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HomeMy WebLinkAbout24408AGREEMENT INFORMATION AGREEMENT NUMBER 24408 NAME/TYPE OF AGREEMENT INNER OUTER WELLNESS LLC DESCRIPTION CDBG AGREEMENT/SUPPORT ECONOMIC & COMMUNITY DEVELOPMENT ACTIVITIES IN RESPONSE TO THE NOVEL CORONAVIRUS PANDEMIC/FILE ID: 8412/R-21-0064/MATTER ID: 21-1878/#77 EFFECTIVE DATE September 30, 2021 ATTESTED BY TODD B. HANNON ATTESTED DATE 9/30/2021 DATE RECEIVED FROM ISSUING DEPT. 5/9/2023 NOTE CITY OF MIAMI DOCUMENT ROUTING FORM ORIGINATING DEPARTMENT: HOUSING AND COMMUNITY DEVELOPMENT \it DEPT. CONTACT PERSON: MONICA GALO EXT. 1976 NAME OF OTHER CONTRACTUAL PARTY/ENTITY: Inner Outer Wellness, LLC IS THIS AGREEMENT AS A RESULT OF A COMPETITIVE PROCUREMENT PROCESS? TOTAL CONTRACT AMOUNT: $ 15,000.00 FUNDING INVOLVED? TYPE OF AGREEMENT: ❑ MANAGEMENT AGREEMENT ❑ PROFESSIONAL SERVICES AGREEMENT ® GRANT AGREEMENT ❑ EXPERT CONSULTANT AGREEMENT ❑ LICENSE AGREEMENT OTHER: (PLEASE SPECIFY): N/A PURPOSE OF THE ITEM (BRIEF SUMMARY): ❑ YES ® YES ❑ PUBLIC WORKS AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ INTER -LOCAL AGREEMENT ❑ LEASE AGREEMENT ❑ PURCHASE OR SALE AGREEMENT Contract in the amount of $15,000.00 in CDBG funding to Inner Outer Wellness, LLC for the implementation of Microenterprise Activities. For additional information please see resolution attached. 83 NO ❑ NO COMMISSION APPROVAL DATE: February 11, 2021 FILE ID: 8412 IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN: N/A ENACTMENT No.: R-21-0064 ROUTING INFORMATION Date PLEASE T AND SIGN APPROVAL BY DEPARTMENTAL DIRECTOR 8/12/2021 PRINT: ROBERTO ZO . SIGNATURE: r SUBMITTED TO RISK MANAGEMENT PRINT: ANN-MAR E SHARPE Gomez, Frank Date 3031:..°b.:67,,4: SIGNATURE: SUBMITTED TO CITY ATTORNEY PRINT: VICTORIA MENDEZ UliAz.}ra,6 .L_. 7 SIGNATURE: APPROVAL BY ASSISTANT CITY MANAGER 14 1 /X/ PRINT: FERNANDO CASAMAYOR SIGNATUR • RECEIVED BY CITY MANAGER PRINT: A T ORIEGA, . SIGNATURE: 1) ONE ORIGINAL TO CITY CLERK, 2) ONE COPY TO CITY ATTORNEY"S OFFICE, 3) REMAINING ORIGINAL(S) TO ORIGINATING DEPARTMENT ,. - = N/A PRINT: TODD B. HANNO SIGNATURE: PRINT: SIGNATURE: PRINT: SIGNATURE: PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE EXECUTION BY THE CITY MANAGER City of Miami Office of the City Attorney Legal Services Request To: Office of the City Attorney Date: August 12, 2021 From: Monica Galo Housing & Community Dev Contact Person Requesting Client Administrative Aide 305-416-1976 Title Telephone Legal Service Requested: HCD-2021-0080 Enclosed please find a CDBG funded grant agreement between this BCMEP II applicant and the City of Miami for microenterprise activities. 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: ue opinion in writing. kiublish ini n after issuance. Authoriz?. ''4: Roberto Tazoe Date response requested by: as soon as possible BELOW PORTION TO BE COMPLETED BY THE OFFICE OF THE CITY ATTORNEY Assigned Attorney: Date: File No. Approved by: Ultimate Client: Comments: D / R Date: Type: Matrix: Category: Copy returned to Requesting Client Copy to Ultimate Client rev. 06/17/2011 CITY OF MIAMI, FLORIDA DEPARTMENT OF HOUSING & COMMUNITY DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT ("CDBG") AGREEMENT This Agreement (hereinafter the "Agreement") is entered into this day of , 2Q-1, between the City of Miami, a municipal corporation of the State of Florida (hereinafter the "CITY"), & INNER OUTER WELLNESS LLC a Florida limited liability company (hereinafter referred to as the "BUSINESS"). FUNDING SOURCE: Community Development Block Grant (CDBG) CFDA # (If applicable): CDBG 14.218 AMOUNT: $15,000.00 TERM OF AGREEMENT: Effective date of this agreement is August 1, 2021 PROJECT NUMBER: DUNS® NUMBER: BUSINESS ADDRESS: to July 31, 2022 91- 08-959-8082 2963 DAY AVE MIAMI, FL 33133 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: 2016.1 Exhibit A Exhibit B Exhibit C Exhibit D Exhibit E • Exhibit F Exhibit G Certificate of Authority Work Program Compensation and Budget Summary Certification Regarding Lobbying Form Certification Regarding Debarment, Suspension and other Responsibility Matters (Primary Covered Transactions Form) Crime Entity Affidavit Insurance Requirements (Intentionally deleted) 1.2 DEFINED TERMS. As used herein the following terms shall mean: Act OR 24 CFR 570: Agreement Records: CDBG Program: CDBG Requirements: Department: Federal Award: National Objective: Low -and -Moderate Income Person: Title I of the Housing and Community Development Act of 1974, as amended. 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 BUSINESS 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. Community Development Block Grant Program. The requirements contained in 24 CFR 570, Rule 91 of the Florida Administrative Code and as established by the City of Miami, Florida. The City of Miami Department of Housing & Community Development. Any federal funds received by the BUSINESS from any source during the period of time in which the BUSINESS is performing the obligations set forth in this Agreement. All Activities funded with CDBG funds must meet one of the CDBG program's National Objectives: benefit low and moderate -income persons; aid in the prevention of slums or blight; or meet community development needs having a particular urgency, as defined in 24 CFR 570.208. A member of a low- or moderate -income household whose income is within specific income levels set forth by U.S. HUD. 2016.1 2 U.S. HUD or HUD: The United States Department of Housing and Urban Development. ARTICLE II 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: 2.1 The Work Program submitted by the BUSINESS 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 BUSINESS. It should specifically describe the activities to be carried out as a result of the expenditure of CDBG 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 BUSINESS under this Agreement. 2.1.3 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 BUSINESS 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 BUSINESS 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. 2.2 The Compensation and Budget Summary attached hereto as Exhibit "C", including the BUSINESS's Budget Narrative. 2.3 A list of the BUSINESS's present officers and members of the Board (names, addresses, and telephone numbers) (if applicable). 2.4 A list of key staff persons (with their titles) who will carry out the Work Program. 2.5 Completion of an Authorized Representative Statement. 2.6 Completion of a Statement of Sound Fiscal Management. 2.7 A copy of the BUSINESS's corporate personnel policies and procedures (if applicable). 