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HomeMy WebLinkAbout25216AGREEMENT INFORMATION AGREEMENT NUMBER 25216 NAME/TYPE OF AGREEMENT ZION HOPE MISSIONARY BAPTIST CHURCH OF MIAMI, INC. DESCRIPTION RECERTIFICATION GRANT PROGRAM FUNDING AGREEMENT/PROVIDING ELEEMOSYNARY SERVICES TO COMPLY WITH MIAMI-DADE COUNTY/ FILE ID: 15255/R-23- 0554/MATTER ID: 24-1749/#8 EFFECTIVE DATE October 15, 2024 ATTESTED BY TODD B. HANNON ATTESTED DATE 10/15/2024 DATE RECEIVED FROM ISSUING DEPT. 10/18/2024 NOTE CITY OF MIAMI DOCUMENT ROUTING FORM a5a l 112 ORIGINATING DEPARTMENT: Office of Grants Administratin DEFT. CONTACT PERSON: Malissa T. Sutherland EXT. °.1005 NAME OF OTHER CONTRACTUAL PARTY/ENTITY: Zion. Hope Missionary Baptist Church of Miami, Inc: IS THIS AGREEMENT AS A; RESULT OF A COMPETITIVE PROCUREMENT ;PROCESS? : El YES ® NO TOTAL CONTRACT AMOUNT:. $ 50,000 FUNDING INVOLVED? ® YES 0 NO TYPE OF AGREEMENT: 0 MANAGEMENT AGREEMENT _ PROFESSIONALSERVI_CESAGREEMENT 0 GRANT AGREEMENT 0 EXPERT CONSULTANT AGREEMENT LICENSE AGREEMENT PUBLIC WORKS AGREEMENT'• D,MAINTENANCE AGREEMENT 0 INTER -LOCAL AGREEME 0 LEASE AGREEMENT PURCHASE_OR SALE AGREEMENT of MMiami :Recertification Program ' PURPOSE OF ITEM (BRIEF SUMMARY): District= 5::°has' approved this`enti is agreement:.is being routed. for, review/signature. IUTIHG INF;ORMATII APPROVAL BY: ASSISTANT:CITY MANAGER: ,APPROVAL BYE DEPUTY,:CITYMANAGER RECEIVED BY CITY MANAGER 1j:9—NCORIGINALI kr:91 0-.0sTT O CITY ATTORNEYS ;OFF;,,IOc 3)REMAINI,NG OR_IGtNA[ , 1OxORIGINATING DEPARTMENT PRINT: LILLAN ALONDET; :SIGNATURE PRINT::MARIE GO SIGNATURE: PRINT: ART .NCERII G SIGNATURE: PRINT: SIGNATURE: PRINT:.. SIGNATURE: PRINT:' SIGNATURE PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE EXECUTION BY THE CITY MANAGER City of Miami Zion Hope Missionary Baptist Church of Miami, Inc. CITY OF MIAMI RECERTIFICATION GRANT PROGRAM FUNDING AGREEMENT This RECERTIFICATION GRANT FUNDING PROGRAM AGREEMENT ("Agreement") is entered into this / ay ofailektx, 20 2..f by and between the CITY OF MIAMI, a municipal corporation of the State of Florida, located at 444 SW 2nd Avenue, Miami, FL 33130 ("CITY"), and Zion Hope Missionary Baptist Church of Miami, Inc. a Florida not for profit corporation, located at 5129 NW 17th Ave., Miami, FI 33142 ("RECIPIENT"). The CITY and the RECIPIENT may each be referred to as a "Party" and may collectively be referred to as the "Parties." WHEREAS, On December 15, 2023, pursuant to Resolution No. 23-0554, the City established the Recertification Grant Program and Program Guidelines to assist entities providing eleemosynary services to comply with Miami -Dade County existing recertification requirements including inspection, reports, and repairs ("Program"); and WHEREAS, the RECIPIENT submitted a Request for Funding to the City pursuant to the Program; 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 shallcommence on May 24 , 2024 and shall continue until May 24 , 2026 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 1 Zion Hope Missionary Baptist Church of Miami, Inc. 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. 4. USE OF FUNDS: The funds and the Budget shall be used by the RECIPIENT as described in the Scope and Cost of Work, attached and incorporated herein as Exhibit "B" submitted by the RECIPIENT to the CITY._ 5. DISBURSEMENT OF FUNDS: A. The CITY shall allocate funds to the RECIPIENT in the not to exceed amount of Fifty Thousand dollars ($ 50,000 .00) ("Program Funds"). Payment shall be made directly to the vendor, contractor, architect, or engineer (collectively the "Contractor"), in accordance with the Request for Payment Form as set forth in Composite Exhibit "C." The RECIPIENT shall provide the CITY with the Request for Payment Form attached and incorporated as Composite Exhibit "C" prior to any disbursement of Program Funds by the CITY. B. The RECIPIENT shall provide the CITY a Closed Permit and Release of Lien, for the activities described in the Cost and Scope of Work as Exhibit "B". The Release of Lien must be in substantially the same form as set forth in Section 713.20 of the Florida Statutes. C. Provided the City is obligated to disburse Program Funds pursuant to the Program Guidelines the City will disburse such funds in accordance with the procedures stipulated in Composite Exhibit "C". The RECIPIENT may not request disbursement of funds pursuant to this Agreement until such funds are needed for the payment of eligible costs. 6. COMPLIANCE WITH POLICIES AND PROCEDURES: RECIPIENT understands that the use of the Program Funds is subject to specific reporting, record keeping, administrative and contracting guidelines, audit, and other requirements affecting the activities being funded by the Program Funds for the Scope of Work. RECIPIENT covenants and agrees to comply with such requirements, and represents and warrants to the CITY that the Program 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 Program Funds will be used in accordance 2 City of Miami Zion Hope Missionary Baptist Church of Miami, Inc. with, all applicable federal, state, and local codes, laws, rules and regulations. 7. RECORDS. INSPECTIONS. REPORTS/AUDIT AND EVALUATION: 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 RECIPIENT'S records pertaining to the Program Funds and that reasonable times, and for a period of up to three (3) years following the termination of this 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 Program 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 Program Funds as the CITY may require from time to time; and c) All costs and expenses of the activities described in the attached and incorporated Exhibit "B" 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 3 City of Miami Zion Hope Missionary Baptist Church of Miami, Inc. 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. Any inconsistent, incomplete, or inadequate information, either received by the CITY or obtained by the CITY, shall constitute cause for the CITY to terminate this Agreement. 8. AWARD OF AGREEMENT: 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. 9. COMPLIANCE WITH FEDERAL. STATE AND LOCAL LAWS: 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 of interest, 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. 10. 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, 4 City of Miami Zion Hope Missionary Baptist Church of Miami, Inc. 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) any and all Liabilities 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. The City shall only act as a fiscal agent for the purposes of this Agreement. 11. REVERSION OF ASSETS: Upon the expiration, termination, or cancellation of this Agreement, any unspent Program Funds shall immediately revert to the possession and ownership of the CITY and RECIPIENT shall transfer to the CITY all unused Program Funds at the time of such expiration, termination, or cancellation. 12. DEFAULT: 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 5 City of Miami Zion Hope Missionary Baptist Church of Miami, Inc. 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 from 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. 13. 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 least five (5) business days prior to the effective date of such termination. In such event, the CITY shall pay to RECIPIENT compensation for any pending invoices which have been submitted to the City prior to the 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. 14. REMEDIES FOR NONCOMPLIANCE: 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 term 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 6 (4) (5) City of Miami Zion Hope Missionary Baptist Church of Miami, Inc. necessary or appropriate. 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 Program Funds awarded to the RECIPIENT. Withhold further Program funding for theRECIPIENT. Take all such other remedies that may be legally available. 15. MARKETING: 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. 16. INSURANCE: 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 attached and incorporated as Exhibit "F" 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 "F" 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. 17. NONDISCRIMINATION: 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 City of Miami Zion Hope Missionary Baptist Church of Miami, Inc. denied services, or be subject to discrimination under any provision of this Agreement. 18. 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. 19. CERTIFICATIONS REGARDING DEBARMENT. SUSPENSION. AND OTHER RESPONSIBILITY 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 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 or default. 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 CITY and the CITY shall have the right to, in the CITY's sole discretion, to not enter into or terminate this Agreement. 