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HomeMy WebLinkAbout25992AGREEMENT INFORMATION AGREEMENT NUMBER 25992 NAME/TYPE OF AGREEMENT MULTI ETHNIC YOUTH GROUP ASSOCIATION, INC. DESCRIPTION SOCIAL SERVICES GAP PROGRAM AGREEMENT/YOUTH CARE SERVICES PROGRAM/FILE ID: 18432/R-25- 0518/MATTER ID: 26-119 EFFECTIVE DATE February 12, 2026 ATTESTED BY TODD B. HANNON ATTESTED DATE 2/12/2026 DATE RECEIVED FROM ISSUING DEPT. 2/25/2026 NOTE DOCUSIGN AGREEMENT BY EMAIL CITY OF M IAM I DOCUMENT ROUTING FORM ORIGINATING DEPARTMENT: Housing and Community Development DEPT. CONTACT PERSON: Monica Galo NAME OF CONTRACTUAL PARTY/ENTITY: IS THIS AGREEMENT TO BE EXPEDITED/RUSH: TOTAL CONTRACT AMOUNT: $ 50,000.00 Multi -Ethnic Youth Group, Inc. EXT. 1976 TYPE OF AGREEMENT: ❑ MANAGEMENT AGREEMENT ❑ PROFESSIONAL SERVICE AGREEMENT PI GRANT AGREEMENT ❑ EXPERT CONSULTANT AGREEMENT ❑ LICENSE AGREEMENT OTHER (PLEASE SPECIFY): FUNDING INVOLVED? YES H NO YES H NO D PUBLIC WORKS AGREEMENT D MAINTENANCE AGREEMENT D INTER -LOCAL AGREEMENT D LEASE AGREEMENT D PURCHASE OR SALE AGREEMENT PURPOSE OF ITEM (DETAILED SUMMARY/ ADD ADDITONAL PAGES IF NECESSARY): Contract in the amount of $50,000.00 in SSG funding to Multi -Ethnic Youth Group, Inc. to provide youth and related services. Please see attached resolution R-25-0518 for further information. COMMISSION APPROVAL DATE: 12/11/2025 FILE ID: 18432 ENACTMENT No.: R-25-0518 IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN: ROUTING INFORMATION DATE PLEASE PRINT AND SIGN APPROVAL BY DEPARTMENT DIRECTOR/ DESIGNEE February 5, 2026 I 12:02:54 PST PRINT: VICTOR TlIFR SIGNATURE: �G4.4 wt.., APPROVAL BY RISK MANAGEMENT February 5, 2026 I 15:06:48 EST PRINT: DAVIIaY�99i� SIGNATURE: \-61A1 signe Eby43F I APPROVAL BY CITY ATTORNEY February 5, 2026 I 17:17:01 EST RP #26-119 PRINT: GEOR SIGNATURE: 349o145,11 y'p)t, ( iSbt4 Ill APPROVAL BY ASSISTANT CITY MANAGER February 7, 2026 I 09:52:14 EST PRINT: ERICArLdWITIPLING SIGNATURE: 't,,;04% Pa,,,kae APPROVAL BY DEPUTY CITY MANAGER February 9, 2026 I 10:50:49 EST PRINT: NATASplA' SIGNATURE: ��K-WILLIAMS Nrai.44 Cottletaak-W 4,4 APPROVAL BY CITY MANAGER February 11, 2026 I 08:06:55 EST PRINT: JAMES `"°QeA-4,B._. (—Signed by: SIGNATURE: APPROVAL BY CITY CLERK February 12, 2026 1 19:09:00 EST PRINT: TODDY SIGNATURE: ar8-. _ �� PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE EXECUTION BY THE CITY MANAGER CITY OF MIAMI DOCUMENT ROUTING FORM DEPT. CONTACT PERSON: Monica Galo NAME OF CONTRACTUAL PARTY/ENTITY: CONTRACT TERM: FROM: 10/01/2025 Multi -Ethnic Youth Group, Inc. EXT. 1976 TYPE OF AGREEMENT, IF APPLICABLE: I PUBLIC SERVICES ❑ ECONOMIC DEVELOPMENT ❑ OTHER (PLEASE SPECIFY): TO: 09/30/2026 ❑ PUBLIC FACILITIES AND IMPROVEMENTS ❑ HOUSING SOURCE OF FUNDING, IF APPLICABLE: ❑ CDBG (FEDERAL) ❑ HOME (FEDERAL) ❑ HOPWA (FEDERAL) ❑ ESG (FEDERAL) ❑ OTHER (PLEASE SPECIFY): ❑ SHIP (STATE) 0 SOCIAL SERVICE GAP (GENERAL FUNDS) ❑ MIAMI FOREVER BOND (GENERAL FUNDS) ❑ MIAMI FOR EVERYONE (GENERAL FUNDS) IS THIS A SUBRECIPIENT/PROJECT SPONSOR AGREEMENT? ❑ YES 0 NO CDBG regulations at 24 CFR 570.500(c) define a subrecipient as a public or private nonprofit agency or organization or a for -profit entity authorized under 570.201(o), receiving CDBG funds from the recipient (City) to undertake eligible activities. Project sponsor is a nonprofit organization or housing agency that works with the City to provide housing and support to people living with HIV/AIDS. SCOPE OF SERVICES: Contract in the amount of $50,000.00 in SSG funding to Multi -Ethnic Youth Group, Inc. to provide youth and related services. Please see attached resolution R-25-0518 for further information. NUMBER OF 0 RESIDENTS / ❑ BUSINESSES TO BE ASSISTED WITH THIS PROGRAM: 14 CITY DISTRICTS SERVED BY THIS AGREEMENT: 0 DI 0 D2 0 D3 0 D4 ■❑ D5 0 COUNTYWIDE City of Miami Office of the City Attorney Legal Services Request To: Office of the City Attorney From: Gesette Guerra Contact Person Contract Manager Title Date: January 12, 2026 1141F1 Housing & Community Dev Requesting Client 305-416-2145 Telephone HCD: 2026-0002 Legal Service Requested: Attached, please find the SSG -funded agreement between Multi Ethnic Youth Group Association, Inc. and the City of Miami the implementation of a Youth Services program in district 5. Complete form and forward to the Office of the City Attorney or e-mail to Legal Services. Do not assume that the Office of the City Attorney knows the background of the question and/or issue, such as opinions on the same or similar issues, the existence of relevant memos, correspondence, etc. Please attach to this form and/or e-mail all pertinent information relating to the subject. Once your request has been assigned, an e-mail will be sent to you with the Assigned Attorney's name and the issued matter identification number. All attorneys in the Office of the City Attorney shall fully comply with the Rules Regulating The Florida Bar. For Legal Services requesting an opinion from the Office of the City Attorney: ❑ Issue opinion in writing. ❑ Publish opinion after issuance. Authorized by: Gesette Guerra Date response requested by: ASAP BELOW PORTION TO BE COMPLETED BY THE OFFICE OF THE CITY ATTORNEY Assigned Attorney: Date: File No. Approved by: Comments: Copy returned to Requesting Client Ultimate Client: D / R Date: Type: Matrix: Category: Copy to Ultimate Client rev. 06/17/2011 CITY OF MIAMI, FLORIDA DEPARTMENT OF HOUSING & COMMUNITY DEVELOPMENT SOCIAL SERVICES GAP PROGRAM ("SSG") AGREEMENT This Agreement (hereinafter the "Agreement") is entered into this 12 day of February , 2026 between the City of Miami, a municipal corporation of the State of Florida (hereinafter the "CITY"), & Multi Ethnic Youth Group Association, Inc. a Florida not for profit corporation (hereinafter referred to as the "RECIPIENT"). FUNDING SOURCE: Social Services Gap Program CFDI # (If applicable): N/A AMOUNT: $ 50,000.00 TERM OF AGREEMENT: Effective date of this agreement is October 1st, 2025 PROJECT NUMBER: to September 30, 2026 UEI (SAM#): GH66PZ4KUDA6 AGENCY'S ADDRESS: 1466 NW 62nd Street Miami, FL 33147 NOW, THEREFORE, in consideration of the mutual covenants and obligations herein set forth, the parties understand and agree as follows: ARTICLE I EXHIBITS AND DEFINITIONS 1.1 EXHIBITS. Attached hereto and forming a part of this Agreement are the following Exhibits: Exhibit A Corporate Resolution Authorizing Execution of this Agreement Exhibit B Work Program Exhibit C Compensation and Budget Summary Exhibit D Certification Regarding Lobbying Form Exhibit E Certification Regarding Debarment, Suspension and other Responsibility Matters (Primary Covered Transactions Form) Exhibit F Crime Entity Affidavit Exhibit G Insurance Requirements Exhibit H Background Screening (Applicable to agencies providing child or youth care only) Exhibit I Anti -Human Trafficking Affidavit 1.2 DEFINED TERMS. As used herein the following terms shall mean: Agreement Records: Any and all books, records, documents, information, data, papers, letters, materials, and computerized or electronic storage data and media, whether written, printed, computerized, electronic or electrical, however collected or preserved, which is or was produced, developed, maintained, completed, received or compiled by or at the direction of the RECIPIENT or any subcontractor in carrying out the duties and obligations required by the terms of this Agreement, including, but not limited to, financial books and records, ledgers, drawings, maps, pamphlets, designs, electronic tapes, computer drives and diskettes or surveys. SSG Program: Social Services Gap Program ("SSG") Department: The City of Miami Department of Housing & Community Development. Award: Any funds received by the RECIPIENT from any source during the period of time in which the RECIPIENT is performing the obligations set forth in this Agreement. Low -and -Moderate A member of a low- or moderate -income household whose Income Person: income is within specific income levels set forth by U.S. HUD, ARTICLE I1 BASIC REQUIREMENTS The following documents must be approved by the CITY and must be on file with the Department prior to the CITY's execution of this Agreement: 2 2.1 The Work Program submitted by the RECIPIENT to the CITY which shall become attached hereto as Exhibit "B" to this Agreement and shall include the following: 2.1.1 The description section shall detail the activities to be carried out by the RECIPIENT. It should specifically describe the activities to be carried out as a result of the expenditure of Funds. Where appropriate it should list measurable objectives, define the who, what, where and when of the project, and in general detail how these activities will ensure that the intended beneficiaries will be served. 2.1.2 The schedule of activities and measurable objectives play an essential role in the grant management system. The schedule should provide projected milestones and deadlines for the accomplishment of tasks in carrying out the Work Program. These projected milestones and deadlines are a basis for measuring actual progress during the term of this Agreement. These items shall be in sufficient detail to provide a sound basis for the CITY to effectively monitor performance by the RECIPIENT under this Agreement. 2.2 The Budget Summary attached hereto as Exhibit "C", including the RECIPIENT's Itemized Budget, Cost Allocation, Budget Narrative, Staff Salaries Schedule and a copy of all subcontracts. 2.3 A list of key staff person (with their titles) who will carry out the Work Program. 2.4 Completion of an Authorized Representative Statement. 2.5 Job description and resumes for allpositions funded in whole or in part under this Agreement. 