and ourrent) and accompanying supporting documentation must be reoeived by the County no later than the 25 of the month following the month for which reimbursement Is requested. C. No Payment of Subcontractors, In no event shall County fund e be advanced or paid by the County directly to any subcontractor hereunder, Payment to approved suboontractors shall be made by the Provider following requirements and limitations as detailed in Artiole 21 of this Contraot. D. Processing the Request for Payment. After the County staff reviews the payment request, the County will submit a payment request to the County's Finance Department, The County's Finance Department will issue payment via Automated Clearing House (ACH) or mail the cheok directly to the Provider at the address fisted In Article, 12 of this Contract, unless otherwise directed by the Provider in writing, The parties agree that the processing of a payment request from date of submission by the Provider shall take a maximum pf thirty (30) days from receipt of a complete and .aecurate payment request, pursuant to the County's Sherman S, Winn ProMpt Payment Ordlnence (Ordinance 9440), Section 2-8.1A of the Code of Miemi-Dade County, Administrative Order No. 3-19, and the Florida Prompt Payment Aot, if supporting documentation/invoices are.properly documented as determined by the County in Its sole disoreti.on. It is the responsibility of the Provider to maintain sufficient financial resources to meet the expenses incurred during the period between the provision of services and payment by the County, E. Reporting Requirements. Failure to submit to the County the reports 'feted below in a manner deemed correct and acceptable by the County by the 15th day after the end of the month in which the service was delivered, or failure to.submit to the County supporting documentation of Contract expenditures or activities within fourteen (14) days of any County request, shall he considered e breach of this Contract and may result in withholding payment, non-payment, or termination of this Contract, Applicable as indicated 1. Monthly Payment Requeets (Attachment F) 171 2. Monthly Performance Reports (Attaetiment G) 171 3, Outcome Performance Measurements Monthly Report (Attachment el) o 4, Client Contribution Report (Attachment 1) 0 6, Client Attendance Roster (Attachment J) PI 6, Quarterly Veoancy / Permanent Housing Floc 1<) ra Page 16 of 26 The City ofMiarnl Memorandum of Agreem6ut (MOA) PrograM/Grant Number; PC0910-MOA Performance Reports. The Provider agrees to participate in the Homeless Management information System (HMIS) selected and established by the County. Partiolpation will Inciade, but is not limited to, input of client data upon Intake, daily updates of bed availability Information, as veil as updates of client files upon client contact, and maintaining current data for statistioal purposes, ' The Provider understands that they are responsible for any ongoing cost to access the HMIS system, The Provider ,shall furnish the County with Monthly, Quarterly, and Annual Performance Reports In aocorcianoe with the activities and goals detailed In the Scope of Services, The reports shall explain the Provider's progress for the quarter. The data should be quantified when appropriate. The final progress report shall be due no later than thirty (30) days after the expiration or termination of this Contract, Continuation of this Contract and future funding Is contingent upon Meeting established performance goals. Progress reports, produced through the Homeless Management information System (HMIS) involo-es for services and client attendance rosters signed by the Executive Director of the agency shall by submitted by the Provider, as required, F. Final Report/Recapture of Funds. Upon the expiration or terminationof this Contract, the Provider shall, submit the final Annual Performance Report and Annual °Actual Expenditure Report (Attachment L) to the County no later than thirty (30) days ,after the expiration or termination of this Contract after receipt of such final reports, the County determines that the Provider has been paid funds not in accordance with the Contract, and to which it Is not entitled, the Provider shall return such funds to th,e County, or the County may rdduce, by the amount of such funds, from any eubsequent Payment to which the Provider is entitled, or the Provider may submit appropriate documentation within seven ,(7) days of notice from the County. The County shall have the sole discretion in determinina if the Provider is entitled to suph funds and the C'ounty's decision on this matter shall be final and binding.' Additionally, any unexpended or unallocated funds shall be recaptured by the County. Additionally, the Provider agrees to assign any proceeds to the County from anY contract, including this Contract, between the County, its agencies or instrumentalities and the Provider cr any firm, corporation, partnership or joint venture in which the Provider has a °entailing financial interest In order to secure repayment of any reimbursements for services provided under this or any other contract for which the County dlsoovers wee not reimbursable through its inspection, review and/or audit pursuant to this Contract. ARTICLE 18. PROHIBITVI) USEcalf FUNDS A. Adverse Actions or Proceeding. The Provider shall not utilize dounty funds to retain legal counsel for . any action or proceeding against the County or any of its agents, instrumentalities, employees, or officials. The Provider shall not utilize County funds to provide legal representation, advice, or counsel to any client in any action or proceeding against the County or any of its agents, instrumentalities, employees, or officials.' B.' Religious Purposes. Countyfunds shall not be used for religious purposes. C, Commingling Funds. The Provider shall not commingle funds provided under this Contraot with funds received from any other funding sources, The Provider shall establish separate account exclusively for receipt of the funds received pureuanato this Contract. Page 16 of 26 The City of Miami ' Memorandum of Agrooment (M OA) Program/Grant Number; 1, CO9 1 0,,M OA D. Double Payments. Provider costs claimed under this Contract may not also be claimed under another contract or grant from the County or any other agency. Any claim for double payment by Provider shall be considered a material breach of this Contract. ARTICLE 19. IXEQPIRPD POGUMENTS,EpORTS mrs AND WIEw A Certificate of Corporate Status. The Provider must submit to the Contract Manager, within thirty (30) days from the date of execution of this Contract, a certificate of corporate status in the name of the Provider, which certifies the following; that the Provider Is organized under the laws of the State of Florida; that all fees and penalties have been pald; that the Providers most reoent annual report has been filed; that its status is active; and that the Provider has not filed Articles of Dissolution. B. Board of Director Requirements. The PrOvider shall ensure that the Provider's Board of Directors is apprised of the programmatic,. fiscal, arid administrative •obligations under this Contract funded through County Funds by passage of a formal resolution authori4Ing execution of this Contract with the County. A copy of this corporate resolution must be submitted to the County prior to contract execution, A current list of the Provider's Board of Directors and officers must be included with the submission, The Provider acknowledges and understands that all contract documents shall be signed by either the Provider's President or Vice President. The Provider's resolution shall at a minimum: list the name(s) of the Board's President, Vice President and, onlyin the event that the President or Vioe President is not available to execute the contract documents, any other persons authorized tb execute this Contract on behalf of the Provider; affirmatively state that a quorum was present at the time of adoption of the resolution; and reference the service categories and dollar amounts in the award, as may be amended. .. • C. Proof of Tax Status. The Provider Is required to submit to the County the following documentation; (a) W-9 Form (Attachment NI); (b) The I.R.S. *tax exempt status determination letter; (c) the most recent I,R,S, form 990; (d) the, annual submission of I.R.S. form 990 within (6) months after the Provider's fiscal year end; (e) IRS form 941 - Quarterly Federal Tax Return Reports within thirty-five (35) days after the quarter ends and if the form 941 reflects a tax ilability, proof of payment must be submitted within forty-five (45) days alter the quarter ends. D. Conflicts of interest, Section 2-11.1(d) of IViiami-Dade County. Code., as amended, requires any County .ernployee or any member of.the employee's immediate family who has a controlling financial Interest, direct or indirect, with IVIlami.Dade County or any person or agency acting for Miami -Dade County competing or applying for any such contract as It pertains to this solicitation, to first request a conflict of interest opinion from the County's Ethic Commission prior to their or their immediate family member's entering into any contract or transacting any business through a firm, corporation, partnership or business entity In which the employee or any member of the employee's Immediate family has a controlling financial interest, direct or indirect, with Miami -Dade County or any person or agency acting:for Miami - Dade , County, Further, any such contract, agreement or business engagement entered in' violation of this subsection, as amended, shall render this Contraot voidabie. • E, Accounting Records. The Provider shall keep accounting records which Page 17 of 26 The City of Miami Memorandum. of Agreement (1\40A) Pragrem/Grarit Numberi PC0910.MOA conform to generally accepted accounting principles, All such records will be retained by the Provider for no less than three (3) years beyond the term of this Contract, and shall be made available for review upon reque'st from County authorized personnel, F, Financial Audit If the Provider has or is required to have an annual certified publics, aocountent's opinion and related financial statements, .the Provider agreps to provide these docUrnents to the County no later than ore hundred eighty (1,80) days following the end of the Provider's fiscal year, for each year during which this Contract remains in force or until all funds received pursuant to this Contract have been so audited, whichever is later, . G, Access to Roeords: Audit The County reserves the right to require the Provider to submit to an audit by an auditor of the County's choosing or approval, The Provider shall provide access to all of its records which rerate to this Contract at its place of business during regular business hours. The Provider agrees to provide such assistanee ' as may be necessary to facilitate their review or auditty the County to ensure compliance with applicable accounting and financial standards. I-1, Quarterly Reviews of Expenditures andReoords, The County 'Commlssion Auditor may perform quarterly reviews of Provider's expenditures and records. Subsequent payments to the Provider shall be subject to a satisfactory review of Provider's records ,and expenditures by the County Commission Auditor, including but not limited to, review of supporting documentation for (expenditures and the existenoe of sufficient documentation to support eligible eXpenciltures. The Provider agrees to reimburse the County for ineligible expenditures as determined by the County Commission Auditor. Quality Assurance / Recordkeeping. The Provider shall maintain, and shall require that the Provider's subcontractors and suppliers maintain, complete and accurate program and fiscal records to substantiate compliance with the requirements set forth In the Attachment A, Scope of Services, of this Contract, The Provider and its subcontractors and suppliers, shall retain such records, and all other documents relevant to the Services furnished under this Contract for a period of El three (3) years or 0 years (for State contracts) from the expiration dale of thls Contract. The Provider agrees to participate in evaluation studies, quality management activities, Corrective Action Pion activities, and analyses carried out by or on behalf of the County to evaluate the effectiveness of client service(s) or the appropriateness and quality .of care/service delivery. Accordingly, the Provider shall allow euthorized County staff involved in such efforts to examine and review the Provider's premises and records, J. confidentiality Requirements, To establish and implement policies and Procedures which ensure compllanoe with the following security standards and any and ail applicable State, and -Federal .statutes, and-reguletionseforethe-protectioneof-confidentialoallento. records and electronic exchange of confidential information, The poilcies and procedures must ensure that: 1) There is a controlled and secure area for storing and maintaining active confidential information and files, including but not limited to medical records; Page 18 of 26 The City of Miami Moninrandurn afAgreement (MOA) Progno/Grant Number: P00910-MOA (2) Confidential records are not removed from the Provider's premises, unless otherwise authorized by law or upon written consent from the County; Access to confidential information is festricted to authorized perscinnei of the Provider, the County, the United States Department of Health ,ard Human Services, the United States Comptroller General, and/or the United States Office of the inspector General; (4) Records are not left Unattended In 9rees accessible to unauthorized . Individuals; .(5) (6) (7) Access to electronic data is bontrolled; Written authorization, signed by the client, is obtained for release of copies of ofient records and/or Information, Original documents must remain on file at the originating Provider site; An orientation Is provided to new staff persons, employees, end volunteers, All employees and volunteers must sign a confidentiality pledge, acknowledging .their awareness and understanding of confidentiality laws, regulations, and policies; (8) Procedures ore developed and implemented that address client chart and medical record Identification, filing methods, storage, retrieval, organization and maintenance, access and security, confidentiality, retention, release of information, copying, and faxing, K. IttlortitotIng: Ititanagement Evaluation and POlformance Review. The Provider agrees to Permit 'County authorized 'personnel to .monitor, review and evaluate the program/work which is the subject of this Contract. , The County shall monitor fiscal, administrative, and programmatic compliance with all the terms and conditions of the Contract. The Provider shall permit the County to conduct site visits, .client assessment surveys, and other techniques deemed reasonably necessary to fulfill the monitoring function. A report of the County's findings will be delivered to the Provider and the Provider will rectify all deficiencies cited within the period of time specified in the report. If such deficiencies are not corrected within the specified time the County may suspend payments or terminate his Contract. The County may oonduct one ormore formal management evaluation and performance reviews of the Provider. Continuation of this Contract or future funding is •dependent upon the County being satisfied with the results of the evaluations, L. • Client Records. The Provider shall maintain a separate individual client chart for each client/family served, where appropriate. This client chart shall include all pertinent information regarding case) activity, At a minimum, the client chart shell contain referral and intake information, treatment plans, and case notes documenting the• dates services were provided and the 'type' of service provided. These client charts shall be subject to the audit and inspection requirements under Artiole 19, Sections F, G and H of this Contract, M. Disaster Plan/Continuity of Operations Plan (COOP). The Provider shall develop and maintain an Agency Disaster Plan/COOP, At a minimum, the Plan will describe how the Provider establishes and maintains an effective response to ernergencies and Page 1,9 of 26 'The City of iviiami Memorandum of Agreement (1Y10A.) Program/Brant 'Number: PC0910-1v10A. disasters, and must oomply with any Florida Statutes related to Emergency Management that are applicable to the Provider, The Disaster Plan/000P must be submitted to the County no later than April 161 of the contract term and is also subject to review and approval of the County in its sole discretion. The Provider will review the Plan annually, revise, it as fleeded, and , maintain a written copy an file at the Provider's site, ARTICLE 20. Office of Miami -Dade County Inspector General and the Comnilssion Auditor • The Provider understands that it may be subject to an audit, random or otherwise, by the Office of Miami -Dade County Inspector General or an Independent Private Sector inspector • General retained by the Office of the Inspector General, or the County Commission Auditor, Independent Private Sector inspector 'General Reviews. The attention of the Provider is hereby directed to ,the reqUirements.of Miami -Dade County Code Section 2-1076; In that the Office of the Miami -Dade County Inspector General (IG) shall have the authority and power to review past, present and proposed County programs, accounts, reoords, contracts and tranedotions. The 1G shall, have the power to subpoena witnesses,. administer oaths and require the production of records. Upon ten (10) days written notice to the Provider from IG, the Provider shall make all requested records and documents available to the 1G for inspection and copying, The IG shall have the power to report andfor recommend to 'the Board of County Commissioners whether a particular project, program, contract or transaction i,s or was necessary and, if deemed necessary, whether the method used for implementing the project or prograt is or WEI8 efficient 'both financially and operationally. Monitoring of an existing project or program may include reporting whether the project is on tima, within budget and in conformity with plans, specifications, and applicable" lam The IQ shall have the power to analyze the need for, and reasonableness of, proposed change orders. The 1G may, an a random basis, perform audits cin all County contracts throughout the duration of said contraot (hereinafter "random audits"). This random audit Is separate and :distinct from any. other audit by the County. To pay for the functions of the Office of the Inspector General, any and ail payments to be made to the Provider