20. NOTICES: 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 8 City of Miami Zion Hope Missionary Baptist Church of Miami, Inc. 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 Zion Hope Missionary Baptist Church of Miami, Inc. 5129 NW 17th Ave. Miami, FI 33142 Attn: Charles Woodard CITY City of Miami Office of Grants Administration 444 SW 2nd 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: George K. Wysong III, City Attorney 9 City of Miami Zion Hope Missionary Baptist Church of Miami, Inc. 21. PUBLIC RECORDS: Pursuant to the provisions of Section 119.0701. Florida Statutes, 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 THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE RECIPIENT'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (305) 416-1800, PUBLICRECORDS@MIAMIGOV.COM, nd AND 444 S.W. 2 AVENUE, SUITE 945, MIAMI, FL 33130. 22. CONFLICT OF INTEREST: 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. 10 City of Miami Zion Hope Missionary Baptist Church of Miami, Inc. 23. GOVERNING LAW, VENUE, AND FEES: This Agreement shall be construed and enforced according to the laws of the State of Florida. Venue in all proceedings shall be in 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. 24. WAIVER OF JURY TRIAL: 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. 25. MISCELLANEOUS PROVISIONS: A. Title and paragraph headings are for convenient reference and are not a part ofthis 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 11 City of Miami Zion Hope Missionary Baptist Church of Miami, Inc. 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. 26. NON-DELEGABILITY: 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. 27. SUCCESSORS AND ASSIGNS: This Agreement shall be binding upon the parties hereto, their heirs, executors, legal representatives, successors, or assigns. 28. INDEPENDENT CONTRACTOR: 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. 29. NO THIRD -PARTY BENEFICIARY RIGHTS: 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. 30. CONTINGENCY CLAUSE: 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. 31. RECIPIENT CERTIFICATION: 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 12 City of Miami Zion Hope Missionary Baptist Church of Miami, Inc. 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 "E". 32. AUTHORITY: 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 and that the Agreement is valid and legal agreement binding on such party and enforceable in accordance with its terms. 33. 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. 34. ENTIRE AGREEMENT: 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. 35. 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. 13 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: Tod i B. ity Clerk Date: o 115/abali APPROVED AS TO FORM AND CORRECTNESS: "CITY" CITY OF MIAMI, a municipal corporation of the State of Florida By: Al/Pic;Arthur Noriega V, Cil"y Manager D APPROVED AS TO INSURANCE REQUIREMENTS: George Wysong City Ann -Marie Sharpe, Director Date: Attorney Matter ID: 24-1749 Risk Management City Attorney DIGS ATTEST: 4 Print Name- e- e e t' "RECIPIENT" A Florida Not -For -Profit Corporation By: Mark Ito (1),'-c/(ov,tX Title:.2agtrol- h Title: e� 1 e4,-,€i fact `e Rt- Ann-Mane Sharpe, Director / Date: Risk Management Print Name: da 1� L � 064 vd 17 Zion Hope Missionary Baptist Church of Miami, Inc. [Remainder intentionally left blank; Signature page to follow] 14 ANTI -HUMAN TRAFFICKING AFFIDAVIT 1. The undersigned affirms, certifies, attests, and stipulates as follows: a. The entity/individual is a nongovernmental entity authorized to transact business in the State of Florida (hereinafter, "nongovernmental entity"). b. The nongovernmental entity is either executing, renewing, or extending a contract (including, but not limited to, any amendments, as applicable) with the City of Miami ("City") or one of its agencies, authorities, boards, trusts, or other City entity which constitutes a governmental entity as defined in Section 287.138(1), Florida Statutes (2024). c. The nongovernmental entity is not in violation of Section 787.06, Florida Statutes (2024), titled "Human Trafficking." d. The nongovernmental entity does not use "coercion" for labor or services as defined in Section 787.06, Florida Statutes (2024). 2. Under penalties of perjury, pursuant to Section 92.525, Florida Statutes, I declare the following: a. I have read and understand the foregoing Anti -Human Trafficking Affidavit and that the facts, statements and representations provided in Section 1 are true and correct. b. I am an officer, a representative, or individual of the nongovernmental entity authorized to execute this Anti -Human Trafficking Affidavit. FURTHER AFFIANT SAYETH NAUGHT. Nongovernmental Entity/Individual: Zion Hope Missionary Baptist Church of Miami, Inc. Name: 5 ()o5 JA-AZ Title: Registered Agent Signature: 1. Office Address: 5129 NW 17th Avenue Miami, FL 33142 Email Address: earniehill a@comcast.net Main Phone Number: (305) 215-4262 2/6/24, 2:53 PM Detail by Entity Name DIVISION OF CORPORATIONS org rl 400011001.112 "...11111% wt *ifflrwl .flute of Florida websire Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Not For Profit Corporation ZION HOPE MISSIONARY BAPTIST CHURCH OF MIAMI, INC. Filing Information Document Number N04000001492 FEI/EIN Number 65-0309277 Date Filed 02/06/2004 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 09/06/2023 Event Effective Date NONE Principal Address 5129 N.W. 17TH AVENUE MIAMI, FL 33142 Mailing Address 5129 N.W. 17TH AVENUE MIAMI, FL 33142 Registered Agent Name & Address Woodard, Charles 8775 NW 23RD Ave Miami, FL 33147 Name Changed: 05/30/2023 Address Changed: 05/30/2023 Officer/Director Detail Name & Address Title BM HILL, BENNIE L 5129 N.W. 17TH AVENUE MIAMI, FL 33142 Title BM https://search.sunbiz. org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=1 nitial&searchNameOrder=ZIONHO... 1/3 2/6/24, 2:53 PM WOODARD, CHARLES 5129 N.W. 17TH AVENUE MIAMI, FL 33142 Title BM CONEY, WILLIE 5129 N.W. 17TH AVENUE MIAMI, FL 33142 Title BM DORSETT, LAWANDA 5129 N.W. 17TH AVENUE MIAMI, FL 33142 Title BM ROBERTS, ALBERT 5129 N.W. 17TH AVENUE MIAMI, FL 33142 Title BM HILL, EARNESTINE 5129 N.W. 17TH AVENUE MIAMI, FL 33142 Title BM DEVEAUX, LELIA 5129 N.W. 17TH AVENUE MIAMI, FL 33142 Title BM COTTMAN-JONES, JENELL 5129 N.W. 17TH AVENUE MIAMI, FL 33142 Title BM COPELAND, ANTONIA 5129 N.W. 17TH AVENUE MIAMI, FL 33142 Title BM MONROE, KATRINA 5129 N.W. 17TH AVENUE MIAMI, FL 33142 Detail by Entity Name https://search.sunbiz.org/Inquiry/CorporationSearch/SearchRes ultDetail?inqu i rytype=EntityName&d irectionType=1 nitial &searchN ameOrder=ZION H O... 2/3 EXHIBIT A - CITY OF MIAMI RESOLUTION 16 City of Miami Legislation Resolution Enactment Number: R-23-0554 City Hall 3500 Pan American Drive Miami, FL 33133 www.miamigov.com File Number: 15255 Final Action Date:12/14/2023 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), ESTABLISHING A RECERTIFICATION GRANT PROGRAM FOR NOT -FOR -PROFIT ENTITIES THAT PROVIDE ELEEMOSYNARY SERVICES WITHIN THE LIBERTY CITY AND LITTLE HAITI BOUNDARIES, AS DEFINED BY THE CITY OF MIAMI ("CITY") FOR PROPERTY REPORTS AND REPAIRS RELATED TO OBTAINING A RECERTIFICATION ("PROGRAM"); ALLOCATING FUNDING IN AN AMOUNT NOT TO EXCEED ONE MILLION DOLLARS AND ZERO CENTS ($1,000,000.00) FROM CAPITAL PROJECT NO. 40-B243102 FOR THE PROGRAM; FURTHER APPROVING THE PROGRAM GUIDELINES AND APPLICATION, ATTACHED AND INCORPORATED HEREIN AS EXHIBIT "A"; AUTHORIZING THE CITY MANAGER TO DISBURSE FUNDS FROM THE PROGRAM IN AN AMOUNT NOT TO EXCEED FIFTY THOUSAND DOLLARS ($50,000.00), TO EACH ELIGIBLE ENTITY, AND TO NEGOTIATE AND EXECUTE GRANT AGREEMENTS AND ANY AND ALL OTHER NECESSARY DOCUMENTS, ALL IN FORMS ACCEPTABLE TO THE CITY ATTORNEY, SUBJECT TO THE AVAILABILITY OF FUNDS, IN ACCORDANCE WITH THE PROGRAM GUIDELINES TO IMPLEMENT AND ADMINISTER SAID PROGRAM; PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the City of Miami ("City") understands the importance of the preservation of property; and WHEREAS, on October 12, 2023, the City Commission adopted Resolution No. R-23- 0465, amending the 2023-2024 Fiscal Year Budget, which included One Million Dollars ($1,000,000.00) appropriated for a 40/50 Year Recertification Grant Program; and WHEREAS, the District 5 Commissioner desires to establish a Recertification Grant Program to assist not -for -profit entities that provide eleemosynary services within the Liberty City and Little Haiti boundaries, as defined by the City, for property repairs related to obtaining a recertification ("Program"); and WHEREAS, the Program will be administered in accordance with the program guidelines and application, attached