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Home My WebLink AboutExhibit - MOAHomeless Trust 111 N.W. 1st Street • 27th Floor Suite 310 ` MiarYtt, Florida 33128-1930 T 305-375-1490 F 305-375-2722 miamk ade.gov October 14, 2015 Mr. Daniel Alfonso, City Manager e/o Mr: Sergio Torres, Program Administrator The City of Miami 444 SW 214 Avenue Miatni, FL 33136 RE: 2015-16 Memorandum of Agreement (MOA) Grant Number: PC-1516-MOA Dear Mr, Alfonso: Enclosed, please find for your review, the Agreement between Miami -Dade County, through the Miami -Dade County Homeless Trust and The City of Miami for the abovementioned program. Please review the Agreement thoroughly, as well as the attachments and become familiar with the amended, contract language. Please sign and complete all three (3). copies of the •Contract Agreement and return it to out office, attention Mrs. Terrell T. Ellis, Contracts Manager, as soon as possible. One fully executed Contract Agreement will be returned to your agency for your :files. Miami. -Dade County requires that the President/Chairman of the Board execute the Agreement on behalf of the agency.. However, the Executive Director may execute the Agreement if approved by a resolution of the agency's Board, .A copy of the applicable Board resolution(s) must be submitted with the Agreement. In addition, the corporate seal must be affixed to the signature page of the document. The Miami -.Dade County Homeless Trust looks forward to continuing work with your agency in implementing this project. If you have any questions, please contact me or Terrell T. Ellis, Contracts Manager at (305) 375-1490. Sineerely, idtoria L. Matlette xecutive. Director Enclosures I have received the Agreements for the abovementioned grant, Signature of Authorized Agency Representative Printed Name of Agency Representative. Date The City of Miami Memorandum. of Agreement (MA) Program PC-1516-MOA ,GRANT CONTRACT This Contract Made and entered into as of this day of , 20_, by and between Miami -Dade County, a political subdivision of the State of Florida (the "County"), having its principal office at 111 N.W. 1 st Street, 27th Floor, Miami, Florida 33128 and The City of Miami //F.E.LN #69.6000376, a corporation organized and existing under the laws of the State of Florida, having its principal office 444 SW 2nd Avenue, Miami, FL 33130 ("Provider"), states conditions and covenants for the rendering of human and social services ("Services") for the County. WHEREAS, the Provider provides or will develop social 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 services; and WHEREAS, the County has appropriated grant funds for the proposed services;. NOW, THEREFORE, In consideration of the mutual covenants and agreements herein contained, the parties hereto agree as follows: ARTICLE 1. DEFINITIONS The following words and expressions used in this Grant Agreement shall be construed as follows, except when it is clear from the context that another meaning is intended: a) The words "Agreement" "Contract" or "Contract Documents" shall mean collectively these terrns and conditions, the Scope of Services (Attachment A) and the Budget Documents (Attachment B) •and all other attachments hereto, as well as •all amendments or budget revisions issued hereto. b) The words "Contract Manager" shall mean Miami -Dade County's Director of theHomeless 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 rioted. d) The word "Deliverables" shall mean all documentation 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", "designated", "selected", "prescribed" or words of like import to mean respectively, the direction, requirement, permission, order, designation, selecticn or prescription of the County's Contract Manager; and similarly the words "approved", acceptable", "satisfactory", "equal", "necessary'', or words of like import to mean respectively, approved by, or acceptable or satisfactory to, equal or necessary in the sole discretion of the County's Contract Manager. The words 'Effective Term" shall mean the date on which this Contract is effective, including start date and end date. Page 1 of 26 The City of Miami Memorandum of Agreement (MOA) Program PC-1516-MOA 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) "HIPAR means Health Insurance Portability and Accountability Act of 1996„ i) The words "Scope of Services' shall mean the document appended hereto as Attachment A, which details the work to be performed by the Provider, j) The ward "subcontractor" or "sub consultant" shall mean any person, entity, firm or corporation, other than the employees of the Provider, who furnishes labor and/or materials, in connection 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,. k) The words "Work", "Services" "Program", or "Project" shall mean all matters and thitigs required to be done by the Provider in accordance with the provisions of this Contract, ARTICLE 2. AMOUNT PAYABLE. Subject to 'available funds, the maximum amount payable for services rendered under this contract shall not exceed: Memorandum of Agreement Program $341:4000.00 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. Availability of funding 'shall be determined in the CoUnty's sole discretion. All services undertaken by the Providerbefore 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 betweeri 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. • SCOPE OP SERVJCES The Provider shall render services in accordance with the Scope of Servides 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. ARTICLE 4. BUDGET SUMMARY The Provider agrees that all expenditures or costs shall be made in accordance with the Budget for the provision of services in accordance with Attachment A, the "Scope of Servioes", The Page 2 of 26 The City of Miami Memorandum, of Agreement (MOM Program PC-1516-MOA Budget 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 or the line item budget, and such revision shall not require an amendment to this Contract Pursuant to Board of Miami -Dade County Commissioners Resolution 630-13, the Provider will submit a detailed project budget, and sources and uses statement as Attachment B-1, which shall be sufficiently detailed to show (i) the total project cost, (II) the amount of funds to be used for administrative and overhead costs, (ill) whether the County funds will be 'gap' funds meaning that they would be the last remaining funds needed to ensure funding for the total projeet cost, (iv) any profit to be made by the Provider, and (v) the amount of funds devoted toward the provision of the desired services or activities. The County Mayor or Mayor's designee may make unannounced, on -site visits during normal working hours to the Provider's headquarters and any location or site where the services contracted for under this Agreement are performed. ARTICLE 6. EFFECTIVE TERIVI Both parties agree that the Effective Term of this Contract shall commence on October 1, 2015 and terminate at the close of business on September 30, 2016. Contingent on the existence of sufficient funding, performance and the approval of the County, this Contract may be extended at the County's sole discretion for two (2) additional one (1) year terms, at the County's sole discretion. ARTICLE 6, INDEMNIFICATION BY PROVIDER A. Government Entity. Government entity shall indemnify and hold harmless the County and its officers, employees, agents and 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 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 government entity or its employees, agents, servants, partners, principals or subcontractors. Government entity 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, Provided, however, this indemnification shall only be to the extent and within the limitations of Section 768,28, Fla. Stat. B. All Other Providers. Provider shall indemnify and hold harmless the County and its officers, employees, agents and 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 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 emproyees, 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 Page of 26 The City of Miami Memorandum of Agreement (MOA) Program PC-1516-MOA 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, employees, agents and instrumentalities as herein provided. C, Term of Indemnification. The provisions of Article 6 shall survive the expiration or termination of this Contract, ARTICLE 7, iNSURANCH 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 768.28, 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 768,28, Florida Statutes. The provider shall also furnish the County, upon request, written verification of Workers Compensation protection in accordance with Florida Statutes, Chapter 440, 13. AII Other Providers. 1, Minimum Insurance RequirementsH Certificates of Insurance. The Provider shall submit to Miami -Dade County, c/o Miami Dade County Homeless Trust (COUNTY), 111 N,W, Street, 27th 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 as "CertifiOate Holder" in the following manner: Miami -Dade County 111 N.VV, 1st Street, Suite 2340 Miami, Florida 38128 , B. Worker'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. D. Automobile Liability Insurance covering all owned, non -owned, and hired vehicles used in connection with the Work provided under this Contract, in an amount not less than $300,000* combined single limit per occurrence for bodily injury and property damage. *NOTE: For Providers supplying vans or mini -buses with seating capacities of fifteen (15) passengers or more, the limit of liability required for Auto Liability is $500,000, Page 4 of 26 The City of Miami Memorandum of Agreement (MOA) Program PC-1516-MOA 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 business under the laws of the State of Florida, with the following qualifications: 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 AN, Best Company, Oldwick, New Jersey, or its equivalent, .subject to the approval of the County's Risk Management Division, OR 2, The company must hold a 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 Insurance, and must be a member of the Florida Guaranty Fund: G. Certificates will indicate that no modification or change in insurance shall be made without thirty (30) day 8 advance written notice to the Certificate Holder. I-1. 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 insuranoe policies at any time during the term of this Contract, J. Applicability of this Article to Providers whose combined total award for all services funded under this Contract exceeds a $25,000 threshold, In the event that the Provider whose original total combined award in less than $25,000, but receives additional funding during the contract period which makes the total combined award exceed $25,000, then the requirements in this Article shall apply, K. Failure to Provide Certificates of Insurance, The Contractor shall be responsible for assuring that the insurance certificates required in conjunction with this Section remain in force for the duration of the effective term of this Contract. If insurance certificates 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. In the event that expired certificates are not replaced with new or renewed certifioates 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 manner prescribed herein; provided, however, that this suspended period does not exceed thirty (30) calendar days. Thereafter, the County may, at its sole discretion, terminate this Contract. Page 5 of 26 The City of Miami Memorandum of Agreement (MOA) Program PC-1516-MOA ARTICLE 8, PROOF OF LICENSURE/CERTIFICATION AND BACKGROUND SCREENING A. Licensure. If the Provider is required by the State of Florida or Miami -Dade County or any federal, state or local law or regulation to be licensed or certified to provide the services or operate the facilities outlined in the Scope of Services (Attachment A), the Provider shall furnish to the County a copy of all required current licenses or certificates. Examples of services or operations requiring such licensure or certification include but are not limited to childcare, day care, nursing homes, and boarding homes. If the Provider falls to furnish the County with the licenses or certificates required under this Section, the County shall not disburse any funds until it is provided with such licenses or certificates. Failure to provide the licenses or certificates within sixty (60) days of execution of this Agreement may result in termination of this Agreement at the County's discretion. B. Background Screening. The Provider agrees to comply with ail applicable federal, state and local laws, regulations, Ordinances and reSOlutions regarding background screening of employees, volunteers and subcontractors, Provider's failure to cOrnply With any applicable laws, regulations, ordinances and resolutions regarding background screening of employees, volunteers and subcontractors is grounds for a material breach and termination of this contract at the sole discretion of the County. The Provider agrees to comply with all applicable laws (including but not limited to Chapters 39, 402, 409, 394, 408, 393, 397, 984, 985 and 435, Florida Statutes, as may be amended form time to time), regulations, ordinances and resolutions, regarding baOkground screening Of those who may work or volunteer with vulnerable persons, as defined by section 435,02, Florida Stetutes, as may be amended from time to. time. • In the e nrthiint baCkgroOnd screening is 'required by law, the State,of Florida andior the County, the Provider will permit only employees and, subcontractors with a satisfactory national criminal background check through an appropriate screening agency (i.e., the Florida Department of Juvenile JuStice, Florida DePartinent Of Laing Enforddment redlei'al 131.irekridf InVestigation) to work or volunteer in direct contact with vulnerable persons. The Provider agrees to ensure that ernployees, volunteers and subcontracted personnel who work with vulnerable persons satisfactorily complete and pa SS LeVel 2 background screening before working or volunteering with vulnerable persons. Provider shall furnish the ounty with proof that employees, volunteers and subcontracted personnel, who work with vulnerable persons, satisfactorily passed Level 2 background screening, pursuant to Chapter 435, Florida Statutes, as may be amended from time to time. If the Provider falls to furnish to the County proof that an employee, volunteer or subcontractor's Level 2 background screening was satisfactorily passed and completed prior to that employee or subcontractor working or volunteering with a vulnerable person or yulnerable persons, the County shall not disburse any further funds and this Contract may be subject to termination at the sole discretion of the County. Page '6 of 26 The City of Miami Memorandum of Agreement (M0A) Program PC-151,6-MOA ARTICLE 9. CONFLICT OF INTEREST A. The Provider agrees to abide by and be governed by Miami -Dade County Ordinance No. 72-82 (Conflict of Interest Ordinance codified at Section 2-11.1 et al, of the Code of Niliami-Dade County), as amended, which is Incorporated herein by reference as if fully set forth herein, In connection with its contract obligations hereunder, B. No person under the employ of the County, 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, any personal financial interest, direct or indirect, in this Contract. C. Nepotism. 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 individual if the two individuals (herein sometimes called "related individuals") have one of the following relationships: 1. 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 step -child; 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 participation is greater than is permitted by this paragraph, the matter shall be immediately referred to the Miami -Dade County Commission on Ethics and Public Trust, This section applies to both full-time and part-time employees and voting members of the Provider's Board of Directors. D. No person, including but not limited to any offioer, 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 employee under their supervision to provide such services as described in the Contract. Notwithstanding the Page 7 of 26 The City of Miami Memorandum of Agreement -(MOA) Program P C-15-16-MOA before mentioned provision, any officer, board of directors, manager or supervisor employed by the Provider, vvho 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 the Provider's employee(s) or service program, Staff members, or their immediate family members (spouse, children, siblings, mother or father) of Homeless Trust funded programs, who are eligible for and wish to receive services from a 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 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/disallowanoe by the County 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 agency the 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 Services 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, as amended, which prohibits discrimination in employment and public accommodation; the Age Discrimination Act of 1976, 42 U.S.C. §6101, as amended, Which prohibits discrimination in employment because of age; the Rehabilitation Act of 1973, 29 U.S.C. §794, as amended, which prohibits discriminationon the basis of disability; the Americans with Disabilities Act, 42 U.S.C. §12101 et sad., which prohibits discrimination in employment and public accommodations because of disability; the Federal Transit Act, 49 U.S.C. §1612, as amended; and the Fair Housing Act, 42 U.S.C. §3601 et seq. It is expressly understood that the Providermust 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 enforeeMentrabencY, he'.Courte or the County to be in violation of these aots, the County will conduct no further business with the Provider. Any contract entered into based upon a Nee affidavit shall be voidable by the County. If the Provider violates any of the Acts during the term of any contract .the Provider has With the County, such contract shall 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 sect, of the Miami -Dade County Code, which requires an employer, who in the regular course of business has fifty (50) or more employees working in Miami -Dade 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 may be grounds for voiding or terminating this Contract or for commencement of debarment proceedings against Provider. Page 8 of 6 The City of Miami Memorandum. of Agreement (MOA) Program PC-1516-MOA ARTICLE 11, HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT; Any person ar entity that performs or assists Miami -Dade County with a function or activity involving the use or disclosure of "individually identifiable health Information (I IHI)" and/or "Protected 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 for privacy, security and electronic transfer standards, included but are not limited to: 1. Use of information only for performing services required by the contract or as required by law; 2. Use of appropriate safeguards to prevent non -permitted disclosures; 3. Repotting to Miami -Dade 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; 6. Making PHI available to the client for review; 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 Co.unty's Notice of Privacy Practices, ARTICLE 12, NOTICE REQUIREMENTS Notice under this Contract shalt be sufficient if made in writing, delivered personally ar sent via U.S. mail, electronic mail, facsimile, or certified rnail with return receipt requested and postage prepaid, to the parties at the 'following addresses (or to such other party and at such other address 8S 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 the sender's files. If to the COUNTY: ff to the PROVIDER: Miami -Dade County Homeless Trust 111 N.W. 1 st Street, 27th Floor Miami, Florida 33128 Attention: Victoria Mailette, Executive Director Electronic mail: VMallette@miamidade.gov Mr, Daniel J. Alfonso City Manager The City of Miami 444 SW VI Avenue Miami, Florida 33130 Electronic mail: citymanager@miamigov.com Either party may at any time designate a different address and/or contact person by giving Written notice as provided above to the other party. Such notices shall be deemed given upon receipt by the addressee, Page 9 of 26 The City of Miami Memorandum of Agreem,ent (MOA) Program PC-1516-MOA ARTICLE 13. AUTONOMY Both parties agree that this Contract recognizes the autonomy of the contracting