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HomeMy WebLinkAbout23050AGREEMENT INFORMATION AGREEMENT NUMBER 23050 NAME/TYPE OF AGREEMENT DE HOSTOS SENIOR CENTER DESCRIPTION CDBG GRANT- EXTENSION PERIOD FROM 10/1/2019 TO 9/30/2020 FOR PUBLIC SERVICE / MATTER ID:19-3252 / #92 EFFECTIVE DATE March 3, 2020 ATTESTED BY NICOLE EWAN ATTESTED DATE 3/3/2020 , DATE RECEIVED FROM ISSUING DEPT. 3/10/2020 NOTE Deponm2nl of I 023 d 5-0 Housing1 & Comr nity City of Miami Development �1 City ojMio.m>i City of Contract Routing Form 'Originating Department: Department of Housing and Community Developmen Contact Person for this Contract: Monica Galo 1 Extenstoip': u ert5 Lice Contract Analyst Assigned: i Gesette Guerra Contract No: 2183 Fiscal Year: 1 2019-20 Agency/Business Name: 1 De Hostos Senior Center Phone#: I 305-573-6220 Agency Contact: I Vincent Delgado I Title: I CEO j Email: vde1195547@hotmail.com Describe the Purpose of this Contract: CDBG additional funds allocated to De Hostos Sr. Center for PS in the amount of $2,500a total contract amount of 19,300. Reso#: I 19-0483 ' File ID: 6502 i Amount: 19,300 Date: 11/21/2019 ' Approval » If this does NOT require Commission Approval, explain: I Contract Start Date: F 10/1/2019 1 Contract End Date: ; 9/30/2020 District to Serve: 1 5 IDIS#: 1 571(j Oracle#: 1 47(-6371 0 1 Original Contract j : Amendment to Existing Contract Contract Type: CDBG-PS ❑ 'CDBG-ED — T/A ❑ CDBG-ED — CIP l ❑ CDBG-ED — PF&I ❑ CDBG-HOUSING ❑ CDBG-OTHER ❑ HOPWA-P.BASED ❑ HOPWA-SUPP.SVCS 0 HOME 0 OTHER FEDERAL 0 GENERAL FUND ❑ ESG ❑ CDBG-ED - SPECIAL 0 CDBG-ED — FACADE ❑ HOPWA-LTRA ❑ HOPWA-STRMU ❑ SHIP 0 AFF.HSG TRUST FUND ❑ OTHER: Type of Agreement: ❑ GRANT AGREEMENT ❑ PROFESSIONAL SVCS AGREEMENT 0 MEMORANDUM OF UNDERSTANDING 0 LEASE AGREEMENT ❑ EXPERT CONSULTANT AGREEMENT ❑ OTHER: Routing Date Initials SENT TO Agency for Contract Execution 11/26 GG G= RECEIVED FROM Agency Already Executed 12/13 1 GG SUBMITTED TO Risk Management a RETURNED FROM Risk Management SUBMITTED TO the Office of the City Attorney C= RETURNED FROM the Office of the City Attorney • SUBMITTED TO the Office of Management & Budget Cm RETURNED FROM the Office of Management & Budget • SUBMITTED TO the Office of the City Manager • RETURNED FROM the Office of the City Manager ATTESTED BY the City Clerk a RECEIVED BY the Department of Community & ED z d Please attach this Routing Form to all Contracts/Agreements that require execution by the City Manager 1 Prepared by (Contract Analyst): I 1 Entered in System by (Admin Aide): Gesett uerr Date: 12/16/19 I i Date: 7 �Z VERSION 1.2 - Revised on 7/18/2013 - RT CITY OF MIAMI DOCUMENT ROUTING FORM ORIGINATING DEPARTMENT: HOUSING AND COMMUNITY DEVELOPMENT DEPT. CONTACT PERSON: Monica Galo EXT. 1976 NAME OF OTHER CONTRACTUAL PARTY/ENTITY: DE HOSTOS SENIOR CENTER IS THIS AGREEMENT AS A RESULT OF A COMPETITIVE PROCUREMENT PROCESS? TOTAL CONTRACT AMOUNT: $ 19,300 FUNDING INVOLVED? TYPE OF AGREEMENT: ❑ MANAGEMENT AGREEMENT ❑ PROFESSIONAL SERVICES AGREEMENT ® GRANT AGREEMENT ❑ EXPERT CONSULTANT AGREEMENT ❑ LICENSE AGREEMENT OTHER: (PLEASE SPECIFY): ❑YES ElYES ❑ PUBLIC WORKS AGREEMENT O MAINTENANCE AGREEMENT O INTER -LOCAL AGREEMENT ❑ LEASE AGREEMENT ❑ PURCHASE OR SALE AGREEMENT ® NO ❑ NO PURPOSE OF THE ITEM (BRIEF SUMMARY): The CITY and SUBRECIPIENT have heretofore entered into an agreement dated November 13, 2019 which sets forth the terms and conditions pursuant to which the CITY provided the SUBRECIPIENT the sum of $16,800 in Community Development Block Grant (CDBG) funds to carry -out Public Service activities in District 5, as authorized by the CITY Commission through