and incorporated as Exhibit "A" ("Program Guidelines"); and WHEREAS, funding in an amount not to exceed One Million Dollars and Zero Cents ($1,000,000.00) ("Funds") will be appropriated from Capital Project No.40-B243102 to fund the Program; and WHEREAS, the City Manager is requesting authority to disburse funds from the Program in an amount not to exceed Fifty Thousand Dollars ($50,000.00) ("Grant Award"), per eligible applicant, in the form of a grant that will be paid directly to vendors, or the architect or engineer that completes the recertificaton report upon presentation of invoices and satisfactory documentation without the need for further approval of the City Commission; and 17 WHEREAS, in accordance with Section 18-72(b)(19) of the Code of the City of Miami, Florida, as amended ("City Code"), Community and Economic Development Programs are excluded from the requirements of the City's Procurement Ordinance; and WHEREAS, the City Commission authorizes the City Manager to appropriate the Grant Funds for the establishment of the Program, and to negotiate and execute grant agreements including any and all other necessary documents, all in forms acceptable to the City Attorney, with eligible applicants, subject to the availability of funds, in accordance with the Program Guidelines to implement and administer said Program; and WHEREAS, in accordance with Section 2-33(f) of the City Code, the City Commission, by a majority vote, hereby deems this Resolution to be of an emergency nature; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY MIAMI, FLORIDA: Section 1. The recitals contained in the Preamble to this Resolution are adopted by reference and incorporated as if fully set forth in this Section. Section 2. The City Commission hereby establishes the Program. Section 3. The. Program Guidelines, attached and incorporated as Exhibit "A," are hereby approved. Section 4. Funding in the amount of One Million and 00/100 Dollars ($1,000,000.00) is hereby appropriated from Capital Project No. 40-B243102. Section 5. The City Manager is hereby authorized' to disburse the Grant Award to each eligible applicant, in the form of a grant that will be paid directly to vendors upon presentation of invoices and satisfactory documentation without the need for further approval of the City Commission. Section 6. The City Manager is hereby authorized' to negotiate and execute grant agreements, including any and all other necessary documents, all in forms acceptable to the City Attorney, with eligible applicants, subject to the availability of funds, in accordance with the Program Guidelines in order to implement and administer said Program. Section 7. This Resolution shall become effective immediately upon its adoption. APPROVED AS TO FORM AND CORRECTNESS: ttor ey 2/28/2024 Pursuant to the resolution, this item became effective immediately upon adoption by the Commission. 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. 18 City of Miami Legislation Resolution Enactment Number: R-24-0308 City Hall 3500 Pan American Drive Miami, FL 33133 www.miamigov.com File Number: 16383 Final Action Date:7/25/2024 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), AMENDING THE RECERTIFICATION GRANT PROGRAM GUIDELINES AND APPLICATION, ATTACHED AND INCORPORATED HEREIN AS EXHIBIT "A," FOR NOT -FOR -PROFIT ENTITIES THAT PROVIDE ELEEMOSYNARY SERVICES WITHIN THE LIBERTY CITY AND LITTLE HAITI BOUNDARIES, AS DEFINED BY THE CITY OF MIAMI ("CITY") FOR PROPERTY REPORTS AND REPAIRS RELATED TO OBTAINING A RECERTIFICATION AND REPAIRS RELATED TO LIFE SAFETY ISSUES ("PROGRAM") BY REMOVING THE REQUIREMENT THAT THE STRUCTURE HOUSING THE ELEEMOSYNARY ENTITY BE FIFTY (50) YEARS OLD OR OLDER, ALLOWING THE CITY, AT ITS SOLE DISCRETION THE ABILITY TO ALLOCATE FUNDS FOR THE REIMBURSEMENT OF WORK COMPLETED, CLARIFYING THAT THE PROGRAM'S PURPOSE INCLUDES REPAIRS RELATED TO LIFE SAFETY ISSUES, AND ALLOWING THE CITY MANAGER, AND/OR HIS DESIGNEE TO AMEND THESE PROGRAM GUIDELINES, AS ATTACHED AND INCORPORATED HEREIN AS EXHIBIT "A," FROM TIME -TO -TIME WITHOUT THE NEED FOR ANY ADDITIONAL CITY COMMISSION APPROVAL; FURTHER AUTHORIZING THE CITY MANAGER TO NEGOTIATE AND EXECUTE GRANT AGREEMENTS AND ANY AND ALL OTHER NECESSARY DOCUMENTS, ALL IN FORMS ACCEPTABLE TO THE CITY ATTORNEY, SUBJECT TO THE AVAILABILITY OF FUNDS, IN ACCORDANCE WITH THE PROGRAM GUIDELINES AND TO ADMINISTER SAID PROGRAM; PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the City of Miami ("City") understands the importance of the preservation of property; and WHEREAS, on October 12, 2023, the City Commission adopted Resolution No. R-23- 0465, amending the 2023-2024 Fiscal Year Budget, which included One Million Dollars ($1,000,000.00) appropriated for a 40/50 Year Recertification Grant Program; and WHEREAS, on December 14, 2023, the City Commission adopted Resolution No. R-23- 0554, which established the Recertification Grant Program to assist not -for -profit entities that provide eleemosynary services within the Liberty City and Little Haiti boundaries, as defined by the City, for property repairs related to obtaining a recertification ("Program"); and WHEREAS, Resolution No. R-23-0554 also established guidelines and an application for the Program; and WHEREAS, the City has received some applications wherein the properties are not Fifty (50) years or older and need repairs related to life safety issues; and WHEREAS, the City Manager is requesting authority to approve the reimbursement for work completed, so long as the work performed was needed for a recertification or life -safety related repair; and WHEREAS, in accordance with Section 18-72(b)(19) of the Code of the City of Miami, Florida, as amended ("City Code"), Community and Economic Development Programs are excluded from the requirements of the City's Procurement Ordinance; and WHEREAS, the City Manager is requesting authority to amend the Program Guidelines, as attached incorporated herein as Exhibit "A" to accommodate for the aforementioned issues which have arose since the Program was established, and to allow the City Manager to amend the Program Guidelines from time to time without the need for additional City Commission approval; and WHEREAS, the City Commission authorizes the City Manager to negotiate and execute grant agreements including any and all other necessary documents, all in forms acceptable to the City Attorney, with eligible applicants, subject to the availability of funds, in accordance with the Program Guidelines, as attached and incorporated herein as Exhibit "A," and to administer said Program; and WHEREAS, pursuant to Resolution No. R-23-0554, adopted on December 14, 2023, the amended Program Guidelines will be retroactively applied to any applications received by the City since the establishment of the Program; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY MIAMI, FLORIDA: Section 1. The recitals contained in the Preamble to this Resolution are adopted by reference and incorporated as if fully set forth in this Section. Section 2. The Program Guidelines, as amended, attached and incorporated as Exhibit "A," are hereby amended by removing the requirement that the structure housing the eleemosynary entity be Fifty (50) years old or older. Section 3. The Program Guidelines, as amended, attached and incorporated as Exhibit "A," are hereby amended to allow the City, at its sole discretion the ability to allocate funds on a reimbursement basis for work completed, so long as the work performed was needed for recertification or life safety related repairs. Section 4. The Program Guidelines, as amended, attached and incorporated as Exhibit "A," are hereby amended to allow the City Manager and/or his designee to amend these Program Guidelines from time -to -time without the need for additional City Commission approval. Section 5. The Program Guidelines, as amended, attached and incorporated as Exhibit "A," are hereby retroactively applied to any applications received by the City since December 14, 2023. Section 6. The City Manager is hereby authorized' to negotiate and execute grant agreements, including any and all other necessary documents, all in forms acceptable to the City Attorney, with eligible applicants, subject to the availability of funds, in accordance with the Program Guidelines in order to administer said Program. Section 7. This Resolution shall become effective immediately upon its adoption. 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. APPROVED AS TO FORM AND CORRECTNESS: ge Wy,y»ng III, C ttor'ey f 7/31/2024 Pursuant to the resolution, this item became effective immediately upon adoption by the Commission. EXHIBIT B - COST AND SCOPE OF WORK 22 City of Miami Recertification Program APPLICATION FORM APPLICANT INFORMATION Legal Name of Organization: 2 9-1) Address (Street, City, State, Zip Code).