parties and implies no affiliation between the contracting 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, termination, and cancellation hereof. Accordingly, the respective obligations of the Provider under this Contract, which by nature would continue beyond the termination, cancellation or expiration thereof, shall survive termination, cancellation or expiration hereof. ARTICLE 15. BREACH OF CONTRACT: COUNTY REMEDIES A. Breach. A breach by the Provider shall have oocurred under this Contract if: (1) the Provider fails to provide the service p outlined in the ScOpe of Services (Aftachrnent A) within the effective term of this Contract; (2) the Provider ineffectively or improperly uses the County funds allocated under this Contract; (3) the Provider does not furnish the Certificates of Insurance required by this Contract or as determined .by the County's Risk Management Division; (4) if applicable, the Provider does not furnish upon request by the County proof of licensure/pertification or proof of background screening required by this Contract; (5) the Provider failto submit, or submits incorrect or inoornplete, proof of expenditures to support disbursement requests or advance funding disbursements or fails to submit or submits incomplete or incorrect detailed reports of expenditures or final expenditure ePorts; (6) the Provider does 'net 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 disdriminates under any of the laws outlined in Article 10 of this Contract; (9) the Provider, attempts to meet its obligations under this Contract through fraud, misrepresentation, or material misstatement; (10) the Provider falls to correct deficiencies found during a monitoring, evaluation, or review within the specified time as described and defined in its Performance Improvement Plan (PIP); (11) the Provider fails to issue prompt payments to small business subcontractors or follow dispute resolution procedures regarding a disputed payment; (12) the Provider fails to submit the Certificate of Corporate Status, Board of Directors requirement, or proof of 'Lex status; or (13) the Provider fails to fulfill in a timely and proper manner any and all of its obligations, covenants, agreements, and stipulations in this Contract; (14) the Provider fails to meet any of the terms and conditions of the Miami -Dade County Affidavits (Attachment C) and the State Affidavits (Attachment D) 0 Applicable El Not Applicable or (15) the Provider fails to fulfill in a timely and proper manner any or all of its obligations, 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 breach and shall not be construed to be a modification of the terms of this Contract In the event that the County determines certain Contract goals (as defined in the Scope of Services). are not being met then the County, in its sole discretion may place the Provider on a Performance Improvement Plan (PIP), The following is a delineation of some instances where a PIP may be required: Page 10 of 26 The City of Miami Mem orandtma of Agreement (MOA) Program PC 516-M0A a. HIVIIS- 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 HMIS-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, (Substantiaf conformity as meaning a minimum of 95% accuracy on all elements). At the time of compliance, the Provider shall only be required to submit the HMIS- generated Monthly Progress Report. El Applicable EJ Not Applicable b. Utilization.— Based 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 all invoices in a timely manner. The Provider shall invoice at a rate of 95% 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 a 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. El Applicable 0 Not Applicable •c. Program Performance — Based on Provider's past performance on prior contracts in the area of program goals and outcome objectives, this Contract is subject to a 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 this contract with the County. 111 Applicable Ell Not Applicable The above is subject to the review and approval of the County County Remedies. If the Provider breaches this Contract, 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 such termination and specifying the effective date thereof. In the event of termination, the County may: (a) request the return of finished or unfinished documents, data studies, surveys, drawings, maps, models, photographs, reports prepared and secured by the Provider with County funds under this 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 costs associated with such termination, including attorney's 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 thereof. If payments are suspended, the County shall specify in writing the actions that must be taken by the Provider as condition precedent to resumption of payments and shall specify a reasonable date for compliance. The County may also suspend any payments in whole or in part under any other Page 11 of 26 The City of Miami IVIemoranclum of Agreement (MOA) Program PC-1516-MOA contracts entered into between the County and the Provider. The Provider shall be responsible for all direct and indirect costs associated with such suspension, including attorneys 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 Indirect 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 attempt to meet its obligations under this Contract 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 specifying the effective date. The County may. temlinate or cancel 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 or entity who attempts to meet its contractual obligations with the County through fraud, misrepresentation, or material misstatement may be debarred froili county contracting for up to five (5) 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 terrninate this Contract on behalf of the County. D. Failures or waivers to insist on strict performanoe of any covenant, condition, or provision of this Contract 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 strictly in accordance with the term of this Contract No waiver shall be effective 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, Notwithstanding the above, the Provider shall not be relieved of Iiabilityto the County for damages sustained 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 amount of damages duethe County is determined. The County may also pursue any remedies available at law or equity to compensate for any damages sustained by the breach. The Provider shall be responsible for all direct and indirect costs associated with such action, including attorney's fees, ARTICLE 16. TERMINATION FOR CONVENIENCE The County may terminate this Contract, in whole or part, when both parties agree that the continuation of the activities would not produce beneficial results commensurate with further expenditure of the funds. Both parties shall agree upon the termination conditions, including the effective date and in the case of partial termination, the portion to be terminated, However) if the County determines in the case of partial termination that the reduced or modified portion of the grant vvill not accomplish the purposes for which the grant was made it may terminate the grant in its entirety. This Contract is subject to the ratification and approval by the IVIlami-Dade County Board of County Commissioners and shall be void unless approved by the Board of County Commissioners, Page 12 of 26 The City of Miami Memorandum of Agreement (MOA) Program PC-1516-MOA The County may also., in its sole discretion, terminate the contract. The Provider understands and acknowledges 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 due 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 schedule, timely provision by the Provider of required reports and of supporting documentation of expenses and activities as described in this Contract, 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. How payment 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 of the Provider, unless otherwise approved in writing, on the form incorporated herein as Attachment E "Invoice for Services''. The payment request for the previous month is due by the 10th of the month following the month for which payment is invoiced. 2. Payment will be processed as follows:. a) The Memorandum of Agreement (MOA) program funds will be paid on a reimbursement basis for the provision of placement and coordination services as outlined in the Scope of Services (Attachment A). 3. Any reimbursement may be withheld pending the receipt and approval by the County of all reports and documents required herein. 4. The parties agree that payment will be based upon the provision of services outlined in Attachment A, the "Scope of Services", for each program, 5. As applicable, during the period of N/A through N/A , the Provider will submit a record of those individuals served utilizing Social Security Administration repayments as specified in the Scope ef Services. 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 percent (90%) during the first nine (9) months of this Contract 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. 7. N/A Providers with cumulative utilization rates lower than ninety percent (90%) may be subject to a reduction in funding and beds, if deemed necessary by the Miami -Dade County Homeless Trust. Beds and funding may be, reprogrammed as necessary and needed within the Continuum of Care, The Miami -Dade County Homeless Trust will conduct a review of the utilization of beds within the first six (6) months of the contract period. 8. Within thirty (30) days of the termination or expiration of this Contract, a final 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 such funds and the County's decision in this matter shall be final and binding. Page 13 of 26 The City of Miami. Memorandum of Agreement (MOA) Program. PC-1516-MOA Monies Owed to the County: The County reserves the right, in its sole discretion, to reduce payments to the Provider in order to recapture any .monies owed to the County. In accordance with County Administrative Order No. 3-29, the Provider that is in arrears to the County is prohibited from obtaining new County contracts or extensions of contracts until such time as the arrearage has been paid in full or the County has agreed in writing to an approved payment plan, This is a cost -based Contract in which the Provider shall be paid through reimbursement payment based on the budget approved under this Contract and when documentation of completed and satisfactory service delivery is provided. Thus, it is imperative that the Provider maintain appropriate supporting documentation for all expenditures from the beginning of the Contract term (i.e.., receipts, bank statements, cancelled checks, employee timesheet, etc.). The Provider shall submit to the Contract Manager, the Monthly Reimbursement form provided by the County on a monthly basis. Monthly reimbursement requests (both retroactive and current) and accompanying supporting documentation must be received by' the County no Cater,r than' the 15th of the month following the month for which reimbursement is requested. C. No Payment of Subcontractors. In no event shall County funds be advanced or paid by the County directly to any subcontractor hereunder.. Payment to approved subcontractors shall be made by the Provider following requirements and limitations as:;detailed in Article 21 of this Contract. 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 check directly to the Provider at the address listed in Article 12 of this Contract, unless otherwise directed by the Provider in writing. The parties agree that the processing of e payment request from date of submission by the Provider shall take a maximum of thirty (30) days from receipt of a complete and accurate payment request, pursuant to the County's Sherman S, Winn Prompt Payment Ordinance (Ordinance 94-40), Section 2-8,1.4.of the Code of Miami -Dade County, Administrative Order No, 3.19, and the Florida Prompt Payment Act, if supporting documentation/invoices are: properly documented as determined by the County in its sole discretion, it is the respon°sibility 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... Rep.orting.. Requirements.," Failure:,to.,submit to the County the reports listed 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 be considered a breach of this Contract and may result in. withholding ,payment, nonpayment, or termination of this Contract, Applicable as indicated 1. Monthly Payment Requests/Invoice For Services (Attachment l~) I l 2. Monthly Performance Reports (Attachment G). 11 3, Outcome Performance Measurements Monthly Report (Attachment 1-l)1 4. Client Contribution Report (Attachment 1) o 5. Client Attendance Roster (Attachment J) 6, Quarterly Vacancy / Permanent. Housing Placement Report(Attachment K) 0 Palle 14 of 26 The City of Miami Memorandum of Agreement (MOA) Pro gram. P C-15 1, 6-MOA Performance Reports, The Provider agrees to participate in the Homeless Management Information System (HMIS) selected and established by the County. Participation will include, but is not limited to, input of client data upon intake, daily updates of bed availability information, as well as updates of client files upon client ,contact, and maintaining current data for statistical 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 accordance 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 funding is contingent upon meeting established performance goals, Progress reports, produced through the Homeless Management Information System (HMIS) invoices 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 termination of 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. If 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 the County, or the County may reduce, by the amount of such funds, from any subsequent 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 determining if the Provider is entitled to such funds and the County's decision an 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 or any firm, corporation, partnership or joint venture in which the Provider has a controlling financial interest in order to secure repayment of any reimbursements for services provided under this or any other contract for which the County discovers was not reimbursable through its inspection, review and/or audit pursuant to this Contract, ARTICLE 118. PROHIE3ITED USE OF FUNDS A. Adverse Actions or Proceeding. The Provider shall not utilize County 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. 13, Religious Purposes. County funds shall not be used for religious purposes, C. Commingling Funds, The Provider shall not commingle funds provided under this Contract with funds received from any other funding sources. The Provider shall establish a separate account exclusively for receipt of the funds received pursuant to this Contract. Page 15 of 26 The City of Miami Memorandum of Agreement (MOA) Program. PC-1.516-MOA 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. REQUIRED DOCUMENTS, RECORDS, REPORTS,. AUDITS. MONITORING AND REVIEW 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 paid; that the Providers most recent 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, and administrative obligations under this Contract funded through County Funds by passage of a formal resolution authorizing 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 iist 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, only in the event that the President or Vice President is not available to execute the contract documents, any other persons authorized to 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 requir,ed to submit to the County the following documentation: , (a) VV-9 Form (Attachment M); (b) The I.R.S. tax exempt status determination letter; • (o) 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 liability, proof of payment must be submitted within forty-five (45) days after the quarter ends, D. Conflicts &Interest. Section 2-11.1(d) of Miami -Dade County Code as amended, requires any County employee or any member of the employee's immediate family who has a controlling financial interest, direct or indirect, with 'Miami -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 Contract voidable. E. Accounting Records. The Provider shall keep accounting records which 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 Page 16 of 26 The City of Miami Memorandum of Agreement (MOA) Program P C-15 16-MOA request from County authorized personnel, F. Financial Audit, If the Provider has or is required to have an annual certified public accountant's opinion and related financial statements, the Provider agrees to provide these documents to the County no later than one hundred eighty (180) 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. Records: 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 relate to this Contract at its place of business during regular business hours, The Provider agrees to provide such assistance as may be necessary to facilitate their review or audit by the County to ensure compliance with applicable accounting and financial standards, H. Quarterly Reviews of Expenditures and Records. The County Commission 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 existence of sufficient documentation to support eligible expenditures, The Provider agrees to reimburse the County for ineligible expenditures as determined by the County Commission Auditor. I. 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 .< three (3) years or 0 years (for State contracts) from the expiration date of this Contract. The Provider agrees to participate in evaluation studies, quality management activities, Corrective Action Plan 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 authorized County staff involved in such efforts to examine and review the Provider's premises and records. J. Confidentiality Requirements„ The Provider shall establish and implement policies and procedures whioh ensure compliance with the following security standards and any and all applicable State and Federal statutes and regulations for the protection of confidential client records and electronic exchange of confidential information. The policies 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; (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 restricted to authorized personnel of the Provider, the County, the United States Department of Health and Human (3) Page 17 of 26 The City of Miami Memorandum of Agreement (MOA) Program PC-1516-MOA Services, the United States Comptroller General, and/or the United States Office of the Inspector General; (4) Records are not left unattended in areas accessible to unauthorized individuals; (5) Access to electronic data is controlled; (6) Written authorization, signed by the client, is obtained for release of copies of client records and/or information. Original documents must remain on file at the originating Provider site; (7) An orientation is provided to new staffpersons, employees, and volunteers, All employees and volunteers must sign a confidentiality pledge, acknowledging, their' awareness and understanding of confidentiality lavvs, regulations, and policies; (8) Procedures are 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. Monitoring: Management Evaluation and Performance 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 this Contract. The County may conduct one or more formal management evaluation and performancereviews of the; FroV10r, Continuation of this Contract and funding are dependent upon the County being' satisfied With the rult&ofthe eValuations, L. 'Client Re'66i4dS. 