under this contract will be assessed one quarter (1/4) of one percent of the total amount of the payment, to be deducted from each progress payment as the same becomes due unless this Contract is federally or state funded where federal or state law or regulations preclude such a charge. The Provider shah in stating its agreed prices be mindful of this assessment, which will not be separately identified, calculated or adjusted in the proposed budget form, The IG shall have the power to retain and coordinate ,the services of an independent private sector inspector general (1PSIG) who may be engaged to perform said random audits, as well as audit, investigate, monitor, oversee, inspect, and review the operationS, activities and perFormanoe and procurement process including, but not limited to, project design, establishment of bld specifications, bid submittals, activities of the contractor, its officers, agents and employees, lobbyists, County staff and elected officials in order to ensure compliance with contract speolfications and detect corruption and fraud. ARTICLE 24. SUBCQNTRAcTORS. and ASSI,G,NMENTS A. Subcontracts.' The parties agree that no assignment or subcontract will ,be Page 20 of 26 ( The City oflvliami Mel-nom-glum of Agreement (MA) Program/Grant Nuinbon PC09 1 0.100A made or let In connection with thls Contract without the prior written approval of the County,in its sole dispretIon, which shall not be unreasonably withheld, and that all subcontractors or ' assignees shall be governed by all of the terms and conditions of this Contract, 1) If the Provider will cause any part of this Contract to be performed.by a Suboontractor, the provisions of this Contract will apply to such Subcontractor and Its officers, agents and employees In ali respectsas if It and they were employees of the Provider; arid the Provider will not he in any manner thereby discharged from Its obligations and liabilities hereunder, but will be liable hereunder for all acts and negligence of the Subcontractor, Its officers, agents; and employees, as if they were employees of the Provider. The services performed by the Subcontractor will be subjeot to the provisions hereof as if performed directly by the Provider. • 2) The Provider, before making any subcontract for any portion of the services, will state in writing to the County the name of the proposed Subcontractor, the portion of the Services which the Subcontractor is to perform, the place of business of such Suboontractor, and such other information 8S the County may require, The County Will have the right to require the Provider not to award any subcontract to a person, firm, or corporation disapproved by the County in its sole discretion. • Before entering into any suboontract hereunder, the Provider will Inform the Subcontractor fully and completely of all provisions and requirements of this Contract relating either directly or indirectly to the Services to be performed. Such Services performed by such Subcontractor will strictly comply with the requirements of this Contract, 4) ' in order to qualify as a Subcontractor satisfactory to the County in.its sole disoretion, in addition to the other requirements herein provided, the . Subcontractor must be prepared to prove to the satisfaction of the Couray • that it has the necesFgary facilities,, skill and -experience, and ample financial resources to perform the Services in a satisfactory manner. To be considered skilled and expanonced, the Subcontractor rnust show to the satisfaction of the County In its sole ,discretion that It has satisfactorily performed services of the same general type which is required to be - performed wider this Contract. 6) The County shall have the right to withdraw its consent to a subcontract if it 'appears to the County that the subcontract will delay, prevent, or otherwise impair the performance of the Contractor's Obligations under this Contract, All Subcontractors are required to proteot the confidentiality of the County's and County's proprietary and confidential information, Provider shall furnish to the County copies of all subcontracts between Provider and Subcontractors and suppliers hereunder. Within eaoll such ' subcontraot, there shall be a clause for the benefit of the County permitting the County to request completion of performance by the Subcontractor of its obligations under the stiboontract, in the event the County finds the Contractor in bread') of -Its obligations, the option to pay ,the Subcontractor directly for the performance by such subcontractor. Page 21 of 26 The City of Miami Memorandum of Agreement (MOA) Program/Orant Number; PC091 0,,M0A Notwithstanding, the foregoing shell neither convey nor imply any . obligation or liability on the part of the County to any subcontractor hereunder as more fully described herein, B. Pronipt Payments to Subcontractors. The Provider shall issue prompt payments to subcontractors that are small businesses WNW gross sales of $750,000 or less With its principal place of business In Miami -Dade County) and shall have a dispute resolution procedure in place to address disputed 'payments. Pursuant to the County's Sherman S. Winn Prompt Payment Ordinance (Ordinanoe 94-40), Seotion 243,1.4 of the Code of Miami -Dade County, Administrative Order No, 3-19, and the Florida Prompt Payment Act, payments must be made within thirty (30) clays of receipt of proper Invoice. Failure to issue prompt payments to small business. subcontractors or adhere to dispute resolution prooedures may be grounds for suspension or termination of this Contract or debarment. •ARTICLE 22. OcAj ANDFEDERAL COMPLIANCE REQUIREMENTS Provider agrees to comply, subject to applicable professional standards, with the provisions of any and all applicable Federal, State and the County's Orders, Statutes, ordinances, rules and regulations that may pertain to the Services required under this confract, including but not limited to; a) Miamt-Dade County Florida,Department of Business Development Participation Provisions, as applicable to this Contract. b) Miami -Dade County code, Chapter 11A, Inoruciing but not limited to Articles ill and IV. All Providers and subcontractors performing work In oonnection with this Contract shall provide equal opportunity for employment and services without regard to race, creed, religion, color, sex, familial status, marital status, sexual orientation,' pregnancy, age, ancestry, national origin or handioap, The aforesaid provision shall include, but not be limited to, the following; employment, upgrading, demotion or transfer, recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Provider agrees to post In a conspicuous plaoe.available for employees and applicants for employment, suoh notices as may be required by the Dade County Equal Opportunity Board orother authority having jurisdiction over the work setting forth the provisions of the nondiscrimination law. c) Conflict of interet and Code of fithios Ordinance, pection 2-11.1 et see, of the Code .of Miarni-Darcle County, as amended, d) Miami-Dede County Code Section 10-38, Debarment of contractors from County work, e) Miami -Dade County. Ordinanoe 99-5, codified at 11A-60 et seq. Code. of Miami - Dade County pertaining to oomplying with the County's Domestic) Leave 1 1 Ordinance. 1 f) Miami -Dade County Ordinance 99-152 codified at Section 21-255 et seq. prohibiting the presentation, maintenance, or prosecution of false or fraudulent claims against Miami -Dade County, . Page 22 of 26 The City of Miami Mon -loran durmof Agreement (IvIOA) Program/Grant Number: PC09 1 0.1v10A Notwithstanding any other provision of this Contract, Provider shall not be required pursuant to this Contract to take any aotion or abstain from taking any action if such motion or abstention would, in the good faith determination of the Provider,. constitute a violation of any law or regulation to which Provider Is subject, including but not limited to laws and regulations requiring . that Provider conduct its operations in a safe and sound manner, ARTICLE 23. MISCELLANEOUS A. Publicity. It Is understood and agreed between the parties hereto that this Provider Is funded by it/Hard-Dade County, Further, by ,the acceptanoe of these funds, the Provider agrees that events funded by this Contraot shall recognize and adequately reference the County as a funding source. The Provider shall ensure that all publicity,. public relations, advertisements and signs reoognizes and references theCounty (by inserting the Miaml-Dade County Homeless Trust Logo on all materials) for the support of all contracted activities, This Is to include, but is riot limited to, all posted signs, pamphlets, wall .plaques, oomerstones, dedications, notices, flyers, brochures, news releases, media packages, promotions, .and stationery. The use of the official Miami -Dade County Homeless Trust logo Is, permissibie for the publioity purposes stated herein, Provider shall submit sample or mock up of suoh publicity or materiels to the County for review and approval. The Provider shall ensure that all media representatives, when inquiring about the activities funded by this Contract, are informed that the County Is its funding source. B. GovernIng Law and Venue. -thl$ Contract is made in the State of Florida and shall be governed according to the laws of the State of Florida. • Venue forthis Contract shall be Miami -Dade County, Florida. C, Modifications. Any alterations, variations, modifications, extensions, or waivers •of provisions of this Contract including, but not limited to, •amount payableand effective term shall only be valid when they have been reduced to writing, duly approved and signed by both parties and attached to the original of this Contraot The County and Provider mutually agree that modifioation of. the Scope of Services, schedule of payments, billing and cash payment procedures, set forth herein and other such revisions may be made es a written amendment to this Contract executed by both parties. . The Mayor or the Mayor's designee is authorized to make modifications to this, Contract as described herein on behalf of the County, The Office of the Inspector General shall have the power to 6nalyze the need for, and the reasonableness of proposed modifications to this Contract. D. 'Counterparts., This, Contract is executed in three (3) coLinterports, and each' ' counterpart shall aonatltute an original of this Contract ' E. Headings, Use of Singular and Gender, .Paragraph headings are for convenience only and are not intended tip expand tr restriot the scope or substance of the provisions of this ,Contraot Wherever used herein, the 'singular shall inolude„ the plural and plural shall .Include the singular, .and pronouns shall be read as masculine, feminine, or neuter as the oontext requires, • Page 23 of 26 The City of Miami Memorandum of Agreement (1\40A) Proaram/Crent Number: PC0910-MOA F. Review of this Contract. Each party hereto represents and warrants that. • they have consulted with their own attorney concerning each of the terms contained In this Contract. No iiference, assumption, or presumption shall be drawn from the fact . that one party or.its attorney prepared this Contract, It shall be conclusively presumed, that each partyparticipated in the preparation and drafting of this Contract. G. • The County's Consultant, The County understands that in order to facilitate the implementation of this Contract, the County may from time to time designate a development consultant to work with the Provider, The County's consultant shall be oonsidered the County's' designee with respect to all portions of this Contract with the exception of those provisions relating to payment of the Provider for services rendered. The, County shall provide written notifloation to the Provider of the name, address, and employees of the Countys consultant, H. Contracts with Municipalities or Counties Outside Miami -Dade County to Provide Horneless Housing in Miami -Dade County, The Provider desiring to transact • business or enter into a Contract with the County for the provision of homeless housing and/or services swears, verifies, affirms and agrees that (1) it has not entered Into any current contract, arrangement of any kind, or understanding with any muniolpalify outside of Miami -Dade County or any County (colleotively "locality") to provide housing and services for homeless persons in Miami -Dade County who are transported to Mlaml-Dade County by or at the behest of such locality and (2) during the term of this Contract, it will not enter into any suoh contract, arrangement of any kind, or understanding; provided, however, upon the written request •of the Contractor pH& to entering Into such contract, understanding that the County may, in its sole and absolute discretion, find and determine within sixty (60) days of such request that a proposed contract should not be prohibited hereby, es the hest Interests •of the homeless programs undertaken by end on behalf of Miaml-Datie County would not be negatively affected by such contreat, arrangement, or undertaking. Incident Reports, The Provider must report to the Mierni-Dede County. Homeless Trust information related to lam, critical incidents occurring during the administration of Its program, The Provider Is to utilize the "incident Report" form attached as Attachment N. In addition to reporting this incident to the appropriate authorities, the Provider must within twenty4our (24) hours of any incident, submit In writing a detailed account of the incident, This incident report should be addressed to the, County, This inbident report should be addressed to Miami -Dade County.Homeless Trust, 111 NW First Street, 27`11 Floor, Suite 310, Miami, Florida 33128; telephone (305).375-1490 end facSimile (305) 375-2722, J. Totality of Contract I Severability of Provisions. This Contract and Attachments, with it recitals on the first page of the Contract and with its attachments as referenced below contain all the terms and conditions agreed upon by the parties: Property, This section epplies to equipment with an acquisition cost of $5,000 or more per unit and all reel property. a. Any real property under the Provider's control that was acquired/ImProved In whole or In pail with funds from the Homeless Trust and any equipment purchased for $6,000 or more dial! be disposed are at the expiration or termination of this c,;ontreot, in accordance with instruction frorn the Homeless Trust, Reel Property is defined as land, Including land Page 24 of 26 'flie City of Miami Moraorandtan Agreontont (MA) Program/Grant Numbor: PC0910-MOA improvements, structures, end appurtenances thereto, including movable machinery and• equipment. Equipment means tangible, nonexpendable, perSonal property having a useful life of more than one year and an acquisition cost of $5,000 or more per unit. b, All equipment with an acquisition cost of $5,000 or more per units and .all real property purchased -in whole or in part with funds from this and previous 'contracts with the Homeless Trust, or transferred to the Provider t after ,bing purchased in whole or In part with funds from the Homoiess Trust shall be iisted in the property records of the Provider and shall include a legal description, size, date of acquisition, value at time of purchase, owner's name If different from the Provider, information on the transfer or disposition of the property, and nip indicating whether property is in parcels, lots or blocks and shewing adjacent streets and roads, Notwithstanding documentation required for reimbursement purposes, a •copy of the purchase receipt for any asset described above purchased with Homeless Trust funds must also be included In the Providerls monthly reimbursement package submitted to the Homeless Trust in the month In which the item was purchased along with the "Provider Asset Inventory" (Attachment 0), 0. All equipment with an acquisition cost of $5,000 or more per unit and all real property shall be Inventoried annually by the Provider and an inventory report shall be submitted to the Homeless Trust. This report shall include the elements listed ln the paragra'ph listed above. • Attachment A: Soope of Services Attachment E: Budget Attachment C: Miami Dade County Affidavits Attachment 10: State Affidavits (not applicable) Attachment E: Primary Care Invoice for Services. (not applicable) Attachment F: Monthly Payment Requests Reports Attachment G: Monthly Performance Reports Attachment H: Outcome Performance Measurements Monthly Report (not a)plIcithiej Attachment I: Client Contribution Report (not applicable) Attachment J: Client Attendance, Roster (not applicable) Attachment K: Vacanoy/Permanent Housing Placement Report (Quarterly) (not applicable) Attachment L: Annual Performanoe Report & Annual Actual Expenditure Report Attachment M: W-9 Form Attachment N: Incident Report Attachment 0: Provider Asset Inventory Report Attachment P Client Services -Certification Form- ,,,,, No other agreement, oral or otherwise, regarding the subject matter of thls Contract shall be deemed to exist or bind any of the parties hereto, If any .provision of this Contract is held invalid or void, the remainder of this Contract shall not be effected thereby if such remainder would then continue to conform to the terms and requirements of applicable law end ordinance,. Page 25 of 26 Tile City of Miami Memorandum of Agreement (MOA) Program/Orant Vum bell PC091 0-M0A 111 WITNESS WHEREOF, the parties have executed this gontract, along with all of Its Attaohments, effective as of the contract date herein above set forth. THE CI MIAMI Name: ?ado.) Hernaniez Title: City Ma ria,qpi Date: pde, Name: Rrlaoilla A Thompagn . Title: gegy CIerk Date: 0, 5 -ID Approved ks tO roan and Correctness: By: Name: Julie 0, Bru Title; City Attorn Date: Approveda to lfls jr Reg irements: By: Name:,./Lee Ann relirrt Title: Risk WI ten . Date: Attest: Authorized Person or Notary Publio Print Name: Title: • Corporate Beal OR Notary Seal/Stamp: iliA11/11-13 by: N Date; COUNTY, FL RIDA GO', Car Y AlAir'SOK Aftest: HARVEY RUVIN, Cleric ' Board ofrounty ConimIssioners Page 26 of 26 • Dafe: To: °From: Subject: ,41—rArx. Memorandum Deem b er 3; 2009 Mandana Dashtal t, oistant County Attorney lvliatni-Dade C orney's Office David Raymot utive Director Miami-Dadecojnty Homeless Trust Approval of Agreement 0 Sub -recipient El U.S. HUD Giant Agreement 0 State Other: :Primary Care .." Attached, please find for your review and approval three (3) originals of the referenced Grant Agreement between Miami -Dade County, though the Miami -Dade County Homeless Trust and the agency listed below: Agonay: The City of Miami Contract Number Name: PC-0910-11110A. MOA Program Contract Amount: $ado,000,(ID SHP: I:1 F SI, 13 iEl STATE: El OT14ER El (Speeify): ,„ Authorized by Resolution: ' liga- 17,-e,a 0 El Now Renewal Authorized by A) 3-38: New Renewal We are requesting your aseletance with reviewing and approving the Agreement as to form and legal su'fficlency as soon as possible. Please contact our en once the Agreements have been signed at p05)37,-.1490, As always, thank you for your Resistance, I approve the above referenced agreement for form, and legal sufficiency, )14A/2(2.. e,hotgisc.H Mandato.. Dabhietki '11161. • ,• (,) Assistant County Attorney I do not approve the above referenced agreement for form and legal sufficiency because: rev-40-.44* Please resubmit agin for review after these problems have beez, addressed. GRANT NIMMR: PCN OA city of MiamL MOA program/ Page 20 of20 ATTACHMENT A. SCOp0F SERVICES The Provider will provide Mei:norm:Ida of Agreement ("MN.") services as 'specified below, The MOA participating entities are Miami -Dade County Department of Corrections and Rehabilitation, The Florida Department of Corrections, The Florida Department of Children and Families, The State of Florida 11111 Judicial Circuit, Jackson Memorial Hospital/Public Health Trust, Our Kids, Inc. and Community Mental Health Facilities CMOA Entities". The following services will be provided: Homeless outreach services from 5:00•pm, to 800 a.m. Monday through Friday and 24 hour homeless outreach on Saturdays and Sundays County -wide. Outreach services wilt include staffing the Homeless Helpline during these hours and accepting calls from MOA participating entities as described above and as outlined in the MOA docuMent (Attachment A-1): Establish a team of tree, (3) Iousing Specialists, (dedicated staff who Will develop housing resources) linked to the Homeless Helpline, who will accept refer and serve as appropriate within available resources, homeless individuals or those at risk of homelessness, from. all of the' other parties :involved in this 'Agreement These specialists may be located at strategic locatiens (e.g. The Justice Center) or other sites to be determined by the Homeless Trust and will accept 3,-efurais from ;WA entities in need of services for individuals and families at risk of homelessness who are exiting their systems. .Housing Specialists shall assist those Plietrts with housing search and placenient into affordable housing and or appropriate hoxiwiesslother programs. • Housing Specialists shall devdop/identif an inventory of appropriate housing and services for :individuals referred by the MOA Entities, Identify housing and services, within available resources, or ough the development of new resources within budgetary and legal limitation% for homeless individuals or those at risk of homelessness referred by the MOA Entities, *, Utilize the Homeless Trust Homeless Management Information System (I-IMIS).for client referral, tracking) and 'case management purposes, Work -with, theother agencies under this Agreement to Collect data on those individuals referred, placed, and/or unable to be served,. to identify trends, high utilizers, unmet needs, and barriers ta placement. Identify Chronically lIorneless-High Utilizers of multiple systems of care who will be referred to the Homeless Trust coordinated outreach program (operated by Citrus Health Network) to facilitate referrals to low demand permanent supportive housing, 07 other housing and services as available and appropriate. I P1'01/i (It bus tokens to individuals in need of transportation assistance referred by the MOA Entjti es. Provide 3.0, 90, 180 and 365 day post-place:merit reporting via HMIS and narrative data 'on people placed through this program • Memorandum MIA MI, WV, Date.: rebruaxy 5, 2OD8 Honorable Chairman Bruno A. Barreiro , Agenda :item No 0(c) (1) (A) and Vatiber., Board of County Commissioners L .1",„ Pro111: G001'04.; Byross,,,,i4;e f4,,..,.,,,Q CvArilgig6ger Subject: Memorandum of Agreement regarding Discharge Planning Policies for Homeless Persons • Recommendation it is recommended that the Board of County Commissioners (BCC) adopt the attached resolution authorizing the County Maybr or his designee to execute, in substantially the same form es attached, the Memorandum of Agreement (MOA) that includes the participation of Ivilaml-Dade County's Homeless Trust and Correotions and Rehabilitation Department,. the Florida Department .of Corrections, the Florida Department of Children & Eami the Judicial Circuit, Jackson .Memorial.Hospitel/Public Health Trust, Our Kids, Inc., and various community. mental health facilities, The MOA details the responsibilities .of all riarties under this agreement. The impact of this MOA is countywide. Fisqal Impact/Funding Source .A•proposed discharge panning budt illustrating the estimated costs is attached to the MOA; however,the anticipated costs In the current fiscal ye°91will be for Six months only, A fiscal impact of no snore than. $170,260 will be generated in the current year as a result'of the implernentation of thls MDA, The additional full-time equivalent (FTEs) required will not be In the 'County's table of orgenintion, rather services and staffing will be 'provided by e community based organization(s) selected via a Request for Application process. The Homeless Trust does riot provide direct services, thus the proposed services EIS described in the MOA report would .bo procured through a competitive process. Funding for these services will be provided vie private sector funding and additionai unanticipated Food and Beverage tax. carryover funds from the previousfiscal year that were not included in the FY 2007-08 Adopted Budget, However, prior to utilizing additional Food and Beverage tax.funds, the Homeless Trust Is securing potential private sector funding through community partners such as the Miami Cot-alitiorrforthe- Homeless to reduce the need to fully fund these services with FoOd and, Beverage Tax funding. The Homeless Trust has already secured $4.0,000 from Community Partnership or the Homeless in EY 200708. - The Homeless Trust will continuo to Work with community padnere to identify private funding for recurring carts eif thi project which are projected to be no more than $,94.0,500 on an annual,basis es detailed in the attached budget to the MOA. Honorable Chairman Bruno A, Barreiro and Members, Board of County Commissioners Page 2 Track Record/Morittor ' The agreernent shell be monitored by the Homeless Trust, Background On April 24, 2007, under the sponsorship of Vice••Chair Barbara J. Jordan, the BCC passed a Resolution (R-432-07) which directed the Homeless Trust to develop and recommend an MOA establishing discharge polices for agencies ln IvilmiDde County who provide services to homeless persons or those a1 risk of homelessness as recommended by the Community Affordable Housing Strategies Alliance Taskforoe, R'esofution R-432-07 required that the Homeless Trust present the recommendations and memoranda to the BCC within 120 days of Its Passage A memorandum dated AtIgU5121, 2007 was sent on behalf of thil • 'Chairman of the Homeless Trust recitlesting additional time to complete this work because issues regarding individuals with •mental health issues residing in County Jails needed to be resolved. On November 6,• 2p07,1he BCC adopted Resolution R-1236-07, extending the reporting deadline byen additional 90 days from the date of passape, The attached report is the work of the Homeless Trust, The goal of thls MOA is to prevent homelessness, by setting forth discharge planning policies, and the identification of roles and 'responsibilities of each participating entity related to the discharge of homeless individuals or those who are et risk of homelessness, Process Beginning In May 2007 the Homeless Trust implemented 'a planning proces's 'related to establishing a MOA. A series of meetings were held with all pertinent parties, which were led by Ronald L Book, Chairman of the Homeless Trust Additionally, sub -committees met over the course of several months related to various special populations includtng: the felony, population, civil court probate cases, Individuals with mental health, sexual predators/offenders, youth exiting Foster Care and farnIlles involved with the Department of Children & Femlles Recommendations were mule, discussed, and shared with representatives from the systems of care representing all of the above referenced entities as well as the Public Oefender's Office, the • State Attorney's Office, low enforcement agencies and other 'key stakeholders, The result of -this group's work was approved by the Horneiess Trust Board'and Is presented as an MOA fOr the consideration of the BCC. Additionally, the ongoing monitoring of this agreernent and further work of this group will, be conducted under the auspices of the Homeless Trust and will he reported • to the Board of County Commissioners as requested, , This MOA was approved by the Homeless Trust Board on October 26, 2007 and by the representatives of all participating entitles. A99hrrient 'A6rgeteri Cour' 1\11Ein.Ager • Veto Override Approved • M ky,,o1; Agenda Item No; 1 D(C)(1 )(A) .02-05-08 ..-••••-•.-•••••••••,••••••---•••••••••••••1.1. REs_01111,LQL.E.—\1 RESOLUTION AUTHORIZING THE COUNTY MAYOR OR HIS DESIGNEE TO ENTER INTO A MEMORANDUM OF AGREEMENT (MOA) THAT INCLUDES THE .PARTICIPATION Of. THE MIAIVII-DADE -COUNTY HOMELESS TRUST,, THE MIAMI-DADE COUNTY DEPARTMENT OF CORRECTIONS AND REHABILITATION, THE FLO'RIDA DEPARTMENT OF CORRECTIONS, THE FLORIDA DEPARTMENT OF CHILDREN' 84 FAMILIES, THE 11T'H JUDICIAL CIRCUIT, JACKSON MEMORIAL HOSPITALIPUBL1C HEALTH TRUST, OUR KIDS, INC„ AND COMMUNITY MENTAL HEALTH CENTERS AND FACILITIES :WHERAS, this Board desires to accomplish the purposes outlined in the aocompanying memorandum, a copy of which is lncOrperated herein by reference, NOW, THEREFOR.E, 53E IT RESOLVE:1) BY THE BOARD OF COUNTY , COMMISSI.ONERS OE MIAMI.DADE COUNTY, FLORIDA, that this. Board hereby authorizes to the County Mayor or his designee to' exectite, In. ub8tnt11y the same form as attached,' th'e Memorandum of Agreement (MOA) that includes the partiolpation,of th6 Miami -Dade County Homeless Trust, the Miami -Dade County Corrections & Rehabilitation, the Florida Department of Corrections, the PlOrida Department of Children & Families, the 1 lth Judicial Circuit, Jackson Memorial Fimpitai/Public Health Trust: O'ur Kids, Inc,, and CommunIty IViental Health Facilities to file and execute the MOA and any necessary amendments to the MOA; follcMingnapproval, by,the,County„Attorneyls...Office, for and on behalf of Miami -Dade County, Florida, and to exercise any amendment, modtkation, renewal, cancellation and. termination clauses of the MOA on behalf of Miami:Dade COunty, Florida, Agendii Item No. :1.0(c) (1) (h) Pap No. 2 The foregoing resolution was offered by 'Commissioner who. moved Its adoption, The motion was secondgd by Commissioner and upon being put to a vote, the vote was as follows: Bruno A, Barreiro, Chairman ' Barbara J, Jordan, Vice -Chairwoman Jose 'Pepe" Diaz • , Audrey M. Edmonson Ceps A. Gimenez Sally A, Heyman Joe A. Martinez 'Dennis C. Moss. Dorrin D. Rblie Natasha Seljas Katy Sorenson . Rebe6a Sosa Sen. Javier D. Souto The Chalrper's6n thereupon declared the resolution duly passed and adopted tills -frth'day of February, 200B. This resolution shall become effective ten (10) days after the, data of its adoption unless vetoed by the Mayor, and If vetoed, shall become effective only upon an override by this Board, MIAMI-DADE COUNTY, FLORIDA i SY ITS BOARD OF COUNTY COMMISSIONERS HARVEY RUVIN, CLERK 13y: Deputy Clerk ' Approved .brOpunty-Attorney•as--... to form end legal suffoiency07 mane -Jana DasbtE,tici, l ..L ' '1 O RA D lr' M. .0;6\iisud1 'i'(7, I')d,irlc)rthie chain -nail l iMtno A, E nrreir4r DATE: snd iVk»1bet's,. Board of County Czrmmis.,ioncr$ FROM: ° R. A, dt van, County Attorney SUBJECT: Agenda ken No. 1.0(c) (1) (AY 1''1t Frsc note any iterrts checked, •"4-Day Mlle" ("3,..Dt)" Rule' for cnntxtrittoets) applim,,ble if'raised 6 weeks required between first reading anti public hearing A weeks. t7otificatidx, to municipal. ofliciait required prier to public haring Decreases cases revenues or increases oXpurrii.itures witborrt balancing budget Budget require() St tt .inrzrt of •fiscal impact required T,31 waiver r'trquir hi , County iNlit rcgun's written r eccrmrxtcotirrt'iorr Ordirtande event* a riciv heard requires d tctiletl County Nfftitsger°'ti report for public hearing T;louse kkcclrixrgitcrfl ('rcci..po1ioy,dacision„required) .. No committee revic IY n 2Q under c' sponsorship of diet Chair Barbara I..1i71°clan° the {)1°! ;liirll ..�, _ (JFf, tlrr.)s.r' t1.7 �'�' Dade Cna1y Board cf Cc_ttty Conk s (BCC) passed a A!s1)LLlU7 p and rnmend li f v,'l7iclt directed t.1ic:1•:iana(1'wss Trust to'ticvw141ltiacllsc]7ary,e,i �Crli�G�di°rar' a��ltioteseit7 nt (hereinafternafter reforred to as Agreement)Agreement) establishing Miami-Dade Ccattrtta, who provide se1�17eslesjbo�homeless r�cat��c�rdedC'l,,Yr lth� Community tt�tty ose risk of Homelessness to an effort to prevent h rn Affordable: Housing St1°xtte;gies Alliancememoranda )toton thcrii�C"�i�ttJairr 120 ltthLii onneless Truss present tho reee1171 ? etadrl.tial� thydays of the Remolutiom On Novon7l7arl14 tl007, tthe ra7§t11e ci��i,e ctlatlres 1utoflt%aa7ri�bi 'the reporting;, cloudily) e .: '1 additional . The following is the report of t'11e work Qi°,Mr�tst°g Daclb rciatcdott�lt.tllisy ilisstae SFtt�dcttlna�l� a}�ryserl ereinaft or referred t,ti sts Bot Bless 'Dust or "Trust") Mcmorundo ofAgreextmont.a Memoranda of Agr"isernerlt heMiami-Dade. County 'BoreelessTrust And, 1\diznn i ado C;outaty Corrections &It*obi litatioi .The Florida Department of Corrections And The Florida 'Department of Children &Families • Arid The State ofFlorida 1 lsa Ttacliciaf Circuit And ,Jackson Mer ori7.) fop l Puru blic Health Tsll Our Kids, l'ric And eorpm ursiify la1Ci•rta.T health faai11ities Proc • Beginning in May, 2007 the Miami -Dade. ��e1�� per �7daunty locl�,l��lc,cl7�ct7t1,1i�7r�o)�o�nnt; dt�7t planning process r o�1�ti�eff to establishing aforell milionocl parties. A series of Aleall,n7artwere :hthe lld yliitllt all perti»enl�ii artie))��t, sti h were 1� c3 by f'� Ronald 1 . B oa1,, .1 s q., C various s ecistl populations inc.1i d ng the. l;e1oay sub- committees also tnnei r+`.�liltuti to l gram' ciir�ihinni, medical, menl.tt} health, sexual 1'oi��ulclucr,7, civil tc��rt (,1 �:� preidators!oft`�1741t�t�s, yontln e iti+7 1;oale:t° Cue and Families involr ed with 1.17' 11cparti ery, of'C.:'hli.ldren GSA iPatnni1ies, discussed, vetted i•Lnci stared with rep1s.°«;entati s fi'cm • Y'�r'Ct11'1'ti77Clyt111�1i�1']S 1'.' r� sing ail 01 iho iabcvc 1"u'1crc17C'ed .` ol1 a r1f°i lnc t:rs orrice' the. Sege Attrrn y' t Office, lurr cunforcc.r;nent Fund oc}°ecr 1;ev stakeholders, The result o°fthis group's•wcitt is praisenuid below for the consideration of the lyliarni-Dade County ' Homeless ;rust and Ole Eloard of County Ctrml1iissirrner:; Additiuno0y, the ongoing nnonitoring of this li ref nnelrr and further work of this group t��ill be e nduacted under Q}ne auspices of the iv4iaanri-Dade County 1-ionneless Trust cant} as requested will be re'port ;d to the Board of County Commissioners POrpOse The gnarl of this Interagency Agreement is to proven' homelassrness, by setting forth clisc1nrarge planning po)icies, and the identification cif roles and responsibilities related to the (Ji,sclntarge of homeless individuals or those who .are Wrist of homelessness., % Agreement Goals The goals of this Agreement include the following: 1. To establisJ, fornm,1 1'inl<ages, training policies, arid discharge polices between the Miami -Dade County homeless Tout and all of the 4ihove referenced pares. ', To establish discharge peaks between the State of Florida. Department of Corrections (DOC) and ilie Miami -Dade County Homeless' Trust 'for State ir'liaa tteS, 3. To establish diselaaar,gs policies between the Mierni-Dade County Homeless Trust arrd the Mial7ai-Dade County Department of Corrections and Rehabilitation 'for -Coarrnty, ail inmates. . di. To es.thlis7n discharge policies between the Mianai,Dadc County T trrnn iess Tru>i and ,lank:son Memorial Hospital'P'ubiic Health alth Trust for homeless patients err° those at risk o,iaacarrr'eleSstness, S. To establish discln' ur je policies beiween the State of :Florida l 1 `r' xudiciiti C it°cult and the Miami -Dade o.d.e County Homeless Trust for homeless persons and those persons. at risk of homelesanaess ' innvo}veci with he l i th Judicial Circuit sdemeanor, ££l rrny+,-civil end diversion eases). 6. To estalni,ish discharge _politries between Our Kirk, Inn and the ;M:iariii-Dad.e County J;Jcrtanelesa.Trost 'for forth Exiting Tros°ter Care who are at risk of bomelessrrr~:,Ps. 7. To establish disc]]arge poiieies between community mental health centers and f'aciliti as :for 1nonielcss per;son,s exiting nro ntal health facilities and ecritors, f+. To rst,ablish linkas2,,es between the .Miami -Dude: County Hem clrsss Trust annti The 'Florida Dcprtni rnt o'i' Children & Families related to families ai risk of homolt;asricss. 9. To establish. discharge palicic:s between hospitals a17d the County. Fltxnnrcricss-Truai for lncnnn }c,is pCruoris and'those nit rink of hemelcsstncss,• "i era' of A ;r :omen tt Tina tnn 0 f this .61.E reeri7'rnt shall be foi ol. five ( ):CLUES from th'c date of its c;+;o::trtrc,n, This; Agreement may be r'Cno.;l'Gd therm-dm' for five rh} StiGt<essi'C 'fi1'(,lein. lrrms ilpon t.hr ''Vrrricn, near uul Corison( o'f the Panics.. Joint Resonnsibifirlos J?; �MnLeering. into this arfrecrnena all patties ttgrce io carryout the following; re ponsibilititas: ! , To assign uppropriatd representatives to the; ivfiami,-Dade County Hom61ess Trust Se;rvicos i;' oyelopment Ccsmtttittce for o going dialogue, refinement, and Li n'st<arin$ of the progress taf'tlhis Agrocment rJtt t ini»it um of a lu;;ti-car,ly E�asis, 2, To ess'tablit and rnalro,ain the use of a data system (Homeless Mantigc;rwn1 Infotiuttion System) to identify, refer, and track homeless individuals served by mutual systems, par~ticulaa•Jy high citilizets ofscrvices ofnrultiple syslen a of Bare, 3, To create and review systems data in tarns of the rtuml,•)er of homeless pec;}oio or • people at risk. of homelessness. entering, and exiling cacti system of cart: involved this Agreement and to identify trends and unmet needs, and the idetitillaation of chronically homeless people who arc high utilizers c 'rultiple systems ofcttro, d. To provide cross -systems training to appa'opriutt< personnel o:C DVsyt;teaias related to resources, aides, and regulations pertinent to homeless people and those at risk of horneJcssness. 