(5 Applicant Representative Name: at2Ad Title:,i)e.1.)5` jYicS%l' - 7/(/ /11 /7.L4 *11, fneihcp, Phone numbe1)6-o ,fir*2 -#4IP 3L?-' 0536-04Ici d -1 e f7- MAL:W.)411010 Eyo her (ply):1KAAtta Is the properly Located in the City of Miami's Little Haiti or Liberty City neighborhood? Email Address: YesNo Please specify the geographic area in which the property is located: Little Haiti or LibertyCity / iriskatlyCn) If the answer to the above question is "No," or if the property is found to not be located in Little Haiti or Liberty City, the funding request will be denied. Do you own the property? Yes ►ZNo If no, please provide the owner's contact below: Property Owner: Property Owner email: Property Owner Phone Number: Note: Owner will be required to provide a written approval authorizing any repairs to the property. Is the organization registered and an active State of Florida Corporation as a Not -for -profit organization? Yes No Updated 12/20/23 City of Miami Recertification Programs Is the organization also regi Bred as a tax-exempt organization ({501(c)(3)}? Yes 1,7 No Is the property 50 years or older? Yes / No If Yes, provide the folio number. If No, the repairs will not be considered for funding. tea. Folio Number: 61 -3/ -1i j, Miami Dade Property Appraiser site: ttps://www.miamidade.gov/Apps/PA/PropertySearch/tt/ 1. Are you applying to complete a Recertification Report? Yes V No a) Have you selected a State of Florida Registered engineer or architect to.c9mplete the .7f II L f305 bib) If Yes, please indicate the fee for completing the report $ I tip• D Q�j}" ", 9), me A _- c) Please attach a copy of the quote, assessment, or invoice. 2. Have you completed a Recertification inspection for this property? Yes 1/No if Yes, please attach a copy to this application. 3. Which repairs/renovations are you seeking to fund? Please indicate the repairs and amount below (if known). report? Yes V No Plumbing $ HVAC $ ll Electrical $ Roofing $ Oh . t)2 Structural $ Other. $ Note: Repair/rehabilitation expenses of over $50,000 will not be considered for funding. Repairs/rehabilitation projects in 'progress (permit applied for, construction initiated, etc.) will also not be considered. 1. Is there an open lien or current code violation on the property? Yes • Please attach a copy of the violation letter to this application. • If yes, is the violation related to, or as a result of the Recertification inspection? Yes No No v Updated 12/20/23 City of Miami Recertification Program 2. Has the organization obtained a licensed and insured contractor for the repairs? Yes V No 3. Has a quote, assessment, or invoice been obtained for the repairs? Yes r7.No a. If a quote, assessment, or invoice has been obtained, please attach a copy of this to the application. Office addresses where applications are accepted: MLK District Office: 6140 NW 7t' Ave., Miami, FI 33127 Little Haiti District Office: 6301 NE 2nd Ave., Miami, FI 33138 Please hand deliver this application to the District 5 MLK or Little Haiti District Office. Applications will be reviewed between 9 a.m. and 5 p.m. on a first come, first completed basis. Updated 12/20/23 Tit xrf uxxni BUILDING DEPARTMENT May 28, 2021 ZION HOPE MISSIONARY BAPTIST CHURCH 5129 NW 17 AVE MIAMI, FL 33142-3813 Re: Completed Certification of Buildings 40150 Years and older Address: 512? NW 17 AV Bldg#: 1 Folio#: 01-3123-014-0730 Dear Owner: This is to inform you that we have received and reviewed the electrical and structural certification reports for the above property, along with the required fee. --The process is now complete and the building is granted re -certification. Please be aware that from this point on the building will need be recertified every ten years. The ten year period begins at the 40 year anniversary of the building certificate of occupancy and NOT the date of recertification. Should you have any questions or need further information, please call (305) 416-1115 or e-mail rbermudez ciai.miamigov.com. Sincerely, Maurice L. Pons Building Official Zion Hope Missionary Baptist Church of Miami Inc Roof Replacement Installation: Total Cost $53,690.00 Zion Hope Missionary Baptist Church of Miami, Inc. 5129 NW 176 Ave, Miami, FL 33142 Work Authorization NAME OF JOB: Church Roof Replacement COMPANY: Paul Bange Roofing, Inc. 7000 SW 21 PI Davie, FL 33317 (Attach PAYMENT OPTION 1 PAYMENT IN FULL $ Payment due at shingle Toad Final payment at completion Contact: Galen Reid Phone: 9S4-405-51.51 Start Date 02/27/2023 Total Cost of Roof Job: $35,790.00 Quote/Bid and Contract) t`rSS ;tom. 0 PAYMENT OPTION 2** 60% 1' INSTALLMENT $ 21, 474.00 Paid 2/27/23 30% 2"° INSTALLMENT $ 10, 737.00 Phase 2 10% 3RD INSTALLMENT $ 3, 579.00 Phase 3 **Payments are made after completion of each phase of the job. Make Checks Payable to: Paul Bange Roofing Inc. 1) COMMITTEE APPROVAL: (by all members, initial and delivers all related documents to Trustees) DATE: N/A 2) TRUSTEES (Reviews documents, secures check for signature/s, initial and delivers all to Finance Department) DATE: N/A 3) FINANCE DEPARTMENT (Reviews all documents, writes, and signs appropriate check/s, based on payment option, and delivers all to Church Secretary) DATE: 4) CHURCH SECRETARY (processes all paperwork, create master file, delivers contract, and work authorization to Designated Overseer, present checks, as needed, to company for payment as work is completed) Work Authorization: Deposit 1rt Installment 2"d Installment 3'd Installment Approval Date Paid Amount Paid Balance Due Designated Overseer: (signature) Check # (Dep) Check # Check # Check# ZHMBC Authorization Form # 01 Paut wtge Resibui Paul Bange Roofing, Inc. 7000 SW 21st PI Davie, FL 33317 US tanya©paulbangeroof ng. com Invoice 236276 BILL TO Reverend Willard Mitchell 5129 NW 17th Ave Miami, FL 33142 United States SALES REP Galen Reid DATE 02124/2023 P LEASE PAY $21,474.00 DUE DATE 02/24/2023 ACTIVITY QTY reroof 0.60 60% a Start RATE 35,790.00 AMOUNT 21,474.00 TOTAL DUE $21,474.00 THANK YOU. 1194 63-643/670 BRANCH 00868 ACI JOV;A Waco ovia Bank, N.A. wnchovla,cm Pauli Baitqe Reebixg Paul Bange Roofing, Inc. 7000 SW 21 st PI Davie, FL 33317 US tanya©paulbangeroofing.com Invoice 236377 BILL TO Zion Hope Missionary Baptist Church of Miami, Inc. 5129 NW 17th Ave Miami, FL 33142 United States DATE 03/03/2023 DUE DATE 03/03/2023 ACTiVflY CITY RATE AMOUNT reroof 0.30 35,790.00 30% Due at shingle load 10,737.00 TOTAL DUE $10, 737.00 THANK YOU. ZION HOPE MISSIONARY BAPTIST CHURCH 5129 NORTHWEST 17TH AVE MIAMI, FL 33142 P to t/e Pt 7147. '47 W4O}OVVI dAix,\4 ti„ Wachovla Bank, NA wadwvk.can +w y1.Mietkasrr. 1197 6E 91170 ~CH COON Date ' t '2° FOR 39) 'ipz C 0100>f 19 ?11' I $ /c?7d7c Dams It rat fRSUNII Al ']gNp9 ilIt:; VR'; i l MW1+.11IIe 't" 14.1 iRA1t7i�a]!C^ui; Wf ^: ±4Cs3tifd Paul Bange Roofing, Inc. 7000 SW 21 st PI Davie, FL 33317 US tanya@paulbangeroofing.com Invoice 236801 BILL TO Zion Hope Missionary Baptist Church of Miami, Inc. 5129 NW 17th Ave Miami, FL 33142 United States SALES REP Galen Reid DATE 04/07/2023 PLEASE PAY DUE DATE 04/07/2023 ACTIVITY reroof final 10% QTY 0.10 RATE 35,790.00 AMOUNT 3,579.00 TOTAL DUE $3, 579.00 THANK YOU. Dated ZION HOPE MISSIONARY BAPTIST CHURCH 1200 5129 NORTHWEST 17TH AVE MIAMI, Ft 33142 Pars to the Order 834843/670 BRANCN 00885 'ice jl AreurOy (/filffNS�. JL/ v.vHrn Orurr w Zion Hope Missionary Baptist Church of Miami, Inc. 5129 NW 171h Ave, Miami, FL 33142 Work Authorization NAME OF JOB: Church Roof Replacement COMPANY: Contact: Galen Reid Paul Bange Roofing, Inc. Phone: 954-405-5151 7000 SW 21 PL Start Date 02/27/2023 Davie, FL 33317 Total Cost of Wood for Roofing Job: $12,100.00 ( SEE Attached INVOICE and SUMMARY OF COSTS) This invoice is a separate charge from the total cost of the roof. This invoice is for the cost of the additional wood needed to replace the damaged wood found during the removal of the original roof. Make check payable to: Paul Bange Roofing, Inc. See attached detailed breakdown of wood type, quantity, and cost along with negotiated credits and discount. Work Authorization: Deposit 1* Installment 2nd Installment 304 Installment Approval Date Paid Amount Paid Balance Due Designated Overseer: (signature) ZHMBC Authorization Form # 01 DAVIE: 954-792-ROOF (7663) 1)aufT3eittge N. BROW: 954-566-ROOF (7663) S. BROW: 954-981-ROOF (7663) RegiiitgCare DADE: 305-981-ROOF (7663) FAX 954-964-ROOF (7663) 9IJ.. 1-877-981-ROOF (7663) I- 11-405111 T STATE CERT. CC C033691 LICENSED AND INSURED 7000 S.W. 21 ST PLACE DAVIE, FLORIDA 33317 Member of Better Business Bureau a Club °•. mot. ' PROPOSAL SUBMITTED TO DATE 6-26-2022 PHONE 305-613-8170 NAME Rev. Willard Edward Mitchell JOB NAME Zion Hope Missionary Baptist Church STREET 5129 NW 17th Ave CITY Miami STATE FL ZJP 33142 EMAi` Earniehill@comcast.net We hereby submit specifications and estimates for PREP WORK ® Remove existing roof to clean workable surface and dispose of debris. i1.3 Replace damaged sheathing at $ 5.00 per ..41 SHINGLE ® Install # 301b. Premium base sheet. CD Install t,J hi-4 Painted 3"x 3" in eave drip metal. Additional Cost. (PEywoad replaced by square ft} �� initial ®Fascia replaced at $ 10.00 per foot. V initial ED Install 3 Tab Fiberglass fun us resista t shingles. I r ® Mfg. Owens Coming Cofer 71 Replace necessary fleshings at $ 20.0 U. per foot. t p` C '�` X.