HomeMy WebLinkAbout25611AGREEMENT INFORMATION
AGREEMENT NUMBER
25611
NAME/TYPE OF AGREEMENT
LIVING CITIES
DESCRIPTION
GRANT AGREEMENT/BREAKING BARRIERS TO BUSINESS
(B3) INITIATIVE/FILE ID: 16747/R-24-0427
EFFECTIVE DATE
ATTESTED BY
TODD B. HANNON
ATTESTED DATE
6/6/2025
DATE RECEIVED FROM ISSUING
DEPT.
6/9/2025
NOTE
DOCUSIGN AGREEMENT BY EMAIL
CITY OF MIAMI
DOCUMENT ROUTING FORM
ORIGINATING DEPARTMENT: Human Services
DEPT. CONTACT PERSON: Michael Roman ▪ EXT. 305-416-1618
NAME OF OTHER CONTRACTUAL PARTY/ENTITY: Living Cities
IS THIS AGREEMENT A RESULT OF A COMPETITIVE PROCUREMENT PROCESS?
TOTAL CONTRACT AMOUNT: $ 100,000 FUNDING INVOLVED? ❑■ YES
TYPE OF AGREEMENT:
❑ MANAGEMENT AGREEMENT
❑ PROFESSIONAL SERVICES AGREEMENT
• GRANT AGREEMENT
❑ EXPERT CONSULTANT AGREEMENT
❑ LICENSE AGREEMENT
OTHER: (PLEASE SPECIFY)
❑ YES
❑ NO
❑ PUBLIC WORKS AGREEMENT
❑ MAINTENANCE AGREEMENT
❑ INTER -LOCAL AGREEMENT
❑ LEASE AGREEMENT
❑ PURCHASE OR SALE AGREEMENT
■❑ NO
PURPOSE OF ITEM (BRIEF SUMMARY):
To support the Breaking Barriers to Business (B3) initiative, aiming to accelerate inclusive wealth building in City of Miami.
COMMISSION APPROVAL DATE: 10 / 08 / 24
FILE ID: 16747 ENACTMENT NO.: R-24-0427
IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN:
ROUTING INFORMATION
Date
PLEASE PRINT AND SIGN
APPROVAL BY DEPARTMENTAL DIRECTOR
PRINT: David Gilbert
SIGNATURE:
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SUBMITTED TO RISK MANAGEMENT
PRINT:David Ruiz
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SUBMITTED TO CITY ATTORNEY
PRINT: George Wysong
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SIGNATURE:
APPROVAL BY ASSISTANT CITY MANAGER
PRINT:Barbara "Barbie" Hernan
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APPROVAL BY DEPUTY CITY MANAGER
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RECEIVED BY CITY MANAGER
PRINT: ART NORIEGA
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SIGNATURE:
PRINT:
SIGNATURE:
PRINT:
SIGNATURE:
1) ONE ORIGINAL TO CITY CLERK,
2) ONE COPY TO CITY ATTORNEY'S OFFICE,
3) REMAINING ORIGINAL(S) TO ORIGINATING
DEPARTMENT
PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE
EXECUTION BY THE CITY MANAGER
44E...
Docusign Envelope ID: F697CB24-6E2F-4248-96DF-5ACFFOC729FD
riving
mw Cities
LIVING CITIES
470 Seventh Avenue
10th Floor
New York, NY 10018
805 15th Street, NW
Suite 500
Washington, DC 20005
Phone: 646 442 2200
Fax: 646 442 2239
MEMBERS
The Annie E. Casey Foundation
Citi Foundation
Deutsche Bank
Bill & Melinda Gates Foundation
The JPB Foundation
The Ewing Marion Kauffman
Foundation
W.K. Kellogg Foundation
The Kresge Foundation
M&T Charitable Foundation
John D. and Catherine T.
MacArthur Foundation
The McKnight Foundation
Melville Charitable Trust
MetLife, Inc.
Morgan Stanley
Prudential Financial, Inc.
Robert Wood Johnson
Foundation
Surdna Foundation
Truist Foundation
PRESIDENT & CEO
Joseph Scantlebury
May 30, 2025
Mr. Arthur Noriega
City Manager
City of Miami
Department of Human Services
444 SW 2nd Avenue, 10th Floor
Miami, FL 33130
Re: Grant No. 25-6045 G 1240
Dear Mr. Noriega:
I am pleased to inform you that Living Cities has awarded the City of Miami
Department of Human Services ("the Grantee") a grant of One Hundred
Thousand Dollars ($100,000.00) (the "Grant") to support the Breaking
Barriers to Business (B3) initiative, aiming to accelerate inclusive wealth -
building in Southeast U.S. cities. It supports our mission to close the wealth
gap through philanthropy, financial institutions, and local governments.
The terms of this grant agreement are outlined below. Your signature at the
end of this agreement indicates that you, as an authorized agent of your
organization, have read, understood and agreed to these terms.
Grant Agreement
(1) Use of Grant: The Grant is to be used only for the purposes outlined in
your initial application dated October 31, 2022. Specifically, the funds are
to be used to implement the goals and objectives, attached herein as
Schedule B.
(2) Grant Period: The grant period will begin on September 3, 2024, and end
on December 31, 2026. Any funds not used by the end of the grant period
toward the purposes of this grant will be returned to Living Cities within 45
days after the end of the grant period.
(3) Payment of Grant: The Grant will be paid out in one (1) installment upon
completion of a coordinated workplan as stated in Section (4.). Living
Cities' ability to pay out this grant is dependent on the timely receipt of
grant funding from institutional grantors. In the event that Living Cities has
not received sufficient or timely funding from these grantors, Living Cities
may elect to postpone, reduce or eliminate this award prior to
disbursement.
(4)Conditions to Disbursement of Grant: The Grant will be disbursed in its
entirety, One Hundred Thousand Dollars ($100,000.00) to the Grantee,
upon the fulfillment of the following conditions:
(a) Upon execution by Living Cities of a signed copy of this agreement,
including a completed Schedule C: Grantee Questionnaire; and
(b) The receipt and approval of a Work Plan due by January 31, 2025. By
signing this agreement, you also agree to the requirements of
participation set forth in paragraph five (5) below.
LIVINGCITIES.ORG • 470 SEVENTH AVENUE, 10TH FL, NEW YORK, N.Y. 10018 • 805 15TH STREET NW, SUITE 500, WASHINGTON, D.C. 20005 • (646) 442-2200
Docusign Envelope ID: F697CB24-6E2F-4248-96DF-5ACFFOC729FD
Living
iv Cities
(5)
Requirements for Participation:
(a) Participation in the Breaking Barriers to Business (B3) learning activities, such as cohort calls
and convenings with the cohort lead Norris Williams and other Living Cities' team members
(virtual or in -person) including:
i. Activity I: Briefing with Business Serving Agency (BSA);
ii. Activity II: Review of Requested Information;
iii. Activity III: Intermediate Workshops;
iv. Activity IV: Draft Corridor Support Work Plan; and
v. Activity V: Planning Site Visit and finalization of Corridor Support Work Plan
(b) Participation by the city's core team members in workshops organized by Living Cities to build
collective inclusion analysis and practice.
(c) Support Living Cities in storytelling of the city's effort to break systemic barriers that impact
the business ownership journey of entrepreneurs; and
(d) Continued work and attempts to advance an action that remedies barriers in five critical areas:
Capital, Narrative, Policy, Power, and Practice.