5, To ruler, and accept as appropriate, homeless persons, or t1108e at risk of hoi7lelessi-ess into housing and sorviccs, as available and appropriate. Agacy 'si�trztstl�.z),l a : Jviiia.xai-Dade Cotttity ]a orn eiess,Trust• 1. T'llo Mrfiatni-Dka,de. County 1:lomedess 3'rust will provide a minimum at quarterly training scssicinn on. „ omeless Tn119t, resources toThe other entities involved its this agreement: The training will he provided) to, 'but not be lin'iited to:. Drug Court case managers; Judges, Bailiffs, Probate Bar, Miacrai-fade Conetional COMM C,fors or appropriate Corrections staff,.DOC Classification and Probation Officers, cers, HART (Homeless Assessment nt Referral and Tracking) staff; :11t4H/P.ublio Health Trust Social Workers or, approprinia staff, Hospital Social 'Workers, Community Mont& ealtla Cezi,ters.and Paeilitias staff', State Attorneys Office, Public Defenders Oates±, Guardianship program staff, ,MCP staff, Our Kids staff 2, . The 119,1ami,Dade Counter tatt•iteless Trust will provide access to and ta'ainin3 .arl the Panic:J ss '1vd.anagement Information System (HMS) for client referral, tracking, and ctaa76 m an aac;anent purposes, 3. The Miami -Dade, County HOD) el(In Trust will establish a learn of ?�nusin Spe:cia,lists, linked to the Hoii7elasy Helpline, who will accept rofcti•et.is ai7d ,large as appropriate within available resources, hptatelas:i individuals or those at risk of hotnclessisess, from all of the other parties involved in this A.grec'inent, These sl7e,cia.Ji,sts may Ire located Lit strategic locutions (e.g, The ,lustice Cfcnier) or ot1•iai sites. to be dt:icnnined by the Homeless Trust, 4, The 14iarni-Dade County I -Ira el as Trost will •itlontify ho.etSin ; and , oi: 'ies, within riv1u14th10 resources, or throu?plt the dowel tlrmerl of 110W re.!son1°C.0 S within budgei.ar'y and legal limitations, (bi homeless individuals or those iiLL risk of home;ressticss ref -or -rod by till other p'i rti.cs Gulclirr this Agi'otmvii1„ ti. The lvi iutni-Dstele COO 11ty FIctric1crts Trusi vti'ill wort, vrith lihc other ;at!,cric;ii~s uncle?' this Agreement to c,oIlee! dam on those. indivrklnrtis referrer), plae.c.d, and or IMAM(' k) ho A ?'ve.1d, tea i CiC IltifY trends, high utiliz,prs, unmet mods, and harriers to placement, The Homeless Trust wi11 work to iritartify resoarckt's to meeet urrrnct thleds identified vita this pricers,. 6. The ivliumfdpatl : C:ourhtj' Homeless Trust will identify Chronically Homeless,. High Utiliizers of•rtauultiple systems of Gala who WIN b0 rr:fc.rred to sand rt;pcivJe low • dun• and permanent s'uppprtive Jhou rims , or other lousing and services tis available and appropriate, 7: The 114tnri.:Dade County 1-1otraeleS Trust v+i1l review d ricte.rmine policy rclate,d to pricritizir•r "court involved clients" in lens of Trust funded bed availability for `r7enhtal haralth ail() substance abuse treatthrent programs, ' TireState.of Florida 13' Judicial Circuit 8, '17r•.111' judicial CireDit wf11 erhsq.ra't'lrtrt ;fudgos, Judicial A.ssi.st:urhts, lbe Probate Bar, Bailiffs, Horn elesa Assesstxrcrht Rcf rrtal arid Tracking(1ZART) progratlr ataff; Drug Court staff, and Other appropriate staff are trained in the use of Elorn1c;ts Trust xcsat,rces, 11, The 111h ,Judicial Circuit will ensure that appropriate projrar'n staff ig trained in the use of the Homeless Managemont Inforinatioa System, 10. The 11 1i' .fudicigal Circuit gill identify appropriate, staff and utilize the HM,1S to snake referrals, lraok clients, and identify high utilizers of services, and rpeei tl .needs populatior'ts, 13, Thi 1lib Circuit will erasure that homeless intlivid,uals will provide • •referrals to the bor°rmele:ss outreach teams on site at the Justice Centex for lhorhaeless individuals in .ne ad of emesrgcrroy housing plaoernenj who are.involved with misdorrieazors and feionios .1. Tihe 11 rt"'.Tttrdicaal Circuit will idezt'ti' and provide in-S ithcl offioe space for an oar - situ hr,,usin specialist as made available through the Tuneless Trust, who will provide housing referrals to homeless isrdauiduals or those at risk of homelessness who are involvecd With ra'ihderhheanors, felonies, civil °probate clivisJo rs, l`t+ iarztirDade Court w 1)e at rIrna rrt of Ctrrret tie>ns inad Rehabilitation: 13. Upon intake at booking,'11he Miami -Dade County Doparknhent of Cot ctions and Rehabilitation. will identify all lhornaless individuals as designated bY means of uun:'.est affidavits int.icator, 14, T1bc Mianhi•-Dade Corm)/ Department of Corre,cliorhs and 1'.ehahilitation ensure•'EJhat Correctional Counselors and other employees as may be appropriate are trained in tiha use; of ROM eless "Crust r-G,sourccs rtt a otinimorrn of quarterly, at no cost to the 1\4.iarhai4l~')ado County Department of Corrections and Rehabilitation,. 5, The J14,Sarni-)Jade County Dopartmont of Comet -ions and Rclhahlhilit.atiof will • ensure that Correctional C otinselors and other ornployees ns Whey het apipropriate . aro tr airrod in the use of th6 Bcrnhei'css Iv1tu°ragcii' ni lrhfounatiorr System, Jti, The .ivilan i-Dada t .ounty Dopartmont of Coaections end Rehabilitation will utiliZ,c the EtWilS to mnika t'afar rrris, t'r,aruk hathhcle s elicits, and identify high utilizers<rf,trrvic.e:s, WIC) SpOr:in.1ihctttlt;1,o1iulatiicyrtc,, .17. 'Ilia NI"Ii-1::t;rdc County p)cpartnhetrht of Con.atttionstlhr•ouo, the., 00111,3 ertith Sc.ri'iccs (';I Jy11-1/i'1•-l'f, s)101 utilize a current mental Ih;altIrn,rsegsrhtcnt tool as epTeari upon lyv C'orrecricros, the 11'r' ,ltrdir t1 Circuit and ,livj1-111'•H'1", j1�1oSa, al 1 This is also reflected in hon.) O. 41 as port of tin ,ll'�1 h'T' T C0i roctions. l•lc,zltb, Services action,) , l n ! s incorporated into tl'lis agreement, 'rho Dspartmont of Corrections and kehahilitsation. Shall govcrl7 tlne3mselves by thcir Standard Oporo:irtL Proct:dures pit1",Sitant to its policies for racnla11 health sett+ions, recognizing and supervising nnontatliy i11 inmates, and release of inmates, with special Awls., as nnay be arriondod as necessary, 19, noaMiaaini-Dade Count )epartrtnerrt of Corrections. Will assist bomolegs individuals exiting ale jails by referriJng them to appropriate housing, serricer, and crow trxllty resmimes via homesles, outruaoh staf 'or hesti,in rnecislists provided 'b,y the MI arni•Tade County Homeless Trust, 1'lorids Denar•tufeia't trf. o';1 et -,tens/ illmi-•C?acic goua,ty eflarnion Trtitsi: 20, no. Florida ,Depart nneni of Corrections unsure that .c)rissifir ationJ of'fiaorws devclop appropriate clisohbr lnlans for iilfa'tat08 at ieJast 180 days prior to release., 21. Florida Department of Corrections will forward disohar&e ,plims Franz • classification officers to the Homeless Trost ,blousing Speeiaiids .for those individuals Who will, become homeless. upon rclaase within 150 days of release, with the consent of idip ix mat ; or for thoso inimites on probatioN 'community corrections staff (probation officer) will submit their plac,cemont requests to the iTomelcss Trust .ETousin, Specialists within 30 dsys of release with the consent of the inn' ate ' 22, The Miaint-Dadb County Homeless Trust Noosing Spcoi tlists will roview the, discharge plans and respond to the DOC classification o:fflocrs t>tritlJin 3;D days.of rercciving,the disoharge plan. as to the availability 6fbousing aarrd resources within 11r1iawaa" }arle County, 'TheMiami-Dade County Nameless. Trust Housing Spoilt will respond in writfn'g.iia the olaxssific'atioan officers as to wipe plaipeinent barriers (e.g. 2,500'foot rule for .sexual predators,) so as to provide, sufficient time to identify /alteanative' placements, • Mori& DcipartmeIlt of "ixt')dran d Families (C",zrcr It 1.1): 24, The Florida Dopa.t-tmont of Children rS, l alilicJs grill 6rntarc 11'raE eligil>ility specialists and protective investigators., attornoys, and athcrr approprige, staff are trained as to BonieIoss Trust rnsouro s. 25, Florida T7e: artmcnt of Children & p'ulrrilins evil) cnsuro that hon cicss individuals and 'families .or these at risk of bonnole;ssness are re;.fr;.rred to appropriate inotisiai,„ scrvicos, housing specialists and community resources by protcic;tive investigators and t:1i,',ibiliiy specialists. and gill Doti fy the F1omcleru Trost as to i.111y haarriors 1J1 cC',Cssing il`ioge serViecs.• 20. The. Florida Depaxl~trncrit of'C.laiid 011. 'rivinilics post Homeless 1-lolplit•ro, Ho.trsirny Locator and other 1'rornoloss resct.n'cc rrrfornn.otion in 'DM' O'ffice's annti "Access" sitos, 27. The noridn l emi: `ti1'lent of C'lvldren : Pauli ks 11 p1'ovie1t:trarininrt (o 1-lornolcss Trust providers r'caic.ted to np.proprillIe repo tier ; of'i117ucc and ru.r,l'�,rn 70 e .7 i. The rdclr'rwla DL}7r13'i1irient ooif{IvJ•;hildrentA{:' f`amilics 41k'!li pyrRr�1Tvick' irainily gtt'o i'l'J11n11elesis Trust pr:iiderr, r, fated to tli Baker' Alit ts ��J11 la benefit i14�il7r 1i6 ' {Mrs. [Ar ,r available iln•ougli ?fit', rear the 5tirto, C}trr l ads. Ic c,fMiami-pp Monroe Crain tv 29. Our Kids, Ir3t, will ai7sure 0101 full case management tAgenoy cilrect srur rice siiff; and 3'rids;l onden t living program staff •refer horn c)c ss hidividritcls, fiiniilic , those al risk of hcirneilassiie:ss to appropriate housing, services, housing specialists used coriirnunity resources Otrtii11.11a1e through the Homeless Trust c>.r cihor arnitics; 3(}, Our Kids, Inc. will ensure that "J.ndrpendcnt Living" iind other appropriate :stafT, us identified by Our Kids, Inc. are trained by the Homeless Trust hi the use of NI lIMJS and klornolcse Trust resources. 41, Our' ids, Inc will ensure. that inclejiundeni Living staff utilizes the 1-1:141 i to make referrals, track clients, and identify those youth at 'risk of lion oloss;nesi; upon exit from Faster Caro, 32. O3ar' Kids, lac, V‘rif work with the Homeless Trust to' identify unmet needs and will m t, imize tb. coordinttticiai ofnioiir tary and canrm.unity resources utilized for i7ryove in and rental assistance to youth exitiiig faster care, J icltisr n Mcrircrrir:il Her iit°fJi/Public YTorrlt Trkst ' 33,,Tacicsoai Memoria1,lTnspitanpublic fdLiil.th Trust will .onmire that M l'('llT Social Workers and (Aber appropriate staff are trained in the use of iioneless Trust resources, 34. ,lticks°n M ern ori -Sospit.al/Ruhlic Jlealtli Trust will estaliliel'1 linkages .with Homeless Trust funded outreach teams, 35. Jackson Mon -wild ,eJslaital/public-Tnalth Trust will ensure that <1'M1-1/;Pf-'T Social Torlyerra two trained in the use of the H TS, 36, :lacicson Memorial Ifospitall,I'uhlic FJcaJth' Trust will utilize the HMIS to make re:f'en- ls, identify, Muicl-track ho1,130esap1eop}e and thoscaat risk of homelessness 37, Jackson I\4.ernoriai Hospital/Foblie Health Trust will identify hortioless high uiiJizers•of x ospitsbl, Eri rgcficy ROOM, aid Mental Health Crisis 8orvicts and refer and link them to theHoiiielcss Trust chronic outreseh tetuli 3 , ,lackson Memorial Hospital/Public Health Trust will wart with the a-Jonielcss Tn.ts1 to identify tInd realign 'resources to sorvo individuals le,g, unclocuxiiented 'immigrants) in the least restrictive settim,0 and to utilize currently fiiritled Hamelnss Tres$ funded programs (e,g, The fToni&1ess ASSaita ce Cp inrs or A%h's) where appropriate. 39, Jackson Momariai Hospital/Public Health Trtlst will •icroon and, rer:for those patients at frisk of homelessness to the Homeless Trust. Housing Sae+c;isilists as appropriate, 40, Jackson •Meanoria.l '1•lo,spitra.i/.,1acl:stan h errrtirial 1°lospittil shall amend the Memoranda of A grec,nien holw.oc3i ivii anti t) de • County ,lapart nie nt of Corrections rind clira.lrilitrat,ion ;and .li\rl.H/?fT Io roilod the revision to the mental health screening inMitrufl o'n as described 'in Number l,l obcit:e, t:'r, rrimuodt, Oct»t.s 1-'eaIG;r C:Gns°cba'; 1(�''�9'11Csl nci:dental Hc;ulrt') Fuel fi its; 41. 'Mental establish linktu2A with 1-1 enlcriess Trust funded outreach warns. , ?, C'MHCs and Menial Hetalth.F1]cilities will 0115urCdi CT!$ ltrrir Sociar1 V‘icarl;crs and ether appropriate staff On trained in list'Of Hcsrllelms Trust resources 43. C1t4f•Tr's Lard 3 i hail Health. Facilides a1'ill enspre that Crisis Unit Social Workers atrid other tlpprtipr'iate stuff are trained in the use of the 1 MIS by the;l•Icsr•nelcss Trost. 44. C'ivl'.ISCs and Mental Health Facilities will utilize Mc J•ltwl.lS to intake rcfcrrals, track clients, and identify homeless. people told those ttt risk; of bonleaossnesa in. ' need of housing and saruices. • . CJ.IMMI'Cs and Mental Health ,Faacili.ies will identity homeless high .utituc;rs of Crisis Services and refer and link them to the Homeless Mist ehrcnic outreach totari 46, C:M,11Cs and 1\40111:al 1 naJtJr Facilities will screen and rofer those homeless patients to tilt Homeless Trust; Housing Specialists as appropriate, ',it ite,J tC1i"Ct'"s Office • • 47, The Mate Attos ey's Office shall rc;cor11tnend that the Grand ;Wry' re-examine their report .and the progress and remaining barriers on, mental hearth and the grin iirazsl justice systern. Evaluation of the Effectiveness of' this Agreement , The success of this agrDrment shall hr DA141, aster- on .s quarterly basis by the Homeless. Trust Board and appropriate Committees based en thc.followir1g• criteria: • • T•tlexltii:& aticri of Bai.sc1ine; data op th r.rrurr ber° of heyncless people and those t13 risk of hotiaelessriea serv>~d by the entities involved in this agreement ' Annual tednctican • of till rrun her• a ' homeless persons entering,, cy,ithig and recidivists inveNed ,Anil ail entities involved in this agreement, pero nttr. e'te be determined Coratidcn•tfaJity 'T11c ,learn OS 10 tl'tit; A r°c:anlcnt (Parties) understand .that ' during the Course of performing ruing the Ser7'iccoas hcrcundcr, f.:aich party I'm have access .co certain aonfidcnt•ial arid proprietary infOrrilfatio11 a11d raitrtcria:is of ether pu.riy in order to further performance of, 'the .Seryicto'& The Parties 811411 prnlsasi rvonfidontial information and con7ply1 a iiJ1 tr3nlalir,,i1�ir ,fc,do;-al and sl.tac lows 011 cor1iic.11intiatily ID. proven{ nnarLithoria.L.d us,rw, d'ssaI inutioi'i Ci pt)hlictaio]r Of cclri(idVntial irlforrnauion us clacll party LisCs to 1711'e11oci :its own coilrl dl:]}iiail information in' a like manner, The Pnnics shall tlol discl(mo the iirortnaiion to any third (IT In niiY employee or i;orrrinatCr' \a'1•io dc?cti 1],nt hove a flood to know such information, which hoed' 18 rtlrn.cd icy InrtoT, 1ancc of a responsibility 11orcuncicr. However. ibis atzr cmcni 1111ptil C'B no C1111i !lion 13);1 )rl 1:11^' Pasties 1Yit;1 ri•sl`ii;t••t to confidcrahll 'r hith ( nrpll{, from the other; t`b) 1S or was lawfully known to the receiving party before r, e }, through 11t) fault of theT�%C��'I'�111'1,��' party', (G ) 1!; hcoomes a matter of public knowledge risahtfial}y rc66itit1d by the aeon. it1s!. parry rim Et third party without •resttiotion onr disclosure; (d) is irldcporislently developed y orr' h Party at p with G) iisJ1disolsa1lsod under operationoperationof 1law;(.fl is •ddwcir sc d by i w receiving written approval The confidentiality provision of this ,gr�Orr)ant shall remain in furl force ,and effect alter the. termination of this A greet UTit° iir)a.a1 1 L�'I�ii AtIOTts 01°flays.„ T,fcts The parties acknowledge, that this Agreement is not intended to crLPtte financial obligations between the parties However, in these ;l Agreement, t thtaat. cost )are i cur )d es result to be of arty party performing their roles tinder this responsible for their own costs. T:Lysinaticlrt oi° T'sLacn 'rho Parties agree that tilts Agrcmalt may sae terminated by any party 11=1D by written ift n 'notices to the other parties of such intei t to terlllinato,al, lc ttst thirty (' � u 1; �zc4a prior to aiel effective date of such toranit at oi ami rinn ation f the Agreement as to one party will not af'i`c;oi the A;rect�aent as to i . A�e>7c't' �oTt c;tus r��`a1ltacts for purposeOfaa;rlrrli.nistratiall of The following Individuals are a1.sitned as Ag .ncy tiros Agreernentl (To he complated up no Tier:ecn on) �l't'ects'ye T�at',c This A greeren't shall become e: T ootiVe on Yatzuary l u,q 200F, T17e fpiiowilag parties IIav oau.s d tills page document to bo implemented by their author zed of eials (To l)e cornple0d npon c;xcentio.n) VII 11;h er P crnin dailon io b e ex lo rod h v the Min e C, C11.1 rn: 1ni& ess • Trust, via the S ervices rpri,m,omuit,Corriroitto, Inch:din e. representatives from this ricgrottp: S al; al Praia Gal • identify National Registry of Sexual Predators and how to aocOgs * Wo have determined that the Miami -Dade ?olioe Department maintains mapping of 2,500 foo rule and have produced a map of the County identifying those areas where sexual predators may/may 1161 reside We have also been advised that an. Internet based map.pin,g program is in th a , process of development which will alioW 'the public to rOlew ehea, 4recifie'areas where sexual predators reside, Reproduce ntp (Wi 'Lb a disolairn,03. stating that addro,sscs rnust'be officially cleared by the IV.Ciarni-Dade County Police Sexual Crimes nurcau), \Vhicb oan be utilized by Claisification, Gorreoll 0.118 and Probation Officers, arid Housing. Specialists, sexUal, predators and offenders, and other interested entities. ' Review Eltate statutes •rtiatedto sexual prodatca:s and offenders,. New "Romeo and /Olaf" ex emptiors by yoting adults classifieations Explore Legislative ohang'es to State Statuiis requiring A residential address for inmate as part of the discharge. plan prior to release .rito the community Ongoing need for data- How many people conVieted, serving 8ententleg, released? Obtain numeric data from the Department of Corrections Explore 'Risk ASMSSmont teased placements for sex offenders versus sexual prociators-Offendom with certain sentences could be placed at 1,000 fool Versus sexual predators at 2,500 foot, Review Best Practices Models in New York and or other communities, Explott devolopment, of specialized facilitiesisc,atterq site placements • Explore linkages with Smith Florida Workforce for employment opportunitias Megtrial • 00 Baker Act training of Homeless: Trust pro•Viders Identify Jackson Memorial Hospitali:Publie Health Trust (341-1/PHT) ftudad program Assisted Living pacitilios, Salvation Army, Guardianship Placements, and tit e potential real igrunent of resources• w 'Explore funding Assisted Living Facilitics,./Nursing placements 4 TdOntifY :funding for .Tivill/PHT guardianship phconlaills, • Erp)ore Agency for P01',011S With Disabilities vacancies as potential placement oppaftun i HOS Merida ,1 1 "1 „3 ii riti Circ. n it E'sta bli sh Jn1ta 520 s o the Homeless Trust and the South Florida Ppm. de,rs Coaiition related to accessing ponntinemt supportive, affordable, or .01,htif ,LIPProPriole bOusi lig and scrVicP,;,s for clicrits titan rinikd trogmmi, programs raineirred by flier 11th 313dicini CirLth (1111s linkage exploration may go beyond court invn cascsi, (y + iv.cplc+re ir'tt175pS}9�altirsl1 L1l7lrorn Cta1;Nips or free traansportaltion) for court Involved cli ems in €lced of trap sportntio€a fbr ccwrt aappettrar1ca grad eilelatiatl. >ar,ci sal services ' NUc(1 fir data- (e,g, White Paper) rol€atod to ;actual need, number of homeless individuals arrested, pretrial, iii net'd of menial kaith'and or szalastui)ee abuse 'treatment Need to obtain Monthly Repbrts from 1.1A,RT from the Miar71i-Daado County Dcpartn ens of Hum ari 5cruicc's .w Obtain Florida Department of' Clti}drtlrr & Mullin data on mental 11e001 olicttas Awaiting placement arid tiaosc placed into State Civ1i1 and Forensic Hospitals 0 &l lore issues of youth involved in criminal justice system at• risk of homclasanoss-• inchidcl the Dopairtimnt of ,ltavt:r7ile Justice ;MCI t11e Jt€vcal111c Asses mioiit Center • Provide. training en the SOAR, program which expedites the processing of Social Security benefits, rttitia E :.it<int4 Fistet°.Cur~e Explore tnentoring programs for youth exiting foster care- Link to Educate Tomorrow, currently Program shirts at 17 years of age, we need to start at 13 years of:abe- Hood for volunteers •0 Explore Formal Traxth)g-13eat Practices, 211, 3.11, Sw'itrhboard .