HomeMy WebLinkAbout24414AGREEMENT INFORMATION
AGREEMENT NUMBER
24414
NAME/TYPE OF AGREEMENT
FAMILY ACTION NETWORK MOVEMENT, INC.
DESCRIPTION
SOCIAL SERVICES GAP PROGRAM AGREEMENT/YOUTH
SERVICES PROGRAM/FILE ID: 10914/R-22-0016/MATTER ID:
22-788/#26
EFFECTIVE DATE
May 13, 2022
ATTESTED BY
TODD B. HANNON
ATTESTED DATE
5/13/2022
DATE RECEIVED FROM ISSUING
DEPT.
5/10/2023
NOTE
CITY OF MIAMI �4,14
DOCUMENT ROUTING FORM
ORIGINATING DEPARTMENT: HOUSING AND COMMUNITY DEVELOPMENT
DEPT. CONTACT PERSON: MONICA GALO EXT. 1976
NAME OF OTHER CONTRACTUAL PARTY/ENTITY: FANM, Inc.
IS THIS AGREEMENT AS A RESULT OF A COMPETITIVE PROCUREMENT PROCESS? ❑ YES ►mil NO
TOTAL CONTRACT AMOUNT: $ 29,000.00 FUNDING INVOLVED? ® YES ❑ NO
TYPE OF AGREEMENT:
❑ MANAGEMENT AGREEMENT
❑ PROFESSIONAL SERVICES AGREEMENT
GRANT AGREEMENT
❑ EXPERT CONSULTANT AGREEMENT
❑ LICENSE AGREEMENT
OTHER: (PLEASE SPECIFY): N/A
❑ PUBLIC WORKS AGREEMENT
❑ MAINTENANCE AGREEMENT
❑ INTER -LOCAL AGREEMENT
❑ LEASE AGREEMENT
❑ PURCHASE OR SALE AGREEMENT
PURPOSE OF THE ITEM (BRIEF SUMMARY):
Contract in the amount of $29,000.00 in SSG funding to FANM, Inc. for the implementation of After-
School services. For additional information please see Resolution attached!
COMMISSION APPROVAL DATE: 01/13/22 FILE ID: 10914
IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN:
ENACTMENT No.: 22-0016
N/A
ROUTING INFORMATION.
Date
PLEASE "R T AND SIGN
APPROVAL BY DEPARTMENTAL DIRECTOR
4/18/2022
PRINT: ROBERTO'
— 4
SIGNATURE: /
SUBMITTED TO RISK MANAGEMENT
PRINT: ANN-MARIE SHARPE
Digitally signed by Gomez,
Gomez, Frank ....t22022.04.18 1459:06
SIGNATURE:-04'00•
XE/4
SUBMITTED TO CITY ATTORNEY 22-788
5/3/22
PRI : VIC1RIA MEN
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SI E:
APPROVAL BY ASSISTANT CITY MANAGER
/1 1
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PRINT: FERNANDO C A AYOR
SIGNATUR
RECEIVED BY CITY MANAGER
5
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PRINT: ART ORIEGA
SIGNATURE:
1) ONE ORIGINAL TO CITY CLERK,
2) ONE COPY TO CITY ATTORNEY"S OFFICE,
3) REMAINING ORIGINAL(S) TO ORIGINATING
DEPARTMENT
PRINT:
SIGNATURE:
PRINT: .
SIGNATURE:
PRINT: 4
SIGNATURE:
PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE
EXECUTION BY THE CITY MANAGER
CITY OF MIAMI, FLORIDA
DEPARTMENT OF HOUSING & COMMUNITY DEVELOPMENT
SOCIAL SERVICES GAP PROGRAM ("SSG") AGREEMENT
This Agreement (hereinafter the "Agreement") is entered into this �� day of
, 20A.2;between the City of Miami, a municipal corporation of the State of
Flori . :/(hereinafter the "CITY"), & Family Action Network Movement, Inc:
a Florida not for profit corporation (hereinafter referred to as the "RECIPIENT").
FUNDING SOURCE:
CFDI # (If applicable):
AMOUNT:
TERM OF AGREEMENT:
PROJECT NUMBER:
Social Services Gap Program
N/A
$ 29,000.00
Effective date of this agreement is October 1, 2021
to September 30, 2022
DUNS® NUMBER: 05-667,4165
AGENCY'S ADDRESS:
100 NE 84th Street, Suite 150
Miami, FL 33138
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:
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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
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 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 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
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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 all positions 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
3.2 EFFECTIVE DATE AND TERM:
The Effective date of this agreement is October 1, 2021 to September 30, 2022
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
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.