(e) Submission of a Work Plan and grant Budget according to the Work Plan Guidelines.
(6) Legal and Tax Requirements: Grantee represents and warrants to Living Cities that:
(a) Grantee is an organization in good standing, is either a governmental unit or an organization
described in Section 501(c)(3) of the U.S. Internal Revenue Code (Code) and is not a private
foundation within the meaning of Section 509(a) of the Code. Grantee will notify Living Cities
immediately of any change in its tax status.
(b) Grant funds may be expended only for charitable, educational, literary or scientific purposes as
specified in Section 170(c)(2)(B) of the Code.
(c) No part of the grant can inure to the benefit of any private person or entity in violation of Section
501(c)(3) and 4941 of the Code, including but not limited to any Foundation trustee, officer,
employee, or his/her spouse, children, grandchildren, and great grandchildren or their
respective spouses for any purpose.
(7)
Conditions and Other Requirements: During the term of this grant, the Grantee is expected to
adhere to the conditions below. Failure to adhere to these conditions will constitute an act of default
and result in the return of part or all of the grant funds to Living Cities. In such a case, but only after
a 30-day notice of breach of conditions of the agreement and an opportunity to cure, Living Cities
will determine in its sole and absolute discretion the percentage of the grant to be returned.
Cessation or reclamation of grant funding by Living Cities may also result in your organization's
elimination from consideration for future grant awards.
During the grant term and beyond as applicable, the Grantee under this agreement agree to the
following:
(a) Adhere to the uses of the grant summarized in Section (1). This grant is made only for the
purposes stated in this letter and in the proposal the Grantee has submitted. Any grant funds
not expended or committed for these purposes within the grant period will be returned to Living
Cities. Any prospective changes in the use of this grant totaling over five percent of the total
grant amount must be submitted in writing to and approved by Living Cities.
In addition, the Grantee is expected to meet the milestones stated in the workplan within the
timeframe specified therein. Any material changes in the Grantee's milestones or timeline
should be reported to Living Cities at the earliest reasonable opportunity. Living Cities will
decide in its sole and absolute discretion whether any delays in meeting milestones constitute
a violation of the grant terms and conditions.
LC 25-6045 - G 1240 - Miami B3 Page 12
LIVINGCITIES.ORG • 470 SEVENTH AVENUE, 10TH FL, NEW YORK, N.Y. 10018 • 805 15TH STREET NW, SUITE 500, WASHINGTON, D.C. 20005 • (646) 442-2200
Docusign Envelope ID: F697CB24-6E2F-4248-96DF-5ACFFOC729FD
Living
Cities
(b) Maintain its tax-exempt status and all authorizations, filings, exemptions, etc. required to
perform its duties within and outside this agreement. The Grantee also agrees to immediately
provide any correspondence from the IRS or other related agencies regarding the above.
(c) Cooperate in the monitoring and evaluation of its work. Given Living Cities' learning goals,
Living Cities expects its grantee, to cooperate in timely and accurate reporting of program
process, outputs, and outcomes. In partnership with Living Cities' Breaking Barriers to
Business (B3) and Impact & Insights teams periodic progress reports will be submitted to Living
Cities on a semi-annual basis through the end of the grant period.
Living Cities and its institutional grantors reserve the right to use and publish any information
furnished by the Grantee, provided that Living Cities give appropriate credit to you as the
provider of this information.
In addition to progress report outlined above, Living Cities expects to use the following means
to track outcomes:
(i.) Site visits: At least one site visit will be conducted during the course of the grant period.
These visit(s) will be used not only to facilitate monitoring of project progress, but also
to support other project purposes. Living Cities may also use these site visits to facilitate
the education and cross-fertilization of ideas across its own partners and member
organizations.
We encourage our grantees to use any site visits to their full advantage, leveraging our
involvement and engagement for such purposes as convening key stakeholders and
enhancing fundraising efforts. In this spirit, we remain open to creative and broader uses
of these mechanisms.
(ii.) End -of -grant period report: Grantee must complete an end -of -grant report to be
submitted to Living Cities no more than 90 days following the end of the grant period. It
will include: (1) a narrative account of what was accomplished by the expenditure of
funds, including progress made towards achieving the goals of the grant; and (2) a
financial accounting of grant funds spent during the grant term.
Living Cities reserves the right to audit Grantee's financial and other records to ensure the
proper utilization of its grant funds. During and at least three years following the end of the
grant term, the Grantee will be expected to maintain records showing, separately from other
accounts kept in its books and records, the receipt and expenditure of Living Cities grant funds.
(d) Adhere to the following prohibitions on the use of the Grant. Under no circumstances the
Grantee or any other organization receiving Living Cities' grant funds use these funds directly
or indirectly for the following purposes or activities:
(i.) Make a grant to any individual for travel, study or other similar purpose, as described in
Section 4945(d)(3) of the Code;
(ii.) Promote or engage in violence, terrorism, bigotry, or the destruction of any state, nor will
it make sub -grants to any entity that engages in these activities;
(iii.) Influence the outcome of any specific public election, participate in or intervene in,
including by the publishing or distribution of any statements, any political campaign on
behalf of or in opposition to any candidate for public office;
(iv.) Influence legislation, including by the publishing or distribution of any statements, or any
campaign in support of or opposition to pending legislation; and
(v.) Any other purposes outside your proposal without express written permission from
Living Cities.
LC 25-6045 - G 1240 - Miami B3 Page 1 3
LIVINGCITIES.ORG • 470 SEVENTH AVENUE, 10TH FL, NEW YORK, N.Y. 10018 • 805 15TH STREET NW, SUITE 500, WASHINGTON, D.C. 20005 • (646) 442-2200
Docusign Envelope ID: F697CB24-6E2F-4248-96DF-5ACFFOC729FD
Living
Or Cities
(8)
(e) Represent faithfully and coordinate with Living Cities in reports and communications. Living
Cities hopes and anticipates that the Grantee will leverage recognition by Living Cities in your
communications and public relations. In doing so, Living Cities expects the Grantee to
represent Living Cities fairly and faithfully in all reports, press releases, speeches and other
media. All materials describing the Grantee's efforts, particularly those that mention Living
Cities, should be sent to Living Cities prior to publication. Whenever possible, major
communications plans should be coordinated with Living Cities in advance. Copies of any
reports, evaluations or other communications supported by Living Cities' grant funds should
be sent prior to publication to:
Name: Norris Williams, Assistant Director
Email: nwilliams@livingcities.org
Phone: (646) 442-2914
Conversely, receipt of this grant provides Living Cities license to disseminate any products,
outcomes, or other information related to the Grantee's efforts in any media of its choosing.
Whenever feasible, Living Cities will share these materials with the Grantee prior to publication.
The Grantee and its sub -grantees will be expected to cooperate in any public education or
outreach effort undertaken in connection with this grant, which may include efforts to attract
additional resources to the Grantee or others doing similar work.