Resolution No. I 19-0343;and Pursuant to Resolution No. R-19-0483, adopted on November 21, 2019, the Miami City Commission authorized the allocation of additional CDBG funds in the sum of $2,500 to continue to carry -out Public Service activities to a total of SS rogram participants in District 5. The total contract amount is $19,300 for the period of 10/1/2019 to 9/30/2020. COMMISSION APPROVAL DATE: 11/21/2019 FILE ID: 6502 IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN: ENACTMENT No.: 19-0483 ROUTING INFORMATION Date Signati7/Print' APPROVAL BY DEPARTMENTAL DIRECTOR V \V\ eeor- a sah/Ro - Tazoe SUBMITTED TO RISK MANAGEMENT 13-'11Ill A y-M - ' A, r , 'rector ' 1VI, SUBMITTED TO CITY ATTORNEY �f '(� Rase M - +k aA.La�Zn 4-� 'FA; e inQ& i i o V ctoria Mendez, City Attorney tea. CITY MANAGE rul ADA-. APPROVAL BY ASSISTA .� ®/,ed�. �/'2lf Sandra ridgeman, CFO APPROVAL BY DEPU74i( CITY MANAGER Joseph Napoli . RECEIVED BY CITY MANAGER Emilio T. Gonzalez, PhD • ONE ORIGINAL TO CITY CLERK, ONE COPY TO CITY ATTORNEY"S OFFICE, REMAINING ORIGINAL(S) TO DEPARTMENT PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE EXECUTION BY THE CITY MANAGER CITY OF MIAMI, FLORIDA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT ("CDBG") AMENDMENT #1 This Amendment to the Agreement between the City of Miami (CITY), a municipal corporation of the State of Florida, and De Hostos Senior Center Inc. lorida not for profit corporation (SUBRECIPIENT), is entered into thin "5 day of , 2020. RECITALS WHEREAS, the CITY and SUBRECIPIENT have heretofore entered into an agreement, executed on November 13, 2019 (AGREEMENT), which sets forth the terms and conditions pursuant to which the CITY provided SUBRECIPIENT the sum of $16,800.00 in Community Development Block Grant (CDBG) funds to carry -out Public Service activities in District 5, as authorized by the Miami City Commission through Resolution No. 19-0343; and WHEREAS, pursuant to Resolution No. 19-0483, which was adopted on November 21, 2019, the Miami City Commission authorized the allocation of additional funds in the sum of $2,500.00 in CDBG funds to continue to carry -out Public Service activities in District 5; and WHEREAS, except as specifically modified hereby, all funds are subject to the same terms and conditions contained in the AGREEMENT; NOW, THEREFORE, in consideration of the mutual covenants and obligations herein set forth, the parties understand and agree as follows: 1. Exhibit B of the AGREEMENT (Work Program) is amended to the new Exhibit B, attached hereto and incorporated herein. 2. Exhibit C of the AGREEMENT (Compensation and Budget) is amended to the new Exhibit C, attached hereto and incorporated herein. 3. Maximum Compensation for the AGREEMENT is increased to $19,300.00. 2016.1.2 1 IN WITNESS WHEREOF, the parties hereto have caused this First Amendment to be executed by their respective officials thereunto duly authorized on the date above written. SUBRECIPIENT De Hostos Senior Center, Inc. 2902 N.W. 2nd Avenue Miami, FL 33127 a Florida not -for -profit corporation AUTHORIZED REPRESENTATIVE: ATTEST: ame: k(if c__e a'7.o qjc Date: Title: C E CITY OF MIAMI, a municipal Corporation. • the State of Florida City Manager APPRO REQ /c/ 2:71 2t) O V . l ate: RANCE 19-�5 harpe, Date: Direc or, R sk Management APPROVED BY DEPARTMENT OF HOUSING & COMMUNITY DEVELOPMENT George sdh Date: Director, Department of Housing & Community Development Name: &/ZM A LI EL rQivEAate: Title: C lice'fzr Sox) Corporate Seal: ATTEST: APPROVED AS TO FORM AND C e RRECTNESS: ictoria endez Date: City Attorney ab� 2016.1 2 2 SENIOR CENTER,Inc. RESOLUTION AUTHORIZING