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FY 2015 United States Department of Housing and Urban Development (US HUD) Continuum of Care (CoC) Program Grantee: Mia 1-Dade County through its Ho less Trust And Subrecipient: City of Miami, Florida Program Name: Miami Homeless Assistance Program Grant 4f: FL0211L4D001508 INDEX Cover page ---page I Index —page 2 Whereas and preamble —page 3 1. Statement of Work a. Activities ---page 3 b. Time Schedule —page 4 e. Budget ---page 4, 5, 6 2. Records and Reports a. Financial Management —page 7 b. Records and Access to Records ---page 8 e. Public Records ---page 9 Encouraging Efficient Use of Information Technology and Shared SerVjGCS--page10 e. Reports: ij Progress Reports; if) APR; iii) Survey; iv) Participants' Application for Housing; v) Program Income; vi) Program Guidelines; vii) Audit; viii) Incident; ix) COOP through x) Mandatory Disclosures —pages 10 through 13 3. Special and General Conditions a. Staff Responsibility —page 13 b. Client Referral Process —page 13 c. Documents to facilitate the Reimbursement of services —page 13 d. Compliance with rules, guidelines of CoC Rental Assistance items i) through v)---page 13 c. VAWA Emergency Transfer Plan —page 14 f, Performance Improvement Plans —page 14 g. General Conditions i. Insurance; ii) Indemnification; iii) Certification and Representation; Iv) Conflict of Interest; v] Affidavits— pages 14 through 17 h. Civil Rights —page 18 through 20 4. Suspension and Termination a. Suspension —page 21 b. Termination —page 21 through 23 5. Future Funding Applications —page 23 6. Reversion of Assets a. Term of Commitment —page 24 b, Repayment of Grant —page 24 c. Prevention of Undue Benefit ---page 24 d. Revocation of License or Permit —page 25 e. Declaration of Restrictive Covenant and Declaration of Restrictions ---page. 25 7. Uniform Administrative Requirements a. Accounting Standards, Costs Principles and Regulations ---page 26 h. Retention of Records —page 27 8. Additional Requirements Items a through gg ---pages 27 through 35 9. Religious Organizations ---page 36 10. Health Insurance Portability and Accountability Act (HIPAA)---page 3637 11. Proof of Licensure / Certification and Background Screening a. Licensure / Certification ---page 37 b, Background Screening —page 38 Signature ---page 39 Index of Attachments A through K---page 40 CoC Grant 11F10211L4D00 508, City of Miami, Homeless Assistance Program Page 2 Subrecipient Agreement between Miami -Dade County and City of Miami, Florida for the FY 2015 US HUD CoC Program Grant #FLO211L4D001508 Miami Homeless Assistance Program THIS AGREEMENT, entered this day of , 201 , by and between Miami -Dade County, on behalf of its Homeless Trust (HT) (hereinafter called the "Grantee"), and City of Miami, Florida (hereinafter referred to as the "Subrecipient") under this Agreement. WHEREAS, the Homeless Emergency Assistance and Rapid Transition to Housing Act of 2009 (HEARTH Act) amended the McKinney-Vento Homeless Assistance Act, consolidating three (3) separate reauthorized McKinney-Vento Homeless Assistance Programs, Supportive Housing Program (SHP), Shelter Plus Care (S+C) Program, and Section 8 Moderate Rehabilitation Single Room Occupancy (SRO) Program into a single grant program known as the Continuum of Care (CoC) Program. WHEREAS, the Grantee has applied for and received funds from the United States Department of Housing and Urban Development (US HUD) under the McKinney-Vento Homeless Assistance Act as amended by The HEARTH Act of 2009 (42 U.S.C. 11301, et seq.). WHEREAS, the Grantee agrees to comply with all requirements of this Agreement and to accept responsibility for such compliance by the Subrecipient to which it makes grant funds available; and NOW, THEREFORE, it is agreed between the parties hereto that; 1. Statement of Work a. Activities - The Subrecipient shall adhere to the "Continuum of Care Program Grant Agreement and Exhibit 1 Scope of Work for FY 2015 Competition", Attachment A, which is incorporated herein and governed by the Continuum of Care (CoC) Program rules and regulations (the "Rule"), The Subrecipient shall comply with afl applicable federal, state and local laws, regulations and ordinances, including but: not limited to 24 CFR Part 578, as may be amended, the McKinney- Vento Homeless Assistance Act (42 U.S.C. 11301 et seq.) (the "Act"), as may be amended, the Consolidated and Further Continuing Appropriations Acts of 2013 and 2014 (The Consolidated Appropriations Act of 2014, Public Law 113-76, approved January 17, 2014 in the "FY 2014 HUD Appropriations Act") as well as with any other terms and conditions as HUD may have established in the applicable Notice of Funds Availability (NOFA) and with any applicable guidance, requirements and directives provided by US HUD and with any applicable guidance, requirements and directives provided by Miami -Dade County Homeless Trust. The Subrecipient shall carry out the activities specified in the "Scope of Service and US HUD eSnaps Documents" Attachment I. The Subrecipient shall also adhere to the Standards of Housing and Services as set forth in the "Miami -Dade County Homeless Trust Standards of Care", as may be amended from time to time and incorporated herein by reference. The Subrecipient shall adhere to all applicable CoC Grant #FL02111.4D001 508, City of Miami, Homeless Assistance Program Page 3 federal, state and local laws, regulations, rules and standards, as well as with the terms of this Agreement including all attachments. b. Time Schedule — The Grantee and the Subrecipient agree that his Agreement shall become effective on June 1, 2016, This Agreement shall expire on May 31, 2017, one (1) year from the effective date. Any cost incurred by the Subrecipient beyond this date will not be paid by. the Grantee, except as specifically provided herein. Notwithstanding any provision herein to the contrary, certain requirements imposed on the ,Subrecipient by this Agreement and federal regulations may continue for a term, of at least fifteen (15) years from the date of initial occupancy or service, as provided in this Agreement or as specified by law or regulation. The requirements of this Agreement shall remain in effect during any .time period that the Subrecipient has control over any funds generated or provided in connection with this Agreement, including program .income. c. Budget — The Grantee agrees, subject to the availability of funds and payment of funds to the Grantee by the United States Department of Housing and Urban Development and subject to the Subrecipient's compliance with all applicable laws and agreement terms as determined by the Grantee, to pay for contracted activities according to the terms and conditions contained within this Agreement, Subrecipient's application for the CoC Homeless Assistance Program, and the Subrecipients NOFA application documents as Project Sponsor and "Scope of Service and US HUD eSnaps documents" including the Budget incorporated herein as Attachment B, in an amount not to exceed $0.00 for Rental Assistance, $0.00 for Leasing, $239,116.00 for Supportive Services, $0.00 for Operations, $0.00 for HMIS costs and $16,737.00 for overall Project Administration Costs which added together equals an amount of $255,853.00 in TOTAL BUDGET, If the Grantee, Miami -Dade County through its Public 1-lousing and Community Development Department (PHCD) or such other department or party as may be selected by Miami -Dade County Homeless Trust, is the Rental Administrator; then the Grantee shall pay the "CoC Program HAP Contract" Attachment K payments directly to Landlord, owner(s). The total amount awarded pursuant to this Agreement, in amount up to $0.00 for Rental Assistance funds has been allocated for use as eligible rental assistance payments on behalf of the Subrecipient's program participants. Pursuant to 24 CFR 578.59, the Granteeshall retain 500/0 of the Overall Project Administration Costs, except where limitations are imposed as may be applicable pursuant to 42 USC § 11383 (a). If applicable, the Subrecipient shall be reimbursed for capital funding on an incremental basis, based on the following completion benchmarks: 30%, 30%, 300/0 and 10% to be provided when a final Certificate of Occupancy is obtained from the developer, in accordance with any applicable' laws and regulations. A]] other activities shall be paid on a reimbursement basis following the submission of a monthly invoice along with the appropriate supporting documentation. CoC Grant #F 0211L4D001508, City of Miami, Homeless Assistance Program Page 4 In accordance with federal requirements including 24 CFR Part 578.73, the Subrecipient agrees to provide match funds in an amount that represents no less than twenty-five percent (25%) cash or in -kind contributions on all eligible grant funds, except leasing. If in -kind services provided through a third party are used to fulfill part of the match, a fully -executed Memorandum of Understanding (MOU) between the Subrecipient and the third party that will provide the services must be submitted to the Grantee. The budget figures above represent the original line item totals as delineated in the "Continuum of Care Program Grant Agreement" Attachment A. The Subrecipient may propose to shift funds by less than 100/a between eligible' categories in the "Scope of Service and US HUD eSnaps ocuments" Attachment B, if the appropriate match is provided, the administrative costs are not increased and the proposed shift is submitted in writing for the Grantee's consideration. The Grantee may, but is not required to, approve the proposed shift. Any approval must be in writing. As such, if Attachment B s modified as described above, the figures within the "eSnaps Application" may not match the contracted figures delineated in the "US HUD Grant Agreement." In accordance with 24 CFR 578 the Subrecipient is prohibited from moving more than 1.0% from one budget line item in a project's approved budget to another without written "US HUD grant amendment" and amendment to this Agreement. This is a Performance -based Agreement to deliver housing and or services to Subrecipient's Continuum of Care (CoC) program participants. The Subrecipient shall provide seven hundred forty-eight (748) outreach contacts and placement services through Supportive Services Only for homeless persons under the Continuum of Care Program. This program with a main office located at 450 SW 50, Street, Miami, Florida 33130. Service is located in Miami -Dade County, Florida. The Subrecipient shall provide services as outlined in the Attachments to this Agreement as required, pursuant to the FY 2015 US HUD CoC Program NOVA Competition as submitted in the project application, incorporated herein by reference. Availability of funds shall be determined in the Grantee's sole discretion. If this Agreement is for permanent supportive housing or permanent housing for eligible homeless individuals and /or homeless families; the Subrecipient agrees that, with some exceptions, no undocumented or illegal immigrants shall be eligible for services provided under this Agreement. Additionally, the Subrecipient shall comply with The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 ("PRWORA"), as may be amended and applicable law, in verifying citizenship, residency and immigration status of potential participants. The Subrecipient shall comply with The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 ("PRWORA"), as may be amended and applicable law, in verifying citizenship, residency and immigration status of potential participants. The Subrecipient hereby acknowledges that PRWORA prohibits housing or services provided under this Agreement to undocumented or illegal immigrants. CoC Grant #E1021.11,4D001508, City of Miami, I1ome1ess Assistance Program Page 5 When the Grantee, Miami -Dade County through its Homeless Trust is the rental administrator of the CoC Program (also known as Tenant -Based, Sponsor - Based or Project Based Rental Assistance). If this Agreement is for permanent supportive housing or permanent housing for homeless participants, under the CoC Program and the Grantee, Miami -Dade County through its Homeless Trust is the rental administrator of payment of Housing Assistance Payment (HAP) Contracts the following rules, regulations, responsibilities apply: Agreement specifically for housing under Tenant -based or Sponsor -based, or Project -based Rental Assistance, it is the Subrecipient's responsibility to identify eligible rental units for eligible homeless program participants in partnership with the established CoC's Coordinated Outreach and Assessment System. The Landlord identified by the Subrecipient must enter into a "Housing Assistance Payment (HAP) Contract", Attachment K attached to this Agreement. When the Subrecipient is the rental administrator of payments of Housing Assistance Payment (1-IAP) Contracts for the Permanent Housing Tenant -Based, Sponsor -Based or Project Based Rental Assistance or Rapid Re -Housing CoC Program. If this Agreement is for permanent supportive housing or permanent housing for homeless participants, under the Legacy SHP or CoC Rental Assistance Program and the Subrecipient is the rental administrator of the "Housing Assistance Payments (HAP) Contracts" Attachment J, the following rules, regulations, and responsibilities apply: It is the Subrecipient's sole responsibility to identify eligible rental units for eligible homeless program participants in partnership with the established CoC's Coordinated Outreach and Assessment It is the Subrecipient's sole responsibility to enter into a "Housing Assistance Payment (HAP) Contract" Attachment J with the eligible owner of each, rental unit ("Landlord"). The Subrecipient must use the HAP Contract template .forms in Attachment J attached to this Agreement when the Subrecipient contracts with the Landlord. The Subrecipient is responsible. for ensuring the HAP Contract complies with all program requirements, terms and conditions of this Agreement, and applicable law. The Grantee, Miami -Dade County, shall not be a party to the HAP Contract. Should the Subrecipient desire or require any amendments to the HAP Contract template form; the Subrecipient shall advise the Grantee of the proposed amendment(s) and explain why the amendment(s) is desired or required prior to amending the HAP Contract template form. The Subrecipient is solely responsible for paying rent to the Landlords on time. The Subrecipient shall develop forms for Landlords' use in collecting late fees arising from Subrecipient's failure to pay a Landlordrent on time. The Subrecipient shall be solely responsible for payment of any late fee arising from any late rent payment(s) to .Landlord(s). The Subrecipient shall indemnify the Grantee, Miami -Dade County, and pay all costs of defense, including attorneys' fees arising from or related to the HAP Contract and this provision. 2. Records and Reports CoC Grant #FLO2i 1 L4D001508, City of Miarni, llomelessAssistance Program Page 6 a. Financial Management - The Grantee and the Subrecipient shall adhere to the requirements for financial reporting as required pursuant to the Federal Office of Management and Budget (OMB) Omni or Super Circular 2 CFR Chapter I, and Chapter II, Parts 200, 215, 220, 225, and 230 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, as may he amended or updated from time to time; 24 CFR Part 578, as may be amended or updated from time to time; and any other applicable laws, regulations and standards. Requests for payment shall be submitted to the Grantee by the fifteenth (15,h) of the month in the following manner. All requests shall include supporting documentation for each line item, including payroll reports, time sheets, invoices, leasing agreements and shall be signed by the Executive Director, Financial Officer or other duly authorized fiscal agent of the Subrecipient in the forms incorporated herein as combined "Consolidated Financial Record and Reports", Attachment E. Reimbursement shall be provided only for eligible costs associated with the activities outlined in the budget contained within the "Scope of Service and US HUD e-Snaps Documents" Attachment B. Any reimbursement may be withheld or reduced by the Grantee if rnissing receipt of documents verifying the in -kind or cash match expenditures or compliance requirements are not met. Cash match or in -kind contributions must be used for the costs of activities that are eligible in the governing regulations. Any reimbursement may be withheld pending the receipt of approval by the Grantee of ali reports and documents required herein, including but not limited to the submission of an accurate and complete Annual Performance Report (APR) "Performance Reports (Monthly and Annual) HMIS and Fiscal Report" Attachment F. The Subrecipient shall provide a certification statement for all annual financial reports and requests for payment which states the following: "By signing this report, I (insert name here) certify to the best of my knowledge and belief that the report is true, complete and accurate and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the federal award. I am aware that any false, fictitious, or fraudulent information or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or other offense." In no event shall the Grantee funds be advanced to any of the Subrecipient's subcontractors hereunder. The parties agree that the Subrecipient may request a revision, amendment, or modification of the schedule of payments or line item budget. However, such revisions, amendments or modifications shall be, in writing and subject to review and approval by the Grantee and, if applicable, by US HUD. if there is a request to shift greater than 10% of funds between funding activities, such requests shall be submitted to the Grantee no later than one hundred twenty (120) calendar days prior to the expiration of the grant, If the request is a shift of less. than 10% of funds !between funding activities, a modification or revision, shall be submitted to the Grantee no later than sixty (60) calendar days prior to the expiration of the grant. CoC Grant #FL0211L4D001508, City of Miami, Homeless Assistance Program Page 7 Failure to submit the appropriate supporting documentation in a timely manner may result in the inability of the Grantee to revise, amend or modify the budget. A final request for reimbursement from the Subrecipient will be accepted by the Grantee up to thirty (30) days after the expiration of this Agreement. If the Subrecipient fails to comply, all rights to payments will be forfeited if the Grantee so chooses. A final report of expenditures shall be submitted to the Grantee within thirty (30) calendar days from the termination or expiration of this Agreement. If after the receipt of such final report, the Grantee determines that the Subrecipient has been paid funds not in compliance with the Agreement, and to which the Subrecipient is not entitled, the Subrecipient shall be required to return such funds. However, if the Subrecipient submits documentation demonstrating that the expenditure was in compliance with this Agreement to the satisfaction of the Grantee, the funds shall not have to be returned. The Grantee shall have the sole and absolute discretion to determine if the Subrecipient is entitled to such funds and the decision of the Grantee in this matter shall be final and binding. b. Records and Access to Records - Agreement records are defined as any and all books, records, client files (including client progress reports, referral forms, case notes and other reports or work product), documents, information, data, papers, letters, materials, electronic storage data and media whether written, printed, electronic or electrical, however collected or preserved which is or was produced, developed, maintained, completed, received, or compiled by or at the direction of the Subrecipient or any subcontractor directly or indirectly related to the duties and obligations required by terms of this Agreement, including but not limited to financial books and records, ledgers, drawings, maps, pamphlets, designs, electronic tapes, computer drives, flash drives and diskettes or surveys. The Subrecipient shall maintain Agreement records that document all actions to comply with and that relate to this Agreement, including those on race, ethnicity, gender, disability and homeless status data; and those in accordance with generally accepted accounting principles, procedures, and practicesas required in OMB Omni or Super Circular Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards which shall sufficiently and properly reflect all revenues and expenditures of funds provided directly or indirectly by the Grantee pursuant to the terms of this Agreement which shall include but not limited to a cash receipt journal, cash disbursements journal, general ledger, and all such subsidiary ledgers as may be reasonably necessary. The Subrecipient shall provide to the Grantee, upon request by the Grantee, all Agreement records. The requested Agreement records shall become the property of the Grantee without restriction, reservation, or limitation of their use and shall be made available by the Subrecipient at any time upon request by the Grantee. The Grantee shall have unlimited rights to all books, articles, or other copyrightable materials developed in the performance of this Agreement. These unlimited rights include the rights of royalty -free, nonexclusive, and irrevocable license to reproduce, publish, or otherwise use, and to authorize others to use the work for public purposes. CoC Grant FLO211.IAD001508, City ofMiami, lomeless Assistance Program Page 8 The Subrecipient shall ensure that the Agreement records shall at a]] times be subject to and available for full access and review, inspection, or audit by Grantee and Federal personnel and any other persons so authorized by the Grantee. The Subrecipient shall include in all the Grantee approved subcontracts, language outlining eligible substantive programmatic services, recorclkeeping and audit requirements as detailed in this Agreement. This includes all subcontractors eligible to carry out substantive programmatic services as detailed in this Agreement. The Grantee shall, in its sole and absolute discretion, determine when services are eligible substantive programmatic services and subject to the audit and recordkeeping requirements described in this Agreement. These records shall be maintained pursuant to this Agreement. the Subrecipient received funds from or is under regulatory control of other governmental agencies, and those agencies issue monitoring reports, regulatory examinations, or other similar reports, then the Subrecipient shall provide to the Grantee a copy of each report and any follow-up communications and reports immediately upon such issuance unless such disclosure is a violation of those agencies' rules. c. Public Records —Pursuant to Section 119,0701, Florida Statutes, the Subrecipient shall: i. Keep and maintain public records that ordinarily and necessarily would be required by the Grantee in order to perform the service; ii. Upon request from the Grantee's custodian of public records identified herein, provide the Grantee with a copy of the requested records or allow the public with access to the public records on the same terms and conditions that the Grantee would provide the records and at a cost that does not exceed the cost provided in the Florida Public Records Act, Miami - Dade County Administrative Order No. 4-48, or as otherwise provided by law; iii. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of this Agreement's term and following completion of the services under this Agreement ifthe Subrecipient does not transfer the records to the Grantee; and iv. Meet all requirements for retaining public records and transfer to the Grantee, at no Grantee cost, all public records created, received, maintained and / or directly related to the performance of this Agreement that are in possession of the Subrecipient upon termination of this Agreement. Upon termination of this Agreement, the Subrecipient shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. Al] records stored electronically must be provided to the Grantee in a format that is compatible with the information technology systems of the Grantee. CoC Grant #FL0211L4D001508, City iarni, Homeless Assistance Program Page 9 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 of 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 Grantee, ln addition to penalties set for in Section 119.10, Florida Statutes, for the failure of the Subrecipient to comply with Section 119.0701, Florida Statutes, and this Article II, Section 2.1 (QQ) of this Agreement, the Grantee shall avail itself of the remedies set forth in this Agreement. If the Subrecipient has questions regarding the application of Chapter 119, Florida Statutes, to the Subrecipient's duty to provide public records relating to this Agreement, contact Miami -Dade County's Custodian of Public Records at: Miami- 1 ade County Homeless Trust I 11 NW lst Street, 27th Floor, Suite310 Miami, Florida 33128 Attention: Victoria L. Mallette, Executive Director Email: vmallettePmiamidade.gov d. Encouraging Efficient Use of Information Technology and Shared Services - in accordance with the May 2013 Executive Order on Making Open and Machine Readable the New Default for Government Information, OMB Omni or Super Circular 2 CFR Chapters!, Chapters II, Part 200, et al. Section 200.335 Methods for Collection, Transmission and Storage of Information; the Subrecipient is encouraged whenever practicable, to collect, transmit and store Federal award - related information in open and machine-readable formats. e. Reports - The Subrecipient shall submit to the Grantee the reports described below or any other document in whatsoever .form, mariner, or frequency as may be requested by the Grantee. These reports will be used for monitoring the progress, performance, and compliance with applicable Grantee and Federal requirements., 1. Progress Reports - The Subrecipient shall submit a "Homeless Management Information System (HMIS) generated "Performance Report", Attachment F, along with a summary and the specified forms attached hereto as "Consolidated Financial Record and Reports", Attachment E. These reports may be revised or updated by the Grantee from time to time; and shall describe the progress made by the Subrecipient in achieving each of the objectives identified in "Scope of Service and US HUD eSnaps Documents" Attachment B. The reports shall explain the Subrecipient's progress including comparison of actual versus planned progress for the period. The reports are due by the fifteenth (15th) du of the following month. The request for reimbursement, are also due by the fifteenth (1 5th) day following the close of the prior month. Subrecipients that are Domestic Violence Programs shall participate in a HMIS- equivalent system. Such Subrecipients shall provide proof to the Grantee of the utilization of an alternative system to compile all required data for the Performance Report. CoC Grant itFLO2111,4D001508, City ofMiarni, Homeless Assistance Program Page 10 ii. Annual Performance Report - The Suhrecipient shall submit a HMIS generated "US HUD CoC Annual Performance Report (0625-HUD-CoC-APR)" Attachment F, in addition to a complete and accurate report using supplemental "eSnaps CoC APR Financial and Performance Questions" provided by the Grantee Attachment F. The complete and accurate APR is due to the Grantee no later than thirty (30) days after the end of each operating year. The above referenced report may be substituted for any other US HUD required Report if approved by US HUD. iii. A Program Rating and Satisfaction Survey Report shall be conducted and retained by the Subrecipient in a separate tile and available for review and monitoring or as requested by the Grantee. The Program Rating and Satisfaction Survey forms, included herein by reference only may be substituted or updated by the Grantee with a comparable satisfaction survey. iv. When the Grantee, Miami -Dade County is the Rental Administrator: The Subrecipient shall submit a complete an accurate CoC Program "Participant Application for Housing" Package, Attachment K, including all supporting documentation for each eligible prograrn participant accepted through the CoC's established Coordinated Outreach and Assessment HMIS system to Miami -Dade County Homeless Trust, 27th Floor, Suite 310, 111 NW First Street, Miami, Florida 33128. Pursuant to 24 CFR 578.77(c), the Subrecipient must examine program participants' income initially, and at least annually thereafter, to determine the amount of the contribution toward rent payable by the program participants. Adjustments to program participants' contribution toward the rental payment must be made as changes in income are identified. The Subrecipient is required for each program participant receiving assistance to notify the Grantee in writing of changes in the participants' income or other circumstances that affect the program participants' eligibility or need for assistance. The Subrecipient shall submit "Re -certification of Participation Application for Housing" Package Attachment K, no later than one hundred - twenty (120) calendar days before the expiration of term of the Lease Agreement and HAP Contract. The Re -certification application shall include documented evidence of the program participants' continued lack of sufficient resources and support networks necessary to retain housing without assistance from the CoC Program. When the Subrecipient is the Rental Administrator: The Subrecipient shall complete and maintain an accurate CoC Program "Participant Application for Housing" Package, Attachment J, including all supporting documentation for each eligible program participant accepted through the CoC's established Coordinated Outreach and Assessment HMIS system. Pursuant to 24 CFR 578.77(c), the Subrecipient must examine program participants' income initially, and at least annually thereafter, to determine the amount of the contribution toward rent payable by the program participants. Adjustments to program participantscontribution toward the rental payment must be made as changes in income are identified. The Subrecipient is required for each program participant receiving assistance to retain records for the Grantee's review, changes in the participants' income or other circumstances that affect the program participants' eligibility or need for assistance. The Subrecipient shall CoC Grant #FLO211L4D001508, City of Miami, Homeless Assistance Program Page 11 retain records of "Re -certification of Participation Application for Housing" Package Attachment J, no later than one hundred -twenty (120) calendar days before the expiration of term of the Lease Agreement and HAP Contract, The Re -certification application shall .include documented evidence of the program participants' continued Jack of sufficient resources and support networks necessary to retain housing without assistance from the CoC Program. v. Program Income —the income received by the Subrecipient directly generated by a grant -supported activity. Program .income earned during the grant term shall be retained and may either be 1) added to funds committed to the project by HUD and the recipient and used for eligible activities in accordance with the requirements pursuant to 24 CFR 578 or 2) used as match. Program Income is reported and submitted to the Homeless Trust monthly in the "Consolidated Financial Record and Reports", Attachment E vi. A "CoC Homeless Assistance Program Guidelines" Attachment G shall he completed and retained by the Subrecipient. This report must be available upon request during any site visit or comprehensive monitoring or inspection as requested by the Grantee. This report is an informational guideline to assist in compliance to the CoC Homeless Assistance Program policies, procedures and requirements and regulations. vii. Audit Reports — Subrecipients shall submit an audit conducted in accordance with the provisions of Omni or Super Circular 2 CFR Chapter I, and Chapter II, Parts 200, 215, 220, 225, and 230 Uniform ,Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, as applicable, and with 24 CFR 578,99(g) which provides that Subrecipients must comply with the audit requirements of OMB Circular A-133, "Audits of States, Local Governments, and Non-profit Organizations.". The Subrecipient shall provide such reports no later than one hundred -eighty (180) calendar days following the end of the Subrecipient's fiscal year, for each year during which this Agreement remains in force or until all funds earned from this Agreement have been so audited, whichever is later, provided that the Subrecipient has such an opinion prepared. The Subrecipient shall comply with any and all other applicable audit and reporting requirements. viii.incident Reports — The Subrecipient must report to Miami -Dade County Homeless Trust information related to any critical incidents occurring during the administration of its programs, using form "Incident eport" Attachment H. Such notification shall occur, within twenty-four (24) hours of the incident occurring. In addition, the Subrecipient shall report this incident to the appropriate authorities as well as submit in writing a detailed account of the incident. This Incident Report should be addressed to Miami -Dade County Homeless Trust's Disaster Coordinator, as well as the Subrecipient's assigned Contract Officer. The Subrecipient shall comply with the privacy, security and electronic transfer standards in transmittal of any Incident Report to comply with Health Insurance Portability and Accountability Act (HIPAA) in using appropriate safeguards to prevent non -permitted disclosures. This Incident Report shall be addressed to Miami -Dade County, Homeless Trust, Suite 310, 27th Floor, 111 NW lst Street, Miami, Florida, 33128; (305) 375-1490 and facsimile (305) 375-2722. CoC Grant #FLO211L4D001508, City of Miami, Homeless Assistance Program Page 12 ix. The COOP Report - The Subrecipient shall submit a Continuity of Operations Plan (COOP), also known as an Agency Wide and Program Specific Disaster Plan in PDF format and emailed as an attachment to Miami -Dade County Homeless Trust's Disaster Coordinator and an original paper copy submitted no later than April 1st of each operating year, x. Mandatory Disclosure - The Subrecipient is required to disclose in a timely manner and in writing "all violations of Federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the Federal award". Failure to make the required disclosures can result in a number of actions, including suspension and or debarment. 3. Special and General Conditions - a. The Subrecipient's Staff members providing eligible services under this Agreement are listed in the budget section of the "Scope of Service, US HUD eSnaps Documents" Attachment B. The Subrecipient shall additionally submit job titles and job descriptions upon request. b. The Subrecipient shall follow the client referral process in the Scope of Service contained within the "Scope of Service and US HUD eSnaps Documents" Attachment B and through the Continuum of Care (CoC)'s Coordinated Outreach and Assessment system. The client referral process may be amended by the Grantee to meet changing priorities of the Continuum of Care. All referrals shall be made to the Subrecipient and accepted by the Subrecipient through the established HMIS system. c. The Subrecipient shall provide any documentation necessary, such as the "W-9 Form" Attachment C, to facilitate the reimbursement of services. d. The Subrecipient shall comply with all rules, guidelines and regulations governing the CoC Rental Assistance program under 24 CFR 578, and any other applicable law, rules and regulations. i. Rental assistance projects must serve eligible program participants, including but not limited to retaining records of disability and homeless verification as part of the recordkeeping requirements. ii. Rental assistance funds are to pay Landlord owner(s) in the community the difference between the contract rent amount of the unit and the horneless participants' or tenants' contribution toward rent. The program participants' or tenants' contribution toward rent is determined by the type of program. Under tenant -based rental assistance, sponsor -based rental assistance, and project based rental assistance, program participants are required to pay rent to the landlord as determined under 24 CFR 578.77. It is important to note in all the US HUD CoC Programs, the prograrn participants enter into a Lease with the Landlord. iii. The Subrecipient must consistently follow policies and procedures used by the CoC's established Coordinated Outreach and Assessment (HMIS) system CoC Grant #FL0211„I4D0015 08, City of Miami, Homeless. Assistance Program Page 13 in accepting referrals of eligible program participants pursuant to 24 CFR 578.7(a)(8). iv. The Subrecipient shall establish referral protocols, policies and procedures subject to approval by Miami -Dade County Homeless Trust in documenting rejection of program participants accepted from the CoC's established Coordinated Outreach and Assessment (HMIS) system, which must include at a minimum, assurances that such rejections are justified and that the program participants are able to access another suitable program within a reasonable amount of time. v. The Subrecipient shall establish protocols, policies and procedures subject to approval by Miami -Dade County Homeless Trust and consistent with Miami -Dade County Homeless Trust's CoC "Standards of Care" pertaining to termination of assistance to program participants. The Subrecipient may terminate assistance to program participants who violates program requirements. Termination does not bar the Subrecipient from providing further assistance at a later date to the same participants, individual or family (household). The protoco], policies and procedures must include at a minimum a formal process that recognizes the rights of individuals receiving assistance under due process of law. This process must also consist of: (1) Providing the program participant with a written copy of the program rules and the termination process before the program participant begins to receive assistance; (2) Written notice to the program participant containing a clear statement of the reason(s) for termination; (3) A review of the decision, in which the program participant is given the opportunity to present written or oral objections before a person other than the person (or a subordinate of that person)who made or approved the termination decision; and (4) Prompt written notice of the final decision to the program participant. The Subrecipient providing permanent supportive housing for hard -to -house populations of homeless persons must exercise judgment and examine all extenuating circumstances in determining when violations are serious enough to warrant termination so that program participants' assistance is terminated only in the most severe cases. e. The Subrecipient shall comply with the Violence against Women Reauthorization Act (VAWA) as well as with 24 CFR 5.200, as may be amended, and with all applicable provisions of 24 CFR Parts 5, 92, 200, 574, 576, 578, 880, 882, 883, 884, 886, 891, 960, 966, 982, and 983 and with such administrative rules and policy guidance relating to VAWA as may exist, be adopted, or be amended from time to time, as may he applicable. g. The Subrecipient may be subject to a Performance Improvement Plan (PIP) at discretion of the Grantee. General Conditions — The Subrecipient shall comply with all applicable federal, state and local laws, regulations and required policies, including but not limited to the Continuum of Care (CoC) Program Final Interim Rule, 24 CFR Part 578, as may be amended from time to time, the McKinney-Vento Homeless Assistance Act, as may be amended from time to time (42 U.S.C. 11301 et seq.) (the "Act'') the CoC Grant FL0211L4D001.508, City of Miami, Flomeless Assistance Program Page 14 Consolidated and Further Continuing Appropriations Acts of 2012, 2013, and 2014 the Homeless Definition Final Rule, published in the Federal Register on December 5, 2011, as may be amended from time to time; the "Continuum of Care Program Grant Agreement" Attachment A and all other federal requirements of this grant. The responsibility for knowledge of and compliance with all Federal and any other legal requirements is that of the Subrecipient. The Subrecipient shall also comply with any guidance provided by US HUD regarding this Agreement, program and the services offered hereunder, as well as with any guidance provided by US HUD applicable to this Agreement, program and the services offered hereunder. The Subrecipient shall abide and be governed by the requirements of the Americans with Disabilities Act (ADA). Subrecipient shall designate with its organization an ADA Coordinator to ensure that all requirements of the ADA and any related applicable regulations and requirements are met by the Subrecipient. In addition, the Subrecipient agrees to comply with the following requirements. i. Insurance - if the Subrecipient is the State of Florida or an agency or political subdivision of the State as defined by Section 768.28, Florida Statutes, the Subrecipient shall furnish the Grantee, upon request, written verification of liability protection in accordance with Section 768.28, Florida Statutes. The written verification shall be submitted to Miami -Dade County Risk Management, Internal Services Division, located on the 23rd Floor, 111 NW 1st Street, Miami, Florida 33128. Nothing herein shall be construed to extend any party's liability beyond that provided in Section 768.28, Florida Statutes. lithe Subrecipient is a non -governmental entity said Subrecipient shall maintain required liability insurance coverage as noted below during this contract period. The Subrecipient shall maintain required liability insurance coverage as noted below at all times during this contract period. Public Liability Insurance on a comprehensive basis in an amount not less than $300,000 combined single limit for bodily injury and property damage. The Grantee must be shown as an additional insured with respect to this coverage, as evidenced by a Certificate of Insurance. Automobile Liability Insurance coverage for all owned, non -owned and hired vehicles used in connection with this Agreement in an amount not less than $300,000 combined single limit for bodily injury and property damage. Workers' Compensation Insurance for all employees of the Subrecipient as required by Florida Statutes 440. Flood Insurance shallbe maintained as per the requirements in 24 CFR Part 583.330(a). The insurance coverage required shall include these classifications, listed in standard liability insurance manuals, which most nearly reflect the operations of the Subrecipient. 