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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 after 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
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.
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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.
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
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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 Department'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 finally 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 fmal 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
inspection or interviews, the Department will deliver to the RECIPIENT a report of its findings.
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
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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.
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
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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 SSG Program funding for the RECIPIENT.
7.1.5 Take all such other remedies that may be Iegally 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:
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
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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
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.
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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 attomey'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.
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.
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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 Iaws 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
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.
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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 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 Xn 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
RECIPIENT
Family Action Network Movement, Inc.
100 NE 84th Street, Suite 150
Miami, FL, 33138
8.11.2 Title and paragraph headings are for convenient reference and are not a part of
this Agreement.
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.
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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 governing body, authorizing the execution of this
Agreement, including all understandings and assurances contained herein, and directing and
authorizing the person identified as the official representative of the RECIPIENT to act in
connection with this Agreement and to provide such information as may be 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.
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
13
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 fmal inventory of property in the RECIPIENT's possession that was acquired or
improved with SSG funds.
8.17 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.
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.
AUTHORIZED REPRESENTATIVE:
RECIPIENT
Family Action Network Movement, Inc.
100 NE 84th Street, Suite 150
Miami, FL 33138
a Florida not -for -profit corporation
ATTEST:
{‘ --d Zv � ,,, -/6 -2eZZ-
asp'/Bvne, t ✓r Date: a . (6, -Zz-
Title: ' -T ---
CITY OF MIAMI, a municipal
Corporation of the State of Florida
c(2-d-)-
ame: /i'r, yn mierm.c r. Date:
Title: /erg s-c�r c-r
Corporate Seal:
ATTEST:
Arthur NoriegaDate: Todd B. Hannon Dat :
City Manager City Clerk 5 i 131 abate
i
APPROVED AS TO INSURANCE
REQUIREMENTS
Gomez,
Frank
Digitally signed by
Gomez, Frank
Date: 2022.04.18
14:59:22 -04'00'
Ann -Marie Sharpe
Risk Management
Date:
APPROVED AS TO FORM AND
CORRECTNESS:
City Attorney
22-788
15
The Board of Directors
Marie Paule Woodson,
Chair
Solange Aurelien
Rhode Malivert
Evelyne Tillus
Jeff Mondesir
Emmanuela Etienne
Dr. Nahomie Mirville
Marilyn Lieberman
Advisory Board
Members
Ira Kurzban
Edwidge Danticat
Dr. Angelo Gousse
Bea Hines
Executive Director
Marleine Bastien, MSW, Nahomie Mirville :
LCSW
Executive Director
The resolution was duly passed on
Marie Pa V569dson, Chairperson
(Co rate Seal)
FamiCyAction NetworOlovement, Inc. (E1 7VM)
100 NE 84th Street, Suite 150, Miami, FL 33138
Phone: 305-756-8050 Fax: 305-756-8150
www.fanm.org
Resolution (02-23-22)
Be it so resolved, that the Family Action Network Movement, Inc.'s Board of
Directors, authorized Marleine Bastien, Executive Director, and/or Marie
Paule Woodson, Chairperson to enter into contract agreement for FY 2021-
2022 for the following contract and amount of funding totaling no more than
$29,000.00 with City of Miami Social Services Gap Program (SSG). Funding
amount is to support services City of Miami Youth residence for FANM's
clients on behalf of FANM for the period of October 1, 2021 to September
30, 2022.
Marie P. Woodson : I '.OIjc/rites No
Marilyn Lieberman : Yes 1 No
Solange Aurelien : Yes / No
Rhode Malivert : Yes No
Evelyne Tillus : Yes V No
Jeff Mondesir : Yes ✓ No
Emmanuela Etienne : Yes ✓ No
Yes / No
YEAS -' NAS
FANM's mission is to empower Haitian women and their families
socially, politically and facilitate their adjustment to South Florida.