EXECUTION OF AMENDMENT #1 AMENDING THE EXISTING (CDBG) CITY OF MIAMI And DE HOSTOS SENIOR CENTER, INC, & ECONOMIC DEVELOPMENT CORP. FOR A CONTRACT WHEREAS, this Board desires to accomplish the objectives as outlined in the scope of services of the contract with City of Miami NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS of De Hostos Senior Center approves Amendment # 1 amending the existing (CDBG) with City of Miami, for the amount of $ 2,500 for the Fiscal Year of October 1, 2019 through September 30, 2020 and authorizes Vincent Delgado, CEO, to the execute for and on behalf of De Hostos Senior Center Corporation. Gamaliel Rivera, Chair of the Board,Yes, Cecilio Florencias,Treasurer Diedre Byrd, Secretar Yes Elena Rosales, Member Yes Maria rodriguez, Member Yes Elba Arcelay,Membe •Yes The Board there upon declared this resolution duly passed and adopted this lth day of October 2019. ),J 7„,,,„t Gamaliel Rivera Chair of the Board AGENCY SEAL 2902 N.W. 2nd Avenue • Miami, Florida 33127 • Phone: 305-573-6220 • Fax: 305-573-2193 E-mail: dehostosseniorcenter2014@gmail.com MIAMI= COUNTY City of Miami Legislation Resolution: R-19-0483 City Hall 3500 Pan American Drive Miami, FL 33133 www.miamigov.com File Number: 6502 Final Action Date: 11/21/2019 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), AUTHORIZING THE TRANSFER OF COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS IN THE AMOUNT OF $98,960.00 FROM THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT TO THE AGENCIES SPECIFIED IN EXHIBIT "A," ATTACHED AND INCORPORATED, FOR PUBLIC SERVICE ACTIVITIES; FURTHER AUTHORIZING THE CITY MANAGER TO NEGOTIATE AND EXECUTE ANY AND ALL NECESSARY DOCUMENTS, INCLUDING AMENDMENTS, EXTENSIONS, AND MODIFICATIONS, ALL IN FORMS ACCEPTABLE TO THE CITY ATTORNEY, SUBJECT TO ALL FEDERAL, STATE, AND LOCAL LAWS THAT REGULATE THE USE OF SUCH FUNDS FOR SAID PURPOSE. WHEREAS, pursuant to Resolution No. 19-0343 adopted on September 12, 2019, the City Commission approved the allocation of Community Development Block Grant ("CDBG") funds in the Public Service category for program year 2019-2020, which included an amount of $98,960.00 ("Funds") to the Department of Housing and Community Development ("Department"); and WHEREAS, there is a need to allocate these Funds to the agencies specified in the Exhibit "A," attached and incorporated, for public service activities; and WHEREAS, the City of Miami's Administration recommends the transfer of the Funds from the Department to the agencies specified in Exhibit "A," attached and incorporated, for public service activities; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The recitals and findings contained in the Preamble to this Resolution are adopted by reference and incorporated as if fully set forth in this Section. Section 2. The transfer of the Funds from the Department to the agencies specified in Exhibit "A," attached and incorporated, for public service activities is authorized.' Section 3. The City Manager is authorized' to negotiate and execute any and all necessary documents, including amendments, extensions, and modifications, all in forms acceptable to the City Attorney, subject to all federal, state, and local laws that regulate the use of such funds for said purpose. ' The herein authorization is further subject to compliance with all requirements that may be imposed by the City Attorney, including but not limited to, those prescribed by applicable City Charter and Code provisions. City of Miami Page 1 of 2 File ID: 6502 (Revision:) Printed On: 11/26/2019 File ID: 6502 Enactment Number: R-19-0483 Section 4. This Resolution shall become