2016.1 3 2.8 Job description and resumes for all positions funded in whole or in part under this Agreement (if applicable). 2.9 Copy of the BUSINESS's last federal income tax return. 2.10 The following corporate documents: (i) Bylaws, resolutions, and incumbency certificates for the BUSINESS, certified by the BUSINESS's Corporate Secretary, authorizing the consummation of the transactions contemplated hereby, all in a form satisfactory to the CITY (if applicable). 2.11 ADA Certification. 2.12 Drug Free Certification. 2.13 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 August 1, 2021 to July 31, 2022 3.3 OBLIGATIONS OF BUSINESS. The BUSINESS shall carry out the services and activities as prescribed in its Work Program, which is attached and incorporated herein and made a part of this Agreement, in a manner that is lawful, and satisfactory to the CITY, and in accordance with the written policies, procedures, and requirements as prescribed in this Agreement, and as set forth by HUD and the CITY. 3.4 POLICIES AND PROCEDURES MANUAL. This Agreement is subject to the current Federal regulations as may be amended. The BUSINESS is aware of and accepts the Policies and Procedures Manual for Community Development Block Grant as the official document which outlines the fiscal, administrative and federal guidelines which shall regulate the day-to-day operations of the BUSINESS. The Policies and Procedures Manual for Community Development Block Grant is incorporated herein and made 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 BUSINESS 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 BUSINESS 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 2016.1 4 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. Following HUD -issued Coronavirus Aid, Relief, and Economic Security Act waivers, this Agreement was authorized to provide services with CDBG funds to prevent, prepare for, and respond to the novel coronavirus pandemic. ARTICLE IV FUNDING AND DISBURSEMENT REQUIREMENTS 4.1 COMPENSATION. The amount of compensation payable by the CITY to the BUSINESS 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 BUSINESS shall maintain insurance acceptable to the CITY. Prior to commencing any activity under this Agreement, the BUSINESS shall furnish to the CITY original certificates of insurance indicating that the BUSINESS 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 BUSINESS at any time during the performance of this Agreement and for a period of five (5) years after its expiration/termination. The BUSINESS agrees to provide all financial and other applicable records and documentation of services to the CITY. Any payment made shall be subject to reduction for amounts included in the related invoice which are found by the CITY, on the basis of such audit and at its sole discretion, not to constitute reasonable and necessary expenditures. Any payments made to the BUSINESS 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 BUSINESS shall fail: (i) to comply with the terms of this Agreement, or (ii) to accept conditions imposed by the CITY at the direction of the federal, state and local agencies. 4.5 CONTINGENCY CLAUSE. Funding pursuant to this Agreement is contingent on the availability of funds and continued authorization for CDBG 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 AUDIT REQUIREMENTS 5.1 As a necessary part of this Agreement, the BUSINESS shall adhere to the following audit requirements, as applicable: 5.1.1 If the BUSINESS expends $750,000 or more in federal funds during its fiscal year, it shall have a Single or a Program -Specific Audit conducted for that year. Such 2016.1 5 Audit must be conducted in accordance with General Accepted Government Auditing Standards (GAGAS.) a) Single Audit. A single audit must be conducted in accordance with 2 CFR 200.514 "Scope of Audit", except when the BUSINESS elects to have a Program -Specific Audit conducted in accordance with paragraph b) of this section. b) Program -Specific Audit. When a BUSINESS expends federal awards under only one federal program and the federal program's statutes, regulations, or the terms and conditions of the federal award do not require a financial statement audit of the BUSINESS, the BUSINESS may elect to have a Program -Specific Audit conducted in accordance with 2 CFR 200.507 "Program -Specific Audits". The auditor must: (i) Perform an audit of the financial statement(s) for the Federal program in accordance to GAGAS; (ii) Obtain an understanding of internal controls and perform tests of internal controls over the Federal program consistent with the requirements of 2 CFR 200.514(c) to ensure compliance with procedures; (iii) Perform procedures to determine whether the BUSINESS has complied with Federal statutes, regulations, and the terms and conditions of Federal awards that could have a direct and material effect on the Federal program consistent with the requirements of 2 CFR 200.514(d). (iv) Follow up on prior audit fmdings, perform procedures to assess the reasonableness of the summary schedule of prior audit findings prepared by the BUSINESS in accordance with the requirements of 2 CFR 200.511 "Audit findings follow-up", and report, as a current year audit finding, when the auditor concludes that the summary schedule of prior audit findings materially misrepresents the status of any prior audit fording; and (v) Report any audit findings consistent with the requirements of 2 CFR 200.516 "Audit findings". The auditor's report(s) must state that the audit was conducted in accordance with this 2 CFR 200.507 "Program -Specific Audits" and include the following: (i) An opinion (or disclaimer of opinion) as to whether the financial statement(s) of the Federal program is presented fairly in all material respects in accordance with the stated accounting policies; (ii) A report on internal control related to the Federal program, which must describe the scope of testing of internal control and the results of the tests; (iii) A report on compliance which includes an opinion (or disclaimer of opinion) as to whether the BUSINESS complied with laws, regulations, 2016.1 6 and the terms and conditions of Federal awards which could have a direct and material effect on the Federal program; and (iv) A schedule of fmdings and questioned costs for the Federal program that includes a summary of the auditor's results relative to the Federal program in a format consistent with 2 CFR 200.515 "Audit reporting", paragraph (d)(1) and findings and questioned costs consistent with the requirements of 2 CFR 200.515 "Audit reporting", paragraph (d)(3). 