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1111 MIAM[DADE AMENDMENT #2 OF THE AGREEMENT BETWEEN MIAMI-DADE COUNTY AND THE CITY OF MIAMI EMERGENCY HOTEL/MOTELPLACEMENT PROGRAM PC-2324-HTMT-1 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2324-HTMT-1 AMENDMENT #2 OF THE AGREEMENT BETWEEN MIAMI-DADE COUNTY AND THE CITY OF MIAMI FOR THE EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM GRANT NUMBER: PC-2324-HTMT-1 THIS AMENDMENT #2 OF THE AGREEMENT the "Agreement Amendment") is made as of 202 , by and between Miami -Dade County, through the Miami -Dade County Homeless Trust ("the County") and The City of Miami, a recipient of grant funds to serve homeless individuals, hereinafter referred to as the "Provider. WITNESSETH: WHEREAS on June 6th, 2023, the County and the Provider entered into a grant Agreement ("Agreement") which provides funding for the provision of special outreach engagement, placement and supportive services to homeless individuals and families in Miami -Dade County. WHEREAS on September 26, 2023, this Agreement was amended to add contract compliance language pertaining to the ratification of the State of Florida Senate Bill 1718 on May 10, 2023, and effective July 1, 2023; and WHEREAS this Agreement provides for certain rights and responsibilities of the County; and WHEREAS the Agreement allows for amendment and extensions at the sole discretion of the County; and WHEREAS the County is desirous of amending the Agreement to extend said agreement for one (1) additional year (2023-2024) pursuant to the terms of the Agreement. NOW, THEREFORE, be it resolved, for and consideration of the mutual agreements between the County and the Provider, which are set forth in this Amendment #2 of the Agreement, the receipt and sufficiency of which are acknowledged, the County and the Provider amend this Agreement as follows: ARTICLE I - Recitals The foregoing recitals are true and correct and constitute a part of this Amendment #2 of the Agreement. ARTICLE II - Ratification of the Agreement Other than expressly corrected or amended herein, all other terms and conditions of the Agreement shall remain in full force and effect. 21Pa THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2324-HTMT-1 ARTICLE III - Amendments The Agreement is hereby amended as follows: Article 2 is replaced as follows: ARTICLE 2. AMOUNT PAYABLE Subject to available funds, the maximum amount payable for services rendered under this contract shall not exceed: • Emergency Hotel/Motel Placement Program $ 2,709,349.00 (This amount includes $1,800,000.00 for the current 2023-2024 Fiscal year + $909,349.00 for prior year expenses 2022-2023) TOTAL AWARD $ 2,709,349.00 Both parties agree that should available Miami -Dade County funding be reduced, the amount payable under this contract may be proportionately reduced at the sole discretion and option of the County. All services undertaken by the Provider before the County's execution of this Contract shall be at the Provider's risk and expense. It is the responsibility of the Provider to maintain sufficient financial resources to meet the expenses incurred during the period between the provision of services and the payment by the County. The County, at its sole discretion, may allow Provider an advance of N/A once the Provider has submitted an appropriate request and submitted an invoice in the form required by the County. Article 5 is replaced as follows: ARTICLE 5. EFFECTIVE TERM Both parties agree that the Effective Term of this Contract shall commence on October 1. 2023. and terminate at the close of business on September 30. 2024. Contingent on the existence of sufficient funding, performance and the approval of the County, this Contract may be extended at the County's sole discretion. The remaining language in the original Agreement remains unchanged. THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2324-HTMT-1 IN WITNESS WHEREOF, the parties have caused this four (4) page Amendment #2 of the Agreement to be executed by their respective and duly authorized officers the day and year first above written. WITNESSES: ENTITY: CITY OF MIAMI, FLORIDA A municipal corporation of The State of Florida BY: BY: TODD B. HANNON CITY CLERK ARTHUR NORIEGA CITY MANAGER Approved as to Form and Correctness: Approved as to Insurance Requirements: BY: BY: VICTORIA MENDEZ ANN-MARIE SHARPE CITY ATTORNEY RISK MANAGEMENT Counterparts and Electronic Signatures - This Agreement may be executed in any number of counterparts, each of which so executed shall be deemed to be an original, and such counterparts shall together constitute but one and the same Agreement. The parties shall be entitled to sign and transmit an electronic signature of this Agreement (whether by facsimile, PDF or other email transmission), which signature shall be binding on the party whose name is contained therein. Any party providing an electronic signature agrees to promptly execute and deliver to the other parties an original signed Agreement upon request. Affix Incorporation SEAL here ATTEST: Miami -Dade County, a political subdivision of The State of Florida JUAN FERNANDEZ-BARQUIN, CLERK OF COURT AND COMPTROLLER BY: DEPUTY CLERK DATE DANIELLA LEVINE CAVA MAYOR Affix Miami -Dade County Seal Here See memorandum dated ( October 22.2022) approved as to form and legal sufficiency. 4IPa AGENDA ITEM 4.d Date: To: From: M IAM I DADS Memorandum COUNTY November 17, 2023 Miami -Dade County Homeless Trust Board Members Victoria Mallette, Executive Director Homeless Trust Homeless Trust Subject: Hotel/Motel Funding for Homeless Families Background Hotel/motel is a last resort for placement of families with minor children experiencing homelessness, and only used when all emergency beds within the Continuum of Care (CoC) are full. Also in rare cases, hotel placements are made when a member of a homeless family has a disabling condition so severe that it prevents him/her from living in a congregate setting or when congregate emergency housing placement is not appropriate for an individual(s). Miami-Dade's rental housing crisis has dramatically impacted the homeless system. First time homelessness is up. Shelters are at capacity, and the hotel/motel program has provided relief so that families with minor children are not living in places not meant for human habitation. In FY 2022-2023, a total of $1,880,000.00 was expended on hotel/motel. The funding was as follows: — $1,690,500.00 -- City of Miami — $130,150.00 -- Hermanos de la Calle — $59,350.00 -- New Hope CORPS Miami -Dade Public Housing and Community Development granted the Homeless Trust $838,363.00 to offset costs, including an initial allocation of $681,449.23 in ESG-CV funds and an additional award of $156,913.78 in recaptured ESG-CV funds. A hotel/motel balance of $82,113.40 remains, which includes expenses incurred for both the City of Miami in the amount of $70,984.92 and Hermanos de la Calle in the amount of $11,128.47. Below please find information on the total number of families served by the City of Miami's hotel/motel program between October 1, 2022 and September 30, 2023, average length of stay, and percentage of families exiting to permanent housing for the past five (5) years. Fiscal Year Total # of Families Served # of Hotel Families Average LOS for all Families Average LOS for Hotel Families % of all Families Exiting to PH % of Hotel Families Exiting Directly to PH 2022-23 901 274 182 95 72% 6% Page 1 of 3 2021-22 827 281 176 65 81% 9% 2020-21 770 234 158 46 76% 2% 2019-20 675 170 221 97 85% 26% 2018-19 770 216 183 72 78% 19% Beginning in FY 2022-2023 with the approval of the Trust Board, the Homeless Trust began calling on additional contracted providers, namely New Hope CORPS and Hermanos de la Calle, to further assist the CoC in serving families with minor children. Both of these providers are contracted for street outreach and part of the Homeless Trust's Coordinated Entry System. Hermanos de la Calle has negotiated reasonable rates with hoteliers in north Miami -Dade, and New Hope CORPS works closely with hoteliers in south Miami -Dade. These two providers not only case manage clients closely, the hotel rates they have secured assist in ensuring that families with minors experiencing homelessness are not uprooted from the communities they know and schools in which their children are enrolled. As of November 1, 2023, 379 families consisting of 1,201 individuals, including 751 minor children, are in the Continuum of Care. Ninety-two (92) of those households are in hotel/motel paid for the Homeless Trust. However, the City of Miami's hotel/motel program is again stretched to capacity, with contracted vendors having no additional rooms to offer. For Fiscal Year 2023-2024, the Homeless Trust has budgeted $1,894,500.00 for hotel/motel, which is allocated to the City of Miami Homeless Assistance Program, plus an additional $94,500.00 which is awarded to Chapman Partnership to provide case management to households in hotel. Chapman assesses households with minor children and efforts to divert households from the system whenever possible prior to referral to crisis housing. Trust staff is seeking once again to allocate additional resources to New Hope CORPS and Hermanos to provide hotel/motel in emergency situation when there are no shelter beds remaining for families, and no remaining contracted hotel/motel rooms through the City of Miami. The Homeless Trust is seeking to enter into grant agreement as follows for FY 2022-2023: — New Hope CORPS - $25,000.00 — Hermanos de la Calle - $202,800.00 This additional funding earmarked for families with minor children will bring the total amount allocated for hotel/motel for FY 2023-2024 to $2,122,300.00. Page 2 of 3 Recommendation Staff recommends that an additional $82,113.40 be allocated from uncommitted carryover to reimburse the City of Miami and Hermanos de la Calle, $70,984.92 and $11,128.47 respectively, for serving families with minors in FY 2022-2023, and an additional $227,800.00 to support the continued placement of homeless families through providers New Hope CORPS and Hermanos de la Calle in FY 2023-2024. c: Morris Copeland, Chief Community Services Officer Shannon Summerset, Esq., Assistance County Attorney Page 3 of 3 ATTACHMENT F Miami -Dade County Homeless Trust Monthly Payment Request NAME OF AGENCY: THE CITY OF MIAMI SERVICE PERIOD: TO NAME OF GRANT: THE CITY OF MIAMI - EMERGENCY HOTEL/MOTEL PROGRAM GRANT NUMBER: PC-2324-HTMT-1 TOTAL AWARD AMOUNT: $2,709,349.00 AMOUNT OF FUNDS REQUESTED THIS MONTH: $ AMOUNT OF FUNDS RECEIVED TO DATE: $ BALANCE REMAINIG ON GRANT: $ (following payment of this request) Signature of Executive Director or Date Authorized Agency Representative Printed Name of Executive Director or Authorized Agency Representative ATTACHMENT L MIAMI DADE COUNTY ANNUAL ACTUAL EXPENDITURE REPORT THE CITY OF MIAMI-EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM GRANT NUMBER #: PC-2324-HTMT-1 OCTOBER 1, 2023 - SEPTEMBER 30, 2024 Name of Agency: Budget THE CITY OF MIAMI - EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM $ 2,709,349.00 Month of Services Amount Paid PRIOR YEAR INVOICES OCTOBER 2023 NOVEMBER-2023 DECEMBER-2023 JANUARY-2024 FEBRUARY-2024 MARCH-2024 APRIL-2024 MAY-2024 JUNE-2024 JULY-2024 AUGUST-2024 SEPTEMBER-2024 Total Requested Balance Remaining $0.00 $2,709,349.00 Signature of Executive Director or Date Authorized Agency Representative Printed Name of Executive Director or Authorized Agency Representative Miami -Dade County's Affidavits and Declarations M IAM I -DADS COUNTY 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 "Q" in the box next to N/A. ALL SECTIONS MUST BE COMPLETED THE FOLLOWING MATTERS REQUIRE THE ENTITY TO SIGN AN AFFIDAVIT UNDER OATH: STATE OF ( COUNTY OF ( COUNTRY OF ( Before me the undersigned authority appeared (Print Name), who is personally known to as identification and who did swear to the following: me or who has provided That he or she is the duly authorized representative of (Name of Entity) (Address of Entity) Post Office addresses are not acce table, r Federal Employment Identification Number (hereinafter referred "entity"), and that he or she is the entity's (Sole Proprietor)(Partner)(President or That he or she has full authority to make this affidavit, and that the information given attached hereto are true and correct; and That he or she says for the following fifteen (16) Affidavits and Declarations: to as the contracting Other Authorized Officer) herein and the documents ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 1 of 11 Miami -Dade County's Affidavits and Declarations 1. MIAMI-DADE COUNTY OWNERSHIP DISCLOSURE AFFIDAVIT (SECTION 2-8.1 OF THE COUNTY CODE) Pertains O N/A O Initial (_) If the contract or business transaction is with a corporation, the full legal name and business address shall be provided for each officer and director and each stockholder who holds directly or indirectly five percent (5%) or more of the corporation's stock. If the contract or business transaction is with a partnership, the foregoing information shall be provided for each partner. If the 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) (Full Legal Name, Address, % Ownership) The full legal names and business address of any other individual suppliers, laborers, or lenders) who have, or will have, any the contract or business transaction with Miami Dade County (other than subcontractors, material person, interest (legal, equitable beneficial or otherwise) in are: required herein, or who knowingly discloses false up to five hundred dollars ($500.00) or imprisonment Post office addresses are not acceptable Any person who willfully fails to disclose the information information in this regard, shall be punished by a fine of in jail for up to sixty (60) days or both. ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 2 of 11 Miami -Dade County's Affidavits and Declarations 2. MIAMI-DADE COUNTY EMPLOYMENT DISCLOSURE AFFIDAVIT (COUNTY ORDINANCE 90-133, AMENDING SECTION 2.8-1; SUBSECTION (d)(2) OF THE COUNTY CODE) Pertains O N/A O 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? O Yes O No Does your firm provide paid health care benefits for its employees? O Yes O No Provide a current breakdown (number of persons) of your firm's work force and ownership (below): White: Males Females Black: Males Females Hispanic: Males Females Asian: Males Females American Native: Males Females Aleut (Eskimo): Males Females ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 3 of 11 Miami -Dade County's Affidavits and Declarations 3. MIAMI-DADE COUNTY AFFIRMATIVE ACTION / NONDISCRIMINATION OF EMPLOYMENT, PROMOTION AND PROCUREMENT PRACTICES (COUNTY ORDINANCE 98-30 CODIFIED AT 2-8.1.5 OF THE COUNTY CODE) Pertains O N/A O Initial (_) 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 procurement 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 be 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 Procurement Management Affirmative Action Plan Unit 111 NW 1st Street, l3th Floor Miami, FL 33128 Yes O No O My company has an affirmative action plan and procurement policy and is available for review. Yes O No O 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 O No O My company has annual gross revenues less than $5,000,000. 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 made 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. 4. MIAMI-DADE COUNTY CRIMINAL RECORD AFFIDAVIT (SECTION 2-8.6 OF THE COUNTY CODE) Pertains O N/A O Initial (_) The individual or entity entering into a contract or receiving funding from Miami -Dade County 0 has 0 has not, as of the date of this affidavit, been convicted of a felony during the past ten (10) years. An officer, director, or executive officer of the entity entering into a contract or receiving funding from Miami -Dade County 0 has 0 has not as of the date of this affidavit been convicted of a felony during the past ten (10) years. ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 4 of 11 Miami -Dade County's Affidavits and Declarations 5. PUBLIC ENTITY CRIMES AFFIDAVIT (SECTION 287.133(3)(a), FLORIDA STATUTES) Pertains O N/A O Initial (_) 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 record 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 of a 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 of a 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 of a 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 of America 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 sworn statement. (Please indicate which statement applies by applying the individual initials near the box). O 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 of the entity has been charged with and convicted of a public entity crime within the past 36 months. 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, or an affiliate of the entity has been charged with and convicted of a public entity crime within the past 36 months; and O yes an additional statement is applicable or O 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 of a 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 C "Miami -Dade County Affidavits and Declarations" Page 5 of 11 Miami -Dade County's Affidavits and Declarations 6. MIAMI-DADE EMPLOYMENT FAMILY LEAVE AFFIDAVIT (County Ordinance No.142-91 codified as Section 11A-29 et. seq of the County Code) Pertains O N/A O Initial (_) That 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 firm at least one (1) year shall be entitled to ninety (90) days of family leave during any twenty-four (24) month period, for medical reasons, for the birth or adoption of a child, or for the care of a child, spouse or other close relative who has a serious health condition without risk of termination of employment or employer retaliation. The foregoing requirements shall not pertain to contracts with the United States or any department or agency thereof, or the State of Florida or any political subdivision or agency thereof. It shall, however, pertain to municipalities of this State. 7. MIAMI-DADE COUNTY DISABILITY NONDISCRIMINATION AFFIDAVIT (County Resolution R-385-95) Pertains O N/A O Initial (_) That the above named firm, corporation or organization is in compliance with and agrees to continue to comply with, and assure that any subcontractor, or third party contractor under this project complies with all applicable requirements of the laws listed below including, but not limited to, those provisions 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 II, Public Services; Title III, 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. 8. MIAMI-DADE COUNTY REGARDING DELINQUENT AND CURRENTLY DUE FEES OR TAXES (Sec. 2-8.1(c) of the County Code) Pertains O N/A O Initial (_) Except for small purchase 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 C "Miami -Dade County Affidavits and Declarations" Page 6 of 11 Miami -Dade County's Affidavits and Declarations 9. CURRENT ON ALL COUNTY CONTRACTS, LOANS AND OTHER OBLIGATIONS Pertains O N/A O Initial (_) The individual entity seeking to transact business with the County is current in all its obligations to the County and is not otherwise in default of any contract, promissory note or other loan document with the County or any of its agencies or instrumentalities. 10. DOMESTIC VIOLENCE LEAVE (Resolution 185-00; 99-5 Codified At 11A- 60 Et. Seq. of the Miami -Dade County Code). Pertains O N/A O 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. seq. 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. 11. 