City of Miami
Legislation
Resolution: R-22-0016
City Hall
3500 Pan American Drive
Miami, FL 33133
www.miamigov.com
File Number: 10914
Final Action Date: 1/13/2022
A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S),
PURSUANT TO SECTION 18-72 OF THE CODE OF THE CITY OF MIAMI,
FLORIDA, AS AMENDED, ALLOCATING FUNDS IN THE AMOUNT OF
$131,473.88 TO THE AGENCIES SPECIFIED IN EXHIBIT "A", ATTACHED AND
INCORPORATED, FOR PUBLIC SERVICE ACTIVITIES FOR PROGRAM YEAR
2021-2022 FROM THE SOCIAL SERVICE GAP PROGRAM FUNDS, ACCOUNT
NO. 14010.910101.882000; 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, Florida, as
amended ("City Code"), the City Commission wishes to allocate funding to cover Public Service
program shortfalls for program year 2021-2022 from the Social Services Gap Program fund,
Account No.14010.910101.882000; and
WHEREAS, on September 23, 2021, the City Commission approved a contribution from
General Funds for Public Service activities; and
WHEREAS, the City's Administration recommends the allocation of funds in the amount
of $131,473.88 from the Social Service Gap Program to the agencies specified in Exhibit "A",
attached and incorporated ("Agencies"), 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 fully set forth in this Section.
Section 2. The City Manager is authorized' pursuant to Section 18-72 of the City Code
to allocate funds in the total amount of $131,473.88 to the Agencies for Public Service activities
for program year 2021-2022 with said funds allocated from the Social Services Gap Program,
Account No. 14010.910101.882000.
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: 10914 (Revision:) Printed On: 1/14/2022
File ID: 10914 Enactment Number: R-22-0016
Section 3. The City Manager is authorized' to negotiate and execute any and all
necessary documents, all in forms acceptable to the City Attorney, for said purpose.
Section 4. This Resolution shall become effective immediately upon its adoption.
APPROVED AS TO FORM AND CORRECTNESS:
City of Miami Page 2 of 2 File ID: 10914 (Revision:) Printed on: 1/14/2022
City of Miami
Department of Housing and Community Development
Social Service. Gap (SSG) Funding Allocation FY2021
"Exhibit A"
SOCIAL SERVICE GAP (SSG) FUNDING FY2021
Agency
Description of Services
SSG Funding FY2021
Centro Mater Child Care Sevices, Inc.
Child Care Services
$ 22,670.00
Family Action Network Movement, Inc.
Youth Services
$ 29,000.00
Girl Power Rocks, Inc.
Youth Service
$ 2,325.00
Greater Miami Service Corps
Youth Services
$ 9,500.00
The Association for Development of the Exceptional,
Inc.
Handicapped, Mental Health,
Elderly Services
$ 24,182.00
The Liberty City Optimist Club of Florida, Inc.
Youth Services
$ 12,524.00
The Sundari Foundation, Inc.
Homeless Services for Women
$ 26,849.88
Thelma Gibson Health Initiative
Elderly Services & Services for
the Disabled
$ 4,423.00
Total Allocation:
$ 131,473.88
EXHIBIT B
WORK PROGRAM
YOUTH SERVICES PROGRAM
Objective:
1. RECIPIENT understands that although these funds are not Community Development Grant
(CDBG), this contract is govemed by some of the guidelines set forth by HUD. Therefore,
the 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). 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:
1. RECIPIENT will provide youth services and related services to eligible program
participants from October 1, 2021 to September 30, 2022 with funding from the 2021-
2022 Social Services Gap (SSG) Program Year.
2. RECIPIENT will provide youth services to eligible program participants on the below
days and time.
"`Monday, ''Tuesday, *' Wednesday, r'" Thursday, !` Friday for a total
of / 0 program days between ANI d 7 ` AM lr' V to /62
eligible participants, at the following site(s):
3. RECIPIENT will provide the following services to eligible program participants:
% 44.1 rL erv9) /77 Q-,L 6(
t - '
Other tasks to be performed by the RECIPIENT in connection with the provision of Youth Services
include, but are not limited to, the following:
4. Perform 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 within the City of Miami
b. A member of a low (extremely low to low) income household
c. Ages 13 to 19 years old
B. RECIPIENT must keep in file proof of the 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:
a. https://www.miamidade.gov/na/property search.asp
i. Folio # must begin with 01- to be consider a City
of Miami resident.
b. h€tps://www.miamigov.com/Services/Your-
Neighborhood/Find-My-CommissionerDistrict-Map
e. Current HUD Income Limits Chart (At the time of client intake.)
