HomeMy WebLinkAboutExhibitHEALTH FOUNDATION OF SOUTH FLORIDA
GRANT AWARD AGREEMENT
BOARD APPROVAL DATE: December 3, 2014
GRANT NO.: 2031-59
GRANTEE: City of Miami
AWARD AMOUNT: $91,737
AWARD DURATION: 12 months
PROJECT CONTACT: Ms Lillian Blondet
PROJECT TITLE: i am FIT Miami
In accordance with the policy of Health Foundation of South Florida, the undersigned,
(either the President/CEO or Executive Director of the above listed Grantee or an agent
with signatory authority), does hereby acknowledge that a Foundation Grant of $91,737
over 12 months has been approved for the above stated project and as further
described In the grant proposal.
The undersigned further agrees that the Grant Award will be used only for the purpose
as stated in this Agreement, as described in the grant proposal and with no substantial
variance to the approved budget unless prior approval in writing Is obtained from the
Foundation. The undersigned codifies that the grantee organization operates under a
tax-exempt status. The undersigned also agrees to return to the Foundation any grant
funds not expended for the purposes of the grant within the grant period.
A, Requirements for approval of Grant Award Agreement: Requirements for this grant
are listed below, Each requirement must be sent to your liaison via email. Please
make sure each requirement is sent cis a separate file in a Microsoft format (Le.,
Excel or Word).
1, Start/End Date: Provide grant project start date, end date and reporting dates.
For all protects, start date must be on the first or 15th day of the month. A
progress report is due 30 days following the completion of the, first six month
period. Two year grant recipients must submit a progress report 30 days fallowing
each 6-month period. A final report is due 30 days following the completion of
the grant period, Please mark all applicable report due dates in the space
provided.
Start date: End date:
First Progress report date:
Second progress report date (for two-year grants only):
Third progress report date {fortwo-year grants only):
Final report date:
2. Work Plan: Please revise your Work Plan (outcome objectives, outcome measures
and process objectives) to include responsible parties and "by when" dates,
Email your Work Plan to your liaison as a Word document.
3, Budget: Please finalize your project budget and include a budget narrative.
Email your Budget to your liaison as an Excel document.
4, Letter of Employment Engagement: if applicable, a signed Letter of Employment
Engagement (see Letter of Employment Engagement Sample, attached) for any
staff over 40% FTE hired for the project with grant funds (this does not apply to
currently employed personnel),
5. Job Descriptions: Please provide a job description for each staff person
supported with Health Foundation grants funds,
6, Equipment Policy: if applicable, please demonstrate adherence to Health
Foundation's equipment policy. The equipment policy can be found an our
website, www,hJsf,orq, on the Grantee page under the Grants tab,
7. Press Release: Please prepare a draft of a Press Release which describes your
project and acknowledges Health Foundation of South Florida, Email the draft
Press Release to your liaison as a Word document. A media guide to help you in
drafting a release may be accessed on our website, www.hfsf,org, under the
Grants tab.
Upon approval by the Foundation, the release should be disseminated to the
media. The Foundation should also be acknowledged in any subsequent media
releases or in any printed, website or other communication materials related to
the project. Copies of any other publicity as well as copies of any major work
products generated in connection with this grant should be forwarded to the
Foundation.
Please include the following copy in The Press Release:
Health Foundation of South Florida, a nonprofit grant making organization, is dedicated
to improving health in Broward, Miami -Dade and Monroe Counties, By funding
providers and supporting programs to promote health and prevent disease, the
Foundation makes a measurable and sustainable impact in the health of individuals
and families. Since 1993, the Foundation has awarded more than $108 million In grants
and program support. For more information, please call 305.374,7200 or visit the
website, www.hfsf,org.
8, Conditions and Contingencies: N/A.
B. Additional Requirements due throughout the funding period:
1. Evaluation Consultant: You may be required to work with an evaluation
consultant who will be assigned by the Foundation. If required, you will find
details on the evaluator and the requirements in an attached document.
2, Outreach with Elected Officials: Health Foundation recognizes that only through
collaborative effort can we successfully establish a more health promoting
public policy environment. As a result, you may be asked to work with your
Health Foundation liaison to engage and inform selected elected officials on
public policy issues relating your HFSF grant supported project and your
organization as a whole,
3, Reporting: Progress and Final Reports must be submitted electronically via a link
that will be e-malled to you at the appropriate times.