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 O N/A O Initial (_) That in compliance with Ordinance No. 92-15 of the Code of Miami -Dade County, Florida, the above or entity is providing a drug -free workplace. A written statement to each employee shall inform the about: 1. danger of drug abuse in the workplace; 2. the firm's policy of maintaining a drug -free environment at all workplaces; 3. availability of drug counseling, rehabilitation and employee assistance programs; 4. penalties that may be imposed upon employees for drug abuse violations. named person employee 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 and including termination. Compliance with Ordinance No. 92-15 maybe waived if the special characteristics of the product or service offered by the person or entity make it necessary for the operation of the County or for the health, safety, welfare economic benefits and well-being of the public. Contracts involving funding which is provided in whole or in part by the 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 C "Miami -Dade County Affidavits and Declarations" Page 7 of 11 Miami -Dade County's Affidavits and Declarations 12. ATTESTATION REGARDING DUE AND PROPER ACKNOWLEDGEMENT OF COUNTY FUNDING SUPPORT Pertains O N/A O Initial (_) 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 O N/A O Initial (_) Pursuant to 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 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: 1. Within the past five (5) years, neither the Agency nor its directors, partners, principals, members or board members: (i) 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 based upon a contract with a funding source. Please list any matters which prohibit the Agency from making the certifications required and explain how the 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 O N/A O 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 C "Miami -Dade County Affidavits and Declarations" Page 8 of 11 Miami -Dade County's Affidavits and Declarations 15. MIAMI-DADE COUNTY REQUIRED LOBBYIST REGISTRATION FOR ORAL PRESENTATION Section 2-11.1(i)(2) CONFLICT OF INTEREST AND CODE OF ETHICS ORDINANCE Pertains O N/A O Initial (_) All lobbyists shall register with the Clerk of the Board of County Commissioners within five (5) business days of being retained as a lobbyist or before engaging in any lobbying activities, whichever shall come first. Every person 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 be 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. OBy 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 in his or her individual capacity for the purpose of self -representation without compensation or reimbursement, whether direct, indirect or contingent, to express support of or opposition to any item, 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 shall 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) ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 9 of 11 Miami -Dade County's Affidavits and Declarations 16. Disclosure SUBCONTRACTOR / SUPPLIER LISTING (ORDINANCE 97-104) Pertains O N/A O 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 Health 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 Sub co ntra cto r/ S ub c o n sulta nt Principal Owner Scope of Work to be Performed by Subcontractor/Subconsultant (Principal Owner) Gender Race Business Name and Address of Direct Supplier Principal Owner Supplies/Materials/Services to be Provided by Supplier (Principal Owner) 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 Print Name (Duplicate if additional space is needed) Date Print Title ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 10 of 11 Miami -Dade County's Affidavits and Declarations M IAM l-DADE111 COUNTY I 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 THIS PAGE YOU ARE ATTESTING TO AFFIDAVITS AND DISCLOSURES 1-16 MIAMI-DADE COUNTY AFFIDAVITS SIGNATURE PAGE By: , 20 Signature of Witness or Secretary Seal Date Signature of Affiant Federal Employer Identification Number Printed Name of Affiant and Name of Agency Address of Agency SUBSCRIBED AND SWORN TO (or affirmed) before me this day of , 20 He/She is personally known to me or has presented as identification. Type of identification Signature of Notary Serial Number Print or Stamp Name of Notary Expiration Date Notary Public — State of County of Notary Seal ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 11 of 11 FormRequest (Rev. October2018) Department of the Treasury Internal Revenue Service for Taxpayer a Certification $ Identification Number and Ce1 tiiication - Go to www.irs.gov/FormW9 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. Print or type. See Specific Instructions on page 3. f Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions certain entities, instructions Exempt payee Exemption code (if any) (Applies to accounts (codes apply only to not individuals; see on page 3): code (if any) • Individual/sole proprietor or • C Corporation ❑ S Corporation ❑ Partnership 111 Trust/estate single -member LLC ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) Note: Check the appropriate box in the line above for the fax classification of the single -member owner. LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single is disregarded from the owner should check the appropriate box for the tax classification of its owner. NI Other (see instructions) ► to from FATCA reporting Do not check of the LLC is -member LLC that maintained outside the dJ.S.) 5 Address (number, street, and apt. or suite no.) See instructions. Requester's name and address (optional) 6 City, state, and ZIP code 7 List account number(s) here (optional) Part l 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 withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number or Employer identification number Part 1! Certification Under penalties of perjury, I certify that; 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 1l, later. Sign Here Signature of I.I.S. person Date ► General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MIISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) Dom]Sign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 OFFICIAL FILE COPY THE CITY OF MIAMI CLERK OF THE BOARD EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM OF COUNTY COMMISSIONERS PC-2223-HTMT-I MIAMI-DADE COUNTY, FLORIDA GRANT CONTRACT This Grant Contract ( the "Contract" or "Grant Agreement") is made and entered into as of this 6th day of June , 20 23, by and between Miami -Dade County, through the Miami -Dade County Homeless Trust, a political subdivision of the State of Florida (the "County"'), having its principal office at 111 N.W. 1st Street, 27th Floor, Miami, Florida 33128 and The City of Miami/FEIN #: 59-6000375, a corporation organized and existing under the laws of the State of Florida, having its principal office at 444 SW 2"d Avenue, Miami, Florida 33130 ("Provider"), states conditions and covenants for the rendering of human and social services ("Services") for the County. WHEREAS the Provider provides or will develop social services of value to the County and has demonstrated an ability or desire to provide these services; and WHEREAS the County is authorized to subcontract for the provision of housing services and supportive services for individuals and families who are homeless in Miami -Dade County; and WHEREAS, the County has appropriated grant funding for the proposed housing and supportive services; and WHEREAS this Agreement provides for certain rights and responsibilities of the County; and WHEREAS the Agreement provides for amendments at the discretion of the County; NOW, THEREFORE, for and in consideration of the mutual covenants and agreements herein contained, the parties hereto agree as follows: ARTICLE 1. DEFINITIONS The following words and expressions used in this Grant Agreement shall be construed as follows, except when it is clear from the context that another meaning is intended: a) The words "Agreement" "Contract" or "Contract Documents" shall mean collectively these terms and conditions, the Scope of Services (Attachment A) and the Budget Documents (Attachment B) and all other attachments hereto, as well as all amendments or budget revisions issued hereto. b) The words "Contract Manager" shall mean Miami -Dade County's Director of the Homeless Trust ("County") or the Director's designee, or the duly authorized representative designated to manage the Contract. c) The word "Days" shall mean Calendar Days, unless otherwise specifically noted. d) The word "Deliverables" shall mean all documentation and any items of any nature submitted by the Provider to the County for review and approval pursuant to the terms of this Contract. e) The words "directed", "required", "permitted", "ordered", "designated", "selected", "prescribed" or words of like import to mean respectively, the direction, requirement, permission, order, designation, selection or prescription of the County's Contract Manager; and similarly the words "approved", acceptable", "satisfactory", "equal", "necessary", or words of like import to mean respectively, approved by, or acceptable or satisfactory to, equal or necessary in the sole discretion Page 1 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 of the County's Contract Manager. f) The words "Effective Term" shall mean the date on which this Contract is effective, including start date and end date. g) The words "Extra Work" or "Change Order" or "Additional Work" shall mean resulting in additions or deletions or modifications to the amount, type or value of the Work and Services as required in this Contract, as directed and/or approved by the County. h) "HIPAA" means Health Insurance Portability and Accountability Act of 1996. i) The words "Scope of Services" shall mean the document appended hereto as Attachment A-1, which details the work to be performed by the Provider. J) The word "subcontractor' or "sub consultant" shall mean any person, entity, firm or corporation, other than the employees of the Provider, who furnishes labor and/or materials, in connection with the Work, whether directly or indirectly, on behalf and/or under the direction of the Provider and whether or not in privities of contract with the Provider. k) The words "Work", "Services" "Program", or "Project" shall mean all matters and things required to be done by the Provider in accordance with the provisions of this Contract. ARTICLE 2. AMOUNT PAYABLE. Subject to available funds, the maximum amount payable for services rendered under this contract shall not exceed: Emergency Hotel/Motel Placement Program ($660,000.00 + supplemental allocation $1,030,500.00) Total Funding Award $ 1,690,500.00 $ 1,690,500.00 Both parties agree that should available County funding be reduced, the amount payable under this Contract may be proportionately reduced at the sole discretion and option of the County. Availability of funding shall be determined in the County's sole discretion. All services undertaken by the Provider before the County's execution of this Contract shall be at the Provider's risk and expense. It is the responsibility of the Provider to maintain sufficient financial resources to meet the expenses incurred during the period between the provision of services and payment by the County. The County, at its sole discretion, may allow Provider an advance of up to two (2) months once the Provider has submitted an appropriate request and submitted an invoice in the form required by the County. Page 2 of 27 DowSign Envelope ID: 90067A47-70A2.4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-I ARTICLE 3. SCOPE OF SERVICES A. Services. The Provider shall render services in accordance with Scope of Services incorporated herein and attached hereto as AttachmentA-1. The Provider shall implement the Scope of Services as described in Attachment A-1 in a manner deemed satisfactory to the County. Any modification or amendment to the Scope of Services shall not effective until approved by the County and Provider in writing. B. Reimbursement of COVID-19 Expenditures. The County is instructing Provider to undertake protective measures to prevent or mitigate the spread of COVID-19 during the period in which public officials advise that COVID-19 special measures should be taken. The County will reimburse Provider for expenses incurred in taking such protective measures during such time period. Allowable COVID-19 expenditures are set forth in Scope for COVID-19 Expenditures incorporated herein and attached hereto as Attachment A-2. The County has sole discretion to determine if expenditures were made for the purpose of preventing or mitigating the spread of COVID-19 and incurred during the period in which public officials advise that COVID-19 special measures should be taken. Total reimbursement for incurred COVID-19 costs under this Agreement shall not exceed $ N/A without the County's prior written approval. Payment processes and documentation requirements are set forth in Attachment A-2. ARTICLE 4. BUDGET SUMMARY The Provider agrees that all expenditures or costs shall be made in accordance with the Budget for the provision of services in accordance with Attachment A, the "Scope of Services". The Budget is attached hereto and incorporated herein as Attachment B. The parties agree that the Provider may, with the County's prior written approval; revise the schedule of payments or the line -item budget, and such revision shall not require an amendment to this Contract. Pursuant to Board of Miami -Dade County Commissioners Resolution 630-13, the Provider will submit a detailed project budget, and sources and uses statement as Attachment B-1, which shall be sufficiently detailed to show (i) the total project cost, (ii) the amount of funds to be used for administrative and overhead costs, (iii) whether the County funds will be 'gap' funds meaning that they would be the last remaining funds needed to ensure funding for the total project cost, (iv) any profit to be made by the Provider, and (v) the amount of funds devoted toward the provision of the desired services or activities. The County Mayor or Mayor's designee may make unannounced, on -site visits during normal working hours to the Provider's headquarters and any location or site where the services contracted for under this Agreement are performed. Page 3 of 27 DoouSign Enve[ope ID: 90067A47-7OA2-424O 8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 ARTICLE 5. EFFECTIVE TERM Both parties agree that the Effective Term of this Contract shall commence on October 1, 2022 and terminate at the close of business on September 30, 2023. Contingent on the existence of sufficient funding, performance and the approval of the County, this Contract may be extended at the County's sole discretion. ARTICLE 6. INDEMNIFICATION BY PROVIDER A. Government Entity. Government entity shall indemnify and hold harmless the County and its officers, employees, agents and instrumentalities from any and all liability, losses or damages, including attorneys' fees and costs of defense, which the County or its officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of actions or proceedings of any kind or nature arising out of, relating to or resulting from the performance of this Contract by the government entity or its employees, agents, servants, partners, principals or subcontractors. Government entity shall pay all claims and losses in connection therewith and shall investigate and defend all claims, suits or actions of any kind or nature in the name of the County, where applicable, including appellate proceedings, and shall pay all costs, judgments, and attorney's fees which may issue thereon. Provided, however, this indemnification shall only be to the extent and within the limitations of Section 768.28, Fla. Stat. B. All Other Providers. Provider shall indemnify and hold harmless the County and its officers, employees, agents and instrumentalities from any and all liability, losses or damages, including attorneys' fees and costs of defense, which the County or its officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of actions or proceedings of any kind or nature arising out of, relating to or resulting from the performance of this Contract by the Provider or its employees, agents, servants, partners principals or subcontractors. Provider shall pay all claims and losses in connection therewith and shall investigate and defend all claims, suits or actions of any kind or nature in the name of the County, where applicable, including appellate proceedings, and shall pay all costs, judgments, and attorney's fees which may issue thereon. Provider expressly understands and agrees that any insurance protection required by this Contract or otherwise provided by Provider shall in no way limit the responsibility to indemnify, keep and save harmless and defend the County or its officers, employees, agents, and instrumentalities as herein provided. C. Term of Indemnification. The provisions of Article 6 shall survive the expiration or termination of this Contract. ARTICLE 7. INSURANCE If the total dollar value of all County contracts with the Provider exceeds $25,000 then the following insurance coverage is required: A. Government Entity. If the Provider is the State of Florida or an agency or political subdivision of the State as defined by section 768.28, Florida Statutes, the Provider shall furnish the County, upon request, written verification of liability protection in accordance with section 768.28, Florida Statutes. Nothing herein shall be construed to extend any party's liability beyond that provided in section 768.28, Florida Statutes. The provider shall also furnish the County, upon request, written verification of Workers Compensation protection in accordance with Florida Statutes, Chapter 440. Page 4 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 B. All Other Providers. 