Notice: Any notice under this Agreement shall be in writing and shall be deemed delivered upon
Grantees receipt of notice at the address or facsimile hereunder. Living Cities' Principal Contact
regarding this grant will be:
Name: Daniel Marshall, Senior Associate Sheila Zegarra, Senior Associate
Email: dmarshall@livingcities.org szegarra@livingcities.org
Phone: (646) 442-2919 (646) 442-2917
For Inquiries on Grant Administration notify:
Name: Joan F. Springs, Director, Grants & Contracts Management
Email: jsprings@livingcities.org
Phone: (646) 442-2231
For inquiries on payment & invoices, in addition to the principal contact, notify:
Email: accounting@livingcities.org
(9) No Right of Assignment or Delegation: The Grantee may not assign or otherwise transfer its rights,
or delegate any of its obligations, under this agreement.
(10) Compliance with Anti -Discrimination Rules: In its use of grant funds provided by Living Cities, and
in the course of all development, marketing and operation activities, the Grantee shall fully comply
with all applicable federal, state, local (and any other governmental), anti -discrimination laws,
executive orders, rules and regulations.
(11) Governing Law: This Grant Agreement is governed by, and will be construed in accordance with,
the laws of the State of New York.
(12) Amendment of Term of Grant: Living Cities shall consider but is not obligated to agree to requests
by the Grantee to make modifications to the terms of the Grant. Amendments to the Grant shall be
made only after (i) Living Cities' Director, Grants & Contract Management has received a written
request from the Grantee stating the nature of the amendment requested, and (ii) an authorized
officer of Living Cities has executed a written agreement describing the terms of the amendment.
LC 25-6045 - G 1240 - Miami B3 Page 14
LIVINGCITIES.ORG • 470 SEVENTH AVENUE, 10TH FL, NEW YORK, N.Y. 10018 • 805 15TH STREET NW, SUITE 500, WASHINGTON, D.C. 20005 • (646) 442-2200
Docusign Envelope ID: F697CB24-6E2F-4248-96DF-5ACFFOC729FD
Living
Iv Cities
(13) Countersignature Required. If this agreement correctly sets forth your organization's
understanding of the terms and conditions of the grant, please sign and date in the space provided
below, complete/attach Schedule A: Workplan, Schedule B: Project Budget and Schedule C:
Grantee Questionnaire and return to Joan F. Springs, Administrator of the Grant at
jsprings@livingcities.org.
If a signed Grant Agreement is not received within 45 days from the date of this letter, this Grant is
subject to cancellation by Living Cities.
[THE REMAINDER OF PAGE HAS INTENTIONALLY BEEN LEFT BLANK]
LC 25-6045 - G 1240 - Miami B3 Page 1 5
LIVINGCITIES.ORG • 470 SEVENTH AVENUE, 10TH FL, NEW YORK, N.Y. 10018 • 805 15TH STREET NW, SUITE 500, WASHINGTON, D.C. 20005 • (646) 442-2200
Docusign Envelope ID: F697CB24-6E2F-4248-96DF-5ACFFOC729FD
Living
iv Cities
Congratulations on receiving this award.
DocuSigned by:
Vale He M D o1..
Chief of Staff
Living Cities, Inc.: The National
Community Development Initiative
Date: 6/3/2025
,-DocuSigned by:
16464e Nonce
`- 850CF6C372DD42A...
Arthur Noriega
City Manager
City of Miami
Department of Human Services
Date:
June 6, 2025 1 12:16:46 EDT
LC 25-6045 - G 1240 - Miami B3
Page l6
LIVINGCITIES.ORG • 470 SEVENTH AVENUE, 10TH FL, NEW YORK, N.Y. 10018 • 805 15TH STREET NW, SUITE 500, WASHINGTON, D.C. 20005 • (646) 442-2200
Docusign Envelope ID: F697CB24-6E2F-4248-96DF-5ACFFOC729FD
Living
1® Cities
Schedule A: WORK PLAN GUIDELINES
Breaking Barriers to Business (B3) Business Serving Agency Work Plan Guidelines
Your Work Plan
Your plan must consider and respond to the following questions:
1. Why is it important for the city to participate in an initiative like Breaking Barriers to
Business? Consider:
a. What historical challenges have marginalized business owners faced as a result
of local government systems? Current challenges?
b. What historical challenges have the three focal commercial corridors
experienced? Current challenges?
c. What challenges are the Business -Serving Organizations (BSOs) experiencing to
support business owners in the three focal corridors?
2. Categorically, what systemic barrier(s) does your plan seek to address? Consider:
a. Capital Barrier: The way financial capital is allocated to businesses in the three
focal commercial corridors.
b. Narrative Barrier: The way stories are told to a mass audience about businesses
in the three focal commercial corridors?
c. Policy Barrier: The way regulatory language affects businesses in the three focal
commercial corridors.
3. Where, specifically, will your plan take place? Consider:
a. What are the names of the three corridors?
b. What are the boundaries of each corridor you plan to affect?
4. How will your plan transform the aforementioned systemic barrier(s) into systemic
pathways for marginalized business owners? Consider:
a. What goals have been established for the systemic barrier(s) you have identified?
b. Will the plan change how the city itself effectuates capital, narrative, policy,
power, and practices?
c. Will you change the agency you have legitimate authority over and/or do you
seek to change other agencies in the city?
d. Is there a stated/proposed impact of the initiative?
5. How are you organizing with the corridors? Consider:
a. How are you ensuring that historically marginalized commercial corridors,
Business -Serving Organizations, and business owners are included in the
development and implementation of your plan?
6. What activities should be performed to complete the plan? Consider:
a. What are your initiative's deliverables? What are your initiative's milestones?
Include short and long-term goals and clear action steps.
7. When is the plan slated to begin and end? Consider:
a. When is success achieved? Leading to success, at what point in the plan's
timeline should deliverables and milestones be achieved?
b. Is there enough flexibility in your timeline to adapt for unforeseen
circumstances?
LC 25-6045 - G 1240 - Miami B3 Page 17
LIVINGCITIES.ORG • 470 SEVENTH AVENUE, 10TH FL, NEW YORK, N.Y. 10018 • 805 15TH STREET NW, SUITE 500, WASHINGTON, D.C. 20005 • (646) 442-2200
Docusign Envelope ID: F697CB24-6E2F-4248-96DF-5ACFFOC729FD
Living
v Cities
8. Who will be involved? Consider:
a. What are their roles and responsibilities?
b. Do their roles and responsibilities meet a capacity need?
c. Are they individuals or organizations?
9. How do you intend to evaluate the performance of your activities and achievement of
your goals?
LC 25-6045 - G 1240 - Miami B3 Page 18
LIVINGCITIES.ORG • 470 SEVENTH AVENUE, 10TH FL, NEW YORK, N.Y. 10018 • 805 15TH STREET NW, SUITE 500, WASHINGTON, D.C. 20005 • (646) 442-2200
Docusign Envelope ID: F697CB24-6E2F-4248-96DF-5ACFFOC729FD
Living
JrCities
Schedule B: PROJECT BUDGET GUIDELINES
Your Work Plan Budget
Your budget must consider and respond to the following questions:
1. Purpose: How is your plan using the funds? Consider:
a. Are your funds going to be used for something that is challenging to use
restricted or tax dollars for?
2. Leverage:
a. How could the use of your grant funds unlock other funds?
b. How can you combine funds from multiple sources to support your plan?
c. How will you leverage partnerships, collaborations, and/or alliances to
strengthen your plan for the use of funds?
3. Costs:
a. Do you have a detailed estimate of resources and costs related to your
deliverables?
b. How are your estimates calculated (please indicate the research used)?
c. How will your resources be sustained over time?
d. How will costs be sustained (or decreased) over time?