effective immediately upon its adoption and signature of the Mayor.' APPROVED AS TO FORM AND CORRECTNESS: -Mendez, y Attorne 10/11/2019 2 If the Mayor does not sign this Resolution, it shall become effective at the end of ten (10) calendar days from the date it was passed and adopted. If the Mayor vetoes this Resolution, it shall become effective immediately upon override of the veto by the City Commission. City of Miami Page 2 of 2 File ID: 6502 (Revision:) Printed on: 11/26/2019 File ID: 6502 Enactment Number: R-19-0483 Section 4. This Resolution shall become effective immediately upon its adoption and signature of the Mayor.2 APPROVED AS TO FORM AND CORRECTNESS: 10/11/2019 2 If the Mayor does not sign this Resolution, it shall become effective at the end of ten (10) calendar days from the date it was passed and adopted. If the Mayor vetoes this Resolution, it shall become effective immediately upon override of the veto by the City Commission. City of Miami Page 2 of 2 File ID: 6502 (Revision:) Printed on: 11/26/2019 ATTACHMENT "A" CITY OF MIAMI DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CDBG PUBLIC SERVICE FUNDS FROM TO ACTIVITY FUNDED AMOUNT DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Family Action Network Movement, Inc. Youth Services $ 31,970.00 De Hostos Senior Center Elderly Meals $ 2,500.00 Josefa Perez de Cstro Kidney Foundation, Inc. Elderly Meals $ 2,500.00 Little Havana Activities & Nutrition Center of DadeCounty, Inc. Elderly Meals $ 7,500.00 Department of Resiliance and Public Works Sidewalks and Spot Drainage $ 54,490.00 Total PS Allocation $ 98,960.00 EXHIBIT B — WORK PROGRAM ELDERLY SERVICES National Objective: 1. SUBRECIPIENT understands that the National Objective for this activity is assistance to low to moderate income persons by serving a limited clientele as defined in 24 CFR 570.208(a)(2) and that the HUD matrix code associated with this activity is 05A (Senior Services). Scope of Services: 1. SUBRECIPIENT will provide Elderly meals and related services to eligible program participants from October 1, 2019 through September 30, 2020 with funding from the 2019-20 CDBG Program Year. 2. SUBRECIPIENT will provide 5 Congregate Meals and/or Homebound Meals a. Congregate Meals Program: Provide a nutritionally balanced meal, Monday through Friday, .to 5$ eligible participants, at the following location(s): Address: De Hostos Senior Center, Inc. 2902 N.W. 2nd Avenue Miami, FL 33127 b. Homebound Meals Program: Ensure delivery of a nutritionally balanced hot meal, Monday through Friday, to eligible participants at their home address. Other tasks to be performed by the SUBRECIPIENT in connection with the provision of meals and related services include, but are not limited to, the following: 3. Perform eligibility determination: A. Only elderly individuals meeting the following criteria will be considered eligible program participants: a. Must be a resident of the City of Miami b. Must be a member of a low -to moderate income household c. Must be at least 62 years of age B. SUBRECIPIENT must keep in file proof of the information listed below demonstrating that each program participant is eligible to receive program benefits: a. Proof of living in the City of Miami b. Proof of income c. Proof of age SUBRECIPIENT may replace program participants who stop receiving program benefits by providing the information required in items 3.a and b for the new participant. SUBRECIPIENT will not invoice the CITY until the proposed participant is certified as eligible by the CITY. 4. At all times, maintain facilities in conformance with all applicable codes, licensing, and other requirements for the operation of an elderly center and/or provision of meals. The facilities must be handicapped accessible. 5. Procure meals in a manner that provides, to the maximum extent, practical, open and free competition and in compliance with 24 CFR 84.40-48. 6. As part of the congregate meal program, provide a range of structured social and cultural activities. 7. As part of the homebound meal program, ensure that meals are delivered in a timely manner. 8. Maintain program and financial records documenting the eligibility, attendance, provision of services, and SUBRECIPIENT expenses relative to the elderly individuals receiving meals services as a result of the assistance provided through the CDBG program. 9. SUBRECIPIENT will provide the following program reports to the City: a. A monthly report for the services provided to eligible participants in a form provided by the CITY. This report must include the date range when services were provided, the name of the client(s), the last five digits of the client's social security number and the number of days served. This form must be signed by the Program Manager and Executive Director. b. A fmal Close -Out (financial report) and inventory report. c. A fmal performance report. Name: ;) �ef,7" Executive Director Date /,7/a�/, STATE OF FLORIDA COUNTY OF /i%fa e - 7 A -- The iforegoing ' strument was acknowledged before me this /0 day of ees1164 ; 201 `j by V l hce, f�� , Executive Director of De Hostos Senior Center, Inc., a Florida not -for -profit corporation, on behalf of the corporation. He/she is personally known to me or has produced as identific.. ion. S ' COMMISSION # FFF 858478 'M r EXPIRES: February 8, 2020 :, Jet. gO, PPil " r inana>� Notary Public Signatur: of Notary State of lorida EXHIBIT C COMPENSATION AND UDGET A. The maximum compensation under this Agreement shall be $ 19,300.00 B. SUBRECIPIENT's Itemized Budget, Cost Allocation, Budget Narrative, Staff Salaries Schedule are attached hereto and made part of this Agreement. C. Requests for payment should be made at least on a monthly basis. Reimbursement requests should be submitted to the CITY within thirty (30) calendar days 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. D. Each written request for payment shall contain a statement declaring and affirming that services described in Exhibit B Scope of 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. E. 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. Within 60 days of submitting each reimbursement request, copies of the cancelled checks or other . CITY approved documents evidencing the payments by the SUBRECIPIENT, for which reimbursement was requested, shall be submitted. 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. F. The SUBRECIPIENT must submit the final request for payment to the CITY within ten (10) calendar days following the termination date of this Agreement. 'If the SUBRECIPIENT fails to comply with this requirement, the SUBRECIPIENT shall forfeit all rights to payment and the CITY shall not honor any request submitted thereafter. G. Any payment due under this Agreement may be withheld pending the receipt and approval by the CITY of all reports due from the SUBRECIPIENT as a part of this Agreement and any modifications thereto. H. During the term hereof and for a period of five (5) years following the date of the last payment made hereunder, the CITY shall have the right to review and audit the time records and related records of the SUBRECIPIENT pertaining to any payments by the CITY. s Name: V c n`7 Title: c Dat BUDGET FORM I CITY OF MIAMI DEPARTMENT OF HOUSING & COMMUNITY DEVELOPMENT AGENCY: PERIOD FUNDING SOURCE BUDGET NARRATIVE BY LINE ITEM DeHostos Senior Center 10/1/2019-9/30/2020 CDBG ITEM DESCRIPTION AMOUNT Participant Meals $ 19,300.00 Exhibit G INSURANCE COVERAGE REQUIREMENTS FOR PUBLIC SERVICES & ECONOMIC DEVELOPMENT The City of Miami requires all subrecipients to maintain the insurance coverage as stated below; I. Commercial General Liability (Primary & Non -Contributory) A. Limits of Liability Bodily Injury & Property Damage Liability Each Occurrence $300,000 General Aggregate Limit $600,000 Personal & Adv. Injury $300,000 Products/ Completed Operations $300,000 B. Endorsements Required City of Miami included listed as additional insured (endorsement required) Contingent Liability/Contractual Liability Premises & Operations Liability Explosion, Collapse, & Underground Hazard (If applicable) U. Business Automobile Liability A. Limits of Liability Bodily Injury & Property Damage Liability Owned Autos/Scheduled Autos Including coverage for Hired & Non -owned autos Combined Single Limit $300,000 Split Limits Bodily Injury $100,000/$300,000 Property Damage $50,000 B. Endorsements Required City of Miami included as Additional Insured 111. 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. 100,000 for bodily injury caused by disease, policy limit. IV. Professional Liability (If applicable) Each Claim Policy Aggregate $250,000 $250,000 Revised on 3/8/2012 Effective FY2012;2013 Page of 2 Exhibit G THE DEPARTMENT OF RISK MANAGEMENT RESERVES THE RIGHT TO SOLICIT ADDITIONAL INSURANCE COVERAGE AS MAY BE APPLICABLE IN CONNECTION TO A PARTICULAR RISK, OR SCOPE OF SERVICES The above policies shall provide the City of Miami with written notice of cancellation in accordance with policy provisions. Cornpanies 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. 1. All policies and/or certificates of insurance are subject to review and verification by the City of Miami Risk Management Department prior to insurance approval. 2. All certificates of insurance must be provided for review and approval prior. to the effective date of the .agreement and/or the date when services are provided and/or construction is started, as determined by the Dept. of Risk Management. 3. Compliance with the foregoing requirements shall not relieve the applicant of its liability and obligations under the Agreement; 4. Applicant shall apply and obtain any other insurance coverage that the City may require for the execution of the agreement. 5.. Applicants, ;projects and entities awarded funding for any construction related projects will be subject to additional insurance requirements for the applicant, contractors and subcontractors, as determined by the City of Miami, in order to meet all local, state, and federal regulations and requirements. Revised on 3/8/2012 Effective.FY2012-2013 Page 2 of 2 AW I CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 06/20/2019 ITHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES GLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED _ PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Roizbas insurance Corp 11002 NW 47 TER Doral FL 33178 INSURED De Hostos Senior Center 2902 NW 2 Ave Miami FL 33127 CONTACT NAME PHO NE Fxt)•(305) 343-8590 E-MAILDSS: victor@eigamerica.com INSURER(S) AFFORDING COVERAGE FAX No): (786) 288-3690 INSURER A : United States Liability Insurance Co INSURER B : NAIL 25895 INSURER C : INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I.TR TYPE OF INSURANCE ADDL INSn SUER WVn POLICY NUMBER POLICY Y' (MMIDplYYYY) POLICY EXP fMMIDDIYYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X ( CLAIMS -MADE OCCUR DAMAGE TO