1. Minimum Insurance Requirements: Certificates of Insurance. The Provider shall submit to Miami -Dade County, c/o Miami Dade County Homeless Trust (COUNTY), 111 N.W. 1st Street, 27th Floor, Miami, Florida 33128-1994, original Certificate(s) of Insurance indicating that insurance coverage has been obtained which meets the requirements as outlined below: A. All insurance certificates must list the County as "Certificate Holder" in the following manner: Miami -Dade County 111 N.W. 1st Street, Suite 2340 Miami, Florida 33128 B. Worker's Compensation Insurance for all employees of the Provider as required by Florida Statutes, Chapter 440. C. Commercial General Liability Insurance in an amount not less than $300,000 combined single limit per occurrence for bodily injury and property damage. Miami -Dade County must be shown as an additional insured with respect to this coverage. D. Automobile Liability Insurance covering all owned, non -owned, and hired vehicles used in connection with the Work provided under this Contract, in an amount not less than $300,000* combined single limit per occurrence for bodily injury and property damage. *NOTE: For Providers supplying vans or minibuses with seating capacities of fifteen (15) passengers or more, the limit of liability required for Auto Liability is $500,000. E. Professional Liability Insurance in the name of the Provider, when applicable, in an amount not Tess than $250,000. F. All insurance policies required above shall be issued by companies authorized to do business under the laws of the State of Florida, with the following qualifications: 1. The company must be rated no less than "B" as to management, and no less than "Class V" as to financial strength, according to the latest edition of Best's Insurance Guide published by A.M. Best Company, Oldwick, New Jersey, or its equivalent, subject to the approval of the County's Risk Management Division. OR 2. The company must hold a valid Florida Certificate of Authority as shown in the latest "List of All Insurance Companies Authorized or Approved to Do Business in Florida," issued by the State of Florida Department of Insurance and must be a member of the Florida Guaranty Fund. G. Certificates will indicate that no modification or change in insurance shall be made without thirty (30) days advance written notice to the Certificate Holder. H. Compliance with the foregoing requirements shall not relieve the Provider of its liability and obligations under this Section or under any other section of this Contract. Page 5 of 27 DoeuSign Envelope ID: 90067A47-70A2-4240-6CC4-11082D6C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 The County reserves the right to inspect the Provider's original insurance policies at any time during the term of this Contract. J. Applicability of this Article to Providers whose combined total award for all services funded under this Contract exceeds a $25,000 threshold. In the event that the Provider whose original total combined award in less than $25,000 but receives additional funding during the contract period which makes the total combined award exceed $25,000, then the requirements in this Article shall apply. K. Failure to Provide Certificates of Insurance. The Contractor shall be responsible for assuring that the insurance certificates required in conjunction with this Section remain in force for the duration of the effective term of this Contract. If insurance certificates are scheduled to expire during the effective term, the Provider shall be responsible for submitting new or renewed insurance certificates to the County prior to expiration. In the event that expired certificates are not replaced with new or renewed certificates which cover the effective term, the County may suspend the Contract until such time as the new or renewed certificates are received by the County in the manner prescribed herein; provided, however, that this suspended period does not exceed thirty (30) calendar days. Thereafter, the County may, at its sole discretion, terminate this Contract. ARTICLE 8. PROOF OF LICENSUREICERTIFICATION AND BACKGROUND SCREENING A. Licensure. If the Provider is required by the State of Florida or Miami -Dade County or any federal, state, or local law or regulation to be licensed or certified to provide the services or operate the facilities outlined in the Scope of Services (Attachment A), the Provider shall furnish to the County a copy of all required current licenses or certificates. Examples of services or operations requiring such licensure or certification include but are not limited to childcare, day care, nursing homes, and boarding homes. If the Provider fails to furnish the County with the licenses or certificates required under this Section, the County shall not disburse any funds until it is provided with such licenses or certificates. Failure to provide the licenses or certificates within sixty (60) days of execution of this Agreement may result in termination of this Agreement at the County's discretion. B. Background Screening. The Provider agrees to comply with all applicable federal, state, and local laws, regulations, ordinances, and resolutions regarding background screening of employees, volunteers, and subcontractors. Provider's failure to comply with any applicable laws, regulations, ordinances, and resolutions regarding background screening of employees, volunteers and subcontractors is grounds for a material breach and termination of this contract at the sole discretion of the County. The Provider agrees to comply with all applicable laws (including but not limited to Chapters 39, 402, 409, 394, 408, 393, 397, 984, 985 and 435, Florida Statutes, as may be amended form time to time), regulations, ordinances and resolutions, regarding background screening of those who may work or volunteer with vulnerable persons, as defined by section 435.02, Florida Statutes, as may be amended from time to time. Page 6 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 In the event criminal background screening is required by law, the State of Florida and/or the County, the Provider will permit only employees and subcontractors with a satisfactory national criminal background check through an appropriate screening agency (i.e., the Florida Department of Juvenile Justice, Florida Department of Law Enforcement or Federal Bureau of Investigation) to work or volunteer in direct contact with vulnerable persons, The Provider agrees to ensure that employees, volunteers, and subcontracted personnel who work with vulnerable persons satisfactorily complete and pass Level 2 background screening before working or volunteering with vulnerable persons. Provider shall furnish the County with proof that employees, volunteers, and subcontracted personnel, who work with vulnerable persons, satisfactorily passed Level 2 background screening, pursuant to Chapter 435, Florida Statutes, as may be amended from time to time. If the Provider fails to furnish to the County proof that an employee, volunteer, or subcontractor's Level 2 background screening was satisfactorily passed and completed prior to that employee or subcontractor working or volunteering with a vulnerable person or vulnerable persons, the County shall not disburse any further funds and this Contract may be subject to termination at the sole discretion of the County. ARTICLE 9. CONFLICT OF INTEREST A. The Provider agrees to abide by and be governed by Miami -Dade County Ordinance No. 72- 82 (Conflict of Interest Ordinance codified at Section 2-11.1 et al. of the Code of Miami -Dade County), as amended, which is incorporated herein by reference as if fully set forth herein, in connection with its contract obligations hereunder. B. No person under the employ of the County, who exercises any function or responsibilities in connection with this Contract, has at the time this Contract is entered into, or shall have during the term of this Contract, any personal financial interest, direct or indirect, in this Contract. C. Nepotism. Notwithstanding the aforementioned provision, no relative of any officer, board of director, manager, or supervisor employed by the Provider shall be employed by the Provider unless the employment preceded the execution of this Contract by one (1) year. No family member of any employee may be employed by the Provider if the family member is to be employed in a direct supervisory or administrative relationship either supervisory or subordinate to the employee. The assignment of family members in the same organizational unit shall be discouraged. A conflict of interest in employment arises whenever an individual would otherwise have the responsibility to make, or participate actively in making decisions or recommendations relating to the employment status of another individual if the two individuals (herein sometimes called "related individuals") have one of the following relationships: 1. By blood or adoption: Parent, child, sibling, first cousin, uncle, aunt, nephew, or niece. 2. By marriage: Current or former spouse, brother- or sister-in-law, father- or mother-in-law, son- or daughter-in-law, stepparent, or stepchild; or 3. Other relationship: A current or former relationship, occurring outside the work setting that would make it difficult for the individual with the responsibility to make a decision or recommendation to be objective, or that would create the appearance that such individual could not be objective. Examples include, but are not limited to, personal relationships and significant business relationships. Page 7 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 For purposes of this section, decisions or recommendations related to employment status include decisions related to hiring, salary, working conditions, working responsibilities, evaluation, promotion, and termination. An individual, however, is not deemed to make or actively participate in making decisions or recommendations if that individual's participation is limited to routine approvals and the individual plays no role involving the exercise of any discretion in the decision -making processes. If any question arises whether an individual's participation is greater than is permitted by this paragraph, the matter shall be immediately referred to the Miami -Dade County Commission on Ethics and Public Trust, This section applies to both full-time and part-time employees and voting members of the Provider's Board of Directors. D. No person, including but not limited to any officer, board of directors, manager, or supervisor employed by the Provider, who is in the position of authority, and who exercises any function or responsibilities in connection with this Contract, has at the time this Contract is entered into, or shall have during the term of this Contract, received any of the services, or director instruct any employee under their supervision to provide such services as described in the Contract. Notwithstanding the before mentioned provision, any officer, board of directors, manager or supervisor employed by the Provider, who is eligible to receive any of the services described herein may utilize such services if he or she can demonstrate that he or she does not have direct supervisory responsibility over the Provider's employee(s) or service program. Staff members, or their immediate family members (spouse, children, siblings, mother, or father) of Homeless Trust funded programs, who are eligible for and wish to receive services from a Homeless Trust funded program must receive the approval of the Executive Director of their employer (i.e., the Provider) prior to applying for and receiving those services. This approval must be in writing and accompany any referral for such services. Any Provider knowingly accepting a referral of an employee of a Homeless Trust funded program and providing services without the written approval of the Executive Director of the Provider, will be subject to the recoupmentldisallowance by the County of any funds paid for services to this individual and/or their immediate family member. When the services are to be provided at the same agency the employee works for, this information must be disclosed in writing to the director of the Homeless Trust, which shall be reviewed for eligibility determination and a sign off must come from the County. This provision does not apply to staff members seeking emergency shelter, medical or legal services. Providers must complete a Client Services Authorization Form (Attachment P) for staff members seeking services. ARTICLE 10. CIVIL RIGHTS The Provider agrees to abide by Chapter 11A of the Code of Miami -Dade County ("County Code'), as amended, which prohibits discrimination in employment, housing and public accommodations on the basis of race, creed, religion, color, sex, familial status, marital status, sexual orientation, pregnancy, age, ancestry, national origin or handicap; Title VII of the Civil Rights Act of 1968, as amended, which prohibits discrimination in employment and public accommodation; the Age Discrimination Act of 1975, 42 U.S.C. §6101, as amended, which prohibits discrimination in employment because of age; the Rehabilitation Act of 1973, 29 U.S.C. §794, as amended, which prohibits discrimination on the basis of disability; the Americans with Disabilities Act, 42 U.S.C. §12101 et seq., which prohibits discrimination in employment and public accommodations because of disability; the Federal Transit Act, 49 U.S.C. §1612, as amended; and the Fair Housing Act, 42 U.S.C. §3601 et seq. It is expressly understood that the Provider must submit an affidavit attesting that it is not in violation of the Acts. If the Provider or any owner, subsidiary, or other Page 8 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 firm affiliated with or related to the Provider is found by the responsible enforcement agency, the Courts, or the County to be in violation of these acts, the County will conduct no further business with the Provider. Any contract entered into based upon a false affidavit shall be voidable by the County. If the Provider violates any of the Acts during the term of any contract the Provider has with the County, such contract shall be voidable by the County, even if the Provider was not in violation at the time it submitted its affidavit. The Provider agrees that it is in compliance with the Domestic Violence Leave, codified as § 11A-60 et seq. of the Miami -Dade County Code, which requires an employer, who in the regular course of business has fifty (50) or more employees working in Miami -Dade County for each working day during each of twenty (20) or more calendar work weeks to provide domestic violence leave to its employees. Failure to comply with this local law may be grounds for voiding or terminating this Contract or for commencement of debarment proceedings against Provider. ARTICLE 11. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT. 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 (HIPAA) of 1996 and the Miami - Dade County Privacy Standards Administrative Order. HIPAA mandates for privacy, security, and electronic transfer standards, include but are not limited to: 1. Use of information only for performing services required by the contract or as required by law. 2. Use of appropriate safeguards to prevent non -permitted disclosures. 3. Reporting to Miami -Dade County of any non -permitted use or disclosure. 4. Assurances that any agents and subcontractors agree to the same restrictions and conditions that apply to the Provider and reasonable assurances that IIHI/PHI will be held confidential. 5. Making Protected Health Information (PHI) available to the customer. 6. Making PHI available to the client for review. 7. Making PHI available to Miami -Dade County for an accounting of disclosures; and 8. Making internal practices, books, and records related to PHI available to Miami -Dade County for compliance audits. PHI shall maintain its protected status regardless of the form and method of transmission (paper records and/or electronic transfer of data). The Provider must give its clients written notice of its privacy information practices, including specifically, a description of the types of uses and disclosures that would be made with protected health information. Provider must post, and distribute upon request to service recipients, a copy of the County's Notice of Privacy Practices. ARTICLE 12. NOTICE REQUIREMENTS Notice under this Contract shall be sufficient if made in writing, delivered personally, or sent via U.S. mail, electronic mail, facsimile, or certified mail with return receipt requested and postage prepaid, to the parties at the following addresses (or to such other party and at such other address as a party may specify by notice to others) and as further specified within this Contract. If notice is sent via electronic mail or facsimile, confirmation of the correspondence being sent will be maintained in the sender's files. Page 9 of 27 DocuSign Envelope ID: 90067A47-7OA24240-8CC4-11082D8C7533 If to the COUNTY: If to the PROVIDER: THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 Miami -Dade County Homeless Trust 111 N.W. 1st Street, 27th Floor Miami, Florida 33128 Attention: Victoria Mallette, Executive Director Electronic mail: VMallette©miamidade.gov Mr. Arthur Noriega City Manager The City of Miami 444 SW 2nd Avenue Miami, Florida 33130 Electronic rnail: anoriega@miamigov.com Either party may at any time designate a different address andfor contact person by giving written notice as provided above to the other party. Such notices shall be deemed given upon receipt by the addressee. ARTICLE 13. AUTONOMY Both parties agree that this Contract recognizes the autonomy of the contracting parties and implies no affiliation between the contracting parties. It is expressly understood and intended that the Provider is only a recipient of funding support and is not an agent or instrumentality of the County. Furthermore, the Provider's agents and employees are not agents or employees of the County. ARTICLE 14. SURVIVAL The parties acknowledge that any of the obligations in this Contract, including but not limited to Provider's obligation to indemnify the County, will survive the term, termination, and cancellation hereof. Accordingly, the respective obligations of the Provider under this Contract, which by nature would continue beyond the termination, cancellation, or expiration thereof, shall survive termination, cancellation, or expiration hereof. ARTICLE 15. BREACH OF CONTRACT: COUNTY REMEDIES A. Breach. A breach by the Provider shall have occurred under this Contract if: (1) the Provider fails to provide the services outlined in the Scope of Services (Attachment A) within the effective term of this Contract; (2) the Provider ineffectively or improperly uses the County funds allocated under this Contract; (3) the Provider does not furnish the Certificates of Insurance required by this Contract or as determined by the County's Risk Management Division; (4) if applicable, the Provider does not furnish upon request by the County proof of licensure/certification or proof of background screening required by this Contract; (5) the Provider fails to submit, or submits incorrect or incomplete, proof of expenditures to support disbursement requests or advance funding disbursements or fails to submit or submits incomplete or incorrect detailed reports of expenditures or final expenditure reports; (6) the Provider does not submit or submits incomplete or incorrect required reports; (7) the Provider refuses to allow the County access to records or refuses to allow the County to monitor, evaluate and review the Provider's program; (8) the Provider discriminates under any of the laws outlined in Article 10 of this Contract; (9) the Provider, attempts to meet its obligations under this Contract through fraud, misrepresentation, or material Page 10 of 27 DocuSign Envelope ID: 90067A47-70A2-4240.8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 misstatement; (10) the Provider fails to correct deficiencies found during a monitoring, evaluation, or review within the specified time as described and defined in its Performance Improvement Plan (PIP); (11) the Provider fails to issue prompt payments to small business subcontractors or follow dispute resolution procedures regarding a disputed payment; (12) the Provider fails to submit the Certificate of Corporate Status, Board of Directors requirement, or proof of tax status; or (13) the Provider fails to fulfill in a timely and proper manner any and all of its obligations, covenants, agreements, and stipulations in this Contract; (14) the Provider fails to meet any of the terms and conditions of the Miami -Dade County Affidavits (Attachment C) and the State Affidavits (Attachment of ❑ Applicable ® Not Applicable or (15) the Provider fails to fulfill in a timely and proper manner any or all of its obligations, covenants, agreements and stipulations in this Contract. Waiver of breach of any provisions of this Contract shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this Contract. In the event that the County determines certain Contract goals (as defined in the Scope of Services) are not being met then the County, in its sole discretion may place the Provider on a Performance Improvement Plan (PIP). The following is a delineation of some instances where a PIP may be required: a. HMIS- Based on Provider's past performance on prior contracts in the area of Homeless Management Information System compliance it is subject to a PIP during this contract term. The Provider is required to submit a Monthly Progress Report and an HMIS- generated Monthly Progress Report for each month of the contract. Compliance will be determined when it is deemed that the two (2) reports are in substantial conformity with each other for a period of two consecutive months. (Substantial conformity as meaning a minimum of 95% accuracy on all elements). At the time of compliance, the Provider shall only be required to submit the HMIS-generated Monthly Progress Report. ❑ Applicable IN Not Applicable b. Utilization — Based on Provider's past performance on prior contracts in the area of utilization compliance, this contract is subject to a PIP. During this contract term, the Provider must submit all invoices in a timely manner. The Provider shall invoice at a rate of 95° of targeted expenditures for the invoicing period. If the Provider fails to comply, all rights to payments will be forfeited if the County so chooses. Failure to submit accurate invoices for appropriately documented and eligible expenditures at a rate of 95% of targeted expenditures by the end of the third quarter of this contract term may result in the termination of this contract by the County. ❑ Applicable © Not Applicable c. Program Performance — Based on Provider's past performance on prior contracts in the area of program goals and outcome objectives, this Contract is subject to a PIP. During this Contract term, the Provider must achieve those goals specified in the Contract. Performance against these annual goals shall be evaluated on a quarterly basis, and if by the end of the third quarter of the contract period substantial compliance (meeting the targeted goals) is not achieved, it may result in the termination of this contract with the County. 