4. Contingencies:
a. Are you expecting any budget shortfalls to happen?
b. How will you mitigate those shortfalls?
c. What is the cost of those shortfalls?
5. Monitoring:
a. What is your method to track budget expenses over the life of the plan?
LC 25-6045 - G 1240 - Miami B3 Page 19
LIVINGCITIES.ORG • 470 SEVENTH AVENUE, 10TH FL, NEW YORK, N.Y. 10018 • 805 15TH STREET NW, SUITE 500, WASHINGTON, D.C. 20005 • (646) 442-2200
Docusign Envelope ID: F697CB24-6E2F-4248-96DF-5ACFFOC729FD
Livi t`
Citi
Schedule C: GRANTEE QUESTIONNAIRE
Organization Name: City of Miami
Grant # / Tax ID Number: 59-6000375
Program Contact Name: David Gilbert
Phone: 305-416-5929
Fiscal Contact Name: David Gilbert
Phone:
Email:
dgilbert@miamigov.com
Email:
Tax -Exempt Classification under the Internal Revenue Service:
IA Government Unit
❑ School or University
➢ If checked, submit IRS letter of exemption and classification
❑ Other Section 501(c)(3) entity
➢ If checked, submit IRS Letter of exemption and classification
❑ Other Tax-exempt entity
❑ Not a Tax-exempt entity
❑ Your organization is planning to, but has not applied for tax exempt status
❑ If your organization has applied for status as a 501(c)(3), please submit a
copy of the Form 1023 submitted to the IRS
Payment Information:
Grantee's Preferred Payment Method: 11 Check
or ❑ ACH / Electronic Transfer
Payee / Beneficiary: City of Miami Dept of Human Services
Address: 444 SW 2 Ave loth Floor
City, State, Zip: Miami, FL 33130
Phone: 305-416-5929 Email:
Attention:
1fACH/Electronic Transfer, Receiving bank information
Bank Name:
Bank Address:
City, State, Zip:
ABA / Routing Number:
Account Number:
Additional Instructions:
Name, Signature
and Title (of the
person who
completed this form):
dgilbert@miamigov.com
Name Title
Signature Date
LC 25-6045 - G 1240 - Miami B3 Page 110
LIVINGCITIES.ORG • 470 SEVENTH AVENUE, 10TH FL, NEW YORK, N.Y. 10018 • 805 15TH STREET NW, SUITE 500, WASHINGTON, D.C. 20005 • (646) 442-2200
AGENDA ITEM SUMMARY FORM
File ID: #16747
Date: 10/08/2024
Commission Meeting Date: 10/24/2024
Requesting Department: Department of Human
Services
Sponsored By: Miguel Gabela, Damian Pardo,
Christine King
District Impacted: District 1, District 2, District 5
Type: Resolution
Subject: Accept Grant Award - Living Cities - Breaking Barriers to Business Project
Purpose of Item:
The Department of Human Services requests that the City Commission approve to
receive the award of $100,000 to support the Breaking Barriers to Business (B3)
initiative, aiming to accelerate wealth -building for business owners of color in Southeast
U.S. cities. It supports our mission to close the racial wealth gap through philanthropy,
financial institutions, and local governments.
Background of Item:
Breaking Barriers to Business, or B3, is a multi -year project seeking to transform
systemic barriers found in the relationship between local government business -serving
agencies (BSA) and community -based business -serving organizations (BSO) into
systemic pathways that serve business owners of color with the knowledge and
financial capital they need to start, grow, and create jobs in their commercial corridors.
This initiative will provide funds for the Department of Human Services Economic
Initiatives to support three corridors in the City of Miami.
Budget Impact Analysis
Item is Related to Revenue
Item has NOT an Expenditure
Item is NOT funded by Bonds
Total Fiscal Impact:
N/A
Department of Human Services
Office of Management and Budget
Office of Management and Budget
City Manager's Office
City Manager's Office
City Manager's Office
Legislative Division
Office of the City Attorney
City Commission
Office of the City Attorney
Reviewed By
David Gilbert
Aniska Elliott
Leon P Michel
Barbara Hernandez
Natasha Colebrook -Williams
Arthur Noriega V
Valentin J Alvarez
Juan Carlos Perez
Maricarmen Lopez
George K. Wysong III
Department Head Review
Budget Analyst Review
Budget Review
Assistant City Manager Review
Deputy City Manager Review
City Manager Review
Legislative Division Review
ACA Review
Meeting
Approved Form and Correctness
Completed
Completed
Completed
Completed
Completed
Completed
Completed
Completed
Completed
Completed
10/08/2024 10:10 AM
10/09/2024 9:21 AM
10/09/2024 9:45 AM
10/11 /2024 8:39 AM
10/11 /2024 11:55 AM
10/11/2024 12:22 PM
10/11/2024 5:19 PM
10/15/2024 2:42 PM
10/24/2024 9:00 AM
10/29/20241:21 PM
Office of the Mayor Mayor's Office Unsigned by the Mayor Completed 11 /01 /2024 2:40 PM
Office of the City Clerk City Clerk's Office Signed and Attested by the City Clerk Completed 11 /01 /2024 3:29 PM
Office of the City Clerk City Clerk's Office Rendered Completed 11 /04/2024 9:40 AM
City of Miami
Legislation
Resolution
Enactment Number: R-24-0427
City Hall
3500 Pan American Drive
Miami, FL 33133
www.miamigov.com
File Number: 16747 Final Action Date:10/24/2024
A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S),
AUTHORIZING THE CITY MANAGER TO ACCEPT A GRANT AWARD FROM THE
LIVING CITIES ORGANIZATION, IN AN AMOUNT NOT TO EXCEED ONE HUNDRED
THOUSAND DOLLARS ($100,000.00) ("GRANT") TO SUPPORT THE CITY OF
MIAMI'S ("CITY") BREAKING BARRIERS TO BUSINESS ("B3") INITIATIVE TO
ACCELERATE WEALTH -BUILDING FOR MINORITY BUSINESS OWNERS AND
PROMOTE CLOSING THE RACIAL INCOME AND WEALTH GAP; FURTHER
ESTABLISHING A SPECIAL REVENUE PROJECT TITLED "LIVING CITIES - B3
INITIATIVE" AND APPROPRIATING THE GRANT FUNDS FOR SAME;
AUTHORIZING THE CITY MANAGER TO EXECUTE A GRANT AGREEMENT, IN
SUBSTANTIALLY THE ATTACHED FORM, AND ANY AND ALL OTHER
DOCUMENTS, AMENDMENTS, RENEWALS, MODIFICATIONS, AND EXTENSIONS
THERETO, ALL IN A FORM ACCEPTABLE TO THE CITY ATTORNEY, IN ORDER
TO IMPLEMENT AND COMPLY WITH SAID GRANT.