* Our Kids is drafting an invitation to negotiate for iitensive cane rnanabensent- for independent living pro ;rams—exploreixlc0aporation ofhousing specialists Our. Kids Alter Cure budget for youth exiting foster care move in assistance- Can Housing Assistance Grant, Emergency Fi7od 4 Shelter Board, .E-loi5soless Trust and other oomrnutity resources to fund these services? identify individuals -with Developmental Disabilities and baninrs to their care - advocate far.State funding of these young adults via the Medicaid Waiver . 7 ,' ayrriifes 1=!xplora linkages with Neighborhood Ce'it.crs to explore; rtu d for night; and \h/o5lmnd access to, outreach Cash for Protective Tn've.atig'aiors ilex funds- can we• link to Camillus new proven ti Qnn program.. Stone ,A.t;ter:tlo'y",, /,3tfice The Stale A,,ttors ;y's °Mee has a present poky that a all&ctur€e11taation and 17a.perworlc for "No Action" oases where a defendant is still in custody is prooessedby the SA.0 and delivered to cor7'e;crtiorra tr d.reliabili1W.ion stair by4;3ola.t7t, la oi,alaay-�rid€ay, The Office 5;1)t441 work with oihor entities in €1n •erfo t 10 set up a Jl1ooms wlae.rcby ,laac.ksor Memorial oriaa.l 1-lospit,ol/C'orreotions 1-.1Caltli Sen'irus, sndleas the 1;.)epttr.tlrass111 of Corrections will not SA0 and idernify pot' c»is it; ct:mdv' who, 1°in tut z1sto:tisn7ent• itru .cInte,Inifictd €o l'7crvo a menial ilines.s and who arc;}11.'@li;,t}11,11 atrI llig itnet71 f711 t7ccases, cass, 'Thu SA() will us: this prior notific;i:km to expedite the process for stun?iniTl,Yr€L, a111 d€'tic unc.iltu1 ion related t'o "No Aetizm b'' the Strti&' e 60$ Ion' arm lfl i:ldiviz utllS Lind forward tills i rtior1ut111ri rG tllt" D el:Jur-11)c1ir (if '�irneiions as curly u ),ructictil, and!or 1'r f;1r:: (11c'4:30 pill, )lrarnluf 4ac11in�, °)thc�r ,cap s 131 System ,capacity issues must be oa)a}c,tt� tOITU pc;e�� 'BA urlb�ut:F�ucl�,ou5�u l {�� a�'far�;�l19c :1 r !ar1cili supportive housing, ,.uppo)lr 150u51r1 L!. ' . Miami Coali'ti,c111 for t11c: T- of no1css • Community Pr. tnors] iip Tor liomcic%ss • M'i tniwDadt County Cbildrer1 Trust • Dade Community Foundation ▪ Linitod'Wsy Huh Foundation of Sonth iki.a ,• Montal lioulth Foundation 0 South Florida Providers Coalition Allianoo for Aging, b c< • Mis n a e C Unty HomelessT rust r Wemoranda ofAgre n nt ( ) Dt ch ar e P1ann ng Budget eCkp round .On April 24, 2 O7, under the °sponsorship of Vice -Chair Barbara ,J. 'Jordan, the Beard of 0ounty Commissioners (BCC) passed s Resolution (€R-432.07) which directed the Homeless Trust to develop and recommend a Mernoranda of Agreement establishing discharge polies for agencies in Miami - Dade County who provide services to homeless persona or those at risk of hameiessness in an effort to prevent homelessness. as recommended by the •Community Affordable 'Hoping Strategies Alliance. Tasltforre. T,_hp, Horn 4r s Trust also, dlrootec3 that a budnet reflective of the srop2f1 of recommended, enhoncemetfts he created • n l attached Pisa upplement to,the MOA. A,draft ,of this pudriet foll9ws for your review: lausino Specialists 1frWWeo'kend Qutreaoh Night Outreach Bus Tok ns ;� r;:•rx.� .• �ka.�•5. r• /Jimwrmnnx..dfr„ Yr• nm. .i._e,e.. 2 Errs; one sttioned ^atJugttoe,penter $110,000 -4 FTE's ( 16 bourshvoelt 55 Clf30� I1 ,ailo ' 2 FT 's; Must adclres systern capacity $11O,ODO ° ;prior to 1undincr positlops. CEt of Miami aireadv.I erforming 21 hour outreach on a ! ancFtargeted basis 7,00p, p ;fY'1.50 each $1 o,5t00 A.g ENDA ITEM SUMMARY FOW • FILE O7:DDS°)g CA, I 7 . Data: 5/270,008 Requesting; Depa rtment: NET/ liomeleg Commission Meeting Date: ki )2/2ooq District Impaetech •jl Type: g Resolution Ordirianc J Emergency 'Ordinance 1 Discussion Item Other Subject: 2.,00?1\iferporaatmsf UnclorstanAnn for the Miami Homeless Assigtance pioa-ria's DiacharacPlaxpoing .Grant Purpose of item: it isrespectfally requested that the Honorable Myer and City Commission, adopt.the attached resolution to create a Special Revenue Projeet to accept the Miami -Dade Canty Bomeless Trust's Miami Homeless Program want, awarded to the'City of Miami's Homeless Assignee Programs the amount of $113,333 for a period of four months, and authorizes the City Manageer to execute. all documents necessary, The gl.ant was •awarded to Me City of Miami to provide outreach, information, referral, assessment and pladement services to homeless Individuals discharg6d from the Ivilarni-Dade County's judiciatcourt and pul;olic health systems. Backg'rouud Information The Mionzi-Dade County HOMO 08S Trust, recognizing the need.for intervontion to prevent those discharged from the criminal justice and public health systems from becoming homeless, established the Discharge Planning grant to :fond a service proyidor to provide a range of services designed to address the needs of the tem.poratily and chronically homeless, The Homeless Trust, a ftor a competitive review process, cho,se Miami Homeless Programs as the grantee, to provide evening and weekend outreach, housing assistance, and coordinate with the jail, prison, hospital, foster care, mental health and emergency room facilities to provide appropriate intorNentions. • BUclget Impact An4lysi's NO A this item related to revenue? • Is this item an expenditure? If so; pleasi identify fuliclitiag 13orncc belov. General AccouAt No: Special Revenue Account )Vo: CJP Pro,jact No: Xs this i item fun El ed by Horn eland DefouseiN el gh barb o el, linprov xi nut Bonds? Start Up Capital Costl Maintenance Cost: Total Fisca) luipaet: cP irur,inp. or manivi Grants Purellasiog Chief yip.0 Appro* ka151,'N AND LIAM Risk Manage, Dept. Direct o City Manager, . Page I of' .City of !Wain! Legisfation. Resolution City Hall MOO Pon American DrIvo Ivilarnl, FL 3133 www.mlomigov.nom Pile Nurnbar; OB-01)5) MAI Aalot buie: A RESOLUTION OF THE MIAlvli CITY COMMISSION ESTABLISHING A NEW SPECIAL REVENUE PROJECT ENTITLED:11200B MEMORANDUM OF UNDERSTANDING FOR THE MIAMI HOMELESS ASSISTANCE PROGRAM'S ' DISCHARGE PLANNING ORANT", AUTHORIZING ACCEPTANCE OF THE MIAMI-DADE COUNTY HOMELESS TRUST 'GRANT AVVARD IN THE AMOUNT OF 013,335 FOR A FOUR MONTHS PERIOD, TO PROVIDE EXTENDED OUTREACH, AND HOUSING SERVtCES TO HOMELESS INDIVIDUALS , REFERRED THROUGH MIAMf.DADE COUNTY JUDICIAL AND THE HEALTH SYSTEM; AUTHORIZING THE CITY MANAGER TO ACCEPT THE GRANT AND T.0 EXECUTE ALL NECESSARY DOCUMENTS, IN A FORM ACCEPTABLE TO THE CITY ATTORNEY; AUTHORIZING THE EXPENDITURE OF THE GRANT FUNDS FOR THE OPERATION OF THEFUNDED ACTIVITIES BY THE CITY OF IvIIAMIHOMELESS ASSISTANCE PROGRAM. .SE IT RESOLVED BY THE COMMISSION OF THE CITY OF IVIIAlvli, FLORIDA; Section 1.. The folieWing Special FteVenue Fund is. established and resources ere appropriated as described below: Fund Tftle: 2008 Memorandum of Understanding for the Miami Homeless Assistance Program's Discharge Planniog Grant" RDsourc,es; Miami -Dade County Homess Trust Appropriation; $11;3,3. Section 2, The ApprOriation is contingent upon the receipt of the ,grant from the Wiiami-Dade County Homeless Trust and the City Manager's ocept nce. Section 3, The City Manager is authorizedM to accept the grant from IVitaml-Dade County Homeless Trust, to ptovide extended outraech,and housing services to homeless individuals referred through the Miami -Dade County Judicial and the Heelth ytern, and to execute all necessary documents, in a form acceplabIe to the City Attorney, SectIon 4. The expenditure of These grant funds is outhorized(1) for the operation of tJi City of Miami Horne)oss•Asslatence-Program: Section 6, Thee authorizations shalI remain. valid and outMonding even if the grant award is reduced or increased.' Section 6, This Resolution shall become effective immediately upon it8 adoption and signature cof the Mayo r,f2) ,,,,Footnote. City of .riatinri Pito lop Prinug On; V.1,0008 RRIR Nu iihbr,' O8 OO51 a {1,} The herein auth8rl7atlon is further subjeci.to compliance with all requirements that may be imposed by the Oily Attorney, Including bUt not limited to those prescribed by applicable City Charter and Code provisions, (2) if the Mayor does not sign this Resolution, it shell become effectiya at the.end of ten calendar days from the date it was passed and adopter, if the Mayor vetoes this Resoltation, it shall become effective immediately upon override of the veto by the City Commission. , (1) The herein authorization Is further sirbJect to compliance with all requirements, that may be Imposed by the City Attorney, including but not limited to those prescribed by applicable City Charter and Code provisions, {2) if the Mayor does not this Resolution, it she'll become effective et.the end of ten calendar days from the date it Was passed and adopted, If the Mayor vetoes this Resolution, It shalt become effective immeclately upon override of the veto by the City Commission CYO' Pnqe 2 (7 MVO G/. /NION .,Title A RESOLUTiON OP THE MIAMI CITY COMMISSION ESTABLISHING A NEW SPECIAL REVENUE PROJECT ENTITLED; "2008 MEMORANDUM OF UNDERSTANDING FOR THE MIAMI HOMELESS, AS S isTANC,',E :PROGRAMS DISCHARGE PLANNING GRANT'', AUTHORIZING ACCEPTANCE OF THE IvI1Alv11-DADE COUNTY HOMELESS TPJJST GRANT AWARD IN THE AMOUNT OF $113,333 FOR A FOUR MONTHS PERIOD, TO 'PROVIDE EXTENDED OUTREACH, AND HOUSING SERVICES TO HOMELESS INDIVDDUALS R,EFERRED THROUGH MIAMI-DADE COUNTY JUDICIAL AND THE HEALTH SYSTEM; AUTHORIZDNG THE CITY MANAGER TO ACCEPT THE GRANT AND TO EXECUTE ALL NECESSARY DOCUMENTS, IN A FORM ACCEPTABLE TO THE CITY ATTORNEY; AUTI-1011ZING THE EXPENDITURE OP THE GRANT FUNDS POR THE 0.PERATION OF THE E'UNI:jED ACTIVITIES BY THE CITY OF MIAMI BO.M,ELESS ASSISTANCE PROGRAM. „Body WHEREAS, the City of Miami ("City") has been awarded a grant, in the amount of $113,333, for the operation of the Miami Homeless Assistance Programs far 2008; and WHEREAS, said funds will be trsed by the Miami Homeless Assistance Programs to hire staff competent in providing intervention services for the temporarily and chronically homeless as well as provide housing, trailsportation and other supportive services a necessaiy; and w-s-naB4s, it is appropriate for the City Manager .10 accept said 'grant:and to establish a special projeot fund ferthe appropriate of said grant :award; NOW, THEREFORE, BE IT R.ESOLVED BY THE COMMISSION OF THE CITY OF Section J., The following SpeciaJ Revenue projeci is established and resoilr(X8 are appropriated a,s described blow . Fund Title': "2008 Memorandum of tinclerstanding for the Miami Homeless Assistance' Programs Discharge Planning Grant" Resources: Miarni-Dad.e. County Hort el ess Trust Appropri ati on: 3 Section 2, The Apprapiaton j.8 contingent upon the receipt of the grant from the Miami -Dade County Hoin el ess MO and the City Manager's acceptance, Section 3, The City Manager is authorized {1 } to accept the grant '.F.i-orn Miami -Dade County. Homeless Trust, to provide extonded outreach and housing services to homeless individuals refened through the Miami -Dade County Judicial and the -lean System, and to execute ail necessary documents, in a form acceptable to the City Attorney, Section 4. The expenditure of tbose grant funds is authorized {'1 } for the ope'ation of the City of Miami Homeless ASSistan06'Pro gram Section 5, The autilorizati ons shall remain valid and cufstanding even if the grant award is tbe Mayor. (2 ! reduced orincr.ased, Section 6. This Resolution 8110 become effective immediately upon its adoption and signature of ti ,, J- ootnote l 1 The herein authorization is farther subject to compliance with all requirements that' may be imposed by the Ciro Atton cy, includhgbui it limited to those prescribed by applicable City Charter and Cede provisions, {2} If the Mayor does not sign this Resolution, it shall become eft'ectivc qt the end of ten calendar days from t1 e date it wag passed and adopted, If the 'Mayc r ve'toes this Resolution, it shall become effective immediatoly.upon override of t1ie veto by the City Commission, 1 • Er/UM .B Re: R evised Budget od:itction / Justificati on for hl ern orar: due of Agreem ant Services hiarn Rom el es .A.,9sl,s tan ce Prouratu, Homeiess,, AssistaDce Proqraxi is respectfully submitting for your review and. approval the enclosed Budget Amendment Request fax Memorandum of Agreement Services Contraet. Tho program is requesting shift th unding activities, for the MOA' program. Supportive Services Expense • Current Budget Modification Differe:ooe 6.0 Ft Corrummity Otatreach Specialist , . $12,00/bour to 'cover for nights and weekends (approximately $25,000 per annual perstaff xn ember), reduce to 2.49 FTE Total • ,15Q,00q .')1,41).5 (78,5441) 66,3'36.82 . Salary ri CA 5;074,77 Intake and Referral Specialist for . add 0.80 PT,B @ • . Total . , • . 5,000,00 ' 5,,Q0.0,00 23,223,41 Salary , . . . • FICA . ,—.--,....:.°--,,,— 177659 ,, ,... ‘ . ,,n, 2,0 FTBIlonshig Specialist @ $35.81 ./ hour .. Rc)questing. rshi,00 to 1.62 PTB . . Total ° 60000 .,......-- Pmgrarn Cleat, add 1,56 FTE, @ . . Total P,000,00 ° 50.000,0a 46,44682 Salary FICA 39 55, 18 ' u . 1.68TB Homing Specialist Supervisor @ $24.73i • . . Hour. Total ' 40.009. 43.588,4i 3-588,41 48,490,86 Saliay 1CA . , . 3 097 55 Hotel / Mop). (torripotaty emergepey housitg for familis), 10,000 '10,000.00 , Slither Dads . 65,700 65,700,00 . Transportation (bus tokens for oli6i.itg) . ) 0,000 10,000,00 . -- &direct ActminiMatiw, Cost , 4,,300 4,300,00 TOTAL 340,ThiiTr" 340,0)0.00 — ATTACHMENT C VIIAMI.DADE COUNTY AFFIDAVITS The contracting individual or entity (government or otherwise) shall Indicate by an "X" all affidavits that pertain • to' this contract and shall Indlcote•by n 'NIA all affidavits that do not pertain to this contract. All bionic spaces •• must be filled, The M1AMI-DADE COUNTY OWNERSHIP , DISCLOSURE AFFIDAVIT; ,MIAMI-DADE COUNTY EMPLOYMENT DISCLOSURE ArrioAvr; MIAM1-DADE CRIMINAL RECORD AFFIDAVIT; DISABILITY NON-DISCRUNATION AFFIDAVIT; and the PROJECT FRESH START AFFIDAVIT shall not pertain to contracts with the United States or any of Its departments or agencies thereof, the State or any politico! subdivision or agency thereof; It 'shall however, pertain to munidipailties of the State of Florida, All other contracting entitles or Individuals 8hall read carefully each affidavit to determine whether or not It pertains to this contract. 1, , being first duly svvom state: Affiont The full legal name and business address of the pereon(s) or entity contraction or transacting business With Miarnl-Dada County are (Post Office addresses are notaocepteble): Federal Employer identification Num or (If none, Social Security), Name of Entity, tridivititial{s), Partnrs, or DorporotIon E'ng As (If sarno os above, leave blank) Street Aqdress. • City. State Zip Cod; L M1AMI-DADE COUNTY OWNERSHIP DISCLOSURE AFFIDAVIT (San, 2-8,1 of the County Code) 1. If the contract or business transaction is with a cicrooration, the full legal nano and business address shall be provided for each officer and director and each stockholder who holds directly or indirectly five percent (5%) or more of the corporation's stook, If the contract or business transaction Is with a partnership,. the fOregoing information shall be provided for each partner, it the contract or business transaction Is with a trust, the full legal name and addross anal! be provided for each trustee end each beneficiary, The forgoing requirements shall not pertain to contracts with/publicly-traded corporations or to rcontroots with the United States or any department or names and addresses. arew (Post Offices. addresses are not elcceptable); Full Legal Nome Address Ownership • 94 c/D 01 /0 Panel ofs • • 2, The full legal names and business address of any other individual (other than subcontractors, material men, applies, laborers, br lenders) who have, or will have, any interest (legal, equitable beneficial or otherwise) In the contract or business transaction, with Dade County are (Post Office addresses are not tecoeotable): P I O. Any person who willfully fells to disclose the information required herein, or whO knowingly discloses false information In this regard, shall be punished by a fine of up to five hundred dollars ($500,00) or • Imprisonment in the County Jail for up to sixty (80) days or both. II. MIAMI-DADE COUNTY EMPLOYMENT DISCLOSURE AFFIDAVIT (County Ordinanp6 No, 90153, • 'amending Sec, 2,B-1; Subsection (d)(2) af the County Code), Except where precluded by federal or State kw a or regulations, each contract or business transaction or renewal thereof which Involves the expenditure of ten thousand dollar ($10,000) or more shall require the entity contracting or transacting business to 'disclose the following information, The foregoing disclosure requirements do not apply to contracts with the United States or any department or agency thereof, the State or any political subdivision or agency or any municipality of this State, • 1, "Does your firm have a collective 'bargaining agreement with its employees? • • Yes . No 2. *Does your firm Provide paid health or benefits for its employees? Yes No 3, Provide a current breakdown (number of persons) of your firm's •work force and ownership as to race, national origin and gender, White: Males: FernaleS; • • Asian: IVIales: Females: • Black:* Males: Females: American Indian: Males; ' Females: Hispenica:_,, Males; • Fernaies: Aleut (Eskimo): Males: • Females: les: Females; : Mates: Females:_ 11. AFFIRMATIVE ACTION/NON-DISCRIMINATION OF 'EMPLOYMENT, PROMOTION AND ° PROCUREMENT PRACTICES .