0 Applicable ® Not Applicable The above is subject to the review and approval of the County B. County Remedies. if the Provider breaches this Contract, the County may pursue any or all of the following remedies: Page 11 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 1. The County may terminate this Contract by giving written notice to the Provider of such termination and specifying the effective date thereof. In the event of termination, the County may: (a) request the return of finished or unfinished documents, data studies, surveys, drawings, maps, models, photographs, reports prepared and secured by the Provider with County funds under this Contract; (b) seek reimbursement of County funds allocated to the Provider under this Contract; (c) terminate or cancel any other contracts entered into between the County and the Provider. The Provider shall be responsible for all direct and indirect costs associated with such termination, including attorney's fees. 2. The County may suspend payment in whole or in part under this Contract by providing written notice to the Provider of such suspension and specifying the effective date thereof. If payments are suspended, the County shall specify in writing the actions that must be taken by the Provider as condition precedent to resumption of payments and shall specify a reasonable date for compliance. The County may also suspend any payments in whole or in part under any other contracts entered into between the County and the Provider. The Provider shall be responsible for all direct and indirect costs associated with such suspension, including attorney's fees. 3. The County may seek enforcement of this Contract including but not limited to filing an action in a court of appropriate jurisdiction. The Provider shall be responsible for all direct and indirect costs associated with such enforcement, including attorney's fees. 4. The County may debar the Provider from future County contracting. 5. If, for any reason, the Provider should attempt to meet its obligations under this Contract through fraud, misrepresentation or material misstatement, the County shall, whenever practicable terminate this Contract by giving written notice to the Provider of such termination and specifying the effective date. The County may terminate or cancel any other contracts which such individual or entity has with the County. Such individual or entity shall be responsible for all direct and indirect costs associated with such termination or cancellation, including attorney's fees. Any individual or entity who attempts to meet its contractual obligations with the County through fraud, misrepresentation, or material misstatement may be debarred from county contracting for up to five (5) years. 6. Any other remedy available at law or equity. C. Authorization to Terminate Contract. The Mayor or the Mayor's designee is authorized to terminate this Contract on behalf of the County. D. Failures or waivers to insist on strict performance of any covenant, condition, or provision of this Contract by the County shall not be deemed a waiver of any rights or remedies, nor shall it relieve the Provider from performing any subsequent obligations strictly in accordance with the term of this Contract. No waiver shall be effective unless in writing and signed by the parties. Such waiver shall be limited to provisions of this Contract specifically referred to therein and shall not be deemed a waiver of any other provision. No waiver shall constitute a continuing waiver unless the writing states otherwise. E. Damages Sustained. Notwithstanding the above, the Provider shall not be relieved of liability to the County for damages sustained by the County by virtue of any breach of the Contract, and the County may withhold any payments to the Provider until such time as the exact amount of damages due the County is determined. The County may also pursue any remedies available at law or equity to compensate for any damages sustained by the breach. The Provider shall be responsible for all direct and indirect costs associated with such action, including attorney's fees. Page 12 of 27 Docusign Envelope ID: 90067A47-70A2-4240-8CC4-1 i082D8C7833 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 ARTICLE 16. TERMINATION I. For Convenience. The County may terminate this Contract, in whole or part, when both parties agree that the continuation of the activities would not produce beneficial results commensurate with further expenditure of the funds. Both parties shall agree upon the termination conditions, including the effective date and in the case of partial termination, the portion to be terminated. However, if the County determines in the case of partial termination that the reduced or modified portion of the grant will not accomplish the purposes for which the grant was made it may terminate the grant in its entirety. II. At Will. This Contract may be terminated by the County upon no less than ten (10) working days' notice when the County determines, in the sole and absolute discretion of the County, that it would be in the best interest of the County. Said notice shall be delivered by certified mail, return receipt requested, or in person with proof of delivery. III. Due to Lack of Funds. In the event of a funding short -fall, or a reduction in the funding appropriations, or should funds to finance this Contract become unavailable, the County may terminate, in its sole discretion and absolute authority, this Contract upon no Tess than twenty-four (24) hours written notification to the Provider. Said notice shall be delivered by certified mail, return receipt requested, or in person with proof of delivery. The County shall be the final authority to determine whether or not funds are available. The County may at its discretion terminate, renegotiate and/or adjust the Contract award, whichever is in the best interest of the County. IV. Due to Substantial Funding Reduction. In the event of a substantial funding reduction of the allocation to the Provider through Board of County Commissioners' (BCC) action, the Provider may, at its discretion, request in writing from the Director of the Department a release from its contractual obligations to the County. The Director of the Department will review the effect of the request on the community and the County prior to making a final determination. Vl. Bankruptcy. If, during the term of any contract the Provider has with the County, the Provider becomes involved as a debtor in a bankruptcy proceeding, or becomes involved in a reorganization, dissolution, or liquidation proceeding or if a trustee or receiver is appointed over all or a substantial portion of the property of the Provider under federal bankruptcy law or any state insolvency law. The Provider understands and acknowledges that if the County determines in its sole discretion that termination of the Contract is necessary for the health, safety, or welfare of the County or its residents then it may do so upon twenty-four (24) hours' notice to the Provider. This Contract is subject to the ratification and approval by the Miami -Dade County Board of County Commissioners and shall be void unless approved by the Board of County Commissioners. ARTICLE 17. PAYMENT PROCEDURES The County agrees to pay the Provider, on a reimbursement basis, for services rendered under this Contract based on the payment schedule, timely provision by the Provider of required reports and of supporting documentation of expenses and activities as described in this Contract, and the line -item budget (Attachment B). Payment shall be made in accordance with procedures outlined below and if applicable, the Sherman S. Winn Prompt Payment Ordinance (Ordinance 94-40). Page 13 of 27 DocuSign Envelope 1D: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 1. How payment will be made. Payment requests shall be made to the County on a monthly basis and shall be signed by the Executive Director and the Financial Officer of the Provider, unless otherwise approved in writing, on the form incorporated herein as Attachment E "Primary Care Invoice for Services". The payment request for the previous month is due by the 10th of the month following the month for which payment is invoiced. 2. Any reimbursement may be withheld pending the receipt and approval by the County of all reports and documents required herein. 3. The parties agree that this is a cost reimbursement Agreement, and the Provider will receive reimbursement for actual for hotel/motel placement services incurred for the operating month. 4. Maximum monthly reimbursements are limited to actual amounts as stipulated above for each month, unless the Provider has obtained prior, written consent from the County to modify the Budget. 5. As applicable, during the period of NIA through N/A , the Provider will submit a record of those individuals served utilizing Social Security Administration repayments as specified in the Scope of Services. The Provider will utilize these funds to serve those clients as specified and authorized in the Scope of Services 6. N/A Providers with cumulative utilization rates greater than ninety percent (90%) during the first nine (9) months of this Contract may exceed this maximum number of billable bed days during the last quarter of the Contract term, up to the total Contract award amount, with the prior approval of the Executive Director of the Homeless Trust. 7. N/A Providers with cumulative utilization rates lower than ninety percent (90%) may be subject to a reduction in funding and beds, if deemed necessary by the Miami -Dade County Homeless Trust. Beds and funding may be reprogrammed as necessary and needed within the Continuum of Care. The Miami -Dade County Homeless Trust will conduct a review of the utilization of beds within the first six (6) months of the contract period. 8. Within thirty (30) days of the termination or expiration of this Contract, a final report of expenditures shall be submitted to the County. If after the receipt of such final report, the County determined that the Provider has been paid funds not in compliance with the Contract, and to which it is not entitled, the Provider will be required to return such funds to the County or submit documentation demonstrating that the expenditure was in compliance with this Contract. The County shall have the sole and absolute discretion to determine if the Provider is entitled to such funds and the County's decision in this matter shall be final and binding. B. Monies Owed to the County: The County reserves the right, in its sole discretion, to reduce payments to the Provider in order to recapture any monies owed to the County. In accordance with County Administrative Order No. 3-29, the Provider that is in arrears to the County is prohibited from obtaining new County contracts or extensions of contracts until such time as the arrearage has been paid in full or the County has agreed in writing to an approved payment plan. This is a cost -based Contract in which the Provider shall be paid through reimbursement payment based on the budget approved under this Contract and when documentation of completed and satisfactory service delivery is provided. Thus, it is imperative that the Provider maintain appropriate supporting documentation for all expenditures from the beginning of the Contract term (i.e., receipts, bank statements, cancelled checks, employee timesheet, etc.). The Provider shall submit to the Contract Manager, the Monthly Reimbursement form provided by the County on a monthly basis. Monthly reimbursement requests (both retroactive and current) and Page 14 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 accompanying supporting documentation must be received by the County no later than the 15th of the month following the month for which reimbursement is requested. C. No Payment of Subcontractors. In no event shall County funds be advanced or paid by the County directly to any subcontractor hereunder. Payment to approved subcontractors shall be made by the Provider following requirements and limitations as detailed in Article 21 of this Contract. D. Processing the Request for Payment. After the County staff reviews the payment request, the County will submit a payment request to the County's Finance Department. The County's Finance Department will issue payment via Automated Clearing House (ACH) or mail the check directly to the Provider at the address listed in Article 12 of this Contract, unless otherwise directed by the Provider in writing. The parties agree that the processing of a payment request from date of submission by the Provider shall take a maximum of thirty (30) days from receipt of a complete and accurate payment request, pursuant to the County's Sherman S. Winn Prompt Payment Ordinance (Ordinance 94-40), Section 2- 8.1.4 of the Code of Miami -Dade County, Administrative Order No. 3-19, and the Florida Prompt Payment Act, if supporting documentation/invoices are properly documented as determined by the County in its sole discretion. It is the responsibility of the Provider to maintain sufficient financial resources to meet the expenses incurred during the period between the provision of services and payment by the County. E. Reporting Requirements. Failure to submit to the County the reports listed below in a manner deemed correct and acceptable by the County by the 15th day after the end of the month in which the service was delivered, or failure to submit to the County supporting documentation of Contract expenditures or activities within fourteen (14) days of any County request, shall be considered a breach of this Contract and may result in withholding payment, non-payment, or termination of this Contract. Applicable as indicated 1. Monthly Payment Requests/Invoice for Services (Attachment E) 0 2. Monthly Payment Request (Attachment F) 0 3. Monthly Performance Reports (Attachment G) 4. Outcome Performance Measurements Monthly Report (Attachment H) 0 5. Client Contribution Report (Attachment I) ❑ 6, Client Attendance Roster (Attachment J) ❑ 7. Quarterly Vacancy / Permanent Housing Placement Report (Attachment K) 0 Performance Reports. The Provider agrees to participate in the Homeless Management Information System (HMIS) selected and established by the County. Participation will include, but is not limited to, input of client data upon intake, daily updates of bed availability information, as well as updates of client files upon client contact, and maintaining current data for statistical purposes. The Provider understands that they are responsible for any ongoing cost to access the HMIS system. The Provider shall furnish the County with Monthly, Quarterly, and Annual Performance Reports in accordance with the activities and goals detailed in the Scope of Services. The reports shall explain the Provider's progress for the quarter. The data should be quantified when appropriate. The final progress report shall be due no later than thirty (30) days after the expiration or termination of this Contract. Continuation of this Contract and funding is contingent upon meeting established performance goals. Progress reports, produced through the Homeless Management Information System (HMIS) invoices for services and client attendance rosters signed by the Executive Director of the agency shall by submitted by the Provider, as required. Page 15 of 27 Docusign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 F. Final Report,Recapture of Funds. Upon the expiration or termination of this Contract, the Provider shall submit the final Annual Performance Report and Annual Actual Expenditure Report (Attachment L) to the County no later than thirty (30) days after the expiration or termination of this Contract. If after receipt of such final reports, the County determines that the Provider has been paid funds not in accordance with the Contract, and to which it is not entitled, the Provider shall return such funds to the County, or the County may reduce, by the amount of such funds, from any subsequent payment to which the Provider is entitled, or the Provider may submit appropriate documentation within seven (7) days of notice from the County. The County shall have the sole discretion in determining if the Provider is entitled to such funds and the County's decision on this matter shall be final and binding. Additionally, any unexpended or unallocated funds shall be recaptured by the County. Additionally, the Provider agrees to assign any proceeds to the County from any contract, including this Contract, between the County, its agencies or instrumentalities and the Provider or any firm, corporation, partnership or joint venture in which the Provider has a controlling financial interest in order to secure repayment of any reimbursements for services provided under this or any other contract for which the County discovers was not reimbursable through its inspection, review and/or audit pursuant to this Contract. ARTICLE 18. PROHIBITED USE OF FUNDS A. Adverse Actions or Proceeding. The Provider shall not utilize County funds to retain legal counsel for any action or proceeding against the County or any of its agents, instrumentalities, employees, or officials. The Provider shall not utilize County funds to provide legal representation, advice, or counsel to any client in any action or proceeding against the County or any of its agents, instrumentalities, employees, or officials. B. Religious Purposes. County funds shall not be used for religious purposes. C. Commingling Funds. The Provider shall not commingle funds provided under this Contract with funds received from any other funding sources. The Provider shall establish a separate account exclusively for receipt of the funds received pursuant to this Contract. D. Double Payments. Provider costs claimed under this Contract may not also be claimed under another contract or grant from the County or any other agency. Any claim for double payment by Provider shall be considered a material breach of this Contract. ARTICLE 19. REQUIRED DOCUMENTS, RECORDS. REPORTS, AUDITS, MONITORING AND D REVIEW A. Certificate of Corporate Status. The Provider must submit to the Contract Manager, within thirty (30) days from the date of execution of this Contract, a certificate of corporate status in the name of the Provider, which certifies the following: that the Provider is organized under the laws of the State of Florida; that all fees and penalties have been paid; that the Providers most recent annual report has been filed; that its status is active; and that the Provider has not filed Articles of Dissolution. B. Board of Director Requirements. The Provider shall ensure that the Provider's Board of Directors is apprised of the programmatic, fiscal, and administrative obligations under this Contract funded Page 16 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 through County Funds by passage of a formal resolution authorizing execution of this Contract with the County. A copy of this corporate resolution must be submitted to the County prior to contract execution. A current list of the Provider's Board of Directors and officers must be included with the submission. The Provider acknowledges and understands that all contract documents shall be signed by either the Provider's President or Vice President. The Provider's resolution shall at a minimum° list the name(s) of the Board's President, Vice President and, only in the event that the President or Vice President is not available to execute the contract documents, any other persons authorized to execute this Contract on behalf of the Provider; affirmatively state that a quorum was present at the time of adoption of the resolution; and reference the service categories and dollar amounts in the award, as may be amended. C. Proof of Tax Status. The Provider is required to submit to the County the following documentation: (a) W-9 Form (Attachment M); (b) The I.R.S. tax exempt status determination letter; (c) the most recent I.R.S. form 990; (d) the annual submission of I.R.S. form 990 within (6) months after the Provider's fiscal year end; (e) IRS form 941 - Quarterly