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; CoC Grant #FL02111,4D001508, City of Miami, Homeless Assistance Program Page1.5 The company must be rated no less than "B" as to management, and no less than "Class V" as to financial strength by the latest edition of Best's Insurance Guide, published by A.M. Best Company, Oldwick, New Jersey, or its equivalent, subject to the approval of Miami -Dade County Risk Management Division. Or Compliance with the foregoing requirements shall not relieve the Subrecipient of its liability and obligations under this section or under any other section of this Agreement. No modification or waiver of any of the aforementioned insurance requirements shall be made without thirty (30) days written advance notice to the Grantee, and is subject to the approval of Miami -Dade County Internal Services Risk Management Division. ii. Indemnification — The Subrecipient shall indemnify and hold harmless the Grantee and its past, present, and future employees and agents from and against any and all claims, liabilities, losses, and causes of action which may arise out of or relate to this Agreement, or which may arise out of actions or negligence, in whole or in part, of the Subrecipient, its officers, agents, employees, or assignees in the direct or indirect fulfillment of this Agreement. The Subrecipient shall pay all claims and losses of any nature in connection therewith, and shall defend al] suits, in the name of the Grantee when applicable, and shall pay all costs and judgments which may issue thereon. It is expressly understood and intended that the Subrecipient is an independent contractor and is not an employee or agent of the Grantee. iii. Certifications and Representations — Pursuant to OMB 2 CFR Chapter i, Chapter 11, Subpart C (200.208), the Subrecipient shall provide a certification statement for all annual financial reports and requests for payment that states the following: "By signing this report, I (duly authorized signature) certify to the best of my knowledge and belief that the report is true, complete and accurate and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award. I am aware that any false, fictitious, or fraudulent information or the OrtliSSiOn of any material fact, may subject me to Cri171111CII, civil or administrative penalties for fraud, false statements, false claims or other offense." iv. Conflicts of Interest - The Subrecipient shall disclose to the Grantee in writing any possible or actual conflicts of interest or apparent improprieties relating to the Subrecipient under this Agreement. The Subrecipient shall make each disclosure in writing to the Grantee immediately upon the Subrecipient's discovery of such possible conflict, The Grantee will then render an opinion which shall be binding on a]] parties. v. Affidavits - The Subrecipient shall complete, notarize and provide one (1) original set of "Miami Dade County Affidavits and Declarations 1 through 16", "Attachment D". One (1) original set of Affidavits will remain on file with Miami - Dade County Homeless Trust, two (2) full set of copies will be created and one (1) copy provided to Miami -Dade County Clerk of the Board and one (1) copy to the Subrecipient. CoC Grant #FL02 1 L4 D001.508, City of Miami, Homeless Assistance Program Page 16 1 Miami -Dade County Ownership Disclosure Affidavit (Section 2-8.1 of Miami -Dade County Code "County Code"). 2. Miami -Dade County Employment Disclosure Affidavit (County Ordinance 90-133, Amending Section 2-8.1; Subsection (d) (2) of the County Code). 3. Miami -Dade County Affirmative Action / Non -Discrimination of Employment, Promotion and Procurement Practices (County Ordinance 98-30 codified at 2-8.1.5 of the County Code). 4. Miami -Dade County Criminal Record Affidavit (Section 2-8.6 of the County Code). 5 Sworn Statement Pursuant to §287.133 Florida Statutes on Public Entity Crimes. 6. Miami -Dade Employment Family Leave Affidavit (County Ordinance 142-9 codified as Section 11A-29 et. seq of the County Code). 7. Miami -Dade County Disability Nondiscrimination Affidavit (County Resolution R-385-95). 8. Miami -Dade County Regarding Delinquent and Currently Due Fees or Taxes (Section 2-8.1(c) of the County Code). 9. Miami -Dade County Current on all County Contracts, Loans and Other Obligations. (County Ordinance 99-162). 10. Miami -Dade County Domestic Violence Leave (11A-60 et.seq of the County Code). 11. Miami -Dade County Employment Drug Free Workplace Affidavit (County Ordinance 92-15 codified as Section 2-8.1.2 of the County Code). 12. Attestation regarding due and proper acknowledgement Miami -Dade County funding support. 13. Miarni-Dade County Affidavit pursuant to Board of Miami -Dade County Commissioners Resolution No. R-630-13. Pursuant to "Board of Miami -Dade County Commissioners the Subrecipient will also submit a detailed project budget, and sources and uses statement as contained within "Scope of Service and US HUD eSnaps Documents", incorporated into Attachment B, 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; hi) whether the funds under this Agreement will be 'gap' funds meaning that they would be the last remaining funds needed to ensure funding for the total project costs; iv) any profit (program income) to be made by the Subrecipient; and v) the amount of funds devoted toward the provision of the desired services or activities. 14.. Miami -Dade County certification not to use "Pink Slime" in food programs or related housing programs providing food (County Resolution No. R-478-12) 15, Affidavit of Miami -Dade County Lobbyist Registration for Oral Presentation (County Ordinance Section 2-11.1(s) of the County Code], Lobbyist specifically includes the principal, as well as any agent, officer, or employee of a principal, regardless of whether such lobbying activities fall within the normal scope of employment of such agent, officer or employee. 16. Subcontract/Supplier Listing (Ordinance 97-104) CoC Grant FL02 1L4 001508, City of Miami, Homeless Assistance Program Page 17 The Subrecipient understands that the Grantee has relied on the Subrecipient's aforementioned representations in entering into this Agreement.. h. Civil Rights - The Subrecipient agrees to abide by Chapter 11A of the Code of Miami - Dade County ("County Code"), as may be amended, in the exercise of its police power for the public safety, health and general welfare, to eliminate and prevent discrimination in employment, family leave, public accommodations, credit and financing practices, and housing accommodations because of race, color, religion, ancestry, national origin, sex, pregnancy, age, disability, marital status, familial status, gender identity, gender expression, sexual orientation, or actual or perceived status as a victim of domestic violence, dating violence or stalking. It is further hereby declared to be the policy of Miami -Dade County to eliminateand prevent discrimination in housing based on source of income. Initials here 'DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 24 CFR Parts 5, 91, ,92, 570, 574, 576, and 903 [Docket No. FR-5173-F-04] RIN 2501-AD33 Affirmatively. Furthering Fair Housing - The Fair Housing Act (title VIII of the Civil Rights Act 0! 1968„ 42, 'U.S.C. 3601-3619) declares that it is "the policy of the United States to provide, within constitutional limitations, for fair housing throughout the United States." See 42 U.S.C. 3601. Accordingly, the Fair Housing Act [prohibits,among other things, discrimination in the sale, rental, and financing of dwellings, and in. other housing -related.. transactions because of "race„..solor, religion, sex, .familial status, ,national origin, or handicap.' Initials here Se'e 42, U.S.C. 3604 and 3605. Section 808(d) of the Fair Housing Act requires all executive branch. departments and .agencies administering housing and urban development programs and activities to administer these programs in a manner that affirmatively furthers fair housing. See 12 U.S.C. 3608. Initials here The Subrecipient agrees to abide and be governed by Title VI and VII, of the Civil Rights Act of 1964 (42 U.S.C. 2000 et.seq.) and Title VIII of the Civil Rights Act of 1968, as amended, and Executive Order 11063, as may be amended, as well as with any applicable regulations, which provide in part that there will be no discrimination of race, color, gender/sex, religious background, ancestry or national origin in performance of this Agreement, in regard to persons served, or in regard to employees or applicants for employment or housing. It is expressly understood that upon receipt of evidence of such discrimination, the Grantee shall have the right to terminate this Agreement. Initials here ;or' Executive Order 11063 prohibits discrimination in the sale, leasing, rental, or other disposition of properties and facilities owned or operated by the federal government or provided with federal funds. Executive Order 12892, as amended„ requires federal agencies to affirmatively further fair housing in their programs and activities, and provides that the Secretary of HUD will be responsible for coordinating the effort. Executive Order 12898 requires nondiscrimination in federal programs that affect human health and the enviromnent as well as provides minority and low-income communities' access to public information and public participation. Executive Order 13166 requires federal agencies to examine the services they provide, identify any need for services to those with limited English proficiency (LEP), and develop and implement a system to provide those services so CoC Grant It FLO211L4D001508, City of Miami, Homeless Assistance Program Page 18 LEP persons can have meaningful access to them. Executive Order 13217 requires federal agencies to evaluate their policies and programs to determine if any can he revised or modified to improve the availability of community -based living arrangements for persons with disabilities. Initials here Awareness of of the Joint Letter of clarification dated August 5, 2016 from United States Department of Justice, United States Department of Health and Human Services, United States Department of Housing and Urban Development reminding recipients of federal financial assistance that they should not withhold certain services based on immigration status when the services are necessary to protect life or safety. In the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 ('PRWORA"), Congress restricted immigrant access to certain public benefits, but also established a set of exceptions to these restrictions. It is understood that recipients of federal funding that administer programs that (i) are necessary for the protection of lifeor safety; (ii) deliver in -kind services at the. community level; and (iii) do not condition the provision of assistance, the amount of assistance, or the cost of assistance on the individual (participant's) recipient's income or resources, that such programs are not subject to PRWORA's restrictions on immigrant access to public benefits and must be made available to eligible persons without regard to citizenship, nationality, or immigration status. 8 U.S.C. Section 1611(b)(1)(D); 1621(b)(4). Initials here 7. It is further understood that the Subrecipient must submit affidavits attesting that it is not in violation of the American with Disabilities Act, Section 504 of the Rehabilitation Act of 1973, as amended, (29 U.S.C. 794, et. seq.), the Federal Transit Act, (49 U.S.C. 1612j, and the Fair Housing Act, (42 U.S.C. 3601 et,seq.), as may be amended, as well as with any applicable regulations. If the Subrecipient or any owner, subsidiary, or other firm affiliated with or related to the Subrecipient is found by the responsible enforcement agency, the Courts or Grantee to be in violation of these Acts, the Grantee shall conduct no further business with the Subrecipient. Any contract entered into based upon a false affidavit shall he voidable by the Grantee. If the Subrecipient violates any of the Acts during the term of any contract the Subrecipient has with Miami -Dade County, such contract shall be voidable by the Grantee, even if the Subrecipieyt was not in violation at the time the affidavit(s) were submitted. Initials here '5'7. The Subrecipient agrees that it is in compliance with the Domestic Violence Leave, codified as (Article 8, Section 11A-60 et.seq. of the County Code), as may be amended, which requires an employer, who in the regular course of business and has fifty (50) or more employees working in Miami -Dade County for each working clay during each of the twenty (20) or more calendar work weeks to provide domestic violence leave to its employees. Failure to comply with this local law may he grounds for voiding or terminating this Agreement or for commencement of debarment proceedings against the Subrecipient. initials here The Subrecipient agrees to abide and be governed by the Age Discrimination Act of 1975, (42 U.S.C. 6101 et seq.) and implementing regulations at (24 CFR Part 146), as may be amended, as well as with any applicable regulations, which provides in part that there shall be no discrimination against persons in any area of employment because of age. Initials here 6.7. CoC Grant #FL0211L4D001 508, City of Miami, homeless Assistance Program Page 19 The Subrecipient agrees to abide and be governed by Section 504 of the Rehabilitation Act of 1973, as amended, (29 U.S.C. 794, et.seq.) as may be amended, as well as with any applicable reguJ,ations, which prohibits discrimination on the basis of handicap. Initials here 57 The Subrecipient agrees to abide and be governed by the requirements of the Americans with Disability Act (ADA), as may be amended, as well as with any applicable law. Initials here Pursuant to 24 CFR 578.23, Subrecipient hereby certifies and agrees that: i. Subrecipient will maintain the confidentiality of records pertaining to any individual or family that was provided family violence prevention or treatment services through the project / program; The address or location of any family violence project / program assisted under this part will not be made public, except with written authorization of the person responsible for the operation of such program and in accordance with any applicable state and local laws that prohibit disclosure of information relating to domestic violence centers; iii. Suhrecipient will establish policies and practices that are consistent with, and do not restrict the exercise of rights provided by Subtitle B of Title VII of the McKinney -Vent° Homeless Assistance Act, as amended„ and other laws relating to the provision of educational and related services to individuals and families experiencing homelessness; iv. In the case of programs that provide housing or services to families, that Suhrecipicnts will designate a staff person to be responsible for ensuring that children being served in the program are enrolled in school and connected to appropriate services in the community including early childhood programs such as Head Start, Part C of the individuals with Disabilities Education Act, and programs authorized under Subtitle 13 of Title VII of the McKinney-Vento Homeless Assistance Act as amended; v. The Subrecipient shall use the centralized or coordinated assessment system established by the Continuum of Care as set forth pursuant to 24 CFR 578.7(a) (8); vi. Subrecipient, its officers, and employees are not debarred or suspended from doing business with the federal government; and vii. Subrecipient will provide information, such as data and reports, as required by US HUD. Additionally, Subrecipient agrees: To establish such fiscal controls and accounting procedures as may he necessary to assure the proper disbursal of, and accounting for grant funds in order to ensure that all financial transactions are conducted, and records maintained in accordance with generally accepted accounting principles; ii. To take the educational needs of children into account when families are placed in housing and will, to the maxirnum extent practicable, place families with children as close as possible to their school of origin so as not to disrupt such children's education. A Subrecipient that serves families with school -age children shall have at least one program staff member, CoC Grant YFLO211L4D001508, City of Miami, Homeless Assistance Program Page 20 knowledgeable of the McKinney-Vento Education for Children and Youth Act requirements and shall comply with all requirements related to facilitation of educational opportunities consistent with Miami -Dade County Homeless Trust's Standards of Care incorporated herein by reference; iii. To comply with the provisions 0124 CFR 578.23(c) (9). iv. To follow the written standards for providing Continuum of Care assistance developed by the Continuum of Care, including the minimum requirements set forth in § 578.7(a)(9); and v. To operate the project(s) in accordance with the provisions of the McKinney-Vento Act and all requirements under 24 CFR part 578; and to comply with such other terms and conditions as US HUD may establish by NOFA (Notice of Funding Availability). 4. Suspension and Termination a. Suspension — The Grantee rnay, for reasonable cause, temporarily suspend the operation and authority to obligate funds of the Subrecipient, under this Agreement, or withhold payments to the Subrecipient pending necessary corrective action by the Subrecipient or both. Reasonable cause shall he determined by the Grantee in its sole and absolute' discretion and rnay include: i. Ineffective or improper use of any funds provided hereunder by the Subrecipient; ii. Failure by the Subrecipient to materially comply with any terms, conditions, representations or warranties contained herein; iii. Failure by the Subrecipient to submit any documents required by this Agreement; or iv. Incorrect or incomplete document submittal by the Subrecipient. b. Termination — i. Termination at Will — This Agreement, in whole or in part, may be terminated by the Grantee upon no less than fifteen (15) working days' notice when the Grantee determines that it would be in the best interest of the Grantee and / or the Subrecipient materially fails to comply with the terms and conditions of the award. Said notice shall be delivered by certified mail„ return receipt request, or in person with proof of delivery. The Subrecipient shall have five (5) days from the day the notice was delivered to state why it is not in the best interest of the Grantee to terminate the Agreement. However, it is up to the discretion of the Grantee to make the final determination as to what is in its best interest, H. Termination for Convenience — The Grantee or Subrecipient may terminate this Agreement, in whole or part, when both parties agree that the continuation of the activities would not produce beneficial results commensurate with the further expenditure of funds. Both parties shall agree in writing upon the termination conditions, including the effective date and in the case of partial termination, the portion to be terminated. However, if the Grantee determines in the case of partial termination that CoC Grant #FLO21 L4D001 08, City of Miami, Homeless Assistance Program Page 21 the reduced or inodified portion of the grant will not accomplish the purposes for which the grant was made it may terminate the grant in its entirety, iii. Termination Because of a Lack of Punds - In the event funds to finance this Agreement become unavailable, the Grantee may terminate this Agreement upon no less than twenty-four (24) hoursnotice in wilting to the Subrecipient. Said notice shall be sent by certified mail, return receipt requested, or in person with proof of delivery. The Grantee shall be the final and sole authority in determining whether or not funds are available. iv. Termination for Breach - Upon terminating this Agreement under this section the Grantee, in its sole discretion, may require the Subrecipient to pay the Grantee any or all costs associated with termination of this Agreement, including but not limited to transfer of the Subrecipient's obligations under this Agreement and or selection of a new Project Sponsor, The Grantee may terminate this Agreement, in whole or in part, when the Grantee determines in its sole and absolute discretion that the Subrecipient is not making sufficient progress in the performance of this Agreement as outlined in the "Scope of Services" contained within the "Scope of Service and US HUD eSnaps Documents" Attachment B or is not materially complying with any term or provision provided herein including but not limited to the following: 1. The Subrecipient ineffectively or improperlythe used or uses. Grantee funds allocated under this Agreement; 2. 'rile Subrecipient failed or fails to furnish the Certificates of Insurance required by this Agreement or as determined by Miami - Dade County Internal Services Risk Management Division; 3. The Subrecipient failed or fails to furnish proof of Licensure, proof of Certification or proof of Background Screening required by this Agreement; 4. The Subrecipient faded or fails to submit detailed reports of expenditures or final expenditure reports or submits incompletely or incorrectly; . The Subrecipient failed or fails to submit required reports or submits incompletely or incorrectly; 6. The Subrecipient refused or refuses to allow the Grantee access to records or refused or refuses to allow the Grantee to monitor, evaluate and review the Subrecipient's program; 7. The Subrecipient discriminates under any of the laws outlined in this Agreement; 8. The Subrecipient failed or fails to provide Domestic Violence Leave to its employees. pursuant to local law; 9. The Subrecipient falsifies or violates the provisions of a Drug Free Workplace Affidavit; 10. The Subrecipient attempted or attempts to meet its obligations under this Agreement through fraud, misrepresentation or material misstatement; CoC Grant #FL0211 L4DOO1508, City of Miami, Hot eless Assistance Program Page 22 1,1, The Subrecipient failed or fails within a specified period, to correct deficiencies found during a monitoring, evaluation or review; 12. The Subrecipient failed or fails to meet the terms and conditions of any obligation under this Agreement or otherwise of any repayment schedule to the Grantee or any of its agencies or instrumentalities; 13. The Subrecipient failed or fails to meet any of the terms and conditions of the Miami -Dade County Affidavits; and 14. The Subrecipient failed or fails to fulfill in a timely and proper manner any and all of its obligations, covenants, agreements and stipulations in this Agreement. The Subrecipient shall be given written notice of the claimed breach and ten (10) business days to cure same. If the Subrecipient is not provided a written waiver of the breach by the Grantee, or if the Subrecipient remains in breach of this Agreement as determined by the Grantee, the Grantee shall initiate written notice to terminate and said notice will be to terminate effective within no less than twenty-four (24) hours. Said notice shall be sent by certified mail, return receipt requested, or in person with proof of delivery. Waiver of Breach or any provision of this Agreement shall not be construed to he a modification, or revisions of the terms of this Agreement. The provisions contained herein do not limit the rights to legal or equitable remedies or any other provision for termination by the Grantee under this Agreement. The Subrecipient 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 Grantee through fraud, misrepresentation or material misstatement may be disbarred from Miami -Dade County contracting for up to five (5) years. J. Notice Regarding Future Funding Applications Funding under this Agreement is provided by US HIJD. The parties understand the Grantee, as the US HUD funding recipient, is responsible for review and approval of the funding application and response submitted to US HUD through the annual US HUD CoC Program Notice of Funding Availability (NOFA) application process. The Subrecipient agrees to timely notify the Grantee of the Subrecipient's intention pot to be available to renew and continue operating or providing the program in its entirety as covered under this Agreement. Timely is defined as the earliest of either 1) six (6) months prior to this Agreement's expiration; or 2) upon request to confirm allocations in the Grant Inventory Worksheet (GIW) registration process of the anticipated annual application to US HUD CoC Program NOFA. If the Subrecipient is not available to apply for "renewal funding" or for the continuation of the program outlined in this Agreement, and failed to timely inform the Grantee as described herein, then the Grantee in its sole discretion may opt not to enter into future grant agreements with the Subrecipient. Further, in the event the Subrecipient will not be available to apply for renewal funding applicable to this Agreement, the Subrecipient agrees to ensure that housing is maintained CoC Grant #FLO21 L4D001508, City iami, Homeless Assistance Program Page 23 for persons served by the Subrecipient under this Agreement after the expiration of this Agreement so that those persons do not become homeless. Notice from Subrecipient to Grantee pursuant to this section shall be delivered in writing by certified mail, return receipt request, or in person with proof of delivery, to the attention of Miami -Dade County Homeless Trust Executive Director. 6. Reversion of Assets a. Term of Corrunitment - If the Subrecipient receives assistance for acquisition, rehabilitation, or new construction, then the Subrecipient shall agree to operate the "McKinney-Vento Act housing" or provide "McKinney-Vento Act services" in accordance with this Agreement and applicable laws, and regulations for a term of at least twenty (20) years or if applicable fifteen (15) years from the date of initial occupancy or date of initial service provision. If the United States, Department of Housing and Urban Development (US HUD) determines a project is no longer needed for use as homeless assistance housing or services, then US HUD may provide authorization to the Grantee on behalf of the Subrecipient to convert the project to a project for the direct benefit of low-income persons pursuant to a request for such use by the Grantee on behalf of the Subrecipient operating the project as Project Sponsor. The parties hereby agree to this provision shall survive the expiration or termination of this Agreement pursuant to 24 CFR 5'78.81 - The request for authorization to US HUD from the Grantee on behalf of the Subrecipient must he made while the project is operating as homeless housing or supportive services for homeless individuals and families, must be in writing, and must include an explanation of why the project is no longer needed to provide transitional or permanent housing or supportive services. The primary factor in US HUI)'s decision on the proposed conversion is the unmet need for transitional or permanent housing or supportive services in the Continuum of Care's geographic area. b. Repayment of Grant - If the Subrecipient does not provide supportive housing or supportive services for twenty (20) years or if applicable fifteen (15) years following the date of initial occupancy or date of initial service provision pursuant to this Agreement, then the Grantee shall require repayment of the entire amount of the grant or partial repayment of the grant used for acquisition, rehabilitation, or new construction, unless conversion of the project has been authorized by US HUD pursuant to the terms in the Term of Commitment. The parties hereby agree this provision shall survive the expiration or termination of this Agreement. c. Prevention of Undue Benefit - Upon the sale or other disposition of a project assisted with acquisition, rehabilitation or new construction funds occurring before the expiration of the twenty (20) years or if applicable fifteen (15) year period, the Subrecipient must comply with such terrns and conditions as US HUD and the Grantee may prescribe to prevent the Subrecipient from unduly benefiting from such sale or disposition. The Subrecipient shall return to the Grantee, upon the expiration or termination of the Agreement, any funds on hand, any accounts receivable attributable to those funds, and any overpayment due to unearned funds or costs disallowed pursuant to the terms of this Agreement that were disbursed to the Subrecipient by the Grantee. CoC Grant #FL0211L4D001508, City ofMiami, Homeless Assistance Program Page 24 d. Revocation of License or Permit - Notwithstanding any provision of this Agreement to the contrary, revocation of any necessary license, permit, or approval by a governmental authority may result in immediate termination of this Agreement upon no less than twenty-four (24) hoursnotice. Said notice shall be certified by mail or hand delivery. e. Declaration of Restrictive Covenant and Declaration of Restrictions -Where grant funds are used for acquisition, construction or rehabilitation under this Agreement, the Subrecipient shall record a Declaration of Restrictive Covenants, as well as a Declaration of Restrictions, in accordance with this section, The Declaration of Restrictive Covenants and the Declaration of Restrictions shall restrict the use of properties located at , in Miami - Dade County, Florida such that the properties must he operated for the provision of homeless housing and services for homeless persons in accordance with the provisions of (24 CFR Part 578, Code of Federal Regulations) and any other applicable laws or regulations for a term of at least twenty (20) years or if applicable fifteen (15) year period or for such other purposes as may be approved by the Grantee and US HUD. The Subrecipient agrees that the Declaration of Restrictive Covenants and the Declaration of Restrictions shall be signed by the Subrecipient, as well as the title owner of the subject property and any other relevant property interest holders, including but not limited to a lessee of the tide holder subleasing the property to the Subrecipient. if the Subrecipient is not the title owner of the subject properly, the Subrecipient shall be responsible for obtaining execution of the Declaration of Restrictive Covenants and the Declaration of Restrictions by the title owner and by any other parties required by US HUD. The Subrecipient shall be responsible for ensuring that any signatories required by US HUD sign the Declaration of Restrictive Covenants and the Declaration of Restrictions whether US HUD requires such signatories by regulation or by guidance provided directly regarding the project and. / or property covered under this Agreement. The Declaration of Restrictive Covenants executed by the Subrecipient and any other required parties and recorded by the Subrecipient must be approved by US HUD. The Subrecipient must provide US HUD with proof of recordation of the approved Declaration of Restrictive Covenants before funds for Rehabilitation or New Construction may be drawn down. Acquisition funds may be drawn down before proof of recordation is received by US HUD; however, no other grant funds will be available for draw down until US HUD is satisfied with the form and recordation of the Declaration of Restrictive Covenants, The Subrecipient agrees to inform any lender or grantor which has loaned or granted funds for the purchase of such properties or structure on the subject property or properties covered under this Agreement and obtain their consent to the recordation of and subordination to the "Declaration of Restrictive Covenants" and the "Declaration of Restrictions". Such consent shall be in a form acceptable to the Grantee. The parties hereby agree this provision s a survive the expiration or ter of this Agreement. 'natio! CoC Grant #FL,0211L4D001508, City of Miami, Homeless Assistance Program Page 25 7. Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards a. Accounting Standards, Cost Principles and Regulations. i. The Suhrecipient shall comply with applicable provisions of applicable Federal, State and County laws, regulations, and rules such as OMB Circular A-11.0, OMB Circular A-21, and OMB Circular A-133 and with the Energy Policy and Conservation Act (Public Law 94-163) which requires mandatory standards and policies related to energy efficiency. if any provision of this Agreement conflicts with any applicable law or regulation, only the conflicting provision shall be modified to be consistent with, the law or regulation or be deleted if modification is impossible. However, the obligations under this Agreement, as modified, shall continue and all provisions of this Agreement shall remain in full force and effect. ii. If the amount payable to the Subrecipient pursuant to the terms of this Agreement are in excess of $100,000, or such other amount as required by applicable law or regulation; the Subrecipient shall comply with all applicable stands, orders„ or regulations issued pursuant to Section 306 of the Clean Air Act of 1970 (42 U.S.C. 1857(h), as amended: the Federal Water Pollution Control Act (33 U.S.C. 1251), as amended: Section 508 of the Clean Water Act (33 U.S.C. 1368); the environmental Protection Agency regulations (40 CFR Part 15); Executive Order 11738; and the Environmental Review Procedures and Regulations (24 CFR Part 58 and 24 CFR Part 583.230), The Subrecipient shall comply with all applicable laws and regulations governing this Agreement. b. The Subrecipient shall comply with the federal uniform administrative requirements and accounting standards cost principles and audit requirements according to OMB Omni or Super Circular 2 CFR Chapter I, and Chapter II, Parts 200, 215, 220, 225 and 230, OMB Circular A-122, and 24 CFR 78 et.seq., as may be applicable and any other applicable laws and regulations. i. Performance Measurements - The Subrecipient shall comply and report all performance objectives outlined in the "Scope of Service and US HUB eSnaps Documents" Attachment B and as outlined in the NOFA application and in the manner specified and outlined in this Agreement. ii. Internal Controls - The Subrecipient shall comply with internal control related federal statutes, regulations, and the terms and conditions of the federal award; evaluate and monitor and take prompt action when instances of noncompliance are identified including noncompliance identified in audit findings; and take reasonable measures to safeguard legally protected personally identifiable information and other information. These internal controls shall safeguard assets and provide reasonable assurance of compliance with federal statutes and regulations. iii. Payment - The Subrecipient is required to report deviations from budget or project scope or objectives and request prior approvals from federal CoC Grant #FL0211 L4D001508, City of Miami, Homeless Assistance Program Page 26 awarding agencies through the Grantee on any and all changes in scope or key persons and any other change to the program budget, in accordance with Omni or Super Circular 2 CFR Chapter I, and Chapter II, Parts 200, 215, 220, 225 and 230 and any other applicable laws and regulations. iv. Cost Sharing or Matching - For all federal awards, any shared costs or matching funds and all contributions, including cash and third party in -kind contributions, must be accepted as part of the non-federal entity's cost sharing or matching and such contributions shall meet all of the following criteria: 1. Are verifiable from the non-federal entity's records; 2. Are not included as contributions for any other federal award; 3. Are necessary and reasonable for accomplishment of project or program objectives; 4. Are allowable under Costs Principles of 2 CFR Part 200, et al. S. Are not paid by the federal government under another federal award, except where the federal statute specifically provides that federal funds made available for such program can be applied to match or cost sharing requirements of other federal programs; 6. Are provided for in the approved budget when required by the federal awarding agency; and 7. Conform to 2 CFR Chapter II, Part 200.306, as applicable. c. Retention of Agreement Records i. The Subrecipient shall retain financial records, supporting documents, statistical records and all records pertinent to a federal award for a period of five (5) yea Ls from the date of submission of the final expenditure report or, for Federal awards that are renewed quarterly or annually, from the date of the submission of the quarterly or annual financial report, respectively, as reported to the federal awarding agency. 1. If any litigation, claim or audit is started before the expiration of the five (5)-year period, the records must be retained until all litigation, claims, or audit findings involving the records have been resolved and final action taken. If the Grantee or the Subrecipient has received or been given notice of any kind indicating any threatened litigation, claim or audit arising out of the services provided pursuant to the terms of this Agreement, the Retention Period shall be extended until such time as the threatened or pending litigation, claim or audit is, in the sole and absolute discretion of the Grantee, fully, completely and finally resolved. 2 Records for real property and equipment acquired with federal funds must be retained for a minimum five (5) years after final disposition. 3. Any leases or mortgages or similar documents or contracts with a term longer than five (5) years, must be retained for five (5) years beyond the end of the document's full term. CoC Grant #1-71, L4D001508, City of Miami, Homeless Assistance Program Page 27 4. Records for program income transactions after the period of performance: The Subrecipient must report program income after the period of performance records pertaining to the earning of program income must be retained for five (5) years after the end of the non-federal entity's fiscal year in which the program income is earned. The Subrecipient shall allow the Grantee or any persons authorized by the Grantee full access to and the right to examine any of the records pertinent to the Federal Award and this Agreement. 6. The Subrecipient shall notify the Grantee in writing both during the pendency of this Agreement and after its expiration as part of the final close out procedure of, the location and address where all the Agreement records will be retained. 7. The Subrecipient shall obtain prior written approval by the Grantee for the disposal of any Agreement records before disposing of such records if it is within one (1) year after the expiration of the Retention Period. 8. Additional Requirernents The Sit brecipient shall comply with the following additional requirements: a. Client Rules and Regulations - The Subrecipient shall submit to the Grantee a copy of the Client Rules and Regulations that apply to all program or client participants referred to the Subrecipient pursuant to this Agreement. This copy is due within thirty (30) calendar days following the execution of this Agreement. b. Personnel Policies and Administrative Procedure Manuals - The Subrecipient shall submit detailed documents describing all the Subrecipient's policies and procedures for internal control, corporate, or organizational structure, property management, procurement, personnel management, accounting and fiscal information. This information shall be available to the Grantee upon request. c, Monitoring - The Subrecipient shall permit the Grantee and any other persons authorized by the Grantee to monitor, according to applicable regulations, all Agreement records, facilities, goods, services and activities of the Subrecipient which are in any way connected to the activities undertaken pursuant to the terms of this Agreement including interview of any participant, employee, subcontractor, or assignees of the Subrecipient. The Grantee shall monitor both fiscal and programmatic compliance with all terms and conditions of this Agreement including a review of beneficiaries, supportive services, housing, operating costs, program and performance progress, site habitability, participant eligibility, documentation for required match, record keeping, and compliance with circulars, administrative costs, technical assistance visits, and environmental review. The Subrecipient shall permit the Grantee to conduct site visits, participant assessment surveys, and other techniques deemed reasonably necessary to fulfill the monitoring function. If the Grantee monitors and there is a finding of deficiencies report; said report may be delivered to the Subrecipient, and if so delivered, the Subrecipient shall rectify all deficiencies cited within the period of time specified in the report. Pursuant to CoC Grant #1:1,0211L4D001508, City of Miami, Homeless Assistance Program Page 28 Board of Miami -Dade County Commissioners Resolution No. 630-13, Miami -Dade County Mayor or Mayor's designee may make unannounced, on -site visits during normal working hours to the Subrecipient's headquarters and / or any locations or site where the services contracted for are performed. d. Restrictions of Funds Use — The funds received under this Agreement (and any State or local government funds used to supplement this Agreement) may not be used to replace State or local funds previously used, or designated for use to assist homeless persons (24 CFR Part 578.87). The Subrecipient shall notify the Grantee of any additional funding received for any activity described in this Agreement, other than funding already noted in the "Consolidated Financial Record and Reports", Attachment E. Such notification shall be in writing and received by the Grantee' within thirty (30) calendar days of the Subrecipient's notification by the funding source. e. Related Parties — The Subrecipient shall report to the Grantee the name, purpose and any other relevant information in connection with any transaction conducted between the Subrecipient and a related party transaction. A related party includes, but is not limited to; a for -profit or nonprofit subsidiary or affiliate organization, and organization with overlapping boards of directors or any organization for which the Subrecipient is responsible for appointing members. The Subrecipient shall report this information to the Grantee upon forming the relationship or if already formed, shall report it immediately. Any supplemental information shall be reported in the Grantee required Agency Narrative and Progress Report which are addressed in Section 2 h. "Records and Access to Records". f. Required Meeting Attendance — From time to time, Grantee through Miami -Dade County Homeless Trust may schedule meetings and or training sessions to assist the Subrecipient in the performance of its contractual obligations or to inform the Subrecipient of new and or revised policies and procedures. Attendance at some of these meetings may be mandatory. The Subrecipient shall receive notice no less than three (3) businessdays prior to any meeting or training session that may require mandatory participation. A record of attendance shall be kept of meetings or training sessions where notice was given indicating the mandatory participation of the Subrecipient and the Subrecipient shall be monitored for compliance on that record of attendance. Failure to attend meetings or training sessions for which a mandatory notice has been provided can result in material non-compliance of the Agreement, up to and including Breach or Default. Proof of mandatory notice shall consist of fax record, certified mail, electronic confirmation and or verbal communication with the Agreement contact person or persons and other program administrative staff of the Subrecipient. The Subrecipient may select one or more employees from their Agency, directly involved in the Agreement program, as their representative at the meeting or training session; the participation of the Agreement contact person or persons is preferred. The Subrecipient may request waiver from a mandatory meeting. That waiver must be received no later than twenty-four (24) hours prior to the meeting date and time, and justification provided, including the reason the Subrecipient could not send any representative. The Grantee shall have. absolute and final approval over any determination to waive mandatory attendance; and no more than two (2) mandatory attendance waivers shall be allowed during the term of this Agreement. The Subrecipient is encouraged to attend all meetings. CoC Grant #R02:111,4D001508, City of Miami, Homeless Assistance Program Page 29 of Miami -Dade County Homeless Trust and or its Committees, as information relevant to their program or services may be discussed. g. Publicity and Advertisements - The Subrecipient shall ensure that all publicity and advertisements prepared and released by the Subrecipient, such as pamphlets and news releases already or indirectly related to activities funded pursuant to this Agreement and all events carried out to publicize the accomplishments of any activity funded pursuant to this Agreement, recognize the Grantee as its funding source, h. Procurement - The Subrecipient shall use its own procurement procedures which shall comply with any and all applicable federal, state and local laws, ordinances and regulations including but not limited to 2 CFR 200.318 as applicable. The Subrecipient shall maintain oversight and ensure that its subcontracts perform in accordance with the terms, conditions, and specifications of their contracts or purchase orders. The Subrecipient shall make a positive effort to competitively procure supplies, equipment, construction and services necessary or related to carrying out the terms of this Agreement from minority and women owned businesses, as may be permitted by applicable law. If this Agreement involves the expenditure of $100,000, or more by Miami -Dade County, and the Subrecipient intends to use subcontractors to provide the services listed herein or suppliers to supply the materials, the Subrecipient shall provide Miami -Dade County with the names of the "Subcontractor / Supplier Listing", Attachment D. Subrecipient agrees that it will not change or substitute subcontractors or suppliers from those listed without prior written approval of Miami -Dade County. Involvement of HUD -assisted individuals and families - per 24 CFR 578.23 (c)(3), the Subrecipient agrees to ensure to the maximum extent practicable, that individuals and families experiencing homelessness are involved, through employment, provision of volunteer services, or otherwise, in constructing, rehabilitating, maintaining and operating facilities for the project and in providing supportive services for the project. Further, per the Housing and Urban Development Act of 1968, as amended, (12 U.S.C. 1.701u) to the greatest extent feasible, opportunities for training and employment, for services or programs covered under this Agreement, should be given to lower -income residents of HUD - assisted projects and contracts for work in connection with the project be awarded in substantial part to persons residing in the area of the project. Property - This section applies to equipment with an acquisition cost of greater than $5,000.00 per unit and all real property. 1) Any real property under the control of the Subrecipient that was acquired and or improved in whole or in part with funds from Grantee, or from Miami -Dade County and any equipment or property purchased for greater than $5,000.00, shall, upon expiration or termination of this Agreement, be disposed in accordance with instructions from the Grantee. Real Property is defined as land, including land improvements, structures, and appurtenances thereto, including moveable machinery and equipment. Equipment means tangible, non -expendable, personal property having a useful life of more than one (1) year and acquisition costs of greater than $5,000.00 per unit. 2) The Subrecipient shall list in the property records all equipment with an CoC Grant #FLO211L4DOO1SO8, City of Miami, Homeless Assistance Program Page 30 acquisition cost of greater than $5,000.00 per unit and all real property purchased in whole or in part with funds from the Grantee or from Miami -Dade County from this Agreement or from previous agreements. The property record shall include a legal description, size, date of acquisition, and value at time of purchase, owner's name if different than the Subrecipient, information on the transfer or disposition of the property, and map indicating where property is in parcels, lots or blocks and showing adjacent streets and roads, Notwithstanding documents required for reimbursement purposes, an additional copy of the purchase receipt for any property described above which was purchased using Grantee or Miami -Dade County funds must also be included in the reimbursement package along with the "Real Property and Equipment Asset Inventory" Attachment 1 in the month it was purchased. 3) All equipment with an acquisition cost of greater than $5,000.00 per unit and all real property shall be inventoried annually by the Subrecipient and an Annual Inventory Report submitted to the Grantee. This report shall include the elements listed above. Pursuant to 2 CFR 200.94, if the cost of computing devices (inclusive of accessories) falls below the lesser of the capitalization threshold of the nonfederal entity or $5,000, regardless of the length of useful life, the asset is a supply. k. Management Evaluations and Performance Reviews - The Grantee may conduct formal Management Evaluations and Performance Reviews of the Subrecipient following this expiration of this Agreement. The Management Evaluations will reflect the compliance of the Subrecipient with generally accepted fiscal and organizational standards and practices. The Performance Reviews will reflect the quality of service provided and value received of the funds using monitoring data such as progress reports, site visits, and participants' surveys. Subcontracts and Assignments — The Subrecipient shall not assign this Agreement without the Grantee's written consent to the assignment. The Subrecipient shall ensure that all subcontracts and assignments; 1) Identify the full, correct and legal name of the party; 2) Describe the activities to be performed; 3) Present a complete and accurate breakdown of all price components; and 4) Incorporate provisions requiring compliance with all applicable regulatory and other requirements of this Agreement with any conditions of approval that the Grantee deems necessary. This applies only to subcontracts and assignments in which parties are engaged to carry out any eligible substantive programmatic service as set forth in this Agreement. The Grantee shall in its sole and absolute discretion determine when services are eligible substantive programmatic services subject to the audit and record keeping requirements described above. The Subrecipient shall ensure that all subcontracts and assignments which involve the expenditure of one hundred thousand dollars ($100,000.00) or more, comply with (Miami -Dade County Ordinance 97-104, § 1, 7-8-97), which shall require the entity contracting with Miami -Dade County to list all first tier subcontractors who will perform any part of the contract and all suppliers who will supply materials for the contract work directly to such entity. The contract shall also require the entity contracting with Miami -Dade County to report to Miami -Dade County the race, gender, and ethnic origin of the owners and employees of all such first tier subcontracts. This Agreement shall require the Subrecipient to provide Miami -Dade County the race, gender and ethnic information as soon as reasonably available and CoC Grant#FL0211I.4D00iS08, City of Miami, Homeless Assistance Program Page 31 in any event prior to final payment under the contract. The Subrecipient shall riot change or substitute subcontractors or suppliers from those listed except upon written approval of the County. The Subrecipient must provide the list of all first tier subcontractors and direct suppliers; see "Subcontractor / Supplier Listing" Attachment D. The Subrecipient shall incorporate into all consultant subcontracts this additional provision: "The Subrecipient is not responsible for any insurance or other fringe benefits for the consultant or its employees, (examples social security, income tax withholdings, retirement or leave benefits). The consultants assume full responsibility for the provision ofall insurance and fringe benefits for themselves and their employees retained by the consultants in carrying out the Scope of Service provided in this subcontract". The Subrecipient shall be responsible for monitoring the contractual performance of all subcontracts. The Subrecipient shall receive written documentation prior to entering into any subcontract which contemplates performance of substantive programmatic activities, as such is determined as provided herein, The approval of the Grantee shall be obtained prior to the release of any funds to the Subrecipient for the subcontract. The Subrecipient shall receive written approval from the Grantee prior to either assigning or transferring any obligations or responsibilities set forth in this Agreement or the right to receive benefits or payments resulting from this Agreement. Approval by the Grantee of any ,subcontract or assignment shall not under any circumstances be deemed to provide for the incurring of any obligation by the Grantee in excess of the total dollar amount set forth in this Agreement. rn. Consultant to the Grantee - the parties understand that in order to facilitate the implementation of this Agreement, the Grantee may from time to time designate a development consultant to work with the Subrecipient. The Grantee's Consultant shall be considered the Grantee's designee with respect to all portions of this Agreement with the exception of those provisions relating to payment to the Subrecipient for services rendered. The Grantee shall provide written notification to the Subrecipient of the name, address and employee representatives of the Grantee's Consultant. n, Participation in the Homeless Management Information Systern (HMIS) - 'The Subrecipient agrees to participate in a Homeless Management Information System selected and established by the Grantee, Participation will include, but not he limited to, input of client data upon intake, daily updates of bed availability information, as well as updates to current and prior client's records upon client contact, and maintaining current data for statistical purposes. Subrecipients of Domestic Violence Programs with heightened privacy and confidentiality concerns are required to participate in an HMIS equivalent system to include the necessary stricter privacy and confidentiality standards. The Subrecipient understands that they are responsible for any ongoing costs to access the HMIS system, The Suhrecipient agrees to abide by terms of any HMIS Agreements, which are incorporated herein by reference. The Subrecipient shall indemnify and hold harmless the Grantee and Miami -Dade County, its agents and instrumentalities from any and all liability, losses and damages arising out of or relating to this Agreement or the HMIS system. o. Miami -Dade County Inspector General review - The Subrecipient understands that Miami -Dade County, Office of the Inspector General may, on a random basis, CoC Grant fFLO211 ,4D001508, City of Miat ", Homeless Assistance Program Page 32 perform audits on ail Miami -Da e County contracts, throughout the duratmn of said contracts. p. Independent Private -Sector Inspector General review - The Subrecipient understands that Miami -Dade County Inspector General is also empowered to retain the services of Independent Private -Sector Inspector Generals, to audit, investigate, monitor, oversee, inspect and review operations, activities, performance and procurement processes including but not limited to project design, application and project specifications, proposals submittals, activities of the Subrecipient, its officers, agents and employees, lobbyists, Miami -Dade County staff, and elected officials to ensure compliance with contract specifications and to detect fraud and corruption. Renegotiation or Modification - The Subrecipient agrees that modifications to provisions of this Agreement shall only be valid, when in writing and signed by duly authorized representatives of all parties. In addition, the Subrecipient may not make any significant changes to an approved program without prior written approval by the Grantee. Significant changes include, but are not limited to, changes in the Project Sponsor, changes in the project site location, additions or deletions in types of program or funding activities outlined in 24 CFR 578.37 - 578,63 and the Notice of Funding Availability (NOM) process approved in the Technical Submission for this program, or a shift of greater than ten (10) percentage points between approved funding activities, or a change in the population served, the number of population served, or any other changes deemed significant by the Grantee. Depending upon the nature of the change, the Grantee may require a new certification of consistency with the Consolidated Plan Certification from the United States Department of Ilousing and Urban Development. Any approval for changes is contingent upon United States, Department of Housing and Urban Development Field Office approval of the continuation of the Subrecipient's renewal ranking in the CoC NOFA application process. The parties agree to renegotiate this Agreement if the Grantee determines, in its sole and absolute discretion, that changes are necessary for reasons including but not limited to changes in Federal, State, County laws or regulations, or increases or decreases in funding allocations. The Grantee shall have final authority in determining funding availability for this Agreement caused by changes listed above. Notwithstanding the foregoing, the Grantee retains all rights of suspension and termination set forth in other section(s) of this Agreement. r. Right to Waive - The Grantee may, for good and sufficient cause, determined by the Grantee in its sole and absolute discretion, waive provisions in this Agreement in writing or seek to obtain such wavier from the appropriate authority. All waiver requests from the Subrecipient must be in writing. Any waiver shall not be construed as a modification or revision to this Agreement. s. Disputes - In the event that an unresolved dispute exists between the Subrecipient and the Grantee, the Grantee shall refer the questions, including the views of all interested parties and the recommendation of the Miami -Dade County Homeless Trust, to the Miami -Dade County Mayor or the Mayor's designee for determination. The Mayor or Mayor's designee will issue a determination within thirty (30) calendar days of receipt and so advise the Grantee and the Subrecipient, or in the CoC Grant tIFLO21114D001508, City of Miami, Homeless Assistance Program Page 33 event ,additionAl time is necessary, the Grantee will notify the Subrecipient within the thirty (30) day period that additional time is necessary. The Subrecipient agrees that the determination of the Mayor or the Mayor's designee shall be Final and binding on all parties. t. Proceedings - This Agreement shall be construed in accordance with the laws of the State of Florida and any proceedings arising between the parties in any manner pertaining or related to this Agreement shall, to the extent permitted by law, be held in Miami -Dade County, Florida. U. No Third Party Beneficiaries - This Agreement has no intended or unintended third party beneficiaries. v. Construction of the Agreement - This Agreement shall not be construed against the drafter of this Agreement. w, Sovereign Immunity Nothing in this .Agreement shall . be considered a waiver of sovereign immunity. x. Notice and Contact - The Grantee's representative for this Agreement is Victoria L. Mailette, Executive Director, Miami -Dade County Homeless Trust. The Subrecipient's representative for this Agreement is ectn.,./ JT /72//vAce . The project site location is V329 ,CW MMAr," , In the event that different representatives are designated by the Subrecipient after this Agreement is executed, or the Subrecipient changes the address of either the program site or principal office, the Subrecipient must notify the Grantee prior to such relocation and obtain all necessary approvals. Notice of the name of the new representative or new address will be rendered in writing to the Grantee within five (5) business days of the proposed change. y. The Subrecipient shall provide to the Grantee, prior to execution of this Agreement, the Subrecipient's Board Approval or Board Resolution designated authorizing signatories or their alternative, to receive and expend funds, to execute agreements and subcontract agreements and to exercise modification, renewal and termination clauses contain within this Agreement. The resolution shall be updated and provided annually. z. The Subrecipient shall provide the Grantee with a current list of the Subrecipient's Board of Directors and a Program -Specific Table of Organization, which includes all current job titles in PDF format and which shall be emailed as an attachment to Miami -Dade County Homeless Trust's Contract Manager within five (5) business days of execution of this Agreement. aa, Name and Address of Payee -When payment is made to the Subrecipient, it shall be directed to the name and address of the payee listed here: Subrecipient's Name: e:".1/iy Address: 6/99' f.)--i/ti " bb. All Terms and Conditions Included - this Agreement and its Attachments A through K as referenced in the index of Attachment, contain all the terms and conditions agreed upon by the parties. CoC Grant #F10211 AD001.508, City ofMiani, Homeless Assistance Program Page 34 cc. Autonomy - Both parties agree that this Agreement recognizes the autonomy of and stipulates or implies no affiliation between the contracting parties. The parties acknowledge that the relationship of Grantee and Subrecipient is that of independent contractors and that nothing contained in this Agreement shall be construed to place Grantee and Subrecipient in the relationship of principal and, agent, employer and employee, master and servant, partners or joint ventures. Neither party shall have, expressly or by implication, or represent itself as having, any authority to make contracts or enter into any agreements in the name of the other party, or to obligate or bind the other party in any manner whatsoever. dd. Severability of Provisions - If any provision of this Agreement is held invalid, the remainder of this Agreement shall not be affected thereby if such remainder would thencontinue to conform to the terms and requirements of applicable law. ee. Waiver of Trial - Neither the Subrecipient, subcontractor nor any other person liable for the responsibilities, obligations, services and representations herein, nor any assignee, successor heir or personal representative of the Subrecipient, subcontractor or any other such persons or entities shall seek a jury trial in any lawsuit, preceding, counterclaim or other litigation proceeding based upon or arising out of this Agreement, or the dealings or the relationship between or among the parties to this Agreement.. ff. Counties and Municipalities outside Miami -Dade County - The Subrecipient agrees to provide homeless housing within Miaini-Dade County and further agrees to abide by, as well as to post this notice: Notice that all firms, corporations, organizations or individuals desiring to transact business or enter into a contract with Miami -Dade County for the provision of homeless housing and or homeless services swears, verifies, affirms and agrees that:1) they have not entered into any current contracts, arrangements of any kind, or understanding with any county, or municipality outside of Miami -Dade County to provide housing and services for homeless persons in Miami -Dade County who are transported to Miami -Dade County by or at the behest of such counties and municipalities outside Miami -Dade County; and 2) During the term of this contract, entities listed above will not enter into any such contract, arrangement of any kind or understanding provided however, Miami -Dade County Homeless Trust may, in its sole and absolute discretion, find and determine within sixty (60) days of an entity's request to waive the requirements of this section, that a proposed contract should not be prohibited hereby, as the best interests of the homeless programs undertaken by and on behalf of Miami -Dade County would be served and Miarni-Dade County would not be negatively affected by such contract, arrangement, or undertaking. gg. Compliance with all applicable Laws, Regulations, Ordinances, Policies and Standards - The Subrecipient agrees to comply with all applicable Federal, State, and local laws, regulations, ordinances, and standards including but not limited to any applicable requirements regarding payment and performancebonds and other requirements for public works, competitive bid and bid bond requirements, if applicable, as well as with requirements contained in the Grantee's "Continuumof Care Program Grant Agreement", Attachment A. The Suhrecipient also agrees to sign and provide the Grantee with any required affidavits. CoC Grant #FL021 L4D001508, City of Miami, Homeless Assistance Program Page 35 Additionally, the Subrecipient shall comply with any and all guidance that Grantee receives from US HUD regarding this Agreement, the program and / or services covered herein, and clarification of existing laws and regulations 9. Religious Organizations Pursuant to 24 CFR Part 578.87, a primarily religious organization is eligible to receive US HUD funding, if the organization agrees to provide homeless housing and services in a manner that is free from religious influences as described in section 24 CFR Part 578.87 and in accordance with the following principles; a. It will not discriminate against any employee or applicant for employment on the basis of religion and will not limit employment or give preference in employment to persons On the basis of religion; b. It will not discriminate against any person applying for homeless housing or services on the basis of religion and will not limit such homeless housing or services or give preference to persons on the basis of religion; and c. It will provide no religious instruction or counseling, conduct no religious worship or religious services, engage in no religious proselytizing and exert no other religious influence in the provision of homeless housing and services funded hereunder. d. Alternative Provider - The Subrecipient shall incorporate into their policies and procedures, a written approved policy to refer, or transfer any program participant or prospective program participant of the Continuum of Care program who objects to the religious character of the provider. The policy and procedures shall be reviewed and subject to approval by Miami -Dade County Homeless Trust. At a minimum the policy and procedures shall include action to transfer or refer within a reasonably prompt time after the objection and undertake reasonable efforts to identify and refer the participant to an alternative provider to which the participant has no objection. Except for services provided by telephone, the Internet, or similar means, the referral must be to an alternative provider in reasonable geographic proximity to the organization making the referral. hi malting the referral, the Subrecipient shall comply with applicable privacy laws and regulations. The Subrecipient shall document any objections from program participants and prospective program participants and any efforts to refer such participants to alternative providers in accordance with the requirements of 24 CFR 578.103(a)(13). The Subrecipient shall comply with the provisions of this section and with 24 CFR Part 578.87, as well as with any other applicable laws or regulations governing a primarily religious organization. 10. Health Insurance Portability and Accountability Act (HIPAA) Any person or entity that performs or assists Miami -Dade County with a function or activity involving the use or disclosure of Individually Identifiable Health Information (IIHI) and or Protected Health Information (PHI) shall comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as may be amended, and any applicable federal, state, county and local laws and policies, including by not limited to 24, CFR 578.103, 42 CFR Part CoC Grant FL02l1 L4D001508, City of Miami, Homeless Assistance Program Page 36 2, and Section 39,908, Florida Statutes, as may be applicable. HIPAA mandates for privacy, security and electronic transfer standards that include but are not limited to the following: a. Use of information only for performing services required by the contract or as required by law; b. Use of appropriate safeguards to prevent non -permitted disclosures; c, Reporting to Miami -Dade County of any non -permitted use or disclosure; d, Assurances that any agents and subcontractors agree to the same restrictions and conditions that apply to the Subrecipient and provides reasonableassurances that IIHI and PHI will be held confidential; e. Making PHI available to the customer; f. Making PHI available to Miami -Dade County for an accounting of disclosures; g. Making internal practices, books and records related to PHI and LIM available to Miami -Dade County for compliance audits and for other purposes as may be permitted by law; and h. PHI shall maintain its protected status regardless of the form and method of transmission (including paper and or electronic transfer of data The Subrecipient must give its customers written notice of all privacy information practices including but not limited to description of the types of uses and disclosures that would be made with protected health information. 11. Proof of Licensure / Certification and Background Screening a, Licensure. If the Subrecipient 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 Service contained within the "Electronic Review, Renewal Adjustment and HEARTH Renewal Application", Attachment B, the Subrecipient shall furnish to the Grantee 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 Subrecipient fails to furnish the Grantee with the licenses, certificates or certifications required under this Section, the Grantee in its sole discretion, shall not disburse any funds until it is provided with such licenses or certifications. Failure to provide the required licenses or certification within sixty (601 day of of execution of this Agreement may result in termination of this Agreement at the Grantee's discretion. b. Background Screening .— The Subrecipient agrees to comply with all applicable federal, state and local laws, regulations, ordinances and resolutions regarding background screening of employees, volunteers, subcontractors and independent contractors. Subrecipient's failure to comply with any applicable laws, regulations, ordinances and resolutions regarding background screening of employees, volunteers, subcontractors and independent contractors is grounds for a material breach and termination of this contract at the sole discretion of Miatni-Dade County. The Subrecipient agrees to comply with all applicable laws, [including but not limited to chapters 39, 402, 409, 394,408, 393, 397, 943, 984, 985, 1012 and 435, Florida Statutes, and Section 943.04351, Florida Statutes, as may be amended from time to time), regulations, ordinances and resolutions regarding background CoC Grant ttF ,0211L4D001508, City of Miami, Homeless Assistance Program Page 37 screening of those who may work or volunteer directly with or in the vicinity of vulnerable persons as defined by Section 435.02 Florida Statutes, as may be amended from time to time. In the event criminal background screenings is required by law, the State of Florida and / or Miami -Dade County, the Subrecipient will permit only employees, volunteers, subcontractors and independent contractors with a satisfactory national criminal background check through an appropriate screening agency (i.e., the Florida Department of Juvenile Justice, Florida Department of Law Enforcement or Federal Bureau of Investigation) to work or volunteer in direct contact with or in the vicinity of vulnerable persons, The Subrecipient shall also comply with Section 943,059, Florida Statutes, regarding court -ordered sealing of criminal history records, and Section 943.0585, Florida Statutes, regarding court -ordered expunction of criminal history records, as may be applicable. The Subrecipient agrees to ensure that employees, volunteers, subcontracted personnel and independent contractors who work with vulnerable persons satisfactorily complete and pass Level 2 background screenings before working or volunteering with any vulnerable persons. The Subrecipient shall furnish Miami - Dade County with proof that employees, volunteers, subcontracted personnel, and independent contractors who work with vulnerable persons, satisfactorily passed Level 2 background screenings pursuant to Chapter 435 Florida Statutes, as may be amended from time to time. If the Subrecipient fails to furnish to Miami -Dade County proof that an employee, volunteer, subcontractor or independent contractor's Level 2 or other required background screening was satisfactorily passed and completed prior to that employee, volunteer, subcontractor or independent contractor working or volunteering with or in the vicinity of a vulnerable person or vulnerable persons, Miami -Dade County shall not disburse any further funds and this Agreement may be subject to termination at the sole discretion of Miami -Dade County. SIGNATURES CONTINUE ON NEXT PAGE CoC Grant #FLO211L4D001508, City o 'Miami, Ilomeless Assistance Program Page 38 IN WITNESS WHEREOF, the parties have caused this (39) thirty nine page Agreement to be executed by their respective and duly authorized officers the day and year first above written. WEENESSES: By: ToDD B. HANNON ENTITY: CITY OF MIAMI, FLORIDA A municipal. corporation of The State of Florida DANIEL J ALFONSO, CITY CLERK CITY MANAGER Approved as to Form d Correctness: Approved as to Insurance Requirements: By: VICTORIA MENDEZ CITY ATTORNEY ATTEST: HARVEY RLJVIN, CLERK BY: By: ANN-MARIE SHARPE RISK MANAGEMENT Affix Incorporation SEAL here Miami -Dade County, a political subdivision of The State of. Florida EPUTY CLERK CARLOS A. GIMENEZ MAYOR (DATE) See attached memorandum dated ( ) approved as 10 form and legal sufficiency Resolution # It-408-16 CoC Grant 4: IFLO211L4D001508, City of Miami, Homeless Assistance Program Page 39 Attach INDEX OF ATTACHMENTS ent A Continuum of Care Program Grant Agreement& Exhibit 1 Attachment B - Scope of Service and US HUD eSnaps documents Attachment C - Attachment D - Form W-9 Request for Taxpayer Miami -Dade County Required Affidavits and Declarations Attachment E - "Consolidated Financial Record and Reports" Attachme Attach t F "Perf'oirnance Reports (Monthly and Annual)" ent G "CoC HomelessAssistance Program Guidelines" Attachment H - Attachment I - Attachment Attachment Incident Report" form "Real Property & Equipment Asset Inventory' form When Subrecipient is the Rental Administrator (Participant's Housing Application)* HAP & LEASE - When Miami -Dade County is the Rental Administrator (Participant's Housing Application)* HAP & LEASE 4( The "CoC Participant Housing Application" contained therein, may be updated and amended from time to time and re -issued administratively includes CoC Grant 021 1.,40001508, City of Miami, rieless Assistance Program Page 40 Homeless Trust ill NW 1st Street • 27th Floor Suite 310 Miami, Florida 33128-1930 T 305-375-1490 F 305-375-2722 miamidade.gov November 16, 2016 Daniel Alfonso, City Manager City of Miani.i 444 SW 2'd Avenue, 6' Floor Miami, Florida 33130 Re; FY 2015.US .11111) CoC Program. Attention: Sergio Torres, Homeless Program Administrator Enclosed, please find three (3) original sets of the Subrecipient Agreement between Miami -Dade County, through Miami -Dade County Homeless Trust and City of Miami — Miami Homeless Assistance Program for the 2015 US HUD Continuum of Care (CoC) Program under grant number FLO2111,41)001508. Please review the included contract execution instructions. Thereafter, the authorized agency signatory must sign all three (3) copies of the Agreements and the relevant attachments. In addition, the agency must affix the corporate seal to the signature page of the Agreements or notarize them accordingly. All three (3) completed copies must be returned back to the Homeless Trust office no later than November 22,2016. Please feel free to contact us at (305) 375-1490 if you any questions or require additional information. Thank you .for your continued efforts with addressing the needed of the homeless of our community. Sincerely, V icto4t. M allette ,utive Director Enclosures Signature below confirms receipt of the enclosed documents. Signature of Authorized, Agency Representative Date Printed Name of Agency Representative 2015 CoC Prograrn Subrecipient Agreement Thank you for unfaltering service to our cormnunity as the US HUD renewing Project Sponsor ,and Collaborative Applicant for the FY 2015 US HUD Continuum of Care (CoC) Program Grant. As our active partner you are aware of the final interim rule which requires changes in how Miami -Dade County Homeless Trust carries out the terms and conditions in the grant agreement as outlined in the federal register final rule 24 CFR §578, Subrecipient Agreement: 1. There are three (3) original sets of the Subrecipient Agreement including the project specific Attachments A through K. 2. Subrecipient Agreements are between Miami -Dade County and the awarded Sponsoring Agency. Only duly authorized staff members may sign the contract. Please include the current and annually required Board Resolution which delegates signing authority to enter into agreements. Please review, complete, sign, witness, notarize and seal and return all documenis back to our office as soon as completed. Please use blue ink to sign. This will make it easier to determine original signatures. 