2.6 The following corporate documents: (i) Bylaws, resolutions, and incumbency certificates for the RECIPIENT, certified by the RECIPIENT's Corporate Secretary, authorizing the consummation of the transactions contemplated hereby, all in a form satisfactory to the CITY. 2.7 All other documents reasonably required by the CITY. ARTICLE III TERMS AND PROCEDURES 3.1 CITY AUTHORIZATION. For the purpose of this Agreement, the Department will act on behalf of the CITY in the fiscal control, programmatic monitoring and modification of this Agreement, except as otherwise provided in this Agreement. 3.2 EFFECTIVE DATE AND TERM: The Effective date of this agreement is October 1st, 2025 to September 30, 2026 3.3 OBLIGATIONS OF RECIPIENT. The RECIPIENT shall carry out the services and activities as prescribed in its Work Program, which is attached and incorporated herein and made 3 a part of this Agreement, in a manner that is lawful, and satisfactory to the CITY, and in accordance with the policies, procedures, and requirements as prescribed in this Agreement, and as set forth by the CITY. 3.4 POLICIES AND PROCEDURES MANUAL. The RECIPIENT is aware of and accepts the Policies and Procedures Manual, as applicable, for Community Development Block Grant ("CDBG") sub -recipients as the official document which outlines the fiscal, administrative and other guidelines which shall regulate the day-to-day operations of the RECIPIENT. The Policies and Procedures Manual for CDBG sub -recipients is incorporated herein and made a part of this Agreement. The City of Miami reserves the right to update this Policies and Procedures Manual via. Program Directives. These Program Directives and updated versions of this Policies and Procedures Manual shall be incorporated and made a part of this Agreement. 3.5 LEVEL OF SERVICE. Should start-up time for the Work Program be required or in the event of the occurrence of any delays in the activities thereunder, the RECIPIENT shall immediately notify the Department in writing, giving all pertinent details and indicating when the Work Program shall begin and/or continue. It is understood and agreed that the RECIPIENT shall maintain the level of activities and expenditures in existence prior to the execution of this Agreement. Any activities funded through or as a result of this Agreement shall not result in the displacement of employed workers, impair existing agreements for services or activities, or result in the substitution of funds allocated under this Agreement for other funds in connection with work which would have been performed in the absence of this Agreement. ARTICLE IV SSG PROGRAM FUNDING AND DISBURSEMENT REQUIREMENTS 4.1 COMPENSATION. The amount of compensation payable by the CITY to the RECIPIENT shall be pursuant to the rates, schedules and conditions described in Exhibit "C" attached hereto and incorporated into this Agreement. 4.2 INSURANCE. At all times during the term hereof, the RECIPIENT shall maintain insurance acceptable to the CITY. Prior to commencing any activity under this Agreement, the RECIPIENT shall furnish to the CITY original certificates of insurance indicating that the RECIPIENT is in compliance with the provisions described in Exhibit "G" attached hereto, and incorporated into this Agreement. 4.3 FINANCIAL ACCOUNTABILITY. The CITY reserves the right to audit the records of the RECIPIENT at any time during the performance of this Agreement and for a period of five (5) years atter its expiration/termination. The RECIPIENT agrees to provide all financial and other applicable records and documentation of services to the CITY. Any payment made shall be subject 4 to reduction for amounts included in the related invoice which are found by the CITY, on the basis of such audit/review and at its sole discretion, not to constitute reasonable and necessary expenditures. Any payments made to the RECIPIENT are subject to reduction for overpayments on previously submitted invoices. 4.4 RECAPTURE OF FUNDS. The CITY reserves the right to recapture funds in the event that the RECIPIENT shall fail: (i) to comply with the terms of this Agreement, or (ii) to accept conditions imposed by the CITY. 4.5 CONTINGENCY CLAUSE. Funding pursuant to this Agreement is contingent on the availability of funds and continued authorization for SSG Program activities, and is also subject to amendment or termination due to lack of funds or authorization, reduction of funds, and/or changes in regulations. ARTICLE V RECORDS AND REPORTS 5.1 The RECIPIENT shall establish and maintain sufficient records to enable the CITY to determine whether the RECIPIENT has met the requirements of the SSG Program. At a minimum, the following records shall be maintained by the RECIPIENT: 5.1.1 Records providing a full description of each activity assisted or undertaken with SSG Program Funds, including its location (if the activity has a geographical locus), the amount of SSG and non -SSG Program Funds budgeted, obligated and expended for the activity. 5.1.2 Equal Opportunity Records containing: (i) Data on the extent to which each racial and ethnic group and single -headed households (by gender of household head) have applied for, participated in, or benefited from, any program or activity funded in whole or in part with SSG Program Funds. Such information shall be used only as a basis for further investigation relating to compliance with any requirement to attain or maintain any particular statistical measure by race, ethnicity, or gender in covered programs. 5.2 RETENTION AND ACCESSIBILITY OF RECORDS: 5.2.1 The Department shall have the authority to review the RECIPIENT's records, including project and programmatic records and books of account, for a period of five (5) years from the expiration/termination of this Agreement (the "Retention Period"). All books of account and supporting documentation shall be kept by the RECIPIENT at least until the expiration of the Retention Period. 5 All records and reports required herein shall be retained and made accessible as provided thereunder. The RECIPIENT further agrees to abide by Chapter 119, Florida Statutes, as the same may be amended from time to time, pertaining to public records. The RECIPIENT shall ensure that the Agreement Records shall be at all times subject to and available for full access and review, inspection and audit by the CITY and any other personnel duly authorized by the CITY. 5.2.2 The RECIPIENT shall include in all the Depaitcnent's approved subcontracts used to engage subcontractors to carry out any eligible substantive project or programmatic activities, as described in this Agreement and defined by the Department, each of the record -keeping and audit requirements detailed in this Agreement. The Department shall, in its sole discretion, determine when services are eligible substantive project and/or programmatic activities and subject to the audit and record -keeping requirements described in this Agreement. 5.2.3 If the CITY or the RECIPIENT has received or given notice of any kind indicating any threatened or pending litigation, claim or audit arising out of the activities pursuant to the project, the activities and/or the Work Program or under the terms of this Agreement, the Retention Period shall be extended until such time as the threatened or pending litigation, claim or audit is, in the sole and absolute discretion of the Department fully, completely and fmally resolved. 5.2.4 The RECIPIENT shall notify the Department in writing, both during the term of this Agreement and after its expiration/termination as part of the final closeout procedure, of the address where all Agreement Records will be retained. 5.2.5 The RECIPIENT shall obtain the prior written consent of the Department to the disposal of any Agreement Records within one year after the expiration of the Retention Period, 5.3 PROVISION OF RECORDS: 5.3.1 At any time upon request by the Department, the RECIPIENT shall provide all Agreement Records to the Department. The requested Agreement Records shall become the property of the Department without restriction, reservation, or limitation on their use. The Department shall have unlimited rights to all books, articles, or other copyrightable materials developed in the performance of this Agreement. These rights include the right of royalty -free, nonexclusive, and irrevocable license to reproduce, publish, or otherwise use, and to authorize others to use the Work Program for public purposes. 5.4 MONITORING. The RECIPIENT shall permit the Department and other persons duly authorized by the Department 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 Department. If a monitoring visit occurs, following such 6 inspection or interviews, the Department will deliver to the RECIPIENT a report of its fmdings. The RECIPIENT will rectify all deficiencies cited by the Department within the specified period of time set forth in the report or provide the Department with a reasonable justification for not correcting the same. The Department will determine, in its sole and absolute discretion, whether or not the RECIPIENT's justification is acceptable. 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. The CITY may carry out monitoring and evaluation activities, including visits and observations by CITY staff; The RECIPIENT shall ensure the cooperation of its employees and its Board members in such efforts. Any inconsistent, incomplete, or inadequate information, either received by the CITY or obtained through monitoring and evaluation by the CITY, shall constitute cause for the CITY to terminate this Agreement. 