5.1.2 If the BUSINESS expends less than $750,000 in federal funds during its fiscal year, it is exempted from federal audit requirements for that year and consequently the audit cost is not a reimbursable expense. The CITY, however, may request the BUSINESS to have a limited scope audit for monitoring purposes. These limited scope audits will be paid for and arranged by the CITY and address only one or more of the following types of compliance requirements: activities allowed or unallowed; allowable costs/cost principles; eligibility; matching, level of effort, earmarking; and, reporting. All reports presented to the CITY shall, where applicable, include sufficient information to provide a proper perspective for judging the prevalence and consequences of the findings, such as whether an audit finding represents an isolated instance or a systemic problem. Where appropriate, instances identified shall be related to the universe and the number of cases examined and quantified in terms of dollar value. ARTICLE VI RECORDS AND REPORTS 6.1 The BUSINESS shall establish and maintain sufficient records to enable the CITY to determine whether the BUSINESS has met the requirements of the CDBG Program. 6.2 RETENTION AND ACCESSIBILITY OF RECORDS: 6.2.1 The Department shall have the authority to review the BUSINESS's records, 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 BUSINESS at least until the expiration of the Retention Period. The BUSINESS shall maintain records sufficient to meet the requirements of 24 CFR 570.506. All records and reports required herein shall be retained and made accessible as provided thereunder. The BUSINESS further. agrees to abide by Chapter 119, Florida Statutes, as the same may be amended from time to time, pertaining to public records. BUSINESS understands that the public shall have access, at all reasonable times, to all documents and information pertaining to CITY Agreements, subject to the provisions of Chapter 119, Florida Statutes, and agrees to allow access by the CITY and the public to all documents subject to disclosure under applicable laws. BUSINESS' failure or refusal to comply with the provisions of this section shall result in the immediate cancellation of this Agreement by the CITY. The BUSINESS shall specifically require all sub -contractors to comply with this paragraph. 2016.1 7 Upon completion of the Agreement, BUSINESS shall transfer, at no cost, to the CITY all public records in possession of the BUSINESS or keep and maintain public records required by the CITY to complete the Agreement. If the BUSINESS transfers all public records to the CITY upon completion of the Agreement, the BUSINESS shall destroy any duplicate public records that are exempt or confidential and exempt from disclosure requirements. If the BUSINESS keeps and maintains public records upon completion of the Agreement, the BUSINESS shall meet all applicable requirements for retaining public records. Notwithstanding the foregoing, BUSINESS shall be permitted to retain any public records that make up part of its work product solely as required for archival purposes, as required by law, or to evidence compliance with the terms of the Agreement. Should BUSINESS determine to dispute any public access provision required by Florida Statutes, then BUSINESS shall do so at its own expense and at no cost to the CITY. IF BUSINESS HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO BUSINESS' DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT AS A PUBLIC CONTRACT, PLEASE CONTACT THE CITY'S CUSTODIAN OF PUBLIC RECORDS AT TELEPHONE NUMBER 305-416-1800, EMAIL: PUBLICRECORDS(a,MIAMIGOV.COM, AND MAILING ADDRESS: PUBLIC RECORDS C/O OFFICE OF THE CITY ATTORNEY, 9TH FLOOR, MIAMI RIVERSIDE CENTER, 444 S.W. 2' AVENUE, MIAMI, FLORIDA 33133 OR THE CITY'S DEPARTMENT OF HOUSING & COMMUNITY DEVELOPMENT'S CUSTODIAN OF RECORDS AT 2ND FLOOR, 14 NORTHEAST 1ST AVENUE, MIAMI, FLORIDA 33132. The BUSINESS 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, federal personnel and any other personnel duly authorized by the CITY. 6.2.2 If the CITY or the BUSINESS 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 finally resolved. 6.2.3 The BUSINESS shall notify the Department in writing, both during the term of this Agreement and after its expiration/termination as part of the fmal closeout procedure, of the address where all Agreement Records will be retained. 6.2.4 The BUSINESS shall obtain the prior written consent of the Department for the disposal of any Agreement Records within one year after the expiration of the Retention Period. 6.3 PROVISION OF RECORDS: 6.3.1 At any time upon request by the Department, the BUSINESS 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 2016.1 8 irrevocable license to reproduce, publish, or otherwise use, and to authorize others to use the Work Program for public purposes. 6.3.2 If the BUSINESS receives funds from, or is under regulatory control of, other governmental agencies, and those agencies issue monitoring reports, regulatory examinations, or other similar reports, the BUSINESS shall provide a copy of each such report and any follow-up communications and reports to the Department immediately upon such issuance, unless such disclosure would be prohibited by any such issuing agency. 6.4 MONITORING. The BUSINESS shall permit the Department and other persons duly authorized by the Department to inspect all Agreement Records, facilities, goods, and activities of the BUSINESS 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 BUSINESS. Following such inspection or interviews, the Department will deliver to the BUSINESS a report of its findings. The BUSINESS 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 BUSINESS's justification is acceptable. The CITY will carry out monitoring and evaluation activities, including visits and observations by CITY staff. The BUSINESS 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. 6.5 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 BUSINESS is responsible for appointing memberships. Upon forming the relationship or if already formed, before of at the time of execution of this Agreement, the BUSINESS shall report such relationship to the Department. Any supplemental information shall be promptly reported to the Department. The BUSINESS shall report to the Department the name, purpose for and any and all other relevant information in connection with any related -party transaction. 6.6 PROGRESS REPORTS. Intentionally deleted. ARTICLE VII OTHER CDBG PROGRAM REQUIREMENTS 7.1 The BUSINESS shall maintain current documentation that its activities are CDBG eligible in accordance with 24 CFR 570.201(e). 