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25051
AGREEMENT INFORMATION AGREEMENT NUMBER 25051 NAME/TYPE OF AGREEMENT CARE ELEMENTARY SCHOOL, INC. DESCRIPTION ANTI -POVERTY INITIATIVE FUNDING AGREEMENT/AFTER SCHOOL CARE/FILE ID: 7435/R-20-0152/MATTER ID: 24- 1239/#36 EFFECTIVE DATE ATTESTED BY TODD B. HANNON ATTESTED DATE 6/24/2024 DATE RECEIVED FROM ISSUING DEPT. 6/27/2024 NOTE CITY OF MIAMI DOCUMENT ROUTING FORM a 505 ORIGINATING DEPARTMENT: Office of Grants Administratin DEPT. CONTACT PERSON: Malissa T. Sutherland EXT. 1005 NAME OF OTHER CONTRACTUAL PARTY/ENTITY: Care Elementary School, Inc. IS THIS AGREEMENT AS A RESULT OF A COMPETITIVE PROCUREMENT PROCESS? ❑ YES ® NO TOTAL CONTRACT AMOUNT: $ 25,000 FUNDING INVOLVED? ® YES ❑ NO TYPE OF AGREEMENT: ❑ MANAGEMENT AGREEMENT ❑ PROFESSIONAL SERVICES AGREEMENT ❑ GRANT AGREEMENT ❑ EXPERT CONSULTANT AGREEMENT ❑ LICENSE AGREEMENT OTHER: (PLEASE SPECIFY): API Agreement ❑ PUBLIC WORKS AGREEMENT ❑ MALNTENANCE AGREEMENT ❑ INTER -LOCAL AGREEMENT ❑ LEASE AGREEMENT ❑ PURCHASE OR SALE AGREEMENT PURPOSE OF ITEM (BRIEF SUMMARY): This agreement is being routed for review/signature. The Mayor's Office has approved this entity for API funding from their office. COMMISSION APPROVAL DATE: / / FILE ID: ENACTMENT NO.: IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN: This allocation amount is less than required amount to proceed to Commission for approval. ROUTING INFORMATION F-- Date Signature/Print ! APPROVAL BY DEPARTMENTAL DIRECTOR 5/17/24 PRINT: LILLAN BLONDET SIGNATURE: ` `''`' APPROVAL BY BUDGET DIRECTOR PRINT: MARIE GOLIIN SIGNATURE: SUBMITTED 'Tye RISK MANAGEMENT PRINT: ANN-MARIE SHARPE. SIGNATURE: RP #24-1239 SUBMITTED TO CITY ATTORNEY PRINT: GEORGE K. WYSONG III SIGNATURE: G KW /I/ APPROVAL BY ASSISTANT CITY MANAGER PRINT: LARRY SP N SIGNATURE: APPROVAL BY DEPUTY CITY MANAGER e 2N PRINT: NAT OOK- WILLIAMS - SIGNATURE: 17/7 "-'"', RECEIVED BY CITY MANAGER PRINT: ART N RIE SIGNATURE: 1) ONE ORIGINAL TO CITY CLERK, 2) ONE COPY TO CITY ATTORNEY'S OFFICE, 3) REMAINING ORIGINAL(S) TO ORIGINATING DEPARTMENT PRINT: SIGNATURE: PRINT: SIGNATURE: PRINT: SIGNATURE PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE EXECUTION BY THE CITY MANAGER CITY OF MIAMI ANTI -POVERTY INITIATIVE FUNDING AGREEMENT This ANTI -POVERTY INITIATIVE AGREEMENT ("Agreement") is entered into this day of 20 by and between the CITY OF MIAMI, a municipal corporation of the State of Florida, located at 444 SW 2nd Avenue, Miami, FL 33130 CARE. Elementary School, Inc. ("CITY"), and a Florida not for profit . corporation, located at 2025 NW 1st Ave., Miami, Fl 33127 ("RECIPIENT"). The CITY and the RECIPIENT may each be referred to as a "Party" and may collectively be referred to as the"Parties." WHEREAS, the City created the Anti -Poverty Initiative ("API") to address poverty based on a strategy of focusing the provision of support towards the City's residents achieving self- sufficiency; and WHEREAS, the RECIPIENT submitted a Request for API Funding to the City; and WHEREAS, the CITY adopted Resolution No. R_ 20 _ 0152 on May 14 : 20 20 wherein the CITY approved providing funds to the RECIPIENT in the not to exceed amount of Twenty Five Thousand dollars ($ 25,000 .00) ("Funds"), attached and incorporated as Exhibit "A", as applicable; and WHEREAS, the CITY agrees to enter into this Agreement with the RECIPIENT to set forth the terms and conditions relating to the use of the Funds by the RECIPIENT. NOW, THEREFORE, in consideration of the mutual covenants and promises herein contained, the Parties agree as follows: TERMS 1. RECITALS: The recitals are true and correct and are hereby incorporated into and made a part of this Agreement. 2. TERM:The term of this Agreement shall commence on April 26 , 2024and shall continue untilApril 26 , 2025. 3. GRANT OF FUNDS: Subject to the terms and conditions set forth herein and RECEIPIENT'S compliance with all of its obligations hereunder, the CITY hereby agrees to make available to the RECIPIENT the Funds to be used for the purpose(s), program(s), initiative(s), and activity(ies) (as defined in Exhibit "B"), and as disbursed in the manner hereinafter provided. Page 1 4. City of Miami API Funding Agreement Care Elementary School, Inc. The Funds shall be used by the RECIPIENT as described in the Scope of Work, attached and incorporated herein as Exhibit "B" and the Budget, attached and incorporated herein as Exhibit "C" submitted bythe RECIPIENT to the CITY. DISBURSEMENT OF FUNDS: A. The CITY shall provide Funds to the RECIPIENT in the not to exceed amount of Twenty Five Thousand dollars ($ 25,E :00). B. Payment shall be made in accordance with the schedule as set forth in Composite Exhibit "D". C. The RECIPIENT shall provide the CITY with a City of Miami Request for Payment Form attached and incorporated as Composite Exhibit "D" prior to any disbursement of funds by the CITY. Prior to any disbursement of funds by the CITY the RECIPIENT will need to provide a valid and executed W9 form and completed City of Miami Supplier Direct Deposit (ACH) Authorization Form, as applicable. D. The RECIPIENT shall provide the CITY a Close -Out Report, in similar format as Exhibit "F", at the end of the program, summarizing the services, programs and/or activities described in the Scope of Work as Exhibit "B" and included in the Budget as Exhibit "C". S. COMPLIANCE Willi POLICIES AND PROCEDURES;, RECIPIENT understands that the use of the Funds is subject to specific reporting, record keeping, administrative and contracting guidelines, audit, and other requirements affecting the activities being funded by the API Funds for the Scope of Work. RECIPIENT covenants and agrees to comply with such requirements, and represents and warrants to the CITY that the Funds shall be used in accordance with all of the requirements, terms and conditions contained therein, as the same may be amended during the term hereof. Without limiting of the foregoing, RECIPIENT represents and warrants that it will comply with, and the Funds will be used in accordance with, all applicable federal, state, and local codes, laws, rules and regulations. 6. 'IIrI1DI'lf'. EIAT.�J7'• To the extent required by law, the Inspection and Audit provisions set forth in Sections 18-101 and 18-102 of the Code of the City of Miami, Florida, as amended ("City Code"), are deemed as being incorporated by reference herein and additionally apply to this Agreement. The CITY shall have the right to conduct audits of RECIPIFNT'S records pertaining to the Funds and that Page 2 City of Miami API Funding Agreement Care Elementary School, Inc. reasonable times, and for a period of up to three (3) years following the termination ofthis Agreement, audit, or cause to be audited, those books and records of the RECIPIENT which are related to RECIPIENT'S performance under this Agreement . RECIPIENT agrees to maintain all such books and records at its principal place of business for a period of three (3) years after final payment is made under this Agreement. The CITY may also, and the RECIPIENT shall permit, the CITY and other persons duly authorized by the CITY to inspect all Agreement records, facilities, goods, and activities of the RECIPIENT which are in any way connected to the activities undertaken pursuant to the terms of this Agreement, and/or interview any clients, employees, subcontractors or assignees of the RECIPIENT as requested by the CITY. At the request of the CITY, the RECIPIENT shall transmit to the CITY written statements of the RECIPIENT's official policies on