RENTED $ 100,000 X X NPP1589708 06/18/2019 06/18/2020 PRFMISFS (Fe nrrurrennn) MED EXP (Any one $ 5,000 person) PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 P POLICY PRO JECT L I LOC PRODUCTS-COMP/OP AGO $ INCLUDED OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Fa accident) $ A ANY AUTO BODILY INJURY (Per person) $ OWNED .AUTOSULED NPP1589708 06/18/2019 06/18/2020 BODILY INJURY (Per accident) $ X HIRED X .NON -OWNED AUTOS ONLY PROPERTY DAMAGE (Per accident) $ Aggr Inc Gral Aggreg $ Included UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I 14TATI ITF 1 OTH ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y / NFR N / A E.L. EACH ACCIDENT $ (Mandatory in NI -I) If describe E.L. DISEASE - EA EMPLOYEE $ yes, under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A A PROFESSIONAL LIABILITY DIRECTORS & OFFICERS NPP1589708 NPP1589708 06/18/2019 06/18/2019 06/1812020 06/18/2020 EACH/AGGREGATE EACH/AGGREGATE 1MILL/2MILL 1MILL12MILL DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Not for Profit Senior Center CITY OF MIAMI is an additional insured with respect to Commercial General Liability & AUTO coverage. Contingent and Contractual Exposures -Non Contributory with Respects to GL I City of Miami - Department of Community & Economic Developement 444 SW 2nd. Ave 2nd. Floor Miami, FL 33130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Li. .gt, CVMR> ACORD 25 (2016/03) Thp arnlan © 1988-2015 ACORD CORPORATION. All rights reserved. Housing & Community Development City of Miami Contract Routing Form originating Department: Department of Housing & Community Development City of Miami ~. FEB 21 2020 ctry iVianager's O,i C intact Person for this Contract: Monica(Galo mtract Analyst Assigned: 1Gesette Guerra 1 Contract No: 12135 ;ency/Business Name: 1Little Havana Activities and Nutrition Center V Extension: 1976 Fiscal Year: 12019-2020 Phone#: 305-858-0887 ;ency Contact: :Rafael Iglesias 1 Title: ;President Email: ?scribe the Purpose of this Contract: Amendment to provide additional CDBG funding to the existing CDBG Public Service Agreement between Little Havana Activities and Nutrition Center. for the CI aso#: 19-0483 File ID: i6502 • If this does NOT require Commission Approval, explain: Amount: $ 148,252 Approval Date: 111/21/19 )ntract Start Date: ro/ f2019 IS#: 13748 1 Oracle#: 91-0378 Dntract Type: Contract End Date: �/�3o 20 1 0 1 Original Contract District to Serve: g3 Or Amendment to Existing Contract 1 CDBG-PS 0 CDBG-ED —T/A ❑ CDBG-ED — CIP 0 CDBG-ED - SPECIAL ❑ CDBG-ED — FACADE I - I CDBG-ED — PF&I 0 CDBG-HOUSING ❑ CDBG-OTHER ❑ HOPWA-LTRA 0 HOPWA-STRIVEIL.: • I:. .: I HOPWA-P.BASED 0 HOPWA-SUPP.SVCS 0 HOME 0 SHIP ❑ AFF.HSGTRUST FoND•• • OTHER FEDERAL ❑ GENERAL FUND ❑ ESG ❑ OTHER: • • fpe of Agreement: I GRANT AGREEMENT 0 PROFESSIONAL SVCS AGREEMENT ❑ EXPERT CONSULTANT AGREEMENT I MEMORANDUM OF UNDERSTANDING 0 LEASE AGREEMENT 0 OTHER: • outing Date Initials SENT TO Agency for Contract Execution RECEIVED FROM Agency Already Executed SUBMITTED TO Risk Management RETURNED FROM Risk Management SUBMITTED TO the Office of the City Attorney RETURNED FROM the Office of the City Attorney 0t1'21L SUBMITTED TO the Office of Management & Budget RETURNED FROM the Office of Management & Budget SUBMITTED TO the Office of the City Manager 3 RETURNED FROM the Office of the City Manager ATTESTED BY the City Clerk RECEIVED BY the Department of Community & ED 1 / Zlo i 61(,) .... Please attach this Routing Form to all Contracts/Agreements that require execution by the City Manager .epared by (Contract Analyst): itered in System by (Admin Aide): VERSION 1.2 - Revised on 7/18/2013 - RT