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 shall 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 t6 the audit and inspection requirements under Article 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 emergencies and disasters, and must comply with any Florida Statutes related to Emergency Management that are applicable,40 the Provider. The Disaster Plan/COOP must be submitted to the County no later than April 1st 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 needed, and maintain a written copy on file at the Provider's site. N. Continuum of Care (CoC) Coordinated Intake and Assessment Process Page 18 of 26 The City of Miami Memorandum of Agreement (MOA) Program PC-1516-MOA The Provider shall participate in the Continuum of Care's (CoC) Coordinated Intake and Assessment process, to include, but not limited to: participation in the CoC's defined process to make and receive referrals for housing and/or services (including the use of the Homeless Management Information System (HMIS) for such, if required in the Standards of Care); use of any forms required (e.g. Release of Information, Homeless Verification Form, Chronic Homeless Verification Form, etc.); compliance with established Standards of Care (and any revisions thereof) relating to eligibility criteria and timely processing of referrals; and cooperation with established prioritizations for placement O. Public Records Pursuant to Section 119.0701 of the Florida Statutes, if the Provider meets the definition of "Contractor as defined in Section 119.0701(1)(a), the Provider shall: (a) Keep and maintain public records that ordinarily and necessarily would be required by the public agency in order to perform the service; • (b) Provide the public with access to public records on the same terms and conditions that the public agency would provide the records and at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law; (c) Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law; and (d) Meet all requirements for retaining public records and transfer to the County, at no County cost, all public records oreated, received, maintained and or directly related to the performance of this Agreement that are in possession of the Provider upon termination of this Agreement. Upon termination of this Agreement, the Provider shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the County in a format that is compatible with the information technology systems of the County. For purposes of this Article, the term "public records" shall mean all documents, papers, letters, maps, books, tapes, photographs, films, sound recordings, data processing software, or other material, regardless or the physical form, characteristics, or means of transmission, Made or received pursuant to law or ordinance or in connection with the transaction of official business of the County. Provider's failure to comply with the public records disclosure requirement set forth in Section 119.0701 of the Florida Statutes shall be a breach of this Agreement. In the event the Provider does riot comply with the public records disclosure requirement set forth in Section 119.0701 of the Florida Statutes, the County may, at the County's sole discretion, avail itself of the remedies set forth under this Agreement and available at law. s• ARTICLE 20L Office of Miami -Dade County Inspector General Miami -Dade County has established the Office of the Office of Inspector General which is empowered to perform random audits on all County contracts throughout the duration of each contract, The IVIiarni-Dade County Inspector General is authorized and empowered to review past, present and proposed County and Public Health Trust programs, contracts, transactions, accounts, records and programs, In addition, the Inspector General has the power to subpoena witnesses, administer oaths, Page 19 of 26 The City of Miami. Memorandum of Agreement (MOA) Program PC-15164VIOA require the production of records and monitor existing projects and programs. Monitoring of an existing project or program may include a report concerning whether the project is on time, within budget and in compliance with plans, specifications and applicable law. The Inspector general is empowered to analyze the necessity of and reasonableness of proposed charge orders to the Contract, The Inspector General is empowered to retain the services of independent private sector inspectors general (IPSIG) to audit, investigate, monitor, oversee, inspect and review operations, activities, performance and procurement process Tncluding but not limited to project design, bid specifications, proposal submittals, activities of tYie Provider, its Officers, agents and employees, lobbyists, County staff and elected officials to ensure compliance with contract specifications and to detect fraud and corruption. Upon ten (10) days prior written notice to the Provider from the Inspector General or IPSIG retained by the Inspector General, the Provider Shall Make all requested records and documents available to the Inspector General or IPSIG for inspection, end copying. The Inspector General and IPSIG shall have the right to inspect and copy all clootimerilb and records in the Orevlder's pOSSession, custody or control which, in the Inspector General or IPSIG's solejudgment, pertain' to 'performance of the contract, Incli:Idlne, but not limited 'to ortginal estimate files, worksheets, proposals and agreements from and 'with sLicceSsfUl and UnSUCCeSSfur Subcoritra'atqrS' '004 'sUPPliPrs, all project -related correspcndence, memoranda, instructions, financial dOciarnentS; construction documents, proposal and contract' doeUnientS, bable.Charge ellObOrilentS, all documents and eaberds which involve gash, trade or volume discounts, friSerance pr$6668S, febateS', or dividerivdS received, payroll and persdnnel records, and supporting decOnlentation for the aforesaid oloCUrrientS and records. . I • The provisions in this section Shall apply to the preVider, its officers, agents, employees, , • , subcontractol's and supplier. The Provider, shall inoditerate the prOviiions in this section in all subcontractorSand all other agreements executed by the Provider in Connection with the performance of the contact, Nothing in this contract shell impair any independent right, of the• County to conduct audit or investigative actMtleS. The provitiOns of this section are neither intended nor shall they be construed to impose any liability on the County by"'tfle'Prdivicier Or third pattieS, ARTICLE 21„ SUBCONTRACTORS and ASSIGNMENTS A Subcontracts. The par -ties agree that no assignment or subcontract will be made or let in connection with this Contract withOut the prior written approval Of the County in its sole discretion, which shall not be unreasonably withheld, and that 811 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 Subcontractor, the provisions of this Contract will apply to such Subcontractor and its officers, agents and employees in all respects,as if it and they were employees of the Provider; and the Provider will not be 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 subject to the provisions hereof as if performed directly by the Provider. Page 20 of 26 The City of Ivliami Memorandum of Agreement (MOA) Program PC-1516-MOA 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 Subcontractor, and such other information as 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. 3) Before entering into any subcontract 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 discretion, in addition to the other requirements herein provided, the Subcontractor must be prepared to prove to the satisfaction of the County that it has the necessary facilities, skiii and experience, and ample financial resources to perform the Services in a satisfactory manner, To be considered skilled and experienced, the Subcontractor must 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 under this Contract. 5) 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 protect 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 each such subcontract, 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 subcontract, in the event the County finds the Contractor in breach of its obligations; and the option to pay the Subcontractor directly for the performance by such subcontractor. The foregoing shall neither convey nor imply any obligation or liability on the part of the County to any subcontractor hereunder as more fully described herein, B. Prompt Payments to Subcontractors. The Provider shall issue prompt payments to subcontractors that are small businesses (annual 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 (Ordinance 94-40), Section 2-8.1.4 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) days of receipt of a proper invoice. Failure to issue prompt payments to small business subcontractors or adhere to dispute resolution procedures may be grounds for suspension or termination of this Contract or debarment. Page 21 of 26 The City ofMiami Memorandum of Agreement (MOA) Program PC.1516-MOA ARTICLE 22., LOCAL, STATE, AND FEDERAL 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 tothe Services required under this Contract, including but not limited to: a) Miarni.Dade County Florida, Department of •Business Development Participation Provisions, as applicable to this Contract, b) Miarni.Dade County Code, Chapter 11A, including but not limited to Articles III and IV, All Providers and subcontractors performing work in connection 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, gender identity, gender expression, source of income, national origin or handicap. 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 place available for employees and applicants for employment, such notices as may be required by the Dade County Equal Opportunity Board or other authority having jurisdiction over the work setting forth the provisions of the nondiscrimination law. c) Conflict of Interest and Code of Ethics Ordinance, Section 2.11.1 6gzof the Code of Miami -Dade County, as amended. d) Miami -Dade County Code Section 10.38, Debarment of contractors from County work. e) Miami -Dade County Ordinance 99-5, codified at 11A-60 se% Code of IVIlami-Dade County pertaining to complying with the County's Domestic Leave Ordinance, 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. Miami -Dade County Resolution 478-12. The Provider will not use products or foods containing "pink slime," as defined in Resolution 478.12 of the Soard of Mlami-Dade County Commissioners, in food that is provided or served pursuant to this agreement." Notwithstanding any other provision of this Contract, Provider shall not be required pursuant to this Contract to take any action or abstain from taking any action if such action 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. Publiefty. It is understood and agreed between the parties hereto that this Provider is funded by Miami -Dade County, Further, by the acceptance .of these funds, the Provider agrees that events funded by this Contract shall recognize and adequately reference the County as a funding Page 22 of 26 The City of Miami Mernorandtim of Agreement (MOA,) Program P C-151 6-MOA source. The Provider shall ensure that all publicity, public relations, advertisements and signs recognizes and references the County (by inserting the IVIiami-Dade County Homeless Trust Logo on all materials) for the support of all contracted activities. This is to include, but 18 not limited to, all posted signs, pamphlets, wall plaques, cornerstones, dedications, notices, flyers, brochures, news releases, media packages, promotions, and stationery. The use of the official Miami -Dade County Homeless Trust logo is permissible for the publicity purposes stated herein. Provider shall submit sample or mock up of such publicity or materials 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. This Contract is made in the State of Florida and shall be governed according to the laws of the State of Florida. Venue for this 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 payable and effective term shall only be valid when they have been reduced to writing, dulyapproved and signed by both parties and attached to the original of this Contract. The County and Provider mutually agree that modification of the Scope of Services, sohedule of payments, billing and cash payment procedures, set forth herein and other such revisions may be made as 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 analyze the need for, and the reasonableness of proposed modifications to this Contract, D. Counterparts, This Contract is executed in three (3) counterparts, and each counterpart shall constitute an original of this Contract, E. Headings, Use of Singular and Gender, Paragraph headings are for convenienoe only and are not intended to expand or restrict the scope or substance of the provisions of this Contract. Wherever used herein, the singular shall include the plural and plural shall include the singular, and pronouns shall be read as masculine, feminine, or neuter as the context requires. 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 inference, 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 party participated in the preparation and drafting of this Contract. G. The County's Consultant, The Provider understands that in order to facilitate the implementation of this Contract, the County may from time to time designate in writing a development consultant to work with the Provider, The County's consultant shall be considered 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 notification to the Provider of the name, address, and employees of the County's consultant. Page 23 of 26 The City of Miami Memorandum of Agreement (MOA) Program PC4516-MOA H. Contracts with 1111unicipalities or Counties Outside Miami -Dade County to Provide Homeless 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 municipality outside of Miami -Dade County or any County (collectively "locality") to provide housing and services for homeless persons in IVIiami-Dade County who are transported to Miami -Dade County by or at the behest of such locality and (2) during the term of this Contract, it will not enter into any such contract, arrangement of any kind, or understanding; provided, however, upon the written request of the Provider prior 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, as the best interests of the homeless programs undertaken by and on behalf of IVIlami-Dade County would not be negatively affected by such contract, arrangement, or undertaking. 1. Incident Reports. The Provider must report to the Miami -Dade County Homeless Trust information related to any critical incidents occurring during the administration of its programs. 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 twenty-four (24) hours of any incident, submit in writing a detailed account of the inOldent. , This incident report should be addressed to the County. This incident report should be addressed to Miami -Dade County Homeless Trust, 11.1 NW First'Street, 27th Floor, Suite 310, Miami, Florida 33128; telephone(305) 375-1490 and facsimile (305) 375-2722. J. Totality of Contract 1 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. 1. No 3'1 Party Beneficiaries. The Parties agree that this contract has no intended or unintended third party beneficiaries. K. Property. This section applies to equipment with an acquisition cost of $5,000 or more per unit and all real property.. 1, Any real property under the Provider's control that was acquired/improved in whole or in part with funds from the Homeless Trust and any equipment purchased for $5,000 or more shall be disposed of, at the expiration or termination of this contract, in accordance with instruction from the Homeless Trust. Real Property is defined as land, including land improvements, structures, and 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. 2. 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 being purchased in whole or in part with funds from the Homeless Trust shall be listed 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 map Page 24 of 26 The City of Miami Memorandum of Ag,reement (MOA) Program PC-1516-MOA indicating whether property is in parcels, lots or blocks and showing 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 Provider's 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) 3. 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 in the paragraph listed above. Attachment A: Scope of Services Attachment B: Budget Attachment C: Miami Dade County Affidavits Attachment D: State Affidavits (NOT APPLICABLE) Attachment E: Primary Care Invoice for Services Attachment F: Monthly Payment Requests Reports (NOT APPLICABLE) Attachment G: Monthly Performance Reports Attachment H: Outcome Performance Measurements Monthly Report Attachment I: Client Contribution Report (NOT APPLICABLE) Attachment J: Client Attendance Roster (NOT APPLICABLE) Attachment K Vacancy/Permanent Housing Placement Report (Quarterly) (NOT APPLICABLE) Attachment L: Annual Performance 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 this 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 affected thereby if such remainder would then continue to conform to the terms and requirements of applicable law and ordinance, SIGNATURES APPEAR ON THE FOLLOWING PAGE Page 25 of 26 • The City of Miami Memorandum of Agreement (MOA) Program PC4516-MOA IN WITNESS WHEREOF, the parties have executed this Contract, along with all of its Attachments, effective as of the contract date herein above set forth, WITNESSES: ENTITY: CITY OF MIAMI, FLORIDA A municipal corporation of The State of Florida By: By: TODD 13. HANNON DANIEL J. ALFONSO CITY CLERK CITY MANAGER Approved as to Form and Correctness: Approved as to Insurance Requirements: By: By: VICTORIA MENDEZ ANI\T- SHARPE CITY ATTORNEY RISK MANAGEMENT ATTEST: HARVEY RIMN, CLERK, Affix incorporation SEAL here, IViami-Dade C(TP:tY, a, political subdivision of The State of Florida BY: DEPUTY CLERK. CARLOS A. GIMENEZ MAYOR (DATE) See memorandum dated. approved for form and. egal sufficiency. Page 26' of 26 ATTACHIVIENT A B. SCOPE OF SERVICES The City of Miami Homeless Assistance Programs proposes to extend the impact of its current effective operations through increased outreach and housing services if funded by this grant. This 'funding will help create a seamless process of finding those in need and developing the housing inventory to meet the need of our homeless, near homeless, or chronically homeless. MHAP will provide 24 hour, 7 days a week outreach teams to provide assessment, referrals, and housing placements to homeless individuals and families in Miami -Dade County. The program will also provide services to all agencies within the eleven judicial circuit, hospitals arid community mental health centers. MHAP consist of a, team of 43 individuals, 23 of them partially or fully funded by this grant. The MOA program will have three Outreach teams and a Housing Team (comprised of housing specialist and coordinators) that will work in tandem to develop housing inventories that can serve the homeless population and the chronically homeless in particular, whose housing needs extend beyond those of the typical homeless client. Funding will be utilize to pay in full or partially the salaries of these teams providing direct services to homeless individuals. The Miami Homeless Assistance Program's primary foous Is to provide its clients with safe shelter, MHAP is a key component .in the County -wide Continuum of Care system (COC), which includes the provision of emergency, transitional, and permanent housing for the homeless population, as well as outreach, assessment/placement, Information and referrals, MHAP's shelter -first approach, which seeks to stabilize ;the homeless and then empower them to ,avercome hornelessness, will be utilized to continue to ensure that individuals enter and remain in the COC, This approach is keenly focused on rescuing the homeless and then progressively working with them to overcome the issues which led to their homelessness. With funding received from this grant, the Miami Homeless Assistance Program will Continue to .serve clients at this initial, critical entry point into the COC. All homeless individual throughout out Miami - Dade County are eligible to receive services, Outreach team: The •Outreach Team will coordinate the direct contact services for homeless individuals, roving in MHAP vehicles to find homeless individuals on the streets at night to attempt to get them into shelter. Specifically, three Outreach Teams (comprised of two individuals one of whom is formerly homeless) will operate outreach services from 5 PM to 8 AM Monday through Friday and 8 AM to 5 PM Saturday and Sunday. Regardless of who isen call, alF MOA partners will be 'able to reach the MHAP Outreach Supervisor 24 hours a day and all outreach notificatIons'will be relayed to the OutreachSpecialists for Immediate attention. Each Outreach Specialist are trained in HMIS compatible intake and assessment to ensure accurate data collection, tracking of referral recommendations and placement locations, Data about previous Interactions with MOA partners are also tracked to assess the variety of services the individuals