Federal Tax Return Reports within thirty-five (35) days after the quarter ends and if the form 941 reflects a tax liability, proof of payment must be submitted within forty-five (45) days after the quarter ends. D. Conflicts of Interest. Section 2-11.1(d) of Miami -Dade County Code as amended, requires any County employee or any member of the employee's immediate family who has a controlling financial interest, direct or indirect, with Miami -Dade County or any person or agency acting for Miami - Dade County competing or applying for any such contract as it pertains to this solicitation, to first request a conflict of interest opinion from the County's Ethic Commission prior to their or their immediate family members entering into any contract or transacting any business through a firm, corporation, partnership or business entity in which the employee or any member of the employee's immediate family has a controlling financial interest, direct or indirect, with Miami -Dade County or any person or agency acting for Miami -Dade County. Further, any such contract, agreement or business engagement entered in violation of this subsection, as amended, shall render this Contract voidable. E. Accounting Records. The Provider shall keep accounting records which conform to generally accepted accounting principles. All such records will be retained by the Provider for no less than three (3) years beyond the term of this Contract and shall be made available for review upon request from County authorized personnel. F. Financial Audit. If the Provider has or is required to have an annual certified public accountant's opinion and related financial statements, the Provider agrees to provide these documents to the County no later than one hundred eighty (180) days following the end of the Provider's fiscal year, for each year during which this Contract remains in force or until all funds received pursuant to this Contract have been so audited, whichever is later. G. Access to Records: Audit. The County reserves the right to require the Provider to submit to art audit by an auditor of the County's choosing or approval. The Provider shall provide access to all its records which relate to this Contract at its place of business during regular business hours. The Provider agrees to provide such assistance as may be necessary to facilitate their review or audit by the County to ensure compliance with applicable accounting and financial standards. H. Quarterly Reviews of Expenditures and Records. The County Commission Auditor may perform quarterly reviews of Provider's expenditures and records. Subsequent payments to the Provider shall be subject to a satisfactory review of Provider's records and expenditures by the County Commission Auditor, including but not limited to, review of supporting documentation for expenditures and the existence of sufficient documentation to support eligible expenditures. The Provider agrees to reimburse the County Page 17 of 27 DocuSlgn Envelope ID: 90067A47-70A2-4240-8CC4-1108208C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 for ineligible expenditures as determined by the County Commission Auditor. !. Quality Assurance 1 Recordkeeping. The Provider shall maintain and shall require that the Provider's subcontractors and suppliers maintain, complete and accurate program and fiscal records to substantiate compliance with the requirements set forth in the Attachment A, Scope of Services, of this Contract. The Provider and its subcontractors and suppliers shall retain such records, and all other documents relevant to the Services furnished under this Contract for a period of ® three (3) years or ❑ years (for State contracts) from the expiration date of this Contract. The Provider agrees to participate in evaluation studies, quality management activities, Corrective Action Plan activities, and analyses carried out by or on behalf of the County to evaluate the effectiveness of client service(s) or the appropriateness and quality of care/service delivery. Accordingly, the Provider shall allow authorized County staff involved in such efforts to examine and review the Provider's premises and records. J. Confidentiality Requirements. The Provider shall establish and implement policies and procedures which ensure compliance with the following security standards and any and all applicable State and Federal statutes and regulations for the protection of confidential client records and electronic exchange of confidential information. The policies and procedures must ensure that: (1) There is a controlled and secure area for storing and maintaining active confidential information and files, including but not limited to medical records. (2) Confidential records are not removed from the Provider's premises, unless otherwise authorized by law or upon written consent from the County. (3) Access to confidential information is restricted to authorized personnel of the Provider, the County, the United States Department of Health, and Human Services, the United States Comptroller General, and/or the United States Office of the Inspector General. (4) Records are not left unattended in areas accessible to unauthorized individuals. (5) Access to electronic data is controlled. (6) Written authorization, signed by the client, is obtained for release of copies of client records and/or information. Original documents must remain on file at the originating Provider site. (7) (8) An orientation is provided to new staff persons, employees, and volunteers. All employees and volunteers must sign a confidentiality pledge, acknowledging their awareness and understanding of confidentiality laws, regulations, and policies. Procedures are developed and implemented that address client chart and medical record identification, filing methods, storage, retrieval, organization and maintenance, access and security, confidentiality, retention, release of information, copying, and faxing. K. Monitoring: Management Evaluation and Performance Review. The Provider agrees to permit County authorized personnel to monitor, review and evaluate the program/work which is the Page 18 of 27 DowSign Envelope ID: 90667A47-70A2-4240-8CC4-11082DBC7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 subject of this Contract. The County shall monitor fiscal, administrative, and programmatic compliance with all the terms and conditions of the Contract. The Provider shall permit the County to conduct site visits, client assessment surveys, and other techniques deemed reasonably necessary to fulfill the monitoring function. A report of the County's findings will be delivered to the Provider and the Provider will rectify all deficiencies cited within the period of time specified in the report. If such deficiencies are not corrected within the specified time the County may suspend payments or terminate this Contract. The County may conduct one or more formal management evaluation and performance reviews of the Provider. Continuation of this Contract and funding are dependent upon the County being satisfied with the results of the evaluations. L. Client Records. The Provider shall maintain a separate individual client chart for each client/family served, where appropriate. This client chart shall include all pertinent information regarding case activity. At a minimum, the client chart shall contain referral and intake information, treatment plans, and case notes documenting the dates services were provided and the type of service provided. These client charts shall be subject to the audit and inspection requirements under Article 19, Sections F, G and H of this Contract. M. Disaster Plan/Continuity of Operations Plan (COOP). The Provider shall develop and maintain an Agency Disaster Plan/COOP. At a minimum, the Plan will describe how the Provider establishes and maintains an effective response to emergencies and disasters and must comply with any Florida Statutes related to Emergency Management that are applicable to the Provider. The Disaster Plan/COOP must be submitted to the County no later than April 1 sl of the contract term and is also subject to review and approval of the County in its sole discretion. The Provider will review the Plan annually, revise it as needed, and maintain a written copy on file at the Provider's site. N. Continuum of Care (CoC) Coordinated Intake and Assessment Process The Provider shall participate in the Continuum of Care's (CoC) Coordinated Intake and Assessment process, to include, but not limited to: participation in the CoC's defined process to make and receive referrals for housing and/or services (including the use of the Homeless Management Information System (HMIS) for such, if required in the Standards of Care); use of any forms required (e.g. Release of Information, Homeless Verification Form, Chronic Homeless Verification Form, etc.); compliance with established Standards of Care (and any revisions thereof) relating to eligibility criteria and timely processing of referrals; and cooperation with established prioritizations for placement. O. Public Records Pursuant to Section 119.0701 of the Florida Statutes, if the Provider meets the definition of "Contractor" as defined in Section 119.0701(1)(a), the Provider shall: (a) Keep and maintain public records that ordinarily and necessarily would be required by the public agency in order to perform the service. (b) Provide the public with access to public records on the same terms and conditions that the public agency would provide the records and at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. (c) Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law; and (d) Meet all requirements for retaining public records and transfer to the County, at no County cost, all public records created, received, maintained and or directly related to the performance of this Page 19 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 Agreement that are in possession of the Provider upon termination of this Agreement. Upon termination of this Agreement, the Provider shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the County in a format that is compatible with the information technology systems of the County. For purposes of this Article, the term "public records"' shall mean all documents, papers, letters, maps, books, tapes, photographs, films, sound recordings, data processing software, or other material, regardless 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 County. Provider's failure to comply with the public records disclosure requirement set forth in Section 119.0701 of the Florida Statutes shall be a breach of this Agreement. In the event the Provider does not comply with the public records disclosure requirement set forth in Section 119.0701 of the Florida Statutes, the County may, at the County's sole discretion, avail itself of the remedies set forth under this Agreement and available at law. if the Provider has questions regarding the application of Chapter 119, Florida Statutes, to the Provider's duty to provide public records relating to this Agreement, contact Miami -Dade County's Custodian of Public Records at: Miami -Dade County Homeless Trust 111 NW 1st Street, 27th Floor, Suite 310 Miami, Florida 33128 Attention: Victoria L. Mallette, Executive Director Email: vmallette@miamidade.gov ARTICLE 20. Office of Miami -Dade County Inspector General Miami -Dade County has established the Office of the Office of Inspector General which is empowered to perform random audits on all County contracts throughout the duration of each contract. The Miami -Dade County Inspector General is authorized and empowered to review past, present, and proposed County and Public Health Trust programs, contracts, transactions, accounts, records, and programs. In addition, the Inspector General has the power to subpoena witnesses, administer oaths, require the production of records, and monitor existing projects and programs. Monitoring of an existing project or program may include a report concerning whether the project is on time, within budget and in compliance with plans, specifications, and applicable law. Page 20 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 The Inspector general is empowered to analyze the necessity of and reasonableness of proposed charge orders to the Contract. The Inspector General is empowered to retain the services of independent private sector inspectors general (IPSIG) to audit, investigate, monitor, oversee, inspect and review operations, activities, performance and procurement process including but not limited to project design, bid specifications, proposal submittals, activities of the Provider, its officers, agents and employees, lobbyists, County staff and elected officials to ensure compliance with contract specifications and to detect fraud and corruption. Upon ten (1O) days prior written notice to the Provider from the Inspector General or IPSIG retained by the Inspector General, the Provider shall make all requested records and documents available to the Inspector General or IPSIG for inspection and copying. The Inspector General and IPSIG shall have the right to inspect and copy all documents and records in the Provider's possession, custody or control which, in the Inspector General or IPSIG's sole judgment, pertain to performance of the contract, including, but not limited to original estimate files, worksheets, proposals and agreements from and with successful and unsuccessful subcontractors and suppliers, all project -related correspondence, memoranda, instructions, financial documents, construction documents, proposal and contract documents, back -charge documents, all documents and records which involve cash, trade or volume discounts, insurance proceeds, rebates, or dividends received, payroll and personnel records, and supporting documentation for the aforesaid documents and records. The provisions in this section shall apply to the Provider, its officers, agents, employees, subcontractors, and suppliers. The Provider shall incorporate the provisions in this section in all subcontractors and all other agreements executed by the Provider in connection with the performance of the contract. Nothing in this contract shall impair any independent right of the County to conduct audit or investigative activities. The provisions of this section are neither intended nor shall they be construed to impose any liability on the County by the Provider or third parties. ARTICLE 21. SUBCONTRACTORS and ASSIGNMENTS A. Subcontracts. The parties agree that no assignment or subcontract will be made or let in connection with this Contract without the prior written approval of the County in its sole discretion, which shall not be unreasonably withheld, and that all subcontractors or assignees shall be governed by all of the terms and conditions of this Contract. 1) if the Provider will cause any part of this Contract to be performed by a Subcontractor, the provisions of this Contract will apply to such Subcontractor and its officers, agents and employees in all respects as if it and they were employees of the Provider; and the Provider will not be in any manner thereby discharged from its obligations and liabilities hereunder, but will be liable hereunder for all acts and negligence of the Subcontractor, its officers, agents, and employees, as if they were employees of the Provider. The services performed by the Subcontractor will be subject to the provisions hereof as if performed directly by the Provider. 2) The Provider, before making any subcontract for any portion of the services, will state in writing to the County the name of the proposed Subcontractor, the portion of the Services which the Subcontractor is to perform, the place of business of such Subcontractor, and such other information as the County may require. The County will have the right to require the Provider not to award any subcontract to a person, Page 21 of 27 DowSign Envelope ID: 9OO67A47-7OA2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-I firm, or corporation disapproved by the County in its sole discretion. 3) Before entering into any subcontract hereunder, the Provider will inform the Subcontractor fully and completely of all provisions and requirements of this Contract relating either directly or indirectly to the Services to be performed. Such Services performed by such Subcontractor will strictly comply with the requirements of this Contract. 4) In order to qualify as a Subcontractor satisfactory to the County in its sole discretion, in addition to the other requirements herein provided, the Subcontractor must be prepared to prove to the satisfaction of the County that it has the necessary facilities, skill and experience, and ample financial resources to perform the Services in a satisfactory manner. To be considered skilled and experienced, the Subcontractor must show to the satisfaction of the County in its sole discretion that it has satisfactorily performed services of the same general type which is required to be performed under this Contract. 5) The County shall have the right to withdraw its consent to a subcontract if it appears to the County that the subcontract will delay, prevent, or otherwise impair the performance of the Contractor's obligations under this Contract. All Subcontractors are required to protect the confidentiality of the County's and County's proprietary and confidential information. Provider shall furnish to the County copies of all subcontracts between Provider and Subcontractors and suppliers hereunder. Within each such subcontract, there shall be a clause for the benefit of the County permitting the County to request completion of performance by the Subcontractor of its obligations under the subcontract, in the event the County finds the Contractor in breach of its obligations; and the option to pay the Subcontractor directly for the performance by such subcontractor. The foregoing shall neither convey nor imply any obligation or liability on the part of the County to any subcontractor hereunder as more fully described herein. B. Prompt Payments to Subcontractors. The Provider shall issue prompt payments to subcontractors that are small businesses (annual gross sales of $750,000 or less with its principal place of business in Miami -Dade County) and shall have a dispute resolution procedure in place to address disputed payments. Pursuant to the County's Sherman S. Winn Prompt Payment Ordinance (Ordinance 94-40), Section 2-8.1.4 of the Code of Miami -Dade County, Administrative Order No. 3-19, and the Florida Prompt Payment Act, payments must be made within thirty (30) days of receipt of a proper invoice. Failure to issue prompt payments to small business subcontractors or adhere to dispute resolution procedures may be grounds for suspension or termination of this Contract or debarment. ARTICLE 22. LOCAL, STATE. AND FEDERAL COMPLIANCE REQUIREMENTS Provider agrees to comply, subject to applicable professional standards, with the provisions of any and all applicable Federal, State and the County's orders, statutes, ordinances, rules, and regulations that may pertain to the Services required under this Contract, including but not limited to: a) Miami -Dade County Florida, Department of Business Development Participation Provisions, as applicable to this Contract. b) Miami -Dade County Code, Chapter 11A, including but not limited to Articles III and IV. All Page 22 of 27 DowSign Envelope ID. 