5.5 RELATED PARTIES: The term "related -party transaction" includes, but is not limited to, a for -profit or nonprofit subsidiary or affiliate organization, an organization with an overlapping Board of Directors and an organization for which the RECIPIENT is responsible for appointing memberships. Upon forming the relationship or if already formed, before of at the time of execution of this Agreement, the RECIPIENT shall report such relationship to the Department. Any supplemental information shall be promptly reported to the Department. The RECIPIENT shall report to the Department the name, purpose for and any and all other relevant information in connection with any related -party transaction. ARTICLE VI OTHER SSG PROGRAM REQUIREMENTS 6.1 NON-DISCRIMINATION: The RECIPIENT shall not discriminate on the basis of race, color, national origin, sex, religion, age, marital or family status or handicap in connection with the activities and/or the Work Program or its performance under this Agreement. Furthermore, the RECIPIENT agrees that no otherwise qualified individual shall, solely by reason of his/her race, sex, color, creed, national origin, age, marital status or handicap, be excluded from the participation in, be denied benefits of, or be subjected to discrimination under any program or activity receiving federal financial assistance. 6.2 REVERSION OF ASSETS. Upon expiration/termination of this Agreement, the RECIPIENT must transfer to the CITY any unused SSG Program Funds at the time of expiration/termination and any accounts receivable attributable to the use of SSG Program Funds. 7 6.3 ENFORCEMENT OF THIS AGREEMENT. Any violation of this Agreement that remains uncured thirty (30) days after the RECIPIENT's receipt of notice from the CITY (by certified or registered mail) of such violation may, at the option of the CITY, be addressed by an action for damages or equitable relief, or any other remedy provided at law or in equity. In addition to the remedies of the CITY set forth herein, if the RECIPIENT fails to comply with the terms of this Agreement, the CITY may suspend or terminate this Agreement. ARTICLE VII REMEDIES. SUSPENSION. TERMINATION 7.1 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: 7.1.1 Temporarily withhold cash payments pending correction of the deficiency by the RECIPIENT, or such more severe enforcement action as the CITY determines is necessary or appropriate. 7.1.2 Disallow (that is, deny both the use of funds and matching credit) for all or part of the cost of the activity or action not in compliance. 7.1.3 Wholly or partially suspend or terminate the current SSG Program Funds awarded to the RECIPIENT. 7.1.4 Withhold further funds for the RECIPIENT. 7.1.5 Take all such other remedies that may be legally available. Notwithstanding any other provision of this Agreement, if the RECIPIENT fails to comply with any term of this Agreement, the RECIPIENT, at the sole discretion of the City, shall pay to the City an amount equal to the current market value of any real property, under the RECIPIENT's control, acquired or improved in whole or in part with SSG Program Funds (including SSG Program Funds provided to the RECIPIENT in the form of a loan and/or grant), less any portion of the value attributable to expenditures of non -SSG Program funds for the acquisition of, or improvement to, the property. The payment is program income to the City. 7.2 SUSPENSION: 8 7.2.1 The Department may, for reasonable cause, temporarily suspend the RECIPIENT's operations and authority to obligate funds under this Agreement or withhold payments to the RECIPIENT pending necessary corrective action by the RECIPIENT, or both. Reasonable cause shall be determined by the Department in its sole and absolute discretion, and may include: (i) Ineffective or improper use of the SSG Program Funds by the RECIPIENT; (ii) Failure by the RECIPIENT to comply with any term or provision of this Agreement; (iii) Failure by the RECIPIENT to submit any documents required by this Agreement; or (iv) The RECIPIENT's submittal of incorrect or incomplete documents. 7.2.2 The Department will notify the RECIPIENT in writing of any action taken pursuant to this Article by electronic mail, certified mail, return receipt requested, or by in person delivery with proof of delivery. The notification will include the reason(s) for such action, any conditions relating to the action taken, and the necessary corrective action(s). 7.3 TERMINATION. 7.3.1 Termination Because of Lack of Funds. In the event the CITY does not have the funds to finance this Agreement, or in the event that the CITY de -obligates the funds allocated to fund this Agreement, the Department may terminate this Agreement upon not less than twenty-four (24) hours prior notice in writing to the RECIPIENT. Said notice shall be delivered by electronic mail, certified mail, return receipt requested, or by in person delivery with proof of delivery. In the event that the CITY's funding is reduced for SSG Program, the CITY shall determine, in its sole and absolute discretion, the availability of funds for the RECIPIENT pursuant to this Agreement. 7.3.2 Termination for Breach. The Department may terminate this Agreement, in whole or in part, in the event the Department determines, in its sole and absolute discretion, that the RECIPIENT is not compliant with any term or provision of this Agreement. The Department may terminate this Agreement, in whole or in part, in the event that the Department determines, in its sole and absolute discretion, that there exists an event of default under and pursuant to the terms of any other agreement or obligation of any kind or nature whatsoever of the RECIPIENT to the CITY, direct or contingent, whether now or hereafter due, existing, created or arising. 7.3.3 Unless the RECIPIENT's breach is waived by the Department in writing, the Department may, by written notice to the RECIPIENT, terminate this Agreement upon not less than twenty-four (24) hours prior written notice. Said notice shall be delivered by electronic mail, certified mail, return receipt requested, or by in person delivery with proof of delivery. Waiver of breach of any provision of this Agreement shall not be deemed to be a waiver of any other breach and shall not be 9 construed to be a modification of the terms of this Agreement. The provisions hereof are not intended to be, and shall not be, construed to limit the Department's right to legal or equitable remedies. ARTICLE VIII MISCELLANEOUS PROVISIONS 8.1 INDEMNIFICATION. The RECIPIENT shall indemnify, hold harmless, and defend the City, its officers, agents, directors, and/or employees, from liabilities, damages, losses, judgments, and costs, including, but not limited to reasonable attorney's fees, to the extent caused by the negligence, recklessness, negligent act or omission, or intentional wrongful misconduct of RECIPIENT and persons employed or utilized by RECIPIENT in the performance of this Contract. RECIPIENT shall, further, hold the City, its officials and/or employees, harmless for, and defend the City, its officials and/or employees against, any civil actions, statutory or similar claims, injuries or damages arising or resulting from the permitted work, even if it is alleged that the City, its officials and/or employees were negligent. These indemnifications shall survive the term of this Contract. In the event that any action or proceeding is brought against the City by reason of any such claim or demand, the RECIPIENT shall, upon written notice from the City, resist and defend such action or proceeding by counsel satisfactory to the City. The RECIPIENT expressly understands and agrees that any insurance protection required by this Agreement or otherwise provided by the RECIPIENT shall in no way limit the responsibility to indemnify, keep and save harmless and defend the City or its officers, employees, agents and instrumentalities as herein provided. The indemnification provided above shall obligate the RECIPIENT to defend, at its own expense, to and through appellate, supplemental or bankruptcy proceeding, or to provide for such defense, at the City's option, any and all claims of liability and all suits and actions of every name and description which may be brought against the City whether performed by the RECIPIENT, or persons employed or utilized by RECIPIENT. This indemnity will survive the cancellation or expiration of the Agreement. This indemnity will be interpreted under the laws of the State of Florida, including without limitation and interpretation, which conforms to the limitations of §725.06 and/or §725.08, Florida Statutes, as applicable. The RECIPIENT shall require all Sub -contractor agreements, if applicable, to include a provision that they will indemnify the City. The RECIPIENT agrees and recognizes that the City shall not be held liable or responsible for any claims which may result from any actions or omissions of the RECIPIENT in which the City participated either through review or concurrence of the RECIPIENT's actions. In reviewing, approving or rejecting any submissions by the RECIPIENT or other acts of the RECIPIENT, the City in no way assumes or shares any responsibility or liability of the RECIPIEN or Sub - RECIPIENT under this Agreements. 10 8.2 AMENDMENTS. No amendments to this Agreement shall be binding unless in writing and signed by both parties hereto. Budget modifications shall be approved by the Department in writing. 8.3 OWNERSHIP OF DOCUMENTS. All documents developed by the RECIPIENT under this Agreement shall be delivered to the CITY upon completion of the activities required pursuant to this Agreement and shall become the property of the CITY, without restriction or limitation on their use, if requested by the City. The RECIPIENT agrees that all documents maintained and generated pursuant to this Agreement shall be subject to all provisions of the Public Records Law, Chapter 119, Florida Statutes. It is further understood by and between the parties that any document, which is given by the CITY to the RECIPIENT pursuant to this Agreement, shall at all times remain the property of the CITY and shall not be used by the RECIPIENT for any other purpose whatsoever without the prior written consent of the CITY. 8.4 AWARD OF AGREEMENT, The RECIPIENT warrants that it has not employed or retained any person 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 employed by the CITY any fee, commission, percentage, brokerage fee, or gift of any kind contingent upon or resulting from the award of this Agreement. 