� olywood at no cost. Stucco/Painting work not included. ' ' initial MInstall new lead flashing to all plumbing vent stacks. Lr'S.I Install new 26 gauge 16" galvanized metal to all valleys and tie-ins. D Exposed Not Exposed J Type of roof to be removed ( Shingle ) 23 Repair / Other Paul Bange Roofing will install 7 sheets of Price Includes: Permit, Taxes, Dump fees, Six 10" J-Vents to ventilate attic, Rodent Screens on stack, Paint stacks and vents to match. Option to add additional water barrier over entire slope roof: $5,870 Contract is contingent upon AC line being removed from roof deck prior to start date. ® Roof to wall enhancement `Please initial Yes N� $ 12.875 If Necessarv(Additionaf) we hereby pose to finish labor and mate i pieta in accordance with the above specification for the sum of Thirty Five Thousand Sven Hundred Ninety dollars ($ 35.790 ) No Deposit: 60% at start. wood bill upon receipt. 30% at shingle load, 10% Day of completion. Ygrene - All Ygrene pa erwork will be signed at shingle load in order to expedite payment and final inspection. 0 Check if Ygrene Method of Payment: Cash, Check, Bank Transfer. WARRANTY TO ORIGINAL_ OWNER: Paul Bange Roofing inc. warrants workmanship for the period of 5 years is conditional upon payment in full. CUSTOMER IS URGED TO COVER FURN AND OTH E PROTECT THEIR PROPERTY. GUTTERS WiLL BE DISCARDED DURING REROOF. THIS CONTRACT IS SUBJECT TO OFFICE APPR V - Authorized Signature Roofing Specialist Galen Reid (954) 405-5151 i4�Ci SCE ROPOSAL ACCEPTED Signature V • r gJ Prins .O' if / i &I 1,t0 VCViltjeildi).- Date D ,/i5/,,Z,/" Proposal becomes contract upon acceptance and signature Terms of payment, warranties and limitations Warranty is only as stated above as agreed. Company liable for its own work only and not termites, wood destroying organisms, rot, mold, fire, tornadoes, hurricanes, named storms, acts of God and causes beyond company's control, damage to building, settlement, warping, distortion, stucco, electrical, NC, paint and existing structure and conditions, interior, fixtures, finishes, decorations and stored items due to leaks or otherwise. No warranty until the company is paid in full. Installation of tilefshingle contingent on HOA approval if required. Initial Here_ ��,7L Pwtf &utg Roq PRE -START UP CHECKLIST Homeowner (Main Contact): r Date: Phone #'s: Home: Work: Cell 1. WouId you like to be notified prior to installation? YES C1 NO 0 If so, have they approved your tile or shingle selection? YES —NO❑ 2. Are you a resident of a Homeowner's Association? YES 0 NO ❑". 3. Where can you be reached during the day? Phone No. Cell - .` Home 4. Are there any days or times you request work not to be done? YES CI NO ❑ Day (s) Time (s) 5. Customer has been advised that if new decking or structural repairs are required, work will be done at an additional cost with payment due at time of wood installation. YES cr NO 0 6. Have you -been advised to cover your attic space and/or valuables that may become dirty or dusty? YES ❑` NO ❑ (This is the homeowner's responsibility) 7. Have you been advised to move valuables on shelves and walls that may fall due to vibration from hammering? YES ❑• NO ❑ (This is the homeowner's responsibility) 8. Do you have pets or small children that need special attention prior to the work starting? YES ❑NO0 9. Have you been advised that the weight of trucks may cause damage to driveways, sidewalks and paths? YES ❑ NO ❑ 10. You have been notified that, in rare cases, normal vibration from roof replacement or repair may cause damage, cracks in the ceiling and/or soffit failure. Additionally, during skylight replacement, damage to interior finishing may occur. Tarping by owner to interior is recommended. These above items are beyond the contractor's control and Paul Bange Roofing Inc. will not be held responsible for these issues. YES ❑ NO 0 11. Is there an outdoor electric outlet that we can use? YES❑ NO ❑ If yes, where? 12. Are there areas where nails may protrude through the underside of exposed decking such as a sunroom; porch, or soffit areas? YES ❑ NO ❑ ,;If yes, where? 13. Are there any leaks in the roof? YES ❑ NO 0 If yes, what rooms? ;. z What rooms do not have leaks or stains? 14. What is the shingle or tile: manufacturer, color, and style you have chosen? Manufacturer: Style: Color: 15. Have you been advised by your Roofing Specialist that it, is the homeowner's responsibility to remove gutters, satellite dishes, and screen enclosures? YES 0 NO 0 If special arrangements were made, what are they? Gutters will be discarded at time of reroof. If gutters are to be saved, it is the homeowner's responsibility to hire a gutter company and remove them. 16. If tear off of existing roofing is necessary, the dump truck should be placed where? 17. Has your Roofing Specialist told you that your permit package MUST be left out and your ladder MUST be upright and secured for all inspections? YES ❑' NO 0 Please leave permit out and ladder up! 18. Was anything promised by your Roofing Specialist that is NOT written on the proposal? YES ❑ NO 0 If so, this is NOT part of the proposal or contract. Explain: J /'v i:"L •_ . . .f . •11 t 1 0. NO 0 Day (s) Time (s) 5. Customer has been advised that if new decking or structural repairs are required, work will be done at an additional cost with payment due at time of wood installation. YES 0 NO 0 6. Have yo rbeen advised to cover your attic space andlor valuables that may become dirty or dusty? YES Da NO 0 (This is the homeowner's responsibility) 7. Have youvbeen advised to move valuables on shelves and walls that may fall due to vibration from hammering? YES 0 NO 0 (This is the homeowner's responsibility) 8. Do you have pets or small children that need special attention prior to the work starting? YES ❑ NO 0 9. Have you been advised that the weight of trucks may cause damage to driveways, sidewalks and paths? YES C7 NO ❑ 10. You have been notified that, in rare cases, normal vibration from roof replacement or repair may cause damage, cracks in the ceiling andlor soffit failure. Additionally, during skylight replacement, damage to interior finishing may occur. Tarping by owner to interior is recommended. These above items are beyond the contractor's control and Paul Bange Roofing Inc. will not be held responsible for these issues. YES G( NO 0 11. Is there an outdoor electric outlet that we can use? YES'D NO 0 If yes, where? L. Are there areas where nails may protrude through the underside of exposed decking such as a sunroom, porch, or soffit areas? YES 0 NO D1f yes, where? 13. Are there any leaks in the roof? YES a NO ❑ If yes, what rooms? What rooms do not have leaks or stains? 14. What is the shingle or tileananufacturer, color, and style you have chosen? Manufacturer: '-'• Style: Color: 15. Have you been advised by your Roofing Specialist that ills the homeowner's responsibility to remove gutters, satellite dishes, and screen enclosures? YES 0 NO 0 If special arrangements were made, what are they? Gutters will be discarded at time of reroof. If gutters are to be saved, it is the homeowner's responsibility to hire a gutter company and remove them. 16. If tear off of existing roofing isnecessary, the dump truck should be placed where? 17. Has your Roofing Specialist told you that your permit package MUST be left out and your ladder MUST be upright and secured for all inspections? YES E Y NO ❑ Please leave permit out and ladder up! 18. Was anything promised by your Roofing Specialist that is NOT written on the proposal? YES ❑ NO 0 If so, this is NOT part of the proposal or contract. Explain: 19. Do you have any special requests or instructions that will help us to better serve you? 20. Tapered insulation is installed in an effort to minimize ponding water which can not be guaranteed. 21. Are you aware that painting, stucco, A/C and electrical is not included in the contract? Yes 0 No ❑ 22. Before I leave, are there any friends or family that would be interested in our services? Homeowner's Signature : Date: / Roofing Specialist: Phone Number: s` ' White Copy - Client Yellow Copy - Office 7000 S.W. 21ST PLACE DAVIE, FLORIDA 33317 954-981-ROOF (7663) FAX 954-964-ROOF (7663) Pau Sauge 9�. 6�9 P.Rs ).