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 Providers and subcontractors performing work in connection with this Contract shall provide equal opportunity for employment and services without regard to race, creed, religion, color, sex, familial status, marital status, sexual orientation, pregnancy, age, ancestry, national origin, gender identity, gender expression, source of income or handicap. The aforesaid provision shall include, but not be limited to, the following: employment, upgrading, demotion or transfer, recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Provider agrees to post in a conspicuous place available for employees and applicants for employment, such notices as may be required by the Dade County Equal Opportunity Board or other authority having jurisdiction over the work setting forth the provisions of the nondiscrimination law. c) Conflict of Interest and Code of Ethics Ordinance, Section 2-11.1 et seq. of the Code of Miami -Dade County, as amended. d) Miami -Dade County Code Section 10-38, Debarment of contractors from County work. e) Miami -Dade County Ordinance 99-5, codified at 11 A-60 et seq. Code of Miami -Dade County pertaining to complying with the County's Domestic Leave Ordinance. f) Miami -Dade County Ordinance 99-152 codified at Section 21-255 et seq. prohibiting the presentation, maintenance, or prosecution of false or fraudulent claims against Miami -Dade County. g) Miami -Dade County Resolution 478-12. The Provider will not use products or foods containing "pink slime," as defined in Resolution 478-12 of the Board of Miami -Dade County Commissioners, in food that is provided or served pursuant to this agreement." Notwithstanding any other provision of this Contract, Provider shall not be required pursuant to this Contract to take any action or abstain from taking any action if such action or abstention would, in the good faith determination of the Provider, constitute a violation of any law or regulation to which Provider is subject, including but not limited to laws and regulations requiring that Provider conduct its operations in a safe and sound manner. ARTICLE 23. MISCELLANEOUS A. Publicity. It is understood and agreed between the parties hereto that this Provider is funded by Miami -Dade County. Further, by the acceptance of these funds, the Provider agrees that events funded by this Contract shall recognize and adequately reference the County as a funding source. The Provider shall ensure that all publicity, public relations, advertisements, and signs recognizes and references the County (by inserting the Miami -Dade County Homeless Trust Logo on all materials) for the support of all contracted activities. This is to include, but is not limited to, all posted signs, pamphlets, wall plaques, cornerstones, dedications, notices, flyers, brochures, news releases, media packages, promotions, and stationery. The use of the official Miami -Dade County Homeless Trust logo is permissible for the publicity purposes stated herein. Provider shall submit sample or mockup of such publicity or materials to the County for review and approval. The Provider shall ensure that all media representatives, when inquiring about the activities funded by this Contract, are informed that the County is its funding Page 23 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-I source. B. Governing Law and Venue. This Contract is made in the State of Florida and shall be governed according to the laws of the State of Florida. Venue for this Contract shall be Miami -Dade County, Florida. C. Modifications. Any alterations, variations, modifications, extensions, or waivers of provisions of this Contract including, but not limited to, amount payable and effective term shall only be valid when they have been reduced to writing, duly approved, and signed by both parties and attached to the original of this Contract. The County and Provider mutually agree that modification of the Scope of Services, schedule of payments, billing, and cash payment procedures, set forth herein and other such revisions may be made as a written amendment to this Contract executed by both parties. The Mayor or the Mayor's designee is authorized to make modifications to this Contract as described herein on behalf of the County. The Office of the Inspector General shall have the power to analyze the need for, and the reasonableness of proposed modifications to this Contract. D. Counterparts. This Contract is executed in three (3) counterparts, and each counterpart shall constitute an original of this Contract. 1. Counterparts and Electronic Signatures: This Agreement may be executed in any number of counterparts, each of which so executed shall be deemed to be an original, and such counterparts shall together constitute but one and the same Agreement. The parties shall be entitled to sign and transmit an electronic signature of this Agreement (whether by facsimile, PDF, or other email transmission), which signature shall be binding on the party whose name is contained therein. Any party providing an electronic signature agrees to promptly execute and deliver to the other parties an original signed Agreement upon request. E. Headings, Use of Singular and Gender. Paragraph headings are for convenience only and are not intended to expand or restrict the scope or substance of the provisions of this Contract. Wherever used herein, the singular shall include the plural and plural shall include the singular, and pronouns shall be read as masculine, feminine, or neuter as the context requires. F. Review of this Contract. Each party hereto represents and warrants that they have consulted with their own attorney concerning each of the terms contained in this Contract. No inference, assumption, or presumption shall be drawn from the fact that one party or its attorney prepared this Contract. It shall be conclusively presumed that each party participated in the preparation and drafting of this Contract. G. The County's Consultant. The Provider understands that in order to facilitate the implementation of this Contract, the County may from time to time designate in writing a development consultant to work with the Provider. The County's consultant shall be considered the County's designee with respect to all portions of this Contract with the exception of those provisions relating to payment of the Provider for services rendered. The County shall provide written notification to the Provider of the name, address, and employees of the County's consultant. Page 24 of 27 DocuSign Envelope ID: 90067A47.70A2.4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 H. Contracts with Municipalities or Counties Outside Miami -Dade County to Provide Homeless Housing in Miami -Dade County. The Provider desiring to transact business or enter into a Contract with the County for the provision of homeless housing and/or services swears, verifies, affirms and agrees that (1) it has not entered into any current contract, arrangement of any kind, or understanding with any municipality outside of Miami -Dade County or any County (collectively "locality") to provide housing and services for homeless persons in Miami -Dade County who are transported to Miami -Dade County by or at the behest of such locality and (2) during the term of this Contract, it will not enter into any such contract, arrangement of any kind, or understanding; provided, however, upon the written request of the Provider prior to entering into such contract, understanding that the County may, in its sole and absolute discretion, find and determine within sixty (60) days of such request that a proposed contract should not be prohibited hereby, as the best interests of the homeless programs undertaken by and on behalf of Miami -Dade County would not be negatively affected by such contract, arrangement, or undertaking. 1. Incident Reports. The Provider must report to the Miami -Dade County Homeless Trust information related to Ely critical incidents occurring during the administration of its programs. The Provider is to utilize the "Incident Report" form attached as Attachment N. In addition to reporting this incident to the appropriate authorities, the Provider must within twenty-four (24) hours of any incident, submit in writing a detailed account of the incident. This incident report should be addressed to the County. This incident report should be addressed to Miami -Dade County Homeless Trust, 111 NW First Street, 27th Floor, Suite 310, Miami, Florida 33128; telephone (305) 375-1490 and facsimile (305) 375- 2722. J. Totality of Contract 1 Severability of Provisions. This Contract and Attachments, with its recitals on the first page of the Contract and with its attachments as referenced below contain all the terms and conditions agreed upon by the parties. 1. No 3rd Party Beneficiaries. The Parties agree that this contract has no intended or unintended third -party beneficiaries. K. Property. This section applies to equipment with an acquisition cost of $5,000 or more per unit and all real property. 1. Any real property under the Provider's control that was acquired/improved in whole or in part with funds from the Homeless Trust and any equipment purchased for $5,000 or more shall be disposed of, at the expiration or termination of this contract, in accordance with instruction from the Homeless Trust. Real Property is defined as land, including land improvements, structures, and appurtenances thereto, including movable machinery and equipment. Equipment means tangible, nonexpendable, personal property having a useful life of more than one year and an acquisition cost of $5,000 or more per unit. 2. All equipment with an acquisition cost of $5,000 or more per units and all real property purchased in whole or in part with funds from this and previous contracts with the Homeless Trust, or transferred to the Provider t after being purchased in whole or in part with funds from the Homeless Trust shall be listed in the property records of the Provider and shall include a legal description, size, date of acquisition, value at time of purchase, owner's name if different from the Provider, information on the transfer or disposition of the property, and map indicating whether property is in parcels, lots or blocks and showing adjacent streets and roads. Notwithstanding documentation Page 25 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-1 1 082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-I required for reimbursement purposes, a copy of the purchase receipt for any asset described above purchased with Homeless Trust funds must also be included in the Provider's monthly reimbursement package submitted to the Homeless Trust in the month in which the item was purchased along with the "Provider Asset Inventory" (Attachment 0). 3. All equipment with an acquisition cost of $5,OOO or more per unit and all real property shall be inventoried annually by the Provider and an inventory report shall be submitted to the Homeless Trust. This report shall include the elements listed in the paragraph listed above. Attachment A-B: Attachment C: Attachment D: Attachment E: Attachment F: Attachment G: Attachment H: Attachment I: Attachment J: Attachment K: Attachment L: Attachment M: Attachment N: Attachment 0: Attachment P: Scope of Services/Budget Miami Dade County Affidavits State Affidavits (NIA) Primary Care Invoice for Services (N/A) Monthly Payment Requests Reports Monthly Performance Reports (N/A) Outcome Performance Measurements Monthly Report (N/A) Client Contribution Report (NIA) Client Attendance Roster (N/A) Vacancy/Permanent Housing Placement Report (Quarterly) (N/A) Annual Performance Report & Annual Actual Expenditure Report W-9 Form Incident Report Provider Asset Inventory Report Client Services Certification Form No other agreement, oral or otherwise, regarding the subject matter of this Contract shall be deemed to exist or bind any of the parties hereto. If any provision of this Contract is held invalid or void, the remainder of this Contract shall not be affected thereby if such remainder would then continue to conform to the terms and requirements of applicable law and ordinance. SIGNATURES APPEAR ON THE FOLLOWING PAGE Page 26 of 27 ❑ocuSign Envelope ID: 90057A47-70A2-4240-8CC4-11082D8C7533 THE CITY OF MIAMI EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 IN WITNESS WHEREOF, the parties have executed this Contract, along with all its Attachments, effective as of the contract date herein above set forth. WITNESSES: BY: Qocu5lgned by: F4solssoorF1459 TODD B. HANNON CITY CLERK Approved as to Fortin' VICTORIA MENDEZ CITY ATTORNEY BY: Counterparts and Electronic Signatures - This Agreement may be executed in any number of counterparts, Bach of which so executed shall be deemed to be an original, and such counterparts shall together constitute but one and the same Agreement. The parties shall be entitled to sign and transmit an electronic signature of Ibis Agreement (whether by facsimile, PDF or other email transmission], which signature shall be binding on the party whose name is contained therein. Any party providing an electronic signature agrees e1319teergilgiffebdtlbyt.tier parties an original signed Agreement up LUIS G. MONTALDO, CLERK AD INTERIM Board of County Commissioners BY: athi DE CLERK Olga Valverde — e18183 6-6-2023 DATE BY: BY: ENTITY: CITY OF MIAMI, FLORIDA A municipal corporation of 7-110.8kittedssi Florida Qrgutie Newitift ARTHURRR N t tA... CITY MANAGER Approved as to Insurcnts: Fro& ,v? ANN-MARIE-0.''a 7.. RISK MANAGEMENT Affix Incorporation SEAL Here Miami -Dade County, a political subdivision of The State of Florida Morris Copeland, Chief Community Services Officer for DANIELLA LEVTNE-LAVA COUNTY MAYOR Affix Miatni-Dade County Seal Here Approved as to form and legal sufficiency. See memorandum dated October 12, 2022. Page 27 of 27 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-1108208C7533 AGENDA ITEM 3 MIAMI-DADE COUNTY HOMELESS TRUST BOARD MEETING MINUTES January 20, 2023 The following members were present in Ronald L. Book, Esq., Chairperson Tina Vidal -Duarte, Vice Chairperson Esther Caravia Gilds Ferradaz Jephery Francis for Commissioner Oliver G. Gilbert, Ill Sandra Newson Stephen Alvarez Cleveland Bell, III The following members were Carlos Fernandez -Guzman Commissioner Ricky Arriola Antonio Villasuso Rabbi Fredrick Klein The following guests Lisa Mozloom Harold Foster Alicia Nuby-Powell Victoria Varela Rickey Thomas 1) Welcome and Introductions Mr. Book opened the meeting at approximately 10:43 a.m., welcomed meeting agenda. excused: person: Walter P, Thompson for Judge Steven Leifman, Finance Chairman Pauline Clarke-Trotman Hilda Fernandez Pedro Artega for Dr. Jose L. Datres William Porro for Arthur Noriega Gilda Ferradaz Mayor Francis X. Suarez Mayor Daniella Levine -Cava Father Patrick O'Neill Sarah Wallace and staff were present: Johanna Wint Latavea Johnson -Cobb Sergio Torres Angela Miller Terrell T. Ellis Manuel Sarria Victoria L. Mallette Margarita Olano, Rec. Sec. Shannon Williams, Esq. and proceeded to consider the 2) Reasonable Opportunity for the Public to be Heard Mr. Book opened the meeting for Reasonable Opportunity for the Public to be Heard on any item on the agenda. Not seeing or hearing anyone come forward; Reasonable Opportunity was closed. 3) Approval of Minutes Mr. Book inquired if there were any comments, questions or changes to the December 2022 meeting minutes; not hearing any, Ms. Vidal made a motion to approve the minutes. Mr. Bell seconded the motion. All members present approved the motion set forth unanimously. 4) New Business a) Hotel -Motel Allocation (Stephen Alvarez recused himself from the meeting). Ms. Vidal made a motion to approve the item being set forth. Mr. Bell seconded the motion. Ms. Mallette referred members and guest to the memo provided in the meeting material. She explained the criteria for the uses of hotel placement. The impact of the pandemic related eviction moratorium significantly slowed in the inflow of families. Also, during this time Miami -Dade County relied on both the Coronavirus Aid, Relief and Economic Security (CARES) Act and American Rescue Plan Act (ARPA) to assist families experiencing homelessness. As in FY2019-2020, in FY2022-2023, the Trust budgeted $660,000 for hotel -motel (allocated to the City of Miami Homeless Assistance Program) and $94,500 for hotel -motel case management (allocated to Chapman Partnership). The end of the eviction moratorium and the current rental crisis has the shelters and hotels at capacity. From October 1, 2022 to January 17, 2023, 109 households, representing 442 individuals have been served in hotel -motels. Seventy-one percent ($468,000) of the current hotel -motel budget has been expended by the City of Miami. Additionally, the contracted hotel rates have increased to an average of $102.56 per night and are at capacity. As a result, the Trust has turned to New Hope CORPS and Hermanos de la Calle (Brothers an the Street) to assist in hoteling families, which are contracted for Street Outreach not hotels. Page 1 of 4 DocuSign Envelope ID: 9OO67A47-70A2-424O-8CC4-11082D8C7533 AGENDA ITEM 3 From October 1, 2022 to January 17, 2023 New Hope CORPS has incurred $30,703.69 (average night $77.24) in expenses with hotel placements; and Hermanos de la Calle has incurred $25,857.00 (average night $79.98) in expenses with hotel placements to assist households with minor children. At the request of the Trust, the City of Miami recently conducted market research as to whether existing contracted rates remain competitive and to identify additional vendors able to increase capacity. The City has recommended issuing an Invitation for Bid (1FB) to create a pool contract for additional hotellmotel rooms. All qualifying hotels -motels would be allowed in the pool and it would remain open so that additional hotels -motels can be added when identified. The total amount budgeted ($660,000 hotel and $94,500 for case management) is not enough to support in the influx of families through the end of the year. The Trust estimates that a total $1.9 million is needed to cover the anticipated hotel -motel expenses through September 30, 2023. There was discussion and questions among board members; Mr Arteaga inquired as the enrollment of the children in school and the provision of needed services. Mr. Book requested the information be forwarded to Mr. Arteaga. Staff recommends that an additional $1,145,000 be allocated for hotel -motel from Uncommitted Carryover to support the continued placement of homeless families through September 30, 2023 and reimburse both providers above for expenses already incurred and continue to use them as resource if necessary. All members present approved the motion for the reimbursement of New Hope CORPS and Hermanos de la Calle as presented and outlined in the memo including any corrections for any deficiencies to make the providers whole. All members present approved the motion set forth unanimously. (Mr. Alvarez re -joined the meeting and William Porro recused himself). Ms. Fernandez made a motion to approve staff recommendation to allocate $1,145,000 from Uncommitted Carryover for hotel -motel placements of homeless families through September 30, 2023, allowing Trust staff discretion to determine how funds will be dispersed. Ms. Vidal seconded the motion. All members present approved the motion set forth unanimously. b) U.S. HUD System Performance Analysis and Assessment Ms. Mallette referred members and guests to the memo provided in the meeting packet and provided background as to the grant agreement with ASHLIN Management Group for a U.S. HUD System Performance Measure automation discovery and assessments. The objective was to identify current processes, procedures and usage of data, analysis of data sets and flows, and system users work with data. During Phase I, staff gained a better understanding of limitations and needs, and during this same time, data visualization software company Tableau began offering a smart table product that saves visualization logic and allows Trust staff to build and design in-house dashboards using actual U.S. HUD data logic for a fraction of the cost. In past years, building a dashboard was time consuming because the HMIS Management team would have to export the data and design the visualization tables for each of the measures, including filters and sub -populations making it highly time consuming and without the preferred frequency. Staff proposes using funding already budgeted for data enhancement and add a Business Analyst position to the Homeless Trust staff rather than enter into Phase II with a third party. This individual will be dedicated to learning from high performing providers and evaluate poor performer's policies and practices in an effort to isolate changes that will improve performance. Staff recommends HMIS staff work with stakeholders to continue building System Performance Measure dashboards using the Tableau visualization tools at a an annual cost of approximately $840. Secondly, to add a Business Analyst (annual salary range is $64,413 — 109,175) to the Homeless Trust staff to work with the HMIS team and contracted providers on total quality improvement as it relates to the U.S. Page 2 of 4 DacuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 AGENDA ITEM 3 HUD System Performance Measures. Both the software tool and the position will come from an existing line item in the FY2022-2023 budget for technology advancements. Ms. Vidal made a motion to approve staff recommendations as presented and outlined in the memo. MS. Caravia seconded the motion. All members present approved the motion set forth unanimously. c) Cold Weather Reports: 12122 to 12/27/2022 and 1/13 to 1/15/202 Ms. Mallette referred members and guests to the reports for the two (2) cold weather events during the winter months. One of site location, and ISD facility, was staffed by New Hope CORPS with Chapman Partnership and Miami Rescue Mission supplying meals and supplies. As always every effort is made to engage and retain individuals post emergency as this is an opportunity to connect people with housing and services. In December 44 of 183 people were retained (24%); and in January 59 of 191 were retained (31%). 