specified issues relating to the RECIPIENT's activities. RECIPIENT understands, acknowledges, and agrees that: a) The CITY must meet certain record keeping and reporting requirements with regard to the Funds and that in order to enable the CITY to comply with its record keeping and reporting requirements, RECIPIENT shall maintain all records as required by the CITY; and b) At the CITY's request, and no later than thirty (30) days thereafter, RECIPIENT shall deliver to the CITY such reports and written statements relating to the use of the Funds as the CITY may require from time to time; and c) All costs and expenses of the activities described in Exhibit "C" shall be at actual cost with no markups; and d) RECIPIENT'S failure to comply with these requirements or the receipt or discovery (by monitoring, evaluation, or audit) by the CITY of any inconsistent, incomplete, or inadequate information shall be grounds for the immediate termination of this Agreement by the CITY and the immediate reimbursement to the CITY of any and all funds or amounts disbursed pursuant to this Agreement. RECIPIENT represents and warrants to the City that: (i) it possesses all qualifications, licenses and expertise required for the performance of the Scope of Work; (ii) it is not delinquent in the payment of any sums due to the City, including payment of permit fees, occupational licenses, etc., nor in the performance of any obligations to the City; and (iii) all personnel assigned to perform the Scope of Work are and shall be, at all times during the term hereof, fully qualified and trained to perform the tasks assigned to each. Page 3 City of Miami API Funding Agreement Care Elementary School, Inc. Any inconsistent, incomplete, or inadequate information, either received by the CITY or obtained by the CITY, shall constitute cause forthe CITY to terminate this Agreement. 7.n l;t ©E A.GREEMENT: RECIPIENT represents and warrants to the CITY that it has not employed or retained any person or company employed by the CITY to solicit or secure this Agreement and that it has not offered to pay, paid, or agreed to pay any person any fee, commission, percentage, brokerage fee, or gift of any kind contingent upon or in connection with, the award of this Agreement. S. COMPLI3NCE WITH FEDERAL. STATE AND LGCA RECIPIENT understands that agreements between private entities and local governments are subject to certain laws, codes, rules and regulations, including, without limitation, laws pertaining to public records, conflict ofinterest, record keeping, etc. The Parties agree to comply with and observe all applicable laws, codes and ordinances as they may be amended from time to time. 9. INDEMNIFICATION: RECIPIENT shall indemnify, defend and hold harmless the CITY and its officials, employees (collectively referred to as "Indemnitees") and each of them from and against all loss, costs, penalties, fines, damages, claims, expenses (including attorney's fees) or liabilities (collectively referred to as "Liabilities") by reason of any injury to or death of any person or damage to or destruction or loss of any property arising out of, resulting from, or in connection with (i) the negligent performance or non-performance of the Services contemplated by this Agreement (whether active or passive) of RECIPIENT or its employees or subcontractors (collectively referred to as "RECIPIENT") which is directly caused, in whole or in part, by any act, omission, default or negligence (whether active or passive or in strict liability) of any of them, or (ii) the failure of the RECIPIENT to comply materially with any of the requirements herein, or the failure of the RECIPIENT to conform to statutes, ordinances, or other regulations or requirements of any governmental authority, local, federal or state, in connection with the performance of this Agreement even if it is alleged that the CITY, its officials and/or employees were negligent. RECIPIENT expressly agrees to indemnify, defend and hold 'harmless the Indemnitees, or any of them, from and against all liabilities which may be asserted by an employee or former employee of RECIPIENT, or any of its subcontractors, as provided above, for which the RECIPIENT's liability to such employee or former employee would otherwise be limited to payments under state Workers' Compensation or similar laws. RECIPIENT further agrees to indemnify, defend and hold harmless the Indemnitees from and against (i) anyand all Liabilities Page 4 City of Miami API Funding Agreement Care Elementary School, Inc. imposed on account of the violation of any law, ordinance, order, rule, regulation, condition, or requirement, related directly to RECIPIENT's negligent performance under this Agreement, compliance with which is left by this Agreement to RECIPIENT, and (ii) any and all claims, and/or suits for labor and materials `furnished by RECIPIENT or utilized in the performance of this Agreement or otherwise. This provision shall survive the termination or expiration of this Agreement, as applicable. RECIPIENT understands and agrees that any and all liabilities regarding the use of any subcontractor for Services related to this Agreement shall be borne solely by the RECIPIENT throughout the duration of this Agreement and that this provision shall survive the termination or expiration of this Agreement, as applicable. 10.TI��R�IN A;`"S; Upon the expiration, termination, or cancellation of this Agreement, any unspent API Grant funds shall immediately revert to the possession and ownership of the CITY and RECIPIENT shall transfer to the CITY all unused API Grant funds at the time of such expiration, termination, or cancellation. 11. PEFAULT: If RECIPIENT fails to comply with any term or condition of this Agreement, or fails to perform any of its obligations hereunder, then RECIPIENT shall be in default. Upon the occurrence of a default hereunder the CITY, in addition to all remedies available to it by law, may immediately, upon written notice to RECIPIENT, terminate this Agreement whereupon all payments, advances, or other compensation paid by the CITY to RECIPIENT while RECIPIENT was in default shall be immediately returned to the CITY. RECIPIENT understands and agrees that termination of this Agreement under this section shall not release RECIPIENT farm any obligation accruing prior to the effective date of termination. Should RECIPIENT be unable or unwilling to commence to perform the Services within the time provided or contemplated herein, then, in addition to the foregoing, RECIPIENT shall be liable to the CITY for all expenses incurred by the CITY in preparation and negotiation of this Agreement, as well as all costs and expenses incurred by the CITY in the procurement of the Services, including consequential and incidental damages. 12. CITY'S TERMINATION RIGHTS: The CITY shall have the right to terminate this Agreement, in its sole discretion, at any time, by giving written notice to RECIPIENT at Ieast five (5) business days prior to the effective date of such termination. In such event, the CITY shall pay to RECIPIENT compensation for services rendered and expenses incurred prior to the Page 5 City of Miami API Funding Agreement Care Elementary School. Inc. effective date of termination. In no event shall the CITY be liable to RECIPIENT for any additional compensation, other than that provided herein, or for any consequential or incidental damages. 