(County Ordinances 98-30 codified at 2-8,1,5 of the' County Code) In accordance with County Ordinance No. 08-30, entities with annual gross revenues In excess of $5,000,000 seeking to contract with the County shall,, as condition receiving a County contract, have 1) written affirmative action plan which nets forth th'e procedures the entity utilizes to assure that. It does not discriminate in its employment and promotion practices; and if) a written procurement policy which sets forth the procedures the entity utilizes to assure that It does not discriminate 'against minority and women - owned businessies,in•its,„own procurement of g9Dci,B, supplies and services. Such affirmatives action plans and procurement policies shall provide for periodic review to determine their effectiveness In assuring the •errtity does not discriminate In ifs empioyment, promotion and procurement prastices, The foregoing notwithstanding, corporate entitles whose boards of directors are representatives of the population ,maks•-• up of the nation shall be presumed 'to have non-diacriminatery employment and procurement policies, and shall not be required to'haV.a writteiveffirmative action plans and procurement policies In order to receive a County contract, The foregoing presumption may be rebutted, The requirements of County Ordinance No, 96-3o may be waived upon the wrItten.recommendation of the, County IV,Ianager that it la In the best Interest of the County to do so and upon approval of the Board of County Commissioners by majority vote of the members present. Page 2 of 5 The firm does not have annual rOSrevenues in excess of $5,000,000, The firm does have annual revenues in excess 6115,000E000however, Its Board of Directors .is representative of the population make-up of the nation and has submitted a•WrItten, detailed listing of Its Board of Directors, Including the race of ethnicity of each ,board membe-r, to the County's, Department of Business Development, ,176 NW VI Avenue, 281" Floor, Miami, Florida 33128, The firm has annUal gross revenues in excess of $5,000,000 and the firm does have a written affirmative action plan and procurement policy as. described above, which Includes periodic revieW to determine effectiveness, and has submitted the plan and policy to the County's Department of Business Development, ln NW 1AvanUe, 281" Floor, iVilami, Florida 33128. The firm does not have an affirmative action plan andfor a procurement policy es described above, but has been granted a walver. IV. COUNTY CRIMINAL, RECORD AFFIDAVIT (Section 2-8.0 of the Couhty Code) The Individual or entity entering Into a contract or receiving funding from the County has , has not ofthe date of this 'affIdea been convicted of e felony during the pest ten (10) years. • V. MIAMI-DADE EMPLOYMENT DRUG -FREE 1A/ORKP1-ACE AFFIDAVIT (County Ordinance ' .no. 92-115•codified as Section 2.8.1.2 of the County Code) That In compliance with Ordinance. No, '92-15 of the Code Of Miami-Dbcie County, Florida, the above named parson .or entity is providing a drug,free tivorkplace, A written statement to each employee shafi, Inform:Ms employee about . ,Danger of drug abuse In the workplace 2, The firms policy of tneintaining a drug -free environment at all workplaces. 3. Availability of drug counseling, rehabilitation and employee assistance. programs 4. Penalties that may be Imposed upon employees for drug abuse violations 'The person or entity shall also require an employee to Sign a statement, os a condition of employment that the employee Will abide by the terms and notify the ernptoyer of any criminal drug cot -Motion ocourring no later than five (5) days after recolving notice of such convietIon and impose appropriate personnel action against the employee up to and Including termination, Compliance with Ordinance No, 92-15 may be waived if the special characteristics of the' product or service offered by the person or entity make It necessary for the operation Of the County or for the health, enfety, welfare, economic benefits arid well-being of the public. C,ontracts.„Involving...funding. which .is provided In whole. or In part by the *United States of the State of Florida. shall be exempted from the provisions of this ordinance In those ingtences Where those 'provisions are in conflict with the requirements of those government entities, • . Vi. MIAMI-DADE EIVIPLOYMENT FAMILY LEAVE AFFIDAVIT (County Ordinances iNc, 142..91 'codif(ed as Section 1 1A-29 et. Seq of the County Code) That In compliance with ordinance No, 142-01 of the Code of Miami -Dade County, FlorifiR, sn • employer with fifty (60) or more employees working in Dade County for each working day during eaGh of twenty (20) or more calendar workweeks, shall provide the following Information in compliance with, all Items in the aforemenilonal ordinance; • Page 8 of 5 An ernployee who has worked for the above firm e least one (1) year shall be entitled to ;ninety (90) days of family leave during any twenty-four (24)month period, for medical reasons, „for the birth or adoption of a child, or for the care of a child, spouse or other close relative. who has serious health condition without risk of termination of employer retaliation, • The foregoing requirements shall not pertain to ,contracts with the United States or any department or agency thereof, or the State of Florida or any political subdivision .or agency thereof; It shall, however, pertain to municipalities of this State, VII, DISABILITY NON-DISCRIMINATION AFFIDAVIT (County Resolution R355-95) That the above names firm, corporation or organization Is hi compliance with the egress to continue tb comply with and assure that any subcontractor, or third party contractor under this project complies with all applicable requirements of the laws listed below Includjng, but not limited to, those provisions pertaining to employment provisions of programs and seNices, transportation, coMmizications, sooess to facilities, renovations, and new construction In the. following laws: The Americans with Disabilities Act 011990 (ADA), Pub. L 101-338, 104 Stat 327.42 U.S.C.;12101-12213 and 47 U.S.C, Section 18124 The Fair Housing Act as amended, 42 U,S,C, Section 3B01-3631, The foregoing roquirement8 shall ,not pertain to contracts with the United States or any department or agency ttiereof, the State or any political subdivision or agency thereof or any munIcipality;of this State, VIII. MIAMI-DADE COUNTY REGARDING DELIQUENT AND CURRENTLY DUE FEES CR TAXES (Sec; 208,1 (o) of the County Code) Except for small purchase orders and sole source contracts, that above named An, corporation, organization or individual desiring to transact business or enter a contract with the County Verifies that all delinquent and currently due foes or taxes — inciLiding but not limited to real and property taxes, utiiity taxes and oocupational licenses — which are collected in the nOrmai °purse by the Dade County Tax Collector as well as Dade County Issued 'parking tickets for vehicles registered in the name of the firm, corporation, organization or individual • have been paid. IX. CURRENT OR ALL COUNTY CONTRACTS, LOANS AND OTHER OBLIGATIONS • • The Individual entity seeking to transact business with the County , is current in all its obligations to the County and is not otherwise in default or any contract, promissory note or other loan documents with the County or any of Its agenoies or iristrumentalitio,s; X. PROjEOT FRESH START (Resolution R-702-98 and 358-99) Any firm that has a contract with the County that results in actual payment of $800,000 or more shall contribute to Project Fresh Start,. the County's Welfare to Work initiative, However, It five percerit-(6%-of. the-firm'e,'work, force -consists -of -individuals ;;who,,reskie;hin.Miarnkned€,,A.,„„ County and who have, Iost or will loose cash assistance benefits (formerly Aid to ROW with dependent Children) as a result of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, the firm may request waiver from the requirement of R-702098 and R-356-99 by submitting a waiver request affidavit, The foregoing requirement does not pertain to government entitles, not for profit organizations or recipients of grant awards, Page 4 of 5 .20, by presented XL DOMESTIC VIOLENCE LEAVE (Resolution 185-O0; 9975 Codified at 11A-60 Et, Seq. of the I lami-Dade County Code), . The firm desiring to do business; with the Gaunty is in compliance with Dornestio Leave Ordinance,Ordinance 9O.5, codified at f 1A-60 et. saq, of the Miami -Dade County Code, which requires an ernpioyer which has In the regular course of business fifty (50) or more employees working in Miami -Dade County for each working day during each of twenty (20) or more calendar work weeks in the currant or proceeding calendar years, to provide Domestio Violence Leave to its employees. f have carefully read this entire :five (5) page document entitled Mlelni-Dade County Affidavits and have Indicated by an "X" all affidavits that pertain to his contract and have indicated by an "N/A" all affidavits that do not pertain fc.this cdntrect. By: (Signature of Affiant) (mate) SUBSCRIBED AND SWORN TO (Or affirmed) before rile thls _..�. ° day of . 1-1e/She is personally'known to me or has es Identification. (Type of identification) (Signature —Of Notary) (Serial Number) (Ant nt of Stamp of No Ty) lyotaty Public, - State of (State) Page 5 of 5 ,(Expiration bate) • SWORN STATEMENT PLASUANT TO SECTION 287,133 (3) (e,), FLORIDA STATUTES ON PUE3LIC ENTITY CRIMES • THIS FORM MUST BE SIGNED AND SVVCAN/ TO IN THE PRESENCE OF A • 'NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMcNISTE, OATHS. 1. This form statement Is submitted to, by for, (Print Individual's name and title) -- print paints of aritIty submitting swDrn statement) whose business address is , and If applicable Its Federal Employer identification Number (FEIN) is, If the entity has ' not PEN, include the Social Security Number of the individual signing.this sworn statement, . Ala • 2, I understand that a "public entity crime" na defined In paragraph 287,133(1)(g), FloridStatues, means a ,i/lolatIon of any gate' or federal law by a preen with respect to an directly'relaied to the transoffons of business with arty public entity or with an agency or political subdivision of lany other state or with the United States, including, but not limited to any bld or contract fOr goods or services to be provided to public entity or agehcy or politiogsubdivision of any other state or of the United States and Involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misinterpretation. 3, 1 understand that 'convicted" or 'conviction" as defined in Paragraph 287,133(1)(b), Florida Statutes; means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in an federal or state trial court of record relating to charges brought by Indiettnent or information after July It 1989, as a result of a jury verdiot, non -jury trial, or ,entry of a plea of guilty or nolo contendere, • 4. I understand that an "Affiliate" as defined in paragraph 287.132(1)(e), Florida Statutes means: 1. A predecessor or successor of a person convicted of a public entity crime, or 2, An may under the control of any natural person who Is active in the'management of the entity and who has been ,convicted of a public entity crime. The term "affillate' Includes those officers , directors, executive's, partners, shareholders, employees, members, and agents who are active in the management of an affiliate, The ownership by one person of shares.,constuting e. controlling)nterest in another person, or e pooling .of equipment or income among persons when not for fair market value under an arm's idngth• agreement,. shall 1)0 a prime facie case that one person controls another person, A person who knowingly enters into a joint venture with e person who has bean convicted of a public entity crime in'Florlda during the preceding 3 months shall be considered an affiliate, 5. I understand That a "person" 'as defined 'in Paragraph 287.133(1)(o), Florida 'Statues, means cony natural parson or entity organized tinder the laWs of any state prof the, United States within the legal power to enter into a 'binding contract and which hide or 'applies to bid on contracts for the provision of ,goods or .entity. The term "person' includes those officers, executives, partners, shareholders, employees, 'members, and agents who are active In management of an entity f), basedon information and belief, the statement which 1 have marked below Is true In relation to the entity submitting this sworn statement. (Please indicate which statement.appIles.) Neither the. entity subMitting sworn statement, nor any of its officers, directer, executives, partners, shareholders, employeeS, members, or agents who are aotive in the managemeni of the entity, nor, any affiliate of the entity has bean charged with and convicted of e public entity crime subsequent to July 1,1989. 'The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, mertibers, or agents who are active In the management of the entity, or an affiliate of the entity, or an affiliate of the entity had been charged with and oonviotod of a public entity crime 'subsequent to July 1, 1 AND (please indicate which, 'additional statement applies. The entity submitting this sworn statement,' br one or mots of Its officers, directors, executives, partners, shareholders, employees, members, , or egents who are active In the managernent of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent proceeding before a 'Hearing Officer of the State of the State of Florida, Division of Administrative Healings and the Final Order entered by the Hearing Officer determined that it was not In the public Interest to place the entity submitting this sworn statement on the convicted \iendorlist, (attach e copy ofthe final order), i UNDERSTAND THAT THE .SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND THAT THIS FORM IS. VALID . THROUGH 'DECEMBER 31 OR THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THAT PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN E=ESS OF THE THRESHOLD AMOUNT • PROVIDED IN ,S'ECTION 287,017 FLORIDA STATUTES FOR A CATEGORY TWO OF ANY CHANGE IN TFtE .INFORMATION CONTAINED IN,Ti7us FORM, Sworn to and subsCribed before me this day of Personally known or produced identification (Type of identification) (Signature) ,2D Notary Public -State of My commission 'expires (173rInted, typed or stamped commissioned narria. of notarypubilo) • ATTACHMENT D NOT . APPLICABLE ATTACHMENT E OT AP LJCABLE ° 2,TAME OP AGENCY: SERVICE PERIOD: NAME OF GRANT: GRANT NUMBER: Miami -Dade County Homeless Trust Invoice For Services Tire City or , 0 AAttaeh u ,it Memoranda of Agree nent,, 0A) P ro raJ PC-U9.0.1Q, TOTAL AWARD AMOUNT: AMOUNT OF FUNDS REQUESTED THIS MONTH: AMOUNT OF FUNDS RECEIVED TO DATE: $ 34OryOQQ OO BALANCE REMAINING ON GRANT: $.340.,000,00 • 'b roving p yrn,ent ofthis requ.ost) Signature of A.geaey Represe1a' :tivc . Date; • Printed. Name e:tAgency Representative t dfctrni Dade I4ernele "s 1 rt,(s-, Oct U 5, 2o;!Nl Entering Data As; Currently tihadowinp; Batt€tr Way Share (FL14E 7t'aht}4th) / t✓ieml E etteir Way F`ner•w (PI,141070.0040) IMnn Rem-a:f_l:1 tavesourcePclnt I &helterPolnt SisnPoint HLJC] Annual Progress Report '(I-iliC): 03.1.8j (ServlcePoint 4,05 version) Report Options: Provide: perat;lnp, Year Date Range age' Adult Age i-Reports l Help 01bIS prevlder.AN0 Its children, (,')This provider ONLY, INS defined pi; foster care law in your ste e) R40400044gRil •Select Or �� — -. -�� m• Z. Per: ons'Served during t -- —` lhe Alrnfaer of SI11111,es beNumber E1L r Families P, Number on the first clay -of the operating year. la, Number entering program during n 0 t C the year, -operating c, NNNUmber who left the program during the operating year. �� • , ' m 0 • C 0 0 d.hJunnber in the program on the last day of the operating year, (a-rh-a: td) t W� u m Number of I4i niber c 3, Project Cwonity. �Vumtrat° of 5"rn ait s Not in Patrnc^s • Futilities A in children i Families a. Number on i tLday (front 2dt Columns 1 end At) 4..Non-homeless persons, (sec:. El SRO projects only) m �� How many inane -eligible non •hrarneless persons were housed by the SRO program during the operating year? �..... � �.�_ ....,M � 0 ,.,. ni a k,M4A _ .,...�eca ••-arcs•.-„w MON= ,6WEVImveam._.,,._. year, 'I r how W many tpeople r�± .i rY �..f,f Age and Gender, Of thooe Whhb entered during the opua:'nting , ) ielf awing ,age and gender cet&gorier,"?, ..e..w....•_..—d - ..,. Age { ale .Sin 91e. Persons (ram 2br columnX) .� �..a.-- b. 51 6f 6b. Ci1r+nliikeliy Homeless. Haw many participants were ahroriJcally homeless Individuals? °. Ethnicity. . Hispanic or Lo,,tIna b. Non-Filspsnit; at' Nan -Latino Koals. • tc,:J1.50 Ia ro, d° 18 > 30 0 .. . 17 and tancle'r 0 0 0 Not given 0 0 0 • ........... . Pet -sans In pornilles (front 21; columns 2 0 ,), F, �7 and over 0 0 0 .I9.51d61 0 CI: o h. 31 - 50 0 .0 I 30 0 ir13a17 0 0 0 lc. 6 . 12 0 0 0 I. 1 -'5 0 0 tn. Uhder 1 0 0 0 n. An•atjrIcan indien or Alaskan Native Asian c6, Native Hawaiiian. or Other Pacific Islander White American radian/Maslen Na1lvc & White g. Asian FA White - CBlarck/At'rican An:iericam & Whlte, i. American Wiwi/Alaskan Native U. Black/African American Other Multi -Paine& lc. toter/l.Jnknown (ell that do not match) a. •Spr thn1 Deeds, r�. Mental Illness tTr Alccahol abuse c. Drug :abuse HIVflt;!I''S br renal d d;seases e. Developmental disability f Phys;lcal dlsabIllty ? , t]bniesllc violence. • Not given 0 gel, t}articip_irr%s wha teri d [kiting. the operating year. • Veteraizs Status, m A Veteran Is anyone who has ever been an active military duly status. Other (please specity) ll v mt,�•umxra�trm.�m„.,w�wao�;tea.+m�mrtm�w++tah�va�mirumr�,+watt+�n�n.smac�:x*..„k,,��,.w�,.s.^Rau*nm.�+y�wonm��„�,�.,�„py�, I m 8b, DlsabiiJcl. Haw nrcniy of the p,artfclpants care disabled? walltarroxn.unnm....),I M can ra+hx�waevanont1Wv+�a+1nmmm v •nnr.sr.tb NFW.Inn.00/nww.wyn„NTOrt n.V.TM9AsfiiterbWvunni.rt. nxrvrrc_ owing places the week prior to angering, ltlr Prior L,1V1rT 5ituetinnn Asu°i icl a�zhts .31ept In the following . Ohre niv 0 1791T'!S;'./1y—s. ITT OM nI t',ornirnIt•)3"I' /Rc.rin1./\'t7r4:llor1i1ucIr1•I1ti;1111.11 a, Non -housing (street, pant, col., bus station, etc,) b, Emergency shelter c. Transitional housing for homeless persons d, PSychlal,•rlc facffity e, Substance abuse treatment facility f. hospital. g. hil/prison h, gomestic violence situ ' lan i, Living with relatives/Friends • ,j, Rental housing lc. Other (please specify) 'L. Amount anrc Source of Monthly Income at i ntry and Exit. Participtaotv'vvhtn left during the opperatIng year, . No income 0a 1 $250 $2Si-$500 e. $501 « $1000 f. $ 002 ”.$1500 hP /.°2DOD Source a, Supplemental security Incbrne ( St) ia. Social Security plsabllity Insurance (SSPI) . SDCiEl) SeCUr1ty 2DOD • ci. General' Public Assistance e. Temporary Aid tp Needy Families ('IMF)• LL f. Mate Chiidren's Health Insurance PrDclrarn (SCRIP) • g. Veterans benefits , . Inc iployrnent ;Iricome T - Uneriployrnent13enef7.ts is Veteran's 1'iealth Cane Niedhcalrl' Food Stomps m. Other (please specify) n. N0 ftnahclal resources • ............._.'sue „•,..„ YAo—,'-H.t•„.r.,,o*,,n/.uxW r,,,,1.v 11CIasM,,liWP Y"'V...m,aY ml...,,, mmc.ffi1tY11W :1. e. I..oncEth of Stay in Program. Par ic.i.p nts who rift cluring the oper.a;kg. year, 40* Atli A. Monthrly i;recome At Entry . ivionthiy Income rtt Exit �.... All _ ...:.: ,.....sonic �..� Chronic. All �h .._ . Less than 1 rnnnth b. 1 i;u 2 Months c. • w 6 rntnth5 Chronic ................ 0 0 .Itirba wnK.wi Chronic D' ,......,..., .,., h I( ,l itih 1 filt iI'200Q el, 7 months - months e. J 2 months - 4 months f, 25 months - 3 years g, years a S years h, f, years - 7 ,ears 8 years 10 years over 30 years . 12.b. Length of Stay in Program. Participants who did not le a. Less than 3 month b. 1 to 2 months c. 3 M 6 months el. 7 rrtioriths w 12 months . 13 months - 24 months ff 25 months., 3 years g. 4 years . 5 years . h. 6 years - 7 years iy 8 years .. 10 yearn I. over 10 years 3. I ,eallorts for Leaving, irlpatrts who left during the operiating great. a, Left fora housing opportunity before completing program confpieted program c. Non-payment of rent'/occupancy charge d. Noncompliance with project Crir final activity / destruction of property / violenc f, Reached maximum time allowed In pr riect • ' Needs could not be met' by project 13. DI sag ream ent with rules/personsDeath . Other (please specify) It. Unknown/disappeared • rA�uwm�M�nv�ranrm� , I•W Ciestinatiore. Participants aria left ciur ing the operating year:, PFRMAN8NT (ti - 11) a,. Rental house or apartment (no Subsidy) b. Public Kouslrig c. Section 8 el sh( ter .PIus Care a. Hf rUi 'subsidi .ed.house or.aprertment , • 0 0 chronic ironic 0 0 .; f. Other subsidized house or Naar -silent . 0 0 g. Homeownership—r 0 ...... jRA N ST C71TAL (I j) Xhi5T1.Tt13'3D14 (it n m h. Moved In with family or.. friends • _ 1. 'Transitional housing for homeless persons }. Mowed Ir7 will) family or friends It, Psychiatric hospital i. inpatient alcohol/drug treatment facil•lty • 0 hUPS://wIVW4ISCrV:i(;,(5l)t:e0iTi/1:nini):ii/sni°i1)1,8/fiVP'ir aOrth13(141.0.,in.hp J (1/:I.512(109 rrt, sit/prison Et\eaii.0 CY aiii~Li R. (n) n, ,rnergerlCy shelter OtTiO!R (o - q) d, Other suppartive housiiro .. p, place 5 not meant For hurnatl habitation (e.g street) q, Other (please specify) UNKNOWN! Iroomanalta ........ ...� ;.. 15, Suppartiva ServIces.. partic pants who left during the operating year.. NQTi~;Th'e below servkceis were. 0ihen to e rali i Fant ile left during the operating gear° Add the oa y r question following orsunts into the appropriate • r. Link nown orvice Gods Service Trerisitlonal Housing/Shelter C3i°IBBgO ServicePoir11' vt rslrrr1 4,06.022 (cii) build 4 L 2'2) Lirertsedto?: Miami Cade .Homeless- l'rtrs't U 1990„ .00g nown1nn 5yraterns f .[..C, All f IOhts Reserved, CPI only 1'2OO4 Artterlas Medleal A socletIon, All Rights Reserved, 0)/10/24lr4) [e511 and >r C0.9.. N arn 71994 doll( tradanindts of the for rot4 i1O lltl Ilaht0ltrs (ICF�-) 'World Health Or�lsnla,r�Wl and are, Wrt) MI RightuRessJrverlreirs,,(20UOj rci] p "rut, many or hl(!11'IFi19 Sarvice5 i 19Fi3a2,fJQEi inrstrmai;ltan and ikeibrral rpderratlnn at Los Angelus County, All Alvhtt; »eserued, (ia125pgO) i nil +Nii;itj ATTACH _N4E T 11 NOT APPLICABLE ATTACHMENT X NOT APPLICABLE ATTACHMENT 3. NOT APPLICABLE { ATTACHMENT K NOT APPLICABLE hiliaml.Ciade County Homeless Trust. Annual ,Actual Expenditure Report . The City of Nifami W Memoranda of Agreement (MOA) Contract Period: October I, 2009 - September 30, 201 O Narr*e of Agency Contract Number: , ' PC.O91O.M A The City of MIarrtf $ 340,OOO,0O Month of Services .rnpurrt Paid October-09 NQvrnraoarpO9 ,____ December-09 •February-117 ._ ,.. .., Eilarch.10 Aprllv*1t . Allrtyr10 4 carte-10 July.10 August-1Q eptember-1 D Total, Requested Batance• Remaining 340,000,00 ATTACHMENT L IFequest''cr,T txpayer astir ..�rr:�,v' s" Icientir"icatiori Number arid Certification ;+tig,hr rfW,LLli°a itr.we.. '� t:0'•reoe riUySA4t 3,t+rra .. __ —. .. Give corm io the requester, Do not send to th^ 1'CSrn6 our auor. !S° ;'rd,I! Idq J4 {' Ui1 de rn! ! t t p £,stint+al, nunin.lr,Slllalran° iuulrtlut,- k t CBreai' anryrpJrriprSr pru:Jrtgtnr' ! L'araaratrAn ,C3 %unaerlunp t Ll unhil ,d 1ai ftriy tv,rnun;sy sinus tilt, ler ou;iel1(catlturi u, 6 0 Cj purr IuuL' InpI111Ctlanp, k !1 ; ▪ 1Addreru, inurntaar, tnr:p1,, one' upl,rnuunw nu.) 4 ie Oily. uric! Zih rant° iWt•rllart+paraa<) vow, 1 1 ruyri'G Aucintertors, nnrne' ?anti audrtcat:1on1Iunah I Lattl aaoaunl numts1 I . h<tr& aopilanall Turcpayer identl�i ption Number fT'I Fntor your TIN in the appropriate bore, The TIN provided must match the name Riverton We y to avoid baclkup withholding, For IndivIduale, this is your social security number (08I'4 t lcwevat, for a reeldenl ' taken, tole+ proprietor, or dla"rogarded entity, see tole? Part ! Instructlono on peg 3, Faroinar enlliles, it is your ahIployer identification htirnInr (Ft11V), 11 you do not have a number, eifict °law 12 Pei a "11/d no pope 3, i oto, If the account is In more than one Hama, sod the chart on page 4 for guidelines 'on whose ' number to enter, C,'ertI is rliort 5ociai drrcurlty msrrlt+Ilr _ r , ar rsltiyor Identification nurlYbtr Unclear peneitlee at perjury, i crpr°ttfythatt 'I, The numbs? shown on thl8 .fcnc is my correct taxpayer Identification number Pari asl walling for a nun'liber to be Issued to me), and Q.. I am not subject to Meal<ups •wIthhraldirto because: (a) 1 lam exempt from backup withholding, or (h) I have not bean natltled bythe'lnlarnal Fievetfue Service (Iris) that' 1 ram aubjraat to backup withhoiclinp as g result of a felure to.repert ell interest or dividends, or (t4 the Ipi$ hus notified me thdf 1 am no longer subject to backup withholding, and 3. I am ®U.S, citizen or other U,u'. )eeraon (defined beIovd).• Grarbi'rirsetton instructions. You must cross? cut Item. 2 ?above If you haws been notified by the IRS that ybu are currently sUbjoct io hookup withholding 6ecause you have 'sailed to report ell interest and'dividandn on your taY, return, For teat estate transactions, Item 2 does not apply, For mortgage interest paid, acquisition or ?abandonment of sweated property, oenbe11ptIon of debt, contributions to an Individual retirement errnngernenl (IRA, and generally, payrnuntls other than interest and dividends, you, err not required to sign the Cetiliicatlon, but you nlnnl provide your correct TiN. See the InstrudIlbns on page 4, Sign I sianAt Flp1'•e 11.s, parson Genera! a! fIstructions Seetton 1'pi'orertaps are 'IQ the internal Revenue Cods'•unless t ihervv}ee Wed, Purpose of Form A person who to required to Site nri Inlorrraation return with the IRS n its! obtain your correct ta}tpayor identification number I -TIN) 'It report, far ertarrlple_, irloorrle, ppld to you, real estate trranr3eloiion., marigapta Interesi you paid, sroquiellion•cir n).acndor'7rncont of secured property, cancellation r9i debt, Llr oorllrEbt,itlons you made 'to on JRA, Uso Form W-2 only It you ore a U.S.prraof (including a resident ellen), to provide ymir r,nrrcgui'T'lld to iho p;:l'@ion Ir'Oi.pio U i'i j II }the rt;tautIotnr i end, When LoCrplkr••1(s1o, to: I, t ,111fy shell tile' Told you kiln: plvlrrp is trottert or you arewrithe writhing f or. al rilimbre lr: br 1tneue(1), ?. C';rlrilfy ihi;tt yrnu cII i r1n' .'artooci 10boo imp vvllhticndancl, of ., C i ilIT r19:on:Ir, lcr iron ber.l44-, wrtrlh••,1rhntl If yc,u ors, tl; , oa rrllli p;„ IttS:t. 11 otr:il:llisob1o, vial i.nl'.' pltit5 { erI'tll lll'IjI Ili 11 ac'. $ i:9w'1'G ire. your tlll;'Ktltrlo chant 01 „1ny i;J0l'4Ytt'r0nir' In.".0 T5('•1I'L0 r+ l I 'track: tiumrl nc ieo not tultpiot is alit,' -withholding tl1 on ::;tL!1'•1r1ori S°lr;al'•;, CS', l'li�;'•1Rrut. p 1no.c,r0:' r'ts'1rr'i Nona. i' p r.ro',. you s 101'111 , i'Itx9P illy 'i T C1rfi's G1'.t' 1; r'E::' ue, '•oitil '"11'' you 1'riti:r1, 1r:'t° the i'¢..00:wrte.,'..,'t form '1' '11 re FLI i:.St:'141Fltty' .-,In10al1 1;, Via I.."'OM, hV• C:. Definition of n U.S. 'person, For federal o purposes, you pre considered a U.S. person if you are; e An irldividUat Who is a i1:S, citizen or U.S. resident alien, ✓ A partnership, corporation, company, or •association created sr , organized In the United Steles' or under the laws of the United Mies, r• An estate (other than si ioi' ign estate), or m .A do4lwetic stud (es defined In Regulations section 301,77f11 7), 3ptsnleI?aloe tat' portnershtpe, Partnerships Thai notidutl r1 trade orlbuoiimes 10 the United Stet are 00orrierolty required to playa withholding tat:. on any inveigh partners' ahem, of incorne from ouoh titfalnaas , Further, In certain r,asee whore ri Fori WII het,.not t0L1Vl r'eaeived, parinershtp ua requr'hd to proonunlo !hut t t sal ine? Is person, one pay the withhtllding toy... Ther'eidio, If you tart? to IJ 6 person that It of porll'ior 1r1 a i.a tnerrilir.. crancluctirsl e IIr1os or busAuar. In lily linilwld ?!:Haar. ProvicItrntrl1 l_g retitle. floriaerenlp ir+ r.rlarliteh your US, • r,}?doss Mims hr1,1ILf WI1l1haI1IIn{1 oh your' sir;il'F ?f patinnr01111'. irliln'ies Trn, w.tito's V1+llc% lI14lt. F'orre W.11 Ii, ill?' Ksc;nersiL'.' ourootti:. 0 estartlishirip its . ,i stems end ov:rr:SirlF 11Y1t011:,0110 ;d'• C:• 1nFr-^I91, oho?e re net Il1„orino iron 1rn' ;l JfPliar:,t1$: ; t11.1 ll!7L: 1: 1.8itr";t°. ,d11 111'001, ,u ir• R.;* 11 11' /11'cl ..,.,,.la a 71v: t'„ 4:5':'1'l:' of a UIIII',(Ipareett'FI;1h1 tiro:I Ito• lrlt entity, w. vll^�i lbs:•,. rt, fit iD GGe.,', f,•sil:. 2 The t.. Jral:;•n' ;i`' ^toe' trots. J` L rrarlt':1" trust iri Iv ill? ic+fae' disc) grantor trust) ono ris. roe 1:,,ertaflaltelfa, G'. ",ii* trust, Foreleg ra parser). f1 you ate a hearer. C1ersol'!. ea. riot u„rr W-9. Meteor). use rule aprirapnett. rCnm 'h•G ti Purahc:anion .5"I tatifithhoicling.of Tay. on Newsmen Alle I3amp Ft31'eJgr1 Friliii6,). Norlreslatent effort who beersnes re resident alien, Generally, only ty nonresiosni ashen individual may use thS terms of a tax treaty tc,reiil.ice or elimiri:ie U,S. tray on certain typo). of income, However, most 'tag Venues contain :7 provision klicawn ac, a "Stivin j sleeps," Exceptions apecilied In thro saving clause mriy perrnh i'I exampiton frtirn tax to continue tor certain type& of 'Moonier even atter the payee: hate otherwise become a U.S. resident alien. lot tar purposed. if vow area U,fl, resident alien who is relyiing on an exception contained In the saving clause of as lace, treaty to stains an exemption fromm U.S, tax on certain types of ,inoonle, you locust attach a statement to Folrn lith•g that specifies the fallowing five license 1. The treaty country, Generally, this roust he the same treaty under which you claimed exemption from tra>: as a nonresident alien, 2, The treaty article addressing thief Income, 3, TInd article number (or Icication) in the tax treaty that contains the saving_ alauaea rand Its exceptions. 4. The type and amount el Income that qualifies for the exemption from tax • 5, Sufficient feats to Justify the exemption from tax under the • terms of the treaty article. ' Tarampid, Article 20 of the U.S.-China home tax treaty allows an exemption from tax for ,oholar'shlpp Income received by p Chinese student temporarily present in the United Stakes, Under 0,8, law, this student will become a resident alien for ta>; purposes if his or her stay in the United atetes axeaeeds 5 padencler years. Nowaver,.paragraph 2'of the first Protocol in the LL.B.-China treaty (dated April 2P, 1984) allows the provisions of Article 20 to continue to apply even altar the Chinese student becomes a resident alien of the United States, A Chinese• student whb.quelhles tor lfnla exception (under paragraph 2 of the first protnxpl) and fs relying on this' a>crlapation to claim an exemption from tax on his or bee soholarship ar feilowchlp lnognio would attach to Forrn'W.g a statement that inott:Ides the Iniormatlon deserter: above to i upptrarl that exemption.. fryou aro a nonresident alien or a 'foreign entity hot subject to backup wlthheatding, give the requester the appropriate c;c>rnplokacd Form VV,&, What is hookup withholding? Pcrsorns making certain payments to you must under certain conditions withhold a and pay to the IRS -Slim of Such payments. Titis la) celled. "backup withholding," F'aynnents that nisy be subject. to booing) withholding include Interest, tax-extenpl interest. divicienda, broker t+and,loarkii xahnnpe� transactions, rents, itly iflus, ncxncrnploycte pay. silt) certain payments from fishing LIMO oy,rarators, Reel estate transactions are not subject to backups witllitaldlrltl. You will not be. suljeoi to backup willtr'toicfiny on payments welt IroMil'a,114tou rrluc tiara ratcrraslhtef your notteci"f1N, rclakii tIo proper oclrilhr:shops, and reipro' all your tsucaolc interest ono— ctividands on your tax return. F'rlyn-lcnts you reacohve will he set:eject to hookup withholding If: , • n Yat, co not li n!'itsti scour TIN 10 the ra'iGtast::ltce, w, 'Fiit,ld1t 1°e.ei sg'I'lifv Your Tit: wirer+ ri,•;a1Jil'iatil Inn OW NW; 11 Ji ii'tlettl;.)11Q art paps, at (}Ct301. ihr, :ecru::;ie; list t'ael (iiifllltti0:I ar; 1nn'::”'fi'r'i. W. Tr* IP. tGiaE ytau feel ''0t+ aI5 .11L';) i ctio',utr wttnerit::,nr oar:rause dr' l 0 r'cpon at you. intel'eui ur+a cisielana6 di' yr/J" is>° t diem iir31.."50a aI;i{ 'nt;41'{lu; Gnu ;ivaderi . $ `rtt', tic Nit u:::tt t; trtE YS:CI'Ja."•.49r 11w0, you tat cri, .lui•i•wl 0 oiWa vJir11nni ins under L e Cite tta'reponiccaIr ini rest al'ii.t QP 05rio scan 1s cpeel'icac) char 98$ only), • J&Intirl payees inn payments are exempt ft'on', bacir.iri withholding Sees 14 Insiruealcns below and the espartos Irlrirrlia11011t, for ihl"; FiKciuestelr 01 Faun V1 1 No :to Lpiitriiii partnerships on pegs 1, Pef9itia9 • Failure to tarnish Tile. If you fall to lurnrsh your Genesi TIN to a requester, you tere.suhjeot to a penalty r+t VP for each Bust) torture unleos your failure Is clue to reaaore:ible causa end col to willful neglect, Mitt penalty far false information with raspaot to withholding, If you make a false ataternont wltl•1 no re,wlrsorrai Ica basis that results'In no backup withholding, you are uubjecf to a $50t penalty. 0r rntnn11 penalty for falsifying information, WIlifuliy falsifying oertifioatinns or affirmations may subject you to criminal penalties Inoluding fines end/or innparisonrnelnt, Misuse sf 'iNs. if the requester disclosers or uses Ms In violation of federal law, the requester may be subject to civil and orirniest penalties. Specific iristructkr i s. it you sea an ItislivlduaI, you must ge neraliy eater the name shown on your Inatome tax return, However, if you hays changed ° your ilfsi name, far Instance, due to marriage Without Informing) the Boatel Security Administration of the name change, enter your first manic, the lass name shown an your social saourlty cord, and your pew last name, If theIwoJuni Is in joint names, list first, and then circle, the name of the person or entity whose number you entered in Pan I of 'the faro, Soil protiriator. Enter your Individual narno as shown all your, Income llasl l'etult°l on the "Name" line, You may enter your business, trade, or °dointj business as (poAI" name on the "Business' name' line. Limited liability company (LI..C), Chock tits•"Limited IiabliIty oUrnpaiiy" box only slid enter the appropriate God for the tax claesifination (" ta" tar disregarded entity, "G" Tor corporation, "P" for partnership) in the space provided, For a single -member 1_LC (including a foreign LLB with at domestic owner) that is disregarded as an entity separate troll) he owner under Regtliationss section 301,7701•2, ender the owner'); name. on the "Nan-te" litre. Enter the LLC's name on The - °Business name" • For sn LLC classified as a partnership or .a oorpor°nillorl, antes° the LLC'ts name on the "Nano" line and any business, trade, 0I' DaA name on the "Business nacre' line. other entities. Inter your 'business name ar shown) on required Isoerariao! documents on the "NFtnii"line, This name sheuid match lute rraron' anlowo ore the ci'iarlei•ot ;Tibor loge) Ctrlc male) , creating the onldy, 'i`ou may color any business. troop, or DOA coma tint the name' lino, Note, 1e11i a!'0 roCivatl10d 1U C ioc0 the' alapropriatt lxt'r. rat vow Rinlli5 hrtni Io1oIFaI. t lto t-sroOr10tor, ::ore r,non. 4ilr:,i. Exempt r ay5.9 F. YOU art' m>:flnrt(:1t irear,'1 ta;i,:f:ur, lult11natdlrl ,~slit: VOW 11:1:11i 4111$ iiblut; able'vo' Sii'i;l :,hi r4' 01 LI sift 1l:.tiif' nos, 1,`li i'„ri 1'r,i71tIC irit'I' Cln : I' lint: E}:ornt:d r1' ttY41e'' ,o(»: III iris lint' lohow;rif, trio• i',11011000 101rri:•, PIj1n n:. erne me fotr . tRtr.'r'•9„rr fi,eneraf4i, iri;ie°rtd't,l° it!°1C!:E id'lat sot:, ;1r"Ipll'I s:0oe are riot t6}IernrI frprr. ba ✓ f°' 4rJ;tnllultllY'r';' Corporau:in ate exerri«a', Irani oasitttli witnnalGnly for carrell'. payments, LlfLr. iriter ls; sno ;11Jidens's, Note, If foe klry "r:at l7t from b wi:ur uttrihniciiryg. ;Jstl should sornaieta this, fora, to avole: ocrisitlie naer:up wllnrICJIc n . ; Tree Jolt/Meg payees ;are exempt Iron laacitup w tnnoIcilnpt t. Art argarbtsllcirt exempt from tar. under seotitlrs 601(a), any IFIA, ar 01.47,1r1d181 acicount under e�'t:hon AO34b1ipj if the gic00Jh1 csairnlit �� the requirements of r• sollon 401(1)(21, 2,1 he Untied Staters or ,any ei its !Toneless. or Instrurrlerrtrslitr ia, 3. A striae, the District of Galptnbtra, a pr.g,dsessiori Of the United States, or any of Ihcair plsaliYicwl :,nhrrivisfvrie or Instrunaentetllliee:, 4. A'foreign government air any of its political atilldNIsi ns, agencies, CV fnstrumentrtllfies,, or n, An international organization cr any of Ito agencies or Inati'umentnlltias, • Other ptayees'khrat.may be exempt from backup withholding/ Include; • • 6, A oorpcm It n, 7, A foreign central bank of issue, B. A derider in securities or commodities required to register in the United Straus, the District of Oolumbta, or a possession of the United States, 2, ,A futures uonnn'lission merchant registered with the Cammr>dtty,Flitures Trading Cammiaraikrt, 6. A real estate Investment trust, ' , 11, An entity registered at ail tln7on 'deride the tax year'und$r the Invests -merit Canlparty Act of 1949, 1t, A corrtrncln trust fund operateld by p Eels under section 5641a), 13, A financial Institution, 14, A Middleman known in the Invostn1lent community as a nornitnee or *custodian, or . °IS, A trust exempt tram tact under motion 664 or described In section /1947, The cThii1 below shows types of�� payments that rimy be exempt from backup withholding, The chart applies to the exempt payees listed above, 1 through 118. • IF the laaymcrft is for , . THEN fhie payment is exempt ter... interest rand dividend payments Ali exempt payees rakt1epi for 9 111,014ot iPanaaulioila I;;rarior oxcheripr; transactions end patronage dividends •s''nyrrtonto ewer r •triad moulted' d' 1t, be repealed and direct Exorcist payees 1 through 19, , Aloe,. W person relgistered user tklc Investmorrt HM)vlswrs Act of 19f(1 who regularly seta as a broker Exempt pnyeee 1 through a Ursnatallat, o C)ropl puttees; thlxrl,!rih y srsn,l."