i. https://www.huduser.gov/portal/datasets/il.html
f. Proof of Household Income (Any one of these documents will suffice.)
i. School registrar information showing meal qualification status (for
active school year)
ii. Pay Stub (Last 3 months of paycheck stubs)
iii. Bank Statement showing direct deposit amounts (Last 3 months of
paycheck stubs)
iv. Employer Statement / Letter (not older than 90 days)
v. Social Security Statement
vi. Medicaid Cards
vii. Section 8 certification
viii. 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
RECIPIENT may replace program participants who stop receiving program benefits by providing
the information required in items 4 a. and b. for the new participant. RECIPIENT will not invoice
the City of Miami until the proposed participant is certified as eligible by the City of Miami.
5. At all times, maintain facilities in conformance with all applicable codes, Iicensing, and
other requirements for the operation of day care center and/or youth center. The facilities
must be handicapped accessible.
6. Procure services and equipment in a manner that provides, to the maximum extent,
practical, open and free competition and in compliance with 24 CFR 84.40-48.
7. As part of the programs, provide a range of structured social, educational and cultural
enrichment activities appropriate to the age group being served.
8. Maintain program and financial records documenting the eligibility, attendance, provision
of services, and RECIPIENT expenses relative to the youth services as a result of the
assistance the CDBG program.
9. RECIPIENT will provide the following program reports to the City:
a. A monthly report (Summary Sheet of Clients Served) for the services provided to
eligible participants in a form provided by the CITY. 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 inventory report.
Authorized Representative Signature:
rin I�Tame: //40,i4V.,
Title: . .'pe.„.
l‘/Z,OZ?_
Dat
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was acknowledged before me by means of physical presence or O online
notarization, this 1 day of j-e -c a. c- f 20.- by
,Zi.,, r ,,i i .. ,r t of Family Action Network Movement, Inc. a Florida Not For
Profit Corporation, on behalf of the corporation. He/she is personally known to me or has produced
as identification.
" v. `' . JEAN NEMlC t1ERISCA
of * C0 ice NH11$145
[Notary Seal]: a Eiptresmost lc 2025
c tv laMNitaite Plotrl'SinMIN
EXHIBIT C
COMPENSATION AND BUDGET SUMMARY
YOUTH SERVICES PROGRAM
A. The maximum compensation under this Agreement shall be $ 29.000.00
B. RECIPIENT's Budget Narrative, Staff Salary Schedule and Cost Allocation 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 101 of the following month to the following email address
riouis@miamigov.com. 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 RECIPIENT must submit the final request for payment to the CITY within ten (I0) calendar
days following the termination date of this Agreement. If the RECIPIENT fails to comply with
this requirement, the RECIPIENT shall forfeit all rights to payment and the CITY shall not honor
any request submitted thereafter.
H. Any payment due under this Agreement may be withheld pending the receipt and approval by the
CITY of all reports due from the RECIPIENT 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 he5eunder, t CITY shll have the right to review and audit the time records and related
records -of the. IPIENT.pertaining to any payments by the CITY.
Authorized$ esetatve Sitature:
Print hlh"me _ ! fir- l/ram..
Title: A��.__ f.,717/--
0.V/
Da e
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument as acknowledged before me by means of physical prese ce or o online notarization, this
day of .A r h ,I.4" 4 20, by % 2 5 J'i_+ -i of Family Action,
etwork Movement. Inc. a Florid Not For Profit Corp° tion, on behal of the corporation. He/she is personally
known to me or has produced as identification.
[Notary Seal]: �,..`, JEANnm MECIINIC DERMA
* itif* Commission, IN 185445
*'a`=d1i' SignatureofNot
AGENCY:
PERIOD:
FUNDING SOURCE:
ITEM
Family Action Network Movement,
Inc.
AMOUNT
October 1, 2021 thru September 30, 2022
PUBLIC FUNDING/SSG
DESCRIPTION
Staff Salary
Porgam Director @ 5% Effort (FT) for 24 pay period
$ -
Staff Salary
Program Coordinator/Specialist @ 24.5% Effort (FT) for 24 pay period
14,688.00
Staff Salary
Receptionist @ 10% Effort to the Program (FT) for 24 pay period
-
Staff Salary
Physical Fitness 22 hours Per Pay Period X 18 pay period (School Year) @$15.00/per hour @ 100%
Effort (PT ppay ). In addition during the Summer the Physical Fitness will work 50 hours per pay
period @ $15.00 per hour @ 100% Effort for 6 pay period
-
Tutor/Counselor/ TBA
(2) Tutors Positions 40 hours Per Pay Period X 24 pay period @$15.00/per hour $14,400 @ 100%
effort..
10,800.00
FICA/MICA
To Cover Payroll Taxes @ 7.65%
1,949.83
Workers Comp
To Cover Worker Comp Insurance @ 1.86%
474.08
Unemployment
To Cover Unemployment Insurance @ 2.56%
321.15
Office Supplices
Cost to Cover Office Supplies
0.00
Progam Supplies
Cost to Cover Program Supplies
0.00
Snacks/meals
Cost to Cover Snack/meal and Juice for After School Kids
766.94
Cleanning
Partial Cost to Cover Janitorial/Cleaning Services @ $2400.00 month for 12 months
0.00
Total
ler
$ 29,000.00
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, 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 $100,000 (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 1ep 'esentafive Signature:
•
Title::;
Date
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was acknoyjedged before me by means of iE physical presence or ❑
online f3notarizatgiioon, this „ /6!.i day of nE�t u ♦p t 20 ` ' by
,„ ariai vte i�\ 2S � v4 of ca. ,...;�y Arho v, "r�,r,Y 711,2 Y4, Y..e.—i- ,
a SZ ci; jr. i- G r i), r-corporation, on behalf ()tithe corporation. He/she is personally known to
me or has produced as identification.
[Notary Seal]:
4 team DERJsCA
* 405* Canxi***DIM ti5116
ErgissAugust1s,20X
"Ter row kanaannNarrs.Na.
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 Repesentati7e Signature
( _ , ::2-
1ZF1 e-z?
Title:
o t/10_474.Q
Date
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was acknowledged before me by means of a physical presence or 0
online notarization, ithis l6 day of r 20 . by
At I0 .ti, a, a .A5 h g. of ' !o r, r A. +—e ,x
t--
a ,, ( f,.. op- corporation, on behalf of a corporation. Helshe is personally known to
me or as prod as identification.
[Notary Seal]:
.411,4t . JEAN MEOW D1RSCA
* �ulan/HH186445
Pt Bores August Kau
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
z
(Print this individual's name and title)
for r ,4 $ 4.17, i'
(Print name of entity submitting statements)
whose business address is /de) .A167
and if applicable is Federal Employer Identification Number (FEIN) is -S — o.-? _3. % 247/
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. 1 33(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 ann'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
applies):
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 R pres ntative,Signature:
fa/
Title: iJ rej
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Date
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was acknowledged before me by means of L7 physical presence or ❑
online notarization, this day of Fc -L,-- c 20 ,? ) by
Mar6 ti ',-1,P 13 5 v-) of
iP-
igt... corporation, on behalf of 4he corporation. He/she isjrersonally known to
me or h : produd as identification.
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on
At JEM MECKNiC DERMA
[Notary Seal]: * Commis** It HH 111S445
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Exhibit G
INSURANCE REQUIREMENTS
PUBLIC SERVICE AND ECONOMIC
DEVELOPMENT PROGRAMS FOR
HOUSING & COMMUNITY DEVELOPMENT
I. Commercial General Liability (Primary & Non Contributory)
A. Limits of Liability
Bodily Injury and Property Damage Liability
Each Occurrence $300,000
General Aggregate Limit $600,000
Products/Completed Operations $300,000
Personal and Advertising Injury $300,000
B. Endorsements Required
City of Miami included listed as additional insured (endorsement
Required)
Explosion, Collapse, & Underground Hazard (If Applicable)
Contingent Liability/Contractual Liability
Premises & Operations Liability
Example. "The City of Miami is named additional insured on the general liability. On a
primary and non-contributory basis. All policy and conditions apply."
II. Business Automobile Liability
A. Limits of Liability
Bodily Injury and Property Damage Liability
Owned Autos/Scheduled Autos
Including coverage for Hired and Non -Owned Autos
Combined Single Limit $ 300,000
B. Endorsements Required
City of Miami included as an Additional Insured
Example. "The City of Miami is named additional insured on the automobile liability.