may have accessed previously in order to evaluate what is truly effective.. Attachment 9-6 All intake forms will be given to the MHAP data department to enter within 24 hours, The Outreach Team will also use the HMIS to assess the clients contacted under this grant to assess their level of chronic homelessness, substance abuse and other illegal activity to address potential pitfalls on their road to stabilization and to ensure the appropriate referrals are being made. Housing team: Establish a team of housing specialists in strategic locations: Two housing specialist and one coordinator will comprise the Housing team which will be situated at the Miami -Dade Courthouse and another at the Turner Gifford Knight Correctional Center, These individuals will operate an office from 8 AM to 5 PM and will also alternate staffing the Homeless Helpline. For the homeless, near homeless and chronically homeless, housing is the most pressing issue as affordable housing is in short supply, Assist in housing search and placement.. These staff persons will have one individual staffing the office to conduct intake on walk-ins, while a minimum of two will be in courtrooms throughout the courthouse to offer services to those released. At assessment, clients will indicate whether they want to simply return to their point of origin or come into the continuum of care, The Housing teem's main goal is to transition clients into affordable and appropriate homes. The plan to provide services include the following activities: o Develop inventory of approprlatahousing: MHAP currently works with. housing resources identified by HMIS, its own inventory of hotels/motels', and has secured funding from MDHT and others to secure emergency housing, For all of its homeless and near homeless clients, particularly the chronically homeless, housing is the first priority. The proposed Housing Team would enable MHAP to increase its inventory of housing by having dedicated staff to search for affordable housing and develop relationships with landlords that will increase their likelihood of taking our clients as tenants. o Identify housing and services through the development of 116W resources within budgetary and legal limitations for homeless: MHAP staff is aware and expert in the legal limitations for certain homeless client, including those with criminal histories including the very limiting indictments for pedophiles. MHAP's staff has the MDHT map indicating approved areas and evaluates each address to ensure that it meets the requirements for distance from problematic sites. o Data collection (work with other agencies/use HMIS): The Housing team will utilize the HMIS in the same manner the Outreach team does as described above. The Housing team will also contact the agencies, if any, that the client indicates that they have used in order to get more complete information on the client's background and history, This information will be updated in the HMIS where appropriate and also maintained in their paper file, The Housing team will also create a list of the chronically homeless that enter the system to share with other agencies at MHAP organized case manager meetings and those organized by MDHT in order te use a "triage" approach to serving these chronically homeless individuals. Attachment 9-7 0 identify chronically homeless -high utilizers and facilitate referrals to low demand permanent supportive housing and services): During its monthly meetings, Housing and Outreach Team representatives will bring Its client list in order to identify clients they serve repeatedly. These individuals will beeplaced into a case managed housing placement process wherein they will be put immediately into emergency Shelter and contacted by the Outreach team after placement to Inform them of the planned location of their upcoming placement and will then take them to the permanent supportive housing site. o MHAP will work with its own Comrnunity Development office and its ACCESS Miami office to identify developers, landowners, and landlords who own or develop low income units, The Housing team will also survey erganizations working in affordable housing to identify additional sources. The •Housing Team will be charged with Identifying and adding new inventory monthly. The Team will also referred homeless individuals to the CSSF City of Miami career center for an evaluation of skills and experience to identify potential job opportunities suitable for each individuals. In addition, the .MHAP receives invitations and announcements of job fair and recruitment events held at the Center. All services provided by MHAP shall be provided with respect for the, dignity and rights of individuals,. Any Complaints and grievances will be investigated and an appropriate resolution will be provided. MHAP is dedicated to the professional development of its staff. All staff members, are provided with on duty time for training and seminars. There is also a commitment to providing excellent service to its clients. To ensure this commitmentis maintained, MHAP supervisors constantly monitor and control the quality of care provided by staff:— Outcome and Performance Measures This program will comply with the outcome measures provided below. ';•P'Grf9rMah9:9; 1‘11.P9:P.O,C90, , , Staff homeless outreach services from 5 PM to 8 AM Mon -Fri., and Sat/Sue 8. AM to 5 PM. Outreach staff will .be available 24 hours a day 7- days a week. Excluding holidays Establish a. team of Housing specialists linked to the Homeless Het -pill -le who will accept referrals at strategic locations' •-Staff placed at Miami -Dade Courthouse and Miami — Dade County Jail to offer convenient services. Attachment 9-8 C •Approved Mayor Agenda Item No: 1.0(C)(1)(A) Veto D2-05-08 Override RESOLUTION NO. RESOLUTION AUTHORIZING THE COUNTY MAYOR OR HIS. DESIGNEE TO ENTER INTO A MEMORANDUM OF AGREEMENT (MON THAT INCLUDES THE PARTICIPATION OF, THE IVIIAMI-DADE COUNTY HOMELESS TRUST, THE MIAMI-DADE COUNTY DEPARTMENT OF CORRECTIONS AND REHABILITATION: THE .FLORIDA DEPARTMENT OF CORRECTION'S, THE FLORIDA DEPARTMENT OF CHILDREN & FAMILIES, THE 1,1TH JUDICIAL CIRCUIT, JACKSON MEMORIAL HOSPITAL/PUBLIC HEALTH TRUST, OUR KIDS, INC:„ AND COMMUNITY MENTAL HEALTH CENTERS AND FACILITIES WHEREAS, this Board desires to accomplish the purposes outlined in the accompanying memorandum, a copy of which is incorporated herein by reference, • NOW, THEREFORE, E IT RESOLVED BY THE BOARD OF COUNTY cOMIVIISSIONERS OF MIAIVII-DADE COUNTY, FLORIDA, that this Board hereby authorizes to the County ,Maar or his designee to' execbte, in substantially the same form as attached, the Memorandum of Agreement (MOA) that includes the participation of the IV.liami-Dade County Homeless Trust, the Miami -Dade County Co'rrections.& Rehabilitation, the. Florida Department of Corrections, the Flerida Department of Children & Families, the 1 ith Judicial CirCult, Jackson Memorial Hospital/Public Health Trust, Our Kids, Inc,, and Community Mental Health, Facilities to file and execute the MOA and any necessary amendments to the NM, foll6WIng-approval,by-the-Gounty-Attorneys.Office, for-and...on „ behalf of liliami-Dade County, Florida, and to exercise any amendment, modification, renewal, cancellation and termination clauses of the MOA on behalf of Miami -Dade County, *Florida. Agenda 'tam No. 10 (c) (1 ) (A) Page: No. 2 The foregoing resolution' was offered by Comrnissioner who, moved its adoption. The rriotion was seconded 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. Edrnonon Carlos A. Gimenez Satly A. Heyman Joe A. Martinez Dennis C. Moss Dorrin D. Rolle Netscha Seijas Katy Sorenson Robeca Sosa Sen. JavierD. Saute The Chairperson thereupon declared the resolution duly passed and adopted this 5th day of February; 2008. This resolution shall becc n e effective ten (6 0) days after the date of its adeption unless vetoed by the Mayor, and if vetoed, shalt become effective only upon an override by this Beard; MIAMI-DADS COUNTY, FLORIDA BY ITS BOARD OF COUNTY CO iMISSION RS HARVEYRUVIN, CLERK By; Approved -by C.ounty. Aitc meyy.as- ._. to form and Legal suMaienoy. Iviandana n st tak7. Deputy `clerk ' r y E O 4N U (Revised) TO (lunorabke Chairn'i ii )Bruno A. Barreiro DATE.: {yen :Y, „-,; , Tt.rf and embers, Board. of County Consn; ssionery Ii R D : A. Cuevas, Jr. County Att(yni .suJ3SEC : . Agenda Item No; ia(C) (1.) (A)'' Please notes ite.in.s checked. • "4-Day Rule" ("3-:day ;R.ulo". 'oi; committees) applieu ble if raised 6 weep required between first reading and public hearing 4 weeks notification to niuziicipal officials required prior to public bearing . . Decreases revenues or increases expenditures without balancing budget Budget r :grzired t Statement of fiscal impact required Bid wai'er equiring Comity Marzaget's written reoomniendation °rdivaiice creating a new hoardrequires detailed. Couiat3> Manager's report for public hearing SYausak'eepirig item(no.polity, d.oe•is-ion-.requirpil) ._ No omanitte,p I"eview On April ,24, 2007, under the sponsOrshipof Vice -Chair Barbara .1„Tordan,. the Miami- Dade..County Board of County Corntissioners (BCC) passed a Resolution. (R431-07) which directed iomeless Trust to develop and recommend Memoranda of Agreement (hereinafter referred to as.. Agreement) establishing discharge polices for agencies in Miami -Dade County who provide services to homeless person§ or those at risk of homelessness in art effort to prevent homelessness as recommended by the Community Affordable Housing Strategies Alliance Taskforoe. -ne Resolution required that the Homeless Trut present the recommendations ind,rnemorands, to the BCC within 120 days of the Resolution. On November 6, 2007, the BCC passed. a Resolution extending the reporting deadline .-41-1 additional 90 days fi-Otri the date of the Resolution. The following is the report of the werk of Mi,ami-Dade County Homeless Trust (hereinafter referred to as homeless Trust or "Trust") related to this isue and the proposed Mernorande ofAgreement, Memoranda of Agreemed Between The Mianii-Dade County Homeless Trust And Miami -DadQ County Corrections &Rehabilitation And 'The Florida Department of Coirections And The Florida Department of Children & Families And The State of Florida 11°1 Spdfcial Circuit And Jack8QIIMemorial Hospital/PublcHealth Trust And Our Kids, Inc And, community menial health facilities ProWS.s Beginning in May, 2007 the 'Miami -Dade County homeless Trust imp1ernnted. a planning process related to establishing Memoranda of Agreement involving the aforementioned parties. A 'series of meetings were held with ail pertinent parties, which were led by Ronald B ook, Es,q,, 'Chairman of the homeless Trust, Additionally, .suh. committees also met related to Various special populatidbs including: the. Felony 'population, civil court .(probato .division), medical, mental heal, sexual predators/offenders, youth exitingFoster -Care and families involved with the Department of Children & Recommendations were made, discussed, vetted 'and shared with representatives from systems of care representing all of the above referenced entities as well as the Public (4 Defenders Office, the ;Mto Attorney's Once, IaV enforcement and other key stakeholders, The result of this ,group's work is presented below for the consideration of the aM'iatni-Dade County SToroaelc,ss Trust and the hoard of County C'OLTMISsialners, ' Adctitionally, the azigoing monitoring of this agreement and further work 'of this group vw 11. be conducted under the' arrspires of the Miani5-Dade County Homeless Trust and as requested will be reporV;d to the Board of County Co)nrniosionors Purpose The ,goal of this interage.rncy Agreement is to prevent homelessness, by setting forth discharge planning policies, and Lbe identification of roles and responsibilities related to the 4i5charge.ofhoraacJess individuals or those who are at risk of hoiiic;Jessness, Ag 'ccernent Coals The goats of this A.greainer t include the following'. I To establish. fortnai linkages, training policies, and discharge polices between the Miami -Dade Comity Homeless Trust and all of the above referenced parties. 7. To establish discharge;. policies between the. State of Florida Department of Corn'ect,ions (DOC) and the Miami -Dade County Homeless Trust 'for •Male inmates. 3. To establish discharge policies between the Miami -Dade County Homeless Trust and the Miami -Dade Cotnaty Department of Corrections and Rehabilitation for ' .County Jail intimates. 4. To establish discharge policies between the Miami -Dade County Homeless Trust and Jackson Memorial iaal l:ospit:al/Public Health Trust for homeless patients or those at risk ofhorn elessn0ss. 5, To, establish discharge policies between the State of Florida 11`h Judicial .Circuit and the Miami Dac1e County Homeless Trust for homeless persons and those persons .at risk of homelessness involved with the 11'' JJudicial Circuit (misdemeanor, felony, civil and diversion cases), G; To establish discharge policies between Our Kids, lyre and the lvfianzi-Dada County I*1oineless Trust for Youth Exiting Foster Care 'who are at risk of hOnlelessness. 7. To establish discharge policies between community mental health barters and facilities for homei68s persons exiting mental health facilities and centers, . To estabJisli linkages between the Miarni-Dade County Homeless Trust and The Florida Department of Children is. Families related to families at risk of ornel essness, 9. To esta.Iblish.discbttrge policies between hospitals tend the Miami -Dade County Homeless Trust for •horneloss'persons and those at risk of h'aanelessmess, Terri of Agreement en t The tern? o'fthis Agreement shall be for five (5) years from the date ofits execution, This Agreement may be renewed thereafter for five (5) successive 'five-year terms upon the wri'ttcn, mutual coinscnt o f the parties, 1 Joint Responsibilities • Jn entering into this agreement all parties agree to carry out the following responsibilities: 1. To assign appropriate representatives to the Miami -Dade County Toneless Trust Services Development Committee for °Axgeing dialogue, refinement, and mon/kiting of the progress ofthis Agreement on,a minimum of a quarterly basis. z, To establish and maintain the use of a data system (Homeless Management Information System) to identify, refer, and track homeless individuals served by mtitu1al systems, particularly high utilizers of services of multiple systems of earn. 3.• To createand review systems data in terms of the ua7ber, o 'homeless people or people 'atrisk of homelessrress entering and exiting each system of care involved in this Agreement and to identify trends and unmet needs, and the identification of chronically homeless people who are high utilizers of multiple systems of care. 4. To provide cross-systenxs training to appropriate personnel of all systems related to resources, tales, aril regulations pertinent to homeless people aid those at risk . of homelessness. S. To refer, and adept as appropriate, homeless person, or those at risk of •honaeles less into housing and services, as available and appropriate. Agonacy .6spousibillt es: Miami —Dade Conn ty,Horn e)oss Trost, 1, Tile Miami -Dade County .l onaeless Thwt will provide a minimum of quarterly training sessions on flomorass Trust resources to the other entities involved in tliis agreement: The training will be provided to, but not be limited to: Drug Court ease managers', Judges, Bailiffs, Probate Bar, Miami -Dade Correctional Counselors or appropriate Corrections staff, DOC Classification and Probation Officers, HART ( onaeless Assessment Referral and Tracking) staff, TWITIli?ublic Health Trust Social Workers or appropria'te staff, 'Hospital Social Workers, clxtnrnaunity Mental .Health Centers and Facilities staff, State Attorney's Office, Public Defenders Office, Guardianship program staff, DC ' staff .Onr Kids staff: 2, The Miami -Dade County Homeless Trust will provide access to and training on the Homeless 7Vfanagentent information System (Hi4IS) for client referral, • tracking, and case management purposes. 3. The Miami -Dade County Homeless Trust will establish a. tearn of Housing Specialists, linked to the Homeless Helpline, who will accept referrals 4nd serve as appropriate within available resources, homeless individuals or those at risk of homelessness, from all of the other pasties involved in this Agreement. These specialists may be located at strategic locations (e.g, The Tustice Canter) or other aites:.to ljn dotennthed by the Homeless Trust. 4, The Miami•-L5ade County BoniG1'ess Trust will identify housing. and .ser within available resources, or through the doelopment of newresources within budgetary and leg& limitations, for .homeless individuals or those at risk of lnonmeleSsoess ref i-r-ed• by all other parties under this Agreement. 5,. The Miami -Dade County Homeless Truss' W111 work with the other agencies under this. Agreement to collect data on those referred, placed,, and or unable to be .served, to identify trends, high utilizers, itnnict deeds, and barriers to placement, The liCinleless Trust will work to identify resources to net unmet needs identJCi,ed via this process, 6. The Minn i-Dade Coulaty Homeless Trust will identify Chronically Homeless - High TJtilizers of nila.ltipl'e systems acne, who will be referred to and receive low demand permanent supportivehousing, or oilier housing and services as available and appropriate; 7. The Miami -Dade County Homeless Trust will review and determine policy related to prioritizing "court involved clients" in terms of Trust funded bed Availability for mental health and substance abusetreatnent programs, The 8,ta fe of Florida 11t Judicial Circuit: 8, The 11'h ludio'ial Circuit .will erasure that .Ridges, Judicial Assistants, the Probate Bar; Bailiffs, Hotheless Assessment Referral and Tracking (HART) program staff, Drug Court staff, and other appropriate staff are trained in the use of Homeless Trust resources, 9. The 11" .Tudiciial Circuit will ensure that appropriate program staff is trained in the,use of the Homeless Management .Information Systa i. 10. The 11 tt' ,judicial Circuit will identify appropriate staff and utilize the HMIS to snake re'ferra.ls, track clients, and identify high utilizers of services, and special needs populations. 1.1, The 11`h ;udicial Circuit will ensure that hoineiess individuals will provide referrals to the hors zeless outreach teams on site at the Justice Center for homeless individuals in need of emergency housing placement who aro involved with, misdemeanors and :felonies 12. Tlie 1 lat'`Jttdicial Circuit will identify and provide in -kind office space for an on - site housing specialist as made available through the Honaeldss Trust, who will provide housing referrals to homeless isndividutals QV `those at risk of laonalessness who areinvolved with misdemeanors,felonies, civil and probate diVisions, Miami -Dada Cr unty Departrstent of Corrections arid Rehabilitation: 13, Upon intake at boon;, The 11/liatn Dade County Department of Corrections and Rehabilitation will identify all homeless individuals as designated, by moans of. arrest affidavits indicator, 14, The Miami -Dade County Department of Collections and Rehabilitation will ensila•a that Correctional Counselors and other employeesas may he appropriate are trained in the tr.se of Homeless Trust resources at a minimum of quarterly, at no cost to the Miarni-bade County Department of Corrections and Rehabilitation. 15. The Minnai-Dade County Department of Corrections and Rehabilitation will ensure that Correctional Counaelors and other employees as may be appropriate are trained in the use of the Hontaless Management 1:aaforana.tion.&y.stern. 16. The Mini -Dade County Department of Corrections and Rehabilitation 'vil) ctiiliro lhtr. HMIS to make refer -tills, track homeless clients, and idenntify high utilizers afservices, and spacial needs populations, 7. The Miami -Dade County Department cif Corrections, through the Corrections Sc altln Sc>;viocas (.T3\411./P1.1T) shall utilize a cuareni mental health assessment tool as agreed upon by. Corrections, the 11'r' Judicial Circuit and 1M1-1/PHT, (Note: This is also relle,cted in item 4 41 as part of the J1v11-1/?HT Corrections Health Services section.} lS. As incorporated into this agreement, The Deportment of Corrections and • Rehabilitation shall govern thernselvcs by their Standard Operating procedures purstiant to its policies for mental health services, recognizing and supervising mentally ill inmates, and release of inmates with special needs, .as .may ,be amended as necessary.. 