WHEREAS, Living Cities is an organization of collaborative philanthropic foundations
and financial institutions committed to closing the racial income and wealth gap so that all
people in cities across the United States can live economically sustainable and abundant lives;
and
WHEREAS, the Breaking Barriers to Business Initiative ("B3 Initiative") is designed to
strengthen small businesses and open career pathways for Black, Indigenous and, People of
Color ("BIPOC"); and
WHEREAS, Living Cities has awarded the City of Miami ("City") a grant award in an
amount not to exceed $100,000.00 ("Grant") to support a B3 Initiative in the City to transform
systemic barriers found in the relationship between local government business -serving agencies
and community -based business -serving organizations into systemic pathways that serve BIPOC
business owners with the knowledge and financial capital they need to start, grow, and create
jobs in their commercial corridor; and
WHEREAS, the Grant will provide the City access to participate in a learning community
cultivated by Living Cities and develop a plan for supporting small business corridors in the City;
and
WHEREAS, through participation in the B3 Initiative, the City can leverage and take
advantage of its existing economic initiatives while expanding opportunities for entrepreneurs in
the City; and
WHEREAS, it is appropriate for the City Commission to authorize the City Manager to
execute a Grant agreement for the acceptance, administration and implementation of the City's
B3 Initiative in compliance with all applicable laws, rules, and regulations, for said purpose;
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 Manager is authorized' to accept the Grant from the Living Cities to
support the City's B3 Initiative to accelerate wealth -building for minority business owners and
promote closing the racial income and wealth gap.
Section 3. The following new Special Revenue Project Fund is established, and
resources are appropriated as described below:
PROJECT TITLE: Living Cities — B3 Initiative
RESOURCES: Living Cities $100,000.00
APPROPRIATIONS: B3 Initiative
TOTAL: $100,000.00
Section 4. The City Manager is further authorized' to execute the Grant agreement, in
substantially the attached form, and any amendments, modifications, and extensions thereto, all
in a form acceptable to the City Attorney, in order to accept grant funds and implement the
Section 5. This Resolution shall become effective immediately upon its adoption and
signature of the Mayor.2
APPROVED AS TO FORM AND CORRECTNESS:
1 The herein authorization is further subject to compliance with all legal requirements that may be
imposed, including but not limited to, those prescribed by applicable City Charter and City Code
provisions.
2 If the Mayor does not sign this Resolution, it shall become effective at the end of ten (10) calendar days
from the date it was passed and adopted. If the Mayor vetoes this Resolution, it shall become effective
immediately upon override of the veto by the City Commission.
Docusign Envelope ID: B7057B05-5CCB-4513-80DF-E486C4694EF9
Form _ 9
(Rev. December2014)
Department of the Treasury
Internal Revenue Service
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
Print or type
See Specific Instructions on page 2.
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
Living Cities, Inc.: The National Community Development, Inc.
2 Business name/disregarded entity name, if different from above
Living Cities, Inc.
3 Check appropriate box for federal tax classification; check only one of the following seven boxes:
4 Exemptions
certain
instructionsons
Exempt payee
Exemption
code (if any)
(Applies to accounts
(codes apply only to
ion, not individuals; see
on page 3):
code (if any)
Individual/sole proprietor or C Corporation S Corporation Partnership Trust/estate
single member
LLC
company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership)
-member LLC that is disregarded, do not check LLC; check the appropriate box in
of the single -member owner.
Nonprofit Corporation
►
Limited liability
Note. For a single
the tax classification
0 Other (see instructions)
from FATCA reporting
the line above for
maintained outside the U.S.)
5 Address (number, street, and apt. or suite no.)
805 15th Street NW, Suite 500
Requester's name and address (optional)
6 City, state, and ZIP code
Washington, DC 20005
7 List account number(s) here (optional)
Part
I 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 Part I instructions on page 3. For other
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN on page 3.
Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for
guidelines on whose number to enter.
Part II
Social security number
or
Employer identification number
2
6
0
0
0
3
9
5
0
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 on page 3.
Sign
Here
LiNnk ittaU PAW. S
DocuSigned by:
General Instructions A62177C737DD482..
Signature of
U.S. person ►
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. Information about developments affecting Form W-9 (such
as legislation enacted after we release it) is at www.irs.gov/fw9.
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)
Date 8/9/2024
• 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 retum Form W-9 to the requester with a TIN, you might be subject
to backup withholding. See What is backup withholding? on page 2.
By signing the filled -out form, you:
1. Certify that the TIN you are giving is correct (or you are waiting for a number
to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt payee. If
applicable, you are also certifying that as a U.S. person, your allocable share of
any partnership income from a U.S. trade or business is not subject to the
withholding tax on foreign partners' share of effectively connected income, and
4. Certify that FATCA code(s) entered on this form (if any) indicating that you are
exempt from the FATCA reporting, is correct. See What is FATCA reporting? on
page 2 for further information.
Cat. No. 10231X Form W-9 (Rev. 12-2014)
Docusign Envelope ID: B7057B05-5CCB-4513-80DF-E486C4694EF9
Form W-9 (Rev. 12-2014)
Page 2
Note. If you are a U.S. person and a requester gives you a form other than Form
W-9 to request your TIN, you must use the requester's form if it is substantially
similar to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you are considered a U.S.
person if you are:
• An individual who is a U.S. citizen or U.S. resident alien;
• A partnership, corporation, company, or association created or organized in the
United States or under the laws of the United States;
• An estate (other than a foreign estate); or
• A domestic trust (as defined in Regulations section 301.7701-7).
Special rules for partnerships. Partnerships that conduct a trade or business in
the United States are generally required to pay a withholding tax under section
1446 on any foreign partners' share of effectively connected taxable income from
such business. Further, in certain cases where a Form W-9 has not been received,
the rules under section 1446 require a partnership to presume that a partner is a
foreign person, and pay the section 1446 withholding tax. Therefore, if you are a
U.S. person that is a partner in a partnership conducting a trade or business in the
United States, provide Form W-9 to the partnership to establish your U.S. status
and avoid section 1446 withholding on your share of partnership income.
In the cases below, the following person must give Form W-9 to the partnership
for purposes of establishing its U.S. status and avoiding withholding on its
allocable share of net income from the partnership conducting a trade or business
in the United States:
• In the case of a disregarded entity with a U.S. owner, the U.S. owner of the
disregarded entity and not the entity;
• In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally,
the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and
• In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a
grantor trust) and not the beneficiaries of the trust.
Foreign person. If you are a foreign person or the U.S. branch of a foreign bank
that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use
the appropriate Form W-8 or Form 8233 (see Publication 515, Withholding of Tax
on Nonresident Aliens and Foreign Entities).
Nonresident alien who becomes a resident alien. Generally, only a nonresident
alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on
certain types of income. However, most tax treaties contain a provision known as
a "saving clause." Exceptions specified in the saving clause may permit an
exemption from tax to continue for certain types of income even after the payee
has otherwise become a U.S. resident alien for tax purposes.
If you are a U.S. resident alien who is relying on an exception contained in the
saving clause of a tax treaty to claim an exemption from U.S. tax on certain types
of income, you must attach a statement to Form W-9 that specifies the following
five items:
1. The treaty country. Generally, this must be the same treaty under which you
claimed exemption from tax as a nonresident alien.
2. The treaty article addressing the income.
3. The article number (or location) in the tax treaty that contains the saving
clause and its exceptions.
4. The type and amount of income that qualifies for the exemption from tax.
5. Sufficient facts to justify the exemption from tax under the terms of the treaty
article.
Example. Article 20 of the U.S.-China income tax treaty allows an exemption
from tax for scholarship income received by a Chinese student temporarily present
in the United States. Under U.S. law, this student will become a resident alien for
tax purposes if his or her stay in the United States exceeds 5 calendar years.