7.2 The BUSINESS shall comply with all applicable provisions of 24 CFR 570 and shall carry out each activity in compliance with all applicable federal laws and regulations described therein. 2016.1 9 7.3 The BUSINESS shall, to the greatest extent possible, give low -and -moderate -income residents of the service areas opportunities for training and employment. 7.4 NON-DISCRIMINATION. The BUSINESS 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 BUSINESS 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. 7.5 The BUSINESS shall carry out its Work Program in compliance with all federal laws and regulations, including those described in 24 CFR 570 Subpart K, ("Other Program Requirements") of the CDBG Program regulations. 7.6 The BUSINESS and its subcontractors shall comply with the Davis -Bacon Act, the Lead - Based Paint Poisoning Prevention Act, and any other applicable laws, ordinances and regulations. 7.7 The BUSINESS shall abide by the Federal Labor Standards provisions of U.S. HUD Form 4010 incorporated herein as part of this Agreement. 7.8 UNIFORM ADMINISTRATIVE REQUIREMENTS. The BUSINESS shall comply with the requirements and standards of 2 CFR 200, "Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards", as set forth under Subpart D—"Post Federal Award Requirements" and Subpart E—"Cost Principles." 7.9 RELIGIOUS ORGANIZATIONS/CONSTITUTIONAL PROHIBITION. If the BUSINESS is or was created by a religious organization, the BUSINESS agrees that all CDBG Funds disbursed under this Agreement shall be subject to the conditions, restrictions, and limitations of 24 CFR 570.200(j). In accordance with the First Amendment of the United States Constitution, particularly regarding the relationship between church and State, as a general rule, CDBG assistance may not be used for religious activities as provided in 24 CFR 570.200(j). The BUSINESS shall comply with those requirements and prohibitions when entering into subcontracts. 7.10 REVERSION OF ASSETS. Upon expiration/termination of this Agreement, the BUSINESS must transfer to the CITY any unused CDBG Funds at the time of expiration/termination and any accounts receivable attributable to the use of CDBG Funds. 7.11 ENFORCEMENT OF THIS AGREEMENT. Any violation of this Agreement that remains uncured thirty (30) days after the BUSINESS'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 BUSINESS fails to comply with the terms of this Agreement, the CITY may suspend or terminate this Agreement in accordance with 24 CFR 85.43, as set forth more fully below in Article IX of this Agreement. 7.12 The BUSINESS shall not assume the CITY's environmental responsibilities described at 24 CFR 570.604 of the CDBG Program regulations nor the CITY's responsibility for initiating the review process under Executive Order 12372. 2016.1 10 7.13 USE OF FUNDS FOR LOBBYING PROHIBITED. The expenditure of Agreement funds for the purpose of lobbying the Legislature, judicial branch, or a state agency are expressly prohibited. ARTICLE VIII PROGRAM INCOME 2 CFR 200.307 8.0 Program Income: Intentionally deleted. ARTICLE IX REMEDIES, SUSPENSION, TERMINATION 2 CFR 200.338 and 200.339 9.1 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 BUSINESS, 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 BUSINESS an amount in excess of the total sum provided by this Agreement. It is hereby understood by and between the CITY and the BUSINESS that any payment made in accordance with this Agreement to the BUSINESS shall be made only if the BUSINESS is not in default under the terms of this Agreement. If the BUSINESS is in default, the CITY shall not be obligated and shall not pay to the BUSINESS any sum whatsoever. If the BUSINESS fails to complywith any term of this Agreement, the CITY may take one or more of the following courses of action: 9.1.1 Temporarily withhold cash payments pending correction of the deficiency by the BUSINESS, or such more severe enforcement action as the CITY determines is necessary or appropriate. 9.1.2 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. 9.1.3 Wholly or partially suspend or terminate the current CDBG Funds awarded to the BUSINESS. 9.1.4 Withhold further CDBG grants and/or loans for the BUSINESS. 9.1.5 Take all such other remedies that may be legally available. Notwithstanding any other provision of this Agreement, if the BUSINESS fails to comply with any term of this Agreement, the BUSINESS, 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 BUSINESS' s control, 2016.1 11 acquired or improved in whole or in part with CDBG Funds (including CDBG Funds provided to the BUSINESS in the form of a loan and/or grant), less any portion of the value attributable to expenditures of non-CDBG funds for the acquisition of, or improvement to, the property. The payment is program income to the City. 9.2 SUSPENSION. 9.2.1 The Department may, for reasonable cause, temporarily suspend the BUSINESS's operations and authority to obligate funds under this Agreement or withhold payments to the BUSINESS pending necessary corrective action by the BUSINESS, 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 CDBG Funds by the BUSINESS; (ii) Failure by the BUSINESS to comply with any term or provision of this Agreement; (iii) Failure by the BUSINESS to submit any documents required by this Agreement; or (iv) The BUSINESS's submittal of incorrect or incomplete documents. 9.2.2 The Department may at any time suspend the BUSINESS's authority to obligate funds, withhold payments, or both. 9.2.3 The actions described in paragraphs 9.2.1 and 9.2.2 above may be applied to all or any part of the activities funded by this Agreement. 9.2.4 The Department will notify the BUSINESS in writing of any action taken pursuant to this Article, by 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). 9.3 TERMINATION. 9.3.1 Termination Because of Lack of Funds. In the event the CITY does not receive funds to finance this Agreement from its funding source, or in the event that the CITY's funding source 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 BUSINESS. Said notice shall be delivered by certified mail, return receipt requested, or by in person delivery with proof of delivery. In the event that the CITY's funding source reduces the CITY's entitlement under the CDBG Program, the CITY shall determine, in its sole and absolute discretion, the availability of funds for the BUSINESS pursuant to this Agreement. 9.3.2 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 BUSINESS is not compliant with any term or provision of this Agreement. 2016.1 12 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 BUSINESS to the CITY, direct or contingent, whether now or hereafter due, existing, created or arising. 9.3.3 Unless the BUSINESS's breach is waived by the Department in writing, the Department may, by written notice to the BUSINESS, terminate this Agreement upon not less than twenty-four (24) hours prior written notice. Said notice shall be delivered by 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 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 X MISCELLANEOUS PROVISIONS 10.1 INDEMNIFICATION. The BUSINESS 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 BUSINESS and persons employed or utilized by BUSINESS in the performance of this Contract. BUSINESS 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 BUSINESS shall, upon written notice from the CITY, resist and defend such action or proceeding by counsel satisfactory to the CITY. The BUSINESS expressly understands and agrees that any insurance protection required by this Agreement or otherwise provided by the BUSINESS 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 BUSINESS 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 BUSINESS, or persons employed or utilized by BUSINESS. 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 2016.1 13 interpretation, which conforms to the limitations of §725.06 and/or §725.08, Florida Statutes, as applicable. The BUSINESS shall require all Sub -contractor agreements to include a provision that they will indemnify the CITY. The BUSINESS 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 BUSINESS in which the CITY participated either through review or concurrence of the BUSINESS's actions. In reviewing, approving or rejecting any submissions by the BUSINESS or other acts of the BUSINESS, the CITY in no way assumes or shares any responsibility or liability of the BUSINESS, who is a Subrecipient under this Agreement, or any Sub-Subrecipients under this Agreement. 10.2 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. 10.3 OWNERSHIP OF DOCUMENTS. All documents developed by the BUSINESS 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 BUSINESS 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 BUSINESS pursuant to this Agreement, shall at all times remain the property of the CITY and shall not be used by the BUSINESS for any other purpose whatsoever without the prior written consent of the CITY. 10.4 AWARD OF AGREEMENT. The BUSINESS 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. 10.5 NON-DELEGABILITY. The obligations undertaken by the BUSINESS 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. 10.6 CONSTRUCTION OF AGREEMENT. This Agreement shall be construed and enforced according to the laws of the State of Florida. 10.7 CONFLICT OF INTEREST. 10.7.1 The BUSINESS covenants that no person under its employ who presently exercises any functions or responsibilities in connection with CDBG Program funded activities has any personal financial interest, direct or indirect, in this Agreement. The BUSINESS further covenants that, in the performance of this Agreement, no person having such a conflicting interest shall be employed. Any such interest on 2016.1 14 the part of the BUSINESS or its employees must be disclosed in writing to the CITY. 10.7.2 The BUSINESS 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 Section 2-11-1), the State of Florida (Chapter 112, Florida Statutes), and 24 CFR 570.611 and agrees that it shall comply in all respects with the terms of the same. 10.7.3 In all other cases, the BUSINESS shall comply with the standards contained within 24 CFR 570.611 10.8 PROCUREMENT. The BUSINESS shall comply with the standards contained within 2 CFR 200 Subpart D, "Post Federal Award Requirements." 10.9 NO OBLIGATION TO RENEW. Upon expiration of the term of this Agreement, the BUSINESS agrees and understands that the CITY has no obligation to renew this Agreement. 10.10 ENTIRE AGREEMENT. This instrument and its attachments constitute the only agreement of the parties hereto relating to the CDBG 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. 10.11 GENERAL CONDITIONS: 10.11.1 All notices or other communications which shall 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 George Mensah, Director Department of Housing & Community Development One Flagler Building 14 NE 1st Avenue, Second Floor Miami, Florida 33132 BUSINESS INNER OUTER WELLNESS LLC 2963 DAY AVE MIAMI, FL 33133 10.11.2 Title and paragraph headings are for convenient reference and are not a part of this Agreement. 2016.1 15 10.11.3 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. 10.11.4 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. 10.11.5 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. 10.12 INDEPENDENT CONTRACTOR. The BUSINESS 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. 10.13 SUCCESSORS AND ASSIGNS. This Agreement shall be binding upon the parties hereto, and their respective heirs, executors, legal representatives, successors, and assigns. 10.14 BUSINESS CERTIFICATION. The BUSINESS 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 BUSINESS's governing body, authorizing the execution of this Agreement, including all understandings and assurances contained herein, and directing and authorizing the person identified as the official representative of the BUSINESS to act in connection with this Agreement and to provide such information as may be required. 10.15 WAIVER OF JURY TRIAL. Neither the BUSINESS, nor any assignee, successor, heir or personal representative of the BUSINESS, 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 BUSINESS, 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. 10.16 CLOSE OUT. When the City determines that all required work under the Agreement has been completed or upon the expiration or termination of the BUSINESS Agreement, the CITY shall require the BUSINESS to provide final versions of all financial, performance, and other reports. These reports may include, but are not limited to: 2016.1 16 • Cumulative Expenditure Report • Release Form • DCED Final Property Inventory Report • Contract Close -Out Tax Certification Form • Agency Submittal of Close -Out Form 10.17 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. 2016.1 17 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. AUTHORIZED REPRESENTATIVE: Name: KEMY JOSEPW Date: Title: PRESIDENT CITY OF MIAMI, a municipal Corporatio 1 •' the State of Florida 0• Arthur ':' 'ega City Man • r D APPROVED AS TO INSURANCE REQUIREMENTS Digitally signed by Gomez, Gor'neZ FrankFrank r Date: 2021.08.1210:57:14 -04'00' Ann -Marie Sharpe Risk Management Date: BUSINESS INNER OUTER WELLNESS LLC 2963 DAY AVE MIAMI, FL 33133 a Florida limited liability company ATTEST: ame: Title: r(Crit') 4. frO Corporate Seal: A IThST: Todd B. Hannba.� ate: City Clerk j '3o (co 1 APPROVED AS TO FORM AND CORRECTNESS: 9a- 4 L. 7/de.t. a/6/5 Victoria M ndez Date: City Attorney RFA #21-I878 2016.1 18 EXHIBIT A • • CERTIFICATE OF AUTRORITY AND INCUMBENCY WHEREAS, INNER OUTER WELLNESS LLC desires tp grant signing authority to certain person(s) described hereunder, . RESOLVED, the above -named Limited Liability, Conipay has one(1) Member, KEMY JOSEPH. KEMY JOSEPH, who is authorized to enter. into a:Community Development Block • Grant Agreement with the City of Miami for IVlicroenterprise Activities in the amount of $15,000.90, as funded by the City of Miami Resolution R721-09,64 as authorized on February 11, 2021. KEMY JOSEPH is hereby duly authorized to sign all documents necessary to obtain said grant funds and bind INNER OUTER WELLNESS LLC to the. Grant Agreement. I, the undersigned, hereby certify that I am the, dUly authOrized Member of the above -named' • , Limited Liability Company, a Limited Liability Company duly formed pursuant to the laws of the state of Florida, and that this Certificate of Authority and Incumbency is now in full force and effect without modification or rescission. IN WITNESS WHEREOF, I have executed my name as the sole Member of the above - named Limited Liability Company on this Vj day of V-A-.7 ---7)7T77— 20 -a I . Authorized Representative: g//012, Date Title: OWNER STATE.OF FLORIDA 'CCiUNTY OF MIAMI-DADE The feregoing instrument was acknowledged before me by means ofAphysical presence or o online notarization, this / 6°" day of 4-f.A.5. LA.Sr 20 -21 by er,b) of INNER OUTER WELLNESS LLC, a Florida Limited liability company,..on behalf of the company. He/she is personally known to me or has produCe& FT071 " PrZ,4; C as identification. gnature of N [Notary Seal]: ,e4Nt 1.41:41Z eiCtt R My CommIssionAv 9480.1 %Om., Expires 01/21/2024'p' EXHIBIT B BUSINESS CONTINUITY MICROENTERPRISE ASSISTANCE PROGRAM II WORK PROGRAM Special Economic Development: 24CFR 570.201 (o) Under this category, grantees and other public or private organizations may use CDBG funds to facilitate economic development through the establishment, stabilization and expansion of microenterprises. "Microenterprise" means a business having five or fewer employees, one or more of whom owns the business. National Objective: 1. The BUSINESS owner understands that the National Objective for this activity is assistance to low and moderate income persons who owns a microenterprise. 2. The HUD matrix code associated with this activity is: • 18C Economic Development: Micro -Enterprise Assistance A. BUSINESS receiving assistance must be located within the City of Miami. B. BUSINESS Owner understands that the National Objective for this program is assistance to low to moderate income households. C. Attached hereto and made part of this contract is the approved business information (Business Information Form). BUSINESS Owner understands and agrees that only activities related and included in the business description are allowable under this contract. BUSINESS understands that changing the type of business will result in non-compliance with the program requirements, and is therefore a breach under this Agreement. The BUSINESS information is summarized as follows: BUSINESS address: 2963 Day Ave, Miami, FL 33133 BUSINESS description: Educational & Business Consultant BUSINESS product/service: (Virtual) Trainings, Speeches, & Coaching The BUSINESS has been in operation since: 1/7/2019 D. BUSINESS Owner needs to be certified with the City of Miami as a low to moderate income household. E. BUSINESS Owner acknowledges that their business is a for -profit entity. F. BUSINESS Owner is required to demonstrate that the business has five_(5) or fewer employees (including owner). The BUSINESS currently employs: r. 1 Ti full time and r 0, -1 part time. G. The BUSINESS Owner agrees to be_ .assigned to work with a Contract Compliance Analyst that will provide technical assistance with the program requirements including but not limited to contract completion, di sbursementrequests, performance reviews and gathering any other information needed to ensure program compliance. Id : BUSINESS Owner must have all the valid and applicable City of Miami and Miami - Dade County business licenses (Business Tax Receipt and Certificate of Use) and any other "professional, licenses before, this contract is executed a. BUSINESS Owner must provide "copies'of all licenses to the DHCD: The expenditures occurred under this Work Program shall be subject to review and approv, The City. Authorized Representative:` Title: OWNER STATE OF FLORIDA • COUNTY.OF MIAMIDARE The foregoing instrument was acknowledged before me by means of ozeilysical presence or o Online* notarization;this` " % day of AA., /` 20-2 / by Ke,.8.t 7 %T & of INNER OUTER WELLNESS LLC, a Florida Limited Liability Com any, on bea1f of the company. He/she is personally known to me or has produced IF : it 4 . %i C as identification. Notary Public Sta got Fsorida"1 �° '' Jeff'Catanach'�� < 0 ' My Commission GG 941,074) ' aM1dExpires011212024 st J EXHIBIT C COMPENSATION AND BUDGET SUMMARY A. The City shall pay on behalf of the BUSINESS or to the BUSINESS, a maximum compensation pursuant to this Agreement,the sum of S45,000.00. B. BUSINESS Owner understands and agrees that, all payments shall be in compliance with the approved program line -item (Itemized) budget attached hereto and for the approved business. Payments that not directly related to the businessoperation, or that at not approved will not be allowed. . • C BUSINESS Owner understands and 'agrees thatbusiness' operational needs shouldbe reviewed with the Contract Compliance Anglia prior to submitting a budget. • D. BUSINESS.Owner understands and agrees that payments will be made directly to the vendor on behalf of the BUSINESS or reimbursed to the owner after 'aPproval. Each written request for disbursement shall contain a statement declaring' and affirming that all expenditures are in accordance with the appmved budget and business. All docunientation in support of each request shall be subjeato review and approval by the CITY at the time the request is made.. E. BUSINESS Owner understands and agrees that expenses have to be allowable, necessary, and reasonable for the approved business. Expenditures not permitted, include but are not limited to, the, following items: • 8 b. c. ci. e. Construction/Rehabilitation Costs Vehicle Purchases/Leases Alcohol purChases Outstanding Debts Late Fees f. Credit Card Payments g. Vehicle Repairs —BUSINESS Owner must clearly demonstrate that the vehicle is only used for business purposes. F. The BUSINESS must submit the final request for payment to the CITY by the expiration date or termination date of this Agreement in a form p r vided by the DePartment. The BUSINESS shall forfeit all rights to payment and the CITY shall not honor any request submitted thereafter. " G. Any payment due under This Agreement may be withheld pending the receipt and approval by the CITY of all reports, certificates and licenses due from BUSINESS and/or BUSINESS Owner as part of this Agreement and any Modifications thereto. Authonied Print Name: KEMY JOSEPH Title: OWNER STATE OF FLORIDA COUNTY OF MJAMI-DADE The foregoing instrume- nt was acknowledged before me by means of 14rysical presence or a online notarization, this - Ai- ),'!"- day of /As f- : 20 "2- / by Ktirit y ..i7S•eip A of ER OUTER WELLNESS LLC, a Florida Limited Liability Company, onbehalf of company. He/she is personally known to me or has produced as identification. Date of No otary Seal]: 144pir: 4otubtepD 4G 9 .13'67 4 Jeffitaneich. or 'Cc" Expires° loiMy rrilo24 • BUDGET FORM I BUSINESS CONTINUITY MICROENTERPRISE ASSISTANCE PROGRAM II ITEMIZED BUDGET NARRATIVE Business Name: INNER OUTER WELLNESS LLC Contract Period: August 1, 2021 — July 31, 2022 Funding Source: CDBG Max. Amount of Funding: $15,000.00 Licenses and permits can only be reimbursed and not paid directly to vendors. LINE ITEM DESCRIPTION AMOUNT Rent Payments $ Month(s): Utilities $ Month(s) & Vendor Name(s): Insurance $ Vendor Name(s): Licenses/Permits $ Vendor Name(s): Employee Pay Period: 9/1/21 - 12/31/21 Employee: Kemy Joseph 15 000 $ ' Salaries Pay Period & Employee Name(s): GRAND TOTAL: Note: Grand total must not go over the maximum amount of funding. $ 15,000 EXHIBIT D. CERTIFICATION REGARDING LOBBYING 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; aMember 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 iequixe 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 covered.' Contract/grant transactions over $100,000 (per QMB). This certification is a material representation of fact upo n 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 Rep Print Name: KEMVIY JOSEPH Title: OWNER 9//0% Date STATE OF FLORIDA COUNTY O1F MIAMI DADE The foregoing instrument was aclmowledged before me by means of alliiysical presence or o online notarization, this. _ /o day, .of /Jrus tr-�F 20 2 / by s .e.�J k of INNER OUTER WELLNESS LLC, a Florida Limited Liability Company, on behalf of. the company. He/she is personally known to me or has produced k ////. d)t2w : 1-4 C , as identification. S' of Notary A'' tarySeal]: , fin Notaryry Publie State'cr'Flor da e. :' 1; Jeff Catanach�`-1 ,-ttl IV, i My Commission GG 94a0/4 . ,- a+. Expire!' 01121I2024 -; / EXHIBIT E CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS PRIMARY COVERED TRANSACTIONS 1. BUSINESS certifies to the best of its knowledge and belief, that it and its principals: a. Are not presently debarred, suspended, proposed" for debarment, declared ineligible, or voluntarily excluded from' covered transactions by' any Federal 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, orperforming a public (Federal, State, or local) transaction or contract under a publictransaction;„violation of. Federal or State antihust statutes or falsification or destruction of records, making false statements, or receiving stolen properly; 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, at 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. Print Mime: KEMY JOSEPH Title: OWNER STATE OF FLORIDA. COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me by means of Erillysical presence or ❑ online notarization, this . /0-A-- day of It..14 20 Z / by <�rrrd ,S of INNER OUTER. WELLNESS LLC, a Florida Limiited Liability Co any; -on behalf of the company. He/she is personally known to me or has produced %//� //c� Vm c v L, c . as identification:: - , ; o N Mary Seal]: oft, Notary Public S aCfa oflori& Jeff Catanach-' My •CommiasiontG 848Q~14 ono* Expires 01/2112024 'ri. 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 the City of Miami, a municipal corporation of the State of Florida By KEMY JOSEPH (print this individual's name and title) for INNER OUTER WELNESS LLC (print name of entity submitting statements) whose business address is 2963 DAY AVE, M IAM I, FL 33133 and if applicable is Federal Employer Identification Number (FEIN) is 83-3119899 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 beliet the statementwhichTbave marked below is true in a relation to the entity submitting this:- sworn - statement. -(Plean indicate • which statement annlies bv , olacinff an X). X Neither the entity submitting this sworn statement, nor any of its officers, directors*, executives, panels; shareholdera, employees, members, 'or agents who are active in the management of the entity, or any affiliate ofthe' entity has been charged with and convicted of a public, entity crime within the past 36 „.. monthi. The entity submitting this •sworn statement, or one or more of its officers, director, executives,: partners, sbareholders, einployees, Members;or agents who are ictiVe. in the 'ininagetnent of the entity,or in affiliate of the entity hai beentliarged with ancleonvieted 'Of a -public entity crime within the Past 36 months: AND (Please indicate which additional statement applies). • The 'entity:Submittingthis sworn. statenient, ot one 'or •more of its officers,!directirsexecutives, 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; At an affiliate of the' entity ha.s been charged with and convicted �fa public entity. crime within -the past 36 months. - However, there.. has 'been_ a subsequent proceeding before &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 thissworn statement onilteconvicted vendor list (Attachedis a copy ofthe final order).,.., . • _ . • • • _t_ •, . I UNDERSTAND' THATTHE SUBMISSION OF THIS FORM TOTHE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH I (ONE) ABOVE IS FOR THE PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR . IN WHICH rr ISF1LED AND FOR, THE' PERIOD OF THE ' CONTRACT -,ENTEREI? 