`,u L' 1)11: 12( 1;R STATE CERTIFICATE CC CO33691 LICENSED AND INSURED Job -Site Information Sheet Driveway Release Property owner authorizes Paul Bange Roofing, through its employees or agents, access to the property. This includes delivery vehicles, dump trucks and supply trucks. The weight of these vehicles can be in excess of 8 tons. This weight is typically within the load capabilities of driveways, sidewalks and concrete paths. However, on occasion a driveway, sidewalk or path may not have been installed in a manner to accept these weights. The property owner hereby releases Paul Bange Roofing, Inc. from all responsibility with regards to damage that may occur as a result of trucks driving over driveways, sidewalks and paths. Flat Tile Sfructures,in south Florida have a tendency to settle unevenly over a period of years. This settling can cause deflections in the roof surface that may not be visible prior to the installation of a new roof. The installation of a new flat tile roof tends to exaggerate the appearance of those roof deflections. The property owner acknowledges having been made aware of this and agrees to hold Paul Bange Roofing, Inc. harmless in regard to this issue. r Color-Thru Tile Color-thru the is a type of tile that has no protective slurry coat. As such, this tile often develops scuffing during the loading and installation process. This occurs as the stacked tiles rub against each other. From ground level, this cosmetic issue is typically minimal. However, numerous factors affect how visible your roof is from the ground. For property owners with overlooking elevations, this cosmetic issue will be more significant from the ground. Over a period of years, the appearance of scuffing will diminish. The property owner acknowledges having been made aware of this potential cosmetic issue and agrees to hold Paul Bange, Inc. harmless with regard to same. AJC, Electric and Plumbing Lines The Florida Building Code requires that air conditioning, electric conduit and plumbing lines are either well above or below roof sheathing in order to prevent puncture from roofing nails and other leaks. On rare occasions this clearance requirement is not met when that equipment was installed. We cannot verify clearance below the sheathing during roof installation and cannot guarantee your AJC, electric and plumbing lines were installed correctly. The property owner agrees to hold Paul Bange Roofing, Inc. harmless with regard to these issues. Color Variation/Efflorescence Concrete roof tiles are manufactured from raw materials and although every effort is made to achieve a consistent color and finish, this is not always possible. Some color/fuush variation and primary efflorescence of concrete roof tiles is common. Over time, natural weathering occurs due to the elements and the appearance of the tiles becomes more consistent. However, these cosmetic issues do not affect the quality or performance of the tile or your roofing system The property owner acknowledges having been made aware of these potential cosmetic issues. Stucco/Paint/Gutters/Screens Because your existing roof and stucco systems are attached, removing your roof may cause damage to stucco and paint. In that event, the owner is responsible for prompt repair so as not to impact or delay roofing work schedule. Gutters and screens are not in contract and are owner's responsibity to remove before work begins. If not removed they will be discarded at start of job. HOA Approval Most Home Owners Associations require their advance approval of tile/shingle selection. This is your responsibilty. We can only install what they approve, which if different from your original selection, is binding on you. Date Customer Signature- Property owner agrees to release and hold Paul Bange Roofing, Inc. harmless with regard to the above. Paut Thutgs Re81011i Paul Bow Roofing, Inc. 7000 SW 21 st PI Davie, FL 33317 US tanya@paulbangeroofing.com Invoice 236320 BILL TO Zion Hope Missionary Baptist Church of Miami, Inc. 5129 NW 17th Ave Miami, FL 33142 United States SALES REP Galen Reid ACTIVITY CITY RATE AMOUNT 1x8 T&G 1x6 Tongue and Groove decking 2x4 2x4 pine 2x6 2x6 Pine 5/8 Plywood 518 Plywood 5x7 L Flashing 5"x7" 90 degree galvanized metal Less Free Wood Less Free Wood Less Discount Less Discount 944 96 40 768 290 224 1 • 5.00 4,720.00 5.00 480.00 5.00 200.00 5.00 3,840.00 20.00 5,800.00 -5.00-1,120.00 -1,820.00 -1,820.00 TOTAL DUE $12,100.00 THANK YOU. ...t.WIlerr.415IAIFICA,"Atii,41-71:794,A6,41241;c:''.4.391.1,4:1144411. f*g,-9,Migt;42.1Z10111.511,11111111111119.0501,4;04'*.' ZION HOPE MISSIONARY BAPTIST CHURCH 5129 NORTHWEST 17TH AVE MIAMI, FL 33142 41e --11/2a--• • WACELOVIA. Wachovia Bank, N.A. wactovicoorn 1198 Date e)/ 6/80073 $ /Vdd ,06 ele.9 eor) 0 n 000 Ltifie 47444 trkai • &I-643/87C eRmGH 00883 1 Zion Hope Missionary Baptist Church et Miami, Inc 5129 NW 17b Ave, Miami, FL 33142 Work Authorization NAME OF 106: _Stucco/Painting Roof Pre -Inspection COMPANY: Pines Total Construction 11801 NW 23 Street Pembroke Pines, FL 33026 Contact: Mike Wallace Phone: _ 954-445-6302_ Start Date Total Cost of Job: $6,000.00 (Attach Quote/Old and Contract) PAYMENT OPTION 1 PAYMENT OPTION 2** PAYMENT IN FULL $ 15r INSTALLMENT $ Phase I 2N° INSTALLMENT $ Phase 2 3RD INSTALLMENT $ Phase 3 **Payments are made after completion of each phase of the job. Make Check/s Payable to: Pines Total Construction Work Authorization : Deposit 1st Installment 2nd Installment 3rd Installment Approval Date Paid Amount Paid Balance Due Designated Overseer: (signature) Check # (Dep) Check # Check # Check# ZHMBC Authorization Form # 01 4rIr1zZ, ti:lti PM XSnity Connect Stucco work Printout Pines Total Construction 11801 nw 23 street, Lic CGC1512518 Pembroke Pines, Fi. 33026 Phone: (954) 445-6302 Email: pinestotal@gmail.com Description Bill To Zion Hope Missionary. Baptist Church 5129 N.W. 17Ave. Miami , Florida Payment terms Due upon receipt Invoice # 17683 Date 03/16/2023 Total Stucco repair 1. Installation of new stucco at new roof flashing. 2. Re stucco entire parapet wail. 3. Prime and paint ali new stucco areas. $6,000.00 Subtotal $6,000.00 Total E=tt.t_• �,A99:80' httpsJ/connectxfinity rim/appsuite/v=7.10.8-18.20221206.060328/printhtml7print 1679004979623 3/4 Zion Hope Missionary Baptist Church of Miami, Inc. 5129 NW 1r Ave, Miami, FL 33142 I Work Authorization NAME OF JOB: _Stucco/Painting Roof Pre -Inspection COMPANY: Contact: Mike Wallace Pines Total Construction Phone: _ 954-445-6302_ 11801 NW 23 Street Start Date Pembroke Pines, FL 33026 Total Cost of Job: $6,000.00 (Attach Quote/Bid and Contract) PAYMENT OPTION 1 PAYMENT OPTION 2** PAYMENT IN FULL $ 1ST INSTALLMENT $ Phase I 2ND INSTALLMENT $ Phase 2 3RD INSTALLMENT $ Phase 3 **Payments are made after completion of each phase of the job. Make Checks Payable to: Pines Total Construction Work Authorization : Deposit 1# Installment 2'd installment 3rd Installment Approval Date Paid Amount Paid Balance Due Designated Overseer: (signature) Check # (Dep) Check # Check # Check# ZHMBC Authorization Form # 01 '316123, 6:16 PM Xfinity Connect Stucco work Printout Pines Total Construction 11801 nw 23 street, Lic CGC1512518 Pembroke Pines, FI. 33026 Phone: (954) 445-6302 Email: pinestotal@gmail.com Description Bill To Zion Hope Missionary. Baptist Church 5129 N.W. 17 Ave. Miami , Florida Payment terms Invoice # Date Due upon receipt 17683 03/16/2023 Total Stucco repair 1. Installation of new stucco at new roof Flashing. 2. Re stucco entire parapet wall. 3. Prime and paint all new stucco areas. $6,000.00 Subtotal $6,000.00 Total Pau,_ 1. of 45, d eiorDG httpsi/connect.xfinity.com/appsuite/v=7.10.5-18.20221206.060328/print.html?print 1679004979623 3/4 Note: This 501C3 Determination Letter for Zion Hope Missionary Baptist Church of Miami Inc., wasmailed to the Church Secretary's residence at the suggestion of the IRS representative, since the church was experiencing several break-ins and vandalisms at the time. COMPOSITE EXHIBIT C - REQUEST FOR PAYMENT FORM 23 COMPOSITE EXHIBIT "C" REQUEST FOR PAYMENT FORM 1. Request for Payments should be submitted to the CITY in a form provided by the CITY and included in this Exhibit as Payment Authorization Form. 2. 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 may forfeit all rights to payment and the CITY shall not honor any request submitted thereafter. 3. 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. 4. Disbursement Procedures A. Prior to any disbursement of funds by the CITY, the RECIPIENT will need to provide for the selected contractor, architect or engineer the following: (1) a valid and executed W-9 form, (2) a completed CITY of Miami Supplier Direct Deposit, and (3) ACH Authorization Form, as applicable, and (4) Register the selected contractor, architect, or engineer as a Vendor with the City. i. Link for Vendor Registration: https://www.miami.govBusiness-Licenses/Doing-Business-with-the-City/Register- as-a-City-Supplier-Vendor B. The RECIPIENT shall provide the CITY with a CITY of Miami Request for Payment Form attached and incorporated as Composite Exhibit "C" prior to any disbursement of funds by the CITY. C. Upon request of the final payment, the RECIPIENT shall provide the CITY a Closed Permit and Release of Lien, for the activities described in the Scope of Work as Exhibit "B." Once the final request for payment is received, the CITY will release the Retainage. D. Provided the CITY is obligated to disburse Program Funds pursuant to the Program Guidelines, the CITY will disburse such funds in accordance with the procedures stipulated below. 24 COMPOSITE EXHIBIT "C" REQUEST FOR PAYMENT FORM E. The RECIPIENT will submit or cause to be submitted the following documentation to the CITY for payment request: The Payment Authorization Form setting forth such details concerning construction of the PROJECT as the CITY shall require, including: the amount to be paid to the contractor(s) constructing the PROJECT (the "Contractor") and pursuant to the contract for the construction of the PROJECT between the RECIPIENT and the Contractor (the "Construction Contract"); the amounts, if any, paid directly to subcontractors of the Contractor and materialmen; the amount then currently payable to the Contractor, broken down by trades; the amounts paid on account of the Contractor's construction fee; and the balance of the construction costs which will remain unpaid after the payment of the amount currently payable: ii. RECIPIENT may request 15% of the PROJECT cost as deposit payable to the Contractor to commence the PROJECT. The second payment request must be submitted for work completed and include the amounts of labor, material or other items charged to the deposit paid by the CITY for the PROJECT. Subsequent requests for payment shall be for actual expenses incurred for the PROJECT. OR iii. The Payment Authorization Form setting forth such details concerning the completion of PROJECT reports as the CITY shall require, including: the amount to be paid to the architect or engineer of the PROJECT ("A/E") and pursuant to the contract for the completion of the reports of the PROJECT between the RECIPIENT and the A/E (the "A/E Contract"); the amount then currently payable to the A/E, and the balance of the costs which will remain unpaid after the payment of the amount currently payable. iv. RECIPIENT may request 50% of the cost to complete the Recertification Report as deposit payable to the architect or engineer to commence the reports for the PROJECT. The balance of the cost to 25 COMPOSITE EXHIBIT "C" REQUEST FOR PAYMENT FORM complete the report will be paid upon RECIPEINT'S delivery of the report to the CITY and acceptance of report by the CITY. F. Each request for payment must be signed by the RECIPIENT, the Engineer/Architect for the PROJECT, and/or the Contractor, as applicable. i. Applications for receiving Program Funds for payment will include the CITY's Payment Authorization Form, detailed invoice(s), and other such documents as the CITY may require. Lien waivers, as applicable, and such other matters as the CITY may require shall be submitted to the CITY for review and approval prior to disbursement. ii. For the Scope of Work identified in Exhibit B, Recipient and Contractor shall provide a fully executed contract and/or proposal to the City and shall be incorporated herein by reference. iii. For the purpose of drafting and submitting a recertification report, the City shall submit a payment to the Engineer/Architect of up to fifty percent (50%) of the invoice amount. iv. Upon submission and acceptance of the Report, the City shall submit the remainder of the invoice amount. G. Each request for payment for hard costs (construction) shall constitute a representation and certification by the RECIPIENT and the Contractor to the CITY that: i. The materials have been physically incorporated into the Project, free of liens and security interests, and that the construction of the Project to date has been performed substantially in accordance with the drawings and specifications and in a first=class workmanlike manner; ii. All governmental licenses and permits required by the PROJECT as then completed have been obtained and are available for inspection by the CITY; iii. The PROJECT as then completed does not violate any law, ordinance, rule, regulation, or order or decree of any court or governmental authority; iv. No Event of Default has occurred and is continuing and there is no continuing default under the Construction Contract; v. The RECIPIENT, the Contractor and each subcontractor has complied 26 COMPOSITE EXHIBIT "C" REQUEST FOR PAYMENT FORM with all Federal, state and local laws and regulations; and vi. Such other information and documents as the CITY may reasonably require. H. All construction change orders for hard costs must receive the prior written approval of the CITY. Change orders that have not received the prior written approval of the CITY shall not be approved for payment by the CITY. I. Upon receipt of the Payment Authorization Form, delivered pursuant to the terms of this Agreement hereof and in accordance with the Program Agreement and Guidelines, the CITY shall issue a payment to the contractor on behalf of the RECIPIENT for the sum requested by the RECIPEENT or such lower sum as the CITY deems appropriate. J. The CITY shall retain ten percent (10%) of each Request for Payment, as retainage, until it has received confirmation of completion of the PROJECT as evidenced by all permits being finalized and receipt of final releases of liens. The City of Miami Building Department shall also verify that recertification has been completed in accordance to City code. If Recipient used program funds to obtain a Recertification Report a copy of the final report must be provided to the City. K. The CITY reserves the right to refuse to fund any payment request(s) in the event that the CITY determines that the PROJECT and/or the RECIPIENT are not in compliance with any local, state or federal law or requirement. 27 PARTICIPANT NAME: PROJECT: CITY OF MIAMI RECERTIFICATION PROGRAM PAYMENT AUTHORIZATION FORM The City of Miami is hereby authorized to make direct payment(s) to , the contractor whom I have selected to perform , for the above reference project, upon receipt of a reimbursement request submitted by the program participant. Such reimbursement request will include the authorized signature of the person to submit reimbursement request for the agency. It is our understanding that the City of Miami will not issue payment unless work has been certified to be completed as per the invoice submitted by the contractor and applicable release of lien and permits have been received. The subrecipient agency is aware that this authorization to pay the contractor directly constitutes a release on our part for any liability on the part of the City of Miami for funds released pursuant to the receipt of a properly executed invoice. Name of Person Signing Release Title Signature Date STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this by of , a Florida not -for -profit corporation, on behalf of the corporation. He/she is personally known to me or has produced as identification. Print Notary Public's Name Signature 28 INSTRUCTIONS This authorization form for Direct Deposit/ACH Deposit must be completed and signed by an authorized representative of the Supplier requesting deposit. You must attach a copy or original (marked void) of your bank check. If you are unable to provide a void or canceled check, a statement from your bank (on bank letterhead) listing your account information may be substituted. To indicate the action requested, and account type, place a check mark or an "X" to the left of the appropriate choice. After the form is completed, signed and the appropriate documents attached, it should be returned to the Finance Department of the City of Miami, 444 SW 2nd Ave, 6th Floor, Miami, FL, 33130 or faxed to 305-416-1987 or e- mailed to payables@miamigov.com. AUTHORIZATION I hereby authorize and request the City of Miami to initiate credit entries, and if necessary, debit entries and adjustments for any credit entries in error, to my account at the financial institution named. This authorization is to remain in effect until withdrawn by me in writing with sufficient notice to the City to allow adequate time to effect termination. 30 W-9 FORM 31 Form �9 (Rev. November2017) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification ► 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. 1 Name (as shown on your income tax retum). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name, if different from above 3 Check following II appropriate box for federal tax classification of the seven boxes. Individual/sole proprietor or ❑ C Corporation single -member LLC person whose name is entered on line 1. Check only one of the S Corporation ❑ Partnership ❑ Trust/estate 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) El Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) I. - Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that Exemption from FATCA reporting code (it any) is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) ► (Applies to accounts maintained outside the U.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) Part1 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 qet a Social security number — — 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. or Employer identification number 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. 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 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 II, later. Sign Here Signature of U.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-MISC (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. 11-2017) EXHIBIT D - CLOSE-OUT REPORT 33 City of Miami Recertification Grant Program Close -Out Report Date: J3, 2,z_,/ Allocation Amount: d 0 Q r Recipient's Name: 214,A; A4, s sa e,,lQ,r f a ca fi, s1- L' 41,r4 o; Recipient's Address: 5 / q h/ W /17 Are W1lwv)J 1 1-1., MrdkiRi, J ? . Please provide the information in reference to all the services provided with the City of Miami Recertification Grant Initiative: Start Date and End Date of work $$ark-2-a7-a3 EA/el- di--l1-2 3 - *ira�1 pa e1111' Name of Contractor, Engineer, Architect completing the work Pap! & z ee deoO f i J --1 �i Rre S � o ' � 1 �'°'nS Y vc.�to A! Sjct.ie_aer&•Ce C©33be1 • Contractor, Engineer, Architect License No. Repairs/Renovations completed. t% 5 Location where repairs/renovations were completed. 5 o. cif A) Lk./ t ri th tide, Aill'avyti / L Jo' l t'a✓ Are the invoices /payments to the Contractor attached to this form? Ye 5 Is proof of construction project completion attached (e.g., Releases of Lien, Closed Permits, Certificate of Use, Certificate of Occupancy)? 6 S E certify that the Program/Service was provided in accordance to the City of Miami Recertification Grant Program Guidelines 6tAaf.L ks—t,(4-v,f Signature C zriL, 14)00,da r-0 Type Name 34 troi7e— � 242 4 REPq t ed P" Date Title: Return to: City of Miami Office of Grants Administration 444 SW 2nd Ave., 5th Floor Miami, FL 33130 EXHIBIT E —APPLICANT'S CO < ;' ORATE RESOLUTION 35 Gag L1f tact BUILDING DEPARTMENT Inspection History Permit Number: BD22-016361-001 Job Address: 5129 NW 17 AV Division - Inspection Type Is Finalized Date Status Result Inspector Inspectioae Remark BUILDING ROOFING TIN CAP YES Mar/02/2023 Completed OK Name: Daniel del Sot Mobile Ph: 7864577366 Office Ph: SHEATHING AFF O.F. BUILDING ROOFING - IN PROGRESS TILE/SHINGLE/METAL YES Mar/20/2023 Completed OK Name: Daniel del Sol Mobile Ph: 7864577366 Office Ph: Mar/17/2023 Canceled Name: Daniel del Sol Mobile Ph: 7864577366 Office Ph: SCHEDULE ERROR CONTRACTOR OFFICE BUILDING ROOFING FINAL BUILDING ROOFING YES Apr/05/2023 Completed OK Name: Daniel del Sol Mobile Ph: 7864577366 Office Ph: UNSAFE 2 STORY LADDER, NOT 3" ABOVE ROOF LINE AND CLIMBING ANGLE TOO STEEP Rev. Oct/09/2012 Generated on Apr/OS/2023 4:38 PM SUS3NESS NAM, ZION HOPE MISSIONARY BAPTIST DBA: ZION HOPE MISSIONARY BAPTIST BUSINESS ADDRESS: ! 5129 NW 17AV EXPIRES: 2024-09-30 ACCOUNT NUMBER: 16861 CERTIFICATE NUMBER: ! 029632 --- COMMENTS: ; 0 RESTRICTIONS: i" APPROVED USE(S): CU22 -Commercial - Miscellaneous C.; • PLEASE DISPLAY THIS CERTIFICATE IN A CONSPICUOUS LOCATION AT OCCUPANCY ADDRESS. • FAVOR DE IVIOSTRAR ESTE CERTIFICADO EN UN SITIO VISIBLE EN LA DIRECCION DEL COMERCIO. • TANPRI AFICHE StTIFIKA SA A NAN YON ROTE KONSIDEB NAN ADRES OICIPANS. ‘,A.rww.miamigov.com EXHIBIT E - APPLICANT'S CORPORATE RESOLUTION 35 Corporate Resolution 'Z06Nf ND/.ie MIS D'o' a try ®apl.iif WHEREAS,CA.43 0$ Miami, / i G . , a Florida Md nr_ Pr4f1{, 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 that CA a r 1/1%do.rd 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 thiq 3rL day of •-� U , 2OBBBB. CV I€S U)o o d AA c� PRESIDENT Print Name: ATTEST: CORPORATE SECRETARY Print Name: Eca r,/�e. � rj � i L_L (CORPORATE SEAL) EXHIBIT F — CERTIFICATE OF INSURANCE 36 EXHIBIT F - CERTIFICATE OF INSURANCE 37 CITY OF MIAMI RECERTIFICATION GRANT PROGRAM EXHIBIT F - INSURANCE REQUIREMENTS I. Commercial General Liability A. Limits of Liability Bodily Injury and Property Damage Liability Each Occurrence $1,000,000 General Aggregate Limit $ 2,000,000 Personal and Adv. Injury $ 1,000,000 Products/Completed Operations $ 1,000,000 B. Endorsements Required City of Miami listed as additional insured Non Owned Auto Endorsement Primary and Non Contributory Endorsement II. 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 accidentl $100,000 for bodily injury caused by disease, each employee $500,000 for bodily injury caused by disease, policy limit Letter or Exemption will be accepted in lieu of the certificate, if less than (4) employees. 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 /or certificates of insurance are subject to review and verification by Risk Management prior to insurance approval. 38 Zion Hope Missionary Baptist Church of Miami, Inc. June 14, 2024 Ms. Malissa T. Sutherland, MPA, PMP Administrative Assistant II Office of Grants Administration, Anti -Poverty Initiative City of Miami 444 SW 2nd Ave., 5th Floor Miami, FL 33130 Dear Ms. Sutherland, This letter serves to inform you that Zion Hope Missionary Baptist Church of Miami, Inc. is exempt from having Workman's Compensation since the church has less than four (4) people employed. Therefore, no automobiles nor any other vehicles are used for any purpose regarding this agreement. Thank you for your continued assistance and we look forward to hearing from you. Sincerely, C v3 AS - li Charles Woodard Church Registered Agent 5129 NW 17th Ave Miami, FL 33142 THE HARTFORD THE HARTFORD BUSINESS SERVICE CENTER 3600 WISEMAN BLVD SAN ANTONIO TX 78251 For Informational Purposes 5129 NW 17TH AVE MIAMI FL 33142-3813 Account Information: Policy Holder Details : Zion Hope Missionary Baptist Church of Miami, Inc. October 18, 2023 f .. Contact Us Need Help? Chat online or call us at (866) 467-8730. We're here Monday - Friday. Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concems. Sincerely, Your Hartford Service Team WLTR005 'zac Rom° CERTIFICATE OF LUA ILITW I SU DATE (MPB/DDIYYYY) THIS CERTIFICATE IS ISSUED AS A (MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED POLICIES BELOW. HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. Iv iO/LULs HOLDER. BY THE INSURER(S), IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NUTMEG INS AGENCY INC/PHS 76210775 The Hartford Business Service Center 3600 Wiseman Blvd San Antonio, TX 78251 CONTACT NAME PHONE (888) 925-3137 (AIC, No, Enq: FAX (A1C No): EMAIL ADDRESS_ INSURER(S) AFFORDING COVERAGE NAICP INSURED Zion Hope Missionary Baptist Church of Miami, Inc. 5129 NW 17TH AVE MIAMI FL 33142-3813 INSURER A: Hartford Underwriters Insurance Company 30104 INSURER B: IwsuRERc: INSURER D : INSURER E : INSURER F : • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED.NOTVVMTHSTANDING 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYY'Q POLICY EXP IMMaDlYYYY) LIMITS A COMMERCIAL GENERAL !CLAIMS -MADE General Liability X LIABILITY OCCUR 76 SBU AN6K3M 11/16/2023 11/16/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES fEa oaz)rrenca) $1,000,000 X MED EXP (Any one person) $10,000 PERSONAL a ADV INJURY $1,000,000 GEM. X AGGREGATE POLICY �- OTHER: UMrTAPPLIES PER: JECaT ri LOC GENERAL AGGREGATE $2.000,000 PRODUCTS - COMP/OP AGG $2,000,000 AUTOMOBILE — —I — LIADILI ANY AUTO AU_ OWNED AUTOS HIRED AUTOS Y SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea acddeM) BODILY INJURY (Per person) BODILY INJURY (Fee accident) i_ PROPERTY DAMAGE (Per accident) _ UMBRELLA LUAB EXCESS UAB _ OCCUR CLAMS' MADE EACH OCCURRENCE AGGREGATE FED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY YM PROPRIEfCR/PARTNER/EXECUTIVE r OCCLUDED?tl _. (Mandatory in NH) If yea, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH- STATUTE ER EL EACH ACCIDENT B.L. DISEASE -EA EMPLOYEE EL DISEASE- POLICY LIMIT DESCRIPTION OF OPERATIONS /LOCAAONS/VEHICLES (ACORD 101. Material Remarks Schedule, maybe attached If more space Is required) Those usual to the Insured's Operations_ For Informational Purposes 5129 NW 17TH AVE MIAMI FL 33142-3813 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE )MLL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Vk6dr,or ra.,it > &CORD 25 (2016103) 8-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD