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Submitted into the public record for item(s) Q.EJ 2 on G f rn/ic 4-I , City Clerk CITY OF MIAMI, FLORIDA INTER -OFFICE MEMORANDUM TO: Arthur Noriega V DATE: Wednesday, June 02, 2021 City Manager SUBJECT: June 10, 2021 Commission Meeting Agenda - RE.12 9157 - API Allocation of $125,000 to Liberty City Community Revitalization Trust from the District 5, Commissioner Watson— Four Fifth Waiver FROM: Lillian Blondet 1144REFERENCES: Director, Office of Grants Administration ENCLOSURES: API Funding Request Form RE.12 9157 on Thursday's City Commission agenda is being substituted with the attached API Funding Request Form as backup documentation. The attached clarifies the programmatic information inclusive of: scope of work, budget, and performance and impact measures for the program. cc: Victoria Mendez, City Attorney Arthur Noriega V, City Manager Fernando Casamayor, Assistant City Manager Miriam M. Santana, Agenda Coordinator Todd Hannon, City Clerk 7157 5Ubm! 1- - ' MII) -6cticit-x-At Submitted into the public record for item(s) R612 on '/1Dr2D2-1, City Clerk City of Miami Anti -Poverty Initiative Program Funding Request Form CONTACT INFORMATION: Contact Person: Elaine Black Title: President/CEO Phone number: (305)329-4707 Email Address: ebiack@miarnigov.com Name of Person completing this form: Iris Hudson Legal Name of organization: Liberty City Community Revitalization Trust Address (Street, city, State, Zip Code): 4800 NW 12th Avenue, Miami, Florida 33127 Executive Director of Organization: Elaine H. Black Executive Director email: eblack@miamigov.com Executive Director Contact Phone Number: (305) 329-4707 The organization is a registered and active State of Florida Corporation (select one ElFor -profit organization © Not -for profit organization 150 j3)(c)} LILocal governmental unit ElState governmental unit f1Educational and academic institution nCity of Miami department, office of elected official, agency or board Return this form to: mtrevino@miamigay.com (Last Revised May 15, 2020) Page 1 of S Submitted into the public record for items) Rirlt on 0012-°21 , City Clerk City of Miami Anti -Poverty Initiative Program Funding Request Form ORGANIZATION AND PROGRAM/PROJECT INFORMATION Organization History and Background Information: The Liberty City Community Revitalization Trust (Liberty City Trust) was created pursuant to Ordinance No. 12859. The Trust is responsible for the oversight and facilitation of the City's revitalization and redevelopment activities, as well as affordable housing improvements. is your program/project providing direct services to residents of the City of Miami? Yes[1NoD Number of residents your entity will serve: Frequency of Service: Age Group Served: upto50 8 weeks 14-18 Is your program/project impacting one of Miami's disadvantaged communities? Yes ENO Geographic Area Served (specific to this project/program) District Served (1, 2, 3, 4, 5, Citywide) 5 Neighborhood/Community being served: Liberty City Program/Project Priority area (Select one): CZ ♦1 Educational Programs for children, youth and adults Crime Prevention r'" - rr+ cri Elderly meals, transportation, recreational and health/wellness related activities riAt -risk youth or youth summer job programs j] Transportation services and programs Jab development, retention and training programs Homeless Services Food Distribution lEj Essential supplies, during a State of Emergency, natural disaster, or economic crisis Return this form to: mtrevino@miamigov,cram (Last Revised May 15, 2020) Page 2of5 .70 Submitted into the public record for item(s) gf.l2 on 40t)1202/ r City Clerk City of Miami Anti -Poverty Initiative Program - Funding Request Form Program/Project Title; 2021 Swimmer Youth Employment Program (YEP) Project/Program Description: The Summer Youth Employment Program will employ up to 50 youth between the ages of 14 to 18 from the District 5 surrounding community. Youth are given the opportunity to work 25 hours per 6 to 8 weeks at the rate of $14 per hour. Program Start Date: 6/14/2021 Program End Date: 8/6/2021 Please describe how this program/project and funding will alleviate poverty within the City of Miami? This program will aid and provide (1) income to low-income based families, (2) providing job experience; (3) to help keep youth out of trouble while school is out for the summer. 1MPACTAND PERFORMANCE: Describe overall expected outcomes and performance measures for this project/program: Performance will be measured by attendance and evaluation. The overall outcomes and performance measurement is to provide 50 paid job positions for youth between ages of 14 to 18 for the summer. Please attach additional pages to the back of this packet, if the space above is not srrf}ri Return this form to: mtrevino@miamigov,com (Last Revised May IS. 2020) Cri Page 3of5 Submitted into the public record for item(s) IE on lofie lea.l, City Clerk City of Miami Anti -Poverty Initiative Program - Funding Request Form FUNDING REQUEST INFORMATION: Amount Requested: $125,000.00 Explain how the City of Miami Anti -Poverty funding will be utilized: The funds received from the Anti -Poverty Program will provide the itemized expenditures listed below: Itemize API funding related to expenditures below: Personnel Salaries & Wages: $100,000E° Personnel Benefits $ 7,650.00 Space Rental: Utilities (Electricity, Phone, Internet): $ �, r Supplies: $2,000.00 ' �' Marketing:: $ Transportation (Participants): $ Meals (Participants): $ Professional Services (List each): Backgrounds - $3250.00 Other (please describe): Payroll fees - 2275.00 Other (please describe): Uniforms - 3500.00 Other (please describe): Accounting - 3000.00 - insurance - S3325.00 Return this form to: mtrevino@miamigov.com (Last Revised May 15, 2020) c,a r- rn Page 4 of 5 Submitted into the public record for items) 1 1^ on d1/01404. City Clerk City of Miami Anti -Poverty initiative Program Funding Request Form To be completed by the Entity/Recipient By signing below you agree to the guidelines and stipulate that the information provided on this form is accurate and complete, Completed by (Print & sign): .eZ,r/ife2. c , -Fe--e7i: Date: Additia al Comme s: / M To be completed by District Commissioner/Mayor's. Office Recommended for funding: Yesf Non Funding Recommendation: $125,000 Commission Meeting Date: June 10, 2021 Additional Comments: Completed by (Print & Sign): Date: 6/2/2021 To be completed by the Department s1-rdf-"- r Ct Received by (Print & Sign}: Date: 6/2121 Additional Comments: This funding request has been reviewed and is approved to proceed to Commission for approval. Return this form to: mtrevino@miamigov.com (Last Revised May 15, 2020) Page 5 of 5