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 PROVII/ED IN SECTION 287.017, FLORIDA STATUTES, FORCATEGORY TWOApir.cHAN9E THE INFORMATION CoNtAil*D. ENT THIS FOR c• I - ' - • • • . Authorized Re ver • . • • , - ' • • . . „ Print N e: KEmy JOSEPH - • Date - ' • Title: OWNER STATE OF FLORIDA COUNTYOF 14EAMT-DADE - The foregoing instrament was afilmqwledged before me by means of physical presence 9r r3 Online notarizatioALthii (0 !Jay Of - 20 2 I by ;,‹ e I • 'V crcrtp Of INNER OUTER WELLNESS LLC, a Florida Limited 1.; ility, Company, on behalf Of the 'F'o:iriManYHe/she iiiiersonallY known to me or has produced M : as identifidation. -of [Nutary Seal] Notary Public Stateof plorida=, Jeff Catanach-- 1/4401 Petp?:TgligICV 94 -74t. 15111110 Disability Non -Discrimination Certification PAGE 1 GUI Certification for Contracts, Grants, Loans, and CoOperative Agreernents The undersigned certifies_that it is. in compliance. with. and agrees to continue to comply with; and assure that any 'subcontractor, or third . party contractor under this project complies with all applicable requirements of, the lawa,listed_aboveincluding, but not limited to, those provisions pertaining to ,employment, prevision of programs and services,- transportation, communications, access to facilities, renovation's; and new construction in the following laws: The Americans with Disabilities Act of 1990 (ADA), Pub L..,01-36, 104, 'Stat. 327, 42 U.S.C. 12101-12213-and 4,7; 0.S.C. Sections 325 and 611 including Title I, Employment Title Il, Public Services; The Ill, Public Accommodations and Services Operated by Private Entities.; Title ,IV, Telecommunications, and Title V, Miscellaneous Provisions,The Rehabilitation Act of 1973;29 U.S.C: Section 794; The -Federa1' Transit Act, 'EIS amended 49: U.S.C-. Section 1612; The Fair Housing Act as 'amended42 U.S.C. Section 3601-3631. . , The foregoing requirements shall, not pertain to contracts with the United States or any departinent or agency thereof, the State of any political subdivision or agency thereof or any municipality of this State. Business Name: INNER OUTER WELLNESS LLC ItEMY JOSEPH 7 '1,1', l.'s's'. TOWNER / PAESI DENT: s's Printed Name of Certifying Representative Title of Certifying Representative s Signature'of Ceitifyirig Representative _ s Date STATE OF FLORIDA COUNTY OF MIAMI—DADE The foregoing instrument was acknowledged hefOrerne by means of inlicysical presence or a online notarization this 104k7 day of if- tkc-,4;,-..i 20 I by /4-eo,li of INNER OUTER WELLNESS LLC, a Florida Limited Liability Company, on behalf of the company. He/she is personally known to me or has produced r-m. 1..1Q- as identification. J Florida 4;01 NJ4, NotaryPublipaatvg l• Jeff Cti.aneth - 2, My Corrimission GG 940074 Vo0,0,--0C Expires 01121/2024? ,':"•4•••; " • o 0 0 Drug Free Workplace Cep ` ication PAGE1 oft Certification forrContrac s, Grants, Loans, and CooperativeAgreements The undersigned certifies that it will provide a drug -free workplace program by: (1) Publishing a statement notifying its employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the offerors workplace, and specifying the actions that will be taken against employees for violations of such prohibition (2) Establishing a continuing drug -free awareness program to inform its employees about: (i) The dangers of drugabuse in the workplace; (ii) The Bidders policy of maintaining a drug -free workplace; (iii)'Any available drug counseling,rehabilitation, and employee assistance programs; and (IV) The penalties that may be imposed upon. employees for drug abuse violations occurring ,. (3) Giving all employees engaged in the performance of the Contract a copy of the statement required by subparagraph (1); (4) Notifying all employees, in writing; of the statement required by subparagraph (1), that as a condition of employment on a covered Contract'the employee shall: (i) Abide by the terms Onto statement, and . ;. (ii) Notify the employer in writing of the employee's conviction under a criminal drug statute for a violation occurring in the workplace no later than -five (5) calendar days after such conviction; .(5) '.Notifying City of Miami government in writing within ten (10) 'calendar days after receiving notice under subdivision (4) (i) above; from an employee or otherwise receiving actual notice of such conviction., The notice shall include the position title'of the, employee:: • - (6), ,Within thirty (30) calendar days after receiving.notice under subparagraph (4) of a conviction, taking one of the following actions with respect to an employee who is convicted of a drug abuse violation occurring in the workplace: - .-. .. , Taking,appropriate personnel action against such employee, up to and including termination; ;or" . (i) Requiririg`such employee to participate -satisfactorily in a drug abuse assistance or - rehabilitation program approved for_,such purposes by, a federal, state,.or local health, law enforcement, or other appropriate agency; and " (7) Making a good faith effort to.maintain` a drug -free workplace program through implementation • of subparagraph (1) through (6)3 L Business Name: , INNER OUTER WELLNESS LLC. 6KENMY JOSEPH_ Printed Name of Certifying Representative Representative Signaturo6tCertifying Representative. OWNER`l'PFRES DENT Title of Certifying -C/A,/r-_ Date M1O Drug Free Workplace Certification PAGE2of2 Certification for Cc Grants, Loans, and Cooperative Agreements STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me tor means of dphysical presence or o online notarization, this % day of ;l9-t,A.9'1i-)P=- 20 Z 1 by y $ of INNER OUTER WELLNESS LLC; a Florida Limited Liabi�h�t'Company, on behalf of the company. Helshe is personally known to me or has T produced / t � as identification. - Notary PubiiC Mate of Florida Jeff Catanad 4 `f ' • MY Commission GG 048074 a Expires 01/21/2024 { 8/12/2021 Detail by Entity Name Detail by Entity Name Florida Limited Liability Company INNER OUTER WELLNESS LLC Filing Information Document Number L19000008473 FEI/EIN Number 83-3119899 Date Filed 01/07/2019 State FL Status ACTIVE Principal Address 2963 Day Ave Miami, FL 33133 Changed: 02/03/2020 Mailing Address 2963 Day Ave Miami, FL 33133 Changed: 02/03/2020 Registered Agent Name & Address JOSEPH, KEMY 2963 Day Ave Miami, FL 33133 Address Changed: 02/03/2020 Authorized Person(s) Detail Name & Address Title President Joseph, Kemy 2963 Day Ave Miami, FL 33133 Annual Reports Report Year Filed Date 2020 02/03/2020 2021 02/09/2021 Document Images 02/09/2021 — ANNUAL REPORT View image in PDF format 02/03/2020 -- ANNUAL REPORT View image in PDF format 01/07/2019 — Florida Limited Liability View image in PDF format search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquir?type=EntityName&directionType=Initial&searchNameOrder=lN N EROUTERW... 2/3