8.5 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 granted or withheld in the CITY's sole discretion. 8.6 CONSTRUCTION OF AGREEMENT. This Agreement shall be construed and enforced according to the laws of the State of Florida. 8.7 CONFLICT OF INTEREST. 8.7.1 The RECIPIENT covenants that no person under its employ who presently exercises any functions or responsibilities in connection with SSG Program funded activities has any personal financial interest, direct or indirect, in this Agreement. The RECIPIENT further covenants that, in the performance of this Agreement, no person having such a conflicting interest shall be employed. Any such interest on the part of the RECIPIENT or its employees must be disclosed in writing to the CITY. 8.7.2 The RECIPIENT is aware of the conflict of interest laws of the City of Miami (City of Miami Code Chapter 2, Article V), Dade County, Florida (Dade County Code 11 Section 2-11-1) and the State of Florida (Chapter 112, Florida Statutes), and agrees that it shall comply in all respects with the terms of the same. 8.8 PROCUREMENT. The RECIPIENT shall comply with the procurement standards set by the City of Miami Purchasing Department. 8.9 NO OBLIGATION TO RENEW. Upon expiration of the term of this Agreement, the RECIPIENT agrees and understands that the CITY has no obligation to renew this Agreement. 8.10 ENTIRE AGREEMENT. This instrument and its attachments constitute the only agreement of the parties hereto relating to the SSG Program Funds and sets forth the rights, duties, and obligations of each of the parties hereto 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. 8.11 GENERAL CONDITIONS. 8.11. 1 All notices or other communications which shalt or may be given pursuant to this Agreement shall be in writing and shall be delivered by in person delivery or by registered mail addressed to the other party at the address indicated herein or as the same may be changed from time to time, upon notice in writing. Such notice shall be deemed given on the day on which personally served, or, if by mail, on the fifth day after being posted or the date of actual receipt, whichever is earlier. CITY OF MIAMI Victor Tuner, Director Department of Housing & Community Development 444 S.W. 2" d Avenue Miami, Florida 33130-1910 RECIPIENT Multi Ethnic Youth Group Association, Inc. 1466 NW 62nd Street Miami, FL 33147 8_11.2 Title and paragraph headings are for convenient reference and are not a part of this Agreement. 12 8.11.3 In the event of conflict between the terms of this Agreement and any terms or conditions contained in any attached documents, the terms in this Agreement shall control. 8.11.4 No waiver of 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. 8.11.5 Should any provision, paragraph, sentence, word or phrase contained in this Agreement be determined by a court of competent jurisdiction to be invalid, illegal or otherwise unenforceable under the laws of the State of Florida or the City of Miami, such provision, paragraph, sentence, word or phrase shall be deemed modified to the extent necessary in order to conform with such laws, or if not modifiable to conform with such laws, then same shall be deemed severed, and in either event, the remaining terms and provisions of this Agreement shall remain unmodified and in full force and effect. 8.12 INDEPENDENT CONTRACTOR,. The RECIPIENT and its 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 Ordinances of the CITY or any rights generally afforded classified or unclassified employees; further, they shall not be deemed entitled to the Florida Worker's Compensation benefits as employees of the CITY. 8.13 SUCCESSORS AND ASSIGNS. This Agreement shall be binding upon the parties hereto, and their respective heirs, executors, legal representatives, successors, and assigns. 8.14 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 goveming body, authorizing the execution of this Agreement, including all understandings and assurances contained herein, and directing and authorizing the person identified as the official representative of the RECIPIENT to act in connection with this Agreement and to provide such information as may be required. 8.15 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. 13 8.16 CLOSE OUT. When the City determines that all required work under the Agreement has been completed or upon the expiration or termination of the RECIPIENT Agreement, the CITY shall require the RECIPIENT to provide final versions of all financial, performance, and other reports. These reports may include, but are not limited to: • A final performance or progress report. • A financial status report (including all program income). • A final request for payment. • A final inventory of property in the RECIPIENrs possession that was acquired or improved with SSG funds. 8.17 BACKGROUND CHECKS. RECIPIENT agrees to comply with all requirements of Sections 1012.32 and 1012.465, Florida Statutes, and that RECIPIENT, its agents, subcontractors and all of its personnel who (1) are to be permitted access to school grounds when children are present, (2) will have direct contact with children, or (3) have access or control of school funds will successfully complete the background screening required by the referenced statutes and meet the standards established by the statutes. This background screening will be conducted in advance of RECIPIENT or its personnel providing any services under the conditions described in the previous sentence. Prior to commencing any activity under this Agreement, the SUBRECIPIENT shall furnish to the CITY the original background screening indicating that the SUBRECIPIENT is in compliance with the provisions described in Exhibit "H" attached hereto, and incorporated into this Agreement. The RECIPIENT will bear the cost of acquiring the background screening required by Section 1012.32, Florida Statutes, and any fee imposed by the Florida Department of Law Enforcement to maintain the fingerprints provided with respect to SUBRECIPIENT and its personnel. The Parties agree that the failure of RECIPIENT to perform any of the duties described in this section shall constitute a material breach of this Agreement entitling the CITY to terminate immediately with no further responsibilities or duties to perform under this Agreement. 8.18 ANTI -HUMAN TRAFFICKING. The RECIPIENT confirms and certifies that it is not in violation of Section 787.06, Florida Statutes, and that it does not and shall not use "coercion" for labor or services as defined in Section 787.06, Florida Statutes. The RECIPIENT shall execute and submit to the CITY an Affidavit, of even date herewith, in compliance with Section 787.06(13), Florida Statutes, attached an incorporated herein as Exhibit "1". If the RECIPIENT fails to comply with the terms of this Section, the CITY may suspend or terminate this Agreement immediately, without prior notice, and in no event shall the CITY be liable to RECIPIENT for any additional compensation or for any consequential or incidental damages. 8.19 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. 14 IN WITNESS WHEREOF, the parties hereto have caused this instrument to be executed by their respective officials thereunto duly authorized on the date above written. RECIPIENT Multi Ethnic Youth Group Association, Inc. 1466 NW 62nd Street Miami, FL 33147 a Florida not -for -profit corporation AUTHORIZED REPRESENTATIVE: f • Name:Saman •a Quarterman Date:12/30/2025 Title: Executive Director CITY OF MIAMI, a municipal Corporation of the State of Florida ATTEST: Nam'. Joan Bellamy Date: 12/30/2025 Title: Secretary Board f Directors Corporate Seal: ATTEST: 1- DocuSigned by: F2C6A478._ n '-E46D7560DCF1459... James ye l esFebruary 11, 2'Oz : I 08:06:55 ESTioddB. Hannon Date: City Manager City Clerk February 12, 2026 1 19:09:00 EST Signed by: APPROVED AS TO INSURANCE REQUIREMENTS DocuSigned by: ttirti ttmt, / 6 17254130 David Ruiz February 5, 209819 15:06:48 Risk Management 15 APPROVED AS TO FORM AND CORRECTNESS: DocuSigned by: Prot, Risot,0 <<� 0077CorE0024OD._. ES -George tC. Wysong III Date: City Attorney February 5, 2026 I 17:17:01 EST RP #26-119 City of Miami Resolution R-25-0518 Legislation City Hall 3500 Pan American Drive Miami, FL 33133 www.miamigov.com File Number: 18432 Final Action Date: 12/11/2025 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), ALLOCATING FUNDS IN THE AMOUNT OF SEVEN HUNDRED FORTY- THREE THOUSAND ($743,000.00) TO THE AGENCIES SPECIFIED IN EXHIBIT "A," ATTACHED AND INCORPORATED, FOR PUBLIC SERVICE ACTIVITIES FOR FISCAL YEAR 2025-2026 FROM THE SOCIAL SERVICE GAP PROGRAM FUNDS, ACCOUNT NO. 14010.910199.481000; FURTHER AUTHORIZING THE CITY MANAGER TO NEGOTIATE AND EXECUTE ANY AND ALL NECESSARY DOCUMENTS, ALL IN FORMS ACCEPTABLE TO THE CITY ATTORNEY, FOR SAID PURPOSE. WHEREAS, due to the continuous decrease of available Community Development Block Grant funds, public service agencies' funding allocations have been reduced, resulting in a reduction of services to City of Miami ("City") residents; and WHEREAS, pursuant to Section 18-72 of the Code of the City of Miami, as amended, the City Commission wishes to allocate funding to cover public service program shortfalls for fiscal year 2025-2026 from the Social Service Gap Program fund, Account No. 14010.910199.481000, in the amount of Seven Hundred Forty -Three Thousand Dollars ($743,000.00); and WHEREAS, the City's Administration recommends the allocation of funds in the amount of Seven Hundred Forty -Three Thousand Dollars ($743,000.00) from the Social Service Gap Program to the agencies specified in Exhibit "A," attached, and incorporated, for public service activities; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The recitals and findings 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 allocate funds in the total amount of Seven Hundred Forty -Three Thousand Dollars ($743,000.00) to the agencies specified in Exhibit "A," attached, and incorporated, for public service activities for fiscal year 2025-2026 with said funds being allocated from the Social Service Gap Program, Account No. 14010.910199.481000. Section 3. The City Manager is authorized' to execute any and all necessary documents, in a form acceptable to the City Attorney, for said purpose. 