13. )R' EDS FQBCQMPLI. The CITY retains the right to terminate this Agreement at any time prior to the completion of the services required pursuant to this Agreement without penalty to the CITY. In that event, notice of termination of this Agreement shall be in writing to the RECIPIENT, who shall be paid for those services performed prior to the date of its receipt to the notice of termination. In no case, however, shall the CITY pay the RECIPIENT an amount in excess of the total sum provided by this Agreement. It is hereby understood by and between the CITY and the RECIPIENT that any payment made in accordance with this Agreement to the RECIPIENT shall be made only if the RECIPIENT is not in default under the terms of this Agreement. If the RECIPIENT is in default, the CITY shall not be obligated and shall not pay to the RECIPIENT any sum whatsoever. If the RECIPIENT fails to comply with any terrn of this Agreement, the CITY may take one or more of the following courses of action: (1) Temporarily withhold cash payments pending correction of the deficiency by the RECIPIENT, or such more severe enforcement action as the CITY determines is necessary orappropriate. (2) Disallow (that is, deny both the use of funds and matching credit) for all or part of the cost of the activity or action not in compliance. Wholly or partially suspend or terminate the current API Program Funds awarded to the RECIPIENT. Withhold further API Program funding for the RECIPIENT. Take all such other remedies that may be legally available. 14. (4) (5) Ulxa.i._ RECIPIENT shall consult with the City Manager, or his or her designee, regarding all uses and displays of the recognition of the CITY. The CITY shall have the right to approve the form and placement of all acknowledgements, which approval shall not be unreasonably withheld. 15. ICI N . The required Insurance, as approved by the City of Miami Department of Risk Management shall be provided by- the RECIPIENT and all such proof shall be Page 6 City of Miami API Funding Agreement Care Elementary School. Inc. attached as an Exhibit to this Agreement. Those entities/individuals required to be listed as additional insured by the Department of Risk Management shall be included on all insurance certificates and furnished by the RECIPIENT. RECIPIENT shall, at all times during the term hereof, maintain insurance coverage in accordance with Exhibit "E" attached and incorporated by this reference. All such insurance, including renewals, shall be subject to the approval of the City for adequacy of protection and evidence of such coverage shall be furnished to the City on Certificates of Insurance indicating such insurance to be in force and effect and providing that it will not be canceled during the performance of the services under this contract. Execution of this Agreement is contingent upon the receipt of proper insurance documents. 16. RECIPIENT represents and warrants to the City that RECIPIENT does not and will not engage in discriminatory practices and that there shall be no discrimination in connection with RECIPIENT's performance under this Agreement on account of race, color, sex, religion, age, handicap, marital status or national origin. RECIPIENT further covenants that no otherwise qualified individual shall, solely by reason of his/her race, color, sex, religion, age, handicap, marital status or national origin, be excluded from participation in, be denied services, or be subject to discrimination under any provision of this Agreement. 17. ASSIGNMENT: This Agreement shall not be assigned by RECIPIENT, in whole or in part, without the prior written consent of the CITY, which may be withheld or conditioned, in the CITY'S sole discretion. 18. N f T1 N N RESPQ ISJWLJTY MATTERS; RECIPIENT certifies to the best of its knowledge and belief that it and its principals: a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal, State, or local agency. b) Have not within a three (3) year period preceding the adoption of the Resolution, attached and incorporated as Exhibit "A", as applicable, been convicted of or had a civil judgement rendered against them for the commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal Page 7 City of Miami API Funding Agreement Care Elementary School, Inc. or State antitrust statutes or falsification or destruction of records, making false statements, or receiving stolen property; c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph 16.b of this certification; and d) Have not within a three (3) year period preceding the adoption of the Resolution, attached and incorporated as Exhibit "A", as applicable, had one or more public transactions (Federal, State, or local) terminated for cause ordefault. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall submit an explanation to the Cl'1 Y and the CITY shall have the right to, in the CITY's sole discretion, to not enter into or terminate this Agreement. 19. NOT]. ES: All notices or other communications required under this Agreement shall be in writing and shall be given by hand -delivery or by registered or certified U.S. Mail, return receipt requested, addressed to the other party at the address indicated herein or to such other address as a party may designate by notice given as herein provided. Notice shall be deemed given on the day on which personally delivered; or, if by mail, on the fifth day after being posted or the date of actual receipt, whichever is earlier. RECIPIENT CARE Elementary School, Inc. 2025 NW 1st Ave. Miami, F1 33127 Attn: Marty Steinberger CITY City of Miami Office of Grants Administration 444 SW 2"d Avenue, 5th Floor Miami, FL 33130 Attn: Lillian Blondet, Director With copies to: Office of the City Attorney 444 SW 2nd Avenue, Suite 945 Miami, FL 33130 Attn: Victoria Mendez, City Attorney Page 8 City of Miami API Funding Agreement Care Elementary School, Inc. 20. Pursuant to the provisions of Section 119.0701. Florida Starates, RECIPIENT must comply with the Florida public records laws, specifically the RECIPIENT must: 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 of the Florida Statutes 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. D. Meet all requirements for retaining public records and transfer, at no cost, to the CITY all public records in possession of the RECIPIENT upon termination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. E All records stored electronically must be provided to the CITY in a format that is compatible with the information technology systems of the CITY. IF THE RECIPIENT HAS QUESTIONS REGARDING T.IIE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE RECIPIENT'S DUTY TO PROVIDE PUBLIC RECORDS RELATLNG TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (305) 416-1800, PUBLICRECORDS@MIAMIGOV.COM, AND 444 S.W. 2ND AVENUE, SUITE 945, MIAMI, FL 33130. 21. '1+'1 'I': RECIPIENT has received copies of, and/or is familiar with, the following provisions regarding conflict of interest in the performance of this Agreement by RECIPIENT. RECIPIENT covenants, represents and warrants that it will comply with all such conflict of interest provisions including, but not limited to: (a) the Code of the City of Miami, Florida, Chapter 2, Article V; and (b) Miami -Dade County Code, Section 2-11.1. 