However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30,
1984) allows the provisions of Article 20 to continue to apply even after the
Chinese student becomes a resident alien of the United States. A Chinese student
who qualifies for this exception (under paragraph 2 of the first protocol) and is
relying on this exception to claim an exemption from tax on his or her scholarship
or fellowship income would attach to Form W-9 a statement that includes the
information described above to support that exemption.
If you are a nonresident alien or a foreign entity, give the requester the
appropriate completed Form W-8 or Form 8233.
Backup Withholding
What is backup withholding? Persons making certain payments to you must
under certain conditions withhold and pay to the IRS 28% of such payments. This
is called "backup withholding." Payments that may be subject to backup
withholding include interest, tax-exempt interest, dividends, broker and barter
exchange transactions, rents, royalties, nonemployee pay, payments made in
settlement of payment card and third party network transactions, and certain
payments from fishing boat operators. Real estate transactions are not subject to
backup withholding.
You will not be subject to backup withholding on payments you receive if you
give the requester your correct TIN, make the proper certifications, and report all
your taxable interest and dividends on your tax return.
Payments you receive will be subject to backup withholding if:
1. You do not furnish your TIN to the requester,
2. You do not certify your TIN when required (see the Part II instructions on page
3 for details),
3. The IRS tells the requester that you furnished an incorrect TIN,
4. The IRS tells you that you are subject to backup withholding because you did
not report all your interest and dividends on your tax return (for reportable interest
and dividends only), or
5. You do not certify to the requester that you are not subject to backup
withholding under 4 above (for reportable interest and dividend accounts opened
after 1983 only).
Certain payees and payments are exempt from backup withholding. See Exempt
payee code on page 3 and the separate Instructions for the Requester of Form
W-9 for more information.
Also see Special rules for partnerships above.
What is FATCA reporting?
The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign
financial institution to report all United States account holders that are specified
United States persons. Certain payees are exempt from FATCA reporting. See
Exemption from FATCA reporting code on page 3 and the Instructions for the
Requester of Form W-9 for more information.
Updating Your Information
You must provide updated information to any person to whom you claimed to be
an exempt payee if you are no longer an exempt payee and anticipate receiving
reportable payments in the future from this person. For example, you may need to
provide updated information if you are a C corporation that elects to be an S
corporation, or if you no longer are tax exempt. In addition, you must furnish a new
Form W-9 if the name or TIN changes for the account; for example, if the grantor
of a grantor trust dies.
Penalties
Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are
subject to a penalty of $50 for each such failure unless your failure is due to
reasonable cause and not to willful neglect.
Civil penalty for false information with respect to withholding. If you make a
false statement with no reasonable basis that results in no backup withholding,
you are subject to a $500 penalty.
Criminal penalty for falsifying information. Willfully falsifying certifications or
affirmations may subject you to criminal penalties including fines and/or
imprisonment.
Misuse of TINs. If the requester discloses or uses TINs in violation of federal law,
the requester may be subject to civil and criminal penalties.
Specific Instructions
Line 1
You must enter one of the following on this line; do not leave this line blank. The
name should match the name on your tax return.
If this Form W-9 is for a joint account, list first, and then circle, the name of the
person or entity whose number you entered in Part I of Form W-9.
a. Individual. Generally, enter the name shown on your tax return. If you have
changed your last name without informing the Social Security Administration (SSA)
of the name change, enter your first name, the last name as shown on your social
security card, and your new last name.
Note. ITIN applicant: Enter your individual name as it was entered on your Form
W-7 application, line la. This should also be the same as the name you entered on
the Form 1040/1040A/1040EZ you filed with your application.
b. Sole proprietor or single -member LLC. Enter your individual name as
shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade,
or "doing business as" (DBA) name on line 2.
c. Partnership, LLC that is not a single -member LLC, C Corporation, or S
Corporation. Enter the entity's name as shown on the entity's tax return on line 1
and any business, trade, or DBA name on line 2.
d. Other entities. Enter your name as shown on required U.S. federal tax
documents on line 1. This name should match the name shown on the charter or
other legal document creating the entity. You may enter any business, trade, or
DBA name on line 2.
e. Disregarded entity. For U.S. federal tax purposes, an entity that is
disregarded as an entity separate from its owner is treated as a "disregarded
entity." See Regulations section 301.7701-2(c)(2)(iii). Enter the owner's name on
line 1. The name of the entity entered on line 1 should never be a disregarded
entity. The name on line 1 should be the name shown on the income tax return on
which the income should be reported. For example, if a foreign LLC that is treated
as a disregarded entity for U.S. federal tax purposes has a single owner that is a
U.S. person, the U.S. owner's name is required to be provided on line 1. If the
direct owner of the entity is also a disregarded entity, enter the first owner that is
not disregarded for federal tax purposes. Enter the disregarded entity's name on
line 2, "Business name/disregarded entity name." If the owner of the disregarded
entity is a foreign person, the owner must complete an appropriate Form W-8
instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.
Docusign Envelope ID: B7057B05-5CCB-4513-80DF-E486C4694EF9
Form W-9 (Rev. 12-2014)
Page 3
Line 2
If you have a business name, trade name, DBA name, or disregarded entity name,
you may enter it on line 2.
Line 3
Check the appropriate box in line 3 for the U.S. federal tax classification of the
person whose name is entered on line 1. Check only one box in line 3.
Limited Liability Company (LLC). If the name on line 1 is an LLC treated as a
partnership for U.S. federal tax purposes, check the "Limited Liability Company"
box and enter "P" in the space provided. If the LLC has filed Form 8832 or 2553 to
be taxed as a corporation, check the "Limited Liability Company" box and in the
space provided enter "C" for C corporation or "S" for S corporation. If it is a
single -member LLC that is a disregarded entity, do not check the "Limited Liability
Company" box; instead check the first box in line 3 "Individual/sole proprietor or
single -member LLC."
Line 4, Exemptions
If you are exempt from backup withholding and/or FATCA reporting, enter in the
appropriate space in line 4 any code(s) that may apply to you.
Exempt payee code.
• Generally, individuals (including sole proprietors) are not exempt from backup
withholding.
• Except as provided below, corporations are exempt from backup withholding
for certain payments, including interest and dividends.
• Corporations are not exempt from backup withholding for payments made in
settlement of payment card or third party network transactions.
• Corporations are not exempt from backup withholding with respect to attorneys'
fees or gross proceeds paid to attorneys, and corporations that provide medical or
health care services are not exempt with respect to payments reportable on Form
1099-MISC.
The following codes identify payees that are exempt from backup withholding.
Enter the appropriate code in the space in line 4.
1—An organization exempt from tax under section 501(a), any IRA, or a
custodial account under section 403(b)(7) if the account satisfies the requirements
of section 401(f)(2)
2—The United States or any of its agencies or instrumentalities
3—A state, the District of Columbia, a U.S. commonwealth or possession, or
any of their political subdivisions or instrumentalities
4—A foreign government or any of its political subdivisions, agencies, or
instrumentalities
5—A corporation
6—A dealer in securities or commodities required to register in the United
States, the District of Columbia, or a U.S. commonwealth or possession
7—A futures commission merchant registered with the Commodity Futures
Trading Commission
8—A real estate investment trust
9—An entity registered at all times during the tax year under the Investment
Company Act of 1940
10—A common trust fund operated by a bank under section 584(a)
11—A financial institution
12—A middleman known in the investment community as a nominee or
custodian
13—A trust exempt from tax under section 664 or described in section 4947
The following chart shows types of payments that may be exempt from backup
withholding. The chart applies to the exempt payees listed above, 1 through 13.