4. Data Tracking: Please track the Income/Poverty level and the Race/Ethnicity of
your program participants and report the data in the Final Report,
5. organizational Status Changes: Notify your liaison within two weeks of changes In
organizational status including but not limited to: key personnel such as senior or
project staff, organizational name, fax status, and organizational address,
6. Other Organizational Changes: Notify your liaison of any organizational changes,
such as new address or contact information to ensure that you maintain proper
communications with the Foundation and receive payments promptly. If a grant
payment has to be reissued, It will be subject to a $3S change fee,
7, Budget Modifications: Notify your liaison and submit a budget modification form
if budget changes greater than $3,000 are required during the course of the
project, Please (Advise your liaison If the budget change is due to an increase or
'decrease in committed funding from other sources. A Request for Budget
Modification Form is available on our website, www,,hftPr,g, on the Grantees
page under the Grants tab.
8, Success Stories: Provide at least two stories of individuals who have benefited
from the grant and have given permission to share their success stories, The
stories should be submitted before the end of your grant, For your convenience
a "Share Your Success" electronic form Is available on our website, www,hfsf,org,
under the Grants tab,
ACCEPTED and AGREED by the President/CEO, Executive Director, or agent with
Signatory authority:
By:
Title:
Date:
Morle Laclevele
From:
Sent:
To:
Cc:
Subject:
Attachments:
• Blondet, Lillian
Tuesday, February 03, 2015 9:41 AM
De Souza, Bare
Morley, Lacleveia
RN; Health Foundation of South Florida Grant for City of Miami
Letter of Employment Engagement Sample,doc; City of Miami- Grant Award
Agreement,doc
This is the original email for the grant award.
Lillian P. Blonde, Director
Office of Grants Administration
City of Miami
305-416-1536
k.alal. la
'L..
Serving, Enhancing and Transforming Our Neighborhoods
From: Jakes Cargllle [mailto:jcargille@hfstorg]
Sent:Thursday, December 11, 2014 4:42 PM
To: Blondet, Lillian
Cc: Janisse Schoepp; Peter Wood
Subject: Health Foundation of South Florida Grant for City of Miami
December 11, 2014
Contact: Ms Lillian Blondet, Director of Office of Grants Administration
Organization: City of Miami
Re: Project Name: i am HT Miami
Board Approval Date: December 3, 2014
Award Amount: $91,737
Award Duration: 12 Months
Grant Number: 2031-59
Dear Ms Blondet,
Congratulations! Health Foundation of South Florida is pleased to announce our support of
your project, am FIT Miami, with an award of $91,737 over 12 months,
Janisse Schoepp is your liaison at Health Foundation and will work with you to support the
successful completion of your project,
Prior to sending the first payment, we require that you meet requirements A.1 through A,8 as
described on the on the attached Grant Award Agreement, Please note that this process
may require that you revise some of the materials previously submitted, such as the Work
Plan and the Budget. Please also note that items B.1 through B.8 are additional requirements
to be met throughout the funding period. By executing this Agreement, you signify your
acknowledgement of the purposes and requirements of the approved grant award. Each
requirement must be sent to your liaison via email, Please make sure each requirement is
sent as a separate file In a Microsoft format (he., Excel or Word),
All information, including the signed (scanned) Grant Award Agreement, must be sent to
your liaison by January 5, 2015, If you have any questions, your liaison may be reached at
ischoepp@hfsf.org or 305-374-7404,
You are expected to maintain timely and accurate data and to submit reports, including
budget reports, at six month intervals, You will receive an e-mail with a link to the Progress
and Final Reports at the appropriate times, The e-mail will also have Instructions on how to
submit both the Report forms and the Budget form, Your first payment will be sent following
approval of your Grant Award Agreement requirements, Subsequent payments will be sent
pending satisfactory review of the reports. The final 10% of your grant award will be paid
following approval of the final report.
Again, congratulations on your award. We are proud to be working in partnership with City
of Miami to achieve our shared goal of improving the health of individuals and families in our
community,
Sincerely,
Peter N, Wood, MPA
Vice President of Programs & Community Investments
Attachments: Grant Award Agreement
Letter of Employment Engagement Sample
cc: Steven E. Marcus, EdD, President & CEO
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