22. VF NI�i1Y'1�lIT� F5�. This Agreement shall be construed and enforced according to the laws of the State of Florida. Venue in all proceedings shall be in Page 9 City of Miami API Funding Agrcemcnt Care Elementary School, Inc. Miami -Dade County, Florida and the parties explicitly agree to the use of this venue. The term "proceedings" shall include, but not be limited to, all meetings to resolve the dispute, including voluntary arbitration, mediation, or other alternative dispute resolution mechanism. The parties both waive any defense that venue in Miami -Dade County is not convenient. In any civil action or other proceedings between the parties arising out of the Agreement, each party shall bear its own attorney's fees. 23. WAIVER OF JURY T I.,: Neither the RECIPIENT, nor : any assignee, successor, heir or personal representative of the RECIPIENT, nor any other person or entity, shall seek a jury trial in any lawsuit, proceeding, counterclaim or any other litigation procedure based upon or arising out of any of the Agreement and/or any modifications, or the dealings or the relationship between or among such persons or entities, or any of them. Neither the RECIPIENT, nor any other person or entity will seek to consolidate any such action in which a jury trial has been waived with any other action. The provisions of this paragraph have been fully discussed by the parties hereto, and the provisions hereof shall be subject to no exceptions. No party to this Agreement has in any manner agreed with or represented to any other party that the provisions of this paragraph will not be fully enforced in all instances. 24. 1l ,�1�1 j VI 10NS: A. Agreement. B. No waiver or breach of any provision of this Agreement shall constitute a waiver of any subsequent breach of the same or any other provision hereof, and no waiver shall be effective unless made in writing. C. In the event of conflict between the terms of this Agreement and any terms or conditions contained in any attached documents, the terms of this Agreement shall control. D. Should any provision, paragraph, sentence, word or phrase contained in this Agreement be determined by a court of competent jurisdiction to be invalid, illegal or otherwise unenforceable under the laws of the State of Florida or the City of Miami, such provision, paragraph, sentence, word or phrase shall be deemed modified to the extent necessary in order to conform with such laws, or if not modifiable, then same shall be deemed severable, and in either event, the remaining terms and provisions of this Agreement shall remain unmodified and in full force and effect or limitation of its use. Title and paragraph headings are for convenient reference and are not a part of this Page 1© City of Miami API Funding Agreement Care Elementary School, Inc. 25. The obligations undertaken by the RECIPIENT pursuant to this Agreement shall not be delegated or assigned to any other person or firm, in whole or in part, without the CITY'S prior written consent, which may be withheld in the CITY'S sole discretion. 26. SUCCESSORS AND ASS1G This Agreement shall be .binding upon the parties hereto, their heirs, executors, legal representatives, successors, or assigns. 27. INDEPENDENT COL_» xi RECIPIENT, its contractors, subcontractors, employees, and agents shall be deemed to be independent contractors, and not agents or employees of the CITY, and shall not attain any rights or benefits under the civil service or pension programs of the CITY, or any rights generally afforded its employees; further, they shall not be deemed entitled to Florida Workers' Compensation benefits as employees of the CITY. 28. No provision of this Agreement shall, in any way, inure to the benefit of any third parties so as to constitute any such third party a beneficiary of this Agreement, or of anyone or more of the terms hereof, or otherwise give rise to any cause of action in any party not a party hereto. 23.E 3 Funding for this Agreement is contingent on the availability of funds and continued authorization for program activities and the Agreement is subject to amendment or termination due to lack of allocated and available funds, reduction or discontinuance of funds or change in laws, codes, rules, policies or regulations, upon thirty (30) days' notice. 30. 1'I .NF'1'li'A"III. The RECIPIENT certifies that it possesses the legal authority to enter into this Agreement pursuant to authority that has been duly adopted or passed as an official act of the RECIPIENT'S governing body, authorizing the execution of this Agreement, including all understandings and assurances contained herein, and directing and authorizing the person identified as the official representative of the RECIPIENT to act in connection with this Agreement and to provide such information as may be requested. The aforementioned authorization for the RECIPIENT is attached and incorporated as Exhibit "G" 31. „k # ' * • Each person signing this Agreement represents and warrants that he or she is duly authorized and has legal capacity to execute and deliver this Agreement. Each party represents and warrants to the other that the execution and delivery of the Agreement and the performance of such party's obligations and the certifications hereunder have been duly authorized Page 11 City of Miami API Funding Agreement Care Elementary. School, Inc. and that the Agreement is valid and legal agreement binding on such party and enforceable in accordance with its terms. 32. CONSTRUCTION: Should the provisions of this Agreement require judicial or arbitral interpretation, it is agreed that the judicial or arbitral body interpreting or construing the same shall not apply the assumption that the terms hereof shall be more strictly construed against one party by reason of the rule of construction that an instrument is to be construed more strictly against the party which itself or through its agents prepared same, it being agreed that the agents of both parties have equally participated in the preparation of this Agreement. 33. >.N. AGRN1.:► _; This instrument and its attachments constitute the sole and entire agreement between the parties relating to the subject matter hereof and correctly sets forth the rights, duties, and obligations of each to the other as of its date. Any prior agreements, promises, negotiations, or representations not expressly set forth in this Agreement are of no force or effect. No modification or amendment hereto shall be valid unless in writing and executed by properly authorized representatives of the parties hereto. 34. 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. [Remainder intentionally left blank; Signature page to follow Page 12 City of Miami API Funding Agreement Care Elementary School, Inc. IN WITNESS WHEREOF, the parties hereto have caused this instrument to be executed by their respective officials thereunto duly authorized, this the day and year above written. ATTEST: odd B. Han�lrkD�attY: Li)IaTaot APPROVED AS TO FORM AND CORRECTNESS: t-"rrr� (1 ge K. Wy III Date: City Attorney ATTEST: RP #24-1239 "CITY" CITY OF MIAMI, a municipal corporation of the State of Florida By: Arthur Noriega V, City Manager Date: APPROVED AS TO INSURANCE REQUIREMENTS: ,,; Ann -Marie Sharpe, Director Date: Risk Management "RECIPIENT" Care Elementary School, Inc. A Florid • Not -For- ist fit Co oration By: Bruce Steinbe'er r rty Steinberger Print Name: Print Name: Bookkeeper President Title: Title: Page 13 Date: 05/01/24 API Request for Payment Form 12125 Invoice Number: Send to: City of Miami Office of Grants Administration 444 SW 2nd Ave., 5m Floor Miami, FL 33130 Program/Project Title: Recipient's Name: Recipient's Address: After School CARE CARE Elementary School. 