5) OLD BUSINESS a) Emergency Housing Voucher Report Ms. Mallette referred members and guests to the presentation provided in the meeting packet and provided background and unit status. We are having weekly meetings with the housing authorities and making good progress. We had 770 vouchers, we are searching for units for 57 households, 63 units identified and 724 have been housed. Our lease -up percentage continues to rise: a 85% lease -ups in Miami -Dade, Hialeah is at 86% lease -up, Miami Beach is at 58%, and Homestead is at 65% lease -up. This is a one-time voucher with the term to lease -up expiring December of 2023. This is an information item only. 6) REPORTS a) The MNetwork Report Lisa Mozloom provided an overview of public relations activities that mirrors the report provided in the meeting packet with media clips, including but not limited to, the following: Steady flow of consistent media coverage from end of December to January; top performing matter was cold weather outreach • Blog Post: "An Actual Home for the Holiday" is in the packet Extended Poster and Essay Contest until January 27, 2023; still receiving applications; $300 cash prize for student and teacher Homeless Awareness Day: 12t" Anniversary: video of history of Homeless Awareness Day played Mr. Book made several comments on the work of the M Network. b) Apple Tree Perspectives Report The report provided in the meeting packet for review. Any comments or questions may be directed to the Homeless Trust Office. Ms. Caravia made a motion to accept the report. Ms. Fernandez seconded the motion. All members present approved the motion set forth unanimously. c) Chapman Partnership Report Ms. Sarduy provided updates on the operations and activities at the centers, including but not limited to, the following: Thirty-one cold weather placements Client capacity is at 100% at both centers; average length of stay is 131 days at both centers + 55% Outplacement (without neutrals) to permanent housing pathways, which is lower, reflective of the current housing market; ♦ With assistance of the Homeless Trust providing pathways to permanent housing: seven (7) individuals and nine (9) families in December 2022; 51 individuals YTD; total of 16 households + Employment: 81 job placements YTD with an average hourly wage of $15.4 ♦ Chapman tour by U.S. HUD Secretary Marcia Fudge recognizing our community and encouraging other communities to replicate ours; HUD representative will be at our PIT Count this year Page 3 of 4 Docusign Envelope ID: 90067A47-70A2.4240-8CC4-11082D8C7533 AGENDA ITEM 3 ► Nextgen Spelling Bee on January 25th, 2023; 15 volunteers will be at North Center to assist students; this is to encourage and motivate our students d) Economic Indicator Report Referring to the memo and attachments in the meeting packet, Ms. Mallette stated that we experienced a 8.3% increase in Food & Beverage Tax revenue in December 2022 as compared to the previous year, representing $2,767,674.83, and year-to-date collection is $8,320,653.62. The national unemployment decreased in November to 3.6% from the previous month, the State decreased to 2.6%; and Miami -Dade County also decreased to 1.8% from the previous month. According to U.S. Department of Labor Statistics, the total number of people unemployed in Miami -Dade County in September was 23,753. The Homeless Helpline received a total of 25,869 from July to October; detailed information is provided in the utilization report in the memo attachment. e) Executive Director's Report Ms. Mallette provided updates on Homeless Trust operations and activities as follows: • The Point -in -Time Count will be conducted on January 26, 2023. U.S. HUD representatives will be participating in this event; Board members are invited and encouraged to participate • February 7, 2023 is the last Racial Equity Partners training 7) OTHER ITEMS With no further business to be discussed, the meeting was adjourned at approximately 11:21 a.m. Ronald L. Book, Chairman Page 4 of 4 DocuSign Envelope ID: 90057A47-70A2-4240-8CC4-11082D8C7533 ATTACHMENT A, SCOPE OF SERVICES EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM PC-2021-HTMT-1 SCOPE OF SERVICES EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM The Provider agrees to provide emergency hotel/motel placement of homeless families with children for a period of up to seven (7) days in area hotels/motels. Thereafter, the provider must obtain the approval of the Miami -Dade County Homeless trust for additional days as needed on a case -by -case basis. Families may be provided food vouchers on an as -needed basis of up to $20.00 per diem while residing in hotels/motels. Families with more than four (4) members may be provided an additional $5.00 per person per day. Reimbursement will only be made for properly documented disbursement of food vouchers. All reimbursements must be submitted to the County by the 10th day of each month following the month of service. All reimbursement requests must be approved by the County prior to the disbursement of funds. DocuSign Envelope ID:90067A47-70A2-4240-8CC4-11108208C7533 Scope A-2 Scope of COVID-19 Expenditures The County is instructing Provider to undertake protective measures to prevent or mitigate the spread of COVID- 19 during the period in which public officials advise COVID-19 special measures should be taken. The County will reimburse Provider for expenses incurred in taking such protective measures during such time period. Allowable COVID-19 expenditures are set forth below. The County has sole discretion to determine if expenditures were made for the purpose of preventing or mitigating the spread of COVID-19 and the dates of the period in which public officials advise that COVID-19 special measures should be taken. Total reimbursement for incurred COVID-19 costs under this Agreement shall not exceed $ N/A without the County's prior written approval. Allowable COVID-19 Expenditures: • Personal Protection Equipment (PPE). • Testing and screening for COVID-19. • Cleaning supplies and/or cleaning services by outside vendors, including application of an antimicrobial surface protectant. • Physical modifications specifically undertaken to prevent or mitigate COVID-19 spread within the facility. • Ventilation -related supplies or modifications, except for substantial modification or replacement, and installation and maintenance of UV lighting. • Educational material and signage specific to COVID-19. • Additional food costs incurred for children in residence attending school remotely. • Staff overtime incurred due to staff absences resulting from their COVID-19 infection, quarantine after exposure to another person tested positive for COVID-19 or care of a household member with COVID- 19 infection. Provider may request reimbursement for the cost of temporary staffing necessary to cover the absent permanent employee's hours that is above and beyond the budgeted cost of the absent permanent employee. • Other COVID-19 justified expenditures. Payment Processes and Documentation Requirements: Payment Processes: Provider must submit a monthly invoice with back-up documentation attached, comprised of Provider's account ledger for COVID-19 expenditures, invoices and receipts which include proof of invoice payment, canceled checks, time sheets and payroll registers and other documentation as requested. The County will pay Provider within thirty (30) days of the County's receipt of the invoice. Additional Documentation Requirements: • Provider must establish a cost center or the equivalent specifically for COVID-19 expenditures. The account ledger for the cost center or the equivalent must be submitted with Provider's invoice. Such ledger must list: (a) the purchased item or service, (b) vendor name; (c) vendor's invoice number with purchase order date or receipt with same; (d) payment amount; (e) payment date; (f) check number unless paid online. • Vendor invoices, purchase orders or receipts must have a notation that they are COVID-19 expenditures. • Request for reimbursement of costs incurred due to a permanent employee's absence must be supported by Human Resource documentation of the basis for the employee's absence and period of absence with the employee's name and any other identifying information redacted. Time sheets and payroll records documenting an employee's overtime must be included in the reimbursement request and indicate that such overtime was necessary to cover the absent permanent employee's hours. Invoices for temporary staffing must match the period in which the permanent employee was absent and indicate that such staffing was necessary to over the hours of the absent permanent employee as well as include Human Resource record of permanent employee's budgeted salary. For any expense not expressly described above, Provider must provide a narrative justification that the expense was incurred in response to COVID-19. DowSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 ATTACHMENT B THE CITY OF MIAMI EMERGENCY HOTEL / MOTEL PLACEMENT PROGRAM PC-2223-HTMT-1 THE CITY OF MIAMI HOMELESS ASSITANCE PROGRAM EMERGENCY HOTEL / MOTEL PLACEMENT PROGRAM 2022-2023 PRIMARY CARE AGREEMENT BUDGET DESCRIPTION COST MDHT CITY OF MIAMI JUSTIFICATION EMERGENCY HOUSING HOTEL/MOTEL *** $ 640,000.00 100% $ Emergengy HOTEL/MOTEL PLACEMENT for eligible families due to the unavailability of Continuum of Care Beds. FOOD VOUCHERS $ 20,000.00 100% $ - Food Vouchers for elegible families TOTAL $ 660,000.00 $ - DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 Miami -Dade County's Affidavits and Declarations MIAM I:A E 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 "lZJ" in the box next to N/A. ALL SECTIONS MUST BE COMPLETED THE FOLLOWING MATTERS REQUIRE THE ENTITY TO SIGN AN AFFIDAVIT UNDER OATH: STATE OF { L d gr cjci COUNTY OF (ee vv. COUNTRY OF [ 614%9 ) Before me the undersigned authority appeared (Print Name), A2,-/60l /VO fi c_ who is personally known to me or who has provided as identification and who did sweo the following: That he or she is the duly authorized representative of (Name of Entity) • !e (f.y ok fCfr,i (Address of Entity) Y9" 6t4/ 2 hce Ate_ ,t rhi 6L '• l940 Post Office addresses are not acce table. ' 5-9 --- z0a0? Federal Employment Identification Number en { ),, C 17f aryl (hereinafter 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 C "Miami -Dade County Affidavits and Declarations" Page 1 of 11 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 Miami -Dade County's Affidavits and Declarations 1. MIAMI-DADE COUNTY OWNERSHIP DISCLOSURE AFFIDAVIT (SECTION 2-8.1 OF THE COUNTY CODE) Pertains CI NiA C Initial (IQl If the contractor business transaction is with a corporation, the full legal name and business address shall be provided for each officer and director and each stockholder who holds directly or indirectly five percent [5%] or more of the corporation's stock, If the contract or business transaction is with a partnership, the foregoing information shall be provided for each partner. If the 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) (Full Legal Name, Address, % Ownership) The full legal names and business address of any other individual suppliers, laborers, or lenders] who have, or will have, any the contract or business transaction with Miami Dade County (other than subcontractors, material person, interest [legal, equitable beneficial or otherwise) in are: required herein, or who knowingly discloses false up to five hundred dollars ($500.00) or imprisonment Post office addresses are not acceptable Any person who willfully fails to disclose the information information in this regard, shall be punished by a fine of in jail for up to sixty (60) days or both. ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 2 of 11 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082 ❑8C7533 Miami-llade County's Affidavits and Declarations 2. MIAMI-DADE COUNTY EMPLOYMENT DISCLOSURE AFFIDAVIT (COUNTY ORDINANCE 90-133, AMENDING SECTION 2.8-1; SUBSECTION (d)(2) OF THE COUNTY CODE) Pertains N/A Cr" Initial (' oty 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? 0 Yes 0 No Does your firm provide paid health care benefits for its employees? 0 Yes 0 No Provide a current breakdown (number of persons) of your firm's work force and ownership (below): White: Mates Females Black: Males Females Hispanic: Males Females Asian: Males Females American Native: Males Females Aleut (Eskimo): Males Females ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 3 of 11 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 Miami-llade C ounty's Affidavits and Declarations 3. MIAMI-DADE COUNTY AFFIRMATIVE ACTION / NONDISCRIMINATION OF EMPLOYMENT, PROMOTION AND PROCUREMENT PRACTICES (COUNTY ORDINANCE 98-30 CODIFIED AT 2-8.1.5 OF THE COUNTY CODE) Pertains i Pertains initial { 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 procurement 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 be 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 Procurement Management Affirmative Action Plan Unit 111 NW lst Street, lath Floor Miami, FL 33128 Yes & No ❑ My company has an affirmative action plan and procurement policy and is available for review. Yes l No ❑ 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 0 No 0 My company has annual gross revenues less than $5,000,000. 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 made 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, 4. MIAMI-DADE COUNTY CRIMINAL RECORD AFFIDAVIT (SECTION 2-8.6 OF THE COUNTY CODE) Pertains Er -- N/A 0 Initial ("") The individual or entity entering into a contract or receiving funding from Miami -Dade County 0 has 0 has not, as of the date of this affidavit, been convicted of a felony during the past ten (10) years. An officer, director, or executive officer of the entity entering into a contract or receiving funding from Miami -Dade County 0 has 0/has not as of the date of this affidavit been convicted of a felony during the past ten (10) years. ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 4 of 11 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 Miami -Dade County's Affidavits and Declarations 5. PUBLIC ENTITY CRIMES AFFIDAVIT (SECTION 287.133(3)(a), FLORIDA STATUTES) Pertains 0 -' N/A E Initial {' 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 record 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 of a 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 of a 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 of a 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 of America 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 sworn statement. (Please indicate which statement applies by applying the individual initials near the box). Lf/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 of the entity has been charged with and convicted of a public entity crime within the past 36 months, 0 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 of a public entity crime within the past 36 months; and ❑ yes an additional statement is applicable or ❑ no an additional statement is not applicable. 0 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 of a 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 C "Miami -Dade County Affidavits and Declarations" Page 5 of 11 DomSign Envelope ID: 90067A47-70A2.4240-8CC4-1108208C7533 Miami -Dade County's Affidavits and Declarations 6. MIAMI-DADE EMPLOYMENT FAMILY LEAVE AFFIDAVIT (County Ordinance No.142-91 codified as Section 11A-29 et. seq of the County Code) Pertains l N/A 0 Initial That 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 firm at least one (1) year shall be entitled to ninety (90) days of family leave during any twenty-four (24) month period, for medical reasons, for the birth or adoption of a child, or for the care of a child, spouse or other close relative who has a serious health condition without risk of termination of employment or employer retaliation. The foregoing requirements shall not pertain to contracts with the United States or any department or agency thereof, or the State of Florida or any political subdivision or agency thereof. It shall, however, pertain to municipalities of this State. 7. MIAMI-DADE COUNTY DISABILITY NONDISCRIMINATION AFFIDAVIT (County Resolution R-385-95) Pertains at N/A 0 Initial That the above named firm, corporation or organization is in compliance with and agrees to continue to comply with, and assure that any subcontractor, or third party contractor under this project complies with all applicable requirements of the laws listed below including, but not limited to, those provisions 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 1, Employment; Title II, Public Services; Title III, 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 .5. 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. 8. MIAMI-DADE COUNTY REGARDING DELINQUENT AND CURRENTLY DUE FEES OR TAXES (Sec. 2-8.1(c) of the County Code) Pertains Er N/A Cl Initial C80 Except for small purchase 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 C "Miami -Dade County Affidavits and Declarations" Page 6 of 11 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 Miami -Dade County's Affidavits and Declarations 9. CURRENT ON ALL COUNTY CONTRACTS, LOANS AND OTHER OBLIGATIONS Pertains Df N/A 0 Initial (►''7 ��) The individual entity seeking to transact business with the County is current in all its ob igations 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. 10. DOMESTIC VIOLENCE LEAVE (Resolution 185-00; 99-5 Codified At 11A- 60 Et. Seq. of the Miami -Dade County Code). Pertains 3' 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. seq. 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. 11. 