IF the payment is for...
THEN the payment is exempt for...
Interest and dividend payments
All exempt payees except
for 7
Broker transactions
Exempt payees 1 through 4 and 6
through 11 and all C corporations. S
corporations must not enter an exempt
payee code because they are exempt
only for sales of noncovered securities
acquired prior to 2012.
Barter exchange transactions and
patronage dividends
Exempt payees 1 through 4
Payments over $600 required to be
reported and direct sales over $5,0001
Generally, exempt payees
1 through 52
Payments made in settlement of
payment card or third party network
transactions
Exempt payees 1 through 4
1 See Form 1099-MISC, Miscellaneous Income, and its instructions.
2 However, the following payments made to a corporation and reportable on Form
1099-MISC are not exempt from backup withholding: medical and health care
payments, attorneys' fees, gross proceeds paid to an attorney reportable under
section 6045(f), and payments for services paid by a federal executive agency.
Exemption from FATCA reporting code. The following codes identify payees
that are exempt from reporting under FATCA. These codes apply to persons
submitting this form for accounts maintained outside of the United States by
certain foreign financial institutions. Therefore, if you are only submitting this form
for an account you hold in the United States, you may leave this field blank.
Consult with the person requesting this form if you are uncertain if the financial
institution is subject to these requirements. A requester may indicate that a code is
not required by providing you with a Form W-9 with "Not Applicable" (or any
similar indication) written or printed on the line for a FATCA exemption code.
A —An organization exempt from tax under section 501(a) or any individual
retirement plan as defined in section 7701(a)(37)
B—The United States or any of its agencies or instrumentalities
C—A state, the District of Columbia, a U.S. commonwealth or possession, or
any of their political subdivisions or instrumentalities
D—A corporation the stock of which is regularly traded on one or more
established securities markets, as described in Regulations section
1.1472-1(c)(1)(i)
E—A corporation that is a member of the same expanded affiliated group as a
corporation described in Regulations section 1.1472-1(c)(1)(i)
F—A dealer in securities, commodities, or derivative financial instruments
(including notional principal contracts, futures, forwards, and options) that is
registered as such under the laws of the United States or any state
G—A real estate investment trust
H—A regulated investment company as defined in section 851 or an entity
registered at all times during the tax year under the Investment Company Act of
1940
I —A common trust fund as defined in section 584(a)
J—A bank as defined in section 581
K—A broker
L—A trust exempt from tax under section 664 or described in section 4947(a)(1)
M—A tax exempt trust under a section 403(b) plan or section 457(g) plan
Note. You may wish to consult with the financial institution requesting this form to
determine whether the FATCA code and/or exempt payee code should be
completed.
Line 5
Enter your address (number, street, and apartment or suite number). This is where
the requester of this Form W-9 will mail your information returns.
Line 6
Enter your city, state, and ZIP code.
Part I. Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. If you are a resident alien and you do not
have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer
identification number (ITIN). Enter it in the social security number box. If you do not
have an ITIN, see How to get a TIN below.
If you are a sole proprietor and you have an EIN, you may enter either your SSN
or EIN. However, the IRS prefers that you use your SSN.
If you are a single -member LLC that is disregarded as an entity separate from its
owner (see Limited Liability Company (LLC) on this page), enter the owner's SSN
(or EIN, if the owner has one). Do not enter the disregarded entity's EIN. If the LLC
is classified as a corporation or partnership, enter the entity's EIN.
Note. See the chart on page 4 for further clarification of name and TIN
combinations.
How to get a TIN. If you do not have a TIN, apply for one immediately. To apply
for an SSN, get Form SS-5, Application for a Social Security Card, from your local
SSA office or get this form online at www.ssa.gov. You may also get this form by
calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer
Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer
Identification Number, to apply for an EIN. You can apply for an EIN online by
accessing the IRS website at www.irs.gov/businesses and clicking on Employer
Identification Number (EIN) under Starting a Business. You can get Forms W-7 and
SS-4 from the IRS by visiting IRS.gov or by calling 1-800-TAX-FORM
(1-800-829-3676).
If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN
and write "Applied For" in the space for the TIN, sign and date the form, and give it
to the requester. For interest and dividend payments, and certain payments made
with respect to readily tradable instruments, generally you will have 60 days to get
a TIN and give it to the requester before you are subject to backup withholding on
payments. The 60-day rule does not apply to other types of payments. You will be
subject to backup withholding on all such payments until you provide your TIN to
the requester.
Note. Entering "Applied For" means that you have already applied for a TIN or that
you intend to apply for one soon.
Caution: A disregarded U.S. entity that has a foreign owner must use the
appropriate Form W-8.
Docusign Envelope ID: B7057B05-5CCB-4513-80DF-E486C4694EF9
Form W-9 (Rev. 12-2014)
Page 4
Part II. Certification
To establish to the withholding agent that you are a U.S. person, or resident alien,
sign Form W-9. You may be requested to sign by the withholding agent even if
items 1, 4, or 5 below indicate otherwise.
For a joint account, only the person whose TIN is shown in Part I should sign
(when required). In the case of a disregarded entity, the person identified on line 1
must sign. Exempt payees, see Exempt payee code earlier.
Signature requirements. Complete the certification as indicated in items 1
through 5 below.
1. Interest, dividend, and barter exchange accounts opened before 1984
and broker accounts considered active during 1983. You must give your
correct TIN, but you do not have to sign the certification.
2. Interest, dividend, broker, and barter exchange accounts opened after
1983 and broker accounts considered inactive during 1983. You must sign the
certification or backup withholding will apply. If you are subject to backup
withholding and you are merely providing your correct TIN to the requester, you
must cross out item 2 in the certification before signing the form.
3. Real estate transactions. You must sign the certification. You may cross out
item 2 of the certification.
4. Other payments. You must give your correct TIN, but you do not have to sign
the certification unless you have been notified that you have previously given an
incorrect TIN. "Other payments" include payments made in the course of the
requester's trade or business for rents, royalties, goods (other than bills for
merchandise), medical and health care services (including payments to
corporations), payments to a nonemployee for services, payments made in
settlement of payment card and third party network transactions, payments to
certain fishing boat crew members and fishermen, and gross proceeds paid to
attorneys (including payments to corporations).
5. Mortgage interest paid by you, acquisition or abandonment of secured
property, cancellation of debt, qualified tuition program payments (under
section 529), IRA, Coverdell ESA, Archer MSA or HSA contributions or
distributions, and pension distributions. You must give your correct TIN, but you
do not have to sign the certification.