2025 NW 1st Ave. Miami, FL . request payment25,000 I hereby q in the amount of $ for expenses incurred in relation to the City of Miami Anti -Poverty Initiative Activity/Program/Services provide below. Number of People Served/Location of Services Service Description Rate Amount 150 students at 2025 NW 1st Ave., Miami, FL Provide free constructive after school CARE to at risk children $25.000 TOTAL: $ 25,000 I certify that the Program/Service was provided in accordance to the approved Program Project as described in the API Funding Request Form and that expenses were incurred in the provision of said Program/Service. Authorized Representative Signature 05/01 /24 Date Marty Steinberger Type Name Q(P5 + Title: 4/18/24, 2:49 PM Detail by Entity Name DIVISION OF COPPORAT ONS pf.p, pit Cuartment of State / [bvis.on of cor oratic'g / Search Records / Searca by Entity Name / Detail by Entity Name Florida Not For Profit Corporation CARE ELEMENTARY SCHOOL, INC. Filing information Document Number N14000003091 FEI/EIN Number 46-5269625 Date Filed 03/28/2014 Effective Date 03/28/2014 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 11/10/2014 Event Effective Date NONE Principal Address 2025 NW 1ST AVE. MIAMI, FL 33127 Mailing Address 711 PARADISO AVE. CORAL GABLES, FL 33146 Changed: 11/10/2014 Registered Ag�����d��� STEINBERGER, BRUCE PAUL 711 PARADISO AVE CORAL GABLES, FL 33146 Name Changed: 01/15/2018 Address Changed: 01/15/2018 Officer/Director Detail Name & Address Title Chairman BEAUSOLEIL, MARK 2744 Muskegan Way West Palm Beach, FL 33411 httpsJ/search sunbiz.org/Inquiry/CorporationSearchISearthResuftDetail?inquirytype=EntityName3directionType=India l&searchNameOrder=CAR EEL ... 1/2 4/18/24, 2:49 PM Detail by Entity Name Title P STEINBERGER, MARTY 711 PARADISO AVE. CORAL GABLES, FL 33146 Title Treasurer SULLIVAN, 'JEFF 936 BIRD RD CORAL GABLES, FL 33148 Annual Repgra Report Year Filed Date 2022 02J01/2022 2023 01/22/2023 2024 01/24/2024 Document ImAgn • Q1124,2024 — A Nfill„16 L. REPORT 01/22/2023 —ANNUAL REPORT Mew image in PDF format • View Image in PDF format 02/01i2022 ANNUAL REPORT View image in PDF format 0=122L DFD ANNUAL REPORT Mew image in PDF format 01110/Z21 —ANNUAL REPORT Mein image in PDF format 01f27;2020 —ANNUAL REPORT 02/15/2019 —ANNUAL REPORT 01/15/2018 —ANNUAL REPORT View image in PDF format p1J11i2017 —ANNUAL REPORT View image in PDF format View image in PDF format Mew image in PDF format 01/24/2016 — ANNUAL REPORT View image in PDF format 0217112.016 —ANNUAL REPORT View image in PDF format 11110/9014 — Amendment Mew image in PDF format P3/2812 14 - Domastic Non -Profit View image in PDF format hUps://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?Inquirytype=EntityName&directionType=lnaial&searchNameOrder=CAREEL... 2/2 ANTI -POVERTY INITIATIVE FUNDING AGREEMENT E '�' A - CITY OF MIAMI RESOLUTION City of Miami Legislation Resolution Enactment Number. R-20-0152 City Hail 3500 Pan American Drive Miami, FL 33133 www.miamgov.com File Number: 7435 Final Action Date:5/14/2020 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), AMENDING THE ANTI -POVERTY INITIATIVE ("API") GUIDELINES TO ALLOW FOR THE PURCHASE OF ESSENTIAL SERVICES DURING A DECLARED STATE OF EMERGENCY, TO ALLOW FOOD DISTRIBUTIONS, AND TO CLARIFY THAT IN ADDITION TO CITY OF MIAMI ("CITY") DEPARTMENTS, THE OFFICES OF CITY ELECTED OFFICIALS SHALL QUALIFY AS ELIGIBLE RECIPIENTS OF API FUNDS; FURTHER RATIFYING, CONFIRMING, AND APPROVING, PURSUANT TO SECTION 18-72(B)(20) OF THE CODE OF THE CITY OF MIAMI, FLORIDA, AS AMENDED, THAT ALLOCATIONS OF API FUNDS IN AN AGGREGATE AMOUNT OF FIFTY THOUSAND DOLLARS ($50,000.00) OR LESS IN ANY SINGLE CITY FISCAL YEAR TO ANY SINGLE ENTITY PURSUANT TO THE API GUIDELINES SHALL NOT REQUIRE CITY COMMISSION APPROVAL; AUTHORIZING THE CITY MANAGER TO EXECUTE ANY AND ALL NECESSARY DOCUMENTS, ALL IN A FORM ACCEPTABLE TO THE CITY ATTORNEY, FOR SAID PURPOSE. WHEREAS, pursuant to Resolution No. 14-0362 adopted on September 23, 2014, the City Commission established the Anti -Poverty Initiative Program ("API") to address poverty through a strategy of focusing the provision of support towards the goal of having City of Miami ("City") residents achieve self-sufficiency; and WHEREAS, pursuant to Resolution No. 15-0106 adopted on March 12, 2015, the City determined that the most effective means of allocating API funding among the City Commission Districts should be based on the level of poverty within each District; and WHEREAS, pursuant to Resolution No. 16-0044 adopted January 28, 2016, all API funding recipients are required to execute an agreement with the City that addresses the scope of services, performance measures, invoicing, conflicts of interest, and other material terms that may be applicable for the use of any funds; and WHEREAS, the Novel Coronavirus ("COVID-19") pandemic and the related economic impacts has brought to light the need to expand the allowable uses of API funds to include food distributions consistent with the needs identified by this Resolution; and WHEREAS, during a declared State of Emergency or natural disaster, it is also appropriate to allow for the use of API funds for essential supplies that may be necessary: and WHEREAS, the City Commission ratifies, confirms and approves that pursuant to Section 18-72(b)(20) of the Code of the City of Miami, Florida, as amended ("City Code"), allocations of API funds in an aggregate amount of fifty thousand dollars ($50,000.00) or less in any single fiscal year to any single entity pursuant to the API guidelines shalt not require City Commission approval; and WHEREAS, the API guidelines already include City Departments as eligible recipients and the City Commission wishes to clarify that the offices City elected officials shall also be included as eligible recipients; NOW, THEREFORE, BE IT RESOLVED BY THE COMMIS SIGN OF THE CITY OF MIAMI, FLORIDA: Section 1. The recitals and findings contained in the Preamble of this Resolution are adopted by reference and incorporated herein as if fully set forth in this Section. Section 2. The City Commission hereby amends the API guidelines to allow for the use of API funds for food distributions. Section 3. The City Commission hereby amends the API guidelines to allow for the use of API funds to purchase essential supplies during a State of Emergency, natural disaster, or other economic crisis. Section 4. The City Commission hereby amends the API guidelines toclarify that elected official offices shall be an eligible recipients of API funding. Section 5. The City Commission hereby ratifies, confirms, and approves pursuant to Section 18-72(b)(20) of the City Code, that allocations of API funds in an aggregate amount of fifty thousand dollars ($50,000.00) or Tess in any single City fiscal year to any single entity pursuant to the API guidelines shall not require City Commission approval. Section 6. The City Manager is authorized' to execute any and all necessary documents, all in a form acceptable to the City Attomey, for said purpose. Section 7. This Resolution shall become effective immediately upon its adoption and signature of the Mayor.? APPROVED AS TO FORM AND CORRECTNESS: 1 The herein authorization is further subject to compliance with all legal requirements that may be imposed, including but not limited to, those prescribed by applicable City Charter and City Code provisions. 2 If the Mayor does not sign this Resolution, it shall become effective at the end of ten (10) calendar days from the date it was passed and adopted. If the Mayor vetoes this Resolution, it shall become effective immediately upon override of the veto by the City Commission. From: Hernandez_ Messes To: seay. Gail. T. Suter'and, Malissa• Dawson. Donovan Cc suarm- Carts t; Ms- Steinberoer Subject Re: CARE Elementary School API Application Date: Thursday, April 18, 2024 2:32:08 PM Ateza po_ Die ones Good afternoon, Approved! Moises Hernandez Director of Constituent Affairs Office of Mayor Francis X. Suarez 3500 Pan American Drive Miami, FL 33133 Tel: 305-926-5220 Email: MohernandezPmiamigov rom From: Seay, Gail <GSeay@miamigov.com> Sent: Thursday, April 18, 2024 12:33 PM To: Hernandez, Moises <mohernandez@miamigov.com> Cc: Suarez, Carlos I <cisuarez@miamigov.com>; Ms. Steinberger <care@careelementary.org> Subject: FW: CARE Elementary School API Application Good afternoon, Please approve Gail P. Seay I Deputy Director for Constituent Affairs City of Miami I Office of the Mayor Miami City Hall 13500 Pan American Drive Miami, FL 33133 Office: (305) 250-5300 Cell: (786) 770-0615 ----Original Message ---- From: Ms. Steinberger <careecareelementary.org> Sent: Thursday, April 18, 2024 8:00 AM To: Seay, Gail <GSeay a�?.miamigov.com> Cc: T. Sutherland, Malissa <MTrevino@miamigov.com> Subject: CARE Eeementary School API Application ANTI -POVERTY INITIATIVE FUNDING AGREEMENT EXHIBIT B -- SCOPE OF WORK Insert Pages 2 dt 3 from Anti -Poverty Funding Request Form City of Miami Anti -Poverty Initiative Program Funding Request Form D PROGRAM/PROJECT INFORMATION Organization History and Background Information: CAPE Elementary Scroc:(CARE) is a fret private school dedicated to providing trte hest ;r asi r s and nd character aavetosxt,ert ttu chfidren In the Overtown communtty in a nurturing Chratian envaort.nar11. CARE (ChnStzan Ada►derry for Reacrting Exceaence) wars bt:nded in Marc..^21:14 as a nct to profit arganzabon with the building and u tiaes br tre ecltoot generously provided by .e k4arn1 Rescue Masson. CARE 0f160yopenedrnA;gusi2t)15e:xlm,tunyanroll,+dren PrI cergarten-5m grade with 146 students At CARE we value trf4 r ct rouftcunural nature of our community and we strive to include Ind vudtiats from divan* tack ;rounds. emCFac ng tf'e erp re and cpprrsinity t provides our student; to leant .mdsrsfartdng and acfoeptance of deferent etivicities. Is / oviding direst services to residents of the City of Miami? YesJNo[ Number of residents your en Frequency of Service: Age Group Served: j' 5o students and e: ei6r farm 5days aweek 4 yrs to 11 yrs Is your program/project impacting one of Miami's disadvantaged comm Geographic Area Served (specific to this project/program ) District 5 District Served (1, 2, 3, 4, 5, Citywide) n Oreftown, Aifaprtaic. L,rJe Neighborhood/Community being served: t�t+erh r.,tti Program/Project Priority area (Select one): Educational Programs for children, youth and adults . __. Crime Prevention CElderly meals, transportation, recreational and healthJweilness trelattt'!d activities At- Crisk youth or youth summer job programs Transportation services and programs EJob development, retention and training programs Homeless Services Food Distribution Essential supplies, during a State of Emergency, natural disaster, or econotic crisis Return this farm ta: rrstrevinotmiansigov.corn (Last Revised May 15, 2020) Page 2 of City of Wang Anti -Paver t initiative Program - Funding Request k m After Schaal CARE Program/Project Title: Please see attached Project/Program Description August 14, 2024 June 8, 2025 Program Start Date: Program End Date: Please describe how this program/project and funding will alleviate poverty within the City of Miami? We provide a care, respectful. and safe vronrh nt wt h iri ps a confident lifelong learners and responsible ci5zens, Our tamciies are among the most impoveristhett in City of ' with the average household Income of S2t.890 with rnutrapie ctidlren living in most of the homes. Excluding the pnncdaf's children, 100 percent of the students at CARE a; a on to Neutral Free Lunch Program With the acaaer*c and *lull lour fool the students receive at CARE Elementary y School. they are empowered to pus,,e father education and tuMbrig careers, With boner ediscancral and career opportunities. the chik1ren w1 have the ability to overtone the poverty into which they were born, Additionally, parents are able to wrok longer hours knowing their chicken are in a sate and constructive environment IMPACT AND PERFORMANCE: Describe overall expected outcomes and performance measures for this projectlprogram: The expected outcomes are b devebp the God given potent:at of each s a do+n wit" the goal of achieving lheraCy for every child. The ,er`crmance is measured wrtn daily digital tracking, DIOELS (Dynamic ►dc es of Balk Early literacy Skr1mstesting tree Imes a year, curriculum progress monitoring and the nattonMy noun refinanced standardized leedng al the end of the school year. We will provide the total enrolment, the number of families served and the standardized test score results Please attach additional pages to t Return this for, to: nrtrevino ►miamigov,com (Last RevisedMay 1S, 2020) his packet, if the space a .'e Page 3 of 5 CAR PROGRAMS CAE continues to to the ha t and safest place for most of our students. The SGt"mX3t is a loving Onstiar environment where students from all backgrounds can ream and grow, CARE is a fug service elementary school Prek4-5th grade with rescues to equp our students for Success. DEDICATED TEACHERS in smart classes are corrxnitted to personali ng instruction to make sure each child has' the best ©ppo to ty for success. TEACHING ASSISTANTS these classes lower teacher lc student ratios Yfiidh is critical to alow more support far struggling students TECHNOLOGY is a tedded in the arriculurn and is maximized with the deity use of (Pads for every student, Apple TV and Chromebooks. DIGITAL LEARNING PLATFORMS, Lexia Core Fri and !Start() instruct individualize student progress to prevent gaps in ;earning THE INTERVENTION PROGRAM is an esssentaai part et what we offer CAE. CAPE pr.wdes proactive services to at risk ch&iren in addition to those documanted as different learners. Cher intervention teary rs cornpr. ed of highly qualified and trained instructors working with students who need ore on one or , srraJt group support to perform at grade Ieve4 in reading and math. SOCIAL-EMOOTIONAl, COUNSELING ccxstiruer to be a very meaningful program as students learn coping skills kx the hardships of living in poverty, ART is offered once a W t c enhance the experience a encotrage creativity, PHYSICAL FITNESS is emphasized with a structured sports and play session four days awe k. The coach incorporates sportsmanship, discipline, team play, hard work and cooperation as important elerr;ents of the program.. An crgar^ ga: don and nutriti©n classes teach healthy choices. WEEKLY CHAPEL is dance, wcxsnO, and fun. We have bore y speakers wtic are leasers in the coed 1 un►ty share their experience with students to expose them to different career options, THREE ANNUAL PERFORMANCES gr e confidence. student the 0t to Shy and de'v4--s•) FREE AFTER SCHOOL CARE Providing after-achool care for low-income mincxity students is essential to ensure equitable access to oppcirtunides and academic success. Our families face significant challenges, including limited resources and time constraints. After school care is unaffordable for most of our low-income families so the Arti Poverty Initiative grant enables CASE Elementary School to provide- • A tutoring and homework help that impoverished families are unable to give. • A safe and supervised environment during the afterschooi hours so parents can work with the peace of mind that their children aren't in harm's way. • Literacy enrichment programs in which students are exposed to classic and award winning books • Zurnba