19.The Miami -Dade County S epartrp nt of Corrections will assist homeless individus�,ls ex-itirig the jails by re.c6txing then) to appropriate hiocasin ;, services, and community resources 'via homeless outreach staff or ho'usiog specialists provided by the Mi..ar ni-:pade• County Homeless Trust. Florida Department of Coy reetions/7t i rn.i-Dacle Cotun• lxomeicss Trost 20.Th', Florida Department of .Corrections will ensure that •classification officers develop appropriate discharge plans for irirnates <tt least 480 days prior to release, 21. The Florida. ?3epartm nt of Corrections will ,forward discharge plans from classification officers to the Homeless Trust Housing Specialists for those individuals who will: become homeless upon release within 150 days of release, with the consent of tho inmate; or for those inmates on probation, community corrections. staff (probation officer) will submit their •placero,ent requests to the Homeless Trust Housing Specialists within 30 daysof release with the consent of the inmate' 22, The Miami -Dade County •Hameles's Trust Housing Specialists will review the, discharge plans and respond to the DOC classification officers within 30 days of rcce'iving.the discharge playa as to the availa.biliiy+ of housing and resources within lvliarni-Dade Comity. 23, `Ths Miami -Dade County Homeless Trust Housing Specialists will respond in writing, to the classification officers as to any placement ban -lets (e.g. 2,500'foot 'tile for 'sexual predators) so es to provide sufficient time to identify alternaative placements, Florida Departniontof Chistilx-err Fsoi lea (Cir enit.il ) 24. The Florida Department of Children & Families will ensure that eligibility specialists and protective investigators', attorneys, and other appropriate staff are trained as to Homeless Trust resources, 25.•The Florida. Department of Children & Families • will ensure that homeless individuals and f'arrtilies or those at risk of hotnelessnass are referred to appropriate housing, services, housing specialists and community resources by protective investigators and eligibility specialists and will notify the Homeless Trust a:s to any ban~icrs 4n accessing those services. • 2d. The .Florida Department of Children & Farnil•ies will pout Homeless Holpiine, :dousing Locatorand other homeless resource information in 1OCp' Offices and "Access" sites. 27. The Florida Departraoent. of Children 'Si,. Families will prov'icde training to Homeless Trust providers related to appropriate reporting of abuse and neglect 5 /0 28, The Florida Department of Children Families \will providetraining; to Homeless Trust providers related to the Baker Act as well as benefit eligibility (e.g. 7`ANE) available through DCF or the State, OurInc of 4ian -Dgde rtrt'd Monrtte.Cour ty 29, Our Kids, Inc, will ensure tba.t'full case management agency direct neNicc staff, :and independent living program staff 'refer' 1r•onneless individuals, families, or those at risk of homelessness to appropriate housing, servides, housing specialists and corrnxnnwityresou.rces available through the Hoi int ss•Trust or other entities. ,30. Our Kids, Inc. will ensure that Independent Living" and other appropriate staff, as identified by Our kids, Inc. are trained by the Homeless Trust in the use of the HMIS and Homeless eless Trost resources. 31..Ortr I ids, Inc will ensure that Ttndependent Living staff utilizes the HMIS to make .referrals, track clients, and identify those youth at'risi< of hom iessness upon x.it from Foster Car, 32, Our Kids, ins. wiill work with the Homeless Trust to identify unmet needs and will n a,dmiae the coordinatiot't,oftnonetary and comniunity reword s Utilized for move in and rental assistance to youth exiting foster care. Jackson Manorial osnsita:1/Fnbl'tc Health Trtzst. ' 33'. Jackson Memorial Hospital/Publi° health Trust will ensure that JMIT/PIIT Sushi] Workers and other appropriate staff aro trained inthe use of Harmless Trust resources, 34..Tackson Memorial 13ospital/Publlc Health Trust will establish • lirtl<agcs with Homeless trust funded outreach. teams, 35..lackson Memorial Hospital/Public Health Trust will ensure that ,TMH/PHT Social • Workers are trained in the use of the H,MIS. 36. Jackson Memorial. Hos•pital/Public Health' Trust will utilize the HMIS to maize referrals, identify, and track homeless people and those at risk of homelessness 37. J'ackson 'Memorial Hospital/Public Health Trust will identify horznelcss high. utilizers. of Hospital, I8tnergency Roona,, and Mental Hoalth Crisis Services and refer and Iitik them to the Homeless Trust chronic outreach team 38, Jackson Memorial Hospital/Public Health Trust will work with t t 1 lomeleas Trust to identify and .rcali n i•eso`uroas to serve individuals'(e,g, on,docusnlented immigrants) in the ,least restrictive settings and to utilize currently funded Homeless Trust ftthded programs (e.g. The Ilomaless Assistance- Canters. or ALPs) where appropriate. . 39. Jackson Memorial Hospital/Public Health Trustt will screen and refer those patients at risk of homelessness to the 1 omeldss Trust Housing Specialists as approprisie, 40, .Jackson Metnoda.,l !'lbspital/.Iasi<son Metnoda! 11ospital shall atamcud th Memoranda of Agreement between Mi UM Dade County' Department of Corrections and Rehabilitation and J•MH/I'I-1T,to reflect the revisions to the mental heathscreening instrument as described in Number 18 above. /1 CortununifvMental Rea.lth Centers (C C's'i and Mental 1-Teaaith Facilities 41, CMMHCs and 1)1ental' Health Facilities will establish linkages with Herneless Trust. ' Funded outreach teams. 42, CM1'HCs and Mental }3calth Facilities will enure that Crisis Unit . Social Workers and other appropriat6,staff aro trained- in the use `cflioniel es T rltst resources 43. CMHTCs and Mental I.eralth Facilities will ensure that Crisis Unit Social, Workers and other appropriate staff are trained in the use of the kHM1S by the IJenicless Trust. 44. CMHCs and Mental Health Facilities will utilize the ITMIS to snake rbferrals, track; clients, and identifyhomeless people and those at risk of homelessness in need of housing and services. 45. JM. TCs and Mental. J-ieaith Faaili ies will .identify homeless high.. utilizers of Crisis Services andd refer and link there to the Ronzeless Dxust chronic outreach team 46. CMI-1Cs and 1,4ental Health facilities will screen and refer those homeless patients to the Homeless 'Trust Housing Spepialists as appropriate, Stitte Atiorrney"s Office • 447,. The State Attor:ney's flf_ii.ce shall recommend that the Grand Jury. re-examine theitreport and the progress and reniainiaag barriers on mental health and the criminal justice system. 'Evaluation of the Effectiveness of tb t Agreement 'The success of this agreen-ient shall be evaluated an .a quarterly basis by the Homeless Trust Board and npproptiate Committees based on the following criteria: Identification of Baseline data on the number ofliomeless people and those at risk .ofhorirolessncss served by the entities involved in this agrreaanetat ' • 4, Annual reduction 6f the number of homeless persons entering,. exft;ing and recidivists involved with all entities involved in this agreement- percentage to be detertiiihed Corafidentialiti! The Parties to this Ag'rnemnnt (.parties) understand that ' during the coarse of. performing the Services hereunder, each party 111 Sy have aoccss to certain confidential and proprietary information and materials of the other party in order to further performance of the .Set:vis es, The Parkes shall protect confide1tial information and comply with applicable fcdcral and state laws on confidoxstlAity to -prevent unauthorized use, dissemination ,or publication of confidential information al each party uses 'to ,protect its awry Calfidcatttial information in a like manner. The Panics shall .not disclose the con.fdcntial information to any third party or Let any employee or contractor who sous not have a need to kiln sues information, which need is related to performance of a rtspoii ibiliiy hereunder. 1-1.owcvcr, this argre,na'ent imposes no obligation upon the Parties with respect to confidential information' which (a) was lawfully known r.o the receiving party before receipt from the other; (b) is or (c)rs becomes a matter of public knorvladgeathro from n a third paQ fault of rte y receiving restriction ;(con rightfully received by the receiving party or for that party; (3) is discloied under (cl) is indeprriclently,developed by with the other c'arty's pder operation of law (f) is disclosed by the receiving Nay written approval, The 'confidentiality provision of this Agreement shall remain in full forco and effect alter the telmaination of this Ag0e111entl Yinancin•1 ObiiPatiorxs oftbe Parties The parties acknowledge that this Agreementis not intended to create financial obligations between the patties• However, Th the event ven that oo is aar parer d es rresult be of aby party perl'on�n.ing theft roles under this A git met,responsible for their own Gost:S. 'T`crmina,tios� of .areeien , , art l�aruto,.by written The Pat�aesthat this Agree1n tlt, maybe ternliitated b j y party b calendar itten notices to the other parties of such intent .to terminate at least thirty Agreement d r days prior to the effective date of such. termination, Termination of the_A patty will not affect the Agreement as to the remaining parties. A. e, x�'cy Contacts. c,enc Contacts for purpose of administration of The .following itdividuals are named as Ag�' this A.greernertt: (To be completed upon, ex.eention) This Agreement shall become effective on Tanuary l sc', 2008 The following parties have caused this page document to be implemented by their authorized officials (To be conilxiefed upon execution) Further ecnniruendations to be explored by the Minmi-•Dttde Counts 'Homeless TTz at via the Services DevelrIpment. Committee, including reoresenfiatives from this, � 1 rktr,ronp; Sexual Predat rs, • Identify National Registry of Sexual Predators and how to access e We have determined that the Miani.13ade PoliceDepattment maintains mapping of 2,5:00 foot rule and have produced a map ofthe County identifying. those areas where sexual predators may/may not reside We have also been advised that a inteznot based mapping progarn is in the process of deyelOprnent tvkticli will allow the public to re,hew and check .specifac'areaswhere sexLial predators reside. eprodu•ce neap (with a disclaimer stating that addresses must be officially cleared by the Miami -Dade County police Sexual Crimes bureau), which can be utilized by, Classification, Corrections and Probation Officers, and Ronsing.Spoci;alists,. sexual predators and offenders;.and other interested entities. • Review state statutes related to sexual predators and offenders, - New "Romeo and Juliet" exemptions for young adults classifications • '. Explore Legislative chanter to State Statutes requiring a residential address fez- inmaW a.spart ofthe tlischargepl.an arier•to. release into the community • Ongoing need for data- How many people convicted, sewing sentences, released? Obtain numeric data°.from the Departinent of Corrections • Explore Risk. Assessment based placements for sex offenders versus sexual predators -Offenders with certain sentences could be placed at 1,000 'feet Versus sexual predators at 2,500 feet -Review Best Practices Models in New York and or other communities, • Explore development of specialized facilities/scattered site placements • Explore linkages with South Florida Workforce for erplaynentopportunities. 11)ledicai • • 13atcer Mt training of lotneless Tru.St providers . Identify Jackson Hospital/Public Health Trust 014 J/Pf-I) funded programs- Assisted Living l aGilities, Salvation Army, Cuardiansh.ip Placements, and the potential realigixnlent of resources Explore funding Assisted Living Facilities /Nursing Home placements m Identify fttading for 3 M}l./PHT guardianship placeoients 0 Explore Agency for Parsons with Disabilities vacancies as. potential 'placement opportunities Florida 11rr,Judicial Ctreuit W .Establish linkages to the hiomoless Trust and the South ;Florida Providers C'oill tioe related to accessing permanent supportive, affordable, or other appropriate housing aid services for clients exiting Slate funded treatment . programs referred by the 111h Judicial .Circuit (this linkage exploration may t;o beyond court involved cases). 6 Explore transportation options' (tokens or free transportartion) for court involved clients in need of transportation for court appearances acid essential social services W Need for data. (e, , White Paper) related to actual need, number of homeless individuals arrested, pretrial, in need of mental health and or substance abuse treatment • Need to obtain Mora1:4 Reports from BART from the Miiimi-Dade County Department ofHum-nna Services . • Obtain ,FTor da Department of Children R Families data en mental health clients awaiting placement and those pla.cod into State Civil artd Forensic Hospitals f6Explore issues of youth involved in criminal justice system at risk of honnclossness- include the Department of Juvenile r'ustioe and the 'Juvenile Assessment Center • 0 :Provide training on the, SOAR program which expedites the processing .ef Social Security benefits. Yout'Exitirto, Foster Cerq Ixplore nnnentoring programs for youth exiting foster care- Link to l✓duoate Tomorrow, currently program starts. at 17 years. of age, we need to start at 13 , years of age- need fer•,vo1un:te rs Explore Por ,;nal 'raining- Best Practices, 211, 311, Switchboard. W Cur Kids is drafting an invitation to negotiate for intensive case management- for independent living programs- explore incorporation ofhrrusing spseialists , • Tdcrtisfy Our Kids Alter Care • budget for youth exiting foster ogre move in. assistance- Can Housing Assistance Grant, Emergency food & Shelter Board, :Homeless Trust and other community resources to fund these sesvioes? Identify individuals with Developmental' Disabilitt'es and barriers to their catre- •advocate for State funding of these young adults via the Medicaid Waiver i>C;:''arrzilie • E tplore linkages with Neighborhood Centers to explore need for uiglnt and Weekend access to outreach • Cash for Proteetiv Tnvestigaators flex funds•• can we lime to Camillus new prevenntion program. StateAttor cv"s Office The State Attorneys Office has a present policy that all documentation and paperwork far 'No Acti oe cases where a defenydaunt is still rn custody is processed by the SAO` and delivered to corrections aarncl rnhabilitataon Staff by 4:3.0 pen, Monday -Friday. The State Attorney's Offices .shall work with other entities irr an effort to set up a process whereby Jackson Memorial Hospital/Corrections Health Services, and/or the Department of Corrections will notify the S,AAD and identify parsons lnn custody who,°via an • tas4cssnnent, arc dctermint•.d to have a rnnental illness and who areawaitirng arraignment orn new cases. The SAO will ust; this prior notifrcauion toexpedite the proses for submitting alI documentation related to. "No Action by the Stale" cases for those 10 lL, k individuals and forward this information to the Department of Con-ections as early as practical, and/or before the 4: 0 p.m. norn al dcadline, 'ithe � __ r SSsu. sin System capacity issues nnrstbe explored e scrv�cess �a.l4er�A:tt Bads, as well ,t�raffard bic �}ermanEnt supportive housing, auppari. 'housing,' 1'oten�ial a tt�ers/Fuarder 0' Miami Coalition for the Homeless O Community Partnership for Hoineless • Mia l-Dade County Child.ren's'Trust Dade Community Foundation • Unitad Way Health Foundation ofSoutl Florida • Mental Fealty Foundation o Smith Florida.providers Coalition • Aliiance for Ag ng, jnc, l'l ? rrAcHMENr B As detailed below In the budget narrative, The Homeless Trust funding will be utilized for expenses directly related to providing outreach services to homeless Individuals In Miiami- Dade County, Most .of the program expenses are allocated to salaries for field staff such as the community outreachspecialist, housing specialist, housing supervisor, and the feeding coordinator. The MHAP has a total of 43 employees, 23 of them, partially or fully funded by this program. Other expenses for the program Include costs related with the operation of the program and services for homeless .individuals. Without this funding, MHAP would not be able to offer this much needed services to the homeless population • in Miami -Dade County. As mentioned above, the MCA funding Is leveraged with City, County and federai funding to provide an umbrella of services to homeless individuals and families. Detailed MHAP budget Is included In Attachment 14, BUDGET NARRATIVE; CITY OF MiAMI MEMORANDUM OF AGREEMENT PROGRAM FOR SUPPORTIVE SERVICES BUDGET ITEMS NyARR(ATIVE/ Total 1 . I.J i ,�`� 4 hh: uM 4yf� IFW\� U ieratr: ,� egtg r ,, 'Y, sry'q�^.r y p �Y4V h.G '� rl�; ]ir•^^r n. VAV'. i �� L{jn}lU.".ic1�(tSd 7�Rf�P'. '� �i 4i a.4;7+1�i+Sl 1j41�4 i�,r,,l = b ,�Aa�;4.r t n� , h: a a ,;, ,,> , [ i>t �.t�rr �xb.Y.�,.4adt'j7', d suHjri.: ,5 ,,?f�? ,.•.�•,�L^?d{�,`p.,yy 6 dt�!tw Fti �uViT,� ,r'itfi,�Y, i>�gEr}1r,N �. it `{"`Tntft 7r,e:figt t�v7��.^ � ut9Y .aP n"ak,xnr?llf,��la ')k`u'�nra?1o4�.16�,'Xrif�t> i,'^f�,;Y..i.,a+,Y,.V.t{.aYlJ:e.%f' C4+Sur. �' !t! i 3 , 4. pyi; a(`t' �3, }'.t.r /.y ,t,.t�.•;$,..,D>,,rrL.c,�q $006,279 56 L: h. '.,��q,� .,,a'.., 11.'.`};w M rilyy^d ^ 7}r4�„7 At5 Py'��t,i+Y 7e.t�. r„ .Zl +rr� :,a4j�l:1 SALARIES AND FRINGES (fica/mica) Narrative Justification; This line item includes the salaries for the individuals working directly In this program - Community Outreach Specialists, Housing Specialists, Housing Supervisor, Case Manager Assistant, Feeding Coordinator, Program Clerk and Special. Projects Assistant, Communication Narrative Justification; This line item includes costs of cell phone communication and wireless data transmission for field personnel. ' $4,600 Hotel /Motel (temporary emergency housing for families) Narrative Justification; This line item includes costs for providing temporary hotel placement services to homeless clients being served under the MOU program. At a rate of $60,00 per room. This funding will provide 150 nights of stay. $9,000 Rent of Equipment Narrative Justification: This cost includes the cost for rentln g printer/copier, $990 Attachment 9-11 MOA 15-16 Budget Narrative SUPPORTIVE SERVICES: SALARIES:' Attachment 14 Community Outreach Specialist (S138.,380.07), Funds for 16.00 FTE: This is specialized work responsible for providing direct outreach and referral services to homeless individuals. An employee in this classification must be able to identify and engage homeless individuals in public places, under bridges, in abandoned buildings, and other outdoor areas in an attempt to engage them in a non -threatening way, build relationships, and assist them in recognizing and defining their own service needs, Reports to a higher level administrator. # COS Funds 'would cover by MOA Funds would cover by County North Funds would cover by County South Funds would cover by Main 4 25% 75% 3 25% 75% 2 25% 75% 0 1 1S%0 82% 1 18% 82% 1 20% 80% 1 21% 79% 1 28% 72% 1 34% 66% 1 100% 16 Housing Specialist ($69,385.48): Funds would cover salary for 100% of time for2,00 FTE. The duties include, but are not limited to, the following: providing outreach and housing services to homeless clients; assessing the housing needs and eligibility of clients; assisting clients in identifying permanent or transitional housing; placing clients in permanent or transitional housing, and following up periodically,, pn clients referred through the criminal justice and public health systems. Reports 'to the Hoibeless Housing Supervisor or designee, Program Clerk ($6,166.50) 1,00 FTE: Funds would cover salary for 20% of the time position. (HMIS funds would cover the other 80% of the staff person's tune). Entering and maintaining data in the Management Information System in accordance HUD requirements. Prepares management reports. Requires attendance .of regular workshops as required by HUD, Collaborates and coordinates services with other providers and agencies. Housing Supervisor ($48,838.11); Funds would cover salary 100% of the position tline. This is supervisory work of a specialized nature responsible for coordinating housing assessment and plaoement services offered through the Miami Homeless Assistance Program. An employee in this classification establishes and maintains relationships with housing providers and community agencies, coordinates efforts with service providers, and monitors the provision of services to clients, and ensures clients are appropriately matched with housing and supportive services. Attachment 14-1. Attachment 14 Rent of Equipment ($990.00): This amount will be used for to pay the rent of print (SHARP BUSINESS SYSTEM). The total amount is $3930.96 per year, this fund would cover $990.00 of the total amount. Office space, utilities and maintenances cost ($2,,680.42): This amount will be used for to pay of rent to Miriistorage, for to guard the properties the homeless. The total amount is $ 7,680.00 per year, this fund would cover $2,680.42. Transportation ($9,000,00): This amount will be used for to pay the services GSA for to rent the cars for to use in the transportation the homeless. The total amount is $40,000.00 per year, this fund would cover $9,000.00 (1 car-=$ 750.00* 12) of the total amount ($630.00 for rent per, month and $120.00 of gas). Operating Supplies ($3,182,94): The requested is needed in order to purchase supplies to cover the demand of services for to homeless. These services include: Operating Supplies Hand sanitizer Gloves Bottle Water Garbage Bags Coffee (Homeless) .. Office Supplies: Paper Folders Toners for printers and fax machine First aid kit Pans and pencil Binder Staples and binder 'and paper clips File prongs Indirect Administrative Costs ($4,300,00): Administrative Cost Grants Distribution. The totalamount is $27,049.00 per year, this fund would cover S4,300,00 to this amount, County South, County North and SHP_Main would covering the rest of the total amount. Attachment 14 3 City of Miamillomoles.5 Program Salaries Distr IfautIon for MC.iA FY 15-7:6 Update: 05/19/2015 . No. 1 2 3 4 6 employee Name VAC/COS II Moil, PeIlk Palmer, Joel Rodriguez, Pedro Willie, Rachel Jr. Abeil a, Mario Espinoza, Erle Griffin, Diane P. Position 12771 12748 12751 12762 12755 12763 12769 12760 Guerrero, Janay 12768 10 11 12 15 14 15 16 17 18. Morrison, Darren J Gonzalez, Alain A,' wItherspoon,TonY VAC /COS Wilson, Clifford TN b Lazar() 11689 12766 234 12749 12758 11511 Positron Community Outreach specialist II Community Outreach Speciallst 1 ComMunIty•Outreach Specialist I Community Outreach Specialist -II Community Outreach Specialist ComrnUnItyutreach Specialist II Community Outreach Specialist 11 Community Outreach 5peclalist II ,CornMUnitv Outreach Specialls 11 Case Manage] Asst, Community butreach Speciall.s.t I Community Outreach Specialist I Community Outreach Specialist] Community Outreach Specialist I Special Project Assistance Hd Rate 12.75 _ 13,68 12,62 , 16,03 12,62 15.03 12.75 12.75 16,56 19.69 32.62. 12,62 12,62 12,62 27.23 Barrios', Guillermo Williams, Marcus L Harris, VVIllie 1. 957 12754 12964 Community Outreach Spaclanst I Community Outreach Specialist I HousingSPeciallst 2,62 12,62 15,44 19 20 21 22 Romero, Ivan 2963 Housing Supervisor 2 .81 3' Williams, Thomas Jordan, Cosmo Rave, Aver) Beyra, Carmen 12971 12759 12777 12781 Housing Specialist Community Outreach Specialist II Homeless Program Meal Coordinator Homeless Program Clerk 15,44 12,89 14,49 . 3,43 Attachment 14 Salary Fund Salary FICA Fringe Total 26,998,1.3 2,055.36 29,063.44 28,957.40 2,216,01 31,183.41 26,722,85 2,044,80 28,767,15 31,826,03 2,434,59 , 34,260,72 25,528.65 2,029.44 28,558.09 31,252.40 2,391.57 , 33 658.97 27,285.00 2,087,30 29,372,30 27,285,00 2,087,30 29,372,80 33,298,40 2,547,33 85,845,73 40,960.40 3,133.47 44,093.87 26,249.60 2,008,09 28,257,69 26,612,68 2,035.87 28,648,55 26,600.85 2,034,96 28,635,81 26,722.85 2,044.80 28,767,15 56,628.00 1 4,332,04 50,960,04 26,722,85 2,044,30 28,767.15 26,722.85 2,044,30 28,767.15 32,128.10 2,457,42. 34,580.52 45,367,50 3,476,61 48,838,12 32,331,60 2,473,37 34,804,96 26,811.20 2,051,06 28,862.26 30,139.20 2,305,65 32,444,85 28,641.43 2,191.07 30,832,50 71407,95 54,529,89. - 767,337,76 MDHT% 1.8% 28% 25% 25% 34% 18% 25% 25% salary budgc NIOA 5,231..41 8 731 3: 7,191.71 8,565.1.1 9,709.7! 6 057,71 7,843.01 7,343.01 , 25% 8,961,4: 19% 25% 20% 21% 25% 29% 25% 25% 100% 00% 8,377,8. 7,064,4; 5,729.7: 6,013,5: 7,191.7! 17,678,4j 7,181.7! 7,191.7! . 34,580,5! 48 888,1! 00% 100% 54% 20% 34,804,91 28,862.21 17,520,2: 6466,51 306,846,61 Attach-lett 14-5 `._ _ : _ = s :,,, :-[VfFiAP.SXNTFfESISBYPfif JEC;gypGEr 45't6.< ,-:::•`-• . :.; ; __ if,FIRDATE 5II3/ Qi : < _ MOA--HT AWAR PROJECT: SHP L3AJN . _AWAR.1961 PROJECT 91-91506a UCS AWAR 91-915067 • - PROJECT -,� 91-915067 No. Name f Posit -PN % Salary No. Na1Me Posit, PN . % Salary No. - Name Posit. EN I % Salary 1 Gon2alsz, Alain A cos I 12 7'66 25% 7 064_42 1 Yemai, Annette Cos I 12750 80% 2101312 1 VAC /COS [ cos I 127491 79% 22 579 29 2 VAC/COS I cost 12749 21% 6013_52 2 Mott, Felix cost 12748 72% 22,452.05 2 Wilson, afford COST 12758 '75% 21575_45 3 Virisan, Clifford cos:! 12758 25% 7191.79 3 Palmer, Joel COSI 12751 75% 21575.36- 3 Berms, Guillermo cost 12957{ 75% 21 575.36 4 Barrios, Guillermo eo51 12 957 25% 7191.79 4- Willie, Rachel Jr. coal 12 755 66% 18 846.34 4 Wlliams, Marcus L COS I 12754 + 75% 21575.36 5 W85ams Marcus L SCSI 12 754 25% 7 191.79 5 Louu riord, Amos COSI 12756 84% 24 2E8.91 5 'rumba, L-azaro SPA i 11511 71% 43 281.63 6 IMFfierspoon, Tony COS I 234 20% 5 729.71 6 Davis, Wayne COsil 12 764, 80. % 27 408.57 5 Salaries $130 630.09 7 Moil. Folic COS 1 12 748 28% 8 731.35 7 Leath, Ricky COSI! 12 761 80% 2842.3_83 Commorneatians & RelatedSrvrs $ 1,55.0.00 8 Palmer, Joel COS l 12751 25% 7191.79 8 VAC/COS li COSI 12771 82% 23 832.05 Adm Cost $ 4,626.00 9 Walla, Rachel Jr_ COS I 12755 34n/ 9 709.75 9 Rodr guez, Pedro COSH 12 762 75% 25 695.54 TOTAL GS - - _ . - $135 806.09 10 Abello, Mario cos a 12.766 : 18% 6 057,72 10 Llerandi, Arturo cost! 12 755 75%. 21 797.62 s 11Espinoza,Eric Cash 12769 25% 7343:06 10 Salaries 1 $235315.00 • CN . `-rAVV.R; - PRO -SECT: 12 Griffin. Diane P. cosy 12760 25% 7343.08 Communications &Related5rvcs $ 3,800.00. No_ Name Posit PN % Salary 13 Guerrero, Janay cos 0 12 768 25% 8 961.43 Adm Cost $ 8,368.00 1 VAC COS [ 10e% COS l 100% 28 806 05 14 Jordan, Costno COS ll 12759 100% 28862.26 1TOTAL MAIN.. ` . • - - $247484.601 2 Gonzalez; Alain A. 7S% COSI 75% 2119327 15 VAC/COS II COS I 12 771 18% 5231.43 3 Witherspoon, Tony so% COS 1 80% 22918.84 15 Rodriguez, Pedro cos ll 12762. 25% 8565.18 ill SI IIRTFALLESI2. AWA1 .1400 -PROJECT: 91,147011E ?I Espinoza, Eric 75% COS II 75% 2202923 17 8eyia, Carmen HPC 12781 20% 8166.50 No. Name Posit. PN % Salary 5 Griffin, Diane P. 75% COS 11 75% 22 029Al 18 Rays, Vivian .., Fc 12777 54% 17520.22 1 Yernet„Annette C05I 12750 20% 5753 4.3 6 Guerrero, Janay 75% COS fi, 75% 26 884.30. 19 Harris, Wilke a5 12964 100% 34580.52 2 VAC/ COS I cost 12 753 65% 18 837.32 7 VAC/COS II 1o0% COS IT 100% 29104_80 20 Williams, Thomas Hs 12 971 100Yo 34 804,96 . 3 Carrasca, Johanna cost 12 962 20% 5773.81 8 Abello, Mario 62% COS li 82.i. 27 59626 21 Romero, Ivan Hsu 12 963 100% 48 638.12 4 Loulnord, Amos COS i 12 755 16% 4 622.65. 9 Morrison, Darren J s}% CMA 81 % 35 716_04 . 22 Morrison, Darren J CMA 11 589 19% ' 8 377.84 5 Davis, Wayne cos II 12 764 20% 6 852.14 9 Salaries $ 236 280.18 23 Trueba, L.azaro SPA 11511 29% 17 678.41 6 Leath, Ricky LOS1i 12781 20% 6 605.96 Communications & Related Srvrs $ 5,443.83 23 Salaries $ 306 345.63 7 Gotrzarez.Alberdo SPA 12 334 100% 37 912.52. Rent& and Leasing $ 36,000.00 Llerandi, Arturo. COS II 12765 . 25% Professional Services $ 9,000.00 Communications&Related Srvcs $ 4,500.00 Rentals and Leasing $ 12 5711 i.3 Operating Supplies $ 3,182.91- 8 7265_87 Adm Cost $ 9,755.00 9 Escobar, Maria AC 12772 100! 38420.80 ITOTAL-'CN = - -. - - - '-$288479.011 10 De la Cruz, Estebar i6s 12 773 50% _ 14 452.82 - $146497.32LID AWAR`1909 PROJECTr91-915065 - - -` - -Salaries -. _ - Adm Cost TOTAL0PAOA ESG - HUD $ 4,300 00 _ . : - .$.34D 000 01 AWAR: - -:1996 PROJECT.91,03309: • - No_ Name Posit PN % . Salary - . 1 VAC/ COS i COS I 12753 35% 10 031.72 2 Canasco, Johanna cosi 12962 80% 23095.23 3 Santiago, Gonzalo M. cos l 12961 100% 28 558.72 4 Wa_',ke , Roy COSI 12 958 100% 28 565_26 5 Chary, WOson J. Cos i 12 959 100% 28 665.26 6 Hernandez, Francis cosi] 12770 100% _ 28 960.54 7 Ramoz, Carlos HPC 12 779 ' 100%. 34 07123 8DelaC'az.5stabanfa IRS 12773 50% 14452.82 9 Martin, Tanya IRS 12774 100% 2805'i.98 10 Gutierrez, Eyme 1R5 12 776 100% 28 665.26 :_10 '• • = -Salaries - - _ •- $-253 21$,30 HMIS FO AWAR: 1912 PROJECT: 91-915063 N.Q. Maine l Posit. i PR % Salary 1 Beyra, Carmen HPC 1278.1 80% 24665.94- 2 Rays. Vivian FC 12 777 46% 14 924.73 : ' 2.. - =-. aiaries . _- , - � -- -` , $39590.667. AWAR: -I912 Pro{essiorial-Services Legond F, d t Granle 4;2,6 Gays iromorher16cai unit 1,7,2,8 Ganerel Fhn 5 10,11 EmergencySolu9ocs Grants HUD: Housing znd Urban Dovornpment CN: MMHAP Flour, (CoontyNor1li)SHP CS: MMHAP south (CounlySouth)-SHP MANs MMHAP (Mara) SHP PROJECT: 91-915063 :504n960.00 cos L- Community Outreach Specialist! COS 1:- Comrpdnity Outreach Spedzlrst➢ SPA: Special Pmjerl scisrance, E.MA: Case ManagerAs,1. HSHoushgg Specialist Hem Housrng Supervisor FG Hometass Program Meal Coordinator AA: Admin. Assistant I PA:Program Adminisimior Professional Services :.r'12,50D.00. PA, - AWAR 1400-=PROJECT:91-147011E No. Name Posit. PN % Salary . 11 d1Tl -nr AlE11111111111111111 Salaries - $ 1,498,778.37 1. Figueroa, Natalla AA 6 475 100% 56 095,55. P:dm Cost $ 0.00 2 Torres, Sergio PA 6528 100% 94803.92. Professionai Services $ 529,702_53 2 Salaries $ 150 899.47 Other Contractual Services $ 16,64.7_76 (-) Admlrnsirative Cost $ (27_049.00) Communications & Related SSVcs $ 27,793.83 Professional Services $ 3,242.53 Postage $ 100.00 Other Contractual Services $ 16,647.76 Utilities $ 18,000.00 Communications & Related Srvcs $ 11,500_00 Rentals and l easing - $ _ - 56,604_43 Postage $ 160.00 Other Current Charges and Ob) $ 3,000.00 Utilities $ 18,000.0E OfIrce Supplies $ 7,9R,94 Renters and Leasing $ 7,934.00 Operating Supplies $ 4,800.00 Other Current Charges and ObG $ 3,00E 00 Clothing/Uniform Supplies $ 5,000.00 Office Supplies $ 4,800.0E Professional Memberships $ 400.0E Operating Supplies $ 4,800,0E Retirement Contributions $ 143,100.00 Clothing/Uniform supplies $ 5,000.0E Life. and Hhealth insurance $ 82,700_00 Professional Memberships : $ 400.0E Workers` Compensation . - $ 1,40000 1TOTA1: PA- = - .. - ,. -. -, - - $199 274.761 Subtotal $ 2,396,089.86 Buddet sub totalproject - $ 2,396,009.85 )niPA15,1El- oEller cost -ailgcation - . $ 227,206-D01 duce $ i0.01) Roe Taxes $ - {+) Enna Salanes 352,400_07 MMMHAP-North MMHAi -South $ 96,200.01 $ 91,200_06 Mrv1HAP-Main $ 165,000.00 GRAN TOTAL $ 2,748,409.03 HYPF_RION F5'16 diffe $ 2,748,500,0E $ {90.07) Retirement ContribulSons Ufe and Hhealth Insurance Workers' Compensator. Mava can:: MOA,Match ESG, HTM5FC,HMIS, ID PA. FA Other costs CS„MAIN CN ESG Stirdala Od15 Oct15 Jun_15 Fa3.15 Apr.15 $ 143,100.00 $ 82,700.00 $ 1,400.00 End date Sop16 Sep.16 May.1S Jen_l2 Mar_16 • ATTACHMENT C MIAMI-DADE COUNTY REQUIRED AFFIDAVITS The contracting individual or entity (governmental or otherwise) shall indicate by an "X" all affidavits that pertain to this contract and shall indicate by art "N/A" all affidavits that do not pertain to this contract. All blank spaces mustbe filled. Tho11/IIAMI.D.ADE COUNTY OWNERSHIP DISCLOSURE AFFIDAVIT; MIISM-DADE COUNTY EIVIE'LOYNCENT DISCLOSURE .AFIUDAVIT; 11/JiAmk.DADE CRIMINAL RtcoRD ARTDAVIT; DISABILITY NONDISCRIOWNATION AFFIDAVIT; and the PROJECT FRESII START AFFIDAVIT shall. not pertain to contracts with the United States government or any of its departments or agencies thereof, the State or any political subdivision. or agency thereof or any municipality ofthis State. The IMAIM-DADE FAMILY LEAVE AFFIDAVIT and 11/HAIM-DADE DPIYIESTIC LEAVE ALIND REPORTINGAFTDVIT shall not pertain to contracts with the United States or any of its departmen4:oragencies .or the State of Florida' or aep91.11,1*1 subdivision or agency thereof; it shall, however, pertain, to municipalities of the. State of Florida% All other contractincg entities or individuals shall read carefully eacli affidavit to determinewhether er:iait pertains to this contract. 0.leS 'ACq being first duly sworn state: The full legal name and, business address of the person(s) or entity contracting or transacting business With Miami -Dade County are (Post Office addresses are not acceptable): Federal Employer Identification Number (If 310120, Social Security) ( 62ANA, , Name of Entity, In 'clual(s), Partners, or Corporation Doing Business As .(if same as above, lea-ve blank) Street Address City State Zip Code N1MAYILDADE COUNTY OWNERSHIP DISCLOSURE AFFIDAVIT (Sec. 2-8.1 of the County Code) the contract or. business transaction.18 vvith a corporation, the fult legal. name and business address shall be provided for each officer and direotor and each stockholder who holds directly or indirectly five percent (5%) or more of the corporation's stock. If the contact or business transaction is with a partnership,‘ the foregoing information shall be provided for each partner. If the con'taet.or,business transaction is with a trust the full 144 name and address shall be provided for each trustee and each beneficiary, The foregoing requirements shall not pertain. triuentracts with publicly traded corporations °I' to contracts with the. United States or'.‘4.4 department or agency thereof, the State or any pOliticalsUbdivision or agencythereof or any municipality of -this State. All such fiames and addresses are (Post Office addresses atoll& acceptable): Full Legal Name Address Ownership The full legal name's and business address of any other individual (other than subcontractors, material ram, suppliers, laborers, or lenders) who have, or will have, any1nterest (legal, equitable beneficial or otherwise) in the oontraot or business transaction with Dade County are (Post Office addresses are not acceptable): Any person. who willfully fails to disclose the information rouJredharein, or who knowingly discloses false information in this :regard, shall be punished.by a fin Q of up to five hundred dollars ($500.00) or imprisonment in the County jail for tip to sixty (60) days or both. ATTACHMENT C "Miami -Dade County Required Affidavits" Page 1 of 5 A.TTACFIMENT C ° MIAMI-DADS COUN.TY REQUIRED AFFIDAVITS 2 M[.AI.VSC DADE COUNTY BMIPLOYMEN>C DISCLOSURE AWWAV' (County Ordinance 90-133, Ame ding sec. 2.8.1.; Subsection (d)(2) of the County Code). Except where precluded by federalor State laws or regulations, each. contract ox business transaction or renewal thereof Which, involves the expenditure often thousand dollars ($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 thereof or any municipality of this State. •a. • ' Does your Erin have a collective bargaining agreement with its employees? Yes No b. Does your an provide paadhealth care benefit for its employees? Yes _No c, Provide a current breakdown (number of persons) of your frm's work force and ownership as to race, national origin and gender: White: Males: Female::_ Black: Males: Female:�___, Hispanic: Males:_ Female:V .Asian: Males: Female: American Native _ Males: Female: Aleut (Esldxoo): Males: Female: 3. C/AMRMATIVE .ACTION/NONDIS.C1UL\ II VATTON OF EMPLOYMENT, PROMOTION AND PROCUREMENT PRACTICES (Count)/ Ordinance 98-30 codified at 2-8.1.5 of'the County Code:) In.accordance with County Ordinance. No. 98-30, entities with annual loss revenues in excess of $5,000,000 seeking to contract with the County shall, as a condition of receiving a County contract, have; i) a written afffamative action plan which sets forth the procedures the entity tees to assure that it does not discrin irate. 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 btissi_nesses in its own procurement of goods, supplies and services. Such afrmative action plans and procurement policies shalll provide for periodic review to determine their effectiveness in assuring the entity does not discriminate in its employment, promotion and procurement practices. The foregoing notwithstanding, corporate entities whose boards of'directors are.representati''e df the:popttlationi'ru.aike-up of the nation shall be presumed to have non- discriminatory employment and procurement policies, andshall not be required to have written afWrmative action plans and procurement policies in order to receive a Comity contract. The foregoing presumption may be rebutted. The requirements ofCatty Ordinance No. 98-30 may be waived upon the written. recommendation of the County Manager that it is 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,. The Firm does not have annual, gross revenues ;in excess of $5,000,000. The Prim: does have annual.revenues. in excess of $5,000,000; however, its Board of Directors is representative of the p •'.ulation. make-up of the nation and has submitted a written, detailed listing of its Board of Directors, including the race or ethnicity of each board member, to the County's DepartmentofBusiness Development, 175 N.W, i st Avenue, 28t12 Floor,Miami, Florida 33128. The Finn bias annual gross revenues in excess of $5,000,000 and the f does have a written affirmative action plan and procurement policy as described above, which includes periodic reviews 'to determine effectiveness, and has submitted the plan and policy to the County's Department of :Business Development 175 N.W. lst.A.venue, 28thFloor, Miami, Florida 33128; The Film does not have an affirmative action plan and/or a procurement policy as described above, but has been granted a waiver. ramearismeratamonatervamorawntsolti .ATTACHMENT C "Miami -Dade County Required Affidavits„ Page 2 of 5 ATTACHMENT C MIAMFFDA.DR COUNTY REQUIRED AFFIDAVITS 4. _ M1'.AIYa-DADS COUNTY CXUXM.1N'AL.R..DCORD AFFIDAVIT (Section 2-8.6 of the County Code) The individual or entity entering into a contract or receiving fundingfrom the County has /has not as of the date of this affidavit been convicted of a felony during the past ten (10) years. An officer, director, or executive ofthe entity entering into a contract or receiving funding from the County _(has /has not), as of the date, of this affidavit been convicted of a felony during the .past ten (10) years. 5. 9 Yff. MI -DADS WEEDY -MEW DRUG -FREE WORKPLACE AFFIDAVLi (County Ordinance 92-15 codified as Section 2e8.1.2 of the County Code) That in compliance with Ordinance No. 92-15 of the Code of Miami.»Dade County, Florida, the above named person or entity is providing a drug -free workplace. A written statement to each employe& shall.inforzn the employee about: danger of drug: abuse in the workplace the ',ann.'s policy ofmaintaining a drug -free environment at all workplaces availability of drug counseling, rehabilitation and employee assistance programs penalties that may be imposed upon, employees for drug abuse violations • The person or entity shall also require an employee to sign a statement, as a condition of employment that the employee will abide by the terns and notify the et plover of any criminaldrug conviction oconrr ng no later than five (5) days after receiving notice of suoh conviction and impose appropriate personnel action against the employee up to and including termination. Compliance' with Ordinance No, 92-15 maybe 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, safety,, welfare; economic benefits and well-being of the public. Contracts involving funding which is provided in whole or in part by the U'nited.States or the State of Florida shall be exempted .froze the, provisions of tills ordinance in those. instances where those provisions are in conflict with. the r- quirements of those govern ontal entities, 6 , ;, NISI -DADS EMPLOYMENT NT p'AMV ILY LEAVE AFFIDAVIT (County Ordinance 142-91 codified as Sec on 11A-29 et. seg, of the County Code). That in compliance with Ordinance No, 142-91 ofthe Code of Miami -Dade County, Florida, an. employer with, fifty (50) or more employees working in Dade County for each working day during each of twenty (20) ormore calendar work weeks, shall provide the following information. fro: compliance with all items in, the aforementioned ordinance: An employee who has worked for the above firm at 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 car& of a child, spouse or other close relative who has a serious health oonditionwithout risk of termination of employment or employer retaliation. The foregoing requirements shall not pertain to contracts with the United States or any department or agency thereof, or the State fFlorida or any political subdivision or agency thereof: It shall, however, pertain to municipalities of this State, 7, L\15 S.ABXLXTY NON-DISCR.IM>TTATION A F +TAA.VIT (CountyResolutionR.