What Name and Number To Give the Requester
For this type of account:
Give name and SSN of:
1. Individual
2. Two or more individuals (joint
account)
3. Custodian account of a minor
(Uniform Gift to Minors Act)
4. a. The usual revocable savings
trust (grantor is also trustee)
b. So-called trust account that is
not a legal or valid trust under
state law
5. Sole proprietorship or disregarded
entity owned by an individual
6. Grantor trust filing under Optional
Form 1099 Filing Method 1 (see
Regulations section 1.671-4(b)(2)(i)
(A))
The individual
The actual owner of the account or,
if combined funds, the first
individual on the account'
The minor
The grantor -trustee'
The actual owner'
The owner'
The grantor*
For this type of account:
Give name and EIN of:
7. Disregarded entity not owned by an
individual
8. A valid trust, estate, or pension trust
9. Corporation or LLC electing
corporate status on Form 8832 or
Form 2553
10. Association, club, religious,
charitable, educational, or other tax-
exempt organization
11. Partnership or multi -member LLC
12. A broker or registered nominee
13. Account with the Department of
Agriculture in the name of a public
entity (such as a state or local
government, school district, or
prison) that receives agricultural
program payments
14. Grantor trust filing under the Form
1041 Filing Method or the Optional
Form 1099 Filing Method 2 (see
Regulations section 1.671-4(b)(2)(i)
(B))
The owner
Legal entity
The corporation
The organization
The partnership
The broker or nominee
The public entity
The trust
1 List first and circle the name of the person whose number you fumish. If only one person on a
joint account has an SSN, that person's number must be furnished.
2 Circle the minor's name and fumish the minor's SSN.
3 You must show your individual name and you may also enter your business or DBA name on
the "Business name/disregarded entity" name line. You may use either your SSN or EIN (if you
have one), but the IRS encourages you to use your SSN.
4 List first and circle the name of the trust, estate, or pension trust. (Do not fumish the TIN of the
personal representative or trustee unless the legal entity itself is not designated in the account
title.) Also see Special rules for partnerships on page 2.
*Note. Grantor also must provide a Form W-9 to trustee of trust.
Note. If no name is circled when more than one name is listed, the number will be
considered to be that of the first name listed.
Secure Your Tax Records from Identity Theft
Identity theft occurs when someone uses your personal information such as your
name, SSN, or other identifying information, without your permission, to commit
fraud or other crimes. An identity thief may use your SSN to get a job or may file a
tax return using your SSN to receive a refund.
To reduce your risk:
• Protect your SSN,
• Ensure your employer is protecting your SSN, and
• Be careful when choosing a tax preparer.
If your tax records are affected by identity theft and you receive a notice from
the IRS, respond right away to the name and phone number printed on the IRS
notice or letter.
If your tax records are not currently affected by identity theft but you think you
are at risk due to a lost or stolen purse or wallet, questionable credit card activity
or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit
Form 14039.
For more information, see Publication 4535, Identity Theft Prevention and Victim
Assistance.
Victims of identity theft who are experiencing economic harm or a system
problem, or are seeking help in resolving tax problems that have not been resolved
through normal channels, may be eligible for Taxpayer Advocate Service (TAS)
assistance. You can reach TAS by calling the TAS toll -free case intake line at
1-877-777-4778 or TTY/TDD 1-800-829-4059.
Protect yourself from suspicious emails or phishing schemes. Phishing is the
creation and use of email and websites designed to mimic legitimate business
emails and websites. The most common act is sending an email to a user falsely
claiming to be an established legitimate enterprise in an attempt to scam the user
into surrendering private information that will be used for identity theft.
The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does
not request personal detailed information through email or ask taxpayers for the
PIN numbers, passwords, or similar secret access information for their credit card,
bank, or other financial accounts.
If you receive an unsolicited email claiming to be from the IRS, forward this
message to phishing@irs.gov. You may also report misuse of the IRS name, logo,
or other IRS property to the Treasury Inspector General for Tax Administration
(TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal
Trade Commission at: spam@uce.gov or contact them at www.ftc.gov/idtheft or
1-877-IDTHEFT (1-877-438-4338).
Visit IRS.gov to learn more about identity theft and how to reduce your risk.
Privacy Act Notice
Section 6109 of the Internal Revenue Code requires you to provide your correct
TIN to persons (including federal agencies) who are required to file information
returns with the IRS to report interest, dividends, or certain other income paid to
you; mortgage interest you paid; the acquisition or abandonment of secured
property; the cancellation of debt; or contributions you made to an IRA, Archer
MSA, or HSA. The person collecting this form uses the information on the form to
file information returns with the IRS, reporting the above information. Routine uses
of this information include giving it to the Department of Justice for civil and
criminal litigation and to cities, states, the District of Columbia, and U.S.
commonwealths and possessions for use in administering their laws. The
information also may be disclosed to other countries under a treaty, to federal and
state agencies to enforce civil and criminal laws, or to federal law enforcement and
intelligence agencies to combat terrorism. You must provide your TIN whether or
not you are required to file a tax return. Under section 3406, payers must generally
withhold a percentage of taxable interest, dividend, and certain other payments to
a payee who does not give a TIN to the payer. Certain penalties may also apply for
providing false or fraudulent information.
Docusign Envelope ID: F697CB24-6E2F-4248-96DF-5ACFFOC729FD
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: Living Cities, Inc.: The National Community Development Initiative
Name: Va. Title: Chief of Staff
Signature:
t/ktc4;2 HcDoaidL 6/3/2025
�01F8056D0023412...
Office Address: 805 15th Street NW, Suite 500
Washington, DC 20005
Email Address: vmcdowell@livingcities.org Main Phone Number: (646) 442-2200
ATTEST:
,—DocuSigned by:
By:
`— E 46 D 7560 D C F 1459...
Todd B. Hannon
City Clerk
Signed by: THE CITY OF MIAMI, a municipal
Corporation of the State of Florida
By:
,—DocuSigned by:
ar Iuuw Novit y,
`— 850CF6C372D D42A...
Arthur Noriega
City Manager
APPROVED AS TO FORM AND APPROVED AS TO INSURANCE
CORRECTNESS REQUIREMENTS
.—DocuSigned by:
Gt,arrt, L sal4 Ill
By: `— 88776E9FE88248B...
George K. Wysong III
City Attorney
By:
,—DocuSigned by:
'ratnk Gomt,/7
`— 27395C6318214E7...
David Ruiz, Interim Director
Department of Risk
Management
Counterparts and Electronic Signatures. This Agreement may be executed in any number of counterparts, each of
which so executed shall be deemed to be an original, and such counterparts shall together constitute but one and
the same Agreement. The parties shall be entitled to sign and transmit an electronic signature of this Agreement
(whether by facsimile, PDF or other email transmission), which signature shall be binding on the party whose name
is contained therein. Any party providing an electronic signature agrees to promptly execute and deliver to the other
parties an original signed Agreement upon request.
Olivera, Rosemary
From: Roman, Michael
Sent: Monday, June 9, 2025 8:36 AM
To: Hannon, Todd; Ewan, Nicole; Olivera, Rosemary; Jerez, Ileana; Reinike-Heinemann,
Evelyn; Bailey, Deborah A
Cc: Eatman, Twaquilla; Gilbert, David; Garcia, Aida
Subject: Human Services Agreement: Living Cities R-24-0427
Attachments: Living_Cities_Agreement_R-24-0427.pdf
Please find attached the fully executed copy of an agreement from DocuSign that is to be considered an original
agreement for your records.
Thank you,
Michael Roman
Michael J. Roman (He/him/el)
City of Miami - Department of Human Services
Community Partnerships Manager
LGBTQ+ Advisory Board Liaison
Phone: 305.416.1618
Email: mroman@miami.gov
444 SW 2nd Ave, 10 Floor, Miami, FL 33130
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