fitness classes to promote physical fitness in a fun way • Snacks to stave off hunger and help alleviate food insecurities • A loving environment in which students are enc teachers ged o show love and respect for their peers and • The After School Program at CARE occurs between the hours of 3.00-5:00 and provides transportation home for CARE students. AN of these activities create an After School program that is rich with engaging literature, academic assistance, physical activity and social -emotional learning. These activities will keep students off the street during a time that they could otherwise be unsupervised in their neighborhood. AfterSchool All - Stars South Fonda reports that the hours between 3 and 6 p.m are the peak hours for juvenile crime. This shows the critical importance of providing students with a safe place to go during these hours. The majority of CAFE families are single -parent homes, thus the parental figure in students lives mostly work until 5:00prn. By providing an After School Program for two hours day. parents can have jobs. working knowing that their children are in a secure, safe and constructive environment. Access to consistent after -school care can contribute to narrowing the achievement gap by providing additional learning opportunities and support to students who may face more barriers to academic success. Investing in after -school care for low-income minority students is a crucial step towards helping low income students to overcome the poverty into which they were born ANTI -POVERTY INITIATIVE FUNDING AGREEMENT EXHIBIT C — BUDGET Insert Page 4 from Anti -Poverty Funding Request Form City of Miami Anti -Poverty Initiative Program - Funding Request Form FUNDING REQUEST INFORMATION: 25 :OW Amount Requested: Explain how the Oty of Miami Anti -Poverty funding will be utilized: iterni:e API funding related to expenditures below: 25 ,000 Personnel Salaries & Wages: Personnel Benefits Space Rental: Utilities (Electricity, Phone, Internet): Supplies: Marketing: Transportation (Participants)' Meals (Participants): Professional Services (List each): Other (please describe): Other (please describe): Other (please describe): Return this form to: fIttre v (Last Revised May IS, 2020) W-9 (Rev. Mandl 202a) Ospenseted or In Treasury Intend Revenue Service Request for Taxpayer Identification Number and Certification Go to www.irspov/FormW9 for inst'ictions and the latest information. Give form to the requester. Do not send to the IRS. Bailors you begin. For guidance related to the purpose of Form W-9, see Repose of Form, tie a. ei Ionly L S i UM_ 1 Name of ertfy;individual. An entry is required. (For a sole proprietor or aisregwdeer entry er t . ..rwoe?* nett* on line 1, end curt r the ouseneselderegar era ( entity's name co ire 2.) (CARE Elementary Schcof, Inc. 2 Business narnerdisregarded entity name. If create kern above. ARE Elementary School irs Chace the appropriate box for faders tax ctassafica ion of a an Jtyrnd v duet w xsea aims as er erg or urn 1. Check one of the $olowi J seven boxes. El, Trust/ 4 Exer,ghWA, irXxJ ply ann *o Certain entitle;', corn t div d ails; sea irrsirttticr4 on pale 3): Exempt payee CO (IfW Y? ❑ Indlvidue isole proprietor r1 C -�*S. sat w± ❑ S corporation Pare `ip j_• ; BSt tote ❑ U.C. Enter the Its classification (C = C corporation. S e S corporation, P . Pertnerseits Note: Oherk lie 'LLC" box above *cord, in the entry woos, enter lie o appprior ata code C, S,P1 "a the tax claasrtica iOi of to LLC, unless A a a disregarded *tarty. A dienspryw entity should instead check the 33=ProP" box for die tax clasarfcatlm of its owner, 0 Other nee insvuctiona) Not for Profit Exemption from Foreign Accent Tax Cur npl ante Act jFA' 11 epadng coda (It any) 31) don rune 3e you checked *Partnership' or 'Theo estate.' or checked 11.C" and *tiered 'P" an cos •ax c:aasr ratio n, ad you ere provoking this form to artrre prship, Rust or estate in which you have ownership interest, an ownershinterest check n this box if you have any foreign careers, caner*, or beneficiaries. See instructions . 0 woes to sorer its rrttrrrtai et1 outset* toe United States S Address (number, sweet. and apt or suite no,). Sae inennxbons. ' Requester's nacre 12025 NW 1st Ave. )City of Miami and address (option* ' a City, state, end MP coda 1 Miami, FL. 33127 1 LSO account rsunba a) here (optional) Taxpayer identification Number (TIN) Enter your TIN in the as -pro fete box. The TN provided must match the name given on line 1 to avoid backup withholding. For irdividuais, this is generally your social security umber (SSN). However, fa a resident alien, sob proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer idertit;.cation number (EIN). 11 your do not have a number, see How to get a TIN, later. Note: If the acoour,t is in more than one name, see the instructions for line 1. See etso What Name and Number To Give the Requester for guidelines on whose number to enter. Or Employer Icier elites on number ICEICI Certification Under penalties of perjury, 1 certify that 1. The number shown on this form is my correct taxpayer identification nu bee (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding becatae (a) I am exempt from backup withholding, or (b) I have not beers tuti mat by the Internal Revenue Service (IRS) that ! am subject to twckup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that 1 am no longer subject to backup withhokding; and 3. 1 am a U.S. citizen or otter U.S. person (defined 'below); and 4. The FATCA code(3) entered on this fornn< (t any) aidicating that I am exempt from FATCA reporting a correct Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently ssioact to backup wittv+okirg because you nave faded 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 aoand r bent of ed propcancellation of debt, ccrtrrxulions to an individual retirement arrangement (!RA), and, generally, payments ether than interest and yWpre not to . the certification (cut . mtxust • • r correct TIN. See instructions for Part II, Ater. Sign Signature of Here ) U.S. person General Instruction: Section references are to the internal Revenue Cate ;hies-9 otherwise notes. 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/Fom^W What's New Line 3a has been modified to clarify haw a disregarded entity completes this line. An LLC that is a disregarded ertity should check the appropriate box for the tax classification of its owner. Otherwise. it should check the 'LLC' box aro error ,its appropriate tax classification. New line 3b has been edddd to is form. A flow -through entity is required to complete this line to irtdkafe that t has direct or indirect foreign partners, owners. or bereficranee when t provides the Fon*n W-9 to another flow -through entity in which it has an ownership ;merest. This change is intended to provide a flow -through *rutty with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnersn1p that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Inns t;ctions for Schedules K-2 and K-3 Form 1065). Purpose of Form Are individual or entity (Form W-9 requested who is required to file an information retum wftft the IRS is giving you this form because they Cat. No. 10231X Fomn W-9 (Rev. 3-2024) ANTI -POVERTY INITIATIVE FUNDING AGREEMENT COMPOSITE EXHIBIT "D" API AGREEMENT COMPOSITE EXHIBIT "D" PAYMENT SCHEDULE l The CITY shall pay the RECIPIENT, an amount not to exceed Twenty Five $25,000 for the services provided pursuant to this Agreement. 2. Request for Payments should be submitted to the CITY in a form provided by the City and included in this Exhibit as Request for Payment Form. 3 The RECIPIENT must submit the final request for payment to the CITY within 30 calendar days following the expiration date or termination date of this Agreement in a form provided by the CITY. If the RECIPIENT fails to comply with this requirement, the RECIPIENT shall forfeit all rights to payment and the CITY shall not honor any request submitted thereafter. 4. Schedule of payments to RECIPIENT will be as follows: One time payment 5. Any payment due under this Agreement may be withheld pending the receipt and approval by the CITY of all reports and information due from the RECIPIENT as a part of this Agreement and any modifications thereto. ousand ANTI -POVERTY INITIATIVE FUNDING AGREEMENT EXHIBIT E - INSURANCE REQUIREMENTS Commercial General Liability A. Limits of Liability Bodily Injury and Property Damage Liability Each Occurrence $300,000 General Aggregate Limit $600,000 Personal and Adv. Injury $300,000 Products/Completed Operations $300,000 B. Endorsements Required City of Miami listed as additional insured Contingent & Contractual Liability Premises and Operations Liability Primary Insurance Clause Endorsement II. Business Automobile Liability A. Limits of Liability Bodily Injury and Property Damage Liability Combined Single Limit Scheduled Autos Including Hired, Borrowed or Non -Owned Autos Any One Accident $ 300,000 B. Endorsements Required City of Miami listed as an additional insured III. Worker's Compensation Limits of Liability Statutory -State of Florida Waiver of Subrogation Employer's Liability A. Limits of Liability $100,000 for bodily injury caused by an accident, each accident $100,000 for bodily injury caused by disease, each employee $500,000 for bodily injury caused by disease, policy limit Professional Liability/Errors and Omissions Coverage (if applicable) Combined Single Limit Each Claim General Aggregate Limit Retro Date Included $ 250,000 $ 250,000 The above policies shall provide the City of Miami with written notice of cancellation or material change from the insurer in accordance to policy provisions. Companies authorized to do business in the State of Florida, with the following qualifications, shall issue all insurance policies required above: The company must be rated no less than "A-" as to management, and no less than "Class V" as to Financial Strength, by the latest edition of Best's Insurance Guide, published by A.M. Best Company, Oldwick, New Jersey, or its equivalent. All policies and for certificates of insurance are subject to review and verification by Risk Management prior to insurance approval. ACRDe CERTIFICATE OF LIABILITY INSURANCE °A' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE Of INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER~ AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holler is an ADDITIONAL INSURED, the policy(ies► must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate dons not confer rights to the certificate holder In lieu of such endorsement(s). PROOUCER NEA Insurance Group, LLC 8700 W. FLagler St., Suite 401 Miami FL 33174 "Coinaci Joyce cap PHONE . (305) 221-2400 FAA Mok (305) 221-2411 ar►. ADDRESS: erp®8vantrl-nee.oxxn INSURERS) AFFORDING COVERAGE AMC a NSURERA: VWCSCo Insurance Company 25011 INSURED CARE Elementary School, Inc, 711 Paradiso Avenue d0 Marty Steinberger Coral Gables FL 33146 N$1. ER B , Technology Insurance Company, Inc. 42376 plume C : Philade(prlie Indemndy Inwrance Company 18058 INSURER 0 : INSURER E : INSURER F : CO ES CERTIFICATE NUMBER: CL2362209795 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POIJC E5 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS Of SUCH POLICIES, U1NIITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, *SRLTR TYPE OF INSURANCE OORD S.0 1 a 0WUCY NUMeE11 (MINDO/YrYY) ly ITYYY) LETS A X COMItERCAAL GENERAL UAa1UTY OCCUP. Y WWPP186057803 06/24/2023 06/24/2024 EACH OCCURRENCE $ 1,000,000 CLAMS -MADE DAMAGE TO RtNTED PREMISES CEa oarrrerlcel $ 100,000 MED COM (RN one person) i 5'� PERSONAL aADV INJURY t 1,000'000 GEM. X AGGREGATE oar APGt.-ES PER GENERAL AGGREGATE t 3.000,000 POLICY LOC PRCOUCTS•COMP.*A00 $ 3,000,000 X C1-1+ER Ind Sexual Abuse Abuse&Moiestation $ 1M/$3M A AL:TOMMIE UABY.ITY ANY AUTO C ED AUTOS 0 &Y FIRED AUTOS ONLY -OWNED CNLY WPP186957803 06/24C2023 06/24/2024 COMBINED SINGLE LIMIT (Ea acooenq t 1.000.000 ■ BODILY INJURY (Par person) $ SCHECUED AUTOS, BODILY INJURY (Per aardeti) '-PROPERTY $ NON AUTOS *MACE (Per accident) $ A UMBRELLA LAB ExcESSLIAB X OCCUR , CLAMS -MACE WUM186632403 06/24/2023 06/24/2024 EACH OCCURRENCE f 1,000.000 AGGREGATE $ 1.• 000,000 ( DED I X4 RETENTION $ 10.000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEa CfFICERAIEMBER EXCLUDED! Mandatory hi NH) K yes. death -be under DESCRIPTION OF OPERATIONS Y / N N/A T1NC4276807 06/01/2023 06/01/2024 vl PER OTi+ �i STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISF*-SE • EA EMPLOYEE $ 1 •°°°,°°° Wow EL DISEASE . POLICY UNIT $ 1,000,000 C Directors & Officers Liability / Employment Practice Liability PH501795141 06/24/2023 06/24/2024 $1,000.OooApgregate $1,000,000 Aggregate $1,000 $5.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Adaleonal Remarks selwdWa, may be aaanlad Location address: 2025 NW 1st Avenue, Miami, FL 33127 City of Miami is additional insured with respects to General Liability. Coverage is primary and non-Contibutory. ■ Is requIred) more pees CERTIFICATE HOLDER CANCELLATION Crty of Miami 44 SW 2ndAvenue 8th Floor Miami FL 33130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ANTI -POVERTY INITIATIVE FUNDING AGREEMENT EXHIBIT F — CLOSE-OUT REPORT The Close Out Report must be completed at the end of the program. City of Miami Anti -Poverty Initiative Program close -Out Report Date: Program/Project Title: Reclplent's Name: Recipient's Address: Allocation Amount: Please provide the information in reference to all the services provided with the City of Miami Anti -Poverty Initiative: Program Start Date and End Date Program/Project Priority Area Description of Project/Activity/Service District where Project/Activity/Service were Provided District 1, District 2, District 2, District 3, District 5 and/or Citywide Location of Project/Activity/Service (ie. Site, neighborhood, area) Total Number of People Served Frequency of Project/Activity/Service I certify that the Program/Service was provided in accordance to the City of Miami Anti -Poverty Initiative Program Guidelines Signature Date Type Name Title: Return to: City of Miami Office of Grants Administration 444 SW 2nd Ave., 5' Floor Miami, FL 33130 ANTI -POVERTY INITIATIVE FUNDING AGREEMENT EXHIBIT G -- RECIPIENT'S CORPORATE RESOLUTION CORPORATE RESOLUTION CARE Elementary School, Inc. Non -Profit school WHEREAS, , a Florida , desires to enter into a Agreement with the City of Miami, a copy of which is attached hereto; and WHEREAS, the Board of Directors at a duly held corporate meeting has considered the matter in accordance with the Articles and By -Laws of the not -for -profit corporation; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS Marty Steinberger that are/is hereby authorized and instructed to enter into the Agreement and undertake the responsibilities and obligations as stated in such proposed Agreement in the name and on behalf of this corporation with the City of Miami upon terms and conditions contained in the proposed Agreement to which this resolution is attached. DATED this 1st day of May 2024 PRESIDEI\T Print Name: (CORPORATE SEAL) r4)=(rc_fer 005'