-385-95) That the above named firm, corporation or organization is in compliance with; and agrees to continue to comply with, and assure that any subcontractor, or third party contractor under this project complies with all applicable requirements of the laws listed below including,but not limited to, those provisions pertain deg to employment, provision of programs and services, transportation, communications, access to facilities, renovations, and new construction, in the following laws: The Americans with Disabilities Act of 1990 (AD.A..), Pub. L. 101-336, 104 Stat327, 42 U.S.C. 12101-12213 and47 U.S,C. Sections 225 and 611 including Title 1, Employment; Title Lt, ?Olio Services; Title La, Public Accommodations and Services Operated by Privato Entities; Title IV, Telecommunications; and Title V, Miscellaneous Provisions; The Rehabilitation Act of 1973, 29 U.S.C. Section 794;. The Federal Transit Act, es amended 49 U'.S:C, Section 1612; The Fair Housing Act as amended, 42 `U.S.C. Section 3601-3631. The foregoing requirementsshall not pertain to contracts with the United States or any department or agency thereof, the State or any political subdivision or agency thereof or any muuioipality ofthis State. ATTACHMENT C "Miami -Dade Coi my Required Affidavits" Page 3 of 5 I 4 ATTACHMENT C MIAMI-DADE COUNTY REQUIRED AFFIDAVITS 8. MIA1VJI-PADE COUNTY REGARDING DELINQUENT AND CURRENTLY DUE .FEES OR TAXES (Sec. 2-. 8.1(c) of the County Code) Except for small purchase orders and sole source contraots, that above named firm, corporation, organization or individual desiring to transact business or enter into a contract with the County verifies that. all delinquent and. currently due fees or taxes - - inoluding but not limited to real and property taxes, utility tax:es and occupatiorial. &ewes -- which arp collected ifrt the normal course by the Dade County Tax Collector as well as Dade Comity issued parking tickets for vehicles registered in the name of the firrn, corporation, organization or individual have been, paid. 9. CUR.RENT ON ALL COUNTY CONTRACTS, LOANS AND OTBER OBLIGATIONS (Ordinance 99462) The individual entity seeking to transact business with the County is current in all its obligations to the County and 1,5 not otherwise in default of any contract, promissory note or other loan document with the County or any °fits agencies or instrumen es. 10. DOMESTIC VIOLENCE LEAVE AND IMPORTING AM/DAVIT (Resolution 185-00; 99-5 Codified At 11A-60 Ei t.Seq. of the Miami -Dade County Code). The firm desiring to do business with the County is in compliance with Domestic Leave Ordinance, Ordinance 99-5, codified at 11A-60 et, seq. of the Miami Dade County Code, whichrequires an employer whibh has intim regular course ofbusiness fifty (50) or more employees working in, Miami -Dade County for each. working day during each of twenty (20) or more calendar work weeks 111. the current or proceeding calendar years, to provide Domestic Violence Leave to its employees. NEXT PAGE SI6NArditE PAGE ATTACHMENT C "Miami -Dade County Required Affidavits" Page 4 of ATTACHMENT C MIAMI-DADE COUNTY REQUIRED AFFIDAVITS I :11thVO carefully read this entire five (5) page document entitled, "Miami -Dade County Affidavits" (Affidavits 1-10) and, have indicated. by "X" all affidavits that pertain to this contract and. have indicated by an `'N/A" all affidavits that do not pertain to this contract and completed all required. infonna.tion. BY SIGNING AND NOTARIZING TH IS PAGE YOtT ARE AT I ISTING TO AFFIDAVITS ONE (1) TE[ROUGH ELEVEN (11) MIAMI-DADE COUNTY AFFIDAVITS SIGNATURE. PAGE By: CC, , 20 4 Signatuire of Wi ess or Secretary Seal Date CC501.C.% Federal Employer Identification Number Signature of Affiant Piinted Name of .Affi.ant and Name of Agency T7)ks, ' I Address of Agency • ga; (Y-k\ \ A 'A SUBSCRIBED AND SWORN TO (or affirmed) before me this clay of , 20, He/She is personally known to In e or has presented as identification. Type of identification Signature of Notary Serial Number Print or Stamp Name'of Notary- - ExpiratiOn Date Notary Public — State of County of Nozwy Seal ATTACHMENT C "Miarn.i-Dade County Required Mfida.vits" Page 5 of 5 ATTACHMENT D THIS ATTACHMENT IS NOT APPLICABLE TO THIS AGREEMENT ATTACHMENT F Miami -Dade County Homeless Trust Monthly Payment Request NAME OF AGENCY: The City of Miami SERVICE PERIOD: TO NAME OF GRANT: Memorandum of Agreement Program GRANT NUMBER: 'Ca1516.-MOA TOTAL AWARD AMOUNT: $ 340,000.00 AMOUNT OF FUNDS REQUESTED THIS MONTH: $ AMOUNT OF FUNDS RECEIVED TO DATE: $ BALANCE REMAINING ON GRANT: $ 340,000.0.0. (following' payment of this request) Signature of Authorized Agency Representative Printed Name of Aiithorized Agency Representative Date ATTA'CHIMENT F THIS ATTACHMENT IS NOT APPLICABLE TO THIS AGREEMENT 4.4-Fax-h okzo.1- Continuum of Care Homeless Assistance Program Performance Report Master Document (Please check the box to indicate either monthly or annual report submitted) 0625 — HUD CoC Monthly Performance Report 0625 Fru") CoC Annual Performance Report Supplemental pages on. Financial and Objectives (Tais is al template designed to assist grantees required to complete the Full CoC APR. It is a model of the data collected in e-snaps. It is not intended to replace electronic data Collection in e-snaps. Field layout in e-snaps may differ from the layout presented in this document.) ATTACHMENT G "Performance Reports" (Monthly and Annual) APR & HMIS itt7TPCI-Irrl gwr 17d• Outcome and Performance Measures This program will camply with the outcome measures provided Wow, ';'1?617k5r, C , P6A4 ..4ef.e.17:, :; ,, 4 ''',',E',.,::,.."•:,•;',/• ,,, ,.; Ot .6bf,11 ':', '. '. ' '''' ii:1!....,;•lr,•?::',,;,:. .. ' , ';'' ,...i::+•! A; '.4...,,: ,, , ,;.g,,',, e. , s; h, ,":,:',i1 " ':?' tP7'...'1 ' . ' ' ' ' 1,,,,j1i,:„... . 1.' T .r" ',I 10,••;.1 r: . '''6'... ' , Staff homeless outreach services from 5 PM to 8 'AM Mon -Fri., and Sat/Sun 8 AM to 5 PM, * Outreach staff will be available 24 hours a day 7- days a week. Excluding holidajts • Establish a team of Housing specialists linked to the Homeless Helpline who vill accept refer'rals at strategic 1 o oati ens' • • a Staff placed at Miami -Dade Courthouse and Miami .7 Dade County Jail to offer convenient services, . ° , • Housing specialists will assist clients with housing search and placement into affordable housing and or appropriate homeless serving system * • * . 10C)% of all referrals will assessed within 24 hours. All referred ind, , lyiduals will be placed in appropriate .housing based *on availability within 48 hours of initial referral, Housing team serves 5 individuals a day, (based on exPerlence, not capacity) Outreach tearserves 15 individuals a day (based on experience, not capacity) Housing specialist will develop inventory• of appropriate housing within budgetary and legal limitations for homeless e e Housing team will secure hotel/motel beds to house Individuals on an emergency basis Housing team will secure permanent housing units , that support homeless clients. • Utilize the HMIS . • 90% of daily intake assessments will be entered within 24 hours of receipt. Housing and Outreach staff will review the intake data along with client records weekly to address any service gaps. Work with other agencies to collect data • •• • ,* • All Housing and Outreach team staff will attend MDHT organized case worker meetings Housing specialists will contact organizations listed in client files to secure any additional Information other agencies might have on the client that would be useful, MHAP Will organize monthly review sessions of chronically homeless lists, inviting all MOA partners to attend to identify individuals using multiple organizations in order to coordinate provision of care most effectively. Identify chronically homeless -high utilizers, to , facilitate referrals to low demand permanent supportive housing and supportive services • • 30% served will be chronically homeless. ATTACHMENT I THIS ATTACHMENT IS NOT APPLICABLE TO THIS AGREEMENT ATTACHMENT J THIS ATTACHMENT IS NOT APPLICABLE TO THIS AGREEMENT ATTACHMENT l< THIS ATTACHMENT IS NOT APPLICABLE TO THIS AGREEMENT ATTACHMENT L MIAMI-DADE COUNTY HOMELESS TRUST ANNUAL ACTUAL EXPENDITURE REPORT CITY OF MIAMI HOMELESS ASSISTANCE PROGRAM MEMORANDUM OF AGREEMENT (MOA) PROGRAM — GRANT NUMBER PC-1516-1110A OCTWER 1, 2015 — SEPTEMBER, 30, 2016 Name of Agency: THE CITY OF MIAMI $ 340,000,00 Month of Services OCTOBER 2015 Amount Paid NOVEMBER 2015 DECEMBER 2015 JANUARY 2016 FEJIRUARY 2016 MARCH 2016 APRIL2016 JUNE 2016 JULY 2016 AUGUST 2016 SEPTEIVIBER 2016 Total Requested 5 0,00 Balance Remaking $ 340,0.00.00 Executive Director or Authorized Agency Representative Signature Executive Director or Authorized Agency Representative -Printed Maine Signature Date A- il-etch nnlr et. .For'm WanZli (130,v!b,90m,barg.014) tmoitrro Of thoTfiasoiy itOthat:130YetinaSa'n/oa. 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' Cognition of a U.S. person, For federal faX purposes, you aro considered a U.S. person if you are: • An Individual who Is a U.S. ottlxan or U.S. resident alien; • A partnership, corporation, company, orassooiatlon created or organized in the United States or under the laws of the United States; • An estate (other than a foreign estate); or • A domestic trust (as defined in Regulations section 301,7701-7), Special rules forparinerships. partnershlpsthat conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners' share of effectively connected taxable Income from such business; 'Further, in certain cases where a Form W-9 has not been received, the rules under Becton 1448 require a partnership to presume that a partner la a foreign person, and pay the section 1446 withholding fax. Therefore, If you are a U,S. person that Is a partner In a partnership conducting atrade or business In the United States; provide Form W-9 to the partnership to establish your U,S. status and avoid•section 1446 withholding on your share of partnership income, in the cases below, the following person must, give Form W-9 to the partnership for purposes of establishing Its U.S. status and avoiding withholding on its allocable share of net income from thepartnershlp conduoting a trade or business in the United States: • In the case of a disregarded entity with a U.S, owner, the U.S, owner of the 'disregarded entity and not the entity; • In the case of a grantor trust with a U.S. grantor or other U,S, owner, generally, the U.S. grantor or other U.S. owner. of the greater trust and not the trust; and • In the ease of a U.S. trust (other than a'grahter'trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of thee -Lest. Foreign person. If you are a foreign person or the U.S. branch of aforeign bank. that has elected to be treated as a U.S. person, do not use Form W-9 instead;use, the appropriate Form Wee or Form 8283 (see publication 515, Withholding of Tax' on Nonresident Aliens end Foreign Entities). • Nonresident alien whobecomes a resident alien,. Generally, orily a nonresldent alien individual may use the 'terms of a tax treaty to reduce or eliminate U,S, tax on certain. types of income. However, most tax treaties Contain a provision known es a "saving clause." Exceptions spuoi fed In thesavingclause may permit an exemption from fax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who le relying on an exception contained In the saving olause of atax treaty to claim'' an exemption from U.S. tax on carfaie types of Income, you must attach a statementfo Form W-9 thatispeoifies the following five Items; 1,Thetreaty oountry. Generally, this must be the Same treaty under Which you elaimed exemption from tax as a nonresident alien. 2. The treaty article addressing the Income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax 5, Sufficient facts to justify the exemption from, tax under the teimuof`the treaty article, Exemp/e. Artiole 20 of the U.S.-China interne fax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States, Under U.S. law, this student will become a resident Allen for tax purposes If his or her stay in the United States exdeeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S,-China treaty (dated April 30, 1934) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a'resld'enf'allen of the United States, A'Ohineed etudorrt who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception .to. claim an exemption from tax on his or her scholarship or fellowship income would ettaohto Form W-9 a statement that Includes the' Inferrnatlon described above to supportthatexemption: If you.ere a nonresident alien or a foreign entity; give the requester, the appropriate completed Form W-8 or Form 8233, Backup Withholding What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 28% of such payments. This Is called "backup withholding." •Payments that may be subject to backup withholding include interest, tax-exempt Interest, dividends, broker and.barter exchange transactions, rents; royalties, noneinpioyee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You wit not be subject to backup withholding onpayments you receive If you give the requester your correct TiN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will be subjeot to backup withholding if: 1.. You do not furnish your TIN to the requester, 2. Youdo not certify your TlN when required (see the Part II Instructions on page 3 for details), 3. The IRS tells the requester that you furnished an Incorrect TIN, 4. The IRS tells you that you are 'subject to backup withholding Lecause you did not report all your interest and dividends on yourtax return (for reportable interest end dividends only), or 5. You do not certify to the requester that you are not subJeotto backup withholding under 4 above (for reportable Interest and dividend accounts opened after 1988 only). Certsln payees and payments are exempt from backup Withholding, See Exempt payee code on' page 3 and the separate instructions for the Requester of form W-9 for more information. Also see Special rules for partnerships above. What is FATCA reporting? The Foreign AcoountTax Compliance Act (FATCA) requires °•participating foreign financial Institution to report ail,United States ecocunt holders that are specified United States persons, Certain payees are exempt from FATCA reporting: See Exemption from FATGA reporting code on page 3 end the Instructons for the Requester of Form W-9 for more information, Updating Your Information You must provide updated information to any person to whom you claimed tobe an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a 0 corporation that elects to bean S corporation, or if you no longer are fax exempt. In addition, you must furnish anew Form W-9 if the name or TIN changes for the account; for example, lithe grantor of a grantor trust dies. rs.: P.enaltip5 , Feilure'to furnish TIN. If you fall to furnish your ..coreot TIN to a requester, you are eubjeotto a' penalty of $50 for each such failure unless your failure Is due to reasonable cause and nottc willful neglect. Civil penalty for false information with respect tb withholding. If you make a false statement with no reasonable basis that, results In no backup withholding, you ere subJ'eott'o a$500'penalty. • Criminal penalty for falsifying information. Willfully falsifying certiflcatione or affirmations may subject you tocriminal penalties Including fines and/or Imprisonment.. Misuse of TINS. If the requester discloses or uses TINs in' violation of federal law;': the requester may be subject to civil and criminal penalties. Specific Instructions Line 1 You must enter one of the. following on this line; do not leave thia line blank The name should matoh the name on your tax return. If this Form W 9 Is fOt a )oil 'account, llst first, and then circle, the name of the person or:entity W(tose numbetyou: entered;In part I of Form W-.9, a. individual Generaliy; enter the name shown on your tax return. If you have changed yowl' last name without informing the Social Security Administration (SSA) of the purl , •hangs enter $lour first name, the last name as shown on your social Saberit card, acid ydhr newlast name " • Note. r11N applicant Enter yoilrinciendual na• me as It was entered an your Forrn , W-7 application, Iine la. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application. b. Sole proprietor or single -member MC. . Enter your individual name as . . shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or "doing business as" (DSA) name on line 2. c. Partnership, I-LO that is not a single -member LW, 0 Corporation, or S Corporation., Enterthe entity's name as shown on the entity's tax return online 1 and any business, trade„ cr.0DA name on line 2, d. Other antfties. Enter your name as shown on required U.S. federal tax documents on lino 1. This name should match"the name shown on the charter or other legal document creating the entity, You may enter any business, trade,' or DBA name on Ilne2,• e, Disregarded entity. Fpr U.S. federal tax purposes, an entity thetIs disregarded es' en entilyseparate from its owner le treated as a "disregarded entity.' See Regulations seating301.7701-2(0)(2)(ili). Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity, The name on line 1 should be the name shown on the Income tax return on which the inoome should be reported. Forexample, if a foreign 110 that ietrsated as a disregarded entity for U.S, federal fax purposes has a single owner that is a U.S. person, the U.S. owner's name Is required to bo provided on line 1. lithe direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2,'"3usinesa name/disregarded entity name," If the owner ofhe disregarded entity Is a foreign person, the °wrier must complete en appropriate Form.W-8 instead of a Form W-9. This Is the case even if the foreign person has a U,S, TIN. Form W-9 (Rev. 12.2014) Page 3 Line 2 If you have a business name, trade name, DEA name, or disregarded entity name, you may enter it on line 2. Line Check the appropriate box In line 3 for the U.S. federal tax olassification of the person whose name is entered on line i, Check only one box In Ilhe 3. Limited Liability Company (LLD), If the.name on line 11e an MC treated as a partnership for U.S. federal tax purposes, cheek the "Limited Liability Company' box and enter "P" In the space provided. If the L.I:.0 has filed Form 8832 or 255$'to be taxed as a corporation, check the "Limited IJablilty Company" box and In the space provided enter "C" foe C corporation or "S" for S corporation. If it is a single -member LLC that is a disregarded entity, do not check the "Limited Liability Company" box; instead check the first box In line "IndividunVsole proprietor or single -member LW," Line q, Exemptions If you are exempt frorn backup withholding and/or FATCA reporting, enter In the appropriate space In line 4 any code(s) that may apply to you. Exempt payee code. • Generally, individuals (including sole.proprletnrs) are not exempt from backup withholding. • Except as, provided below, corporations are exempt from backup withholding for certain payments, including Interest and dividends, • Corporations are not exempt from backup withholding for payments made In settlement of payment card or third party network transactions. • Corporations are not exempt from backup withholding with respect to attorneys' fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MiSC. The following codes identifypayees that are exempt from backup withholding. Enter the appropriate code in the space In line 4, 1-An organization exempt from tax under section 501(a), any IRA, or a oustodlal account under sebtlon 403(13)(7) If the account satisfies the requirements of section 4010(2) , 2-The United States or any of Its agencies or instrumentalities 3-A state', the District of Columbia, a US. oommortweatth or possession, or any of their political subdivisions or instrumentalities 4--A foreign government or any of its political subdivisions, agenoles, or instnimerrtalities 5-A corporation 6-Adealer In securities or commodities required to register In the United States,. the District of Columbia, or U.S. commonwealth or possession 7-A futures commission merchant roglstered with the Commodity Futures Trading Commission 8-A real estate investment trust 9-An entity registered at all times during the tax year under the Investment Company Act of 1940 10-A common trust fund operated by a bank under section 584(a) 11-A financial Institution 12--A middleman known to the Investment community as a nominee or custodian' 13-A trust exempt from tax under section • 664 or described in section 4947 The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13, IF'tho paymentIsfor... THEN the payment isoxemptfor ... Interest and dividend payments All exempt payees except for? Broker transactions Exempt payees 1 through 4 and 6 through 11 and all C' corporations. S 'corporations muatnot enter an exem3t payee code because they are examine only for sales of noneovered securities acquired prior to 2012. Barter exohangs transactions and patronage dividends Exempt payees 1 through 4 Payments over $600 required to be reported and direct sales over $6,0001 Generally, exempt payees 1 through 62 Payments made In settlement of ppayment card or third party network transactions Exempt payees 1 through 4 1 See Form lo99-MISC, Miscellaneous Income, and its Instruotiona. 