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 Cr N/A ❑ Initial (9A) That in compliance with Ordinance No. 92-15 of the Code of Miami -Dade County, Florida, the above or entity is providing a drug -free workplace. A written statement to each employee shall inform the about: named person employee 1. danger of drug abuse in the workplace; 2. the firm's policy of maintaining a drug -free environment at all workplaces; 3, availability of drug counseling, rehabilitation and employee assistance programs; 4. penalties that may be imposed upon employees for drug abuse violations. The person or entity shall also require an employee to sign a statement, 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 and including termination. Compliance with Ordinance No. 92-15 maybe waived if the special characteristics of the product or service offered by the person or entity make it necessary for the operation of the County or for the health, safety, welfare economic benefits and well-being of the public. Contracts involving funding which is provided in whole or in part by the 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 C "Miami -Dade County Affidavits and Declarations" Page 7of11 DocuSign Envelope ID: 90067A47-7OA2-4240-8CC4-11082D8C7533 Miami -bade County's Affidavits and Declarations 12. ATTESTATION REGARDING DUE AND PROPER ACKNOWLEDGEMENT OF COUNTY FUNDING SUPPORT Pertains Ci' N/A Initial (t ' 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 EV N/A ❑ Initial Pursuant to 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 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: 1. Within the past five (5) years, neither the Agency nor its directors, partners, principals, members or board members: (i) have been sued by a funding source for breach of contract or failure to perform obligations under a contract; (11) have been cited by a funding source for non-compliance or default under a contract; have been a defendant in a lawsuit based upon a contract with a funding source. Please list any matters which prohibit the Agency from making the certifications required and explain how the 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 it 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 C "Miami -Dade County Affidavits and Declarations" Page 8of11 DocuSign Envelope ID: 90067A47-7OA2-4240-8CC4-11082D8C7533 Miami -Dade County's Affidavits and Declarations 15. MIAMI-DADE COUNTY REQUIRED LOBBYIST REGISTRATION FOR ORAL PRESENTATION Section 2-11.10)(2) CONFLICT OF INTEREST AND CODE OF ETHICS ORDINANCE Pertains e N/A Q Initial f' l All lobbyists shall register with the Clerk of the Board of County Commissioners within five (5) business days of being retained as a lobbyist or before engaging in any lobbying activities, whichever shall come first. Every person 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 be 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 principaI'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. dT . 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 in his or her individual capacity for the purpose of self -representation without compensation or reimbursement, whether direct, indirect or contingent, to express support of or opposition to any item, 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 shall 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) ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 9 of 11 DocuSign Envelope ID: 90067A47-70A2-4240-8C04-11082D8C7533 Miami -Dade County"s Affidavits and Declarations 16. Disclosure SUBCONTRACTOR / SUPPLIER LISTING (ORDINANCE 97-104) Pertains 0 N/A 01 Initial w_ 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 Health 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 Subcontrrac� tor/t S u b cons ul tan t Principal Owner Scope of Work to be Performed by Subcontractor /Subconsultant (Principal Owner) Gender Race I , }/✓e, Business Name and Address of Direct Supplier Principal Owner Supplies/Materials/Services to be Provided by Supplier (Principal Owner) Gender Race C 4/L, ive. 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 [ 1 Date [ ) [ ) Print Title Print Name (Duplicate if additional space is needed) ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 10 of 11 DocuSign Envelope ID: 90067AA47-70A2-4240-8CC4-11082D8c1533 Miami -Dade County' MfAMI Affidavits and Declarations I 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 THIS PAGE YOU ARE ATTESTING TO AFFIDAVITS AND DISCLOSURES 146 MIAMI-DADE COUNTY AFFIDAVITS SIGNATURE PAGE By: ature of Witness or Secretary Seal Signature of Affiant fi /ciri cc, Date ?— _f— Federal Employer Identification Number Printed Name of Affiant and Name of Agency 91140 " 41e r an,/ /Z Address of Agency SUBSCRIBED AND SWORN TO (or affirmed) before me this 40day of He/She is , 202,3 to me or has presented as identification. Type of identification H1-1 3/0114 Signature of Notary Serial Number M cd- 640204 oat, gsfO aQ-. Print or Stamp Name of Notary Notary Public - State of7e-o.@.ZYs County of/ r4.rrE / 2/ .74.10 Expiration Date Notary Seal SO MA DEL C* MEN ESCOBAR Notary Public - State of Florida Conimisalon N HH 31 D916 Corm. Exptrts Sep 12, I0Ia landed Uwou h National Notary Assn. ATTACHMENT C "Miami -Dade County Affidavits and Declarations" Page 11 of 11 DocuSign Envelope ID: 90067A47-70A2-4240.8CC4-11082D8C7533 ATTACHMENT D THIS ATTACHMENT I5 NOT APPLICABLE TO THIS CONTRACT AGREEMENT DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 NAME OF AGENCY: SERVICE PERIOD: NAME OF GRANT: ATTACHMENT F Miami -Dade County Homeless Trust Monthly Payment Request THE CITY OF MIAMI TO EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM (HTMT) GRANT NUMBER: PC-2223-HTMT-1 TOTAL AWARD AMOUNT: $1,690,500.00 AMOUNT OF FUNDS REQUESTED THIS MONTH: $ AMOUNT OF FUNDS RECEIVED TO DATE: $ BALANCE REMAINIG ON GRANT: $ (following payment of this request) Signature of Executive Director or Date Authorized Agency Representative Printed Name of Executive Director or Authorized Agency Representative DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 ATTACHMENT G CONTINUUM OF CARE (CoC) HOMELESS ASSISTANCE PROGRAM o HUD MONTHLY CoC MONTHLY PERFORMANCE REPORT (MPR) — HMIS GENERATED MONTHLY REPORTS o HUD ANNUAL CoC ANNUAL PERFORMANCE REPORT (APR) — HMIS GENERATED ANNUAL REPORTS Reports must be generated from the ServicePoint HMIS reporting system or HMIS system approved by the Miami -Dade County Homeless Trust. ATTACHMENT G, PERFORMANCE REPORTS (MONTHLY AND ANNUAL) APR AND HMIS CocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082❑8C7533 ATTACHMENT H THIS ATTACHMENT IS NOT APPLICABLE TO THIS CONTRACT AGREEMENT DowSign Envelope ID: 90067A47-70A2.4240-8C04-11082D8C7533 ATTACHMENT I THIS ATTACHMENT IS NOT APPLICABLE TO THIS CONTRACT AGREEMENT DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 ATTACHMENT J THIS ATTACHMENT IS NOT APPLICABLE TO THIS CONTRACT AGREEMENT DvcuSign Envelope ID: 90067A47-70A2-4240-8CC4-11O82D8C7533 ATTACHMENT K THIS ATTACHMENT IS NOT APPLICABLE TO THIS CONTRACT AGREEMENT DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 ATTACHMENT L MIAMI DADE COUNTY ANNUAL ACTUAL EXPENDITURE REPORT THE CITY OF MIAMI-EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM GRANT NUMBER #: PC-2223-HTMT-1 OCTOBER 1, 2022 - SEPTEMBER 30, 2023 Name of Agency: Budget THE CITY OF MIAME EMERGENCY HOTEL/MOTEL PLACEMENT PROGRAM (HTMT) $ 1,690,500.00 Month of Services Amount Paid OCTOBER -2022 NOVEMBER-2022 DECEMBER-2022 JANUARY-2023 FEBRUARY-2023 MARCH-2023 APRIL-2023 MAY-2023 JUNE-2023 JULY-2023 AUGUST-2023 SEPTEMBER-2023 Total Requested Balance Remaining Signature of Executive Director or Authorized Agency Representative Printed Name of Executive Director or Authorized Agency Representative $ 1,690,500.00 Date Sign Here Form W-9 (Rev. October 2015) Department of the Treasury Interne! Revenue Service Request for Taxpayer Identification Number and Certification 116 Go to www,irs,gvv/FormW9 for Instructions and the latest informatIon 1 Name (as shown on your income tax return). Name is required on this line; do not leave this lute blank. City of Miami 2 Business nameJdlsregerded entity name. If dinerent from above Give Form to the requester. Do not send to the IRS. 3 Check appropriate box for federal tax classflication of the person whose name is entered on line 1. Check only one of the following seven boxes. ❑ krdividuailsole preprietir or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trbs+testate ❑ Limited liability company. Enterlhe tax classification (C=C corporation, S=S corporation. PePartnership), Note: Check the appropriate bee in the line above foe the tee class(Rcation of the single -member owner, Do not ahee.k LLC if the LLC is ciauified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is another LW that is not disregarded from the owner for U.S. fedora! tax purposes. Otherwise, a single -member LLC that is disregarded from Ice owner srioted cheek the approprate box for the tax classification of its owner. Q Other (see inatructions) ■ Municipality 5 Address (number, streeL and apt. or suite no.) See instructions. 444 SW 2nd Avenue, bth Floor 6 City, state, and ZIP code Miami, FL 33130 7 List account numtaer(s) here (optional} Part 1 4 Exemptions (codes apply only to certain entities, not individuals; sae instruct€ons on page 3); Exempt payee code (if arty) Exemption from PIMA reporting code (if any) rotl mares roasSaew.d eefxYI Wr. IZ5J Requester"s name and address (optima 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 withholding. For individuals, this is generally your social security number MN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it Is your employer identification number (EIN). If you do not have a number, see Now to get a TIN, later. Note: If the account is in more than fine name, see the instructions for line 1, Also see What Normand Number To Give the Requester for guidelines on whose number to enter, Part 11 Certification Social security number or Employer Identification number 9 6 0 0 0 tinder penalties of perjury, t certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2, I am not subject to backup withholding because: (a) I am exempt from backup withholding, ar (b) 1 have not been notified by the internal Revenue Service (iRS) that I am subject to backup withholding as a result of a failure to report all interest or +dividends. or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your lax return. For real estate transactions, item 2 does not apply. For mortgage Interest paid, acquisition or abandonment of secured property. cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the ceetffIcatton, but you must provide your correct TIN, See the instructions for Part 11, later. 3 7 5 Signature of U.S. person ■ General Instructions Section references are to the Internal Revenue Cade unless otherwise noted_ Future developments. For the latest infor muticn about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-8 requester) who is required to file an Information return with the IRS roust obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer Identification number (1TiN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to. the following. ■ Form 1099-ENT (interest earned or paid) Date ■ i / 3 r , f r. • Form 1D99-DIV (dividends, including those from stocks or mutual funds) • Form 1099•MI$C (various types of income, prizes, awards, or gross proceeds) • Form 10gfi-8 (stock or mutual fund sales and certain other transactions by brokers) • Form 1049.3 (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 149E-E (student loan Interest), 1098-T (tuition) • Form 1099-0 (canceled debt) • Form 1099e4 (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. if you do not return Form W-9 to the requester with a TIN. you might be subject to backup withholding. See What is backup withholding,. later. Cat, No. 10231X Form W-9 (Rev. 10-2018) DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 I Memorandum MIAM CpUNn Date: September 27, 2019 To: Miami -Dade County Homeless Trust Board Members From: Victoria Mallette, Executive Director Homeless Trust Homeless Trust Subject: Revised Incident Reporting Form On September 9, 2015, the Homeless Trust Board passed a policy to define the process for receiving and processing incident reports. The policy outlined the types of critical incidents which must be reported to the Continuum of Care's Incident Report Coordinator, Miguel Pimentel. For each critical incident, a report must be submitted to the Miami -Dade County Homeless Trust within one business day. When a critical incident occurs, subcontracted provider staff should 1) take action to ensure the health, safety and welfare of all individuals involved in the incident, and 2) contact law enforcement, emergency responders of the Abuse Hotline. The incident reporting form has been significantly updated to include both wrong -doing, as well as allegations of wrongdoing. Reporting is required for both client related and staff related incidents. Of particular note, sexual battery has been included in the listing as State law has outlined "Failure to report any known or suspected abuse of any kind of a child is a third-degree felony that may result in a prison sentence of 5 years, and a fine of $5,000 (Refer to Chapter 39 & 415 of the Florida Statutes). " The revised incident Reporting Form is attached. This is an information only item. Attachment c: Maurice L. Kemp, Deputy Mayor Shannon Summerset, Esq., Assistance County Attorney Page 1 of 1 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 MIAMI•�E111 � COUN TY 1)ci ircr t Cvec Alf e INCIDENT REPORT ATTACHMENT N CHECK IF CRITICAL ❑ IDENTIFYING INFORMATION Reporting Party Phone # ( 1 - Date of Incident / /_ Time of Incident : am/pm Reporting Party Name Contract Provider Name Program Name Provider Location Specific Category: (check all that apply) • Allegation or wrongdoing 0 Wrongdoing (as acknowledged by a third party designated to investigate these claims i.e. law enforcement detained individual, or DCF accepted abuse report) Specific location/ address where incident occurred: TYPE OF INCIDENT CLIENT RELATED O ALTERCATION ❑ CLIENT DEATH 0 CLIENT INJURY OR ILLNESS 0 THEFT ❑ SEXUAL BATTERY 0 SUICIDE ATTEMPT ❑ PROPERTY DAMAGE 0 ABUSE OR NEGLECT* ❑ OTHER INCIDENT Specify 1 of 4 DowSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 MIAMI•W1DE COUNTY _Nrii)Tr.its Ekeelleg, ATTACHMENT N * Failure to report any known or suspected abuse of any kind of a child is a third-degree felony that may result in a prison sentence of 5 years, and a fine of $5,000 (Refer to Chapter 39 & 415 of the Florida Statutes). STAFF RELATED ❑ INAPPROPRIATE EMPLOYEE ACTS OR OMISSIONS THAT RESULT IN CLIENT INJURY, ABUSE, NEGLECT, OR DEATH ❑ FRAUD ❑ THEFT ❑ BREACHES OF CONFIDENTIALITY CJ IMPROPER EXPENDITURE OR COMMITMENT OF PUBLIC FUNDS -OR-CONTRACT MISMANAGEMENT ❑ COMPUTER RELATED MISCONDUCT 0ANY VIOLATION UNDER §435, F.S., TITLEXXXI, EMPLOYEE SCREENING, THAT WOULD RESULT IN DISQUALIFICATION FROM CLIENT CONTACT DUTIES ❑ FALSIFICATION OF OFFICIAL RECORDS ❑ MISUSE OF POSITION OR STATE PROPERTY, EMPLOYEES, EQUIPMENT, OR SUPPLIES FOR PERSONAL GAIN OR PROFIT ❑ FAILURE TO REPORT KNOWN OR SUSPECTED NEGLECT OR ABUSE OF A CLIENT ❑ OTHER INCIDENT THAT WOULD BE A VIOLATION OF STATUTE, RULE, REGULATION OR POLICY Specify - 2 of 4 DacuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 MIAMICE COUNTY ATTACHMENT N PARTICIPANT (S) / WITNESS (ES) (Please mark W or P for either Witness or Participant) Staff ID # or Client HMIS # CLIENT EMPLOYEE OTHER W 1 P ❑ ❑ ❑ ❑Wor❑P ❑ ❑ ❑ ❑ 0 0 ❑Wor❑P ❑Wor❑P DESCRIPTION OF INCIDENT Give detailed account — who, what, where, when, why, how — add pages if necessary CORRECTIVE ACTION AND FOLLOW UP Immediate corrective action taken Is follow up action needed? ❑ Yes ❑ No If yes, specify INDIVIDUALS NOTIFIED Abuse Registry 1-800-962-2873 Applicable Law Enforcement Department Indicate name of person contacted, if report was accepted, the date and time if called or copy of report Incident Reports — The Subrecipient must report to Miami -Dade County Homeless Trust information related to mi critical incidents occurring during the administration term of its programs. In addition to reporting this incident to the appropriate authorities the Subrecipient 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, 27th Floor, Suite 310, Miami, Florida 33128; telephone (305) 375-1490 and facsmilie (305) 375-2722, 3 of 4 DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 ATTACHMENT N Definitions of Reportable Client 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 due to an accident, act of abuse, neglect or other incident occurring while in the presence of an employee, in Homeless Trust contracted program facility. c. Client Injury or Illness. A medical 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 unusual occurrence or circumstance initiated by something other than natural causes or out of the ordinary such as a tornado, kidnapping, riot, or hostage situation, which jeopardizes the health, safety and welfare of clients. e. Sexual Battery. Any allegation of a program participant or program staff intentionally touching a minor or another person without their consent. This includes incidents of inappropriate verbal offenses, incidents that occur outside of the residence, and incidents were the program participant was victimized by someone outside of the residence. Incidents involving a minor, person who is 60 or older, or someone who is disabled must be reported to the DCF. f. Abuse or Neglect. Any physical maltreatment of a child, disabled person, or someone age 60 or older. Any failure to act on the part of the parent or care taker, which results in harm to a child, disabled person, or someone age 60 or older. g. 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. h. Property Damage. An incident involving damage to property procured with Homeless Trust funding. 4 of 4 DocuSign Envelope ID: 30067A47-70A2-424Q-8CC4-11082O8C7533 zoom ATTACHMENT 0 11.1.111.11111111. Real Property an.d. Equipment Asset Inventory Eq m with au acquisition oast of greater than. $a,(Iilii3OO per unit and ali real proms must be inventoried. Real property includes land, [and improvements, strums and appurtenances, moveable machinery and equipment. Property and Property lnpwernent. Rd: Date of Acquiiitiory uu !Nara a Rine ofPmCum antlees _tiarne chtkreat than dte Sub t;: Map:. (attach. map) indicate where property its in weds ? i 'rs csM and :thaw a roads Equipment 1: see and Dtiticription efiliropectp fEDNumber: Acquisition Cent of Purchase =Gra , Location of Properuf. the amid Condilera of Property. Whop ? 6i tent: Serfal IIiLi':d7ti'°� ?F A.r: r7�si'ntn, Q3: Vendor Name.... it of' Puir is- e C t fraftt Gra 1424:15515. r Cie Are Clinetkint of Proper -IT Who T* Equipment' 3: DescrVtfon of Property: Vial / tD ltEr` Cost Vendor MOVEIK2. 96 o¢PtIffalase Cast from n., 1 Low of Property::. Use and Condition of Prap t liVease create additiand pager as required) 1TT 'F t "MYarmi-fly County Real Property ans4 Equipment asset trnvsentory-" DoauSign Envelope ID: 90067A47-70A2-4240-8CC4-11082D8C7533 A.rrhCRMENT P WA/CD DL CQ -:T IOMPi °sS tki sT CLiErtSERVICES CERTDFJCLTIOMREFERRAL FORM lt0R EMPLOYEES OF HUMELASS TRUST ! ONDEDPROGRAMS• 1.1461 RijC1 ib3 S: Proviiler making refetrai must complete this age funs, €nriudiag signa't - by Apptrnant and Prar3derRepresentati Representatives. 'Fax egmpleted Furors to Prey ides Receiving Referral fur Hcrtising 2' d br Services,- . ' • - Date: - - RefestingProvidr„r. - - ct Paso`: Natoe - • Phope Number INFOR i lQN ON HEAD OF BOU$E -TOLD: Last Narne: PiT 4amc Date c€irt}s: SS' .. NEMO • C) }'F. C. U� tin- rnjL —1 • ge Seat Reiatiausbip EIS • • zS ANY AIR OF TEM 3-13USi ID'LD IAYI , aR.kagme,T. n TO.AN'EMFI1OYEt OF, A ITOMRLIISSIRT.IST FT PF1114 PROGRAM? `Yes, •Na• lam. . DrE p1 _ T _ • .Erip►Oy;g Provider RRiatiuushiptaApplica=it: CERTIFICATION Lam undersigned. do henthytertify Chet die aboveinferumtioR pBvr�bgtm lint of my kiiov iedcc. Aka/leas Name ignaturec Refetrinn Provider Autlxirixed.R.ertsentative. Nome: :Siananrrc, DocuSign Envelope ID: 90067A47-70A2-4240-8CC4-1108208C7533 ATTACHMENT P PROVIDER REFERRAL FORM. PAGE TWO • Applicant' s:Name It the Applicant or a Member of their household is an employee of the referring provider, the ' apprevil of the Provider E: fitte Direetor Is hereby intliia.ted by signature:• • Narea Title Dace the Applicant oi-.a member ottheir household is'an employer of the provider where sci-vices-wW he provided, the approval of The Provider Exec hire birector, tb: Homeless Trust Executive Diraector;. and the Homeless Trost Board Ckairs re.hereby Indicated by s gnattire: Protlitier reactive Director ' Dam Miarni-Dade County Homeless Trust Chairperson • Date ls4tamir pade Comity Homeless Director - ADDITIbNAlr. HOUSEHOLD INFORl TION: Where in the house -told Whig nd'w? (Facility named �xart address) Date ofpresent homelessness: Explain the homeless siaratian, and -whet caused the current homelessness: - - NOTE TO REFFARING ..RO V bER: . • PROVIDING TfLE ABOVERMATION DOES NOT ENSURE APERWV/L FOR. HOUSING ORME= SERVICES REQUESTED.' A DETf RAGNATION WILL BE ?4A»E I OILOWIAiG A COMPLETE hEgESSMENT OF nix AT 'LJCANT'S CAi THIS SECTION FOR SEIR t-VJCE PROVIDER STAFF USE ONLY• adr EligihitiryCrifara; ' YES ' NO • r'Yeti a of I+rovid $ereeniag atif • P EASE 1rtAINTA.il THE E%ECUT Tt'COPY OF THIS DOCUMENT IN THE -CLIENT RILE O . THE. ERV1CING PROVIDER AND PEaSOhNE14- 11.E OF REFERRING PRO 1M1 IER - •