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. City of Miami Page 1 of 2 File ID: 18432 (Revision:) Printed On: 12/12/2025 File ID: 18432 Enactment Number: R-25-0518 Section 4. This Resolution shall become effective immediately upon its adoption. APPROVED AS TO FORM AND CORRECTNESS: ge . Wy j ng III, C1ty • ttor -y 12/2/2025 City of Miami Page 2 of 2 File ID: 18432 (Revision:) Printed on: 12/12/2025 "Exhibit A" City of Miami Department of Housing and Community Development SSG FY2025 - Public Service Allocation Agency Description of Services SSG Funding Allapattah Community Action, Inc. Elderly Meals $ 258,210.00 Catholic Charities of the Archdiocese of Miami, Inc. Myers Center Elderly Meals $ 149,500.00 Josefa Perez de Castano Kidney Foundation, Inc. Elderly Meals $ 25,000.00 Multi Ethnic Youth Group Association, Inc. Youth Services $ 50,000.00 Sunshine for All, Inc. Elderly Meals $ 60,000.00 Thelma Gibson Health Initiative, Inc. Elderly Services & Services for the Disabled $ 33,230.00 HCD to be allocated TBD $ 167,060.00 Total SSG Public Service Allocation: $ 743,000.00 Resolutions Board of Directors Multi -Ethnic Youth Group Association, Inc. (MEYGA) Resolutions 1 (of 1): Whereas: 1. The City of Miami is proposing to enter into an agreement, a copy of which is attached, with Multi -Ethnic Youth Group Association, Inc. (MEYGA) for $50,000.00, to cover the period of 10/01/2025 09/30/2026. 2. MEYGA's Board of Directors desires to enter into this agreement. Be it resolved that: 1. MEYGA's Board of Directors hereby authorizes Samantha Quarterman, MEYGA's Executive Director, to execute this contract Board of Directors. 2. MEYGA's Board of Directors hereby authorizes members of MEYGA and Samantha Quarterman, MEYGA Executive Director, to sign on behalf of MEYGA, regarding this agreement. Board Signature: (2_,, &. ,___) December 19, 2025 , Joan Bellamy (Secretary), (Corporate Seal) EXHIBIT B WORK PROGRAM YOUTH CARE SERVICES PROGRAM National Objective: 1. SUBRECIPIENT understands that the National Objective for this activity is assistance to low to moderate income persons by serving a limited clientele as defined in 24 CFR 570.208(a)(2) and that the HUD matrix code associated with this activity is: 05D (Youth Services) is defined as services for teenagers (13 to 19) which include recreational services and teen counseling programs. Scope of Services: I. RECIPIENT will provide youth services and related services to eligible program participants from October 1, 2025 to September 30, 2026 with funding from the 2025-2026 Social Service Gap (SSG) Program Year. 2. SUBRECIPIENT will provide a full day of Youth Care services to eligible program participants on the following days: X Monday, X Tuesday X Wednesday, X Thursday, X Friday for a total of 223 program days between 2:00 AM/PM and 6:00 AM/PM to 14 eligible participants, at the following site(s): Other tasks to be performed by the SUBRECIPIENT in connection with the provision of youth care services include, but are not limited to, the following: 3. Perfonn eligibility determination: (24CFR 570.208(a)(1)(i) and 24CFR 570.506) A. Only children and family meeting the following criteria will be considered eligible program participants: a. Reside in the City of Miami b. A member of a low (extremely low to low) incomehousehold c. Ages from 5 to 12 years old. B. SUBRECIPIENT must keep in fileproofofthe information listed below demonstrating that each program participant is eligible to receive program benefits: a. City of Miami Public Service Application b. Parent current picture identification c. Proof of Participant's Age i. Legible copy of a birth certificate ii. School registrar information for active school year d. Proof of living in the city and the district i. School registrar information for active school year 1. Also include the following print outs from the below two links: O https://www.rnia nmidade.govlpa/property search. asp 0 Folio# must begin with 01- to be consider a City of Miami resident. O hitps://www.miamigov.com iSery ices/Your- NeirhborhoodFind-Ivry-Commissioner District -Map e. Current HUD income Limits Chatt (At the time of client intake.) i. https:i!www.huduser.gov/portal/datasets/il.html f. Proof of Household Income (Any one of those documents wfllsuffice.) 1. School registrar information showing meal qualification status (for active school year) 11. Pay Stub (not older than 90 days- 3 months of paycheck stubs) 1 r r. Bank Statement showing direct deposit amounts (not older than 90 days) tv. Employer Statement/ Letter (not older than 90 days) v. Social Security Statement v 1. Medicaid Cards v 11. Section 8 certification vl 11. AFDC/ Food Stamp Authorization Statement ix. Latest Income Tax Return g. Proof of Legal Residency: i. Last five (5) digits of clients SSN must be clearly written on application ii. If illegal aliens, application must indicate their legal status SUBRECIPIENT may replace program participants who stop receiving program benefits by providing the information required in items 4 a. and b. for the new participant. SUBRECIPIENT will not invoice the City of Miami until the proposed participant is certified as eligible by the City of Miami. 4. At all times, maintain facilities in conformance with all applicable codes, licensing, and other requirements for the operation of day care center and/or youth center. The facilities must be handicapped accessible. 5. Procure services and equipment in a manner that provides. to the maximum extent, practical, open and free competition and in compliance with 24 CFR84.40-48. 6. As part of the programs, provide a range of structured social, educational and cultural enrichment activities appropriate to the age group being served. 7. Maintain program and financial records documenting the eligibility. attendance, provision of services. and SUBRECIPIENT expenses relative to the childcare services as a result of the assistance the CDBG program. 8. SUBRECIPIENT will provide the following program reports to the City: a. A monthly report for the services provided to eligible participants in a form provided by the CIT Y. This report must include the date range when services were provided, the name of the participant, type of service provided (after school or full day), the last five digits of the participant's social security number and the number of days served. This form must be signed by the Program Manager and Executive Director. b. A final Close -Out (financial report) and inventoryreport. BACKGROUND SCREENING 9. SUBRECIPIENT agrees to comply with all requirements of Sections 1012.32 and 1012.465, Florida Statutes, and that SUBRECIPIENT, its agents. subcontractors and all of its personnel who (I) are to be permitted access to school grounds when children are present. (2) will have direct contact with children, or (3) have access or control of school funds will successfully complete the background screening required by the referenced statutes and meet the standards established by the statutes. Authorized Representative Signature: 14 Name:Samantha Quarterman Title: Executive Director 12/30/2025 Date: STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was acknowledged before me by means of®physical presence or ❑ online notarization, this 30th day of December , 2025 by Samantha Quarterman of Multi -Ethnic Youth Group Association, Inca Florida not -for -Profit corporation, on behalf of the corporation. He/she is personally known to me or has produced as identification. NOTARY PUBLIC (Signature) My commission expires: 04/17/2026 Deloris Watkins SE (Print Name) 1L Notary Public State of Florida Deloris Watkins My Commission 1111 HH 253931 Exp. 4/17/2026 EXHIBIT C COMPENSATION AND BUDGET SUMMARY YOUTH SERVICES PROGRAM A. The maximum compensation under this Agreement shall be S50,000.00. B. SUBRECIPIENT's Itemized Budget, Cost Allocation, Budget Narrative, Staff Salaries Schedule are attached hereto and made part of this Agreement. C. All payments shall be for services provided only during the term of this Agreement and in compliance with the previously approved Work Program (Exhibit B) and Program Budget. D. Requests for payment should be made at least on a monthly basis. Reimbursement requests should be submitted to the CITY by the 1041i of the following month to the Contract Analyst's email address. After the indebtedness has been incurred in a form provided by the Department. Failure to comply with these time frames for requesting reimbursement/payment may result in the rejection of those invoices within the reimbursement package which do not meet these requirements. E. Each written request for payment shall contain a statement declaring and affirming that services were provided to certified program participants and in accordance with the approved Work Program and Program Budget. All documentation in support of each request shall be subject to review and approval by the CITY at the time the request is made. F. All expenditures must be verified with a copy of the original invoice and a copy of a check or other form of payment which was used to pay that specific invoice. In the event that an invoice is paid by various funding sources, the copy of the invoice must indicate the exact amount (allocation) paid by various funding sources equaling the total of the invoice. No miscellaneous categories shall be accepted as a line -item budget. G. The SUBRECIPIENT must submit the final request for payment to the CITY within ten (10) calendar days following the termination