'However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health Dare payments, attorneys' fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency. Exomptton from FATCA reporting node. The following codes Identify payees that' are exempt from reporting under FATCA. Those codes apply to persons submitting this form for accounts maintained outside of'the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form If you are uncertain If the financial Institution Is subject to these requirements. A requester may Indicate that a code is not required by providing. you with a Form W-9 with "Not Applicable" (or any similar lndlcatlon) written or printed on the line for a FATCA exemption code. A -An organization exempt from tax under section 501(a) or any Individual retirement plan as defined In section 7701(a)(37) B-The United States or any of tts agencies or instrumentalities C--A state, the District of Columbia, a U.S, commonwealth or possession,'or any of their political subdivisions or Instrumentalities D-A corporation the stook of which is regularly traded on one or more establlehed securities markets, es described inRegulatiorlesector( 1,1472.1(c)(1)(i) E-A corporation that Is a member of the same expanded 'affiliated group as a corporation described In Regulations' section 1.1472-1(0)(1) f ) F-A dealer In securities y commodities, or derivative financial Instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the lawsoftheUnitedStates'oranystate G-A real estate investment trust H- A regulated Investment company as defined in section 851 or an entity registered at all times duringrthe tax year under the Investment Company Act of 1940 I -A common trust fund as defined In section 584(a) ' J•-A bank as defined In section 681 K-A broker L-A trust exempt from tax under section 664 or described in section 4947(a)(1) M- A tax exempt trust under a section 403(b) plan or section 457(g) plan Note. You may wish to consult with the financial institution requesting this *form to determine whether the FATCA code and/or exempt payee code should be , completed. Line 6 Enter your address (number, street, and apartment or sumo number). This Is where the requester of this Form W-9 will mall your infomwtion returns. Line 6 Enter your city, state, and ZIP Dods. Part 1. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box, If you are a residerrt alien and you do not have and are not eligible to get an ESN, your TIN Is your IRS Individual taxpayer Identification number (MN). Enter it in the social security number box. If you do not have an IT1N, sae How to get a 77N below. If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. However, the IRS prefers that you use ycurSSN. If you are a single -member 1.10 that Is disregardedas an entity separate from Its owner (see Limited Liability Company (LLC) on this page), enter the owner's SSN (or SIN, If the owner has one), Do not enter the disregarded entity's EIN. if the LLC Is classified as a corporation or partnership, enterthe entity's EIN. Note.. See the chart on page 4 for further clarification of name and TIN ocmbinations, Flow to get a TM. If you do not have a TIN, apply for one immediately. To apply for an SSN, gat Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www,ssa,gov, You may also get thls form by calling 1-800-772-1213. Use Form WM7, Application for IRS Individual Taxpayer Identification Number, to apply for an MN, or Form 88-4, Appllbation for Employer identification. Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS webstto at Wwwars,gov/businesses and clicking on Employer Identification Number (EIN) Under Starting a Business. You can get Forms W-7 and SS-4 from the IRS by visiting IRS;gov or by. calling 1-800 TAX -FORM (1-800-829-3876). If you are asked to complete Form W-9 but do not have a TIN,apply for a TIN and write "Applied For" In the space for theTlN, sign and date the form, and give It to the requester, For interest and dividend payments, and certain payments made with respect to readily tradable Instruments, generally you will have 60 days to get a TIN and glve It to the requester before you are subject to baokup•withholding on payments, The G0-day rule does not apply to other types of payments, You will be subject to backup withholding on all such payments until you provide your TIN to the requester. Note. Entering "Applied For" means that you have already applied for aTIN or that you Intend to apply for one soon, Caution:A disregarded U,S, entity that has a foreign owner must use the appropriate Form W-8, Form W-9 (Rev. 12-2014) Paged' Part ii" Certification To establish to the withholding agent'thatyou are a US. person, or resident alien, sign Fort W-9. You may be requested to sign bytho withholding agent even .if items 1, 4, or 0 below Indicate otherwise.. For'ajolnt'acoount, only the person whose TIN Is shown in Part I should sign (when required). hi the case of a disregarded entity, the person Identified online 1 must sign. Exempt payees, see Ereampffiayea cods earlier, Signature requirements. Complete the certifloatlon as indicated In items 1 through 5 below. 1. interest, dividend, and barter eXchenge accounts, opened before 1984 and broker accounts considered active'durk:g'1993. You must giver your con -eat TIN, but you do not have to sign the; certification, 2. interest, dividend, broker, and barter exchange asoounts opened after 1983 and broker accounts-beheidored iliaotive during 1983. You must sign the certification or baokup withholding will apply. If you are subject to baokup withholding and you are merely providing your correct TIN to the requester, you must cross out item'21n the ceniflcstion before signing the form, 3. Real estate 'transactions. You must sign the oerflfioation, You may Cross out Item 2 of the certification. r. 4.Other payments. Vou must glve.yoiircorreetTIN, but you do not have tosign the Certification unless you have been notified that you have previously given an incorrect'11N, "Other payments" include payer seta shade in the bourse of the requester's trade or business for rents, royalfl(es; goods (other than bills for merchandise), medical' and health dareservloeeLincluding payments to . corporations), payments to a nonemployee for services; payments made in settlement of payment card and third party netWork'transactions, payments to certain fishing boat crew' members and fishermen, and gross proceeds paid to attorneys (Including payments to corporations). 6, Mortgage interest paid by you,,acquisition or abandonment of secured property; cahceilation of debt giretitted tum ition prograpayri ente (under se.otfpn 529), IRA, Ccverde(' ESA, Archer`•MSA or HSA soniributions or distributions, and pension distributions. You must giveyour correct TIN, but you do not have to sign the certification. What Name and Number To Give the Sequester For this type of account:: Give name and SSN of: 1. Individual 2. Two or more Individuals (lolnt account) 3. Custodian account of a minor (Uniform Gift to Minors Act) 4. a. The usual revocable savings trust (grantor Is also trustee) b. So-called trust account that le not a legal or valid trust under state law 5, Sole propdetorshipor'disregarded ' entity owned by an individual 6, Grantortrustf Bing under Optional. Form 1099 Filing Method 1 (see; Regulations section 1 671-4(b)(2)(1) (A)) ,The IndMVldual Tho actual owner of the a000unt or, If combined funds, the first Individual on the account' The minor The grantor -trustee' The actual owner' The owner' The grantor` .. ' For this type of account;, . Give name and EIN Of: 7. Disregarded entity not owned by an indivl'dual 8, A valid trust, estate, or pension trust 9,'Corporation or Lt.0 electing corporate status on Form 8832 or Form 2553• 10. Association, club, relIglous, charitable, educational,' or other tax- exempt organization 11, Partnership or mufti -member ILO 12. A broker or registered nominee 13. Account with the Department of Agriculture In the name of a publio entity (suoh as a state or local government, school district, or prison) that receives agricultural program payments 14. Grantor trust filing under the Form 1041 Fling Method or the Optional Form 1099 Filing Method 2(see Regulations section 1,671-4(b)(2)(i) (3)) Tfis owner Legal ertttty.` 'the corporation , The organization The partnership The broker or nominee The publio entity • The trust 1 Jet first and Oldie tha°name of the person whose number you furnish. If only and person on a Joint account has an MN, that person's number must be furnished. 2 Circle the minor's name and furnish the minor's SSN. 'You must show your Individual name end you may aleo enter your bualness or DNAname en the "Bualnesa nsme/dlsregardod entity" name line, You may use either your SSN or9IN (if you have one), but thei0S encourages you to use your SSN, 4 Llst lirsf and cbole the narire of thetrust, estate, or pension trust. (Da not furnish the TIN of the personal representative or trustee unless the legal entity itself Is not designated In the account title.) Also see Special rules forpwtnarshlpa on page 2. "Note, Grantor also must provide a Fora W9 to trustee of trust , Note. If no name la circled when more than one flame Is listed, the number will be considered to be that of the first name listed. Secure Your Tax Records from identity Theft Identity theft scours when airrieone uses your personal Information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An Identity thief may use your' SSN to get a job or may file a tax return using' your SSN to reoeive'a refund. To reduce your risk: • Protectyour8SN, •' Ensure your employer is protecting your SSN, and s Se careful when choosing a tax preparer. If yourtax records are affected by identity. theft and you receive a notice frorn the IRS, respond tight away to the name and phone number printed on the IRS notice or fetter:` • If your tax records are not currentlyaffeoted by Identity theft but you think you are at risk due to a foster stolen purse or Wallet, questionable credit card activity, or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039. For more information, see Publication 4535, IdentftyTheft Prevention and Assistance. Vlatlms of identity theft who are experiencing economlo harm or a system problem; or 'are seeking help lir resoivi'ri'g tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll -free case intake line at 1-877-777-4778 orTlY/TOTY1-800-829-4059. Proteotyoursolf from suspicious•elnails or phishing schemes. Phlshing Is the creation and use of email and'websltes designed to mlmio legitimate business smalls and websites. The most comrpon adds sending an email to a user falsely claiming to be an established legitimate enterprise In •an attempt to scam the user into surrendering private infohrttatlon that Will be used for identity theft. The IRSdoes dirt initiate d6l taCte With taxpayers via omens. Also, the IRS does not request personal detailed infarmatlen through &mall or ask taxpayers for the PIN numbers, Jiasswdrds, or similar secret access information for their credit card, bank, or other financial accounts. If you receive an unsollolted email Claiming to be front the IRS, forward this message to phfshingdirs.gcv.. You may also report misuse of the IRS name, logo, or other IRS property'to:the Treasury Inspector General for Tax.Adminiefratlon (TIGTA) et 1-800 f66 484. You can forward suspicious smalls to the Federal Trade Conrmissldn at spam9uce:govor coritaotthem et www,fta,gav(idtheft or 1-877-IDTHL,t-i (1-877-438-4338). Visit IRS,gov to learn more about identity theft and how to reduoe your risk, Privacy Act Notice Section 6109 of the Internal Revenue Cade requires you to provide your correct TiN to persons (including federal agenofes);who are required to file Information returns with the Ins to report interest, dividends, or certain other income paid to you; mortgage Interest you paid; the acquisition or abandonment of secured roperty; the cancellation of debt; or oontdbu Ions you made to an IRA, Aroher SA, or i {SA. The person collecting this form uses the Information on the form to file inforrriatidn fetums With tiler IRS, 're;porting the above information. Routine uses of this information inctdde giving it to the Department of Justice for civil and criminal litigation and to cities, states, the Dlstriot of Columbia, and U.S, conin rrt/eaiths and possessione for use In administering their laws. The • information also may be disclosed to' other oountiles under a treaty, to federal and state agencies to enforce, civil and eriminel laws, or to federal law enforcement and intelligence agencies to cdrrrbatterrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does' not give aTIN to the payer. Certain penalties may also apply for providing false" or fraudulent information, r • 11 MI• Zelberit 4vadAnci EveuLij MIDENT REPORT ATTACHMENT N IDENTIFYING INFORMATION Reporting Party Phone # Date of Incident / / Time of Incident arulpm Reporting Party Name Contract Provider Nave Program Name Provider Location Specific Program: (check all that apply) 0 Miami -Dade County HT 1:1 Prireaty Care 0 CoC Program 0 Emergency Cl Challenge Specific location/ address where incident occurred; TYPE OF INCIDENT ALTERCATION 0 GrIPNT D.EATH 0 CLIENT INJURY OR ILLNESS' 0 THEFT In SEXUAL BATTERY LI SUICIDE AI IIMPT 0 PROPERTY DAMAGE LI OTHER INCIDENT Specify• PARTICIPANT (S) / WITNESS (ES) (Please mark W or P for either Via -Mess or Participant) LAST NAME, MST ll:DENTITUR I CLIENT EMPLOYEE Orlin W / P 0 0 0 0 El El _ El 0 I: DESCRIPTION OF INCIDENT Give detailed account — who, what, where, when, why, how add pages if necessary ATTACHMENT N "MD CHT Incident Report Form Page 1 of 2 IvIIAMPLAM tdpart guellota 8rro,Zety ATTACITMENT N CORRECTIVE ACTION AND FOLLOW UP Immediate corrective action taken Is follow up action needed? El Yes El No If.yes„ specify INDIVIDUALS NOTIF I *Abuse Registry 1-800-962-2873 *Applicable Law Enforcement Department Indicate person contacted, if report was accepted, the date and the time, and if by telephone or if copy of report available. Incident Reports — The,Subrecipient must report to Miami -Dade County Homeless Trust information related to any critical incidents occurring during the administration term of its programs. In addition to reporting this incident to the appropriate authorities the Subreciplett must within twenty-four (24) hours of any incident, submit it writing a detailed account of the incident. This incident report should be addressed to the Contract Officer or Administrative Officer assigned. This incident report should be addressed to Miami -Dade County Homeless Trust, 111 NW First Street, 27th Floor, Site 310, Miami, Florida 33128; telephone (305) 375-1490 and facsmilie (305) 375-2722. Definitions of Reportable lueldents a. Altercation. A physical confrontation occoning between a client and eeiployee or two, or raore clients at the tine services are being rendered, or when a client is in the physical custody of file department, which results in one ot more clients or employees receiving medical treatment by a licensed health care professiOnal. b. Client Beath. A person whose life terminates due to or allegedly due to an accident, act of abuse, neglect or other incident occurring white in the presence of an employe; in Homeless Trust contracted progtatn facility. c. Client Injury or Illness. A medical COndition of a client requiring medical treatment by a licensed health care professional sustained or allegedly siastained due to an accident, act of abuse, neglect or other incident Occurring while in the presence of an employee, in a Homeless Trust contracted program. 1 Other Incident An -unusual occurrence or circumstance initiated by something other than natural causes or out of the ordinary such as a tornado, kidnapping, riot, or hostage situation, whicbjeoperdizes the health, safety and welfare of clients. e. Sexual Battery. An allegation of sexual battery by a client on a client, employee on a client, or client on an employee as evidenced by medical evidence or law enforcement involvement, f. Suicide Attempt An act which clearly reflects the physical attempt by a client to cause his or her own death while in the physical custody of the department or a departmental contracted or certified provider, which results in bodily injury requiring medloal treatment by a licensed health care professional. g. Property damage -an incident involving damage to any property procured with Miami -Dade County Homeless Trust funding. Print Name of Person Submitting Report Signature ATTACHMENT N "MDCHT Incident Report Form Page 2 of 2 Provider Name: Program Name: Funding Source: Reporting Period: MIAMI-DADE COUNTY HOMELESS TRUST PROVIDER. ASSET INVENTORY ATTACHMENT 0 Description of Property - Serial/ID Number Acquisition Date Acquisition Cost Vendor Name % of Purchase Cost From Grant Location of Property Use and Condition of Property Who Holds Title of Property . . **Attach Invoices fro all purchases this grant period. ATTACRIVIEN'y P MIAMI DADE COINTY HOMELESS faIST k. i. CLIENT SERVICES CERTIFICA.T1ON REFERRAL FORM EOR EMPLOYES OF I T-10MELESS TRUST FUNDED'PROGR.A.MS . . 11:,'S'ERUCTIONS: Provider making referral must complete this tivt)-qtage rorrn, in;.Ouclint; signatures • by Applitint and il-r6vider Represe.htativ es. Fm: c9npioted forma to Provider ,Receiving Referral tor rioitean'd by Services, • Date: Referfing Providqr: Contact P ers o n : . ,Ne ,Title Phone NuTnber INFORMATION ON READ OF I-.101.18E1-1OLD: Last Name: • First:1\1mm: Date of ?,)4-11: WORMATION 'ON OTI-MR ICYCISF,HOLD mBmBvs: IS ANY ?MISER OF TOE PIOUSEBOLD EMPLOYED BN,,O,R a?,ALA, MD TO AINT EIV.IPLOYEI OF, A BONELESS TRUST FUltDED PROGRAM? Yes If yes: Thtno o'f Ernployoe:,_' . • EinpIoxing Provider: Reationslip to Aiiplicant: CERT FICATIO .the nncieraigned., do :hereby eertif-y that t-1: above,•information providedLy me,is.irco and a033-QC,t10 the beat -Of my knowledge, Appl cant' s 'Name S'ipature: , Referrinn Provider Authorized R epresentative Name: Sig-1211We Date • ATTACHMENT P povIDER kr,FERRAL FOR.IVI PACE TWO Ap1caiis Name the Applicant or a Member of, their It'ott sehold is an employee of the re"feiring provider, the ' approval of the P,To \Icier at!acirtlye Director $s hereby indleited by signature: Iklarce/Title Date IT the Applicant oi' a member oitbeIr household ip 'in employee of the proVider where services will be provided, the approval of The Provider Executive bireetor, the Homeless Trust Exe,euttve Director, and theBorneless Trust. Board gi air are. hereby /taloa:led by signature:. • PrtMddr Executive Director ' . • te Miatrii-Dade Courtly PIonaeless rit Chairperson Date Miami -Dade County Homeless Trust Executive Director Date • ADDITIOWa, iI0tgEHOLD INFORMATION: • where is the household n.dw? (Facility name., exact addreo) Date of present homelessness: Explain the homeless situation, and what caused the current lio.melespness:„. ,A1OrE 70 RE.P.ERRING PROlvitAER: • PROVIDING 'ME ABOVE INFORIOT)ON DOES NOT ENSURE APPRDVAI, FOR TIODSING OR OTHER SERVICE 'REQUESTED. A DETER.Mh4116N VaLL BE MADE :FOLLOWiNG A COMPL:ETg A.SSESSKENT OF THE APPLICMT'S CASE, MIS SECTION FOk sEievics morarot reiziFF USE Meat,c YES- NO Nanzal)f ProvitiaT4Sereeniag Savff: • PLEASE MAINTAIN THE EXECUTED COPY OF, THIS DOCUMENT IN THE.CLIENT FILE OF THE 8ER.VI ONG PROVIDtR AND PEaSONNEL FILE OF REFEMING