4. You may make copies of any enclosed documents and attachments to review for your own records; however, we require all three (3) original sets of Agreements and ALL Attachments A through K, in their entirety returned to us. 5,Attachment A includes a copy of the Grant Agreement between US HUD and Miami -Dade County for that specific project, 6. Attachment B includes the eSnaps documents of the Scope of Service and Performance Measures. 7. Attachment j and Attachment K contain the "Housing Participants Package" templates or "Housing Assistance Payment" Contract templates — will be provided at a later date, 8. When you return the Agreements, include the Board of Directors list and the program -specific Table of Organization, including an updated staff member contact list as well as a current Board Resolution designating who is authorized to receive and expend federal funds, to execute Subrecipient Agreements and sub -contract agreements and to exercise modification, renewal and termination clauses. 9. Miami -Dade County Homeless Trust will then process and return one complete original Subrecipient Agreement including Attachments A through K. 10. A set of the applicable forms will be send via email for use during the program year, to the email contact address you provide to us and also posted on our website. 11. Provide the methods of contact for the key fiscal and programmatic staff assigned to the project including email addresses and telephone numbers. It is important to update this information during the terms of the agreement. Grant -specific Recordkeeping Requirements: Reimbursement Requests - Miami -Dade County Homeless Trust will provide to your designated email address the applicable Excel spreadsheets and Word documents necessary to invoice for services performed and expenditures incurred related to those outlined in the eSnaps Budget. The assigned contract officer will outline with your staff, the required supporting documents to be attached when requesting reimbursements. It is important to follow the specific instructions on the reimbursement requests. Please ensure we have your applicable staffs contact information (email and telephone numbers). FY 2015 CoC Subrecipient Agreement Instructions. Pagel 2015 CoC Program Subrecipient Agreement 2. Significant Change with anyone working with federal awards - Office of Management and Budget published Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; Final Rule - the OMB Super or Omni Circular, 3. Match Requirements - All funds except leasing require 250/0 cash or in -kind match compliance. If the budget indicates an in -kind match and that in -kind match is with a third -party, a Memorandum of Understand !mist be in place prior to any related funds being released. All appropriate documentation must be received in order to comply with the match recordkeeping requirements. There is a difference between the source of the cash and proof of cash match expended. This information is captured in Attachment E "Consolidated Financial Record and Reports''. 4. *Program Income - all occupancy and rental charges collected from the participant must be reported, as outlined under 24 CFR § 578.77. Attachment E "Consolidated Financial Record and ReportsItem 7. In FY 2015 Attachment A USHUD Grant "Scope of Work" Program income earned during the grant term shall be retained and may either be 1) added to funds committed to the project by HUD and the recipient and used for eligible activities; or 2) used as match. 5. Program Performance Objectives - As a requirement of the federal government these Agreements are Performance Based Agreements - Before the reimbursement package is reviewed for payment the HMIS-generated Monthly Progress Report will he reviewed, as well as any relevant reports including the housing vacancy rate in the program, The Contract Officer shall not release expenditures until a complete review of the program performance. 6. Use of the CoC, HMIS-generated Coordinated Outreach and Assessment System. 7. Close-out and Annual Progress Report (APR) - Please be aware of the due dates or deadlines for receipt of the APR as well as ensure all fiscal billing is submitted to close-out the program at year end, 8 Grant Modifications and Grant Amendments - A significant change or Grant Amendment in the program requires both Miarni-Dade County Homeless Trust and US HUD approval, Pursuant to 24 CFR 578.105(b), the Subrecipient is prohibited from moving more than 10% from one budget line item in a project's approved budget to another without written approval and amendment of the US Grant. Be aware of the timelines for these requests. All modification requests to the budget must be in writing on appropriate forms. 9. CoC Homeless Assistance Program Guidelines and Monitoring - included is a program compliance guideline used when our monitoring and contracts staff visits your Agency's program,. For information purposes and in-house use only, a checklist of sorts is provided which covers some of the basic areas of this program, Attachment H. All programs will be monitored annually. 10, Miami -Dade County Required Affidavits and Declarations - all of the related and required affidavits and declarations have been consolidated into Attachment D, for convenience to you, our Collaborative Applicants, 11, Leasing and RentalAssistance Documentation - Attachment J and K to be discussed in a separate meeting. FY 2015 CoC Subrecipient AgreementAgreernent lnstructions. Page 2 United. States Department of Housing and Urban Development (US HUD) FY 2015 Continuum of Care (CoC) Program. GRANT AGREEMENT ATTACENT A "2015 US HUD CoC Program Grant Agreement" U.S. Department of Housing and Urban Development Office of Community Planning, and Development 909 SE First Avenue Miami, FL 33131 Tax ID No.: 59-6000573 CoC Program Grant Number: FL0211L41)001508 Effective Date: 9/29/2016 DUNS No.: 004.1.48292 CONTINUUM OF CARE PROGRAM GRANT AGREEMENT This Grant Agreement ("this Agreement") is made by and between the United States Department of Housing and Urban Development ("HUM and Miami -Dade County (the "Recipient"). This Agreement is governed by title IV of the McKinney-Vento Homeless Assistance Act 42 U.S.C. 11301 et seq. (the "Act") and the Continuum of Care Program rule (the "Rule"). The terms "Grant or "Grant Funds" mean the funds that are provided under this Agreement. The term "Application" means the application submissions on the basis of which the Grant was approved by HUD, including the certifications, assurances, and any information or documentation required to meet any grant award condition. All other terms shall have the meanings given in the Regulation. The Application is incorporated herein as part of this Agreement, except that only the project listed, and only in the amount listed on the Scope of Work exhibit, are funded by this Agreement. In the event of any conflict between any application provision and any provision contained in this Agreement, this Agreement shall control. Exhibit 1, the FY2015 Scope of Work, is attached hereto and made a part hereof. If appropriations are available for Continuum of Care grants; if Recipient applies under a Notice of Funds Availability published by HUD; and, if pursuant to the selection criteria in the Notice of Funds Availability, HUD selects Recipient and one or more projects listed on Exhbit 1 for renewal, then additional Scope of Work exhibits may be attached to this Agreement. Those additional exhibits, when attached, will also become a part hereof. The effective date of the Agreement shall be the date of execution by HUD and it is the date use of funds under this Agreement may begin. Each project will have a performance period that will be listed on the Scope of Work exhibit(s) to this Agreement. For renewal projects, the period of performance shall begin at the end of the Recipient's final operating year for the project being renewed and eligible costs incurred for a project between the end of Recipient's final operating year under the grant being renewed and the execution of this Agreement may be paid with funds from the first operating year of this Agreement. For each new project funded under this Agreement, Recipient and HUD will set an operating start date in eLOCCS, which will be used to track expenditures, to establish the project performance period and to determine when a project is eligible for renewal. Recipient hereby authorizes HUD to insert the project performance period for new projects into the exhibit without Recipient signature, after the operating start date is established in eLOCCS. This Agreement shall remain in effect until termination either: 1) by agreement of the parties; 2) by HUD alone, acting under the authority of 24 CFR 578.107; 3) upon expiration of the final performance period for all projects funded under this Agreement; or 4) upon the expiration of the period of availability of funds for all projects funded under this Agreement. Page 89 www,hod.gov espanol.hud.gov Recipient agrees: To ensure the operation of the project(s) listed on the Scope of Woirk in accordance with the provisions of the Act and all requirements of the Rule; 2. To monitor and report the progress of the project(s) to the Continuum of Care and f{UD; 3. To ensure, to the maximum extent practicable, Unit individuals and families experiencing homelessness are involved, through employment, provision of volunteer services, or otherwise, in constructing, rehabilitating, maintaining, and operating facilities for the project and in providing supportive services for the project; 4. To require certification from all subrecipients that: a. b. Subrecipients will maintain the confidentiality of records pertaining to any individual or family that was provided family violence prevention or treatment services through the project; The address or location of any family violence project assisted with grant funds will not be made public, except with written authorization of the person responsible for the operation of such project; c. Subrecipients will establish policies and practices that are consistent with, and do riot restrict, the exercise of rights provided by subtitle B of title VII of the Act and other laws relating to the provision of educational and related services to individuals and families experiencing homelessness; d. In the case of projects that provide housing or services to families, that subrecipients will designate a staff person to be responsible for ensuring that children being served in the program are enrolled in school and connected to appropriate services in the community, including early childhood programs such as Head Start, part C of the Individuals with Disabilities Education Act, and programs authorized under subtitle B Of title VI of the Act; e. The subrecipient, it officers, and employees are not debarred or suspended from doing business with the Federal Government; and f Subrecipients will provide information, such as data and reports, as required by HUD; and 5. To establish such fiscal control and accounting procedures as may be necessary to assure the proper disbursal of, and accounting for grant funds in order to ensure that all financial transactions are conducted, and records maintained in accordance with generally accepted accounting principles, if the Recipient is a Unified Funding Agency; 6. To monitor subrecipient match and report on match to HUD; 7. To take the educational needs of children into account when families are placed in housing and will, to the maximum extent practicable, place families with children as close as possible to their school of origin so as not to disrupt such children's education; 8. To monitor subrecipients at least annually; 9. To use the centralized or coordinated assessment system established by the Continuum of Care as required by the Rule. A victim service provider may choose not to use the Continuum of Care's centralized or coordinated assessment system, provided that victim service providers in the area use a centralized or coordinated assessment system that meets HUD'minimum requirements and the victim service provider uses that system instead; www.hud.gov espano Lhad.gov Page 90 10. To follow the written standards for providing C ntinuum of Care assistance developed by the Continuum of Care, including those required by the Rule; 11. Enter into subrecipient agreements requiring subrecipients to operate the project(s) in accordance with the provisions of this Act and all requirements of the Ru]e; and 12. To comply with such other terms and conditions as HUD may have established in the applicable Notice of funds Availability. HUD notifications to the Recipient shall be to the address of the Recipient as stated in the Application, unless HUD is otherwise advised in writing. Recipient notifications to HIJD shall be to the HUD Field Office executing the Agreement. No right, benefit, or advantage of the Recipient hereunder may be assigned without prior written approval of HUD. The Agreement constitutes the entire agreement between the parties here , and may be amended only in writing executed by }IUD and the Recipient. By signing below, Recipients that are states and units of local government certify that they are following a current 1-IUD approved CHAS (Consolidated Plan). www,hud,gov espanollud.gov Page 9 1 This agreement is hereby executed on behalf of the parties as follows: UNITED STATES OF .AMERICA, Secretary of Housing and Urban Development Arm D. Chavis, Director (Typed Name and Title) September 29, 2016 (Date) RECIPIENT Miami -Dade County (Name of Organization) By: (Signature of Authorized Official ryped Name and (Date) Autho Victoria L Mallette Executive Director Miami -Dade County Homeless Trust Telephone: (305) 375-1490 Fax: (305)375-2722 Email: vmallette(rDmiamidade. www,hud.gov espanol.hud.gov Page 92 Tax ID No.: 59-6000573 CoC Program Grant Number: FL0211 4 0 508 Effective Date: 9/29/2016 DUNS No.: 004148292 EXHIBIT 1 SCOPE OF WORK for I'''\:".2015 COMPETITION . The project listed on this Scope of Work is governed by the Continuum of Care program Interim Rule attached hereto and made a part hereof as Exhibit I a. Upon publication for effect of a Final Rule for the Continuum of Care program, the Final Rule will govern this Agreement instead of the Interim Rule. The project listedon this Exhibit at 4 below, is also subject to the terms of the Notice of Funds Availability for the fiscal year listed above. 2. Tie Continuum that designated Recipient to apply for grant funds (has/has not) been, designated a high performing COMMunity by HUD for the applicable fiscal year. 3. Recipient is not the only Recipient for the Continuum of Care. HUD's total funding obligation for this grant and project is $ 255853_, allocated between budget line items, as indicated in 4. below. 4. HUD agrees, subject the terms of this Agreement, to provide the Grant funds for the project application listed below in the amount specified below In be used during the performance period established below. However, no funds for new projects may be drawn down by Recipient until HUD has approved site control pursuant to the Rule and no funds for renewal projects may be drawn down by Recipient before the end date of the project's final operating year under the grant that has been renewed. Project No. Performance Period F1,0211L4D001508 06-01-2016- 05-31-2017 Allocated between budget line items as follows: a. Continuum of Care planning activities $ 0 b. UFA costs $ 0- c. Acquisition. $ 0 d. Rehabilitation $ 0 e. New construction $ 0 f. teasing $ 0 Rental assistance $ 0 h. Supportive services $ .23.91.16, i. Operating costs $ j. Homeless Management Information System. $ 0 k. Administrative costs $ 16737 www hud.gov espanol.hud gay Page 93 In accordance with the Rule, Recipient is prohibited from moving more than 1.0% from one budget line item in a project's approved budget to another without written amendment to this Agreement. grant funds will be used for payment of indirect costs, pursuant to .2 CFR. 200, Subpart E - Cost Principles, the Recipient is authorized to insert the Recipient's .federally recognized indirect cost rates (including if the de minimis rate is charged per 2 CFR §200.414) on the attached Federally Recognized Indirect Cost Rates Schedule, which Schedule shall be incorporated herein and made a part of the Agreement. No indirect costs may be charged to the grant by the Recipient if their federally recognized cost rate is not listed on the Schedale. Do not include indirect cost rates for Subrecipients, however, Subrecipients may not charge indirect costs to the grant if they do not also have a federally recognized indirect cost rate.. 6. The project has/has not been awarded projeet-ba.sed rental assistance for a term of fifteen. (I 5) years. Funding is provided under this Scope of Work for the performance period. stated in paragraph 4. Additional funding is subject to the availability of annual appropriations. 7. Program income earned during the grant term shail be retained and may either be 1) added to fimds committed to the project by HUD and the recipient and used for eligible activities; or 2) used as match. www.hud.gov espanol.hud.gov Pap 94 Tax ID No.: 59-6000573 CoC Program Grant Number: FL0211L4D001508 Effective Date: 9/29/2016 DUNS No.: 004148292 FEDERALLY RECOGNIZED INDIRECT COST RATE SCHEDULE Grant No. Recipient Name Indirect cost rate Cost Base www.hud.go v espanol.hud.gov Page 95 This areeriaerit is hereby ex n behalf of the UNITED STATES OF AMER.ICA, Secretary of Housing and Urban Development Ann D. Chavis, Director (Typed Name and Title) Septeml er 29, 2016 irties as follows: (Date) RECIP Miami -Dade County (Narrl.e of Organization) By: (Typed Narr:.e and Fla lvlof Authorizekl Offi ial) (Date) Victoria L. ]4 Uette Excel nve Director Miami -pare County Homeless `frost °Telephone: (05) 375-1490 Fax: (305) 375-2722 Email: rrnnl7'rtteQmiamidade.eov www.hud.gov e;>i,ranol.hud.gov Page FY2015 Continuum of Care (CoC) Program Scope of Service eSnaps Budget and Performance Objectives ATTACHMENTB " "fr' 2015 Scope o Miami -Dade County Homeless Trust Scope of Service FLO211L4D001508 Miami Homeless Assistance Program The Subrecipient shall provide at least seven hundred forty-eight (748) CoC Program eligible homeless persons contacted and evaluated for placement in emergency shelters from outreach contacts through the Supportive Services Only (SSO) Program during the one (1) year grant term. The Subrecipient shall provide services as proposed in the application to United Slates Department of Housing and Urban Development (US HUD) pursuant to the 2015 NOFA (incorporated herein by reference), and pursuant to 24 CFR 578 including hut not limited to: 1. Accept eligible homeless persons as defined by US HUD and through Miami -Dade County Home ess Trust CoC's established Coordinated Outreach and Assessment HMIS referral process; 2. Comprehensive assessment and case management; 3. Residential stability; 4, If applicable, locate and match eligible program participants with eligible Landlords with units in the community; 5. If Miami -Dade County is the Rental Administrator, provide, complete and submit to the assigned staff all documentation, records and reports, including but not limited to, Attachment K Participant's Housing Application; 6. If Miami -Dade County is not the Rental Administrator, provide, complete and maintain all documentation, records and reports, including but not limited to, Attachment J Participant's Housing Application. Provide, maintain and complete ali documentation and supporting information for HQS Inspections, verify compliance with federal rules and regulations, verify Program Participants' Income Calculation and Rent Determination including any applicable utility allowances, review Lease Agreement, Lease Addendum if applicable, and Housing Assistance Payment (HAP) Contracts, issue move -in authorization, and .issue payments to Landlords; 7, Provide policies and procedures which ensure compliance with Further Fair Housing Act, Client Rights and Grievance Procedures specifically regarding terminations of housing, termination from program, evictions, and Landlord Tenant issues and appeals; 8. Provide directly, or refer to all appropriate mainstream services (as applicable) including psychiatric or psychological evaluations, medical clearances, mental health treatment, substance abuse treatment, social rehabilitation, legal smices„ life skills training, family reunification, counseling services, benefits applications, veteran services, etnployment, vocation and job assistance services; 9. Provide at a minimum, an annual assessment of the services needs of the program participants and adjust services accordingly; and 10. Discharge planning to other types of mainstream positive housing. Conditions: The Subrecipient shall adhere to the "Continuum of Care Program Grant Agreement", which includes the "Exhibit 1 Scope of Service FY 2015 Competition" and which is governed by the Continuum of Care (CoC) program rules and regulations. The Subrecipient shall comply with all applicable federal, state and local laws, regulations and ordinances, including but not limited to 24 CFR Part 578, as may be amended, the McKinney - Vent° Homeless Assistance Act (42 U.S.C. 11301 et seq.) (the "Act") as may be amended, the Consolidated and Further Continuing Appropriations Acts of 2013 and 2014 as well as with any other terms and conditions as HUD may have established in the applicable Notice of Funds Availability and with any applicable guidance, requirements and directives provided by Miami -Dade County Homeless Trust, Attachment 8 "Miami -Dade County Homeless Trust Scope of Service" Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 6a. DUNS Number: Project and Recipient Information 0041482920000 FLO211L4D001508 1. Awarded Grant Number: FL0211L4D001508 2. Project Name: Miami Homeless Assstance Program 3. CoC Number and Name: FL-600 - Miami -Dade County CoC 4. Recipient Legal Name: Miami -Dade County 5. EIN/TIN: 59-6000573 7. Component Type: 'SSO 8. Grant Term: 1 Year 9, Will the PH project provide PSH or RRH7 10. Reduced through No Reallocation: 11. Indirect Cost Rate: No ligible Activities a. Leased Units Leased Structures 2. Rental Assistance 3. Supportive Services 4. Operating 5. HIVIlS 6. Sub -total Costs Requested 7. Admin (Up to 10%) 8. Total Assistance Plus Admin Requested 9. Cash Match 004148292: 6b. DUNS Extension: HUD Award Information Renewal DO Review Applicant Submission Annual Amount Requested (Renewal Applicant Submissio n) Annual Amount Requested (HUD Award) SSO 1 Year No Budget Summary [ DD Review HUD Award Grant Term Grant Term Total Requested Total Requested (Renewal (HUD for Grant Term for Grant Term Applicant Award) (Renewal (HUD Award) Submissio Applicant n) Submission) 1 Year 1 Year $0 1 Year 1 Year $0 1 Year 1 Year $0 239,116 1 Year 1 Year 0 1 Year 1 Year $239,116 $0 1 Year I 1 Year $0 $239,116 $0 $ $6 $239,11'6 $0 $0 $239,116 $16,737 .$255,853 $0 $16,737 $255,853 50 EHUD Conditional Award Summary Page 1 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program O. In -Kind Match 1. Total Match 12. Total Budget $81,705 $81 705 $337,558 .,705 $81,705 337,558 0041482920000 FLO211L4D001508 HUD Conditional Award Summary Page 2 08 1/2016 Applicant: Miami-Da:de County Project: Miami Homeless Assistance Program ID. Congressional District(s) 0041482920000 FL0211L4D001508 Instructions: All fields on this screen will populate with information from the project application. These fields can be adjusted. Areas Affected By Project: This field is required. Select the State(s) in which the proposed project will operate and serve the homeless, Descriptive Title of Applicant's Project: This field is populated with the name entered on the Project screen when the project application was created. To change the project name, click Back to the Submission List and click on "Projects" on the left hand menu, Click on the magnifying glass next to the project name to edit. Congressional District(s): a. Applicant: This field populates from the Project Applicant Profile. Project applicants cannot modify the data in this fieid. However, project applicants may modify the Project Applicant Profile in e-snaps to correct an error. b. Project This field is required, Select the congressional district(s) in which the project operates. For new projects, select the district(s) in which the project is expected to operate. Proposed Project Start and End Dates: ln this required field, indicate the operating start date and end date for the project. For new project applications, indicate the estimated operating start and end date of the project. Estimated Funding: Fields intentionally left blank, cannot edit. Additional Resources: https://wwvv.hudexchange.info/e-snaps/guides/coc-program-competition-resources/ 14. Area(s) affected by the project (State(s) Fiorida only): (for multiple selections hold CTRL key) 15. Descriptive Title of Applicant's Project: Miami Homeless Assistance Program 16. Congressional District(s): a. Applicant: FL-027, FL-026, FL-024, FL-025, FL-023 b. Project: FL-024 (for multiple selections hold CTRL key) 17. Proposed Project a. Start Date: 02/01/2016 b. End Date: 01/31/2017 Applicant Renewa Issues and Conditions Page 1 08/11/2016 Applicant: Miami -Dade County Project Miami Homeless Assistance Program 0041482920000 FL0211L4D001508 2A. Project Subrecipients This form lists the subrecipient organization(s) for the project. To add a subrecipient, select the icon. To view or update subrecipient information already listed, select the view option. Total Expected Sub -Awards: $255,853 Organization Type Sub - Award Amount The City of Miami C. City or Township Government $255,853 Applicant Renewal Issues and Conditions Page 2 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance, Program °��` Project ^~� �� �� . ~ � ��. n ���x=� ��������U�����^s 0041482920800 Instructions: All fields on this screen will populate with information from the project appUication. These fields can beecQusted. Enter the contact information for the person designated by the subrecipient who has the authority 0oact mnthe subrecipienCobebaff. Organization Name: This fieM is required, Enter the legal narne of the organization that will serve unthe aubneup|eoL Organization Type: This fi:eld is required, Select the type of business organization that best describes the subrecipient, Nonprofit applicant types (both public and private) are required to submit to HUD one of the following sources docurnenting nonprofit status: (1) IRS letter or ruling showing 501(c)(3) status; (2) Documentation showing cerfified United Way agency status; (3) Cerbfication from a licensed CPA (see 24 CFR part 578); or (4) Letter from an authorized state official showing that the appl�cant is organized and in good standing as, a pub��G nonprofit |fOther, please specify: Enter the other type nfbusiness organization that best describes the oubreoip|ent Employer Tax Identification Number: This field isrequired. EntorthmEnu kz or Taxpayer Identification Number (E]NorTIN) as, assigned byLha|n0ama|Rmvemua3ervice.|fyour organization isnot inthe US, enter 44-4444444. Organizational DUNS: This field iarequired, En1ertheorgonizadoo'aDUNSorDUNS+4 number rooaivodfrom Dun and Bradstreet. Information on obtaining DUNS numbermuybe obtained athftp:Dwww.dmb.nom. Physical AddEnter the street address, city, state and zip code (required); oounty, province, and country (opUonal), If the mailing address is, different from the street address, enter the me0ngaddress. Congressional District field is required. Select the congressional district(s) in which the aubrecipian1ialocated. Faith Based OngenizaUomThis field isrequired, Select ''Yes"or"No^i[ the aubn*cipiont|uafaith based organization. Prior Federal Grant Recipient: This field is required, Select "Yes" or "No" to indicate if the uubnecpienthas ever received afederal grant. Expected Sub -Award Amnount:This field iorequired. Enter the expected sub -award amount. Contact person: Enter the prefix, first name, last name, and title (required);middle name and suffix (optional). Enter the person's organizational affiliation if affiliated with an organization other than the aubrecipiart. Enter the roo 'ate[ephene number and email (required); alternate number, extension, and fax number (updonaQ. Additional Resources: httpm://mww.hudmxchangejnfoAa-snops/gu|des/cnspno0nam+compohtkzn-resnumex/ a. Organization Name The City of Miarni b. Organization Type C. City or Township GOVe[DOOeUt F A4p|ioantRmnewa|yssumoandComditkona | 08/11/2016 | Applicant: Miami -Dade County Project: Miami Homeless Assistance Program If "Other" specify; c. Employer or Tax Identification Number: 59-6000375 * d. Organizational DUNS: 0041482920000 FL0211L4D001508 118890230 e. Physical Address Street 1 444 SW 2nd Avenue, 5th Floor Street 2 City Miami State Florida Zip Code 33136 f. Congressional District(s): FL-024 (for multiple selections hold CTRL key) g. Is the subrecipient a Faith -Based No Organization? h. Has the subrecipient ever received a Yes federal grant, either directly from a federal agency or through a State/local agency? i. Expected Sub -Award Amount: $255, 53 j. Contact Person Prefix Mr. First Name Sergio Middle Name Last Name Torres Suffix Titie Program Administrator E-mail Address storres@miamigov.corn Confirm E-mail Address storres@miamigov.com Phone Number 305-960-4980 Extension Applicant Renewal Issues and Conditions Page 4 PLUS 4 08/11/2016 Applicant. Miami -Dade County Project: Miami Homeless Assistance Program Fax Number 305-960-4977 0041482920800 Applicant Renewal Issues and Conditions Page 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 2B. Recipient Performance 0041482920000 FLO211L4D001508 Instructions: The selections made on this screen by completing all of the mandatory fields marked with an asterisk (*), will provide information on capacity of the project applicant. The screen asks the Project Applicant questions about capacity performance as a HUD grant recipient; in terms of: timely submission of required reports, quarterly eLOCCS drawdowns, addressing HUD monitoring and/or OIG audit findings and the recapture of any funds from the most recently expired grant term of the project. APR Submission: Select "Yes" or "No" from the dropdown menu to indicate whether you have successfully submitted the APR on time for the most recently expired grant term related to this renewal project request. If "No' is selected, an additional question will appear, in which you must provide an explanation in the textbox; as to why the APR was not submitted in a timely manner. HUD Monitoring Findings: Select "Yes" or "No" from the dropdown menu to indicate whether your organization has any unresolved HUD Monitoring and/or OIG Audit findings concerning any previous grant term related to this renewal project request. If "Yes" is selected, two new questions will appear, in which the applicant will enter the date of the oldest unresolved finding(s) and explain why the findings remain unresolved in the textbox provided. Quarterly Drawdowns: Select "Yes" or "No" from the dropdown menu to indicate whether your organization maintained consistent Quarterly Drawdowns from eLOCCS for the most recent grant terms related to this renewal project. If "No," is selected, one new question will appear in which the applicant must explain, in the textbox provided, as to why the recipient has not maintained consistent Quarterly Drawdowns for the most recent grant terms related to this renewal project request. Recaptured Funds: Select "Yes" or "No" from the dropdown menu to indicate whether any funds have been recaptured by HUD for the most recently expired grant term related to this renewal project request. If "Yes," is selected, one new question will appear, in which the applicant must explain why HUD recaptured funds from the most recently expired grant term. Additional Resources: https://www,hudexchangeinfo/e-snaps/guidesicoc-program-co petition -resources/ 1. Has the recipient successfully submitted Yes the APR on time for the most recently expired grant term related to this renewal project request? 2. Does the recipient have any unresolved No HUD Monitoring and/or OIG Audit findings concerning any previous grant term related to this renewal project request? 3. Has the recipient maintained consistent Yes Quarterly Drawdowns for the most recent grant terms related to this renewal project request? 4. Have any Funds been recaptured by HUD No Applicant Renewal Issues and Conditions Page 6 08/11/2016 Applicant: Miami-DudeCounty P'roject: Miami Homeless Assistance Program borthie most recently expired grantterr-n related t0this, renewal project reqmqVt? 0041482920000 Applicant Renewal Issues Conditions 7 0B/11/2O1b Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 0041482920000 FLO211L4D001508 3A. Project Detail Instructions: The majority of the fields on this screen are for referonce adjusted to resolve identified issues and conditions. Additional Resources: httos://wmchudexchange.info/e-snaps/guidesicec-progral -competition-resources/ ly. Questions 5 and 6 may only be 1. Expiring Grant Number: FLO21 1 L4D001 508 (e.g., the "Federal Award Identifier" indicated on form 1A, Application Type) 2a. CoC Number and Name: FL-600 - Miami -Dade County CoC 2b. CoC Applicant Name: Miami -Dade County 3. Project Name: Miami Homeless Assistance Prograr 4. Project Status: Standard Component Type: Renewal J HUD Adjustment Project Award sso Application sso 6. Does this project use one or more No properties that have been conveyed through the Title V process? Applicant Renewal Issues and Conditions Page 8 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 3B. Project Description 0041482920000 FL0211L4D001508 Instructions: All fields on this screen will populate with information from the project application. Many fields can be adjusted directly. For others, data can only be entered under the Adjustment column. Data under the New Submission column populates from the project application. Data under the HUD Award column populates from the HUD conditional award. Provide a description that addresses the entire scope of the proposed project: This field populated with the information from the project application. It cannot he adjusted. Provide changes, if required, to the description that addresses the entire scope of the proposed project: This field populates with information from the project application. It can be adjusted. A project description should be complete and concise, It must address the entire scope of the amended project, including the details from Terminating grants under a grant consolidation, The project description should address the entire scope of the project, including a clear picture of the target population(s) to be served, the plan for addressing the identified needs/issues of the CoC target population(s), projected outcome(s), and coordination with other source(s)/partner(s). The narrative is expected to describe the project at full operational capacity. The description should be consistent with and make reference to other parts of this application. Does your project participate in a CoC Coordinated Assessment System: This is a required field. Select "Yes" if the project is currently participating in a coordinated assessment system. If a coordinated assessment system does not exist in the CoC or if the project does not participate, select "No" and the following question will be visible: - Please explain why your project does not participate in a CoC Coordinated Entry Process as required by 24 CFR part 578 Does your project have a specific population focus: This is a required field. Select "Yes" if your project has special capacity in its facilities, program designs, tools, outreach or methodologies for a specific subpopulation or subpopulations. This does not necessarily mean that the project exclusively serves that subpopulation(s), but rather that they are uniquely equipped to serve them. If "Yes" is selected, select the relevant checkbox(es) to identify the project's population focus, PH, TH and SSO PROJECTS ONLY Does the project follow a "Housing First" approach: The following three questions are required for PH, TH, and some SSO projects and does not apply to SSO Coordinated Entry and HMIS projects, Confirm whether the project quickly moves participants into permanent housing and select all applicable checkboxes that indicate whether the participants are not screened out or terminated from the program based on the listed reasons Does the project quickly move participants into permanent housing?: This is a required field. The recipient must select "Yes" or "No" from the dropdown. Has the project removed the following barriers to accessing housing and services? (Check all that apply): The recipient must select at least one checkbox and should select "None of the above:" if all of the listed reasons are used to screen out participants. Has the project removed the following as reasons for program termination? (Check all that apply) The recipient must select at least on checkbox and should select ''None of the above:" if all of the listed reasons are used to terminate participants from the program. Does the project follow a "Housing First" approach? This is auto -scored based upon the responses to the questions above and "Yes" or "No" will indicate whether the project is using the, Housing First approach to house program participants. Applicant Renewal Issues and Conditions Page 9 08/11/2016 Applicant: M|omA]mdeCounty Project: Miami Homeless Assistance Program None of the above d. Does the project follow a "Housing First" No approach? 8. Please select the type of SSO project: Street Outreach 0041482920000 Applicant Renewal Issues and Condidona Page ������ 08/11/20 Applicant: Miami -Dade County 0041482920000 Project: Miami Homeless Assistance Program FL0211L4D001508 4A. Supportive Services for Participants Instructions: Ali fields on this screen will populate with information from the project application. These fields can be adjusted, Are the proposed project policies and practices consistent with the laws related to providing education services to individuals and famiiies: This is a required field. Select "Yes," No, or "N/Ato indicate whether the project policies provide for educational and related services to individuals and families experiencing homelessness, and if the policies are consistent with local and federal educational laws, including the McKinney-Vento Act. Only projects that do not serve families with children or unaccompanied youth should select "N/A." If "No" is selected, the project applicant will be required to answer an additional question, Does the proposed project have a designated staff person to ensure that children are enrolled in school and receive educational services, as appropriate: This is a required field, Select "Yes," No or "N/A" to indicate whether the project has a designated staff person responsible for ensuring that children and youth are enrolled in school and connected to the appropriate services within the community, including early childhood education programs such as Head Start, Part C of the Individuals with Disabilities Education Act, and McKinney-Vento education services, Only projects that do not serve families with children or unaccompanied youth should select "N/A." If "No" is selected, the project applicant will be required to answer an additional question, Describe the manner in which the project applicant will take into account the educational needs of children when youth and/or families are placed in housing: This is a required field if a response of "No" is given for either one of the two preceding questions. Use this space to explain how the project will plan to meet the educational needs of children and youth participants according to the requirements specified under section 426.B.4 of the McKinney-Vento Act as amended by HEARTH. For all supportive services available to participants, indicate who will provide them, how they will be accessed, and how often they are provided. This field is required and at least one value must be entered. Complete each row of drop down menus for supportive services that will be available to participants, using the funds requested through the application, and funds from other sources. if more than one Provider or mode of Access is relevant for a single service, please select the provider and mode of access that corresponds to the highest frequency. - Provider: select one of the following; "'Applicant" to indicate that the applicant will provide the service directly; "Subrecipient" to indicate that a subrecipient will provide the service directly; "Partner to indicate that an organization that is not a subrecipient of project funds but with whom a formal agreement or MOU has been signed will provide the service directly; or, "Non -Partner" to indicate that a specific organization with whom no formal agreement has been established regularly provides the service to clients. If more than one provider offers the service at the same frequency, choose the provider according to the following; Applicant, then Subrecipient, then Partner, and lastly, non -Partner, - Frequency: Select the most common interval of time for which the service is accessible to participants. If two frequencies are equally common, choose the interval with the highest frequency. Applicants may leave dropdown menus as "—select---" when services are not applicable. To what extent are most community amenities available to project participants: This field is required. Select the answer that best fits the accessibility of community amenities such as: Schools, libraries, houses of worship, grocery stores, laundromats, doctors, dentists, parks or recreation facilities, If accessibility varies significantly by amenity, choose the level that best describes most ofthe amenities or the average accessibility of amenities, Please identify whether the project will include the following activities: Applicant Renewal Issues andCenditions Page 14 08/1 /2016 11 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 0041482920000 FL0211L4D001508 Transportation assistance to clients to attend mainstream benefit appointments, employment training, or jobs: This is a required field. Select "Yes" if the project provides regular or as requested transportation assistance to mainstream and community resources, including appointments, employment training, or jobs. Select "No" if transportation is not regularly provided or cannot be provided consistently as requested. Use of a single application form for four or more mainstream programs: This is a required field. Select "Yes" if the project uses a single application form that allow participants to sign up for four or more mainstream programs. Select "No" if mainstream forms are for 3 or fewer programs. At least annual follow-ups with participants to ensure mainstream benefits are received and renewed: This is a required field. Select "Yes" if the project regularly follows -up with participants to ensure that they are receiving their mainstream benefits and to renew benefits when required. Select "No" if there isare no follow-ups or the follow-ups are irregular concerning mainstream benefits. Will project participants have access to SSI/SSDI technical assistance provided by the applicant, a subrecipient, or partner agency: This is a required field. Select "Yes" if project participants have access to SSI/SSDI technical assistance. The assistance can be provided by the applicant, a subrecipient, or a partner agency — through a formal or informal relationship. Select "No" if there is no or significantly limited access to SSI/SSDI technical assistance. Additional Resources: https://www.hudexchange.info/e-snaps/guides/coc-program-competition-resources/ la. Are the proposed project policies and Yes practices consistent with the laws related to providing education services to individuals and families? lb. Does the proposed project have a Yes designated staff person to ensure that the children are enrolled in school and receive educational services, as appropriate? 2. For all supportive services available to participants, indicate who will provide them, how they will be accessed, and how often they will be provided. Click 'Save' to update. Supportive Services Provider Frequency Assessment of Service Needs Subrecipient Daily Assistance with Moving Costs Case Management Applicant Daily Child Care Education Services Employment Assistance and Job Training Food Housing Search and Counseling ervices Legal Services Life Skills Training Mental Health Services Applicant Renewal Issues and Conditions Page 15 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program ._.., Outpatient Health Services Outreach Services Substance Abuse Treatment Services Transportation Utility Deposits Subrecipient breci lent 3. Please identify whether the project includes the following activities: 3a. Transportation assistance to clients to Yes attend mainstream benefit appointments, employment training, or jobs? 3b. Use of a single application form for four Yes or more mainstream programs? 3c. At least annual follow-ups with No participants to ensure mainstream benefits are received and renewed? 4. Do project participants have access to No SSI/SSDI technical assistance provided by the applicant, a subrecipient, or partner agency? 0041482920000 FLO2111_4D001508 Applicant Renewa Fssues and Conditions, Page 16 08/11/2016 Applicant: Miarni-DaeCounty Project: Miami Norne�esyAssistance Program 5A Project Participants Households 0041482920000 FL0211L4D001508 Instructions: ALL PROJECTS EXCEPT NK*|S All fields onthis screen will Populate with the most current grant information, These fields can be adjusted. In each non -shaded field list the number of households or persons served at rnaximum program capacity. The numbers here are intended to reflect o|n0|o point |ntime wtmux|mum occupancy and not the number served over the Course ofayear orgrant term. Dark grey cells are not appkoableand light grey cells will betotaled automaftoUy. Households� Enter the number of households under at least one of the categories: Households with at least One Adult and One Child, Adult Households without Children, or I.-louseholds with Only Children, - Households with at least One Adult and One Child� Enter the total number of households with atleast one adu/tand one child, Tofall under this column and household type,there must boat least one person at or above the age of 18, and at least one person under the age of 18. Adult Households wthootChildren: Enhyr0hebota|numburnfadu|thnuawho|ds withoutoh]dmn. To fall tinder this column and household typa, there must be atleast one person mtnrabove the age uf18.and nopersons under the age mfl8. Households with Only Children: Enter the total number of households with only children, To fall Linder this column and household type, there may not be any persons at or above tile age of 18, and only persons under the age of1B, Characteristics: Enter the total number of homeless that fall under one of the characteristics listed, ' Persons inHouseholds with etleast One Adult and One Child: Enter the number nf personsin households with atleast one admltamdonchild for each demographic row. Tnfall under this oo�mmnand household type, there must beatleast one person adorabove the age oJ1@.and at least one person under the age of18, Adu|1Persons inHouseholds, without Childnsm Enter the number ofpersons �mhouseholds without children for each demographic row. Tofall under this column arid household type, there must baut least one person atorabove the age of18.and nopersons under the age of10. ' Persons imHouseholds with Only Children: Enter the number ofpersons inhouseholds with only children for each demographic row, To fall under this column and household typo there may not b*any persons atorabove the age of18,arid only persons underthe age of18. Totals: All fie�dsimthe "Total Number..." and "Total Persuns" rows will automatically calculate when the "Save" button is cflcked. Additional Resources: httpa�//vvwnw,hudexohonQa.infoAe-anapdguidas/omo- mmgosm-connpetitic)n-resounzus/ ouseholds _ Characteristics Adults over age 24 Households with at | Least One Adult and One Child Persons In Households with at Least One Adult and One Child Adult Households | | Householdswm* *Nm�t ChUd�n | | Only Children 1,687 | xuun Persons in Households without Children 160 | | 1,811 Pemonam Households with Only ChIldren Ranewai|ssuesandComditions Page17 | 98/11/2816 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program �Adults uomo10-2^ Accompanied Children under age 18 |unwccvmpnniedCnuurepunder age1u Total Persons Click Save to automatically calculate total's 0041482920000 Qc | AppantRenewa||smueoandCondd�mo /_ _ Page18 Applicant, Miami -Dade County Project: Miami Homeless Assistance Program 5B, Project Participants - Subpopul'at^ons Instructions: ALL PROJECTS EXCEPT HM|S All fi&dsonthis screen will populate with information can boadjusted. 0041482920000 FLO21iL4OOO15OO , the project application, These fields |neach non -shaded field enter the number ofpersons served admaximum program capacity according mtheir age group, disability and the extent invvNch personsserved fit into one or more of the SUbpOpUlation categories, The numbers here are intended to reflect a single poin,t in time at maximurn capacity and not the number served over the course of a year or grant term. Dark grey cells are not applicable and light grey cello, will be totaled automatically, ' Complete each ofthe three charts onthe screen according hohoumeho|dh/pes. Persons inHouseholds with stLeast One Adult and One Child oharL Enter only, persons in households with e1least one adult and one child. Tmbmlisted onthis char�a person mustbe part of a household with at least one person at or above the age of 18, and at least one person mnderthe age of1O. Persons inHouseholds without Children uho�� Enter only persons |nadult households without children. Tobe0stedonthis chart, operson must bepart ufahousehold with atleast one person atorabove the age mf18.and nopersons under the age of18. Persons inHouseholds with Only Children chart: Enter only persons inhouseholds with only children. To be listed on this chart, a person must be part of a househoN with no persons at o,r above the age of18,and only persons under the age nf18. Total Persons: All fields iothe "Total Persons" rows mh[| calculate automatically when the ~Sava"button |nclicked, Describe the unlisted oub lad referred |oabove: This field iov|0b|aand mandatory ifa umber greater than 0 is enteredito the column "Persons not represented by listed eubpopu|mbona.^ Enter text that describes the person(s) identified in this col'umn and explains how they dunot fall under the other categories |ncolumns 1through O. Additional Resources: Characteristics Adults over age 24 Adults m0001n�4 � Children underage 1u Total Persons Persons inHouseholds with atLeast [}meAdu,lt and One Child roniq Substan! jg ffzujd IMF -lot Persons with m/vmuo a Severely Mentally III 17 o Click Save to automatically calculate totals Victims of oumast| Violence ,Persons not Physical Develop re=ase Disabilit mental ted by lations 110 1 30 8 | Appl�erdRenmwa�Issues and Cund�vna _ Page19 | 0811/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program Characteristics Adults over age 24 Adults ages 18-24 Total Persons Persons in Househol Ar'le '4,+444 77 ees rit1,4111C AM. zzlo mow :?,nosa.ohtos.amegAit ds without Children Chronic Substan ce Abuse Persons with HIV/AID s Victims Severely of Mentally Domesti c Violence 0041482920000 F L0211L4 D001508 Physical Disabilit y 150 15 479 1 25 370 12 7 40 5 25 10 2 150 4 17 519 3D 395 22 9 CI ck Save to automatically calculate totals Persons in Households with Only Children Persons not Develop represen mental ted by Disabilit listed y subpopu lations 0 1,1 4 0 13 ,127 Characteristics tvopo , 4, ,,4, It tjom /fileN*Stf *Ivry ,-,h9a,.r af , 4 ,Homei 0 1r" ,P4 4 7), ' , mor , g`' ' ISubstan ce Abuse Persons with HIV/A1D S Severely Mentally 111 Victims of Domesti c Violence Physical Disabilit y 0 Develop mental Disabilit y .......... 0 Persons not represen ted by listed subpopu lotions 0 Accompanied Children under age 18 0 ''.04 . ' ,' ' ' I '''''' -tai''''0 0 Unacconipanied Children under age 18 0 0 --- - Total Persons Describe the unlisted subpopulations referred to above: N/A Applicant Renewal issues and Conditions Page 20 08/11/20 Applicant: Kami-DadeCounb/ Project: Miami Homeless Assistance Program 0041482820000 5C Outreach for Participants Instructions: ALL PROJECTS EXCEPT HMIS All fields onthis screen will populate with information from the project application. These: fields can beadjusted. Enter the percentage of project participants that will be coming fromeach ofthe folowing locations: This ism requiredfield. Enter the percentage (between DY4and 1DD%)ofparbcipants that will becoming from each ufthe following locations: ' Directly from the street urodverlocations not meant for human habitation - Directly from emergency shelters -Dinectiyfromaafehavena - From transitiona[ housing and previously resided in a place not meant for human habitation or emergency shelters, orsafe havens ' Persons atimminent risk oflosing their night time residence within 14days, have no subsequent housing identified, and lack the resources to obtain other housing (only applicable to THand SSOprojects) - Homeless persons as defined under other federal statutes (TH and SSO only and HUD approval REQUIRED) Persons fleeing domestic violence If the projecthooenh`nedava|ueintotherow"Homa|ouapenmnsaadafined..."dhctvaloehas, been set to zero as no projects have been approved to serve persons coming from these ** If the project is not aTHorG8Oproject and has entered evalue into the row "Persons ot imminent risk—" that value has been set to zero as no other project type may serve persons from these locations, Total ofabove The percentages entered will automatically sum when all required fields are entered and the ^5awe^button is cioked. Awarning message will appear ifthe tota(iu greatarthan 100%. 8fthe total inless than 100 percent, identify how the persons, meet HUD's definition of homeless and the project type eligibility requirements. If "Persons imminent risk..." iUh SO or TH project and verify that persons served will be within 14 days of los�ng their housing and becoming literally srequired if the total percentage calculated above isless, than1OO percent or if a numbergreater than Owas entered inthe "Persons etimminent risk of losing their residence" field. If both app|y, the project applicant must provide a response toboth questions |nthis field, If the total percentage calculatedabowsis|osothon1O8porcentex |ainwhovatho unaccounted for participants will come from, All participants served in CuC Program funded projects must meet eligibility criteria set forth in24CFRPart 578 and the FY2O15 CoCPnognmm App�ioantRenewal Issues and Conditions O8/ 1/201O Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 0041482920000 FLO211L4D001508 If the field for "Persons at imminent risk of losing their nighttime residence within 14 days, have no subsequent housing identified, and lack the resources to obtain other housing" contains a percentage greater than 0, the project applicant must indicate how these persons meet the eligibility criteria for the project component being requested (may only be TH or SSO). Additional Resources: https://www.hudexchange.info/e-snaps/guides/coc-program-competition-r sources/ 1. Enter the percentage of homeless person(s) who will be served by the proposed project for each of the following locations. 100% Directly from the street or other locations not meant for human habitation. Directly from emergency shelters. Directly from safe havens. nYr, From transitional housing and previously resided in a place not meant for human habitation or emergency shelters, or safe havens. Persons at, imminent risk of losing their night time residence within 14 days, have no subsequent housing identified, and lack the resources to obtain other housing (TH arid SSO projects only) Persons fleeing domestic violence. 100% Total of above percentages 2. If the total is less than 100 percent, identify how the persons meet HUD's definition of homeless and the project type eligibility requirements. AND/OR If "Persons at imminent risk..." is greater than 0 percent, identify the project as either an SSO or TH project and verify that persons served will be within 14 days of losing their housing and becoming literally homeless." Applicant Renewal Issues and Conditions Page 22 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 6A. Standard Performance Measures Instructions: SSO STREET OUTREACH PROJECTS ONLY 0041482920000 FLO211L4D001508 All fields on this screen will populate with information from the project application. These fields can be adjusted. Persons placed into housing (ES, TH, SH, or PH) as a result of the street outreach program during the operating year: Count every participant who has moved into any shelter or housing situation after the initial street outreach intervention. Among persons who entered with an unmet need associated with a condition listed below, indicate how many received the services for that condition by the time they exited? Consider at participants that your project might serve over the next 12 months. Fill out each row as each condition is applicable for the project's population, Leave fields blank in rows for conditions that are not applicable to the population being served. For each measure, enter a number in the blank cells according to the following instructions: Universe (if): Enter the total number of persons about whom the measure is expected to be reported. The Universe is the total pool of persons that could be affected. Target (#): Enter the number of applicable clients from the universe who are expected to achieve the measure within the operating year. The Target, is the total number of persons from the pool that are affected. Target (%): This field will be calculated automatically when all required fields are entered and saved. For example, if BO out of 100 clients are expected to be placed into housing, the target % should be "80%." Additional Resources: hdps://www.hudexchange.infoie-snaps/guides/coc-program-competition-resources/ FHousing M @SLII0 ....___ 1. Specify the universe and target for the housing measure. rla. Persons exiting to any destination that Is not a place not meant for human habitation; jail, prison or juvenile detention facility; or other destination, Recipients should exclude from their calculation, Including their universe, persons they are expecting with exits to hospital or other residential non - psychiatric medical facility, residential project or halfway house with no homeless criteria, and deceased. _ Target (#) Universe ( ) Target % (calculated) 2. Among persons who entered with an unmet need associated with a condition fisted below, indicate how many received the services for that condition by the time they exited. Applicant Renewal Issues and Conditions Page 23 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 0041482920000 FL0211L4D001508 Measure Target (#) Univers Target (%) {calculated) Physical Disability 694 Develapmental Disability Chronic Health 2,968 23% 59 2,968 2% 93 2,968 3% HIV/AI 78 2,968 3% Mental Health 975 2,968 33% Substance Abuse 919 I 2,968 IApplicant Renewal Issues and Conditions Page 24 08/11 /2016 Applicant: Miatm-Dade County Project: Miami Homeless Assistance Program 6B. Additional Performance Measures 0041482920000 FL02111L40001508 Specify at least one measure on which the project will report performance in the Annual Performance Report (APR). Proposed Measure At least 50% of c... E.. Applicant Rene Issues and Conditions Page 25 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 0041482920000 FLO211L4D001508 6B. Additional Performance Measures Detail Instructions: ALL PROJECTS EXCEPT HMIS Ail fields on this screen will populate with information from the project application. These fields can be adjusted. For each additional measure, fill in the blank cells according to the following instructions: Performance Measure: Provide a name for the additional performance measure, This name will populate the list on the parent additional performance measures screen. Universe (#): Enter the total number of persons/units/items about whom/which the measure is expected to be reported. The Universe is the total pool of persons/units/items that could be affected, Target (#): Enter the number of applicable persons/units/items from the universe who/that are expected to achieve the measure within the operating year. The Target is the total number of persons/units/items from the pool that are affected. Target (%): This field will be calculated automatically when all required fields are entered and saved. For example, if 80 out of 100 clients are expected to remain in the permanent housing program or exit to other permanent housing, the target % should be "80%," Data Source: (e.g,, data recorded in HMIS) and method of data collection (e.g., data collected by the intake worker at entry and case manager at exit) proposed to measure results: This is a required field. Use the text box provided to provide as much detail concerning the data systems and methods as possible. Specific data elements and formula proposed for calculating results: This is a required field. Use the text field provided and be specific. Rationale for why the proposed measure is an appropriate indicator of performance for this program: This is a required field. Use the text field provided to describe the appropriateness of the measure given the nature of the program. Additional Resources: https://wvvw.hodexchange,info/e-snapsiguides/coc-program-competition-resources/ 1. Specify the universe and target goal numbers for the proposed measure. a. Proposed Measure b. Target (#) c. Universe (#) d. Target WO (Calculated) At least 50% of chronically homeless households engaged by outreach will complete a Vulnerability Index and Services Prioritization Decision Assistance Tool (VISPDAT). 374 748 50% 2. Data Source (e.g., data recorded in HMIS) and method of data collection (e.g., data collected by the intake worker at entry and case manager at exit) proposed to measure results Data will be collected and maintained in the Service Point Homeless Management Information System (HMIS). Applicant Renewal Issues and Conditions Page 26 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 0041482920000 FL0211L4D001508 3. Specific data elements and formula proposed for calculating results The total number of chronic homeless individuals engaged during the operating year will be extrapolated from the HMIS system to determine whether target has been met as indicated. 4. Rationale for why the proposed measure is an appropriate indicator of performance for this program This measure will track the program's engagement of chronically homeless individuals. Applicant Renewal Issues and Conditions Page 27 08/11/2016 -----1 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 7A, Funding Request 0041482920000 FLO211L4D001508 Instructions: For some fields on this screen data can only be entered under the Adjustment column. Data under the New Submission column populates from the project application. Data under the HUD Award column populates from the HUD conditional award. Questions with only one field and no columns can be adjusted directly. Do any of the properties in this project have an active restrictive covenant? Select "Yes" of "No" to indicate whether one or more of the project properties are subject to an active restrictive covenant. As a reminder, any project awarded capital cost funds (new construction, acquisition, or rehabilitation) has a 20 year or if initially awarded under the CoC Program (FY 2012 capital costs and beyond) a 15 year use restriction. Was the project awarded as either a Samaritan Bonus or Permanent Housing Bonus project? Select "Reallocation" if the project was created through the use of funds reallocated from one or more eligible renewal projects. Select "Permanent Housing Bonus" if this project was awarded using permanent housing bonus funds. Are the requested renewal funds reduced from the previous award as a result of reallocation? Select "Yes" or "No" to indicate whether the renewal project is reduced through the reallocation process. The response will be compared to the CoC Reallocation forms. Does this project propose to allocate funds according to an indirect cost rate? Select "Yes' Dr "No" to indicate whether the project either has an approved indirect cost plan in place or will propose an indirect cost plan by the time of conditional award. For more information concerning indirect costs plans, please 2 CFR Part 200.56, Part 200.413 and Part 200.414, FY 2015 NOFA and contact your local HUD office, The following questions become visible if "Yes" is selected: - Please complete the indirect cost rate schedule below: Applicant must complete at least one row in the grid. - Has this rate been approved by your cognizant agency?: Select "Yes" or "No" from the dropdown menu. - Do you plan to use the 10n/0 de minirnis rate?: Select "Yes" or "No" from the dropdown menu. Select a grant term: This field cannot be edited. Select the costs for which funding is being requested: These checkboxes should only be adjusted when HUD has either removed or created a new budget line item for the project during its review of the project application. Review the budget summary for information concerning the HUD conditional award and then select or deselect budget line iterns from this chart only if necessary. There are three columns with check boxes. The "New Submission" column is for reference only and represents the budget costs selected by the recipient on the new grant application. The check boxes in this column cannot be edited. The "HU'D Award" column is for reference only and represents the budget costs awarded by HUD. The check boxes in this column cannot be edited. The "Adjustment" column represents the amendment request. These check boxes are available for edit. Depending on the project type, the following eligible costs may be listed: new construction/acquisition/rehabilitation, leased units, leased structures, rental' assistance, supportive services, operating, and HMIS. Additional Resources: ntlos://www,hudexchange.info/e-snaps/guides/c c-program-competition-resources/ Applicant Renewal Issues and Conditions Page 28 08/11/2016 Applicant: Miami -Dade County 0041482020000 Project: Miami Homeless Assistance Program FL0211L4DO01508 1. Do any of the properties in this project No have an active restrictive covenant? 2. Was the original project awarded as either No oSamaritan Bonus orPermanent Housing Bonus project? 3.Are the requestedrenewal funds reduced No from the previousaVVard as result of reallocation? 4. Does this project propose to allocate funds NO according tomn indirect cost rate? 5.Select, aQmant,temn: 1Year G. Select the costs for which funding is being requested: � Renewal »f��i� xuo A�� Adjustment Leased Units r�� Leased Structures _ --- _. � --'---� --- Rental Assistance __ ouppnrtivvsmr0uuo � --- F- X ------ Ope---,amoms - -- HMxS _____ Applicant Renewal Issues and Conditions O8/1 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program ��� Supportive Services Budget x �~. ��������m *��� ��������� �� 0041482020000 Instructions: Data can only be entered under the Adjustment column. Data under the RenewalSubmission column populates from the project application. Data under the HUD Award column populates from the HUD conclitiona� award. The total amount for this budget line item cannot be adjusted during the resolution of issues and conditions, and so the total value under the Adjustment column must equal the total value under the HUD Award column. Enter the Quantity AND Description and total budget requestfor each Supportive services cost. The request entered should be equivalent to the cost of one year of the relevant supportive service. EflgVeCosts: The populates alist of eligible supportive services for which funds can be requested. The costs listed are the only costs allowed under 24CFR5T8,51 Quantity AND Description: This is a required field. Enter the quantity and detail (e.g. I FTE Case Manager salary +benafita'on-site child care with 1.5FTEchild care specialist for 15 children) for each supportive service activity for which funding iabeing requeated. Please note that simply statin '`1FTE"isNOT providing ^CluaniKyAND Description" d|i itHUD^e understanding rfwhat is being requested, Failure to enter adequate "Quantity AND Description" may result inconditions being placed nnonaward and odelay mfgrant funding. Annual Assistance Requeuted�This |ourequired fiu|d For each grant year, enterthe amount offunds requested 8zremohavhv|ty. The amount entered must only bathe amount that is DIRECTLY related to providing supportive services to homeless participants. The request should match the budget amounts idondfiednnthe HUD -approved G|VV. Total Annual Assistance Requested: This field is automatically calculated based on the sum of the annual assistance requests entered for each activity and isread only, The amount calculated in the Adjustments column must equal the amount in the HUD Award column in order to submit this screen. Grant Term: Read only Total Request for G�nantTerm: Read only All automatic fields will be calculated once the required field has been completed and saved. Additional Resources: https:8www.hudexuhange.[nfo/e'unupu/Auidea/000'pnugnarn-uompaddon+eanurcas/ A quantity AND description must be entered for each requested cost. Eligible Costs � Quantity AND Description� (max 400 characters) (Renewal Submission) Annual Assistance Requested (Renewal Submission) Annual Assistance Requested (HUD Award) Description (max wmch (Adjustment) Ammuu| Assistance Requested (Adjustment) 1.Assessment o,Service mo"us � c.Assistance with Moving noum z.Case Management 4.ohim caon 5, Education Services | | App|�antRenewal Issues and Cond�[� Conditions ���] _ Puge3D _0811/2015 Applicant; Kami-Dade County Project: Miami Homeless Assistance Program 6. Employment Assistance 7. Food 8. Housing/Counseling Services Legal Services 10. Life Skills 11. Mental Health Services 2. Outpatient Health Services . Outreach Services 14. Substance Abuse Treatment Services 15. Transportation 6. Utility Deposits 17. Operating Costs Total Annual Assistance Requested Grant Term Total Request for Grant Term 12 FTE Community Outreach Specialists -Salary and Fringe Benefits, Telephone services, copier rental, emergency food, supplies 239,1 $239,1 6 $239,116 1 Year $239,116 1 Year 0041482920000 FLO211L40001508 12 FTE Community Outreach Specialists -Salary and Fringe Benefits, Telephone services, copier rental, emergency food, supplies $239,116 $239,116 $239.116 1 Yea 239116 Applicant Renewal Issues and Conditions Page 31 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 0041482920000 FL0211L4D001508 7H. Sources of Match/Leverage The following list summarizes the funds that will be used as Match or Leverage for the project. To add a Matching/Leverage source to the list, select the icon. To view or update a Matching/Leverage source already listed, select the icon. Su ary for Match Total Value of Cash Commitments: 0 Total Value of in -Kind Commitments: $81,705 Total Value of All Commitments: $81,705 Summary for Leverage Total Value of Cash Commitments: $56,092 Total Value of ln-Kind Commitments: $0 Total Value of All Commitments: $56,092 Match/ Levera ge Type Source Contributor Date of Commitment Value of Commitments Levera ge Cash Government City of Miami- Cas._ 10/14/2015 $54,000 Match In -Kind Government Homeless Trust 10/14/2015 $81,705 Levera ge Cash Government Miami -Dade County... 11/09/2015 $2,092 Applicant Renewa Issues and Conditions Page 32 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program Sources of MatchlLeverage Detail 004 482920000 FLO211L4D001508 Instructions: All fields on this screen will populate with information from the project application. These fields can be adjusted. Match and Leverage are two distinct categories of funds from other sources that will be used in conjunction with this project, if awarded. Match (cash or in -kind) must be used for eligible program costs only and must be equal to or greater than 25% of the total grant request for ail eligible costs under the CoC Program interim rule with the exception of leasing costs. Leverage funds can be used for any program related costs and there is no minimum requirement; however, the determination of the CoC's leveraging score will be calculated using data from this screen. Please review 24 CFR Part 578 and the FY 2015 CoC Program NOFA for more detailed information concerning Match and Leverage. Will this commitment be used towards 'etch or Leverage? Select Match categorize each commitment being entered, everage to Type of Commitment: Select Cash ($) or In -kind (non -cash) to denote the type of contribution that describes this match or leveraging commitment. Type of source: Select Private or Government to denote the source of the contribution. The Neighborhood Stabilization Program (NSP) and HUD-VASH (VA Supportive Housing program) funds may be considered Government sources. Project recipients are encouraged to include funds from these sources, whenever possible, Name the Source of thelCommitment: Be as specific as possible (e.g. HHS PATH Grant, Community Service Block Grant, Hilton Foundation Grant to End Chronic Homelessness) and include the office or grant prograrn as applicable. Enter the name of the entity providing the contribution. It is important to provide as much detail as possible so that the local HUD office can quickly identify and approve of the commitment source. Date of written commitment: Enter the date of the written contribution. Value of written commitment: Enter the total dollar value of the contribution. The values entered on each detailed Match/Leverage screens will populate the summary screen. The Cash, In -Kind, and Total Match will also automatically populate the Summary budget where the 25% match rninirnurn will be calculated and applied. Additional Resources: https.//www.hudexchange.info/e-snaps/guides/coc-prograrn-competition-resources/ i. Will this commitment be used towards Leverage Match or Leverage? 2. Type of Commitment: Cash 3. Type of Source: Government 4. Name the Source of the Commitment: City of Miami -Cash Match for Salaries (Be as specific as possible and include the office or grant program as applicable) 5. Date of Written Commitment: 10/14/2015 6. Value of Written Commitment: S54,000 Applicant Renewal tssues and Conditions Page 33 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 0841482920000 Sources f Match/Leverage Detail Instructions: All fields onthis screen will populate with information frmnthe project application. These fields can beadjusted, Match and Leverage are two distinct categories of funds from other sources that wi'll be used in conjunction with this project, if awarded, Match (cash or in -kind) must be used for eligible program costs only and must be equal to or greater than 25% of the total grant request for all eligible costs under the CoC Program interim rule with the exception of leasing costs. Leverage funds can be used for any program related costs and there is no minimum requirement; however, the determination of the CoC'u leveraging score will be no|ou|s8ed using data from this screen. Please reVew/24CFRPart 57Oand the FY2015CoCProgram NOF4for more detailed information concerning Match and Leverage. Will this commitment be used towards Match or Leverage? Select Match or Leverage to categorize each commitment being entered, Type of Commitment: Select Cash ($)orIn-kind )&zdenote the type ufcontribution that describes this match orleveraging commitment. Type of source: Select Private or Government to denote the source of the contribution. The Neighborhood Stabilization Program (N8P)and HUD'VA3H Supportive Housing ) funds maybe considered Government sources. Project recipients are encouraged to include funds from these sources, whenever possible. Name the Source ofthe Commitment: Beaespecific aapossible (a HH3PATH Grant, Community Service Block Grant, Hilton Foundation Grant to End Chronic Homelessness) and include the office or grant prograrn as applicable. Enter the name of the entity providing the contribution. It is important to provide as much detail as possible sothat the local HUD office can quickly identify and approve ofthe commitment source, Date nfwritten commitment: Enter the date ofthe written contribution. Value of written commitment: Enter the total dollar value of the contribution. The values entered oneach detailed Match/Leverage screens will populate(hesummmry screen. The Cash, n'Kind.and Total Match will also automaticallypopulate the Summary budget where the 25Y4match minimum will bocalculated and applied. Additional Resources: 1.W/ll this coDlFOitOnentbgused towards Match orLeverage? 2' Type of Commitment: 3'Type ofSource: 4.yJanle the Source ofthe Commitment: (Be @Sspecific as possible and include the office orgrant program as applicable) 5' [}mto of Written Commitment: Match In -Kind Government Homeless Trust 10/14/2015 Applicant Renewal Issues and Conditions 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 6. Value of Written Commitment: 81,705 Sources of Match/Leverage Detail 0041482920000 FLO211L4D001508 Instructions: All fields on this screen will populate with information from the project application. These flelds can be adjusted. Match and Leverage are two distinct categories of funds from other sources that will be used in conjunction with this project, if awarded. Match (cash or in -kind) must be used for eligible program costs only and must be equal to or greater than 25% of the total grant request for all eligible costs under the CoC Program interim rule with the exception of leasing costs. Leverage funds can be used for any program related costs and there is no minimum requirement; however, the determination of the CoC's leveraging score will be calculated using data from this screen. Please review 24 CFR Part 578 and the FY 2015 CoC Program NOFA for more detailed information concerning Match and Leverage. Will this commitment be used towards Match or Leverage? Select Match or Leverage to categorize each commitment being entered, Type of Commitment: Select Cash ($) or In -kind (non -cash) to denote the type of contribution that describes this match or leveraging commitment. Type of source: Select Private or Government to denote the source of the contribution, The Neighborhood Stabilization Program (NSP) and HUD-VASH (VA Supportive Housing program) funds may be considered Government sources. Project recipients are encouraged to include funds from these sources, whenever possible. Name the Source of the Commitment: Bo as specific as possible (e.g. HHS PATH Grant, Community Service Block Grant, Hilton Foundation Grant to End Chronic Homelessness) and include the office or grant program as applicable. Enter the name of the entity providing the contribution. It is important to provide as much detail as possible so that the local HUD office can quickly identify and approve of the commitment source. Date of written commitment: Enter the date of the written contribution. Value of written commitment: Enter the total dollar value of the contribution, The values entered on each detailed Match/Leverage screens will populate the summary screen, The Cash, In -Kind, and Total Match will also automatically populate the Summary budget where the 25% match minimum will be calculated and applied. Additional Resources: https.//www.hudexchange,info/e-snaps/guides/coc-program-competition-resources/ 1. Will this commitment be used towards Leverage Match or Leverage? 2. Type of Commitment: Cash 3. Type of Source: Government 4. Name the Source of the Commitment: Miami -Dade County Homeless Trust-Admift (Be as specific as possible and include the Cash office or grant program as applicable) Applicant Renewal Issues and Conditions Page 35 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 5. Date ofWritten Commitment: 1/09/2015 6. Value of Written Commitment: $2,092 0041482920000 FLO211L4D001508 Applicant Renewal Issues and Conditions IL Page 36 08/11/2016 Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 71. Summary Budget 0041482920000 FLO211L4D001508 Instructions: Data can only be entered under the Adjustment column. Data under the Renewal Submission column populates from the project application. Data under the HUD Award column populates from the HUD conditional award. The total requested amount for this summary budget cannot he adjusted during the resolution of issues and conditions. The system populates a summary budget based on the information entered into each preceding budget screen. Review the data in each preceding screen and, if necessary, in both the HUD Conditional Award Summary and the Project Application accessed through the "Reference Submissions", and return to the screens to correct any inaccurate information. Al! fields are read only with exception to field "8. Admin (Up to 10%)." Admin (Up to 10%): This value cannot be increased above the amount that appears under the HUD Award column. It can however be reduced. The grant will not fund greater than 10% of the request listed in the field "Sub -Total Eligible Costs Request." If an amount above 10% is entered, the system will report an error and prevent application submission when the screen is saved, Total Assistance plus Admin Requested; This field is automatically populated based on the amount of funds requested on the various budgets completed by the project applicant and Admin costs requested. This is this is the total amount of funding the project applicant will request in the FY 2015 CoC Program Competition. Cash Match: This field is automatically populated based on the amount of Cash Match entered on Screen 7H. Sources of Match/Leverage. In -Kind Match: This field is automatically populated based on the amount of In -Kind Match entered on Screen 7H. Sources of Match/Leverage, Total Match: This field will automatically calculate the total combined value of the Cash and In - Kind Match. The total match must equal 25% of the request listed in the field "Total Eligible Costs Request" minus the amount requested for Leased Units and Leased Structures. There is no upper limit for Match. If an ineligible amount is entered, the system witl report an error and prevent application submission. To correct an inadequate level of match, return to Screen ''7H. Sources of Match/Leverage" to make changes. The Total Budget automatically calculates when you click the ''Save" button. Additional Resources: https://www.hudexchange.info/e-snaps/guides/coc-program-competition-resources/ The following information summarizes the funding request for the total term of the project. However, the appropriate amount of administrative costs must be entered in the available fields below. Eligible Costs Annual Annual Annual Grant Assistance Assistance Assistance Term Requested Requested Requested (Rene (Renewal (HUD Adjustment) wal Submission) Award) Subml ssion) a. Leased Units lb, Leased tructures Applicant Renewal ssues and Conditions $0 1 Year $0 1 Year Grant Term (HUD Award) 1 Year 1 Year Grant Term (Adjust ment) 1 Year 1 Year Tota0 I Total Assistance Assistance Requested Requested for Grant for Grant Term Term (Renewal (HUD Submission) Award) Page 37 $0 Total Assistance Requested for Grant Term Adjustment) $0 $0 08/11/2.016 Budget Chang e (Adjust ment) Applicant: Miami -Dade County Project: Miami Homeless Assistance Program 2. Rental Assistance $0 . Supportive $239,116 $239,116 $239,116 Services 4. Operating 5. HMIS 6. Sub -total Costs Requested 7. Adtnin (Up to 10%) . Total Assistance plus Admin Requested 9. Cash Match 0. In -Kind Match 11. Total Match 12. Total Budget $0 1 Year 1 Year Year 1 Year 1 Year 1 Year Year 1 Year 1 Year 1 Year 1 Year 1 Year 0041482920000 FLO211L4D001508 $0 $239,116 $0 $239,116 $239,116 so $01 $0 so so$0 $239,116 $239,116 $239,116 16,737 $16,737 $16,737 1 255,853 $255,853 $255,853 $0 $0 so 81,705 $81,705 $81,705 $131,705$81,705 $81705 $337,558 $337,558 7,558 Applicant Renewal Issues and Conditions Page 38 8/11/2016 Form W-9 Department of the Treasury Internal Revenue Service (IRS) Request for Taxpayer Identification Number and Certification ATTACF ENT C "9 Request for Taxpayer iD Number and Certification" w_gFornif (Rey, December 2014) Department of the Treasury internal Revenue Service Request for Taxpayer identification Number and Certification Give Form to the requester. Do not send to the IRS, a (a h Amon your Income fax r 'turn) Nama is re wed on this tine; do not rearm this dine blank. City of.Miami.. 2 BuSinest narnsiddsregarded entit na , drfereiit from above Check appropriate box or federal tax classification; check only one of the following seeen boxes: indivfdua/sole proprietor or 0 C Corporation 0 S Corporation Partnership 0 Trust/estale single -member LLC urfittodu.iabaty comPony. Enter the tax clessificaldon CC corporation, SS corporation, P=partnership) Note, Fors sInglermomber LLC that Is disregarded, do not check LLC; check the appropriate box In the line above for the tax classilication of the single -member, owner. Other (sac instructions) MunFctpaty 6 Address (number, street, and apt. or suit 444 S.W. 2nd Avenue, 6 FFoor Ofty, state, and DP code Miam), Florida 33130 4 Exemptions (odes apply only to certein.entilf es, not Inelykleals; see, instructions on page 3)d Exempt payee code (If any) Exemption from FATCA reporting code (If any) pipplios ?a accouni3 rue,61a64,e1 ou Ihe a) I Requester's name and address Moller -dal) 7 List account nureber(s) here Motional) Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box, The TIN provided must match the name given on line 1 to avoid backup withholciing, For individuals, this Is generally your social security number (SShJ). However, for a resident alien, sole proprietor, or disregarded entity, see the Part instructions on page 3, For other entitles, It Is your employer identification number (Eibl) if you do not have a number, see hioW to pet a TfiV on page 3, Note. if the account is In more than one name, see the Instructions for line 1 and the chiallon page 4 for guidelines on whose number to enter, clad spur I number Employer ident ft ation nur,ibeu 5 9 6 3 7 Patti Certification Under penalties of perjury, / certify that: 1. The number shown on this form is my correct taxpayer identification number (or lam waiting for a number to be Issued to me); and 2. I am not subject lc bacisup withhoiding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the internal Revenue Service (IFI) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IFIS has notified me that I am no longer subject to backup withhoiding: and 3„ 1 afri a U.S. citizen orother U,S. person (defined below); and 4, Tho FATCA code(s)ontered on this farm (if any) indicating that I am exempt from FATCA reporting Is correct. Certification instructions. You must cross out nem above if you have been notified by the IRS that you are currently subject to backup withholding beoause you have felled to report alt interest al4Tldncta on your tax return. For real estate transactions, item 2 does not apply, For Mortgage Interest paid, acquisition or abando ment of cured property, cancellation ol debt, contributions to an individuarrotirement arrangement (IRA), and generally, payments other than Int es dividends, you aro not required to sign the certification, lout you must provide your correct TIN. See the instructions on page 3, Sign Here Signature of U.S. person ". General Instructio Section referrencerf aroto the thlcin Revenue Code unless otherwise noted. Future cfevolopynont e. iniormallon about developments affecting:Form, W4(such as legislation enaated after we releabe If) Israt aVww.fis.gov/A,V4. Purpobe Of Forrn An Individual on entity (Ferro W 5 requester) who 1 required to Be an In(onrnatlon return. with the IFIS mustdobtaln your:correct taxpayer Identificafich number (TIN) which may be your social security number (SSN), individual taxpayer Identification number (11.111), adOption taxpayer ideptincation number (ATP14), or employer identification number (lhi), to report on an information return the amount paid to yoG, tir other amount reportable °Mari in (errhatIon return. Examples of information returns Include, but are -not limited to; !ha foiloyvIng: Forrn 1099-.:1NT (Interest 'earned or Paid) I Form 109b-DIV (d.ivIciands, Including those from stocks or mutual funds) 0 Form 1099441SC (various types of beanie, prizes, awards, or grass 'proceeds) FQ rin 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Forrn 1999-S (proceeds from real estate transactions) • Faini109'9:1<imer6hant card and third partydrietwerk transactione) Pate •Filoiorririlti,98 (horn mciri9a90 Interest), ip9a-E (student loan Interest), 1096-T tu * Form 1099-,C (canceled debt) • Form 1099,,A (acqUallien orebandenment of sobered property) USt3 ForrriW-9.only yeitaro a U.S. Person (tncluding a 'resident alien), to provide your correct TIN. do no return Fpan W tlto the requester With a Tfhl, you Alight be sublebt 40 backup withholding., See What Is backup withholding? on page 2. By sighing The illied-out fortn, you: 1. Cedity that the TIN you are giVIng is correek (or you are waiting fora number to be issued); 2. Certify that you-aro not amb)ect le backup withholding, or b.tialro exemption Irani backup withholding if you area U.S„ exempt payee, if applicable, you are else' certifying.that Se a U.S,parapri, your allocable aharq of r any partnership incomerorn a U.& trade or businesSlps' not subject to the Withholding tax on (orafgri faartners' share of effectively connected Inearne, end 4. C.artlfy thaf,FATCA code(s) entered on 61sIorm (if any) Indicating that you are exempt from the FATCA repthrling, Is correct, Sea Whet lsfATCA reporting? on page 2 for further Informakon, Cat. No, 1921X Form *9 (ReV.12-2014) Miami -Dade CountVs Affidavits and Declarations Miami -Dade County requires each party desiring to enter into a contract with Miami -Dade County to; (1) Sign an affidavit as to certain matters and (2) make a declaration as to certain other matters. This form contains both Affidavit forms for matters requiring the entity to sign under oath and Declaration forms for matters requiring only an affirmation or declaration for other matters. Each section of this form must be read, and initialed in the top right hand box indicating acceptance and/or compliance with the County's policy related to the particular affidavit For affidavit sections that you do not believe are applicable to your organization, please indicate this by placing ulr in the box next to N/A, THE FOLLO STATE OF ( COUNTY OF ( COUNTRY OF ( ALL SECTIONS MUST BE COMPLETED NG MATTERS REQUIRE THE ENTITY TO SIGN AN AFFIDAVIT UNDER OATH: ) Before me the undersigned authority appeared (Print Name), who is personally known to me or who has provided as identification and who did swear to the following: That he or she is the duly authorized representative of (Name of Entity) (Address of Entity) addresses are not acce federal Employment Identificat n Number Post Office Thereinafter referred to as the contracting "entity''), and that he or she is the entity's (Sole Proprietor)(Partner)(President or Other Authorized Officer) — --- That he or she has full authority to make this affidavit, and that the information given herein and the documents attached hereto are true and correct; and That he or she says for the following fifteen (16) Affidavits and Declarations: ATTACHMENT D "'Miami -Dade County Affidavits and Declarations' Page 1 'Dade County's Affidavits and Declarations . MIAMI-DADE COUNTY OWNERSHIP DISCLOSURE AFFIDAVIT (SECTION 2-8.1 OF THE COUNTY CODE) Pertains 0 N/A InitiaJ ( If the contract or business transaction is with a corporation, the full legal name and business address shall be ovided for each officer and director and each stockholder who holds directly or indirectly five percent (5%) or more of the corporation's stock. lt'the contract or business transaction is with a partnership, the foregoing information shall be provided for each partner, lithe contract or business transaction is with a trust, the full legal name and address shall be provided for each trustee and each beneficiary. The foregoing requirements shall not pertain to contracts with publicly traded corporations or 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. All such names and address are outlined below: Post Office addresses are not acceptable. (Full Legal Name, Address, % Ownership) (Full Legal Name, Address, % Ownership) (Full Legal Name, Address, % Ownership) J (Full Legal Name, Address, % Ownership) The full legal names and business address of any other individual (other than subcontractorsonaterial person, suppliers, laborers, or lenders) who have, or will have, any interest (legal, equitable beneficial or otherwtse) in the contract or business transaction with Miarni Dade County are: Post office addresses are not acceptable' Any person who willfully fails to disclose the information required herein, or who knowingly discloses false information in this regard, shall he punished by a fine of up to five hundred dollars ($500,00) or imprisonment: in jail for up to sixty (60) days or both, ATTACFI EN° D "Miarni-Dade County Affidavits and Declarations" Page 2 of .-Dade County's Affidavits and Declarations 2. MIAMI-DADE COUNTY EMPLOYMENT DISCLOSURE AFFIDAVIT (COUNTY Pertains 0 ORDINANCE 90-133, AMENDING SECTION 2.8-1; SUBSECTION (d)(2) OF THE N/A EFY" COUNTY CODE) Initial (_ Except where precluded by Federal or State laws or regulations, each contract or business transaction or renewal thereof which involves the expenditure of then thousand dollars ($10,000) or more shall require the entity contracting or transaction 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. Does your firm have a collective bargaining agreement with its employees? ID Yes 0 No Does your firm provide paid health care benefits for its employees? 0 Yes ID No Provide a current breakdown (number of persons) of your firms work force and ownershi elow White: Males Black: Males Hispanic: Asian: American Native: Aleut (Eskimo): -I- Males Females Females 1 Feinales Males Males Males Females FemaIe. Females ATTACHMENT D "Miami -Dade County Affidavits and Declarations" Page 3 of 11 milli -Dade County's Affidavits and Declarations [0 3. MIAMI-DADE COUNTY AFFIRMATIVE ACTION / NONDISCRIMINATION OF EMPLOYMENT, PROMOTION AND Pertains El PROCUREMENT PRACTICES (COUNTY ORDINANCE 98-30 CODIFIED N/A AT 2-8.1.5 OF THE COUNTY CODE) _ --_-_ — Initiall57) Pursuant to Miami -Dade County's Ordinance No. 98-30, Section 2-8.1.5, entities with annual gross revenue in excess of $5,000,000 seeking to contract with the County shall, as a condition of receiving a County contract, have: 1) a written affirmative action plan which sets forth the procedures the entity utilizes to assure that it does not discriminate in its employment and promotion practices and 2) a written procurement policy which sets forth the procedures the entity utilizes to assure that it does not discriminate against minority and women -owned businesses in its own procurement of goods, supplies and services. Such affirmative action plans and procurernent policies shall provide for periodic review to determine their effectiveness in assuring the entity does not discriminate in its employment, promotion and procurement practices. The foregoing, not withstanding, corporate entities whose board of directors are representative of the population make-up of the nation shall be presumed to have non-discriminatory employment and procurement policies, and shall not be required to have a written affirmative action plan and procurement policy in order to receive a County contract, The foregoing presumption may he rebutted, The requirements of this section may be waived upon written recommendation of the County Manager that it is in the best interest of the County to do so and approval of the County Commission by majority vote of the members present. Based on the above, please complete the affidavit as directed and return the completed affidavit along with a cover letter on your company's letterhead, listing the company's address, phone and fax numbers,. and any required documents, to: Miami -Dade County, Department of ProcuTement Management Affirmative Action Plan Unit 111 NW lst Street, 13th Floor Miami, FL 33128 Yes 0 No 0 Yes /No My company has an affirmative action plan and procurement policy and is available for review., My company has annual gross revenues in excess of $5,000,000. Therefore, our company's affirmative action plan and procurement policy is available for review. Yes No 0 My company has annual gross revenues less than $5,000,000, -..-----, y-^^^-- If at any time the Miami Dade County has reason to believe that any person or firm has willfully and knowingly provided incorrect information or mad false statements, the County may refer the matter to the State Attorney's Office and/or other investigative agencies. The County may initiate debarment and/or pursue other remedies in accordance with Miami -Dade County policy and/or applicable federal, state and local laws. -........ -..n.................. 4. MIAMI-DADE COUNTY CRIMINAL RECORD AFFIDAVIT (SECTION 2-8.6 OF THE COUNTY CODE) Pertains 0 N/A Initial The individual or entity entering into a contract or receiving funding from Miami -Dade County 0 has fihas not, as of the date of this affidavit, been convicted of a felony during the past ten (10) years. An officer, directop or executive officer of the entity entering into a contract or receiving funding from Miami -Dade County 0 has Chas not as of the date of this affidavit been convicted of a felony during the past ten (10) years, ATTACHMENT D "Miami -Dade County Affidavits and Declarations" Page 4, of 11 Mia *-Dade County's Affidavits and Declarations 5. PUBLIC ENTITY CRIMES AFFIDAVIT (SECTION 287.133(3)(a), FLORIDA STATUTES) Pertains 0 N/A 0 Initial all The individual or entity entering into a contract or receiving funding from Miami -Dade County understands the following: That a "public entity crime" as defined in Paragraph 287.133 (1) (g) Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state of the United States of America, including but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state of the United States of America and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. That "Convicted" or "conviction" as defined in Paragraph 287.133 (1) (b) Florida Statutes means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal state trial court of ecord relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non - jury trial, or entry of plea of guilty or nolo contendere. That an "affiliate" as defined in Paragraph 287.133 (1) (a) Florida Statutes means a) a predecessor or successor of a person convicted ofa public entity crime; or b) an entity under the control of any natural person who is active in the management of the entity and who has been convicted ofa public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted ofa public entity crime in Florida 'during the preceding 36 months shall be considered an affiliate. That a "person" as defined in Paragraph 287.133 (1) (e) Florida Statutes means any natural person or entity organized under the laws of any state or of the United States ofAmerica with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members and agents who are active in the management of an entity. Based on information and belief, the statement as marked below, is true in relation to the entity submitting this worn statement. (Please indicate which statement applies by applying the individual initials near the box). (P' Neither the entity submitting this sworn statement nor any of its officers, directors, executives, partners, shareholders, employees, members or agents who are active in the management of the entity, nor an affiliate ofthe entity has been charged with and convicted ofa public entity crime within the past 36 months. The entity submitting this sworn statement or one or more of its officers, directors, executives, partners, shareholders, employees, members or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted ofa public entity crime within the past 36 months; and yes an additional statement is applicable or 0 no an additional statement is not applicable. O The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity has been Charged, with and convicted ofa public entity crime within the past 36 months. However, there have been subsequent proceedings before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the "Convicted Vendor List". The individual or entity entering into a contract or receiving funding from Miami -Dade County understands that he or she is required to inform the public entity prior to entering into a contract in excess of the threshold amount provided in Section 287.017 Florida Statues for Category 2 of any change in the information contained in this form. ATTACHMENT D "Miami -Dade County Affidavits and Declarations" Page 5 of 11 iarni-Dad e County' Affidavits and Declarations 6. MIAMI-DARE EMPLOYMENT FAMILY` LEAVE AFFIDAVIT (County Ordinance No.142-91 codified as Section 11A-29 et. seq of the County Code) Pertains 0 N/A ('"'� Initial () at in compliance with Ordinance No. 142-91 of the 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) or more calendar work weeks, shall provide the following information in compliance with all items in the aforementioned ordinance:: An employee who has worked for the above fr'ran 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 ofa child, spouse or other close relative who has a serious health condition without risk of termination of mployment or employer retaliation, 'he foregoing requirements shall not pto contracts with the United States or any department or agency thereof, or the State of Florida or any political subdivision or agency thereof. It shall, however, pertain to municipalities of this State. 7. MIAMI-DADE COUNTY .DISABILITY NONDISCR9MINATION AFFIDAVIT (County Resolution R-385-95) Pertains 0 N/A I/ Initial (_) That the above named firrrr, 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 pertaining 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 (ADA), Pub. L. 101-336, 104 Stat. 327, 42 U. S. C. 12101-12213 and 47 U. S. C. Sections 225 and 611 including Title I, Employment; Title I!, Public Services; Title HI, Public Accommodation and Services Operated by Private Entities; Title IV, Telecommunications; and Title V, Miscellaneous Provisions:: The Rehabilitation Act of 1973,.29 U.S.C. Section 794: The Federal Transit. Act, as amended 49 U .S. C. Section 1612: The Fair Housing Act as amended, 42 U.S.C. Section 3601-3631. The foregoing requirements shall not pertain to contracts with the United States or any department or agency thereof, or the State or any political subdivision or agency thereof or any municipality of this State. MIAMI-DADE COUNTY REGARDING DELINQUENT AND CURRENTLY DUE FEES OR TAXES (Sec. 2-8.1(c) of the County Code) Pertains 0 N/A 0 Initial Except for small porch rse orders and sole source contracts, 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 -- including but not limited to real and property taxes, utility taxes and occupational licenses -- which are collected in the normal course by the Dade County Tax Collector as well as Dade County issued parking tickets for vehicles registered in the name of the firm, corporation, organization or individual have been paid. ATTACHMENT D mi-Dade County Affidavits and Declarations" Page 6 of 11 iami-Dade Colin Affidavits and Declarations = 9. CURRENT ON ALL COUNTY CONTRACTS, LOANS AND OTHER OBLIGATIONS Pertains 0 N/A 0 Initial "Ea The individual entity seeking to transact business with the County s current in all its obligations to the County and is not otherwise in default of any contract, promissory note or other loan document with the County or any of its agencies or instrumentalities. r---- 10. DOMESTIC VIOLENCE LEAVE (Resolution 185-00; 99-5 Codified At 11A- 60 Et. Seq, of the Miami -Dade County Code). IL Pertains 0 N/A 0 Initial The firm desiring to do business with the County is in compliance with Domestic Leave Ordinance, Ordinance 99- 5, codified at 11A-60 et. scq. of the Miami Dade County Code, which requires an employer which has in the regular course of business fifty (50) or more employees working in Miami -Dade County for each working day during each of twenty (20) or more calendar work weeks in the current or proceeding calendar years, to provide Domestic Violence Leave to its employees. . MIAMI-DADE COUNTY EMPLOYMENT DRUG -FREE WORKPLACE AFFIDAVIT (County Ordinance No. 92-15 codified as Section 2- 8.1.2 of the County Code) Pertains 0 N/A Initial f"-M 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 employee shall inform the employee about: danger of drug abuse in the workplace; 2. the firm's policy of maintaining a drug -free environment at all workplaces; availability of drug counseling, rehabilitation and employee assistance program.; 4. penalties that may be imposed upon employees for drug abuse violations. The person or entity shall also require an employee to sign a statement, as a condition of employment that the employee will abide by the terms and notify the employer of any criminal drug conviction occurring no later than five (5) days after receiving notice of such conviction and impose appropriate personnel action against the employee up to arid including termination. Compliance with Ordinance No. 92-15 nay he 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 United States or the State of Florida shall be exempted from the provisions of this ordinance in those instances where those provisions are in conflict with the requirements of those governmental entities. ATTACHMENT D "Miami -Dade County Affidavits and Declaration? Page 7 of 11 Miami -Dade County's Affidavits and Declarations 2. ATTESTATION REGARDING DUE AND PROPER ACKNOWLEDGEMENT OF COUNTY FUNDING SUPPORT Pertains LI N/A 0 Initial (1'-'4:; By initialing this subsection and accepting County funds, the above named firm, corporation, organization or individual agrees to abide by the grant contract requirement to recognize and acknowledge Miami -Dade County's grant support in a manner commensurate with all contributors and sponsors of its activities at comparable dollar levels. 13. MIAMI-DADE COUNTY RESOLUTION NO, R-630-13 REQUIRING A DETAILED PROJECT BUDGET, SOURCES AND USES STATEMENT, CERTIFICATIONS AS TO PAST DEFAULTS ON AGREEMENTS WITH NON -COUNTY FUNDING SOURCES, AND DUE DILIGENCE CHECK Pertains 0 N/A LJ Initial (1:1;71' Pursuant to Miami -Dade County Resolution No. R-630-13, requiring a detailed project budget, sources arid uses statement, certifications as to past defaults on agreements with non -county funding sources and due diligence check prior to the County Mayor or County Mayor's designee recommending a commitment of Miami -Dade County funds to Social Services, Economic Development, Community Development, and Affordable Housing Agencies and Providers. The undersigned entity certifies, to the best of his or her knowledge and belief, that: Within the past five (5) years, neither the Agency nor its directors, partners, principals, members or board members: have been sued by a funding source for breach of contract or failure to perform obligations under a contract; (ii) have been cited by a funding source for non-compliance or default under a contract; (iii) have been a defendant in a lawsuit !lased upon a contract with a funding source. Please list any matters which prohibit the Agency from making the certifications required and explain how matters are being resolved (use separate sheet if necessary): 14. MIAMI-DADE COUNTY RESOLUTION No, R-478-12 NOT TO USE PRODUCTS OR FOODS CONTAINING "PINK SLIME" Pertains 0 - N/A 0 Initial ( ) Pursuant to Miami -Dade County Resolution No. R-478-12, the undersigned certifies, not to use meat products containing "Pink Slime" in food provided or served as part any food program; urging all who provide food services or operate a food program to immediately discontinue using meat products containing "pink slime" in food provided or served in these programs. ATTACHMENT D "Miami -Dade County Affidavits and Declarations" Page Miami -Dade Countv's Affidavits and Declarations MIAMI-DADE COUNTY REQUIRED LOBBYIST REGISTRATION FOR ORAL PRESENTATION Section 2-11.1(i)(2) CONFLICT OF INTEREST AND CODE OF ETHICS ORDINANCE Pertains 0 N/A C3-' Initial ( ) lobbyists shall register with the Clerk of the Board of County Commissioners within five (5) bu being retained as a lobbyist or before engaging in any lobbying activities, whichever shall come firs required to so register shall: 1„ Register on forms prepared by the Clerk; 2. State under oath his or her name, business address and the name and business address of each person or entity which has employed said registrant to lobby. If the lobbyist represents a corporation, the corporation shall also be identified. Without limiting the foregoing, the lobbyist shall also identify all persons holding, directly or indirectly, a five (5) percent or more ownership interest in such corporation, partnership, or trust. Registration of all lobbyists shall he required prior to January 15 of each year and each person who withdraws as a lobbyist for a particular client shall file an appropriate notice of withdrawal. 3. Prior to conducting any lobbying, all principals must file a form with the Clerk of the Board of County Commissioners, signed by the principal or the principal's representative, stating that the lobbyist is authorized to represent the principal. Failure of a principal to file the form required by the preceding sentence may be considered in the evaluation of a bid or proposal as evidence that a proposer or bidder is not a responsible contractor. Each principal shall file a form with the Clerk of the Board at the point in time at which a lobbyist is no longer authorized to represent the principal. ess days of Every person By initialing here, the principals or principal's representative have filed with the Clerk of the Board of County Commissioners stating that a lobbyist is authorized to represent the principal. 4. Any public officer, employee or appointee who only appears in his or her official capacity shall not be required to register as a lobbyist. 5. Any person who only appears inhis or her i ndividual capacity for the purpose of self -representation without compensation or reimbursement, whether direct, indirect or contingent, to express support of or opposition to any 'tern, shall not be required to register as a lobbyist. 6. Any person who only appears as a representative of a not -for -profit corporation or entity (such as a charitable organization, or a trade association or trade union), without special compensation or reimbursement for the appearance, whether direct, indirect or contingent, to express support of or opposition to any item, shall register with the Clerk as required by the Ordinance subsection, but, upon request, shall not be required to pay any registration fees. The Clerk of the Board of County Commissioners shall notify the Commission on Ethics and Public Trust of the failure of a lobbyist or principal to file a report and/or pay the assessed fines after notification. A lobbyist or principal may appeal a fine and may request a hearing before the Commission on Ethics and Public Trust. A request for a hearing on the fine must be filed with the Commission on Ethics and Public Trust within fifteen (15) calendar days of receipt of the notification of the failure to file the required disclosure form. The Commission on Ethics and Public Trust shall have the authority to waive the fine, in whole or part, based on good cause shown. The Commission on Ethics and Public Trust shall have the authority to adopt rules of procedure regarding appeals from the Clerk of the Board of County Commissioners. Except as otherwise provided in subsection of the Ordinance, the validity of any action or determination of the Board of County Commissioners or County personnel, board or committee shah not be affected by the failure of any person to comply with the provisions of this subsection(s). (Ord. No. 00-19, § 1, 2-8-00; Ord. No. 01.-93, § 1, 5-22- 01; Ord, No. 01-162, § 1, 10-23-01; Ord. No, 03-107, § 1, 5-6-03) 3 ATTACHMENT D "II"Iianni-Dade County Affidavits and Declarations'" Page 9 of i-Dade County's Affidavits and Declarations 16, Disclosure SUBCONTRACTOR / SUPPLIER LISTING (ORDINANCE 97-104) Pertains 0 N/A Initial ( ) This form, or a comparable form meeting the requirements of Ordinance 97-104, must be completed by all bidders and proposers on Miami -Dade County contracts for purchase of supplies, materials or services, including professional services which involve expenditures of $100,000.00 or more, and all bidders and proposers on County or .Public lealth Trust construction contracts which involve, expenditures of $100,000.00 or more. This form or a comparable. form meeting the requirements of Ordinance 97-104, must be completed and submitted even though the bidder or proposer will not utilize subcontractors or suppliers on the contract. The bidder or proposer should enter the word "NONE" under the appropriate heading, in those instances where no subcontractors or suppliers will be used on the contract. A bidder or proposer who is awarded the contract shall not change or substitute first tier subcontractors or direct suppliers or the portions of the contract work to be performed or materials to be supplied from those identified except upon written approval of the County. Business Name and Address of First Tier 5 u b cnn ractor/Subconsultan 0 hr Business Name and Address Principal 0wner Scope of Work to be Performed by (Principal Owner) Subcontractor/Subconsultant Gender Race Principal Owner Supplies/Materials/Services to be (Principal Owne of Direct Supplier Provided by Supplier Gender Race I certify that the representations contained in this Subcontractor Supplier Listing are to the best of my knowledge true and accurate. Signature of Authorized Representative d") va 17 Z 714",r6/"KSP Print Name (Duplicate iladditional space needed) ) Date Print Title ATTACHMENT D "Miami -Dade County Affidavits and Declarations" Page 10 of 11 Miami -Dade County's A Tidavits and Declarations MIA cOUNTY have carefully read this entire 11-page document entitled, "Miami -Dade County's Affidavits and Declarations" and agree to; (1) sign an affidavit as to certain matters and (2) make a declaration as to certain other matters. This form contains both Affidavit forms for matters requiring the entity to sign under oath and Declaration forms for matters requiring only an affirmation or declaration for other matters. .BY SIGNING. AND .NOTARIZING TIPS PAGE YOU ARE ATTESTING TO F AVITS DISCLOSURES 1-16 MIAM -DADE COUNTY AFFIDAVITS SIGNATURE PAGE By: Signature or Witness or Secretary Seal Signature of Afilant Printed Name of Affiant and Name of Agency Address of Agency 20 Date 00 .?-75-- Federal Employer Identification Number SUBSCRMED AND SWORN TO (or affirmed) before me this day of , 20 He/Sh.e is personally known to me or has presented as identification. Type of identification Signature ofNotaty Serial Number Print tamp Name o Notary Expiration Notary Public — State of _ County of ATTACHMENT D "Miarni-Dade County Affidavits and Declarations" Page 11 o Agency Letterhead Date Attention: Assigned Contracts Officer Miami -Dade County Homeless Trust Suite 310, 27th Floor 111 NW First Street Miami, Florida 33120 Subject: FY 2015 US HUD CoC Program #FLOG001,1,D00 P 51W Priy;,,,xiaan Naw Name of Agency is respectfully submitting for your review and release of payment oldie enciosed Consolidated Financial Record and Reports for the above subject program. We request reimbursement and enclosed documents that support this request amount as well as documentation of match compliance. The fa [rowing documents included in this report are outlined below; Li Cover Letter IC .) Performance Report — 0625 Hill) CoC Monthly HMIS generated Report Homeless Trust Invoice C1 HUD form 2,7053-A SNAPS Request Voucher for Grant Payment [1] Summary and Compliance Report LJ Supporting documents for invoice requirements and match including invoices, cancelled checks, payroll, time and effort logs, and if applicable copy of Tenant paid utility bills consistent with utility allowance, documentation of match expenditure compliance consistent with OMB Omni or Super Circular and 24 CFR 578. The amount requested is $:(),DS) for the month of Moilill,yy_4'.. The value of the match demonstrated is 50,.0 O. The amount of program income (if applicable) is S0,91q This is an adjustment # for the month of MillolLyaze: On..behalf of our homeless community members who benefit from this program, we thank you for your time, and assistance. Please call (305) 000-000 extension 0 or email address 4y1ELCLici,y.lstun with any concerns or comments about this reimbursement package. Sincerely, Name Title Enclosures Attachment E "Consolidated Financial ecord and Reports Cover Letter" MJMt -DADE COUNTY HOMELESS TRUST INVOICE PROVIDER NAME: PROGRAM .NAME: MAM •DAE GRANT NUME3ER: FL0000IAD001508 For the month/year of ( ) Adjustment #( ) REQUESTED AMOUNT MIS INVOICE Leasing Structure Teasing Units I _ LEASING TOTAL: $ - RENTAL ASSISTANCE Rental Assistance - Permanent Tenant -Based RA I Rental Assistance - Permanent Sponsor -Based RA 1 - Rental Assistance - Permanent Rapid Re -housing I - RENTAL ASSISTANCE TOTAL: $ SUPPORTIVE SERVICES 1.Assessment of Sery ce Needs I - 2,Assistance with moving costs 1 - 3,Case Management I - 4.Chiid Care I - 5.Education services I - 6,Employment Assistance - 17.Food - Ill -lousing / Counseling Services 1 - 9,Legal services 1 . 10.Life Sidfls training _ 11,Mental Health Services I - 12.0utpatient Health Services f - 13,OutTeach Services 1 . 14„Substance Abuse Treatment I 15Transporation 16.Utility Deposits 1 1 . Operating costs for SSO only . SUPPORTIVE SERI/ICES , TOTAL: - OPERATING COSTS 1,Maintenance and Repair Z,Property Taxes and Insurance 3,Replacement Reserve 4.Building Security - S.E1 ctricity, Gas and Water I 6,Furniture - 7,Equipment Lease/Buy) I , OPERATING COSTS SUBTOTAL: - 'HMIS HMIS SUBTOTAL: PROJECT ADMINISTRATION ADMINISTRATION SUBTOTAL; - TOTAL INVOICE REQUEST AMOUNT By signing this report, I certify to the best of my knowledge and belief that the report is true, complete and accurate and the expenditures, disburSernents and cash receipts are for the purposes and objectives set forth In the terms and conditions of the federal award. I am aware that any false, fictitious, or fraudulent in frmatio or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or other offense Prepared this (date) Certified bv: f'Fitlel Miami -Dade County Homeless Trust LOCSNRS U S. Department of Housing SNAPS Special Needs Assistance Program and Urban Development Request Voucher for Grant Payment Office of Community Planning and Development See Instructions and PetriFc Reporting Burden Statement on back OMB Approval No, 253.5-0102. Name - Name I oti,rain 1. Voucher Number: 2 LOCCS Pal AREAi HPAC 3. Period Covered by this Request: (da(es) 4. Typo of Disbursement: Partial Final SNAPS IHP 5, Voice Response No. (5 dig ts, hyphens, 5 more 6, Grantee Organizallon's Name: /7 1, Grant No FLOCOOL4D001508 antee Organization's f IN: 9 Lino item no. 10. typo of !Holds Repealed AMOUR i(round to itearest dollar) 1010 IACquisttion _ 1020 Rehabilitation _ 102'1 New Construction _ 'I 022 Substantial Rehabilitation _ 1023 Moderate Rehabilitation 1030 Operating Cost 1040 Rental Assistance _ 1060 Supportive Services .. 1051 HMIS Costs _ 1060 Administrative Cost 1062 CoC Planning Costs $ 1070 Chid Care 1080 Employment Assistance 1090 Relocation 41, 1100 Leasing $ 1110 Repair & Maintenance $ 1111 Prevention (RH) $ 1112 Capacity Building (RH) $ 1120 Other: $ Voucher Total: $ - hereby certify hat all the Information stated herein, as welt as any informatioro provided In the accompaniment herewith, Is trun and accurate, Warning: HUD will prosecute false claims and statements, Conviction may result In corneal penalties. (in 1001.1010,1012; 31U.S.C. 3729, 31302) 12., Signature. 113. Dale of Requesti 11, Name & Phann Number duck:Una ama uodtd of Nig Authanzed Person vvho. called SNAPs System VRS: Privacy Statement: Public Law 97-25.5, Financial InlegrIty Act, 31 US C. 3517, authorizes the Depai tined of Housing and Urban Development (HUD) to collect all the information (except he Social Security Number (SNN)) which will be used by HUD to protect Ilsbursemen1 data From fraudulent actions. The Housing and Community Development Act of 1087, 42 U.S.C. 3543, authorizes HUD to collect I8a SSN„ The data are used rto unsure that individuals who fire iunger require access to Line of Credit Control System (LOCCS) have their access capability prompt deleted Provision of the SSN Is mandatory. HUD uses It as a unique Identifier for safeguarding tOCCS from unauthorized access. Failure to provide the Inlormallen requested may delay the processing or your approver for access lo LOCCS. This Information %Of not be otherwise disclosed or released outside of HUD, except as permitted by law, form HUD- -A Summary and Coplarlce Report MIAMI-DADE COUNTY FY 2015 US HUD CDC SUMMARY AND C©6WIPLIANCE REPORT Agency Na Pr a Tram N Grath # PLOOoOL4UO01508 Month of Service:M©nth /yyyy Duration: 00/00/21L16 - 00/00/2017 FY 2015 CoC Program Leasing TRA, RA SRO g Uni ure 'roTAL LEI%SiNG Units II Assistance Unit Program AutrnirtlstraLiutn dlarrdt Sub AL ItiiNTAL A.S'SI'TAN . Annual Assessrne Subtotal 2. Assistance Moving Supplies to trans moving expenses 3. Case Manageocn staff salary Taxes & Fringe Obtaining benefits Subtotal 4. Child care Childcare vouc Meals and Snacks In childcare staff salary Taxes & Fringe education supplies Subtotal 6. Empinytnent / Training staff salary taxes & fringe Computer training Eligible Job Stipends 7. Food Providing meals Grocer) Subtotal ACTUAL MONTTTL PROGRAM INCOME EXPENDITURES MONTULY UENCIIMA11K AMOUNT TOTAL YEAR GRANT AMOUNT INVOICE ,EASING ENTAT., ASSISTANCE UPPORTTUI Sl flVTCES Summary and Compliance Report FY 2015 CoC Program . Housing search Acrum.. m0wn-it:7 RoGRA NT EXPENSE INVOICE MATCH MCOMF, l'Cd\IPITIIR 6.5 moN:rur BENCI I Mall IC AMOUNT it dataN FTE staff salary Taxes & Fringe Landlord mediation Rental application fee Credit counseling ta - $ 9. Legal services ETR $ staff salary Taxes & Friege ubtornd 10. Life Skills Ti'aiiing FTE staffsalary Taxes & Frin $ SubtotL $ 11, Menlal >a FIE staff salary Taxes & Fringe Subto $ 12. Outpatient twain staff salary Taxe.s & Fringe FTE Subto a 3. Outreach. Services .FTE staff salary Taxes & Fringe Subtotal 14. Sulishinee Abuse FTE staff salary Taxes & Fringe supplies • .• Subt 1 IS. Transportation Van/ gas/ maintenance Bus Tokens SubLnt. 16, Utility deposits S o ne-ti me fee Subtotal 17. Dirca vrovlslnns of Operational costs for SS() only S u l) to tal. $ TOTAL SUIPPOWITVE St3RVICES 1 Summary and Compliance Report FY 2015,CoC Program ACTIJAL MONTIGLE PROGRAM EXPENSE INVOHN3 MATCH PROGRAM INCOME' EXPENDETHHES MONTHLY BENCHMARK AMOUNT TOTAL YEAR GRANT AMOUNT P i TiONS . Maintenance ,& Repir FTE staffaffhry Taxes ! Fringe . .......... .... ..... .... supplies * ° . .... . . .. , . .. Sul o al - 2. Property axe so insurance ! ,, . :::,,:to::!::: :',.°-,:::,: •::::::::::,....!::°:,::°:::::,::: MI ::,::,::,:::°!.,°::!::,::,:°::°•,;°,,: ' :,:°:°:,:!:::.:: 1!°°!°°°°°°°1::',.::: SuhtoLil :°:°:.::'::!::-:•°!!::,::°•::%°°°°°°°°°!°'— $ - $ - 1-$ - I $ - , , „ , .. , . . !:;!:1::::::::*::::::::::!,::!;:„ , ................ , FTE $tafsa]ry - ox.,, $ - $ - $ - . . , - $ - °!Hr!,,:::::,H:, $ _ - - ! $ - °1:'.,,:,:,:,:, , , , , ',, ,. ; . L°.!.:°:!:::K:;°:::: • '''' $ - 1 $ utthtw - - - - !!.:„ ,,:*.-.,“°.,%°,.., °°!°!!:-: :,°.°.!:.:,..::.:.::°.:•:-°.:!-„.!° - - $ ' - , _ _,::: :: - - $ . , „ HMS COSTS ° - TOTAL HMIS COSTS - $ - - !::::,,:::!,::!'!,:;:°!!:°::::,:::°,,°.:;!.,::: :,!::,:fri-,°:,:,:,:°:::,°,:,:".!:!:•:°!::°::°:.°°!:::,°,: PROf Err ADMINLSTLtATION Project Administration FTE $ - , staff salary % s - $ - Mg $ - , . . . , , ... •!, ,::,X:X!:,:!!::.°!„..:.; „ , °,:.:.:•°.:.:,X,:•;:,".:% ..! °°-°. $ - :.°•!.., staff salary $ Taxes SE Fringe , . „ . „.,....%....!.%,„..!.. ,..,,,.,..!.!.y.,......,.!.. 3. Pat Admirdstri °` $ - "::::::::!::::::::::,:;'!::::,:1-::: °,:::::•:?°!•,.°:•:!:°-,:!,:::::::,z::::°:: Auld' ! $ $ ::::::°::::::;::::.::::::::::::::::°:°:°:::::::::::' Administrative o Tice space CoC l"ain ng $ $ TOTALAMAIN'S' RATit N - . .., ,•.°.°,!:.::,,°!:.,:i!::°:•:::.: .:..,.:,f,-,°:,:°::::'::..,:::,.,:::::;,!:, TOTAL ACTUAL MONTHLY PROGRAM EXPENSE INVOICE MATCH PROGELMA INCOME EXPENDITURES MONTH BENCHMARK AMOUNT Tout, YEAR GRANT 1 AMOUNT $ $ I . $ - $ By signing this report, I certify to the best of my knowledge and belief that the report is true, complete and. accurate and the expendiMres, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the federal award.. I am aware that any false, actlidous,. Or fraudulent information or omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or other offense, Prepared this ( ) mm/dd/yyyy Certified by: f„...... ______ 1 signature Print Naine and Titia I-DADE COUNTY EY 2015 Cot TRACKING CHART for e internal Use Agency Name: Program Name: Grant FL0000L4D001508 Duration: 01/01/2016-12/31/2017 MIAMI- RENTAL S1STANCE SUPPORT OPERATIONS HMIS ADMIN TOTAL MATCH DATE SII B Sl [ i. Lb DATE PAYMENT RECEIVED eSnaps Budget month 1 ` month 2 month 3 month 4 month 5 00 50.00 50.00 50.00 50.00 50.00 S0.00 month 6 month 7 month 8 month 9 mouth 10 mouth 11 month 12 SUBTOTAL TOTAL REMAINING % USED $0.00 $0.00 $0.00 #DIV/0! $0.00 $0.00 #DIV/0! $0.00 $0.00 #DW/0! $0.00 $0.00 #DIV10! 00 0 #DIV/0! $0.00 50.00 #DIV/0! $0.00 $0.00 D1V/0! % REMAINING ##DN/0! #DIV/0! #DI /0! #DIV/0! #DWIO! #DIIO! #DIV/0! $0.00 #DIV /0! Prepared by 10/3/2016 2) 4 10) 11) 12) 3) 14) 6) 17) 18) 191 20) 21) 22) 23) Miami -Dade County Homeless Tru Occupancy Amount Calculation Prograrn Income De 26.100 laconic !neon te exclusion Annual Gross income Calculating Adjusted Income Dependent Alk)wances Ahon be!. of Dependents klOW IMEKOMMIZO, Multiply line 4 by $480 (Child Care Allowance Child Care Allowance I3'n ter cm ticipa ted unreimbursed Child Care expenses Disabled Assistance Allowance 1)isabled Assistance Expenses Multiply Line 3 1.0) 0.03 Subtract Line 8froin Line 7 Amount earned by household inelnbers which ,tias dependent upon Disabled assistance expense Enter the Lesser Amount of Line 9 or 10 Medical Expenses / Elderly Household Allowance 11/led ic al expenses !Pine 9 is less than zero, e,in ter the amount from line 12, otherwise athl lines 7 ancl .12 and subtract line Elderly or Disabled Family Allowance enter .11400 Adjusted Income Total Income Adjustments (add lines 5, 6, 11, 13 & 14) Adjusted Income (subtract line 15 from line 3) Resident Rent Determiilation Occupancy Ainount Determination - Program Income 3 0% of Monthly ildjilstedfilcoirto (Divide Line 16 by 12 & Multiply by 0,3) 10% of Moi)thly Gross In COlne (Divide Line 3 by 12 and Multiply by 010) Welfare rent, not applicable in State of Florida Resident Rent - Impest of line 17 or 18 icy Amount for Units where Utilites are not included Utility Allowance (published by PLICD) Resident Occupaluy C17ai'ge Pro,gram Incoine Utilities Rein7busement " N/A Determining Occtipa If the amount on line 22 is less than 0, change the minus to a plus. This is the amount that may be paid on behalf of the resident as a utility reimbursment, paid to the Utility Company directly or provide documentation of paid utilities. Pr am Income tEPORTING AGENCY: 'ROGRAM NAME: ;RANT NUMBER: 'tERVICE MOfTI: FL0000L4D00150€3 MIAMI- DE TOTAL MONTHLY PROGRAM TOTAL GTD PROGRAM INCOME INCOM $ 905.00 ailual- es t - 615.00 BId/unit address H]KIS Tenant Name Total Annual Adjusted Income Total Monthly Adjusted Income 30% adjusted or 10% gross ACTUAL AMOUNT a/o Contribution Grant -to -Date (GTD) Contribution TENANT DIRECT TO LANDLORD 1 1�1 (in 3 months)last name first $ 4,20i1.00 $ 350.i10 5 105.00 5 245.t10 05.00 30% $ 315.00 2 1B (new in progam) last name, first $ 12,000.00 $ 1„000.00 300.0i} 5 700.00 $ 300.00 30%0 $ 300.00 3 2A (in 6 months) last name, first $ 21,600.0t} $ 1,800.00 $ 540.00 $ 1,300.00 $ 500.00 28 $ 3,00t1.00 4 28 last name, first 5 - $ - $ . $ $ - #DIV/0! 5 - 5 3A last name, first $ $ $ $ $ - :DIV/0! 6 3B last name, first $ - $ - $ - $ - $ - #DTV/0! $ - 7 44 last name, first $ $ $ $ $ #DIV/0! 13 9� 4B 5A Iasi name, fi st $ $ $ $ $ #DIV/0! S Iastname,ftrst $ $ $ $ $ #DIV/0! $ 10 58 last name, first $ $ $ $ $ #DIV/0! $ 11 last name, first $ - $ - $ - $ $ - #DIV/0! $ 12 las name, first $ - 5 - 5 $ $ - #DIV/0! $ 13 last name, first $ $ $ $ $ #DIV/0! $ - 14 last name, first $ - $ $ - $ $ - #➢IV/0! $ - 15 last name, first 5 $ $ 5 $ - #DIV/0! $ - 16 lastnasne,first 5 $ 5 5 - $ - #DIV/0! $ 37 last name, first 5 $ $ $ #DIV/0! $ _ 18 last name, first $ $ $ $ $ #DIV/0! $ - 19 last name, first $ $ $ - 5 -. #DIV/0! $ - 20 last name, first $ $ $ - $ ;;DIV/0! 5 21 last name, first $ $ $ $ $#DIV/0! $ 22 last name, first $ $ $ $ $ #DIV/0! $ - COMPLETE ONLY IF APPLICABLE - Occupancy cbarges and rent collected from program particpants are program income and may be used as provided under 24 CFR 578.97 a LEASE, SUBLEASE or OCCUPANCY AGREEMENT MUST BE IN PLACE ------__-. Project Information Project Sponsor Project Name Grant Number Agency Name Name of Prugarn Sample Participant In mation Last Name name First Naive first name UNIT #€ S XXXXXX Unit # 103 Address leave blank if protected Monthly Duration of Lease & HAP contract MONTHLY FMR or Rent Reasonable "contract rent" Utility Allowance [if utilities not included in lease) y 10 4-09/30/1S 994.00 69.00 ntnty Contract Year 9130116 1,000.00 69.00 In this sample Tenant's rent calculated at 30% = $125 per month / utilities not included in the Lease therefore, $125 - 69 = $56 MONTHLY CONTRACT RENT Tenant Portion 30% or 10% - HAP Amount utility to Landlord allowance 994.00 56.00 ($ 938.00 1,000.00 P Amount to Landlord 56.00 944.00 Tenant Portion 1 Total Rent July-15 938.00 56.00 ] $ 994.00 August-15 938.00 56.00 994.00 September-15 938.00 56.00 994.00 © ober-15 944.00 56.00 0.00 November-15 Decebe janua February-16 6 April-16 May-16 june-16 Subtotal HAP Payment dir ly to Landlord Tenant Pays Landlord Directly - Program Income 3,758.00 224.00 3,982.00 Request for Arne nent Modification For US :IUD Grant "tnided inn UM of Care (CoC) Programs Includes Legacy Programs under the CoC Supportive Housing Programs (SHP) Shelter Plus Care Programs (S+C) Single Room Occupancy for the Homeless (SRO) CFk S7105 ilrant cut(' Project Changes -Fhe recipient or suhrecipients nlay run: llakc loy rhancrs a project wittRuit. prior LIS HUD aroval, evidenced by a griin;: iiiidin> >1 1 Ui 1 by HUD and Ole Recipient. Significant chsau,...!nes include a change or recipiefq., change or )I1iJtit IL additions or deletions to the types or eligible activities iipptoved for a project., shift or inore ttian 1.0% frora erne approved eligible activity co another,. zi reduction the nuriTher or units, and a change in the .....urIvopolation se..rveit liy signing this report, the duly authorized Project Sponsor/ Provider / Subrecipient Official signature below certifies Co the best of their knowledge and belief that the report Is true, complete and accurate and is for the purposes and objectives set forth in the terms and conditions of the fedenil award; and are aware that any false, fictitious, or fraudulent information or the omission of any material fact, may subject the duly authorized official to criminal, civil or administrative penalties for fraud, false statements, false claims or other offense. Print Name and Title of Authorized Project. Sp(Insor/Proyi.dertSubrecipient Ofhcial Reviewed by Miami -Dade County and forwarded to US HUD for Request to Approve (greater than 10% shift in funds between categories) Reviewed and Approved by Miami -Dade County; information forwarded to US !IUD (less than 10% shift in funds between categories). Reviewed and NOT Approved by Miami -Dade Coun see attached letter for reasons for disapproval. Signature & Date: Do Not Sign - tor Miami -Dade County ONLY Signature & Date(mm/dd/yyyy): Do Not Sign - for m ia mi.- Da de County ONLY Signature & Date(mm/dd/yyyy): Do Not Sign - for Miami -Dade County ONLY Signature & Date(rnrn/dd/yyyy) Grant 11 FL( I,,i-D 00 1 Agency, Program Name Financial Infor • tion for USHLID CoC Programs Instructions for budget amendment / modification request: 1 Attach the eSnaps Word documents previously provided; for the applicable budget chart, supportive services, operations, rental assistance, leasing. Reformat the far right -side column in the chart to reflect the budget requested. The far left -side column will reflect the original budget. 2. Attach the eSnaps Word document for summary of program, budget. Reformat the far right -side column in the chart to reflect the budget request. 3. Type in the body of the eSnaps Word document below the applicable chart with the budget narrative or explanation for the change only. Answer or Justify why your agency requesting an increase or a decrease in that item? 4. Assemble and attach page one of this document. 5. Review, sign and submit paper original to Miami -Dade County Homeless Trust 27t1 Floor, Suite 310, 111 NW First Street, Miami, Florida 33128 Grant # FLO A D001 Agency, Program Name o•) t A D GI l: `Funded , . ;.. . " Care (Coq Pr i;rams Includes Legacy Programs under the CoC Supportive Ilousing Programs (SHP) Shelter Plus Care Programs (S+C) Single Room Occupancy for the Homeless (SRO) This template is designed to assist grantees and subrecipients 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. Bysigninal this report; the duly authorized Project Spanst)r/"Pr°ovvid r�/Sobr-ecipkmt Official signature below certifies to the best of their l<rro>wled ie and beli4 that the report is true, complete and accurate and is for the purpose's arty objectives set forth in t/io terms anal conditions of the federal award; and err-e aWrrr'r: that any false, fictitious, or frcrudulerrt infnrrraotion or the omission of any material fact,, may subject the duly authorized official to criminal, civil or administrative lrrnaltiesJr r'fraud, frlse.statements, false claims orother oJJrnse, Project Name Project Grant Number Print Name and Title of Authorized ProlectSr)oosor'/Pr•nvirler/SubrecioientOfficial: Signature & Date (mm/dd/yyyy): Print Name & Title of Authorized Project Grant Official (ivIDCHT Executive Director or Designee): [)o Not Sign - for Miami -Dade County ONLY Signature & Date( na[rz/dd/yyyy): Supervisory Review and Entry- Print Name & Title Do Not Sign - for Miami -Dade County ONLY Signature & Dlr. mm/dd/yyyy): Updated September 3, 2015 Attachment )"'Annual Progress Report (APR) Supplemental" Guidance was provided for 2-snaps changes that were implemented to improve processing time; completing an "Applicant Profile"; and on Q3, Q5, Q23, Q24, and Q 31 - please submit the HMIS generated APR as well. US HUD - ANNUAL PERFORMANCE REPORT (APR) CONTINUUM OF CARE (CoC) 1. Contact information Project Name Redpient/Agency Name Grant Number Prefix (Mr., Mrs., Ms., Dr, etc.) First Name Middle Name Last Name Suffix (LCSW, MSW, Etc.) Title Street !tcldress Street Address 2 City State Zip Code E-mail address Phone Number Extension Fax Number 3. Project Information: Check the component for the rrogram on which you are re ortin Continuum of Care Program (CoC) Rental Assistance (RA) Section 8 Moderate Rehabilitation El Transitional Housing 'Tenant -based Rental Assistance (TRA) D Single Room Occupancy 0 Permanent Housing for Homeless Persons with Disabilities EProJect-based Rental Assistance (PRA) III (Sec. 8 SRO) 1:ISafe Haven D Single Room Occupancy (SRO) • HMIS 0 Innovative Supportive Housing OSponsor-based Rental Assistance (SRA) L] Supportive Services Only Is this APR fulfilling the reporting obligation associated with a 20-year use requirement? ( Number of Years in Operation: (T) Contract operating term or duration is from / /20 ) to ( / ) /20 ) 3. Project Information continued; Is this a Domestic -Violence Program (Yes or No) Was this project funded under a special initiative? If yes, what type? (Samaritan Bonus, Permanent Housing Bonus, Reallocation, Etc.) Amount of Contract or Award CoC Number and Name FL-600 Miami -Dade County Is this an APR for a grant that received a HUD- approved grant extension? (Yes or No) Is this a final APR? (Yes or No) Attachment F "Annual Progress Report (APR) Supplemental" incio.11projici ,iervire lor Vi1VVA/I)\/ dtlinitiktr.ilivi, °nice ,R1iIrcsi: Address/PO Box City State Zip Code Siie hi frnii tion continued; Florida Identify the program site configuration type - Desi,gnate single site or single building or multiple buildings or sites Identify the site type for the principal service site - Identify type of house, if only services select "not applicable or non- residelitial" 1 is this a grant that only funds the services that are provided to a CoC Program funded housing grant(s)? Explain any changes made in this section from the information provided in the original application: 2000 Clioraucters' ours 'Ito or! QS. Bed arid Uni t: Inventory Explanation of Changes Explain any difference in the actual inventory from the information provided in the application/contractual Agreement. &,,(ina,,,r1m ciu(rwv)v zoo() Attachment F "Annual Progress Repo (APR) Supplemental" Financial Information for CoC Programs Q31a1 CoC Financial - Development Expenditure Type CoC Program funds Expenditures Acquisition , Rehabilitation NewConstruction Development - Subtotal $ Q31a2 CoC Expenditures - Supportive Services Report on all CoC Program funds expended during the operating year on supportive services. If you have no expense for these items or these items were not included in vour arantaoplkation enter "0" in each fe1d on the auestion. Expenditures type CoC Program Funds Expenditures 1. Assessment of Service Needs 2. Assistance with Moving Costs 3. Case Management 4. Child Care 5. Education Services 6. EmployrnentAssistance , 7. Food 8. Ho using/Co unselingServices $ 9. Legal Services 10. Life Skills $ 11. Mental Health Services , 12. Outpatient Health Services $ 13. Outreach Services 14, Substance Abuse Treatment Services 15. Transportation 16. Utility Deposits Supportive Services - Subtotals Attachment F "Annual Progress Report (APR) Supplemental" Q3 CoC Financial- 1...,easing, Rental Assistance, Operadng, and Administration Total Expenses COC Funds D v foment $ Supportive Services $ Real Property Leasing $ Short -/Medium Term Rental Assistance S Long-term Rental Assistance $ Operating Costs $ H S $ SUBTOTAL $ Administration - Provider $ Administration - Homeless Trust $ TOTAL Expenses plus Administration Cash Match $ In -Kind Match TOTAL Match $ Match % ()A, TOTAL Expenditures and Match $ ProgramIncome $ Attachment F "Annual Progress Report (APR) Supplemental" Performance for CoC Programs Refer to the HMIS generated APR Questions 36 Q36a: Perrnanciit Ilousing Programs / Rapid Re-Flousing Programs Actual # of person in the Actual # of persons who program for whom the accomplished this measure Is appropriate measure Performance Measure (Measures are found in the eSnaps (Exhibit Z) of the HUD application Exhibit 6 AC) . Housing Stability measure 2a. Total Income Measure Zb. Earned IncOme Measure 36b: Transitional 1-lousing Programs Actual 0/ii otpersnnswho acc this measure ....., Performance Measure (Measures are found in the eStiaps Exhibit 2) of the HUD application Exhibit 6 A-C) Actual # of person in the program for whom the measure is appropriate Actualof persons who accomplished this measure Actual % of persons who accomplished this measure 1.1-lousing Stability measure 2a, Total Income Measure 2b. Earned Income Measure 36c: Street Outreach Pro rams Performance Measure, (Measures are found In the 6 :naps (Exhibit Z) of the flUD application Exhib 6A-q Actual # of person in the program for whom the measure is appropriate Actual # of persons who accomplished this measure Actual ',., olpersons who accomplished this measure ',Housing Stability measure Za.Physical Disability 2b.Developmental Disability 2c,Chronic Ueatb 2d.HIV/AIDS 2e.Mental Health 2f.Substance Abuse Attachment F 'Anrniat Progress Report (APR) Supplemental" Q:36(1: Supportive Services On Performance Measure (Measures are h)Intl in the eSiiaps (Exhibit 2) oldie HUD 3pplication Exhihit 6 tL 1. Housing Stability measure 2a, Total Income Mesure 2b. Earned Income Measure Q3Ce: Sale Haven Pro(Tan S Performance Measure (Measures at e found in the 0)?II); (1.,:xhibit 2) the HEW application 6 /4 -() 1,Housing Stability measure 2a. Total Income Measure I (SS()) Pi:ocu.am Actual ti of person in the program for whom the measure is appropriate Actual tt of person n the program for whom the measure is appropriate Q37: Ad(Ii tio nal Performance Measures (Target) # of # of total Performance Measure (MCAStire!i Are round in the eSnaps (Exhibit 2) ill the 111).1) application ExInhlt 6 A-(:) *Utilization Rate or Vacancy Report Persons who wcre expected to accomplish this measure (eSitaps Budget Exhibit 2) (Universal) persons who are Is expected to accomplish this measure (eSnaps Budget Exi Iit 2) Actual # of persons who accotimilshed this measure Actualfipersons who. accomplished this measure Actual % of persons who accomplished this measure Actual % of persons who accomplished this measure % expected to Actual Target Actual lof Actual 04 of accomplish this # of persons total persons to measure who (Universal) achieve this (eSnaps Budget accomplished person to measure Exhibit 2) this measure achieve this Reported in Reported in ineasure (MIS HMIS Reported in I [MIS Qi10: cant Program Accomplishments Describe in a brief narrative form (no fuhr,f thou 2,0 o chuoict .$) any significant accomplishments achieved by your project during the reporting period: Q,) 2: Additional Cornmenls Describe in a brief narrative form (No filfll e //nu, 2,000 dui/ (a.otth) based an your experience during the last year any problems or explanations and or changes or need for technical advice or assistance, Attachiueut F "Annual Progress Report (APR) Suppleme a ifor HUD reporting? _ ..„. lis using Interim Reviews part of your workflow for HUD :reporting? HUD CoC APR Annual Performance Report Additional Information User Prompt Field il. Select Provider Group(s): 1. Select Provlder(s): 2, Enter Start Date: 3. Enter End Date PLUS 1 Day: ;4. Select Entry Type: ,5. Enter Adult Age: ;EDA Provider Value(s) Selected None Selected- i43owman Systems, LLC(0) i9/1/2016 1011/2016 IHUD 18 -Default Provider - Enter Effective Date ;10/1/2015 ;Is using the Disability Determination field part of your Yes workflow for HUD reporting?. Is uieiing the Receiving Income Source field part of your Yes workflow for HUD reporting? ils using the Receiving Benefit field part of your workflow Yes ;Yes Provider Reporting Information Client Count Based on Uid Unduplicated Count IP 2015 Bowman Systems L.L.C. All Rights Reserved: This document and the information contained herein should be considered business sensitive. Bowman Systems( and the Bowman Systems() logo are trademarks of Bowman Systems L.L.C. All other brand or product nainas are trademarks or registered trademarks of their respective holders. Bowman Systems 0625 - HUD CoC APR - v27 Tab 0 - Additional Inforn)ation Bowman Systems 333 Texas Street, 300 Shreveport, LA 71101 Toll Free: (844) 213-8780 Direct: (318) 213-6780 Fax; (318) 213-8784 http://wwwbowmansystems:com Page 1 of 1 v27 Printed; 9107/2016 2:12A0 PM HUD CoC APR Annual Performance Report Question 7 7. HMIS or Comparable Database Data Quality Total number of records for All Clients "O al number of records for Adults Only Total number of records for Unaccompanied Youth Total number of records fcr Leavers ata Element First Name Last Name SSN Date of Birth Race Etlin)city Gender Veteran Status Disabling Condition Residence Prior to Entry Zip of Last Permanent Address. Housing Status (atlentry) income (at entry) ore (at exit) Non -Cash Benefits (at entry) Non -Cash Benefits (at exit) Physical Disability (at entry) Developmental Disability (at entry) Chronic Health Condition (at ontiy) HIV / AIDS (at entry) Mental Flealth (at entry) Substance Abuse (at ently) [Domestic Violence (at entry) . „ Destination 0 0 Missing Data Bowman Systems 0625 - HUD CoC APR - v27 Tab A - Q, 7 Page. 1 oft v27 Printed: 9/07/2016 2:12:40 PM HUD CoC APR Annual Performance Report Questions 8-9 8. Persons Served During the Operating Year by Type Number of Persons in Households Served During the Operating Year Without ° With Children With Only Unknown I Children and Adults Children Hli Type Adults 0 • 0 j 0 0 0 Children • 0 : , 0 0 0 I 0 Don't Know/Refused 0 • ! 0 0 0 i 0 Missing information i 0 0 0 0 TOTAL 0 0 0 0 Average Number of Persons Total Average Number of persons Served Each Night Without : With Children ; With Only Unknown Total Children j and Adults Children HH Type 0 0 0 0 0 Point -in -Time Count of Persons on the Last Wednesday in January April July October Total Children ! and Adults Children HH Type 0 0 0 0 : 0 0 0 i 0 0 0 0 0 0 0 0 : 1 0 o 0 0 0 Without With Children 7 With Only Unknown 9. Households Served During the Operating Year Number of Households Served During the Operating Year Households Without With Children ' With Only Total Children i and Adults Children 0 0 0 0 Unknown HH Type 0 January April July October Point -in -Time Count of Households Served on the Last Wednesday in .• i Total Without With Children i With Only Unknown • ? i Children •i and Adults ' Children HH Type 0, 0 0 0 0 0 0 :-• 0 0 . 0 n, • It ' 0 0 0 0 i 0 ! 0 r 0 0 1 0 0 Bowman Systems 0625 - HUD CoC APR - v27 Tab B - 8-9 Page 1 of 1 v27 Printed: 9/07/2016 2:12:40 PM HUD CoC APR Annual Performance Report Question 12 12. Client Co acts and Engagements Number of Persons Contacted Rates During the Operating Year Once 2-5 Times 6-9 Times 10+ Times, TOTAL Total First contacted First contacted First contacted at place not at non-housnat o meant for human , ig husing service site location habitation 0 0 0 0 0 0 0 0 , 0 0 0 0 0 0 0 0 0 Number of Persons Engaged by Number of Contacts During the Operating Year First contact place was missin0 0• 0 0 0 First contacted at place not meant habfiotarthiouIrtina n ' aHrtriSlatri7hrlatta:titservice site contacted , 0 First contacted First contact Total at housing place was location 0 missing ,1 , I Contact 0 0 0 2-5 Contacts 0 0 0 0 6-9 Contacts 0 0 0 0 10+ Contacts 0 0 0 0 0 TOTAL 0 0 0 0 0 LiateofEngagement0 130WnTan Systems 0625 -lit.) CoC APR - v2"/ Tab C -Q 12 Page 1 of 1 v27 Printed: 9/07/2016 212;110 PM Subtotal Bowman Systems 0625 - HUD CoC APR - v27 Tab 0 - Q 15 HUD CoC APR Annual Performance Report Question 15 15a. Gender - Adults Gender of Adults Number of Adults In Households Subtotal tnformatIon Missing Female 0 0 0 0 Don't Know/Refused 0 0 0 0 Transgendered a Other 0 Total With Children Unknown Without Children and Adults HH Typo 15b. Gender - Children Gender of Children Number of Children In Households Total With Children With Only Unknown and Adults Children HH Type Male 0 0 0 0 , . Female Transgendered Other Don't Know/Refused information Missing Subtotal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15c. Gender Missing Age Male Female Transgendered Other Gender of Persons Missing Age Information Number of Persons in Households Total 0 0 0 Don't Know/Refused 0 Infomiatlon Missing 0 0 0 0 Without With Children With Only Unknown Children and Adults Children i HH Type 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 Page 1 of 1 0 v27 Printed' 9/07/2016 2:12:40 PM 16. Ago , . Under 5 5 - 12 13 - 17 18 - 24 25 - 34 35 45 - 54 55 81 62+ Don't Know/Refused information Missing Age Error (Negative Age or 100+) Total 17a. Ethnicity HUD CoC APR Annual Performance Report Questions 16-17 Age Number of Persons in Households • Total Without With Children With Only Unknown • ! Children 0 0 0 0 0 0 0 0 0 and Adults Children „ 0 0 0 0 0 0 0 Ethnicity Number of Persons in Households Total Without ! With Children . _. _.,... _ ,... ... .. : Children and Adults .: Non-Hispanic/Non-Latino I i0 0 0 Hispanic/Latino 0 0 i . 0 Don't, Know/Refused 0 0 ......„ .. Information Missing 0 .... , Total 0 0 17b. Race 0 0 0 0 0 0 0 0 0 With Only Unknown Children HH Type 0 0 0 0 0 0 0 0 . „ 0 0 Race Number of Persons in Households Without ! With Children I' With Only Unknown Children I and Adults , Children HhiType... . 1 0 I 0 i 0 0 '. . . ... .. , 0 • 0 0 , 0 . ,..... , ... 0 0 0 0 0 , 0 0 . , . 0 . , _ . . 0 i 0 0 0 Total White Black or AfrIcan-Arneric,an 0 Asian 0 , . American Indian or Alaska Native 0 Native Hawaiian or Other Pacific Islander 0 Multiple Races 0 . _ Don't Know/Rettised 0 formation Missing 0 Total 0 0 0 0 0 0 I 0 0 I 0 I 0 0 0 0, 0 0 Bowman Systems 0525 - HUD CoC APR - v27 TabE-Q 18-17 Page 1 of1 v27 Printed: 9/07/2016 212'40 PM Less than 3 Months 3 to 6 Months Ago 16 to 12 Months Ago More than a year Ago HUD CoC APR Annual Performance Report Questions 18-19 18a. Physical and Mental Health Types of Conditions at Entry Known Physical and Mental Health Conditions Number of Persons In Households Mental Illness Alcohol Abuse Drug Abuse Chronic Health Condition HIV/AIDS and Related Diseases Developmental L]lsability Physical Disability Total Without • With Children With Only . Unknown Children and Adults Children Ell-1 Type 0 0 0 0 0 0 0 0 0 0 0 a !' a 0 L D o D i 0 0 0 0 a 1 0 a a 0 0 0 0 0 18b. Physical and Mental Health Known Conditions at Entry Number of Known Conditions Number of Persons Total Without ' With Children i th Only Unknown 1 Children and Adults i Children 1 1-91 Type None 0 I 0 0 . 0 1 Condition 0 0 0 0 . ... : . 2 Conditions 0 0 0 0 3+ Cortditions , 0 i 0 0 . _. Condition Unknown 0, ; 0 10 , , 0 0 0 0 i 0 0 0 0 0 0 TOTAL: 0 0 0 Don't Know / Refused Information Missing 19a. Victims of Domestic Violence Yes No Don't Know/Refused „...... information Missng Past Domestic Violence Experience Number of Adults and Unaccompanied Children in Households TotWithout With Children With Only , Unknown al Children , and Adults Children i HH Type .. . . 0 0 0 0 . , 0 , 0 0 i. . ......a 0 .‘,.. 0 r r 0 0 0 0 0 0 TOTAL0 0 0 a 0 . _ Wi 0 0 0 0 0 19b. When Past Domestic Violence Experience Occurred Number of Adults and Unaccompanied Children in Households ... Total , Without With Children With Only Unknown Children and Adults , Children NH Type . .. _ „ . 0 0 0 0 0 0 0 0 0 ... . 0 0 0 0 0 0 0 0 0 0 0 Don't Know/Refused 0 0 0 0 0 InormatLon Missing 0 0 0 0 0 TOTAL 0 0 0 0 0 Bowman Systems 0625 - HUD CoC APR - v27 Tab F Q 18-19 Page 1 of 1 v27 Printed: 9/07/2016 2:12:40 PM HUD CoC APR Annual Performance Report Question 20 20a1. Residence Prior to Program Entry - Homeless Situations Residence Prior to Program Entry Horneless Situations Number of Persons in Households , . Emergency Shelter Transitional housing for homeless persons Place not meant for habitation Sate Raven Total Without With Children , With Only Unknown Children and Adults Children HH Type 0 0 0 0 0 0 . 0 , 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 0 0 0 0 0 20a2, Residence Prior to Program Entry - Institutional Settings Residence Prior to Program Entry - institutional Settings Number of Persons In Households Psychiatric hospital or other psychiatric facility Substance abuse treatment facility or detoy center Hospital (Non -psychiatric) 0 Jail, prison , or juvenile detention facility 0 Foster Care 0 TOTAL 0 Total Without With Children With Only Unknown ' Children ' and Adults Children HH Type _., 0 0 0 0 0 0 , 0 P 0 0 0 0 : 0 0 0 , 0 0 : 0 0 1 0 0 . 0 0 o 0 0 20a3. Residence Prior to Program Entry - Other Locations Residence Prior to Program Entry - Other Locations Number of Adults and Unaccompanied Youth in Households Total PSH for Homeless persons Owned by Client, no Subsidy Owned by Client, with Subsidy Rental by Client, no subsidy 0 0 0 Rental by Client, with VASH Subsidy 0 0 0 Rental by Client, with other ongoing Subsidy 0 Hotel/Motel, Paid by Client Staying or Living with Family 0 Staying or Living with Friend(s) 0 Other Don't Know/Refused nforrnattort Missing Without With Children With Only Unknown Children and Adults Children ; HH Type a o . o 0 , o 0 o 0 o 0 0 0 0 0 0 0 0 0 0 0 o 0 0 .,„.,...,, o 0 0 0 •,.r r. .. . . r . 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 a o 0 TOTAL. 0 0 Bowman Systems 0625 - HUD CoC AR - v27 Tab G 20 Page 1 of 1 v27 Printed: 9/0712016 2:12:40 PM 21. Veteran Status Veteran Not a Veteran Don't Know/Refused Information Missing Total HUD CoC APR Annual Performance Report Questions 21-22 Veteran Status Number of Adults In Households Total Without Children With Children and Unknown Adults 11H Type ° 0 0 0 0 1 0 0 0 0 0 0 0 22a1. Physical and IVIental Health Condition Types at Exit - Leavers Known Physical and Mental Health Conditions Leavers - Total Number by Type All Persons Adults Children . _ Alcohol Abuse 0 Drug ,Abuse Mental Illness 0 0 0 0 Chronic Health Condition 0 HIV/AIDS and Related Diseases 0 Dev elopmental Disalailliy ________ 0 0 • 0 0 22a2, Known Physicaland Mental Health Condition at Exit - Leavers Number of Known Conditions Leavers - Total Number by Type All Persons Adults Children Unknown None 0 0 0 i 0 1 Condition 0 0 0 0 2 Conditions 0 3+ Conditions 0 0 0 Condition Unknown 0 0 .0 Don't Know / Refused 0 El Information Missing 0 0 0 • , TOTAL: 0 0 0 0 Unknown 0 0 0 0 0 0 0 0 0 0 L 0 0 0 0 Bowman Systems 0625 - HUD CoC APR - v27 Tab H - Q 21-22 Page 1 of 2 0 0 0 0 Printed: 9/07/2016 2:12;40 PM HUD CoC APR Annual Performance Report Questions 21-22 22b1. Physical and Mental Health Condition Types at Exit Stayers Known Physical and Mental Health Conditions Stayers - Total Number by Type Mental Illness Alcohol Abuse Drug Abuse Chronic Health Condition HIV/ADS and Related Diseases Developmental D!sability, Physical Disability All Persons Adults 0 0 0 0 0 0 0 0 0 0 0 22b2. Known Physical and Mental Health Condition at Exit — Stayers Number of Known Conditions Stayers - Total Number by Type Children Unknown 0 0 . . 0 0 0 0 0 0 0 0 0 0 All Persons j Adults Children None 0 i 0 1 Condition 0 0 2 Conditions 0 0 3+ Conditions 0 0 Condition Unknown 0 0 ° i Don't Know / Refused 0 0 Information Missing 0 0 TOTAL: 0 0 ,0, • .•••• • 0 0 0 Unknown 0 0 0 0 0 0 0 0 0 0 Bowman Systems 0625 - HUD CoC APR - v27 Tab H - Q 21-22 Page 2 of 2 v27 Printed: 9/07/2016 2:12'40 PM Avg Change In Overall Income 24.13.3 Income Change by Income Category (Universe: Total Adults with Income Info at Entry and Either Follow Up (Stayers) or Exit (Leavers)) Adults with Earned Income Avg Change In Earned Income Adults With Other Income Ava Change 111Other Income Athill$ Any Income Avg Change In Overall Income 23. Cash Income Range HUD CoC APR Annual' Performance Report Question's 23-24 Number of Adults Income at Income at income at Latest Follow- Exit Entry up for Stayers for Leavers No Income 0 0 0 $1 -$150 0 0 0 $151 -$250 0 0 0 $251 - $500 0 0 0 $501 - $'1,000 0 0 0 $1,001 - $1,500 0 0 0 1,501 - $2,000 0 0 0 $2,001 + 0 0 0 Don't KnoW/Refused ' 0 0 0 Information Missing 0 0 0 Total 0 0 0 24.b.1 income Change by income Category (UlliVerGe: Adult Stayers with income Info at Entry and Follow-up) Adults with Earned income Avg Change In Earned Income Adults with Other income Average Change In Other Incon Adldis Any Income Avg Change in Overall income 24.a Number of Adults By Adults at Income Category Entry Adults with Only Earned Income Adults with Only Other Income Adults with Both Earned income and Other Income Adults with No Income Adults with DIOR Income nformalton Adults Mitt Missing Income 41100-nation Total Adults Adults with income information at Entry and Follow-up/Ex/1 0 0 0 Had Income Retained Retained Retalned Category Income Income Income at Entry and Not Category But Category and Category and at Follow•up Had Lass $ at Same $ at Increased $ at Follow-up Follow•up Follow-up O 0 0 0 0 0 0 0 0 D 0 O 0 0 O 0 0 r 0 0 0 1 1 0 24.b.2 Income Change by Had Income Income Category (Universe: Category al Adult Leavers with income Info Entry and Did at Entry and Exit) Nol Hoge ai Exit Adults with Earned Income 0 Avg Change in Earned Income 0 Mulls with Other Income Avg Changoln Olher income 1 0 Adults Any Income 0 0 OW Not Have Income Category at Entry and Gained It at Follow-up 0 0 0 0 0 0 Adults at Adults at Latest Follow- Exit up (Stayers) (Leavers) 0 0 0 0 0 0 0 0 0 0 0 Dld Not Have the Income Category at Entry or at Follow-up 0 0 R:elelned It coma Category Sul Had Less $ al Eriul 0 0 0 0 (3 0 Retained Income Category and Sarno $ al Exit 0 0 Retained Old Nol Hava tricarne Income Category and Category at Increased $ al Entry and Exit Gained it al Exit 0 0 0 0 0 0 0 0 0 0 0 Had Income Reluined Pr:10111nd Retained Category at Income Income Income Entry and Old Category But Category and Category sod Nol al Follow- Had less $ et Saute $ al Increased $ at op/Exit Follcav-up/Ext1 Follow-uplExit 1 Follow-up/Exil 0 0 0 0 0 0 ' 0 0 0 1 0 0 0 0 0 0 0 I0 0 0 0 0 Ifinvimalt Systerns 0025 - HUD CoC APR - v27 Tab I - Q 23-24 Old Nol Have Income Category at Entry and Garsed it al Fallow-up/Exit 0 0 0 0 0 0 0 0 0 Page 1 of 1 Old Not Hove the tricomo Category el Entry or al Exit 0 0 Total Adults (Including those with no Income) 0 Total Adults (Incluritrig Parse %atilt so Income) 0 0 0 Did Not Have lho Income Total Adults Category at (trattudIng those Entry or at with no Income) Follow-uplEx11 v27 Print 9/07/2016 2:12:40 PM Earned Income Unemployment Insurance SSI SSD Veteran's Disability Private Disability Insurancc Worker's Compensation TANF or Equivalent Genecat Assistance Retirement (Social Security) Veteran's Pension Pension from Former Job Child Support Ailhlony (Spousal Support) ....... Other Source HUD CoC APR Annual Performance Report Question 25 25a1, Cash Income Types by Exit Status - Leavers Cash -Income Sources Type of Cash -Income Sources by Number of Persons Leavers Total Adults Children Age Unknown 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25a2. Cash-incorne by Exit Status - Leavers Cash -Income Sources Number of Cash -Income Sources by Number of Persons - Leavers No Sources 1+ Source(s) Don't Know / Refused Missing this Information Total Adults 0 0 0 0 0 0 0 0 TOTAL' 0 0 Children 0 0 0 0 0 0 0 0 0 0 0 0 Age Unknown 0 0 0 0 Bowman Systems 0025 HUD CoC APR - v27 Tab J - Q 25 Page 1 of 2 v27 Printed! 9/07/2016 2:12A0 PM HUD CoC APR Annual Performance Report Question 25 25b1. Cash -Income Sources - Stayers Cash -Income Sources Type of Cash -Income Sources by Number of Persons - Stayers Adults i Children I Age Unknown Earned Income .0 0 0 ; 0 Unemployment insurance 0 . 0 ol l 0 SS I 0 0 0 0 SSDI 0 0 0 0 , Veteran's Disability 0 0 0 i 0 Private Disability Insurance 0 , .. 0 0 0 Worker's Compensation 0 0 0 0 TANF or Equivalent 0 0 0 i 0 General Assistance 0 0 ; 0 ° Retirement (Social Security) 0 0 0 0 Veteran's Pension 0 0 0 0 Pension from Former Job 0 0 'Child Support 0 0 0 Alimony (Spousal Support) 00 0 Other Source 0 0 0 TOTAL 0 0 25b2. Cash Income Number of Sources - Stayers Cash -Income Sources Number of Cash -Income Sources by Number of Persons - Stayers .......,, Total Adults i Children Age Unknown . .. ,........... ... No Sources 0 0 , .. . . .... 0 .. .. . 0 1+ Source(s) 0, 0 0 0 . Don't Know / Refused 0 ; 0 0 0 Missing this Information 0 i0 0 0 TOTAL 0 bowman Systems 0625 - HUD CoC APR - v27 Tab J Q25 Page 2 of 2 0 v27 Printed: 9/07/2016 2:12AG PM 3 HUD CoC APR Annual Performance Report Question 26 26a1. Non -Cash Benefit Types by Exit Status - Leavers Non -Cash Benefits Non -Cash Benefits by Number of Persons - Leavers Total Adults Childs en 0 0 0 0 0 0 Supplemental Nutritional Assistance Program MEIJICAID Health Insurance MEDICARE Health Insurance 0 State Children's Health Insurance 0 WIC 0 VA Medical Services 0 TAN- Child Care Services 0 TAI\lF: Transportation Services 0 Other TANFTFunded Services 0 Temporary Rental Assistance 0 Section 8, Public Housing, Rental Assistance 0 Other Source TOTAL, 0 0 0 0 0 0 0 0 0 0. 0 0 0 0 26a2. Non -Cash Benefits by Exit Status - Leavers Client Non -Cash Benefits by Exit Status Number of Non -Cash Benefits by Number of Persons - Leavers Total , 1 Adults . Children : Age Unknown ... ...,..,.,. , . , Don't Know / Refused Missing this Information 0. No Sources 0 1+ Source(s) 0 0 0 0 .. 0 0 0 , I 0 0 0 ... , 0 0 0 TOTAL, 0 0 0 0 BowmanSy7tjils 0625 HUD Coe APR v27 Tab K- Q 26 Page 1 af 2 v27 Printed: 9/07/2016 2:12:40 PM HUD CoC APR Annual Performance Report Question 26 26b1. Non -Cash Benefit Sources Stayers Non -Cash Benefits Non -Cash Benefits by Number of Persons Stayers 1 Toti1-1 Adults Chidren Age Unknown . ...... ....... ,,, .,.. ... 1 Supplemental Nutritional Assistance Program • , 0 0 0 0 MEDICAID Health insurance 0 0 0 0 MEDICARE Flealth Insurance VA Medical Services V/lC Sate Children's Health Insurance 0 . • I I 0 0 i t ' 000° 000 0 ; , . .. ... 0 .. ..,°, 0 0 TANF Ctiild Care ,Services 0 l 0 0 0 .,.. .., . ...... „ ........ .„. , . . . TANF Transportation Services 0 0 0 0 . . Other TANF-Funded Services ••0 0 0 Temporary Rental Assistance 0 Section 8, Public Housing, Rental Assistance 0 0 Other Source 0 0 TOTAL 0 0 26b2. Number of Non -Cash Benefit Sources - Stayers Client Non -Cash Benefits by Exit Status Number of Non -Cash Benefits by Number of Persons - Stayers Total . Adults Children J Age Unknown No Sources 0 0 0 0 rce(s) ,... 0 0 I 0 , 1 0 Don't Know / Refused 0 1 0 ; 0 i 0 i • Missing this Intomnation .. _ . .. .. I 0 1 0 I 0 i 0 TOTAL: 0 0 0 0 Bowman Systems 0625 - HUD CDC APR - v27 Tab K-Q 26 Page 2 of 2 v27 Printeci 9/07/2016 2:12:40 PM HUD CoC APR Annual Performance Report Question 27 27. Length of Participation by Exit Status Length of Participation by Exit Status Number of Persons Less than 30. days 31 to 60 days 61 to 180 days o 365 days 368 to 730 days (1-2 Yrs) 731 to 1095 days (2-3 Yrs) 06 to 1460 days (3-4 Yrs) . . 1461 to 1825 days (4-5 Yrs) More than 1825 Days (>5 Yrs) information Missing Total Total 0 0 0 0 0 0 0 Average and Median Length of Participation in Days Leavers 0 -layers Average Length Stayers. .. 0 0 0 0 0 0 0 0 0 0 Median Length 0 0 Bovinan Systems 0625 - HUD CoC APR v27 Tab L - Q 27 Page 1 of 1 v27 Printed: 9/07/2016 2:12:40 PM HUD CoC APR Annual Performance Report Question 29 29a1. Destination by Household Type and Length of Stay (All Leavers who Stayed More than 90 Dar Number of Leavers in Households Permanent Destinations Owned by Client, no Ongoing Subsidy Owned by Client, with Ongoing Subsidy Rental by Client, no Ongoing subsidy Rental by Client, with VASH Subsidy Rental by Client, with other Ongoing Subsidy PSH for Homeless Persons Living with Family, Perrnanent Tenure Living with Friends, Perrnanent Tenure Subtotal Total 0 0 0 0 0 0 Temporary Destinations Emergency Shelter TH for Homeless Persons . „. . Staying with Family, Temporary Tenure Staying with Friends, Temporary Tenure Place Not Meant for Human Habitation Saf Haven Hotel or Motel, Paid by Client Subtotal Institutional Settings Foster Care Psychiatric Facility Substance Abuse or Delox Facility Hospital (non -Psychiatric) , . Jail or Prison Subtotal Other Destinations Deceased Other Don't Know/Refused information Missing Subtotal Bowman Systems 0625.- HUD CoC APR - v27 Tab M Q 29 Without Children 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 a 0 0 0 0 With Children ; With Only Unknown and Adults Children HH Type 0 0 0 o 0 o 0 0 0 0 0 0 0 0 0 91 0 0 0 0 0 0 0 0 0 0 0 l9 0 0 0 0 0 i 0 0 0 0 0 0 0 0 0 0 0 ° 0 a i 0 i 0 0 o i o i 0 0 i 0 0 0 0 0 0 0 0 Page 1 of 2 v27 PrIntert 9/07/2016 21240 PM HUD CoC APR Annual Performance Report Question 29 29a2. Destination by Household Type and Length of Stay (All Leavers who Stayed 90 Days or Less) Number of Leavers in Households Permanent Destinations Owned by Client, no Ongoing Subsidy Owned by Client, with Ongoing Subsidy Rental by Client, no Ongoing subsidy Rental by Client, with VASH Subsidy Rental by Client, with other Ongoing Subsidy PSH for Homeless Persons Living with Family, Permanent Tenure Living with Friends, Permanent Tenure Subtotal Temporary Destinations Emergency Shelter ...... . . TH for Homeless Persons Staying with Family, Temporary Tenure Without ; With Children With Only Unknown Total Children ; and Adults i Children . HH Type 0 0 . 0 0 . 0 . ... ....._ .. .. .. , • i . 0 0 i , 0 i 0 , 0 0 • 0 0 1 0 0 i . : 0 . 0 0 0 0 0 0 0 0 0 0 ' 0 - 0 0 0 : . 0 ! 0 0 0 0 ! 0 0 0 0 0 0 0 0 0 0 0 0 , 0 0 0 0 0 0 0 0 0 0 0 0 Staying with Friends, Temporary Tenure 0 0 0 0 0 Place Not Meant for Human Habitation 0 a . 0 . 0 0 Safe Haven Hotel or Motel, Paid by Client S ubtotai 0 . o 0 0 0 0 0 0 o a 0 0 a 0 o Institutional Settings Foster Care Psychiatric Facility Substance Abuse or Detox Facility Hospital (non -Psychiatric) Jail or Prison Subtotal Other Destinations Deceased Other n't Know/Refused Information Missing Subtotal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 . i. a O 0 0 0 , 0 ' 0 0 0 0 0 0 0 0 0 0 0• 0 0 Bowman Systems 0625 - HUD CoC APR - v27 Tab M Q 29 Page 2 of 2 v27 Printed: 9/07/2016 2:12:40 PM HUD CoC APR Annual Performance Report Question 36 36a. Permanent Housing Programs / Rapid Re -Housing Programs Performance Measure 1. Housing Stability Measure 28. Totai Income Measure 2b. Earned Income Measure Exhibit 2 Target # of persons who were expected to accomplish this measure 36b, Transitional Housing Programs Exhibit 2 Actual # of Target % of person In the poisons who program far were expected whom the to accomplish measure Is this measure appropriate 0 Actual # of persons who accomplished this measure Actual % of persons who accomplished this measure 0 0.00% 0 0 0.00% o 0 0,00% Exhibit 2 Exhibit 2 Actual # of Target # of Target % of person in the persons who persons who program for were expected were expected whom the to accomplish to accomplish measure is this measure this measure ; appropriate 1, HoDsIng Stability Measure ; 0 2a. Total Income Measure 0 21a. Earned Income Measure 0 Performance Measure 36c, Street Outreach Programs Performance Measure 1. Housing Stability Meastlre 2a. Physical Disability 2b, Developmental Disability 2c: Chronic Health 2c1 HIV/AIDS 2e. Mental Health 2f:Substance Abuse Bowman Systems 0625 - HUD CoC APR - v27 Tab N 0 36 Exhibit 2 Exhibit 2 Actual # of Target *of Target % of person in the persons who persons who program for were expected were expected whom the to accomplish to accomplish measure is this measure ; this measure appropriate 0 0 0 0 0 0 0 Page 1 of 2 Actual # of persons who accomplished this measure % Difference between Exhibit 2 Target and Actual Performance Actual % of persons who accomplished this measure % Difference between Exhibit Target and Actual Performance 0,00% 0 0.00% 0 0.00% L ^ ^ ^ Actual i of Actual % of persons who persons who accomplished accomplished this measure this measure 0 0 0 0.00% 0 00 % 0.00% 0 . 0 % 0 0 0 % 0 0.00% 0.00% % Difference between Exhibit 2 Target and Actual Performance v27 Printed: 9/07/2016 2:12:40 PM HUD CoC APR Annual Performance Report Question 36 36d. Supportive Services Only (SSO) Programs Exhibit 2 Exhibit 2 Actual # of % Difference Target 14 of Target % of person in the Actual # of Actual % of between porsons who persons who program for persons who , persons who Exhibit 2 l'erformance Measure were expected were expected whom the accomplished accomplished Target and to accomplish to accomplish measure is this ineasure . this ineasure Actual this measure this measure appropriate Perforrnance 1, Housing Stability Measure 0 ol 0.00% 2a, Total Income Measure 0 0 0.00% 2b, Earned Income Measure 0 0 0 00% 36e, Safe Haven Pro rams Exhibit 2 Target # of persons who were expected to accomplish this measure Performance Measure Housing Stability Measure 2a. Total Income Measure Exhibit 2 Actual # of Tarot % of person In the Actual # of persons who program for persons who were expected whom the accomplished to accomplish rneasure Is this measure this measure appropriate 0 0 0 0 Actual% 0 f persons who accomplished this measure 0,00% 0,00% % Difference between Exhibit 2 Target. end Actual' Performance Bowman Systems 0626 - HUD CoC APR - v27 Tab N - Q. 36 Page 2 of 2 v27 Printed° 9/07/2016 2:12A0 PM Attachment. G "CoC Program Guidelines" Page 1 of 14 Miami -Dade County Homeless Trust CoC Program Guidelines MAMt Miami -Dade County Homeless Trust Monitoring Team Information Staff: Date of Visit: CoC Program Subrecipient: Agency and Program Information Suhrecipient: Program Name: Subrecipient staff consulted: Grant Amount: Grant Number: Program Type: PSH RRH TH SH SSO Li Legacy SPC RRH Number to be served: Number of chronic beds/units: Program serves: Individuals 17 Families 0 Both CoC Program grant funds are used for: CD Leasing (no match required) 0 Rental Assistance 0 Operations 0 Supportive Services CD HMIS 0 Administration Is the Subrecipient a faith -based organization? 0 Yes [13 No CoC Matching funds (25%) required are: Cash/Cash Equivalent 0 In Kind 0 N/A Is there an active restrictive covenant on one or more of the project's properties? 0 Yes 0 No Attachment C "CoC Prograrn Guidelines" Page 2 of 14 PART 1: PROG 4ONITO SUBRECIPJENT OPERATIONS: POLICIES AND PROCEDURES: Conflict of Interest 1. There are written standards of conduct governing the performance of covered persons engaged in the award and administration of contracts. 24 CFR § 578,95(a); 24 CFR §578.103(a)(11) El Yes 0 No , 2. The Subrecipient has a general conflict -of -interest policy for staff and Board members 24 CFR § 570,95(c); 24 CFR §578,103(a)(11) []Yes Ii.-D No 3. if the Subrecipient is an approved exception to the conflict of interest policy, the agency has documented the exception 24 CFR § 5713.103(a)(111)_ 7 Yes 0 No Involvement of homeless persons 1. There is at least one homeless/formerly homeless person is on the Board of Directors or equivalent policymakips entity, 24 CFR § 578.75(g)(1) 0 Yes 0- No 2. The Subrecipient involves homeless individuals and families through employment, volunteer services; or otherwise; in constructing, rehabilitation, malntaining, and operating the project, and in providing supportive services for the project. 24 CFR § 578,75(g)(2) Yes (.) No Confidentiali 1. The Subrecipient has written policies to ensure: • Records containing protected identifying information of any individual / family receiving assistance will be kept confidential; • The location of any family violence project will not be made public, except with the written permission of the person responsible for operating the project; and • The location of any housing of any program participant will not be made public, except as provided in a preexisting privacy and as provided by law. 24 CFR § 578.103(h) (These policies are in addition to HMIS related confidentiality / security requiremenis) 0 Yes Cli No Fair Housing and E 1 ualOpportimity . The Subrecipient has written nondiscrimination and equal opportunity policies that apply to housing and employment, 24 CFR § 578,93 0 Yes [1 No 2. The Subrecipient has policies and procedures for providing reasonable accommodations and reasonable modifications for persons with disabilities. 24 CFR § 100.204(a), 28 CFR § 35,1,30(b)(7) -] Yes J No Attachment G "CoC Program Guidelines" Page 3 of 14 3. The Subrecipient maintains copies of marketing, outreach, and other materials used to inform eligible persons of the program and these materials show that the agency markets their housing and supportive services to those least likely to apply in the absence of special outreach. 24 CFR §57a93(c)(1) 4. The Subrecipient has policies and procedures in place to provide meaningful access for Spanish- speaking and other Limited English Proficiency persons to access the SubrecipientS programs and services. 72 federal regulation 2732 5. The Subrecipient provides program participants with informal ion on rights and, remedies available under applicable federal, State and local fair housing and civil rights laws, 24 CFR §578,93(c)(3) Drug -Free Worl 1, The Suhrecipient has a drug -free workplace policy I Yes statement which includes the requirement of Li No notification to FWD if an employee is convicted for a criminal drug offense. 24 CFR § 84.13 POLICIES AND PROCEDURES FOR COC GRANT -FUNDED PROGPJM Number Served 1. The Subrecipient serves at Least as many program participants as show in its application for assistance. 24 CFR § 578.51(11J(3) Termination ill Yes ET) No Process 1. The Subrecipient has a written policy for termination of participation for violation of program policies or occupancy agreements. 24 CFR § 578.91 1 _. fr...) Yes (1) No Services Related to Housing Stability 1. The Subrecipient has a written policy for termination of participation for violation of program policies or occupancy agreements. 24 CFR § 578.91 Fil Yes C3 No Residential Supervision 1. The Subrecipient provides adequate residential supervision. 24 CFR § 578.75(f) [1] Yes C) NO Program Fees 1. The Subrecipient does not charge participant's program fees. 24 CFR § 578.87(d) Program fees are not the same as rent or occupancy rent; program articl Janis rna be charged rent for housing) - J Yes ( 1 No Attachment G "CoC Program Guidelines" Page 4. of 1,1 Recordkeeping 1. The Subrecipient has systems in place to ensure Cl Yes that records related to CoC-funded programs are n No maintained for a 5:year period. 24 CFR § 578.103 REVIEW OF CoC PROGRAM PARTICIPANT FILES Eligibility: Homelessness 1. Each participant file contains verification of homelessness status at the time of program entry. 24 CFR § 57/3.103(a)(2) 24 CFR § 576.500(3) [:] Yes r:.) No 2. The Subrecipient has written policies and procedures for documenting homelessness. Intake staff document eligibility at intake; documentation is required for all persons seeking assistance; written policies state the evidence that may be relied upon to establish and verify homeless status. The Subrecipient makes efforts to establish and verify homeless status and get the appropriate documentation. Uses Miami -Dade County's homeless verification forms, In order of preference: 1) Homeless coordinated outreach and assessment, 2) Third party documentation, 3) Intake worker observations, 4) Certification from the person seeking assistance, C.7) Yes [.,„) No Eligibility: Disability 1. Ifthe program provides PSI -I, each participant file contains verification of participant's disability. 24 CFR § 578.37(a)(1)(i) 1) Verification from a professional who is licensed to diagnose and treat condition OR 2) Disability verified by the Social Security Administration (VA disability check, or an SSDI check) Ci Yes ED No Etigibility: Chronic homelessness 1. Ifthe program has units dedicated to persons who are chronically homeless, participant files contain verification of chronic homelessness. r..D Yes ti No Service Assessment 1. The file contains participant assessments and service plans, updated at least annually. 24 CFR§ 578.53(a) Li Yes Cril No Services Provided and Costs 1. The file contains documentation of services provided and the agency tracks the amounts spent on those services. 24 CFR § 578.1030)(9) Li Yes i 0 No Duration off Services 1. The file reflects that supportive services are made available throughout resident's entire time in the project. 24, CFR § 578.53(13) Ell No 2. Rapid rehousing: The file reflects that program participant meets with case manager not less than once per month. 24 CFR § 578.53(b)(4) .-_, Yes Li No AttachmentG "CoC Program Guidelines' Page 5 of 14 Participants Terminated from Pro ram 1. If a participant has been terminated from the program, file includes documentation that the Subrecipient followed its written procedure for termination of assistance, 24, CFR 578.103(a)(7)(ii); 24 CFR § 578.91 LI Yes Li No RENTAL ASSISTANCE OR LEASING (complete this section if the Subrecipientpays rental assistance encasing costs for a unit that the program participant lives in) Rental Agreement / Lease 1, The program participant has an occupancy agreement or lease with the Recipient/Subrecipient or Landlord, 24 CFR § 578.77(a) For tenant and project based assistance,. the program participant must be the tenant on the lease. For sponsor based assistance, lease between the Subrecipient and the Landlord, sub -Lease between participant and Subrecipient 2. For project -based, sponsor -based, or tenant -based permanent housing (PH) rental assistance; initial lease must be at least one year, terminable for cause. The leases must be automatically renewable upon expiration for terms that are a rnininnum of one month long, except an prior notice by either party, up to a maxitnum term of 24 months. 24 CFR § S78.51 I For transitional h. using; initial lease term must be aticast ane month,. The lease must be automatically renewable upon expiration, except on prior notice by either party, up to a maximumterm of 24 months, 24 CFR § 578.51, 2) Li Yes CI) No I Yes No Li Yes No Habitability 1. File includes documentation that units passed Li Yes housing quality suandards inspection prior to iniba i No client move -in. 24 CFR § 578.75(b); and 24 CFR § 578.1 3(a)(8) 2. File includes documentation that unit has passed Ei Yes annual housing quality standards inspections, El No including an inspection within the last 12 months. 24 CFR § 578,75N 3. Dwelling unit is correct size: The dwelling unit ust have at least one bedroom or living/sleeping room for each two persons. Children of opposite sex, other than very young children, may not be required to occupy the same bedroom or living / sleeping room. 24 CFR § 57 .(c) 4. For supportive housing for persons with disabilities; the Subrecipient must make available meal preparation facilities for residents or provide rneals 24 CFR § 578,75(d) _ Yes ) No 1 Yes LI No Attachment G "CoC Program Guidelines" Page 6 of 14 Unit Rents 1, Documentation that rents are reasonable in relation to rents charged in the same geographic area forforcompirab1e space 24 CFR §578.49) i Yes 0 No 2. Rents do not exceed the HUD -determined Fair Market Rents (FMRs). This documentation must include chart show current year's FMRs. 24 CFR §578.49(b)(4) 0 Yes Cl No 3. Security deposit does not exceed two monthsrent; in addition to the security deposit, the Subrecipient may also pay the final months' rent in advance 24 CFR § 578.49(b)(4) 0 Yes LJ No A nual Income 1. The file contains an income evaluation form completed by program participant and source documents verifying income and assets (or, if source documentation not available, 3rd party verification; or if 3r1 party verification not available, written certification by program participant. 24 CFR § 578.103(a)(6) _ Yes 0 No 2. The file contains documents demonstrating that income is re-examined annually. 24 CFR § 578.77(c)C2") 0 Yes El No Rent Calculation 1. The file contains the annual rent calculation, and the calculation is accurate. BEST PRACTICE: The file contains a printout of the HUD rent calculation 24 CFR § 578.103 0 Yes 0 No 2. Is the participant charged rent (unless $0 income) and is the rent treated as program income? (required) Cl Yes [i No 3. Is rent calculated initially, annually, and when there is any change in income? C Yes 0 No 4. Is there documentation of compliance of an eiigib e "utility allowance" The Subrecipient has received a copy of the Tenants paid utility bill for compliance. E] Yes 0 No Vacancies 1. The Subrecipient does not pay rent for more than 30 days for any unit that has been vacated. Rent may not be paid on the vacated unit again until there is a new occupant (NOTE: Brief periods of stays in institutions, not to exceed 90 days for each occurrence, are not considered vacancies), 24 CFR § 578.51(9) (I) Yes LJ No Attachment 6 "CoC Program Guidelines" Page 7 o 4 LEASING (complete this section if the Subrecipient leases buildings for the purpose o providing program services or if there is a unit lease agreement with a landlord) Rent Reasonableness: (applies to rent for buildings oi• housing units) 1. Documentation that rents are reasonable in relation to rents charged in the same geographic area forcoin arable s ace. 24. CFR § 578.49N C1 Yes ril No 2. Rents do not exceed rents charged for comparable units rented by the Subrecipient. 24. CFR § 578.49(h) C.,1 Yes u No Ili Yes ri No 3, Security deposil does not exceed two monthsrent in addition to the security deposit, the Subrecipient may also pay the final months' rent in advance. 24 CFR § .578.491b1(4) 4, The Subreciptent must have an occupancy agreement, rind if applicable a sublease, IT) Yes 5, Is rent calculated initially and when the tenant requests? EJ Yes 6. Is the participant charged rent? (not required) 0 Yes LJNo Li Yes ["1 No 7. Has an occupancy charge been imposed? (not required) If so, the charge cannot exceed the highest of 1) 30% of the households monthly adjusted income; 2)10% of the households' monthly income, or; 3) The portion of the households' welfare assistance, gaily that is designated for housing costs. not ail licahle in the State of Florida) 8. Leasing funds are not used to tease units or structures owned by the RecirAent, Subrecipient their parent organization(s) or organizations that are members of a partnership where the partnership owns the structure. (Doesn't apply to rental assistance). LIJ Yes r No REQUIRED POLICIES AND PROCEDURES FOR SPECIFIC PROGRA STANCES . Participant Household Policies (complete this section for any program that serves families with children) 1. The age and gender of a child under age 18 must Yes not be used as a basis for denying any participant I ) No household's admission to a project that: receives unds under this art. Faith -based Activities (complete this section 1. The Subrecipient serves all potential participants without regard to religious belief, refusal to hold a religious belief, or refusal to attend or participate in e1i:ious services, 24 CFR § 578.87(b)W 2, If the Subrecipient provides explicitly religious activities (including worship, religious instruction, or proselytizing), these activities are separate from HUD -funded activities and beneficiaries of HUD- l'unded activities are not required to participate. he Sabred. lent is faith-hased organization 1.3 Yes .0 No „„., Yes Ej No Attachment G "CoC Program Guidelines" Page 8 of 4 24 CFR § 578.87(b)(2) Projects involving acquisition, new construction, and rehabilitation 1, Records for acquisition, new construction, and rehabilitation must be retained for 15 years following the date the project is first occupied, or used, by program participants. 24, CFR § 578.103 c 2 , Li Yes 0 No 2. If the project resulted In dislocation of any persons, the Subrecipient complied with the obligations of the Uniform Relocation Act?, 24 CFR § 578.83 ______ Yes No 3. For projects including new construction or rehabilitation, do the Recipient's records show that Section 3 reports have been completed and submitted timel ? 24 CFR ,,,' 578.99(1) CD Yes 0 No Transitional Housing 1. Participants do not regularly exceed 24 months in the program. 24 CFR § 578.79 0 Yes 0 No 2. When a participant is in the program for longer than 24 months, the file documents the need for extended artid ation. 24 CFR § 570.79 0 Yes [J No 3.1f participants stay longer than 24 inonths, is the number of participants with longer stays less than 50% of the total number served by the project? 24 CFR § 578.79 0 Yes C-..) No Transfer Due to bomestic Violence 1. lfaprograrn participant receiving tenant -based rental assistance has moved to a different CoC due to threat of imminent harm, the file must contain documentation of the domestic violence and imminent threat CJ Yes Li No PART 2: FISCAL MONITORING INTERNAL REVIEW Audit 1. is the Subrecipient subject to the OMB A-133 single audit requirement? (Required if $5000,000 or more in aggregate Federal funds expended) 0 Yes 0 No 2. if subject to A-133 audit, has the Subrecipient provided its most recent audit and management, let er? . L Yes 0 No 3. If not bound by A-133 requirement, has the agency provided financial statements audited by a CPA? 0 Yes 0 No Board of Directors 1. Has the Subrecipient provided Miarni-Dade County a list of the members of its Board of Directors? EJ Yes 0 No Authorized Check Signers 1. Has the Subrecipient provided Miami -Dade County with a list of authorized check signers? 0 Yes 1] No Attachment G "CoC Program Guidelines" Page o 4 Invoickv 1, The Subrecipient submits invoices on a monthly basis (on time or within time)? f li Yes n No Procurement 1. ' 'lie Subrecipient has a written procurement policy that meets the requirements of Miami -Dade County • mpetitive procurement standards, ri Yes 0 No 2. The Slibreciplent retains copies of all procurement contracts and documentation of compliance with federal procurement requirements 24 CFR § 578.1.03(a)(16)(iii) i.- ) Yes [1 No Match 1. The Subrecipient has documentation of the source and use of contribudons made to satisfy the 25% match requirements (match may be cash or in kind). Records must indicate the grant and fiscal year for which each 'Ina telling contribution is counted. The records must show how the value placed on 3" party in kind contributions was derived. Costs incurred by a partnering organization to provide "in kind" services to the program participants must be documented by a MOU. Cash or any in kind contribution used as match for another grant is not an eligible in kind contribution used as match for another grant is not an eligible match. 24 CFR § 578,73, 24 CFR §578.103(a)(10), 24 CFR § 84.23 and 24 CFR § 578.23(c)(6) ( ) Yes _11 No 2.. Match must be spent on eligible project costs (in the budget) , _ --- l 1 Yes E No 3, Where match is documented by MOU, the MOU must; estiiblish the unconditional commitment identify the service to be provided; identify the profession of the persons providing the service; and Identify the cost of the service to be provided _ [1) Yes (.1 No In ernal Controls 1. The Subrecipient has written job descriptions for all HUD -funded positions I) Yes 1.7) No 2. The Subrecipient has written fiscal policies and procedures specifying approval authority for all financial transactions and guidelines for controlling expenditures 111.1 Yes pj No 3. The Subrecipient has written procedures for recording .financial transactions, and an accounting manual and chart of accounts n Yes n No Program Income 1. Is all program income spent on eligible costs? Rent and Occupancy charges are considered program income as is any utility allowances in rental programs ill Yes Li] No ,2 Is program income part of your match? Program income is not an eligible source of match,3 No Attachment G "CoC Program Guidelines" Page 10 of 14 ndirect Costs 1. Does the organization use grant flunds for indirect 0 Yes costs? (0 No 2. Are the costs consistent with OMB Super Circulars as applicahle 0 Yes 0 No DO CUM ENTATI 0 N REVIEW Salary Documentation 1. Original timesheets - signed; grant duties identified, if split time (copy in reimbursement package)._ ..... Yes . No 2. Payroll sheets 0 Yes 0 No 3. Caricelled checks to the employ Yes 0 No 4. If time is divided between the CoC Programs and another funding source, review time distribution records supporting the allocation of charges among the sources. Staff time breakdown allocation chart 0 Yes 0 No Space / Utilities Documentationj Leases 1. Rentai or lease agreement - signed by participant; valid lease period; correct rental amount 0 Yes D. No 2. Ori!nal invoices 0 Yes 17:1 No 0 Yes 0 No 3. Cancelled checks to the landlord/mortgagee; 11 til i ty company, etc. 4. Unit inspection repor (s); no longer than 1 year old 0 Yes ....... No 5. Verification of what payment was used for (e.g. first month's rent, security deposit, etc.) — 0 Yes 0 No Supplies 1. Purchase orders _ Yes No 2. Requisitions 0 Yes 0 No 3. Cancelled checks 0 Yes 0 No 4. DetermineDetcrrni ie where supplies are being kept 1 Yes 0 No 5. Determine what cost objective is being used 111 Yes 0 No Review Inventory list - any equipment shall be labeled as property of Miami -Dade County through its Homeless Trust 0 Yes 7) No Attachment G "CoC Program Guidelines" Page 11 of 14 INTERNAL CONTROLS 1. Internal control questionnaire CD Yes Li No 2. Review organizational chart L) Yes 0 No 3. Review job descriptions/definitions of employees duties 0 Yes 0 No CA Yes fi) No 4. Review Subrecil ent's system of authorization and supervision 5, Ensure that there is a separation of duties (authorizing, recording and custody should be separate" 0 Yes r_i No 6. Review control over assets 0 Yes 0 No EVALUATION OF SELECTED TRANSACTIONS Is the expenditure allowable a. is the expenditure necessary, reasonable and CD Yes directly related to the grant? 0 No b. Is the even iture authorized by the grant? 0 Yes 0 No Source doctunentation evaluation 'e the expenditures incurred during the term of 0. Yes the grant? b, Was the money actually paid out? 0 No II Yes El No c. Were the expenditures approved bythe responsible Suhrecipient officials -1 Yes 0 No d. Is there adequate documentation to support the expenditures? a. Chart of accounts 0 Yes CD No Does the Suhrecipient maintain the appropriate records? Does the Suhrecipient maintain the following? 0 Yes 0 No b. Cash receipts journal El Yes No Cash disbursements journal d. Payroll journal e. General ledger Cal Yes No 0 Yes 0 No 0 Yes [1 No 1. Does the Subrecipient maintain documentation concerning its sources of funding 0 Yes Li No Attachment G "CoC Program Guidelines Page 12 of 14 PART 3: HMIS MONITORING HMIS HOMELESS MANAGEMENT INFORMATION SYSTEMS HMIS Operations: Policy and Procedures E) Yes C'l No 1. The Subrecipient has signed an HMIS Participation Agreement to use the IIMIS license 2. Are the Subrecipient's H IS Administers registered and approved to enter the data into the HivIISAystern (f) Yes C...1 No 3. The Subrecipient has designated an HMIS site Administrator(s), who is the Point of Contact for Miami -Dade County through its Homeless Trust as HMIS Lead Agency. EJ Yes 0 No 4. the Subrecipient has ensured that each HMIS user within its Organization has signed a user agreement stating full understanding of user rules, protocols and confidentiality. [1] Yes (7J- No Privacy 1. The Subrecipient has a Data Collection / Privacy Notice posted in English and Spanish at each intake location 0 Yes 0 No 2. The Subrecipient has a written Privacy Policy or uses the CoC's written Privacy Policy Yes fl No 3. Ifthe Subrecipient has a web site, the Privacy Policy is posted to the web ste 1 Yes LJ No 4. The Subrecipient has a signed authorization for release of information form that it uses for any client for which the Subrecipient uses HMIS for data sharing (11 Yes 0 No 5. The Subrecipient ensures that all signed forms are locked in a designated location with limited access to staff 0 Yes 0 No 6. The Subrecipient has executed the Agency Sharing Data Agreement, if applicable (MOU?) 0 Yes 0 No 7. The Subrecipient has a written client complaint policy Ur) Yes El No 8, The Subrecipient has established a process of tracking all filed complaints and can provide copies of complaints and resolutions to the HMIS Lead Agency if requested. n Yes El No Security 1. The Subrecipient maintains a list ofactive H MIS users 0 Yes 0 No 2. The Subrecipient regularly contacts the HMIS Lead when an employee leaves the Organization, In order to make sure that the person's HMIS account is disabled. 0 Yes 0 No 3. Are the Subrecipient's HMIS workstations located in secure locations or, if not, are the workstations manned at all times? E.J Yes Ei No 4. Has the Subrecipient identified a person who will serve as the Organization's HMIS security officer? El Yes Attachment G "CoC Program Guidelines" Page of 14 5. 1-Las the HMIS security officer completed an HMS security self -certification within the last 1,2 months? 0 No 0 Yes No 6. Does the Subrecipient have in place policies and Li Yes procedures to protect hard copies (paper) with 0 No persona identifying information? Data Quality At a minimum the Subrecipient collects the Universal 0 Yes Data Elements for every client entered and minimum El No data quality standards are met. The Subrecipient enters Chent Basic Demographic Data into the HMIS system at a minimum within one week of intake The Subrecipient stdf review monthly reports reccived from FIKIS Program Administrator and addresses any issues noted. 0 Yes Cl No 0 Yes 0 No Attachment "CoC Program Guidelines" Page 14 of 14 INCIDENT REPORT IDENTIFYING INFORMATION Reporting Party Phone it Date of Incident Time of hidden am/pm Reporting Party Name Contract Provider Name Program Name Provider Location Specific Program: (check all that apply) 0 Miami -Dade County 0 Primary Care 0 CoC Program 0 Emergency 0 Challenge El Othei Specific location/ address where incident occurred; TYPE OF INCIDENT 0 ALTERCATION 0 CLIENT MANY OR ILLNESS 0 SEXUAL BATTERY 0 PROPERTY DAMAGE 0 CLIENT DEATH 0 TIM' 0 SUICIDE ATTEMPT 0 OTHER INCIDENT Specify (Please mark W or P for either Witness or Participant) LAST NAIVH;, FIRST IDENTIFIER # CLIENT EMPLOYEE OTHER 0 DESCRIPTION OF INCIDENT W P Clive detailed account— who, what, where, when, why, how — add pages ifnecessary ATTACHMENT H "MDC-HT Incident Report Form" Page 1 of 2 miAtc.DADE CORRECTIVE ACTION AND RILL UP hrunediate corrective action taken is fbl.low up action needed? If yes, specify Yes 0 No INDIVIDUALS NOTIFIED 4` Abuse Registry 1-800-962-2873 l'ApplicitWlaW—Finforceiderat 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 Sulvecipient must within twenty-four (24) hours of any incident, submit in 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, 27lb Floor, Suite 310, Miami, Florida 33128; telephone (305) 375-1490 and facsmilie (305)375-2722, g Definitions of Reportable Incidents a. Altercation. A physical confrontation occurring between a client and employee or two or more clients at the time services are being rendered, or when a client is in the physical custody of the department, which results in one or more clients or employees receiving medical treatment by a licensed health care professional, b. Client Death. A person whose life terminates due to or allegedly dun to an accident', act of abu.se„ neglect or ether incident occurring while in the presence of an employee, in Homeless Trust contracted, program .fneility, c.Client Injury or Iliness. A medicai condition of a client requiring medical treatment by a licensed health care professional sustained or allegedly sustained 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. d, Other Incident An .zionsual occurrence or circumstance initiated by something other than natural causes or out of the ordinary such as a tornado, kidnapping, riot, or hostage situation, which jcoparfices the health, safety and welfare of clients. e. Sexual Battery. An allegation 01' 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. 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 medical treatment by a licensed health care professional. Property damage — an incident involving damage to any property procured with Miami -Dade County Homeless Trust finding [Print Name of Person Submitting Report Signature ATTACHMENT 11"MDC-HT Incident Report Form" Page 2 of 2 MIAM Real Property and Equipment Asset Inventory Equipment with an acquisition cost of greater than $5,000.00 per unit and all real property must be inventoried. Real property includes land, land improvements, structures and appurtenances, moveable machinery and equipment. Property and Property Improvement Record: Legal description: Size: Date of Acquisition: Value at time of purchase: Owner's iiame (if different than the Subrecipient): Map: (attach map) indicate where property is in parcels, lots or blocks and how adjacent streets and roads Equipment 1: Description of Property: Serial / ID Number: Acquisition Date: Cost: Vendor Name: % of Purchase Cost from Grant: Location of Property: Use and Condition of Property: Who Holds Title? Equipment 2: Description of Property Serial / ID NUM ben Acquisition Date; Cost: Vendor Name: % of Purchase Cost from Grant: Location of Property: Use and Condition of Property: Who Holds °rifle? Equipment 3; Description of Property: Serial / ID Number: Acquisition Date: Cost: Vendor Name: % of Purchase Cost frorn Grant: Location of Property: Use and Condition of Property: Who Holds Title? *(please create additional pages as required) ATTACHMENT 1 'Miami -Dade County Real Property and Equipment !tsset lnventory" FY 2015 Homeless AssistanceProgram THIS ATTACHMENT IS NO APPLICABLE TO THIS AGREEMENT ATTACHMENT J "2015 ',c1C Program Grant Agreement" FY 2015 Homeless Assistance Program THIS ATTACHMENT IS NO APPLICABLE TO THIS AGREEMENT ATTACHMENT K "20:15 US HUD CoC Program Grant Agreement"