+ nvcn' Vi.911Ci !,Na J;c,rrn 1;1$1,101',1(•, IvirlR;eilklfncniYaI c11lli1t, nrlri Il;',arLiU1EGIYIfib. e.ltilarn•vn, 1: Iv iwisn5'nur i,rs'rnr:nil. niUrl;• p;,.; .t0r17:.1rancrY, 11: (i It Inc tir't1i1s . rt'tcs;yeti' 1rH1111,, nil alicirni MOO: kinnl,nu edit n1. MV3t, 111114' n1t{rr'nryv r r1 ltrll Dom UI, tint, i,;itiruallb (11. 1' cwr!• WO. 1,114,CIi: +iai tN+,; :,'ll't 11.011+. ntiv.11,1)1." 1V111}I1:g41incr r1IlI1 w:Elt east ii lln1 t:nn- rip,,n nit. allortV !, 14.M. alit , ril vN,I11 1<i rtl I lr.*l, 17;1ii 111: 0 ,I14NI111 t'e 114111 0 >7s,cOr1i. Part I, Taxpayer identification ' Number (T U i) , Enter, your TIN In the apprapriute box. If you Tara a r01:>9rle tog, aro yet, co not flUti6 iirio 11': r'ioi Wilg!/Jle t: 2411 yaw TIN it your IFIS mownIt:al Ito:payer rdenlffi111tlb1°;1i41!'1bor tlIII'lj> 5iiiler if in Ina 4xdorol security nuntr5i boil, It yot, co riot nave an iiil'i, van Houa to ger a TIN F,a aw. II you al'1 a wile proprietor oriel you tlfays art irri 1, you may $inter either your SSrSN or Fiat. However. Cite IRS prefers trial you ' use your iI you aria o aMlgfis-rnelrrsbsr LLC that to disregarded as art entity separate ftarn it;a owner (see Limited company alp on paces 21, enter the owner's, a3SN for SIN, if the owner has one).Oo riot enfel' tl1s disregarded entity's Efts?, 11 the LLG sr classified as a corporation or partnership, enter the entity's E1i11, leers, San the ohlaft an page A,for further oldriflooliorl of name •Fled TIN enn'1bhietic r . How to get o TIN. If you de not have a TIN, apply for one Imn1t dinleiy, To apply for an SSN, gut Form uu'°5, Application tor a Serial Security Card, from your local Social Security • Admfnfairtitian office or get this form online al Www.s:lu,nnu. You may alsogge1 this'form by calling 1-5(10-772.1213, Use po rr) Yv-7, Application 'for !PIS Individual Taxpayer Identification Minter, to apply tor an ITIN, or Form SS-4, Application for Employer ldentiilcaiiorl Number, to alpply for en EIN, Yon can apply for an SIN online by ocoes0ing the IRS webalte at www,lra,pavlbuslnessea and chairing on Employer Identification Nunnhor(FIN) under .StartIng a !Business. You 'can get Forms Ytt-y and S'5ed frcrn•the 11S by.vlslting www:lrs.gov or by calling 1-•900-•TAh4cDRM (f-ob0,829-667Eij. If you are asked to complete Ferro w-9 but do hol have, a TIN, write ".Appliel3 For" in the space for the TIN, sign 'and date the form, and give 1t to the requesterr. For 'Masai and dividend payments, and 'certain. payments made with reapaot to readily tradablainctruments, generally you will have G0 days to get a. TiN endgivo it to the r quester before you are subject to backup withholding on paymelits, The 60.day rule does not:apply to ether types of payments, You will be subject to backup withholding On nil such payments until you provide your TIN to the rnquaater, Note. Entering mewlsll "Applied For mewls that you tave,''nlready applied for a TIN ,ur that you intend to apply for one aeon, caution: A dioregeided dpmalsiic anflly that has a foreign owner ei tee the appropriate (brie 141 &. -Part 11, Clwrrffi i sttionn To establish to the withholding agent that you are a U.S, person, al' resident alien, eta') Furr•n W-C.), You may bs requested to sign by the withholding atdonf even If items 11, 4, and 5 petova indicate otherwise, For lrjoint nowt/tit, only the person whose TIN is shown In petl I.siaotiid sign (when required). &mot payatels, mo 5xanrpl Wave& aa.page 9, ' Signature requirements, Complete the unification as indicated 1t7 1 through 5 bedew, i, 1n1. root, dividend, and harrier exchange accounts • opened before 11134 and broker accounts considered active dsaritl'll 1993, You must dive your somas! TIN, but you rio col hove to nip the celn'ifls1a111n,.. 2, Wettest, dividend, brolser, and ha1-tor er,charlpe accounts opened snot 1953 rind broker ncvotnitre 13nrlrll 4.;11113 111active during 1989, '1'r.•,t! must chin 1r1r•: cl6aririatin11 1. or backup withholding veld dolly. it you ors., witness to Ia7r;;icuj,.441iltilal1tfrtli nriel you art merely prc}viellrit1 11sa11 rnrret„ 7114 1t rile 14(11.16410, you 17114 ,C111t ite11'rl 1' Ir1 1h1t sartliiciaikll, balsa:: rlinlrnp• tar 1ri14Y1, ''r.lrn Vy+f, erotit, 4 a, ilea I estate transactions, i'au must Ntgr1 ir1L' cerilf;::atikr, ' You racy cross. out item.? of the ceriffi: orlon, 4. Other payments, You roust gars yaw correct TII•t bur you o rime hove to sign: Ice ovrill:tselion unless you have been n011fIE!'d that you nave previhU$Jy giver, oh incorrect TINT, "toroth' naayments" incttlov payments, ,merle in iris crrsurah of the: re;itae. ier's trade or tali 7irics:: for linter, rpyaities, goods father than bills for mercrh(andise), ,riadiapl and health care Services Occluding payments to corporations), payments, to a riorterripirdyee for v.ervtcati, payments to certain l fishing boat crew membt r,ci and dishern'tein, and ')rcrss proceeds; wild to ationla'ys (including payments to sor'poratinrlfi). 5, Mortgage Intsr asi paid by you, aurluisition or abandonment of sac uriad properly, oant.oliatimn of debt, qualified tuition program.) payments {welder section 529), ifIA; Goverdell SSA, Ashlar IJMSA o 1°I3A ronti' butians or distributions, and pension distributions. Y01,1 must give your • correct T11sl, bi,l you do not hake to si(�n tiro oaitlfk tiara. What Name and Number To Ghee the flequtaster For thin typo 01 =Mint }I•IrJiv(UurB Two Or mars lndiVIchnits Odin( vaaatanf) 3, Ouulsa'dian acoounl ai p m1,1or {Lrnlfolrm Girl tc111hinato Ant) ,d, a, The °Puul i woimble eav(nph fruut (prrinlor to oleo trur1t o) h. Elo.crited truot 000canl filet io not p tamper csr world 'hint under starry taw 5, Soto- prcpnotorahip ordletogurdud The owner' entity wwnad by En Indfdiduei ' Far'khitt'Lyrae o'f aacrourib I Gitvc Give r1r'}rrle ahtt SBt1 Oft T ci Inc rdtsluoI 1'hs actual oivrlel of thG acvount or, iI combinud funds, thn rust individual on trio avoawn'. Tip minor' The JYLrl1iawtrulitse' Tf1a aotuni QM/nor meand )INo a, biaragardFd argil), not awnhd by an . The owner ' Indivtulbel 7, A vnlld Hirst, scorn, sir ponslarl trout !Anal antlty °' ft, Oorparatu or LUC oloat(ng Thii aarpolol lan norpar©tn skoiva ao s arm 8532 e, AS9oclniion, oItii fotrplaus, The orgunln,mfian ohal'itable, etrutiattonal, or Mho' tar-I:>sernpt orcJaniznfton ' I , rarthsrshtrr nr muifi-metribye Lin The pnitnomblp 11, A br9lior or repinrnred rionilnne The broker or nondnee, '12, Acicriurrl With the Di pattnlnnt at Ina pubho santity Apricu'ture in the nernn of a public aniily [sun)) no a stet;' or local 1Davarnnlent, school ell„trial, or priEan) Thar facilities agricutiuret proprarrl pnyrnonts I.1nt (ntil Lv1d nfrolu iiiU rl n t of ih(+ 11nr1 raurit)n a yralt Bolo Ih, tf only unt+ pnrsori 011 r1 In1ni at'1Cnunt (1Ao on VW, Thai unrundll ntmlIL or 'mon tlO oli l d. 'rltrrlp tl'16'Irllntlt'ri nrinlu nod furrlllth air, minm'te 0814. ''You nluui pilot yurn Irollyldunl ran ,n nnttyou may r11nn pnlnr yturr Stunnnnt, m "f* " rirmCl art It1a+Ilntrl, S rhino Inlet. You m»y ton Wnnnr your Meihi ur GIIJ Qf you IFIWV0 sou), hul IPm t t r u.uuru{,na. you reel taro,cap SS , "LIFT, frrnl nod coral* lIol nurnr of Ilia 1111Yd, Uni111n, 1'' 10n?IWn11 11.1131. Plan 001 (tirrlmh Ilia 1'In (11 h•IN 11r.If 0481101 0.0n1ID011siivo Sir lrtulnrn nnlnnC. lhn bowl Anfily troop Irr nal dxeipn0I11II 11 tit, rititio11111 Irllrl.l Juno no fflvoninr ndtr„ fro flnnnuialhalo err rrrtgi, n, Note,- 11 no !tame iss.olrclno when more t11I11 v)10 nuni0 Js limed, liar mt.n-rit'liil' tv111 laei r;ansttrioyed to be that La1 Tile first name; Hrtod: Secure Your Tex 'Records i•roni fdd 'ni tyih t ; )o41ntity t17ot comes vihor1 ton°t{rAi'!ti warsE+yoJr persona; , eotriaitor tsicon as your name social ntiourity numoor.fts,S 11, or ' other Irt0ntitying information, va,trtrxli your permission. to nurnrtdt . :Pahl or OtnSr ori#io . Ai teentity entail nifty Lint, your ,Ci1314 lc. pet lob tutrr,fly'illc o tax, yearn using your $914 to rot:says c rrefuns. Ter reducs your dart: Protract yool' S,SR • d Ensure your employer ie protecting your 1 N, and i3e• careful when choosing a td>;'pre ,ssroi'. ' Call the IRS al 1.800-529-11O40 it you think your identity has ' bean used inappropriately tor tax purposes, Victims of idonilty theft who are experkenoing ammonite harm • or d system problem, cur au'G seeking help ill resolving tar, 1iroblems that have riot bboori resolved through normal ohannals, may be eligible for Taxpayer Advocate Soivico (rA$) tuslutanua, Your can' reach TA5'by calling the TAS loll -free mate 'intake line mf 1' 377-777"457o or TT'1'iTDD 1-550•529-4059, Protect yourself from suspicious smells or phlohtog schemes, iPhishing Is the creation end use of email and webaltes designed to rnimia legitimate business smalls and ' webaites,1'he most cnmtt,fltl acwi'Is sanding an email is a user fakery claiming to be an established legitlrriate enterprise In an sitterript to Scorn ilia tise1r Into tut -tendering private information that will be used for; identity, theft. The IRS does not initiate contacts, with taxpayers via lamella. Also, the'tlIS does not request personal detailed information through small or 'ask taxpayers tor tea PIN nun1bers, passwords,. or similar secret access Intormatlon for their cradle card, bank, or other financlol accounts, if you teceiva an unsolicited email ointming to be from her OEIS, forward thls message to phlshing@tlra.gov, You mrly also retort misuse of the iSS name, logo, or 'other IPA ppsisonal property to the Treasury inspector General tot Trtx,Adn.)inletration of l-MO.5410-404, You can forward ntitaplotays smalls to the ' Pddoral'Tritde Commission et OPnr(tenuac)ov or contact them at wwwoanavr nr,,ryowldfhatt or 1-577-10`I1•l > 1'(4,38'4338), Vielt the ins website at www,lto,gav to learn mora'aibout Identity theft and how to redupe your risk, rt`lltac}r Act Notice' °t141.1 lee 111 fro ell i11t•• urot.vn(1 tt!IJitlitlf i;set4l4' rtt0,11(118 \'tort If pV0v, i1, V111a1 (rinrtl(1) ilJt.l1= totalan( 11.110 IrdJM1t I11L' a1RirninlI(10 r#lllrn! tWn0 In" tilt, 1P paler (111u100k. U1v1dc11c1R, Lino t crttth 43111':1' Intlbn'o held t(• 00t: nrorrrl0l c 11114,0417,1 $11t1 raw!. Iris o m itnnlcm r1 noutick1nnll+nl of (1(,1dlrnlcl i''1u11rtr1), ftiu1nk11.1k11' Ili SIen1.(11 ^,Poll !!l Alt1 1 Vn;i 1 1801 : tiF fit IRA Ctl 141,6114i1 lviitl4 LII' i'ilif+. 7 nr• ifi1,5 u1t40' 111L: t'11imoof1 ,4fr n11u1}111;LIllln. fftlrf101'JC01 i1N+ it, illn7, %Full; Inc whilionny savior. Sin. Nor, :111t(. tl''r1V100 1r,1: InILY'n9311a1'I 11s t'P' (Jr'I'lrlrin•1rtn1 6n ,1110(1(8f Phi i':IV II°'i' isrmilnil' ilil(Inilflr„ h11i! IL' ram, n101a.,, 111:^ LIttOIL.a rY 0,011n1110 111111 k),SS, in>anonni U'Ir,S. .;, r11' 43111 moll tr1r. I0041: 0001 mn1' .Sldr' C1'lift0Cln0 1116i II110n31nlIUS. U, Still{" CS011111Ltin 1111111'l it rnY MTh.. to (l!L,'' Jr ono :HSilt^ ofirrdlln:, (h 11rlISil' o ;rhea`: CJlrl',:rlp' I.n:'!., ill 1A (1;grSurn. :iSK ;trkr,::if:f r,( ,i'r,6° lhtl'llioco11,1' .n¢7erin or 14' 01(1810(,1 100011till' i (A' .•r111 ' :1r:wiry 1't11x 1'f"! 00,"If lnl"P :11 It),( :fn, 411C' 414ii,11rtlt, It, 1110 t. ((11 sn111':i. r'n1rO'(3 dour.' i1l'IWI'n !'i W'(1(11, 1t! «".!I!r (11 (8 cr;Sec• inrtoont. Sher FHrh if'1yn11fri17., 1'1 , 61i1'10' ,o rq, 43:'11 ir,' moo, h ilk it, 1r r.pygi {,r:"trio. f,CnR111ni: r:io rdrr 1111r'1'1. t tt L ,1. ! "Lf htVS Ni IA y >f',DADE �N. b�'"tit./„k w;n,MN,w ea' r , 7, O. A TTA C"HME;'; T INCIDENT R.EP)RI CXECk ; IF mil CAL L _ _... TOENTI ' Ti� `.y` INFO RMATJON 1�E lCn°t119i l'ur}}'):')1(1t1C hopertirp Party 'Name.. Ctfttraa1 Pravicler )4amo Program Name Prttvidar Location I'}tti,c aT)ncident 'florc of!Ind dhnl aintr } Spocii'ic. Program: {altca)( all filial.appl)) C .HT 0 Primary Care 0 SHP ET Emergetcy .0 Challenge S» cei f c to cant, / address when, ifr, c,r'.(Xarxr oeelurra'(i: 'MY OF INCIDENT E ALTERCATION 0 CLIENT AWRY O. :ILLNESS' El r:J.0 � •�F (� 4L BATTERY Y ED Pik OP.E7117 .1'"1, GE O CLIENT DEATH o THEFT E SUICIDE ATTEMPT E OTHER INCIDENT • Spocii}' PARTICIPANT, (S) ! Wa ESS ( 5) 'A' or l'Au' cit}tcr \h itri+ ;;,, c�c J't}r�1Cli�t1111) N.AA111. rrg,'ST. J r1 NT1F1CR (LAENT EMPi,,(1\°i;7)7s C5"IjI"F(G;t C 1 A TTA tM l iv>:, .'''�. T DESCRIPTION .OF X C'XDENT Give deAtAlet;i uctioLf)t.— who, tvlia.t,-Whem., when. wh,y, idcI paves Ii'nt:cic gory CO ,RECTIVE ACTION AND, POI LOVt1 DTP inlrrialiare corn ctive action taken Is follow tip action?ier dod? 1'yt;s, Sp'ccify 0 yrcS' 0 N Abuse Rq;istry I-£1()() )6?-2E173 INDIVIDUALS NiOTf TIED AppIiottt7lc:Lew l.nforcwent Deparbitent indicr,ae) mote of person c(Fittii.ctc:d, i-'i• tpclr(vrsts rtceoptc:d, ihr: date awl -time if cal'lod or copy! ot'report 1n.cidew Reports '1-he Sri17t•eEipicnt inns! report in Miami-Nalc Cottnt'r llomele,m Trust infnrntatiotl rum ud 1(1,rri+� criticxai iitc itit:nt;i crccc.irr•it+t clttrit1 the ttclrnirii;;rrcitinn tttrit7 Of its: p•oi;rcin'ts, Icr t clditinn 1(i i•t:11()rtittn, (his iitt:itlrrli ici tht irl•rlgrorwiinv t)rc, Subrocioicnt Mug' wi(itilr rvsvtnt'v-1 un 0,4) hour, r1i'wrisiop doinIleti nert+tat( rrf iltc incident, Tiiis iiicitlont rupori should I'c laldrezi..r! In shy Contrilci ?Nile.or ni; Atlnlini;itraih'c' . i.ti'ineer (L;;ieri,itl. '1"lii:ti incidr to rt'l°+ori should i-)r ct ltlrtP4,c:.tl in Alfutn.i read; ttuulSv FI(artieltr;ic; "frtL , 111 N.1V rir;tt Sii' :N, 2 7th 'Ion).. Stifle r 111. itlicn'i1i. J"I(wida ai:`,8 i4it:Th m. i 05),+'a 1.1011 mnd i'ac:tntilit' (a?�. i M IA1,11 f /DE 1rAvo4 D'Ctt117iGk(lits el' :Ref) rtii le 1racidant's A TTA C'l Zh N T , a,. . itercutitiirx, A. phVsic.aJ confrontation occurring betwr;er7 'a. client and eartja)oyee ry,eo or rntve clients at the time services are being rendered, ter• wh''o» a client is in the physical custodycustidy of'bo deparunent, whiclr results in one or rr•itare clionts, or einployac.es r°ec:ei•ving•>,nedica,l 117011.111nali by Jir canned health oszre prcait2sior7tal, %. C"Jieni Desilr, A person l�'hoP,(; lily laminates due to or allegedly due to an accident, act of Eihuse, riegl•o,ct or other irrc i rlc rat oecttaiin!; while izr the hresen co of an employee, izr Homoless'`Trust cectn'Lrractr d program facility., • c., Client Injury or Jl1):at . A medical conditicm Of as client requiring medical tr•etrtrnent by a licensed healthy care professional sustained or allegedly sustained due °to tirr accident, act of abuse, neglect or other incidonl occurring while in the presence of ah employee, in a 1-10rr Bless Trust contracted l.aragran d, Otter ir.apidlert, Ara unusr al occurrence, or circaanstance initiated by so173etl in, other ' than zaatural, causes or ou' of the ord naiy such as a tornado, kidnapping, riot, or hostage situation, 'Maxiclijeopardizes the health, „safety and welfare o.fdents, e. Sexual T .t:terv. An allegation of sexual battery by a client on. a client, employee ori a client, or client on ai employee as n1rde13c0d by, ,rrmdiGat eV.ide,.rticc or lane enforcement involvement, uicid'e Atter;r7ryl, An act wlaiolr clearly reflects the physical a.tier7,Jat by a t;lierrt to tia.ti.rse his or her ortrn death while in the physical custody of the department or a d :partn.xcrrtat contracted or certified provider,, Iki?.icjlr 7ssults m bodily injury requiring medical treatment l-ay a licensed health care professioyr•al, • Properly Damage, An i cident involving d rz7a, *c to property procured with 1lcair7e.1c,ws Trutt funcling„ MIAMI D WE COUNTY ; OMELESS TRUST PROVIDER IDE ASSET INVENTORY ACfiuhitiuil Date Acquisition Cost • ;1 ittiCli in-vii:u, ii Ng— nil prdih es. this grant reporting period. Purchase Cost kli Gran t ,VF TACiiRE .Iy r u USE' 2111d ''.1-lEii Buhl:: C iidiiit3.i1 - Title 4t(• i1iLAM ')A.DE' C,OuNn' HOMELESS MELESS CLiEt T 5.Z1W)CES C 1;T;"IC.ATION REFREFTARAL FORM FOR i✓lv PLOvz%S OF' HOMELESS ELES S TRUST FUNDED PRocrRA:1~Ms ,t!'tiSTRUCT'i()NS: PrnvIclor meiking rcS"(;rra) must complete 00R rw'o•}'rit e farm, aignaiurta, lit, A,rtpilcon1 :Ind Provider Mtfrretzonti}tives, Fax. txrmp}utud ftrrtus rp T r iv'idor i`{,celv'irig i efcrnd fcrr Housing hand car Services. E.)attr. Referring Prarv+idcr • , Coutlicl Parson: Name INFO RMMA cm (YN HEAD"? Ot' .HOUSEHOLD: Last Name: First Nu}'ru:, . Phone Nunihor Data of Birth: - SS 1t`:.� X 1FOi" IAATiCiN o'N OTHER HOUSEHOLD M MFl8R"; Relationship T S ANY MEMBER OrT E HOUSEHOLD T;MPLO) ET OR 1'w LATE.) TO AN DIMZ''1Jf?'YEE OF, ;4 BONELESS Trti>'IST FUNDED ED PROGRAM? Yes Nn_ J f Yes: Nnrne ofEniploye:e:. Ern plclyrin Provider: eiaticrn5ilfiip to Applicant:: 'E1 TIP)CATJp}N 1. }fic^ iinccr•slcnctd, do bcil•t,hy 1:4)-tsfv that the tthovc inlintllnrrticrlt 17rnv+}ciGr1171• me iti true and•c,trareei i the hero or my ktrtrvv,loripe,. • 1 ' I1rr1.LIrr': I,}rn.c; F;Clt�r1•rri' Pro\•r{1:'I' tahttrl •El flL`preretuat11':• °+ctl Il', Itin; altire Al tAlr1.111L4,1 r'RovmET,. REFERRAL FORM PACE TWO il'the pplieu rrt en' r1 mein her ur.(1lch imotibia is; n. c'mrrlilyc,c ann.. rel`arring, provider, i;hr lipprov0 of the Provider Executive 1)1reatar;is hereby Indiem led hy, sib! arere: i tune/Title Ca'tna r fthe Applic5tnt ur a 0nn:mI,V0 Of their htrurrehold is an employee orthe provider where services will he provided. the filar}turn° of The Provider Executir'o Director, Cie Iir meless Trust Executive Direetar, and Clrc J;lotnelr",ss TrciittBoard Chair 1.N-hereby indicated bysig ature; Provider Executive Director Date Miami -Dade County Rom aless Trust Chairperson Miami -Dade ie Count liomtless Trust Ex cutive Director Date ADDITIONAL ,,1OUSEJ-301.1xNFO t z TJDN: here is the household Ih'ing lioti'? (Facility name., ex ct addrass)„ Date aipresent homelessness: ,Explalll the J9orneles Siteation, and what caused tlrp current . ri1irmelessnal;g: —^ a ?VOTE TGIF F. 1E.LL.t'N 'P,,rtbV�'.xi. 'R: i? liOWt TVG. T TE.A I3(J > x'J'sr1+oTt1• /V110N DOS NOT EJ STJit.E 1i1'Z?RCriJAT., FOR' YouSXN{ OR OTHER SPLRViCES REQUESTED. A DETERMINATION WILL B.E MADE FOLLOWING' COMPLETE ,§ 'SESSMENT'0B T E;d.T}.X'LICAI'sf''^S CASE: TfrlS S1S'C'TION POP VICE MO J7D R NTA FE 1JSE ic' 7,s i;l/gild/lrr' C'rifariu: Name r;f"Pro r+ir/cl°,S'creeirinf; S'rl,, f; PLEASE i\IA 1 NT,A,IN Tl[1' T"::JECUTE C'()1'7' Cl•F THIS it(►C13154t1rT llh' THE.CLli'„NT FILI (i1 T141,; RviCiNC; J'1t()V'tt) .R ANf T'ERsCINiw•E L L,t„ OF 1'tE'F`E k[N( i'rtC)7'if ER,