date of this Agreement. If the SUBRECIPIENT fails to comply with this requirement, the SUBRECIPIENT shall forfeit all rights to payment and the CITY shall not honor any request submitted thereafter. I -I. Any payment due under this Agreement may be withheld pending the receipt and approval by the CITY of all reports due from the SUBRECIPIENT as a part of this Agreement and any modifications thereto. I. During the term hereof and for a period of five (5) years following the date of the last payment made hereunder, the CITY shall have the right to review and audit the time records and related records of the SUBRECIPIENT pertaining to any payments by the CITY. J. The SUBRECIPIENT will bear the cost of acquiring the background screening required by Section 1012.32, Florida Statutes, and any fee imposed by the Florida Department of Law Enforcement to maintain the fingerprints provided with respect to SUBRECIPIENT and its personnel. SUBRECIPEINT can bill the city for the background screenings as a line item expense. Authorized Representative Signature: Print Nam Sam ntha Quarterman 12/30/2025 Date BUDGET FORM I CITY OF MIAMI DEPARTMENT OF HOUSING & COMMUNITY DEVELOPMENT BUDGET NARRATIVE BY LINE ITEM AGENCY: PERIOD FUNDING SOURCE Multi Ethnic Youth Group Association, Inc. October 1, 2025 - September 30, 2026 SSG ITEM DESCRIPTION AMOUNT 101 STAFF SALARIES 21,600.00 102 STAFF MICA/FICA $1,650 103 STAFF WORKERS COMPENSATION $100 104 STAFF UNEMPLOYMENT $20 105 PROFESSIONAL SERVICES $7,200 106 TELEPHONE/INTERNET SERVICES $2,400 107 COPIER $1,200 108 PARTICIPANT MEALS $14,630 109 SECURITY ALARM $1,200 BUDGET FORM I TOTAL $50,000 CITY OF MIAMI HOUSING AND COMMUNITY DEVELOPMENT SALARY FORECAST FORM AGENCY: Multi Ethnic Youth Group Association, Inc. FISCAL YEAR: 2025-2026 Employee Name Position Title Pt/Ft Budgeted Pay Periods Annual Gross Salary Total Salary per pay period Percent of salary charged to City Total Amount charged to City Samantha Quarterman Executive Director Ft 12 $21,600.00 $1,800.00 30% $21,600.00 *Salary Forecast is an approximate amount that will be billed to the City. Any changes in monetary value will be have to be approved with a budget modification. CITY OF MIAMI DEPARTMENT OF HOUSING & COMMUNITY DEVELOPMENT COST ALLOCATION AGENCY: Multi Ethnic Youth Group Association, Inc. FUNDING PERIOD: October 1, 2025 - September 30, 2026 FUNDING SOURCE: SSG Funding Source Funding Source Funding Source LINE ITEM DESCRIPTION % City of Miami % DC % CDBG/DADE % N/A % Total STAFF SALARIES 30% $21,600.00 30% $37,596.00 40% $49,951.00 $109,147.70 STAFF MICA/FICA $1,650.00 $1,650.00 STAFF WORKERS COMP. $100.00 $100.00 STAFF UNEMPLOYMENT $20.00 $20.00 STAFF FRINGES 100% $3,680.00 $3,680.00 RETIREMENT PENSION PROFESSIONAL SERVICES 50% $7,200.00 50% $2,400.00 $9,600.50 BOARD APPROVED STAFF BONUS AUDIT COST TEMPORARY STAFF AGENCY SECURITY SYSTEMS AGENCY INSURANCE TELEPHONE/INTERNET 20% $2,400.00 20% $677.00 60% $3,835.00 $6,912.80 ELECTRICAL SRVS. COPIER 20% $1,200.00 $1,200.00 PARTICIPANT MEALS 80% $14,630.00 20% $1,625.00 $16,255.20 SECURITY ALARM $1,200.00 $1,200.00 GENERAL LIABILITY INSURANCE 10% $188.00 90% $2,702.00 $2,890.90 MAINT. AGENCY VEHICLE INDIRECT COST 40% $4,177.00 60% $5,106.00 $9,283.60 VEHICLE/MILEAGE EQUIPMENT RENTAL SPACE RENTAL POSTAGE PRINTING OUTSIDE PUBLICATIONS ADVERTISING MEMBERSHIP LOCAL TRAVEL 100% $1,050.00 $1,050.00 FIELD TRIPS 100% $1,500.00 $1,500.00 TRAINING SEMINARS AGENCY SUPPLIES TRAINING SUPPLIES COMPUTER SUPPLIES/REPAIRS SUPPORTIVE SERVICE CHILD CARE/SUPPLIES RECREATION PROGRAM SERVICES LICENSES/PERMITS CLEANING SERVICES/SUPPLIES OFFICE FURNITURE PROGRAM SUPPLIES $111.00 $111.00 SOFTWARE TOTAL $50,000.00 $53,004.00 $61,594.00 $164,601.70 EXHIBIT D CERTIFICATION REGARDING LOBBYLNG Certification for Contracts, Grants, Loans, and Cooperative Agreements The undersigned certifies to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid, or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) This undersigned shall require that the language of this certification be included in the award documents for "All" sub -awards at all tiers (including subcontracts, sub -grants, and contracts under grants, loans, and cooperative agreements) and that all sub -recipients shall certify and disclose accordingly. * Note: In these instances, "All" in the Final Rule is expected to be clarified to show that it applies to cover Contract/grant transactions over $ 1 00,000 (per QMB). This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a pre -requisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Authorized Representative Signature: 12/30/2025 Print Name: Samant�ia Quarterman Date Title: Executive Director STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me by means of El physical presence or 0 online notarization, this 30th day of December 20 25 by Samantha Quarterman of Multi -Ethnic Youth Group Association, Inc. , a Florida Non -Profit corporation, on behalf of the corporation. He/she is personalty known to ms or has produced as identification. [Notary Notary Public State of Florida Deloris Watkins 1111 My H 25Commi931Ion Exp. 4/17/2026 Signature of Notary EXHIBIT E CERTIFICATION REGARDING DEBARMENT, SUSPENSION & OTHER RESPONSIBILITY MATTERS PRIMARY COVERED TRANSACTIONS 1. Subrecipient certifies to the best of its knowledge and belief, that it and its principals: a. Are not presently debarred, suspended, proposed for debarment, and declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency. b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgement rendered against them for 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 1.b of this certification; and d. Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State, or local) terminated for cause or default. 2. 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 of Miami. Authorized Representative Signature: 12/30/2025 Print Name: a ntha Quarterman Date Title: Executib'(Director STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me by means of DE physical presence or 0 online notarization, this 30th day of December 20 25 by Samantha Quarterman of Multi -Ethnic Youth Group Association, Inc. , a Florida Non -Profit corporation, on behalf of the corporation. He/chP is personally knowD to in or has produced as identification. Notary Public State of Florida Deloris Watkins MyNH 253931ion EXp. 4/17/2028 4- 1 caLrw Signature of Notary EXHIBIT F SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(A). FLORIDA STATUTES ON PUBLIC ENTITY CRIME THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 1. This sworn statement is submitted to City of Miami by Samantha Quarterman Executive Director (Print this individual's name and title) for Multi -Ethnic Youth Group Association, Inc. (Print name of entity submitting statements) whose business address is 1466 NW 62nd Street Miami, FL 33147 and if applicable is Federal Employer Identification Number (FEIN) is 65-0889462 If the entity has no FEIN, include the Social Security Number of the individual signing this sworn Statement: 2. I understand that a "public entity crime" as defined in paragraph 287.133(1)(a), Florida Statutes, mean a violation of any state or federal law by a person with respect to and directly related to the transactions of business with any public entity or with an agency or political subdivision of any other state or with the United States including, but not limited to any bid or contract for goods or services to be provided to any public entity or any agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 3. I understand that "convicted" or "convection" as defined in Paragraph 287.133(1)(b), Florida Statutes means a finding of guilt or a conviction of a public entity crime, with or without adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a Jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere. 4. I understand that an "affiliate" as defined in paragraph 287.133(1)(a), Florida Statutes, means: 1. A predecessor or successor of a person convicted of public entity crime; or 2. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 5. I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 6. Based on information and belief, the statement which I have marked below is true in a relation to the entity submitting this sworn statement. (Please indicate with an "X" which statement a ices . X Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or any affiliate of the entity has been charged with and convicted of a public entity crime within the past 36 months. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime within the past 36 months. AND (Please indicate which additional statement applies). The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime within the past 36 months. However, there has been a subsequent proceeding before a Hearing Officers of the State of Florida, Division of Administrative Hearings and the Final Order by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list, (Attached is a copy of the final order). I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THE PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED AND FOR THE PERIOD OF THE CONTRACT ENTERED INTO, WHICHEVER PERIOD IS LONGER. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. Authorized Representative Signature: Print Name: /rtantha Quarterman Title: Executive Director 12/30/2025 Date STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me by means of ® physical presence or D online notarization, this 30th day of December 20 25 by Samantha Quarterman of Multi -Ethnic Youth Group Association, Inc. a Florida Non -Profit corporation, on behalf of the corporation. He/she is personally known to me or has produced as identification. Notary Public State of Florida [Notl ry _ ]: Deloris Watkins .III MyHH Commission Exp. 4/17/2026 Signature of Notary 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 (2025). c. The nongovernmental entity is not in violation of Section 787.06, Florida Statutes (2025), titled "Human Trafficking." d. The nongovernmental entity does not use "coercion" for labor or services as defined in Section 787.06, Florida Statutes (2025). li. Under penalties of perjury, pursuant to Section 92.525, Florida Statutes, 1 declare the fol lowing: 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. 1 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: Multi -Ethnic Youth Group Association, Inc. Name: Samantha Quarterman Title: Executive Director Signature: Office Address: 04 NW 14th Avenue Miami, FL 33147 Email Address: meygaceo@meyga.org Main Phone Number: 786-312-7102 AconiJ CERTIFICATE OF LIABILITY INSURANCE 4....------ DATE(MM/DD/YYYY) 02/26/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER C. Brian Hart Insurance CORP 8880 NW 7 AVENUE Miami FL 33150 CONTACT NAME: CAREY B HART PHONE fAIC, No Ext1: (305)836-5206 FAX 305 ( IA/C, No): ) 6 96-8634 E-MAIL y@ ADDRESS: carey@cbrianhart.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: MOUNT VERNON FIRE INSURANCE COMPANY 26522 INSURED MULTI -ETHNIC YOUTH GROUP ASSOCIATION, INC 1330 N W 52ND Street Miami FL 33142- INSURER B : INSURER C : INSURER D : INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR wvn POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP IMMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X NPP2585423B 03/02/2025 03/02/2026 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) S 100,000 MED EXP (Any one person) S 5,000 PERSONAL 8 ADV INJURY S 1,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES 'S PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ INCLUDED S A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY X SCHEDULED AUTOS( NON -OWNED AUTOS ONLY X X NPP2585423B 03/02/2025 03/02/2026 COMBINED SINGLE LIMIT (Ea accident) S 1,000,000 BODILY INJURY (Per person) S BODILYINJURY Peraccident ) S PROPERTY DAMAGE (Per accident) S S UMBRELLA LIAB EXCESS LIAB O OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE $ DED RETENTION 5 5 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN N / A PER STATUTE OTH- ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT S A SEXUAL ABUSE MOLESTATION PROFESSIONAL LIABILITY A X NPP2585423B 03/02/2025 03/02/2026 EACH CLAIM/AGG EACH INC/AGG 100,000/200,000 1,000,000/2,000,C DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF MIAMI AS ADDITIONAL INSURED WITH REGARDS TO COMMERCIAL GENERAL LIABILITY AND COMMERCIAL AUTO INSURANCE COVERAGE LITTLE HAITI CULTURAL CENTER 212 NE 599TH TERRCE, MIAMI, FL 33137 PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT APPLIES CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI 444 SW 2ND AVENUE 4TH FLOOR MIAMI FL 33129 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACS'"J CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACRE® CERTIFICATE OF LIABILITY INSURANCE kim...------ DATE(MMIDD/YYYY) 01 /07/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Automatic Data Processing Insurance Agency, Inc. 1 Adp Boulevard Roseland NJ 07068 CONTACT Automatic Data Processing Insurance Agency, Inc. (PAHONN , Ext): 1-800-524-7024 I FAX No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Technology Insurance Company, Inc. 42376 INSURED MULTI -ETHNIC YOUTH GROUP ASSOC 1466 NW 62nd St Miami FL 33142 INSURER B : INSURER C : INSURER D : INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER: 4762871 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGETO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- PER: LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OPAGG $ $ AUTOMOBILE _ LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident)S PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEFUEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YNN N / A N TWC4618525 06/24/2025 06/24/2026 XOTH STATUTE E E.L. EACH ACCIDENT 5 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mo e space is requi ed) CERTIFICATE HOLDER CANCELLATION City of Miami 44 SW 2nd Avenue Miami ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE FL 33130 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Provider Name; MULTI-ETFINIC YOUTH GROUP ASSOC. [NC. Printed by: Samantha Quartermah OCA Number; 111308.64Z Department of Children Background Screening Result and Families This individual's eligibility status as of 4/11/2023 is provided below. The employer roust retain a hard copy of this result in the individual's employee file. If we become aware of a change in an individual's eligibility status, an email notification will he sent to the most recent employer of record in the Clearinghouse or the last provider to submit a screening request through the Clearinghouse. It is recommended health care and/or service provider employers check the screening results of staff regularly as an individual's status may change based on information received. If you become aware of an event that may change the employee's eligibility please contact your specified agency, Department of Children and Families, at 888-352-2849. The employer must take the appropriate action when a change in status occurs in accordance with Section 435.06, Florida Statutes. Applicant Name: SSN: Date of Birth: Race: Sex: SAMANTHA QUARTERMAN 7/14/1976 BLACK FEMALE Retained Prints Expiration Date: 6/912027 Clearinghouse Screening Available?: Yes Department of Children and Families Eligibility The Department has reviewed child welfare records for the State of Florida. This search was conducted in Florida's Automated Child Welfare information System (SACWIS). +ir There is no record of the applicant being listed as the caregiver responsible for a verified finding of abuse, abandonment or neglect of a child. The individual may request additional information pursuant to s.39.202, Florida Statutes. DCF General Eligible 6/30/2022 DCF Child Care Eligible 6/30/2022 DCF Substance Abuse Eligible 6/30/2022 DCF Summer Camps Agency Review Required DCF Mental Health Agency Review Required APD General Agency Review Required APD Developmental Disability Centers Agency Review Required APD CDC Agency Review Required ,ployment History (as reported to Florida's Background Screening Clearinghouse by provider employers.) No records to display. Print Event 171793944 Print Date: 4/11/2023 Department of Children and Families Background Screening Result Providex Name: MULTI -ETHNIC YOUTH GROUP ASSOC. INC, Printed by: Samantha Quartemian OCA Number: 111308641 This individual's eligibility status as of 10/16/2023 is provided below. The employer must retain a hard copy of this result in the individuals employee file. If we become aware of a change in an individual's eligibility status, an email notification will be sent to the most recent employer of record in the Clearinghouse or the last provider to submit a screening request through the Clearinghouse. It is recommended health care and/or service provider employers check the screening results of staff regularly as an individual's status may change based on information received. If you become aware of an event that may change the employee's eligibility please contact your specified agency, Department of Children and Families, at 888-352-2849. The employer must take the appropriate action when a change in status occurs in accordance with Section 435.06, Florida Statutes. Applicant Name: DELORIS DENISE WATKINS Retained Prints Expiration Date: 9/112028 Clearinghouse Screening Available?: Yes SSN: Date of Birth: Race: Sex: 10/4/1977 BLACK FEMALE Department of Children and Families Eligibility The Department has reviewed child welfare records for the State of Florida. This search was conducted in Florida's Automated Child Welfare information System (SACWIS). There is no record of the applicant being listed as the caregiver responsible for a verified finding of abuse, abandonment or neglect of a child. The individual may request additional information pursuant to s.39.202, Florida Statutes, item DCF General DCF Child Care DCF Substance Abuse DCF Summer Camps DCF Mental Health APO General APD Developmental Disability Centers APD CDC Status Eligibility Determination Date Eligible 9/21/2023 Eligible 9/21/2023 Eligible 9/21/2023 Agency Review Required Agency Review Required Agency Review Required Agency Review Required Agency Review Required Employment History (as reported to Florida's Background Screening Clearinghouse by provider employers.) Provider Position Hire Date End Date KIMBERLY SCOTT Department of Children and Families Clearinghouse Background Screening Result Printed by Samantha Quarterman 01/09/2026 12:06:39 pm Print Event 253925682 First Name KiMBERLY Middle LATRICE Name Last Name SCOTT Aliases SSN Date of 5/10/1997 Birth Place of Florida Birth Mailing Address 757 NW 47TH STREET Apt/Unit/Suite City MIAMI State Florida Zip Code 33127 Phone Number (305) 992-5032 Email Address k.iscott @outlook.com Department of Children and Families Eligibility Sex FEMALE Race BLACK Hair Black Coins Eye Color Brown Height 5' 09" Weight 207 Person ID 3925682 Retained Prints Expiration Date 11/12/2030 Clearinghouse Status Yes Type Item Eligibility Determination Eligibility Determination Date Employment DCF General Agency Review Required Employment DCF Child Care Eligible 11/28/2025 Employment DCF Group Home Agency Review Required Employment DCF Child Placement/Adoption Agency Review Required Employment DCF Summer Camps Agency Review Required Employment DCF Mental Health Agency Review Required �. Employment DCF Substance Abuse Agency Review Required Employment DCF Peer Specialist Agency Review Required DCF Child Abuse Check The Department has reviewed child welfare records for the State of Florida.. This search was conducted in Florida's Automated Child Welfare Information System (SACWIS) Date Finding 11/28/2025 There is no record of the applicant being listed as the caregiver responsible for a verified finding of abuse, abandonment or neglect of a child. Florida Department of Health Licensure Status Profession License Number Original Date Employment/Contract History Expiration Date No data found License Status Provisional Hire / Permanent Hire 1 I Agency Name License # Position Contract Date Contract Date End Date Printed by Samantha Quarterman 01/09/2026 12:06:39 pm Print Event: 253925682 CANDY MORALES Department of Children and nilies Clearinghouse Background Screening Result Printed by Samantha Quarterman 07/31/2025 10:26:23 am Print Event, 251779976 First Name CANDY Middle Name Last Name MORALES Aliases SSN Date of 1/24/1993 Birth Place of Florida Birth Mailing Address Apt/Unit/Suite City State Zip Code Phone Number Email Address Department of Children and Families Eligibility Type Item Employment DCF General Employment DCF Child Care 14560 NE 6TH AVE 222 North Miami Florida 33161 (305) 788-7416 Strategicmoves2 @gmail.com Sex FEMALE Race BLACK Hair Brawn Color Eye Color Brown Height 504" Weight 305 Person 1779976 ID Retained Prints Expiration Date Er:Vii2c3r-.1 Clearinghouse Status Eligibility Determination . Eligibility Determination Date Eligible 07/14/2025 Agency Review Required Employment DCF Group Home Agency Review Required Employment • DCF Child Placement/Adoption Agency Review Required Employment ' DCF Summer Camps Agency Review Required Employment DCF Mental Health Agency Review Required . L ' Employment DCF Substance Abuse , Agency Review Required 4 i — DCF Child Abuse Check The Department has reviewed child welfare records for the State of Florida. This search was conducted in Florida's Automated Child Welfare Information System (SACW(S) Date Finding 02/28/2025 There is no record of the applicant being listed es the caregiver responsible for a verified finding of abuse, abandonment or neglect of a child. Florida Department of Health Licensure Status Profession License Number Employment/Contract History Original Date i Expiration Date 1 License Status No data Found Agency Name ; License # DCF i A GSA Academy School Provisional Hire / Permanent Hire / Position Contract Date Contract Dale 11133930Z 1 Administrator • 08/23/2017 • • End Date ' p 'onal Hire Permanent Hire End "v=~v License # Pumm» Ci­ jclomte onnm,moeb� Date � DCF AGSA �muvmyavhvo � �nu0oon� �o�n��mmr � —~ / nennzu' — � --------—L........ —_—....... —.___..... '—! MULTI -ETHNIC YOUTH GROUP ASSOC. i ~C' j INC.! 1113086*z Administrator 07118o02e / i 11/4Y YOLANDA DAVIS ,iearinghouse Background Screening Result Printed Ely Samantha Quarterrnan OB/06/2025 10:32159 am Print Event: 21380786 First Name YOLANDA Middle Name DENISE Last Name DAVIS Aliases 55N Date of Birth 8/29/1968 Place of Birth Florida Department of Children and Families Eligibility Mailing Address 12708 5W 50 ST Apt/Unit/Suite City MIAMI State Florida Zip Cede 33027 Phone Number (954) 251-3234 Email Address Sex FEMALE Race BLACK Hair Color Black Eye Color Brown Height 5" 0Z Weight 176 Person ID 380786 Retained Prints Expiration Date d/13/2Q2/ Clearinghouse Status Yes Type Item Eligibility Determination Eligibility Determination Bate Employment DCF General Eligible 05/02/2021 Employment DCF Chill Cara Eligible 05/02/2021 Employment DCF Group Home Agency Review Required t---Employment DCF Child P1acementlAdopUon Agency Review Required Employment DCF Summer Camps Agency Review Required Employment DCF Mental Health Agency Review Required Employment DCF Substance Abuse Eligible 05/02/2021 DCF Child Abuse Check The Department has reviewed child welfare records for the State of Florida. This search was conducted in Florida's Automated Child Welfare Information System (SACWIS) Dele 05/02/2021 Finding There is no record of the appllcanl being fisled as the caregiver responsible for a verified finding of abuse, abandonment or neglect of a child. Florida Department of Health Licensure Status Profession i License Number Original Date Emptayment/Contract History Agency Name DCF 1 MULTI -ETHNIC YOUTH GROUP ASSOC. !NC . No data found License 1/ Position Expiration Dale ; License Status 11130864Z Employee or stafr Person ProvislonaT Hire I Contract Date Permanent Hire 1 Contract Date End Date 08/18/2026 Printed by Samantha Ouarterman 06/06/2025 10:32:59 am Print Event: 21380706 TALISA OWENS Department of Children and Famil Clearinghouse Background Screening Result Meted by Samantha Quertemnan 09/06/2025 10141;{7 am Print Event 253614779 Peso Name TALf5A walling add.. 2332 NW 95T51 ST sex F6MALE NGddia Name AP1fUnitlSuits Race SLACK Lose blame OWENS City MIAMI. Hair Color slack Aeneas INGRAM State Florida Eye Color Brown SSN ?0ft(--)IX-2151 Help! 3' 04' Dasofeireh 10117/1989 Phenix Nurnap. Wlight 130 Place er Birth Florida 15ma0 Address Person IO 361477R Department of Children and Families Eligibility Typo Item Emphoyrnant DCF General. Employment OCF Child Care 'employment E nployment DCF Group Home Employment Employment Emplaymeol OCF Child Plsr:ernenUAdoplien DCF Summer Camps DCF Merest Kees OCR SoPSlerlee Abuse D[F Child Abuse Check Tha Department his reviewed child welfare records for rho Sane of Florida, Thls search was coruluoted In Florida% Autemaied Child Welfare Wm -melon Syisen3 ;SACW151 FalpbaSy Didemenaiton Ettlble Ertsista Agtei y Rogow Required Agency RerieW P,equtned l Atone/Restate Required T' Agency gteu1e. Required Agency Rester Hequeed Retained Prints IGrp1ratinn Date 1l16(2a70 Clwringhewa4 Status Yes' Eligibly Determinalibe Data 42N 112025 02R3112026 Data i Eluded 02/09l2025 1 There is no retard or the applicant being Veiled as the oaraglvor raspansi3he fora seri3eo ending et abuse, 15endurnotent or neglect era VId. Florida Department of Health LicensureStatus Pre1essian Wcense Welber ff Origtnts Data Eap'rrmkR Data j Lkerrso status Emplayment/Contreat History Agency Name DCF MULTI•ET141iC YOUTH GROUPASSDG INC. No dais tone I _ 111300542 IJcense PoeNlsn Pmdslonah HYe Contract Date Employee ar Etna Pelson Pennans3l Nero f Ceniracl Dale End Data 09115202E Pentad by Serneniba 4uarterrnsn 05/5512025 10:41147 am Print Event 253614779 vrin'cec by Samantha Quarterman 07/31/2025 10:19:01 am Print Event: 251179244 JACKEYA CHARLES First Herne JACKEYA Mailing 10134 SW Middle Address 223RD TERRACE Name Apt/Unit/Suite Last Name CHARLES City MIAMI Aliases State Florida SSN Phone Number Date of 1/8/1992 Erneil Address Birth Place of Florida Birth Department of Children and Families Eligibility Type ! Item Employment l DCF General Sex FEMALE Race BLACK Hair Color Brown Eye Color Brawn Height 5' 04`' Weight 157 Person ID 1179244 Eligibility Determination A New Screening is Required Retained Prints Expiration Date ��t2J:r Clearinghouse Status Eligibility Determination Date • Employment DCF Child Care Eligible 01/30/2025 - Employment DCF Group Home { Agency Review Required i Employment DCF Child Placement/Adoption E Agency Review Required Employment DCF Summer Camps I Agency Review Required L Employment DCF Mental Health I Agency Review Required Em is ment DCF Substance Abuse Agency Review Required A Y [.._. _�.. J _._.. _ _ _ ._..._ - L.._ DCF Child Abuse Check The Department has reviewed child welfare records for the State of Florida. This search was conducted in Florida's Automated Child Welfare Information System (SACWIS) Date Finding 01130I2025 There is no record of the applicant being listed as the caregiver responsible for a verified finding of abuse, abandonment or neglect of a child. Florida Department of Health Licensure Status Profession License Number Original Date No data found i Expiration Date License Status Employment/Contract History Ii 1 Provisional Hire / Permanent Hire / Agency i Name a License # f Position j Contract Date Contract Date End Date — _ i I Printed by Samantha Quarterman 07/31/2025 10:19:01 am Print Event: 251179244 Department of Children and Families Clearinghouse Background Screening Result Printed by Samantha Quarterman Print Event: 251326238 SERVITA WALTERS First Name SERVITA Middle VAUGHN Name Last Name WALTERS Aliases SSN ) Date of 2/2/1961 Birth Place of South Birth Carolina Mailing Address 3160 NW 79 ST. APT. 511 Apt/Unit/Suite City MIAMI State Florida Zip Code 33147 Phone Number (786) 720-6893 Email Address veetra.STAR02 @GIVIAIL.COM Department of Children and Families Eligibility Type item Eligibility Determination Employment DCF General Employment 1 DCF Child Care !__._._......W-_--- Employment Employment DCF Group Home DCF Child Placement/Adoption Employment 1 DCF Summer Camps Employment Employment Employment DCF Mental Health DCF Substance Abuse DCF Peer Specialist Eligible Eligible Agency Review Required Sex FEMALE Race BLACK Heir Brown Color Eye Color Brown Height 5" 05" Weight 240 Person 1326238 ID Agency Review Required MYWAMM0,1VM Retained Prints Expiration Date 8/6/2030 Clearinghouse Status Yes Eligibility Determination Date 08/21/2025 Agency Review Required J Agency Review Required Agency Review Required Agency Review Required DCF Child Abuse Check The Department has reviewed child welfare records for the State of Florida. This search was conducted in Florida's Automated Child Welfare Information System (SACWIS) Date i. Finding 08/21/2025There Is no record of the applicant being listed as the caregiver responsible for a verified finding of abuse, abandonment or neglect of a child. Florida Department of Health Licensure Status Profession License Number Certified Nursing Assistant 433946 Background Screening - CRW Original Dale 04/13/2023 Expiration Date 05/31/2026 License Status Clear Olivera, Rosemary From: Galo, Monica Sent: Wednesday, February 25, 2026 2:19 PM To: Olivera, Rosemary; Ewan, Nicole; Hannon, Todd Subject: Complete Agreement Multi -Ethnic Youth Group Association $50,000.00 Attachments: Executed Agreement.pdf Good morning, Todd, Please find attached the fully executed copy of an agreements from DocuSign that is to be considered an original agreement for your records. Thank you, Administrative Aide II Department of Housing and Community Development 444 SW 2 Ave. 3RD Floor Miami, Fl 33130 305-416-1976 mgalo@miami.gov i