Note: If agency does not own anyvehicles please submit this stamen on the agency's
dated letterhead and signed by the authorized representative.
III. Worker's Compensation
Limits of Liability
Statutory -State of Florida
Employer's Liability
A. Limits of Liability
$100,000 for bodily injury caused by an accident, each accident.
$100,000 for bodily injury caused by disease, each employee
$500,000 for bodily injury caused by disease, policy limit
IV. Professional Liability (If Applicable)
Each Claim
Policy Aggregate
$250,000
$250,000
V. Certificate Holder Information should be listed as the following:
City of Miami
444 SW 2nd Avenue
Miami, FL 33130
'THE DEPARTMENT OF RISK MANAGEMENT RESERVES THE RIGHT TO
SOLICIT ADDITIONAL INSURANCE COVERAGE AS MAYBE APPLICABLE IN
CONNECTION TO A PARTICULAR RISK, OR SCOPE OF SERVICES/WORK
PROGRAM"
THE ABOVE POLICIES SHALL PROVIDE THE CITY OF MIAMI WITH
WRITTEN NOTICE OF CANCELLATION IN ACCORDANCE WITH POLICY
PROVISIONS.
Companies authorized to do business in the State of Florida, with the following
qualifications, shall issue all insurance policies required above:
The company must be rated no less than "A-" as to management, and no less
than "Class V" as to Financial Strength, by the latest edition of Best's Insurance
Guide, published by A.M. Best Company, Oldwick, New Jersey, or its
equivalent. All policies and /or certificates of insurance are subject to review and
verification by, sk Magement prior to insurance approval.
'ram
Authorized;eprestative Signature:
Tit e:
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was ackn
online notarization, this
lei
ledged before me by means of E physical presence or i]
day of "PelL rt.c . r 20 by
of ' t -GI,`aa n ALe(Wr w r:
a H0 4, a. ,/d--corporation, on behalf of tI a corporation. He/skis personally known to
me or hasoduced" as identification.
[Notary Seal]:
40A , JEAN MEC IC DER $CA
* * comnNss on t HI$1t+6N'$
5 • Wu Moult 16, 202$
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PRODUCER
Hub International Florida
777 SW 37th Avenue
Suits 500
Miami, FL 33135
INSURED
ACCORD'
401...or
FAMIACT-01
CERTIFICATE OF LIABILITY INSURANCE
ALARA
DATE tMwDDIYYYY)
10/14/2021
THIS CERTIFICATE 18 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(Los) must have ADDmONAL 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 endoreomontLa .
+GT Annabel Lore
Family Action Network, Ina. DBA FANM
103 NE 84th Street,8ulte 180
Miami, FL 33135
�Y•P
j tot... 306j 5084115
o, ots: (305) 5694724
ba, annabel.Zara@hubIntemational.com
pgURERi$1 AFFORDING COVERAGE
INSERUR A • Philadelphia indenialtic Insurance Compatnv
POURER e;Associated Industries Insurance Company, Inc.
SOURER c:
INSURER'):
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INSURER F
NAM s
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23140
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THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY 'THE POLIO ES DESCRIBED
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
NAMED ABOVE FOR THE POLICY PERIOD
DOCUMENT WM1 RESPECT TO WHICH THIS
HEREIN IS SUBJECT TO ALL THE TERMS,
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TYPEOFUISURANCE
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$ 2,000,000
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$ 1,000,000
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10/21/2021
EACH °CSAIRRENCE
$ 1►000,000
10/21/2022
AGGREGATE
$ 1,000,000
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Dal X RETENTION$ 10,000
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9/28/2022
EL EACH ACCIDENT
= 500,000
EL, DISEASE • FA EMPLOYEE
$ 800,000
El. DISEASE • POLICY UMIJ
s 500,000
POCIASErAIRewrite BoMdub, may t» •a.tNd If mare a • is 'attend!COMPREH OF SOCIAL SERVICE AND ADVOCATE
Comprehensive Social Service S Advocacy Agency
City of Miami le additional Insured with respect to General Liability, Auto and excess policies.
Primary & non•contrlbutory clause applies.
CERTIFICATE HOLDER
City of Miami
Department of Housing & Community Development
444 SW 2nd Avenue, Ind Floor
Miami, FL33130
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL. SE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Affe?
!A►T
ACORD 25 (2010103)
1988 2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD