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HomeMy WebLinkAbout23310AGREEMENT INFORMATION AGREEMENT NUMBER 23310 NAME/TYPE OF AGREEMENT OMNI CRA & CAMILLUS HOUSE, INC. DESCRIPTION GRANT AGREEMENT/UNDERWRITE PORTIONS OF COSTS ASSOCIATED WITH THE MIAMI SHELTER PROGRAM/FILE ID: 6551/CRA-R-19-0029/MATTER ID: 19-2959 EFFECTIVE DATE September 25, 2020 ATTESTED BY TODD B. HANNON ATTESTED DATE 11/10/2020 DATE RECEIVED FROM ISSUING DEPT. 11/10/2020 NOTE GRANT AGREEMENT BETWEEN THE OMNI REDEVELOPMENT DISTRICT COMMMUNITY REDEVELOPMENT AGENCY AND CAMILLUS HOUSE, INC. THIS GRANT AGREEMENT ("Agreement") is made and entered into this 25 day of September, 2020, effective upon signature ("Effective Date"), by and between the OMNI REDEVELOPMENT DISTRICT COMMUNITY REDEVELOPMENT AGENCY, a public agency and body corporate created pursuant to Section 163.356, Florida Statutes, whose address is 1401 North Miami Avenue, 2nd Floor, Miami, Florida 33136 ("Omni CRA") and CAMILLUS HOUSE, INC., a Florida nonprofit corporation, whose address is 1603 NW 71' Avenue, Miami Florida 33136 ("PROVIDER ", together with the "Omni CRA" referred to as the "Parties"). RECITALS WHEREAS, the ongoing issues related to homelessness, including chronic homelessness, have had a deleterious effect on the Omni Redevelopment Area by inhibiting housing development, small business development and has adversely impacted the quality'of life of area residents; and WHEREAS, Page 94 of the 2010 Omni CRA Redevelopment Plan lists and outlines the need of the Omni CRA to improve "Social Need Strategies" to foster redevelopment and employment in the area; and WHEREAS, this grant is also authorized pursuant to Florida Statute Section 163.370 (2) (i), stating that CRA's are allowed, "[To develop, test, and report methods and techniques, and carry out demonstrations and "other activities", for the prevention and the elimination of slums and urban blight ...]"; and WHEREAS, the CITY OF MIAMI ( CITY) is a party to a Settlement Agreement, as amended, resolving a lawsuit styled, Michael Pottinger, et al. v. City of Miami, filed in the United States District Court, Southern District of Florida, Case No.: 88-2406-Civ-Moreno (hereinafter, the "Pottinger Settlement Agreement"); and WHEREAS, the Pottinger Settlement Agreement limits the ability of the City Of Miami's Police Department working within the boundaries of the City of Miami and more specifically the Omni CRA to enforce certain misdemeanor criminal activity referred to therein as "Life Sustaining Conduct" misdemeanors, committed by a "homeless person" if there is no Available Shelter; and WHEREAS, the CRA through Resolution No. CRA-R-19-0029, adopted September 26, 2019 by the Board of Commissioners of the CRA, attached and incorporated as Exhibit "A" ("Authorizing Resolution"), has authorized a Grant for the purposes of underwriting a portion of the cost of the Miami Shelter Program, envisioned to assist residents and the homeless population located within the OMNI Redevelopment Area ("Area") with temporary and extended shelter and social services in furtherance of improving the quality of life, providing a social needs strategy and removal of slum Page 1of16 and blight in the redevelopment area; and WHEREAS, PROVIDER submitted a grant request directly to the CRA, in the amount of One Hundred Seventy Five Thousand Dollars ($175,000.00) to underwrite a portion of the costs associated of the Miami Shelter Program ("Grant Activity"); and WHEREAS, the Provider has the capacity to accommodate seventy-five (75) beds in one or more of its facilities and to provide associated services, thus creating a distinct program for the CITY and the Omni CRA; and WHEREAS, the PROVIDER will set aside at least ten (10) program beds per day for single night use to be utilized as a " Pottinger Bed" and sixty-five (65) program beds to be used as "Pottinger Extended Stay Beds," as defined herein; and WHEREAS, pursuant to the Authorizing Resolution, the grant provides that the Executive Director of the CRA ("Executive Director") is authorized to disburse funds to PROVIDER in an amount not to exceed One Hundred Seventy Five Thousand Dollars ($175,000.00) to underwrite a portion of the costs for the Miami Shelter Program; and NOW, THEREFORE, in consideration of the promises and the mutual covenants contained herein, the parties agree to as follows: A. RECITALS The recitals and all statements contained therein are true and correct and are hereby incorporated into this Agreement. B. SCOPE OF WORK The PROVIDER shall maintain the City of Miami Shelter Program, with seventy-five (75) beds located in a Camillus facility (hereinafter "the facility") , ensuring a safe sleeping accommodation for the Homeless Persons served, meeting the requirements of Available Shelter under the Pottinger Settlement Agreement, including associated transportation services as provided by Provider within the Omni CRA boundaries, and which allows for the placement of Homeless Persons 24 hours per day, 7 days per week, throughout the term of this Agreement, and available to both male and female Homeless Persons. C. TOTAL FUNDING Subject to the availability of funds, the amount payable by the Omni CRA to underwrite a portion of the cost is performed under this Agreement shall not exceed the total amount One Hundred Seventy Five Thousand Dollars ($175,000.00) ("Grant"). Page 2 of 16 D. EFFECTIVE TERM The term of this Agreement shall be for a period of one (1) year, commencing retroactively on October 1, 2018, and expiring on September 30, 2019. E. FISCAL MANAGEMENT 1. Assignments The PROVIDER shall not assign this Agreement to another party. 2. Double Billing and Payments, The PROVIDER's costs claimed under this Agreement may not also be claimed under any other agreement, grant, or alternate source of funding. Any claim for double payment by the PROVIDER shall be a material breach of this Agreement subject to Section H of this Agreement and any other remedies, in law or equity, available to the Omni CRA. 3. Adverse Action or Proceeding The PROVIDER shall not use any fiends under this Agreement, or any other funds provided by the Omni CRA, for any legal fees or for any action or proceeding against the Contractor, any subcontractors, or the Omni CRA, and their respective agents, employees, officers, or officials. A violation of this Section by the PROVIDER shall be considered a material breach of this Agreement subject to Section H of this Agreement and any other remedies, in law or equity, available to the Omni CRA. 4. Compliance The PROVIDER agrees to maintain and ensure its compliance, as applicable, with federal, state, county, and local laws. This includes, but is not limited to all operational and facility compliance, licenses, permits, and any and all governmental fees, as applicable, throughout the term of this Agreement. F. METHOD OF PAYMENT The Parties agree that this is a cost reimbursement method of payment Agreement. The PROVIDER shall be paid to underwrite a portion of the costs associated with the Miami Shelter Program Agreement attached as Exhibit `B" in an amount not to exceed the total funding amount set forth in Section C. The PROVIDER, upon completion of the Grant Activities, shall submit to the Omni CRA a reimbursement request ("Request"). The Request shall include a Budget to Actual Expenditure Report, along with receipts and/or invoices supporting all expenditures. All invoices must be paid by the PROVIDER prior to being submitted Page 3 of 16 as part of the Request. Each invoice included as part of the Request shall be submitted with a copy of the cancelled check that was issued to pay the same, or other Omni CRA approved document(s) evidencing payment by the PROVIDER. Should a receipt or an invoice be paid by various funding sources, a copy of the receipt or invoice may be submitted but must indicate the exact amount paid by the various funding sources that must equal the total of the receipt or invoice. All documentation provided by the PROVIDER in support of a Request shall be subject to approval at the sole discretion of the Omni CRA. The Omni CRA reserves the right to request any additional supporting documentation needed to process a Request or as may be reasonably required to allow proper audit of the PROVIDER 's expenditures, should the Omni CRA require an audit to be performed. G. INDEMNIFICATION BY PROVIDER The PROVIDER shall indemnify, defend, save, and hold harmless the Omni CRA and the City of Miami and its respective officials, officers, employees, agents and instrumentalities from any and all liability, losses or damages, including reasonable attorneys' fees and costs of defense, which the Omni CRA and/or its respective officials, officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of action or proceedings of any kind or nature arising out of, relating to or resulting from the performance of this Agreement by the PROVIDER , or its respective employees, agents, servants, partners, principals, contractors or subcontractors, except to the extent arising, as applicable, from the Omni CRA's willful or wanton acts or omissions. To the extent arising from a liability that is covered by the foregoing indemnification, the PROVIDER shall pay all claims and losses in connection therewith and shall investigate and defend all claims, suits or actions of any kind or nature in the name of the Omni CRA, where applicable, including appellate proceedings, and shall pay all costs, judgments, and reasonable attorney's fees which may issue thereon. The PROVIDER agrees that any insurance protection provided by the PROVIDER and/or the PROVIDER's Contractor/subcontractor shall in no way limit the responsibility to indemnify, defend, save, and hold harmless, as applicable, the Omni CRA and its officials, officers, employees, agents and instrumentalities. The provisions of this Section on indemnification shall survive the expiration or termination of this Agreement. H. INSURANCE REQUIREMENTS Insurance Requirements for the Project are attached and incorporated as Exhibit "C". I. BREACH OF AGREEMENT AND REMEDIES 1. Breach A material breach by the PROVIDER shall have occurred under this Agreement if the PROVIDER, through action or omission, causes any of the following: Page 4of16 a. Fails to perform the Miami Shelter Program as outlined in "Exhibit B"; b. Does not meet or satisfy the conditions of award required by this Agreement; c. Fails to submit, or submits incorrect or incomplete proof of expenditures to support a Request; d. Refuses to allow the Omni CRA access to records or refuses to allow the Omni CRA to monitor the Miami Shelter Program being conducted pursuant to this Agreement; e. Attempts to meet its obligations under this Agreement through fraud, misrepresentation or material misstatement; or f. Fails to fulfill in a timely and proper manner any and all of its obligations, covenants, contracts and stipulations in this Agreement and the Miami Shelter Program. Waiver of breach of any provisions of this Agreement and of any related provisions 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. Any waiver of breach by the Omni CRA shall be in writing, made by its respective authorized representatives. 2. Remedies If the PROVIDER fails to cure any breach of this Agreement within thirty (30) calendar days after receiving written notice from the Omni CRA identifying the breach, the Omni CRA may pursue any or all of the following remedies: a. The Omni CRA may suspend payment in whole or in part under this -Agreement by providing written notice of suspension to the PROVIDER and specifying the effective date of suspension, at least five (5) business days before the effective date of suspension. On the effective date of suspension, the PROVIDER may (but shall not be obligated to) continue to perform the Grant Activities specified in this Agreement, but the PROVIDER shall promptly cease using the Omni CRA's logo, seal and/or any other reference to the Omni CRA. The Omni CRA may also suspend any payments in whole or in part under any other agreements entered into between the Omni CRA and the PROVIDER by providing separate written notice to the PROVIDER of each such suspension and specifying the effective date of suspension, which must be at least five (5) business days before the effective date of such suspension. The Omni CRA shall continue to review and pay verifiable requests for payment as provided for in such other agreements for services that were performed and/or for deliverables that were substantially completed, at the sole discretion of the Omni CRA prior to the effective date of such suspension. The PROVIDER shall be responsible for all direct and indirect costs associated with such suspension including reasonable attorney's fees. b. The Omni CRA may terminate this Agreement by giving written notice to the PROVIDER of such termination and specifying the date of termination at least five (5) business days Page 5 of 16 before the effective date of termination. In the event of such termination, the Omni CRA may (i) seek reimbursement of any Omni CRA funds which have been improperly paid to the PROVIDER under this Agreement; (ii) terminate payment of Omni CRA funds to the PROVIDER under this Agreement; and/or (iii) terminate or cancel, without cause, any other agreements entered into between the Omni CRA and the PROVIDER by providing separate written notice to the PROVIDER of each such termination and specifying the effective date of termination, which must be at least five (5) business days before the effective date of such termination, in which event the Omni CRA shall continue to review and pay verifiable requests for payment as provided for in such other agreements for services that were performed and/or for deliverables that were substantially completed, at the sole discretion of the Omni CRA, prior to the effective date of such termination. The PROVIDER shall be responsible for all direct and indirect costs associated with such termination, including reasonable attorney's fees. c. The Omni CRA may seek enforcement of this Agreement including but not limited to filing an action with a court of appropriate jurisdiction. The PROVIDER shall be responsible for all direct and indirect costs associated with such enforcement, including reasonable attorney's fees, costs, and any judgments entered by a court of appropriate jurisdiction, including all direct and indirect costs and reasonable attorneys' fees through conclusion of all appellate proceedings, and including any final settlement or judgment. d. Any other remedies, in law or equity, available to the Omni CRA. e. The provisions of this Section H shall survive the expiration or termination of this Agreement. J. TERMINATION BY THE OMNI CRA The PROVIDER agrees that this Agreement may be terminated by the Omni CRA, without cause, by giving written notice to the PROVIDER of its intent to terminate at least five (5) business days prior to the effective date of such termination. K. MODIFICATIONS Any amendments, alterations, variations, modifications, extensions or waivers to this Agreement including, but not limited to, amount payable and effective term shall only be valid when they have been reduced to writing, duly approved and signed by both Parties. L. NOTICES All notices or other communication which shall or may be given pursuant to this Agreement shall be Page 6of16 in writing, and shall be delivered by personal service or by registered mail to the other Party at the addresses indicated below. Such notice shall be deemed given on the day on which personally served or, if by registered mail, on the fifth (5) day after mailing or the date of actual receipt, whichever is earlier. It is each Party's responsibility to advise the other Party in writing of any changes in mailing address or personnel responsible for accepting notices under this Agreement. OMNI REDVELOPMENT DISTRICT COMMUNITY REDEVELOPMENT AGENCY Executive Director 1401 North Miami Avenue 2nd Floor Miami, FL 33136 With a copy to: City of Miami 444 SW 2nd Avenue Suite 945 Miami, FL 33130 Attn: Victoria Mendez, General Counsel M. AUTONOMY CAMILLUS HOUSE, INC. Hilda M Fernandez CEO 1603 NW 7`h Ave Miami, FL 33136 The Parties agree that this Agreement recognizes the autonomy of, and stipulates or implies no affiliation between, the Parties. The PROVIDER is only a recipient of funding support, and as such, its employees, agents, servants, partners, principals, contractors, and subcontractors are not employees, agents or instrumentalities of the Omni CRA. They shall not attain any rights or benefits under the retirement program(s) of the Omni CRA, or any right generally afforded its employees, by virtue of this Agreement. Further, the PROVIDER and its employees, agents, servants, partners, principals, contractors, and subcontractors shall not be entitled to any of the Florida Worker's Compensation benefits available to employees of the Omni CRA. N. RECORDS, REPORTS, AUDITS AND MONITORING The provisions of this section shall survive the expiration or termination of this Agreement, consistent with Florida laws. 1. Accounting Records The PROVIDER shall keep accounting records that conform to generally accepted accounting principles (GAAP). All such records will be retained by the PROVIDER for not less than Page 7of16 three (3) years beyond the last date that all applicable terms of this Agreement have been complied with, final payment has been received and Grant specific audits have been completed by the Omni CRA. However, if any audit, claim, litigation, negotiation or other action involving this Agreement or modification hereto has commenced before the expiration of the retention period, then the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular retention period, whichever is later. 2. Grant Specific Audit The Omni CRA reserves the right to audit the records of the PROVIDER at any time during the performance of the Agreement, and for a period not less than three (3) years beyond the last date that all applicable terms of this Agreement have been complied with and payment has been received. The PROVIDER agrees to provide to the Omni CRA all financial and other applicable records and documentation relevant to this Agreement. 3. Access to Records The PROVIDER shall permit access to all records which relate to this Agreement at its place of business during regular business hours. The PROVIDER agrees to deliver such assistance as may be necessary to facilitate a review or audit by the Omni CRA to ensure compliance with the terms of this Agreement. The Omni. CRA reserves the right to require the PROVIDER to submit to an audit by an auditor of the Omni CRA's choosing and at the Omni CRA's expense. 4. Monitoring The PROVIDER agrees to permit the Omni CRA's personnel to perform random scheduled and/or unscheduled monitoring, review and evaluation of the Grant Activities funded by this Agreement. The Omni CRA shall monitor both fiscal/administrative and programmatic compliance with all the terms and conditions of the Agreement. The PROVIDER shall permit the Omni CRA to conduct site visits, fiscal/administrative review and other assessments deemed reasonably necessary at the Omni CRA's sole discretion to fulfill the monitoring function. A report of monitoring findings will be delivered to PROVIDER and the PROVIDER will remedy all deficiencies cited within the period of time specified in the report. 5.. Public Records The PROVIDER understands that the public shall have access, at all reasonable times, to all documents and information pertaining to Omni CRA Agreements, subject to the provisions of Chapter 119, Florida Statutes, and agrees to allow access by the Omni CRA and the public to all documents subject to disclosure under applicable laws. The PROVIDER's failure or refusal to comply with the provisions of this Section shall result in the immediate cancellation of this Agreement by the Omni CRA. The PROVIDER shall specifically require all contractors and sub -contractors to comply with this Section. Page 8of16 The Omni CRA shall additionally comply with Section 119.0701, Florida Statutes, including without limitation: (a) keep and maintain public records required by the Omni CRA to perform this service; (b) upon request from the Omni CRA's custodian of public records, provide the Omni CRA with a copy of the requested records or allow the records to be inspected within a reasonable time at a cost that does not exceed the cost provided for in Chapter 119, or otherwise provided by law; (c) ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the Agreement term and following completion of the Agreement if the PROVIDER does not transfer the records to the Omni CRA; and (d) provide to the Omni CRA all electronically stored public records, upon request from the Omni CRA's custodian of public records, in a format compatible with the Omni CRA's information technology systems. The PROVIDER shall, upon completion of the Agreement, transfer, at no cost, to the Omni CRA, all public records in possession of the PROVIDER or keep and maintain public records required by the Omni CRA to perform the service. If the PROVIDER transfers all public records to the Omni CRA upon completion of the Agreement, the PROVIDER shall destroy any duplicate public records that are exempt or confidential and exempt from disclosure requirements. If the PROVIDER keeps and maintains public records upon completion of the Agreement, the PROVIDER shall meet all applicable requirements for retaining public records. Notwithstanding the foregoing, the PROVIDER shall be permitted to retain any public records that make up part of its work product solely as required for archival purposes, as required by law, or to evidence compliance with the terms of the Agreement. Should PROVIDER determine to dispute, any public access provision required by Florida Statutes, then PROVIDER shall do so at its own expense and at no cost to the Omni CRA. IF THE PROVIDER HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE PROVIDER 'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (305) 679-6868, IJONES@MIAMIGOV.COM, OMNI REDEVELOPMENT DISTRICT COMMUNITY REDEVELOPMENT AGENCY, PUBLIC RECORDS, 1401 NORTH MIAMI AVENUE, 2nd FLOOR, MIAMI, FLORIDA 33136. O. GOVERNING LAW & VENUE Page 9of16 This Agreement shall be interpreted and construed in accordance with and governed by the laws of the State of Florida. Any controversies or legal problems arising out of the terms of this Agreement and any action involving the enforcement or interpretation of any rights hereunder shall be submitted to the jurisdiction of the state courts of the Eleventh Judicial Circuit, in and for, Miami -Dade County, Florida. P. REGULATORY COMPLIANCE 1. Non -Discrimination and Civil Rights The PROVIDER agrees that it shall not discriminate against an employee, volunteer, agent, servant, partner, principal, contractor or subcontractor of the PROVIDER on the basis of race, color, gender, pregnancy, marital status, familial status, sexual orientation, religion, ancestry, national origin, disability, or age. The PROVIDER agrees to abide by Chapter 11A of the Code of Miami -Dade County ("County Code'), as amended, which prohibits discrimination in employment, housing and public accommodations; Title VII of the Civil Rights Act of 1968, as amended, which prohibits discrimination in employment and public accommodation; the Age Discrimination Act of 1975, 42 U.S.C. Section 6101, as amended, which prohibits discrimination in employment because of age; Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. § 794, as amended, which prohibits discrimination on the basis of disability; and the Americans with Disabilities Act, 42 U.S.C. § 12101 et seq., which prohibits discrimination in employment and public accommodations because of disability, and any other applicable laws and regulations. It is expressly understood that upon receipt of evidence of discrimination under any of these laws, the Omni CRA shall have the right to terminate all or any portion of this Agreement. If the PROVIDER, or any owner, subsidiary, or other firm affiliated with or related to the same is found by the responsible enforcement agency or the courts to be in violation of these laws, said violation will be a material breach of this Agreement and the Omni CRA will conduct no further business with the PROVIDER. 2. Conflict of Interest The PROVIDER represents that the execution of this Agreement does not violate the City of Miami Conflict of Interest Code, Miami -Dade County Conflict of Interest and Code of Ethics Ordinance, Florida Statutes § 112, as amended, and any other applicable laws and regulations, which are incorporated herein by reference as if fully set forth herein. The PROVIDER agrees to abide by and be governed by these conflict of interest provisions throughout the course of this Agreement and in connection with its obligations hereunder. 3. Licensing Page 10of16 The PROVIDER (and Contractor and subcontractor, as applicable,) shall obtain and maintain in full force and effect during the term of this Agreement any and all licenses, certifications, approvals, insurances, permits and accreditations, required by the Omni CRA, City of Miami, Miami -Dade County, State of Florida, or the federal government. The PROVIDER must be qualified and registered to do business in the State of Florida, Miami -Dade County and the City of Miami both prior to and during the Agreement term with the Omni CRA. Q. SIGNAGE The PROVIDER agrees that funding provided by this Agreement shall recognize the Omni CRA as a funding source, through an onsite display of signage which must be reviewed and approved by the Omni CRA prior to placement. Said signage shall remain for two years (2) after completion of all Grant Activities contemplated in this Agreement. R. MATERIAL CHANGE TO SCOPE OF THE SHELTER AGREEMENT The PROVIDER shall reimburse the Omni CRA the full amount of any Grant funds received, if within five (5) years from the termination of this Agreement or completion of the Grant Activities, whichever occurs last, it is found that there was throughout the term of the agreement a material change was made to the scope of which said Grant funds were originally awarded, benefits to the Omni CRA were not received or there was material misrepresentation in the program. S. HEADINGS, USE OF SINGULAR AND GENDER Paragraph headings are for convenience only and are not intended to expand or restrict the scope or substance of the provisions of this Agreement. Wherever used herein, the singular shall include the plural and plural shall include the singular, and pronouns shall be read as masculine, feminine or neuter as the context requires. T. SUCCESSORS AND ASSIGNS This Agreement shall be binding upon the Parties hereto, and their respective heirs, executors, legal representatives, successors and assigns. U. CERTIFICATION The PROVIDER certifies that it possesses the legal authority to enter into this Agreement by way of resolution, motion or other similar action that has been duly adopted or passed, as an official act of the PROVIDER 's governing body, including all understandings and assurances contained herein, and directing and authorizing the person(s) identified as the official representatives(s) of the PROVIDER, to act in connection with the Agreement, and to provide such additional information as Page 11 of 16 may be required from time to time by the Omni CRA. V. SEVERABILITY If any provision of this Agreement is determined by a court of competent jurisdiction to be invalid, illegal or otherwise unenforceable under the laws of the State of Florida, then such provision shall be deemed modified to the extent necessary in order to conform to such laws, or if not modifiable, same shall be deemed severable, with the remaining provisions remaining unmodified and in full force and effect. W. ENTIRE AGREEMENT This instrument, and its attachments as referenced below, constitutes the only Agreement of the Parties hereto relating to the Omni CRA Grant and correctly sets forth the rights, duties, and obligations of each to the other, as of this date. No other Agreement, oral or otherwise, regarding the subject matter of this Agreement shall be deemed to exist or bind the Parties. X. COUNTERPARTS; ELECTRONIC SIGNATURES. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original, but all of which shall constitute one and the same instrument. Facsimile, .pdf and other electronic signatures to this Agreement shall have the same of f ect as original signatures. Exhibit A: CRA- R-19-0029 Exhibit B: Miami Shelter Agreement, Request Letter Exhibit C: Insurance Requirements Page 12of16 IN WITNESS WHEREOF, the parties hereto have caused this instrument to be executed by their respective officials thereunto duly authorized as of the day and year above written. ATTEST: ATTEST: Camillus House Inc. By. Name: Hilda M. Fernandez Title: CEO OMNI REDEVELOPMENT DISTRICT COMMUNITY REDEVELOPMENT AGENCY of the City of Miami, a public agency and body corporate created pursuant to Section 163.356, Florida Statutes ("CRA") r Todd B. H nno , er of the Board Jason Walker, Executive Director Date: y APPROVED AS TO INSURANCE REQUIREMENTS: By: Ann -Marie Sharpe, Director, Risk Management Department APPROVED AS TO FORM AND CORRECTNESS: By. ga44. t 6 /_ a/6/a Victoria M6nde , General Counsel XEA 19-2959 Page 13 of 16 Exhibit A -CRA Resolution No. CRA-R-19-0029 Page 14of16 G oF,y Miami ADOPTED FL 26, 2019- g 00 AM OMNI CRA Resolution C o a , CRA-R-19-0029 A RESOLUTION OF THE BOARD OF COMMISSIONERS OF THE OMNI REDEVELOPMENT DISTRICT COMMUNITY REDEVELOPMENT AGENCY (-CRA-), BY A FOUR -FIFTHS (4/5THS) AFFIRMATIVE VOTE, AFTER AN ADVERTISED PUBLIC HEARING, RATIFYING, APPROVING, AND CONFIRMING THE EXECUTIVE DIRECTOR'S FINDING THAT COMPETITIVE NEGOTIATION METHODS AND PROCEDURES ARE NOT PRACTICABLE OR ADVANTAGEOUS PURSUANT TO SECTION 18-85(A) OF THE CODE OF THE CITY OF MIAMI, FLORIDA, AS AMENDED, AS ADOPTED BY THE CRA; WAIVING THE REQUIREMENTS FOR SAID PROCEDURES; AUTHORIZING THE ALLOCATION OF GRANT FUNDS FROM ACCOUNT NO. 10040.920501.883000 OMNI CRA TIF REVENUE 2018-2019 IN AN AMOUNT NOT TO EXCEED $175,000.00 TO CAMILLUS HOUSE, INC. TO UNDERWRITE A PORTION OF COSTS ASSOCIATED WITH THE "MIAMI SHELTER PROGRAM" ("PROGRAM"); AUTHORIZING THE EXECUTIVE DIRECTOR TO NEGOTIATE AND EXECUTE ANY AND ALL DOCUMENTS NECESSARY TO EFFECTUATE THE PROGRAM, ALL IN A FORM ACCEPTABLE TO THE GENERAL COUNSEL. Information Department: OMNI Community Sponsors: Redevelopment Agency Category: Grant Attachments Agenda Summary and Legislation 6551 Bid Waiver Memo 6551 Notice to the Public Body/Legislation WHEREAS, the Omni Redevelopment District Community Redevelopment Agency ("CRA") is responsible for carrying out community redevelopment activities and projects within its Redevelopment Area in accordance with the 2009 Omni CRA Redevelopment Plan ("Plan"); and WHEREAS, Section 4.4, C., D-1, at page 41 of the Plan, Section 4.4, D., A-2, at page 42 of the Plan, and Section 5.5, at pages 94-95 of the Plan respectively list maximizing conditions for residents to live in the area, the elimination of conditions which contribute to blight, and strategies to improve human services delivery as stated redevelopment objectives; and WHEREAS, the ongoing issues related to homelessness, including chronic homelessness, have had a deleterious effect on the Redevelopment Area by inhibiting development and adversely impacting the quality of life of area residents; and WHEREAS, Camillus House, Inc. ("Camillus") is an entity that addresses the aforementioned issues in the Redevelopment Area and has sought funds from the CRA for the "Miami Shelter Program" ("Program"); and WHEREAS, Camillus has a proven track record of helping the homeless population, in particular the chronic homeless as well as the homeless population in the Redevelopment Area, and the Program would further its efforts in this regard; and WHEREAS, the Board of Commissioners wishes to allocate grant funds from Account No.10040.920501.883000 OMNI CRA 2018-2019 TIF REVENUE in an amount not to exceed $175,000.00 ("Funds") to Camillus to underwrite a portion of the costs associated with the Program; and WHEREAS, the Board of Commissioners finds that the objectives of the Plan would be furthered by the provision of additional services to the homeless in the form of the Funds provided herein; and WHEREAS, the Executive Director has made a written finding pursuant to Section 18-85(a) of the Code of the City of Miami, Florida, as amended ("City Code"), as adopted by the Board of Commissioners by Resolution No. CRA-R-16-0042 that competitive negotiation methods and procedures are not practicable or advantageous to the CRA for allocating grant funds and underwriting a portion of the costs associated with the Program and has recommended to the Board of Commissioners that the finding be adopted and that competitive bidding methods and procedures be waived; and WHEREAS, the Executive Director is requesting authority from the Board of Commissioners to negotiate and execute any and all documents necessary to effectuate the Program, all in a form acceptable to the General Counsel; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COMMISSIONERS OF THE OMNI REDEVELOPMENT DISTRICT COMMUNITY REDEVELOPMENT AGENCY: Section 1. The recitals and findings contained in the Preamble of this Resolution are adopted by reference thereto and incorporated herein as if fully set forth in this Section. Section 2. By a four -fifths (4/5ths) affirmative vote, after an advertised public hearing, the Executive Director's finding that competitive negotiation methods and procedures are not practicable or advantageous to the CRA pursuant to Section 18- 85(a) of the City Code as adopted by the CRA and waiving the requirements for said procedures is ratified, approved and confirmed. Section 3. The Executive Director is authorized to allocate the Funds from Account No. 10040.920501.883000 to Camillus to underwrite a portion of the costs associated with the Program. Section 4. The Executive Director is authorized to execute any and all documents necessary to effectuate the Program, all in a form acceptable to the General Counsel. Section 5. This Resolution shall become effective immediately upon its adoption. Meeting History OMNI 11 Draft Sep 26, 2019 9:00 AM Community Regular Meeting Redevelopment Agency Jason Walker (Executive Director/Omni Community Redevelopment Agency): Mr. Chairman, Item Number 2 and 3 is $175,000 each to go to Camillus House for the shelter beds. It's a four -fifths vote. Chair Russell: Thank you very much. Board Member Gort: Move it. Chair Russell: And so, you'll -- be unanimous at this board? Mr. Walker: Yes. Chair Russell: Thank you. It's been moved by Commissioner Gort; seconded by the Chair. Is there anyone here who would like to speak publicly on this item? These are funds to aid with the homeless situation within the CRA (Community Redevelopment Agency) and throughout for Camillus House. I'll close public comment. Any further questions from the dais? Hearing none, all in favor, say "aye." The Board (Collectively): Aye, Chair Russell: Any opposed? Motion passes. RESULT: ADOPTED [UNANIMOUS] MOVER: Wifredo (Willy) Gort, Board Member, District One SECONDER: Ken Russell, Chair, District Two AYES: Ken Russell, Keen Hardemon, Wifredo (Willy) Gort, Manolo Reyes ABSENT: Joe Carollo Select Language V Powered by Translate Exhibit B — Miami Shelter Agreement, Grant Request Letter outlining Shelter Program and Transportation Services Page 15 of 16 F uni: i:O1 qe plc°.. FLo4� CITY OF MIAMI DOCUMENT. ROUTING FORM ORIGINATING DEPARTMENT: Department of Human Services DEPT. CONTACT PERSON: Deborah Blttan EXT.. 1 NAME OF OTHER CONTRACTUAL PARTY/ENTITY: CAMILI.VS 14009E IS THIS AGREEMENT AS A RESULT OF A COMPETITIVE PROCUREMENT PROCESS? ❑ YES ® NO TOTAL CONTRACT AMOUNT: $ 460,000 FUNDING INVOLVED? ® YES ❑ NO TYPE OF AGREEMENT: ❑ MANAGEMENT AGREEMENT ❑ PROFESSIONAL SERVICES AGREEMENT ® GRANT AGREEMENT ❑ EXPERT CONSULTANT AGREEMENT ❑ LICENSE AGREEMENT ❑ PUBLIC WORKS AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ INTER -LOCAL AGREEMENT ❑ LEASE AGREEMENT ❑ PURCHASE OR SALE AGREEMENT OTHER: (PLEASE SPECIFY) PURPOSE OF ITEM (BRIEF SUMMARY) Contract to be executed to be approved by City Manager. COMMISSION APPROVAL DATE: 01 / 24 / 2019 ' FILE ID: ENACTMENT NO.: R-19-0039 IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN: � Date ig ature/Print APPROVAL BY DEPARTMENTAL DIRECTOR �c �I / I � APPROVAL BY BUDGET DIRECTOR SUBMITTED TO RISK MANAGEMENT SUBMITTED TO CITY ATTORNEY TSN�- APPROVAL BY ASSISTANT CITY MANAGER�� �® RECEIVED BY CITY MANAGER SUBMITTED TO AND ATTESTED BY CITY CLERK M� �. .3 . K00 _3�C�y 1LEtlt)N3 Op ° 'sGl`f. .<02Y rlXsa!GR:lail�$ PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE EXECUTION BY THE CITY MANAGER 'SHELTER PROGRAM AGREEMENT BETWEEN THE CITY OF MIAMI AND CAMILLUS HOUSE, INC. The Shelter Program Agreement between the City of Miami and Camillus House (hereinafter, this "Agreement"), made and entered into on the ..10411 day of 20-0, by and between the CITY OF MIANII, a Florida municipal corporation, whose address is 3500 Pan American Drive, Miami, Florida 33133 (hereinafter, the "CITY"), and CAMILLUS HOUSE, INC., a Florida not for profit corporation, with Federal Employer Identification Number ("FEIN") 65-0032862, having its principal office at 1603 N.W. 7 b Avenue, Miami, Florida 33136 (hereinafter, the "PROVIDER"), states the terms and conditions agreed to by the Parties as follows: WITNESSETH WHEREAS, the CITY is a party to a Settlement Agreement, as amended, resolving a lawsuit styled, Michael Pottinger, et al. v. City ofMiami, filed in the United States District Court, Southern District of Florida, Case No.: 88-2406-Civ-Moreno (hereinafter, the "Pottinger Settlement Agreement"); and WHEREAS, the Pottinger Settlement Agreement limits the ability of the CITY's Police Department ("Police") to enforce certain misdemeanor criminal activity referred to therein as "Life Sustaining Conduct" misdemeanors, committed by a "homeless person" if there is no Available Shelter; and WHEREAS, the CITY, in furtherance of its continuing commitment to assist homeless persons within its jurisdictional boundaries, and its desire to comply with the Pottinger Settlement Agreement, as applicable, wishes to procure and make Available Shelter beds to homeless persons in the CITY's homeless population; and WHEREAS, the PROVIDER has the capacity to accommodate seventy-five (75) beds in one or more of its facilities and to provide associated services, thus creating a distinct program for the CITY; and WHEREAS, the PROVIDER will set aside at least ten (10) program beds per day for single night use to be utilized as "City of Miami Shelter Program Beds" and sixty-five (65) program beds to be utilized as "City of Miami Shelter Program Extended Stay Beds," as defined herein; and WHEREAS, the Miami Downtown Development Authority ("DDA") has agreed to provide a payment of Forty Thousand Dollars ($40,000.00) for the City of Miami Shelter Program payable in a lump sum upon receipt of invoice; and Page 1 of 13 WHEREAS, the Omni Community Redevelopment Agency ("Omni CRA") has agreed to provide.. a payment, of: One Hundred Seventy -Five Thousand Dollars ($175,000.00) for the City of Miami Shelter Program; and NOW THEREFORE, in consideration of the mutual terms, conditions, promises, and covenants hereinafter set forth, the CITY and the PROVIDER further agree as follows: 1. RECITALS: The foregoing recitals are incorporated herein by reference. 2. DEFINITIONS: The term "Available Shelter" is defined in this Agreement as it is defined in the Pottinger Settlement Agreement, i.e., a shelter for a period of at least Twenty Four (24) hours, with a bed at no cost to the homeless person, that treats homeless persons with dignity and respect, imposes no religious requirements, and, unless agreed to by the homeless person, does not impose involuntary substance abuse or mental health treatment as a condition for shelter. The term "Banned Individual" is defined as a homeless person not eligible for services under this Agreement as determined in the sole discretion of the PROVIDER. The term City ofMiami Shelter Program (hereinafter, the "Program") is defined as the seventy-five (75) beds, and associated services, procured by the CITY from the PROVIDER within the Camillus House Norwegian Cruise Line Campus Emergency Shelter System, to be used as temporary shelter, which meets the requirements of Available Shelter under the Pottinger Settlement Agreement, as applicable, for the sole use of homeless persons who are residents of the City of Miami, who are placed exclusively in the Program by City Police, or employees of the Department of Veteran Affairs and Homelessness ("Department") transporting on behalf of the Police, pursuant to the terms of this Agreement. The term "Homeless Coordinator" is defined as the Director of the Department, who shall serve as the contract coordinator. The term "Homeless Person" is defined in this Agreement as it is defined in the Pottinger Settlement Agreement, i.e., an individual is considered a Homeless Person if he or she "lacks a fixed, regular, and adequate night time residence and has a primary night- time residency that is: (a) a supervised publicly or privately operated shelter designed to provide temporary living accommodations; (b) an institution that provides a temporary residence for individuals intended to be institutionalized; or (c) a public or private place not designed for, or ordinarily used. as, a regular sleeping accommodation for human beings. The term "Homeless Person" does not include any person imprisoned or otherwise detained pursuant to an Act of Congress or a state law." 42 U.S.C. §11301, et seq. (1994). An officer is allowed to make reasonable inquiry to make this determination. Furthermore, Page 2 of 13 as modified in the Addendum to the Pottinger Settlement Agreement, any person identified as a registered sex offender under section 775.21 Florida Statutes, or sexual predator under. section 775.215, Florida Statutes, or Sections 21-277 to 21-21285, Miami -Dade County Code, as amended, is excluded from the definition of a Homeless Person. The term "Participant" shall mean a Homeless Person who has been referred into the Program. The term the "Parties" is defined as the CITY and the PROVIDER. The term "Perimeter" is defined as the buffer zone running along the private property line of the facility and extending 100 feet into the public right-of-way (including streets, sidewalks and swales). The term "City of Miami Shelter Program Bed" is defined in this Agreement as a shelter bed available as Available Shelter for a period of at least twenty-four (24) hours' after placement. These beds shall be set aside by the PROVIDER for placement of Homeless Persons by the Police, in order to facilitate enforcement of certain misdemeanor criminal activity referred to as "Life Sustaining Conduct Misdemeanors" as defined in the Pottinger Settlement Agreement, as may be applicable. The term "City of Miami Shelter Program Extended Stay Bed" is defined in this Agreement as a shelter bed available as Available Shelter for a period longer than twenty- four (24) hours. 3. PURPOSE: The purpose of this Agreement is to maintain the City of Miami Shelter Program, with seventy-five (75) beds located in a Camillus facility (hereinafter "the Facility"), ---- - - -- — - - - - ensuring -a -safe -sleeping -accommodation -for-- the -Homeless Per -sons -served, -meeting-the- requirements of Available Shelter under the Pottinger Settlement Agreement, including associated services described below, and which allows for the placement of Homeless Persons twenty four (24) hours per day, seven (7) days per week, throughout the term of this Agreement, and available to both male and female Homeless Persons. 4. TERM The term of this Agreement shall be for a period of one (1) year, commencing retroactively on October 1, 2018, and expiring on September 30, 2019, unless terminated earlier as provided in this Agreement. Unless earlier terminated as provided in Paragraph 21, at the sole option of the CITY, subject to the availability of funds, and upon PROVIDER satisfactorily meeting all contractual obligations , this Agreement may be extended annually, from year-to-year, for future one (1) year periods, by the CITY giving. thirty (30) days notice in writing to the PROVIDER prior to the annual September 30 expiration date, (Le., by the CITY giving written notice to the PROVIDER by August 31). Page 3 of 13 The City shall havb the right toan;bption.of-up to;five (5) one•(1) year renewals subject to the availability of funds and budgetary approval: 5. COST The maximum annual amount payable to the PROVIDER by CITY for its portion of the City of Miami Shelter Program shall not exceed a total amount of Four Hundred Sixty Thousand Dollars ($460,000.00). This amount is payable in twelve (12) monthly installments of Thirty Eight Thousand Three Hundred Thirty Three Dollars and Thirty Three Cents ($38,333.33) each. Monthly installments are due on the first of each month commencing retroactively on October 1, 2018, unless this Agreement is terminated, as otherwise provided in this Agreement, before any payments are due. This amount may be adjusted, if mutually agreed upon and in writing, in the event CITY exercises any renewal provisions, to address customary and reasonable costs of living adjustments. 6. SERVICES PROVIDER shall provide associated services to Homeless Persons referred to the Program which will include, but are not limited to: a. The Provider will, to the extent possible, make available lower level beds (when bunks beds are present) or regular single beds to facilitate access for persons with disabilities; b. Up to three (3) meals a day; C. Basic case management, information, and/or referral to ancillary services (i.e., independent living skills preparation, etc.); d. Access to basic health, substance abuse, and/or mental health screening on a voluntary basis; e. Participation in the other routine services of the Camillus House Day Center program, including but not limited to, access to: showers, clothing exchange, toilet facilities, mail room, library, computers, electrical outlets, telephones, socialization, and other recreational activities; f. Assistance to receive entitlement benefits (i.e., SSI, VA, TANF, Medicaid and other entitlements), referral to educational, recreational and vocational services as appropriate, and referral to transitional and/or advanced care housing; g. The PROVIDER warrants that the following amenities and services will be provided to Homeless Persons referred to the Program: i. Space sufficient to accommodate seventy-five (75) beds; ii. Organized sleeping arrangements; iii. Personnel employed by PROVIDER that shall provide necessary care; iv. Functioning• restrooms; v.. Electricity. to provide light; vi. A potable water source or space to accommodate water; Page 4 of 13 -vii. Staff personnel adequate - to maintain ' a safe environment at • the .facility; - . viii. Adequate supplies necessary to comply with all terms of this Agreement; ix. Appropriate medical care and supplies when necessary, and within the scope of PROVIDER's competence, in its sole discretion; X. A dog kennel; xi. Personnel property storage; and xii. Basic personal hygiene products available at no cost, such as soap, shampoo, tooth paste, toothbrush etc. 7. MEDICAL It is the responsibility of thePROVIDER's staff to recognize if a Homeless Person has a serious medical condition requiring attention and/or if there is a medical emergency. In either case, PROVIDER's staff shall dial 9-1-1 to request rescue services. 8. SIGN The PROVIDER shall erect and/or post a sign in a conspicuous place within the facility, in sight of the pavilion, listing PROVIDER's general rules and items that are prohibited to possess throughout the facility. 9. PROVIDER LIAISON The PROVIDER shall designate one of its own employees to serve as a contact person (hereinafter the "Provider Liaison") whose responsibility will include providing the City of Miami Police and the Department with updated availability counts for City of Miami Shelter Program Extended Stay Beds and City of Miami Shelter Program Beds, an updated list of Banned Individuals when requested, and other duties as specified in this Agreement. 10. ADMISSION INTO THE PROGRAM Only a City Police Officer, or an employee of the Department who is transporting a Homeless Person on behalf of a City Police Officer, can place a Homeless Person into the Program. Homeless Persons referred to the Program shall be given a `case card' by the referring or transporting City Police Officer. The `case card' shall include the officer's name and IBM number. Without the possession of a `case card' at the facility's intake desk, PROVIDER's staff members are prohibited from accepting the Homeless Person into the Program. The PROVIDER shall not permit placement of any Homeless Persons into the . Program under the following circumstances: Page 5 of 13 a. Unless the Camillus House Program Intake Information form has been - completed; b. If.the Homeless Person is a sexual offender; c. If the Homeless Person is a sexual predator; d. If the Homeless Person has any type of active/open warrant(s); e. If the Homeless Person is on PROVIDER's list of Banned Individuals; f. If the Homeless Person cannot take care of themselves (i.e., must be able to ambulate on their own, including showering on their own, not require comprehensive health services, etc.); or g. If the Homeless Person shows signs of violent/aggressive behavior (e.g. poses a danger to self or others), that would more appropriately require placement in a crisis stabilization unit. Depending on the needs of the CITY on any given day, the CITY may contact the Provider Liaison to reserve and allocate an additional or lesser number of City of Miami Shelter Program beds. The Homeless Coordinator shall notify the Provider Liaison no less than twenty-four (24) hours prior to the time the City of Miami Shelter Program beds, or additional City of Miami Beds, are required to be available. To that end, the Provider Liaison shall provide the Police and the Department with a spreadsheet, via electronic mail at 9:00 a.m. and at 5:00 p.m. daily, advising of the bed count of available City of Miami Shelter Program Extended Stay Beds and available City of Miami Shelter Program beds. The Police and the Department may contact the PROVIDER on the PROVIDER'S dedicated Program telephone number to confirm bed availability at any time during the day, evening or overnight. On weekends and PROVIDER -observed holidays, the Police and the Department may obtain the count of available City of Miami Shelter Program Extended Stay Beds and City of Miami Shelter Program beds by contacting the PROVIDER's dedicated Program telephone number. 11. TRANSFERS TO A CITY OF MIAMI SHELTER PROGRAM EXTENDED STAY BED A homeless person placed in a City of Miami Shelter Program Bed who can benefit from, and/or requests additional services, maybe transferred to one of sixty-five (65) City of Miami Shelter Program Extended Stay Beds on a first -come first -serve basis, subject to bed availability. If requested by the PROVIDER, and approved in writing by the Homeless Coordinator, extensions of the length of stay beyond sixty (60) days may be granted. 12. TRANSFERS TO A NON -PROGRAM BED The PROVIDER may offer a Homeless Person placed in the Program the option to be voluntarily transferred into a more transitional or permanent environment or program, as long as the placement is with the consent of the Homeless Person being transferred out of the Program. Any consenting Homeless Person transferred out of the Program will not be considered governed by this Agreement. 13. EXCLUSIVE USE Page 6 of 13 The PROVIDER understands that all seventy-five (75) beds in the Program are for sole use by the CITY pursuant to the terms of this Agreement and in consideration for the CrIY's monthly payments referenced herein. Accordingly, PROVIDER shall not use any of the beds in the Program as an extension of PROVIDER's other shelter program(s), and shall not collect any fees directly from a Homeless Person ocdupying a Program bed, or collect any money from another source for use of any Program beds. Furthermore, the use of any Program bed shall not be sold, given, or granted to any third person or entity during the term of this Agreement. 14. INFORMATION DATABASE AND REPORTING The PROVIDER shall prepare a monthly report outlining the number of Participants served, the number of City of Miami Shelter Program Beds and City of Miami Shelter Program Extended Stay Beds filled, the length of stay for each Participant, the number of daily Program bed vacancies, and placements by placement source (e.g. Police or Department staff transporting on their behalf). The report shall be provided, via email, on the 1 Oth day of each month to the CITY and the DDA. The PROVIDER , shall maintain a computer database containing information pertaining to each Homeless Person placed into the Program as follows: a. The computer database must contain basic identifying information such as the individual's name, date of birth, Social Security Number, ethnicity, race, gender, Driver's License number or Identification Card and state of issue or any other picture identification, date placed in Program, number of times placed in Program with all dates, indicate whether Homeless Person occupies a City of Miami Shelter Program Bed or a non -City of Miami Shelter Program Bed, whether the Homeless Person is a Banned Individual from shelter, and whether the individual was voluntary placed into more permanent shelter. The data entry shall also include the name and IBM number of the City Police officer who referred the Homeless Person to the Program, and the name and IBM number of the officer who transported the Homeless Person (if different from the placement officer), or the name and employee number of the City Community Outreach Specialist who transported the Homeless Person to the facility. The PROVIDER shall make any and all records created pertaining to the Program, including all computer database information, in searchable format, organized, available for print in spreadsheet format, and available to the Homeless Coordinator upon request via the HMIS system. b. The PROVIDER must maintain and update their list of Homeless Persons who are Banned Individuals. The PROVIDER shall make any and all current and active lists of Banned Individuals from the Program available to the Homeless Coordinator upon request. The list of Banned Individuals must contain the Banned Individual's name, date of birth, sex, and duration of ban from the Program. PROVIDER shall keep and maintain any records or lists of Banned Individuals for a period of no less than -five (5) years. Page 7 of 13 15. INTAKE INFORMATION FORM The PROVIDER shall enter the client into the HMIS. The Provider shall provide each Homeless Person entering the Program with an `Intake Package': a. The Intake Package will include a storage form to memorialize whether the Homeless Person's personal property was secured by `Camillus House' or `Other' entity with a blank space to make a notation of the entity that secured the personal property. b. Each Intake Package shall list the PROVIDER's general rules and prohibited items and the scope of available services. c. The Intake Package should be signed and dated by the Homeless Person to be placed into the Program but is not mandatory as a condition for placement in the Program. Should the Homeless Person refuse to sign the Program Intake Package, the PROVIDER's staff member shall note `REFUSAL' on the signature space provided. d. The `case card' provided by the referring or transporting City Police officer must be given to the PROVIDER and maintained for the length of time that the Intake Package is stored. - e. The PROVIDER shall make any and all Intake Packages completed pertaining to the Program available to the Homeless Coordinator upon request. f. PROVIDER shall keep and maintain all Intake Packages for a period of no less than five (5) years. 16. SAFETY OF FACILITY AND SURROUNDING AREAS The PROVIDER shall keep the streets and sidewalks surrounding the facility and the perimeter of the facility clear of any individuals, whether Homeless Persons or not, from congregating and/or loitering. The PROVIDER shall undertake the responsibility of making certain that only those Homeless Persons who are Participants in the Program, or are otherwise clients of PROVIDER, or its affiliated health clinic, are allowed to enter and to remain at the facility. In addition, the PROVIDER agrees to the following conditions: a. PROVIDER shall, through the promulgation of its rules, seek to enforce a 10:00 p.m. to 6:00 a.m. curfew on participants of the Program; b. PROVIDER shall post the appropriate "No Loitering" signs on the Perimeter of the facility; c. PROVIDER shall ensure that no Program participant who leaves the facility during the period of 7:00 a.m. until 10:00 p.m., loiters or congregates within 1,000 feet of the facility. Page 8 of 13 d. PROVIDER shall prohibit alcohol, drugs, fighting, and all threatening or potentially 4plent behavior -- a participant's violation of this facility rule may cause the PROVIDER to add the violator to its list of Banned Individuals; e. PROVIDER shall employ; to patrol the facility and its surrounding areas, and to keep the perimeter clear: (i) at least one (1) off -duty City Police officer between 6:45 a.m. to 8:45 a.m., each day; and (ii) a security guard for those hours not patrolled by an off -duty officer. f. PROVIDER shall maintain an adequate number of trash receptacles; g. PROVIDER shall maintain the facility in pristine condition, and.routinely police the perimeter of the property, no less than twice daily, to make sure no litter or unattractive conditions exist. 17. HOMELESS PERSON WITH DISABILITY The PROVIDER shall make the appropriate accommodations necessary for any and all Homeless Persons with disabilities who are referred to the Program in compliance with the Americans with Disabilities Act. 18. ELIGIBILITY The PROVIDER understands that Program shall be open to any Homeless Person residing within the jurisdictional boundaries of the City, and who is placed in the Program by the CITY, who meets the criteria under the Pottinger Settlement Agreement, as may be applicable, and who is at least 18 years of age or older. Under no circumstances may a Homeless Person be transported from another jurisdiction (e.g., from outside the City), or transported from another shelter facility (within or outside the City), be permitted to participate in the Program. 19. DEFAULT If PROVIDER fails to comply with any term or condition of this Agreement, or fails to perform any of its obligations hereunder, after written notification by CITY, then PROVIDER shall have ten (10) days to cure violation. If after the cure period the condition persists or PROVIDER continues to fail in complying with any term or condition of this Agreement, or fails to -perform any of its obligations hereunder, then PROVIDER shall be in default. Upon the occurrence of a default hereunder the CITY, in addition to all remedies available to it by law, may immediately, upon written notice to PROVIDER, terminate this Agreement. Upon termination, the CITY no longer has the obligation to make the monthly payments to the PROVIDER, and the previous monthly payment shall be refunded by the PROVIDER to the CITY on a prorate basis based on the date of termination. For example, if termination occurs on the 2nd of the month, then 29/30 of the monthly payment made on the 11 of the month shall be refunded to the CITY by the PROVIDER. PROVIDER understands and agrees that termination of this Agreement under this section shall not release PROVIDER from any obligation accruing prior to the effective -date of termination. 20. RESOLUTION OF CONTRACT DISPUTES Page 9 of 13 Any disputes among the parties- .shall be resolved as follows: In the event of a dispute, the parties shall use their best- efforts to informally resolve their dispute. If the parties cannot informally resolve the dispute, either party may request non -binding mediation, which mediation shall be. attended by representatives of both parties with a certified mediator chosen by the parties. If the mediator declares an impasse, after a full - day of mediation, either party may then demand binding arbitration. The arbitration shall be conducted under the AAA Commercial Rules, and the arbitration panel shall be composed 'of a single arbitrator. The arbitration shall be held in Miami, Florida. The parties expressly waive their right. to litigate their. disputes in court. 21. TERMINATION RIGHTS The CITY shall have the right to terminate this Agreement, in its sole discretion, at any time, by giving written notice to PROVIDER at least forty-five (45) days prior to the effective date of such termination. Any monthly payment due following notice of termination shall be prorated on a daily basis, if the remaining time is less than one month. In no event shall the CITY be liable to PROVIDER for any additional compensation, other than that provided herein, or for any consequential or incidental damages. PROVIDER shall have the right to terminate this Agreement, in its sole discretion, at any time, by giving written notice to the CITY at least forty-five (45) days prior to the effective date of such termination. 22. NOTICE It is understood and agreed amongst the Parties that written notice shall be mailed or hand delivered to the addresses set forth below, and shall be deemed to have been served and given (the "effective date"): (a) if delivered by hand, to the address listed below, on the date received; or (b) if delivered by U.S. Mail, and sent by certified mail, return receipt requested, on the date received. The Parties designate the following addresses for notice: FOR CITY OF MIAMI: FOR CAMILLUS HOUSE, INC.: Emilio T. Gonzalez, PhD. Hilda M. Fernandez, City Manager, City of Miami Chief Executive Officer, Camillus House 3500 Pan American Drive 1603 NW 71' Avenue, Miami, FL 33133 Miami, FL 33136 Either party may at any time designate a different address and/or contact person by giving written notice as provided above to the other party. Such notices shall be deemed given upon receipt by the addressee. 23. OWNERSHIP OF DOCUMENTS PROVIDER understands and agrees that any information, document, report or any other material whatsoever, -including but not -limited to database records and/or Intake • Page 10 of 13 Forms, or which is otherwise obtained or prepared by PROVIDER pursuant to or under the terms of this Agreement: is and shall :at all .times remain the property of the CITY. PROVIDER agrees not to use any such -information, document, report or use such material . for any other purpose whatsoever without the written consent of CITY, which may be withheld or conditioned by the CITY in -its sole discretion. 24. AUDIT AND INSPECTION RIGHTS The CITY may, at reasonable times, and for a period of up to five. (5). years following the date of final payment by the CITY to PROVIDER under this Agreement, audit, or cause to be audited, those books and records of PROVIDER which are related to PROVIDER's performance under this Agreement. PROVIDER agrees to maintain all such books and records at its principal place of business for a period of five (5) years after final payment is made under this Agreement. The CITY may, at reasonable times during the term hereof, inspect PROVIDER's facilities and perform such tests, as the CITY deems reasonably necessary, to determine whether the goods or services required to be provided by PROVIDER under this Agreement conform to the terms hereof, if applicable. PROVIDER shall make available to the CITY all reasonable facilities and assistance to facilitate the performance of tests or inspections by CITY representatives. All tests and inspections shall be subject to, and made in accordance with, the provisions of Section 18-55.2 of the Code of the City of Miami, Florida, as same may be amended or supplemented, from time to time. 25. PUBLIC RECORDS a., PROVIDER understands that the public shall have access, at all reasonable times, to all documents- and information pertaining to CITY Agreements, subject to the provisions of Chapter It 9, Florida Statutes, and agrees to allow access by the CITY and the public to all documents subject to disclosure under applicable laws. PROVIDER's failure or refusal to comply with the provisions of this section shall result in the immediate cancellation of this Agreement by the CITY. b. PROVIDER shall additionally comply with Section 119.0701, Florida Statutes, including without limitation: (1) keep and maintain public records that ordinarily and necessarily would be required by the CITY to perform this service; (2) provide the public with access to public records on the same terms and conditions as the CITY would at the cost provided by Chapter 119, Florida Statutes, or as otherwise provided by law; (3) ensure that public records that are exempt or confidential and exempt from disclosure are not disclosed except as authorized by law; (4) meet all requirements for retaining public records and transfer, at no cost, to the CITY all public records in its possession upon termination of this Agreement and destroy any duplicate public records that are exempt or confidential and exempt from disclosure requirements; and, (5) provide all electronically stored public records that must be provided to the CITY in a format compatible with the CITY's information technology systems. Notwithstanding the foregoing, PROVIDER shall be permitted to retain any public records that make up part of its work product solely Page 11 of 13 as required for archival -purposes, as. required by law, or to evidence compliance with the terms of the Agreement. - 26. INTEGRATION CLAUSE This Agreement incorporates and includes all prior negotiations, correspondence, ! conversations, agreements, and understandings applicable to the matters contained herein, and the Parties agree that there are no commitments, agreements or understandings concerning the subject matter of this Agreement that are not contained in this document. Accordingly, the Parties -agree that. no deviation from the terms hereof shall be predicated upon any prior representations or agreements, whether oral or written. 27. NO THIRD PARTY BENEFICIARIES There are no express or implied- third party beneficiaries to this Agreement. No Homeless Persons who may obtain shelter or services under this Agreement shall be considered a third party beneficiary. 28. ASSIGNMENT This Agreement shall not be assigned by PROVIDER, in whole or in part; without the prior written consent of the CITY, by resolution of the City Commission, which may be withheld or conditioned, in the CITY's sole discretion. 29. AMENDMENTS Any alterations, amendments, variations, modifications, extensions or waivers of provisions of this Agreement shall only be valid when they have been reduced to writing, duly approved and signed by all Parties hereto. Approval of any amendment, alteration, variation, modification, extension or waiver ofprovisions by the CITY can only be effected by duly enacted resolution of the City Commission. 30. AUTONOMY & INDEPENDENCE The Parties agree that this Agreement does not create or recognize any partnership, joint venture, or any other kind of organizational relationship among the Parties hereto. Each Party hereto acknowledges the independence and autonomy of the other Party hereto. 31. COMPLIANCE WITH FEDERAL, STATE AND LOCAL LAWS PROVIDER understands that agreements between private entities and local governments are subject to certain laws and regulations, including laws pertaining to public records, conflict of interest, record keeping, etc. CITY and PROVIDER agree to comply with and observe all applicable federal, state and local laws, rules, regulations, codes and ordinances, as they may be amended from time to time. Page 12 of 13 32. - MISCELLANEOUS. PROVISIONS a. This Agreement shall be construed and enforced according to the laws of the State of Florida. b. Title and paragraph headings are for convenient reference and are not a part of this Agreement. C. No waiver or 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. d. 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, 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, then same shall be deemed severable, and in either event, the remaining terms and provisions of this Agreement shall remain unmodified and in full force and effect or limitation of its use. It is agreed that this Agreement was the product of arms -length give-and- take negotiation, and that its terms were drafted jointly, such that if construction of any term is necessary, it shall not be construed for or against either party as the drafter. 33. INDEMNIFICATION PROVIDER shall indemnify, defend and hold harmless the CITY and its officials and employees, for claims (collectively referred to as "Indemnitees") and each of them from and against all loss, costs, penalties, fines, damages, claims, expenses (including attorney's fees) or liabilities (collectively referred to as "Liabilities") by reason of any injury to or death of any person or damage to or destruction or loss of any property arising out of, resulting from, or in connection with (i) the negligent performance or non- performance of the services contemplated by this Agreement (whether active or passive) of PROVIDER or its employees or subcontractors (collectively referred to as "PROVIDER") which is directly caused, in whole or in part, by any act, omission, default or negligence (whether active or passive or in strict liability) of the Indemnitees, or any of them, or (ii) the failure of the PROVIDER to conform to statutes, ordinances, or other regulations or requirements of any governmental authority, local, federal or state in connection with the performance of this Agreement even if it is alleged that the CITY, its officials and/or employees were negligent. PROVIDER expressly agrees to indemnify, defend and hold harmless the Indemnitees, or any of them, from and against all liabilities which may be asserted by an employee or former employee of PROVIDER, or any of its subcontractors, asprovided above, for which the PROVIDER's liability to such employee or former employee would otherwise be limited to payments under the state Workers' Page 13 of 13 i Compensation of sirrilat Taws: t PROVIDER further agrees to indemnify, defend and hold harmless the Indemnitees from and against (i) any and all Liabilities imposed on account of the violation of any law; ordinance,. order, - rule, regulation, condition, or requirement, related directly to PROVIDER's negligent performance under this Agreement, compliance i with which is left by this Agreement to PROVIDER, and (ii) any and all claims, and/or suits for labor and materials furnished by PROVIDER or utilized in the performance of i this Agreement or otherwise. PROVIDER'S obligations to indemnify, defend and hold harmless the Indemnitees shall survive the termination/expiration of this Agreement. PROVIDER understands and agrees that any and all liabilities regarding the use of any subcontractor for providing services related to this Agreement shall be borne solely by PROVIDER throughout the duration of this Agreement and that this provision shall survive the termination or expiration of this Agreement, as applicable. 34. INSURANCE At all times during the term hereof, the PROVIDER shall maintain insurance acceptable to the CITY. Prior to commencing any activity under this Agreement, the PROVIDER shall furnish to the CITY original certificates of insurance indicating that the PROVIDER is in compliance with the provisions described in Exhibit "A" attached hereto, and incorporated into this Agreement. Page 14 of 13 IN WITNESS HEREOF THE PARTIES HERETO HAVE CAUSED TO BE EXECUTED BELOW THE SIGNATURES OF THE AUTHORIZED REPRESENTATIVES OF THE PARTIES HERETO WHO ARE FULLY AND DULY AUTHORIZED TO EXECUTE THIS AGREEMENT ON BEHALF OF THE RESPECTIVE PARTIES HERETO: CITY OF MUM EMILIO T ONZALEZ, PHD. CITY AGER CITY C. MIAMI, LO IDA Date: Attest: APPROVED AS AND CORREe CITY rl CAMILLUS HOUSE, INC. HIL A M. FERNANDEZ CHIEF EXECUTIVE OFFICER CAMILLUS.HOUS , INC. Date: A.tp APPROVED AS TO INSURANCE REQUIREMENTS: Page 15 of 13 ® CERTIFICATE OF LIABILITY INSURANCE ACo DATEDIYYYY) 6129/29/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 endorsemengs). PRODUCER Artex Risk Solutions, Inc. (CB) 2850 Golf Road, 5th Floor Rolling Meadows IL 60008-4050 CnME CT Christian Brothers Services PHONE 800 807-0300 11,o : 630-378-2508 EMAIL sS: INSURER S AFFORDING COVERAGE NAIC>9 INSURER A: Pennsylvania Manufacturers Assoc Ins Co 12262 INSURED CHRIBRO-14 Brothers of the Christian Schools & Affiliates Loc#1176001 CAMILLUS HOUSE INC INSURER B : Old Republic Insurance Company 24147 ' INSURERC: 1205 Windham Parkway INSURER D : INSURERE: Romeoville IL 60446-1679 INSURER F : GES CERTIFICATE NUMBER•429307486 REVISION NUMBER: COVERA THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD S eR POLICY NUMBER POLICY EFF MMIDD/YY POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY Y N 821BM0998922 6/1512016 51152019 EACH OCCURRENCE $2000,0W CLAIMS -MADE UDOCCUR DAMAGE TO RENTED PREMISES(Ea occurrence $ Included MED EXP (Any one arson) $15,DD0 PERSONAL &ADV INJURY $1DD0.000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,0D0,000 PRODUCTS -COMPIOPAGG $1.000000 X POLICY 0 jE7 LOC OTHER: B AUTOMOBILEUABILRY Y N MWTB215Q 8/152018 6115 COMBINED IN LIMIT Ea edde I $1,000,000 BODILY INJURY (Per parson) $ ANY AUTO ® BODILY INJURY (Per euldenl) $ OWNED SCHEDULED AUT0.SONLYNAUTOS NON -OWNED IR ������jjjHIRED PROPERTY DAMAGE$ er scc ant AUTOS ONLY AUTOS ONLY UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LLAB Il 1 DED RETENTION $ WORKERS COMPENSATION STAT E ER E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNERIF�CUTIVE E.L. DISEASE- EA EMPLOYE $ OFFICERIMEMBEREXCLUDED7 ❑ (Mandatory In NH) NIA E.L DISEASE . POLICY LIMIT $ If es, deacdbe under DESCRIPTION OF OPERATIONS below A Ud. Prof. Healthcare N N 821800 0998922 61152018 6/152019 $1,000,000 Cccurr. $1,000,00OAggreg. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) Only the General Liability coverage Will apply on a Primary and Non -Contributory basis (per attached endorsement) If required by fully executed written contract. Certificate Holder Is added as an Additional Insured (per the attached endorsement) for General Liability and Automobile coverages solely, stnctly, and specifically With regards to: City of Miami Contracts. City of Miami is added as Additional Insured Where required by contract. CERTIFICATE HOLDER GANVCLLAI IVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Miami 444 SW 2nd Avenue AUTHO REPRESENTATIVE Miami FL 33130 �J lJ "LY00.6U 1.7 HIiV RY VaJ ngasuw •vov. ..+..• ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD f'►`� V CERTIFICATE OF LIABILITY INSURANCE °�'�'°"f'r°°' "' 2/1/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 Marsh & McLennan Agency LLC 1000 Corporate Drive Suite 400 CONTAC PHONE FAX . 954938 8788 Arc No ADDRESS' INSURERS AFFORDING COVERAGE NAIC Fort Lauderdale FL 33334 INSURER; A: RSUI Indemnity Company 22314 INSURED CAMILHOUSEI Camillus House Inc. 1603 NW 7th Avenue INSURERB: RetailFirst Insurance Company 10700 jNSURERC: INSURER 0: Building G INSURERE: Miami FL 33136 INSURER F : COVERAGES CERTIFICATE NUMBER.,311864662 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADOLSU D POLICYNUMBER MPM/DDY�F MMfDDNYXYY LIMITS COMMERCUILGENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE DOCCUR DAMAGETO RENTEIT__ PREMISES Eeoccurrence) $ MED EXP (Any one arson) $ PERSONAL & ADV INJURY $ GENT. AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ JJEECT LOC PRODUCTS -COMP/OP AGG $ OTHER: A MR ns nn$ AUTOMOBILE LIABILITY OMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accldant) $ PROPERTY DAMAGE Per ecddent $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLALIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANYPROPRIETOR/PARTNER/EXECUTIVE I I 052058602 1/1/2019 1/1/2020 X PER ERA E.L. EACH ACCIDENT $1,000,000 OFFICERJMEMBEREXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory In NH) IryS de scribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1 000,000 A Employment PracticesUabllity NHP680234 2J1/2019 2/1/2020 Limit $6,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Proof of Insurance only. City of Miami is added as Additional Insured where required by contract. City of Miami 444 SW 2nd Ave 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD R-19-0039 A RESOLUTION OF THE MIAMI CITY COMMISSION AUTHORIZING... Pagel of 3 Miami pan ADOp7ED FL1_�4,2L?jq 9: 00 AM Resolution R-19-0039 A RESOLUTION OF THE MIAMI CITY COMMISSION AUTHORIZING THE CITY MANAGER TO NEGOTIATE AND EXECUTE AN AGREEMENT, IN A FORM ACCEPTABLE TO THE CITY ATTORNEY, BETWEEN CAMILLUS HOUSE, INC., A FLORIDA NOT FOR PROFIT CORPORATION ("CAMILLUS HOUSE"), AND THE CITY OF MIAMI ("CITY") TO PROVIDE FUNDING FOR THE CITY'S HOMELESS SHELTER PROGRAM, TO INCLUDE THE PROVISION OF SEVENTY-FIVE (75) BEDS IN THE CAMILLUS HOUSE NORWEGIAN CRUISE LINE CAMPUS EMERGENCY SHELTER, FOR NIGHTLY USAGE BY HOMELESS INDIVIDUALS AND PROVIDING OTHER ASSOCIATED AND ACCOMPANYING HOMELESS SERVICES AND CASE MANAGEMENT, SUBJECT TO SAID BEDS BEING EXCLUSIVELY DESIGNATED FOR THE CITY'S HOMELESS WHO ARE PLACED BY A MIAMI POLICE OFFICER IN ACCORDANCE WITH THE POTTINGER SETTLEMENT ("AGREEMENT") AT THE TOTAL COST OF FOUR HUNDRED SIXTY THOUSAND DOLLARS ($460,000.00), WITH CONDITIONS AS STATED IN THE AGREEMENT, PAYABLE BY THE CITY TO CAMILLUS HOUSE IN TWELVE (12) MONTHLY INSTALLMENTS ("GRANT") COMMENCING DURING THE CITY'S 2018-2019 FISCAL YEAR FOR AN INITIAL PERIOD OF ONE (1) YEAR WITH THE OPTION TO RENEW FOR FIVE (5) ADDITIONAL ONE (1) YEAR PERIODS OF CITY SPONSORSHIP GRANT FUNDING UNDER THE SAME TERMS -AND CONDITIONS, SUBJECT TO THE AVAILABILITY OF FUNDING AND BUDGETARY APPROVAL; FURTHER AUTHORIZING THE CITY MANAGER TO NEGOTIATE AND EXECUTE ANY AND ALL OTHER NECESSARY DOCUMENTS, MODIFICATIONS, AND AMENDMENTS, IN A FORM ACCEPTABLE TO THE CITY ATTORNEY, TO COMPLETE AND FURTHER THE GRANT ALLOCATION AND APPROPRIATION. Information Department: Department of Human Sponsors: Services Category: Other Attachments Agenda Summary and Legislation 5269 Back -Up Documents Financial Impact $ 460,000.00 General Account No: 00001.98000.896000.0.0 Body/Legislation WHEREAS, the City of Miami ("City") is a party to a Settlement Agreement, as amended, in the matter of Michael Pottinger, et al. v. City of Miami, filed in the United States District Court, Southern District of Florida, Case No.: 88-2406-Civ-Moreno ("Pottinger Settlement Agreement"); and http://miamifl.igm2.comICitizensIDetail LegiFile.aspx?ID=5269&highlightTen ns=Carnill... 2/25/2019 R-19-0039 A RESOLUTION OF THE IVIIAMI CITY COMMISSION AUTHORIZING... Page 2 of 3 WHEREAS, the City, in furtherance of its continuing commitment to assist the homeless within its jurisdictional boundaries, wishes to execute an Agreement with Camillus House, Inc., a Florida not for profit corporation ("Camillus House"), in order to ensure the availability of shelter beds for the City's homeless population in accordance with the Pottinger Settlement Agreement; and WHEREAS, Camillus House has the capacity to accommodate seventy-five (75) beds in the Camillus House Norwegian Cruise Line Campus Emergency Shelter, to provide the associated and accompanying homeless services and case management, and the ability to implement the City's Shelter Program ("Shelter Program"); and WHEREAS, the City's grant funding for the Shelter Program will be in an amount not to exceed Four Hundred Sixty Thousand Dollars ($460,000.00), will be available as the obligation becomes due by the City, and will be payable by the City to Camillus House in twelve (12) monthly installments ("Grant"); and WHEREAS, the Grant payments will commence during the City's 2018-2019 Fiscal Year for an initial period of one (1) year with the option to renew for five (5) additional one (1) year periods of City sponsorship grant funding under the same terms and conditions of the Agreement and subject to the availability of funds and budgetary approval; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The recitals and findings contained in the Preamble to this Resolution are adopted by reference and incorporated as if fully set forth in this Section. Section 2. The City Manager is authorized, to negotiate and execute an Agreement, in a form acceptable to the City Attorney, between Camillus House and the City for the Grant funding of 'the Shelter Program to ensure the availability of shelter beds for the City's homeless population in accordance with the Pottinger Settlement Agreement, with payments commencing during the City's 2018-2019 Fiscal Year for an initial period of one (1) year with the option to renew for five (5) additional one (1) year periods of City sponsorship grant funding under the same terms and conditions and subject to the availability of funds and budgetary approval. Section 3. The City Manager is further authorizedi to negotiate and execute any and all other necessary documents, modifications, and amendments, in a form acceptable to the City Attorney, to complete the Grant allocation and appropriation. Section 4. This Resolution shall become effective immediately upon its adoption and signature of the Mayor.z Meeting History Jan 24, 2019 9:00 AM City Planning and Zoning Draft Commission RESULT: ADOPTED [UNANIMOUS] MOVER: Wifredo (Willy) Gort, Commissioner, District One SECONDER: Manolo Reyes, Commissioner, District Four AYES: Ken Russell, Wifredo (Willy) Gort, Manolo Reyes, Keon Hardemon ABSENT: Joe Carollo http://miamifl.igm2.comICitizensIDetail_LegiFile.aspx?ID=5269&highlightTerms=Camill... 2/25/2019 AC" CERTIFICATE OF LIABILITY INSURANCE DATE 6r21t201 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 Artex Risk Solutions, Inc. (CB) 2850 Golf Road, 5th Floor Rolling Meadows IL 60008-4050 NAMEACT Christian Brothers Services PHONENo, 800 807-0300 a Ne :830-378-2508 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC A INSURER A: Pennsylvania Manufacturers Assoc Ins CO 12262 INSURED CHRIBRO-14 Brothers of the Christian Schools & Affiliates Loc#1176001 CAMILLUS HOUSE INC INSURER a : Old Republic Insurance Company 24147 INSURERC: 1205 Windham Parkway INSURER D : INSURER E: Romeoville IL 60446-1679 INSURER F : . o mAn_=aa /`GI7TIGICATF NUMBER' 429307486 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRMCI TYPE OF INSURANCE ADD SU D POLICY NUMBER MMIUDY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR Y N 8218DO0998922 6/15/2018 61IC2019 EACH OCCURRENCE $2,000.000 DAMAGE TO RENTED PREMISES tEaoc urrence $ Included MED ERP (Any one person) $15,000 PERSO L & ADV INJURY S 1.00,000 / GEN'L AGGREGATE LIMIT APPLIES PER: GE RAL AGGREGATE $ 3,000,000 ODUCTS-COMP/OPAOG S 1,000,000 X POLICY ❑ SECTLOC \��j-(-�� OTHER: B AUTOMOBILE LIABILITY X ANY AUTO\v'� OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY Y N MWrB 21543 Q O 1 \U< }, 161\1- 2019 ^ t� 611 0 COMBINED SINGLE LIMIT Ee ecel� rat $1,000,D00 B INJURY (Per person) $ BODILY INJURY (Per accident) $ ParaoddYDAMAGE a a�rJdent 'S $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LI I I CLAIMS -MADE DED I RETENTION $ $ WORKERS COMPENSATION STATUTE ERA AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETORIPARTNERIEXECUTNE E L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ OFFICERIM EMBER EXCLUDED? ❑ (Mandatory In NH) NIA E.L. DISEASE • POLICY LIMIT S N yes, describe under DESCRIPTION OF OPERATIONS below A Ud. Prof. Healthcare TL N 821800 0908922 6/152018 6I152018 S1,OD0,000 Occurr. S1,0D0,000 Aggreg. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be atiachod Umore space Is required) Only the General Liability coverage will apply on a Primary and Non -Contributory basis (per attached endorsement) if required by fully executed written contract. Certificate Holder is added as an Additional Insured (per the attached endorsement) for General Liability and Automobile coverages solely, strictly, and specifically with regards to: City of Miami Contracts. City of Miami Is added as Additional Insured where required by contract. CERTIFICATE HOLDER L:ANUI=LLAIIUIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Miami 444 SW 2nd Avenue AUTHORI REPRESENTATIVE Miami FL 33130 �� V 9tiao-zuio At vmu %.VRr-vmP nin. Mn nynas rnsCrvnu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD A� ORo® CERTIFICATE OF LIABILITY INSURANCE F DA IMMMOs Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 Marsh & McLennan Agency LLC 1000 Corporate DriveEbMAIF Suite 400 Fort Lauderdale FL 33334 CONTACT NAME; PHONE g54_938-8788 u Ids A _DRL INSURERS AFFORDING COVERAGE NAIC0 INSURERA: RSUI Indemnity Company 22314 INSURED CAMILHOUSE7 Camillus House Inc. INSURER B : RetallFirst Insurance Company 10700 1603 NW 7th Avenue INSURER C : INSURERD: Building G Miami FL 33136 INSURER E INSURER F: CUVEKAGFS CFRTIFICATF NIIMR9R•A19RRA9R9 93CA1101ARl 61n11sOCG. 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. INTR TYPE OF INSURANCE ADDL SUBR POLICYNUMBER POLICY EFF MMIDD/YYYYI POLICY EXP (MMfDDNYYYI1 LIMITS COMMERCIAL GENERAL LIASIUTY CLAIMS -MADE M OCCUR EACH OCCURRENCE s P?;ffM0 RENTED REMISES En occurrence)$ MED EXP (Any oneperson) $ PERSONAL A ADV INJURY 8 GEN'LAGGREGATE UMrTAPPUESPER: POLICY ❑ JECT LOC GENERAL AGGREGATE $ PRODUCTS2 COMP/OP AGG $ $ OTHER: ^ f AUTOMOBILE LIABILITY ANY AUTO �" t� `rJ, T )''.. OM I EDSINGLELIMIT a code t $ DILY INJURY (Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS D V \ ` aocide BODILY INJURY er nt ) S HIRED NON -OWNED AUTOS ONLY. AUTOS ONLY / 7 l f( PROPS AMAGE Per ent $ $ UMBRELLA LIAB OCCUR ' EACH OCCURRENCE $ EXCESStJAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ Is g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANYPROPRIETOR/PARTNER/EXECUTIVE RlMEMERFJ(CLUDED7 NIA 052058602 1/1/2019 1/1/2020 1 \ x ST TUrE OT ERH- E.L. EACH ACCIDENT $ 1.000,000 E.L. DISEASE -EA EMPLOYE $1,D00,000 (MandaN (Mandatory tory In NH) If es, describe der DESun CRIPTION OF OPERATIONS belmv E.L. DISEASE - POLICY LIMIT $1,000,000 A Employment Practices Liability NHP580234 2/1/2019 2/iM20 Limit $5.000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If morn space Is required) Proof of Insurance only. City of Miami is added as Additional Insured where required by contract. I" City of Miami 444 SW 2nd Ave 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 i e ©1988-2015 ACORD CORPORATION. All rights ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Camillus House A Ministryof the Hospitaller Brothers of St. John of God January 10, 2020 Mr. Jason Walker Executive Director OMNI-CRA 1401 N. Miami Avenue Miami, Fl 33136 RE: Letter of Request for continuation funding for the City of Miami Shelter Program FY19 Dear Mr. Walker, Camillus House is submitting the enclosed proposal to request continuation funding for the City of Miami Shelter Program in the amount of $175,000 for grant year 2018-19. Camillus House has provided the City of Miami with 75 shelter beds since 2016, to facilitate the City's commitment to serving the homeless in the community. The program operates with collaborative funding from the City of Miami, The Miami Downtown Development Authority and the OMNI CRA. Services are to be delivered in accordance with the attached scope and budget for Services are to be delivered in accordance with the attached scope and budget for FY2019. Please feel free to contact me at 305.374.1065 ext. 308 if you have any questions or require additional information. Sincerely, Hilda M. Fernandez Chief Executive Officer HOPE IS WHERE THE HEART IS 1603 NW 7th Avenue, Miami, Fl- 33136 1 Tel 305.374.1065 1 camillus.org City of Miami Shelter Program Proposal 2018-2019 Submitted to the OMNI CRA by Camillus House, Inc. Program Description: Camillus House has successfully managed and operated the City of Miami Funded Emergency Shelter Program since 2016. The program provides the City with 75 emergency shelter beds and associated services for street homeless referred by the City of Miami Police Department. Background. In order to continue its commitment to assist homeless persons within its jurisdictional boundaries, and its desire to comply with the Pottinger Settlement Agreement, the City of Miami contracted to secure seventy-five (75) emergency shelter beds at Camillus House at it main facility, located at 1603 NW 7 Avenue, Miami. Under the City of Miami Shelter Bed Program, C ten (10) beds are available for 24-hour placements, and sixty-five (65) beds are available for individuals leaving the ten 24-hour beds who request additional services (e.g. Extended Stay Beds). Clients are placed in this program by City of Miami Police officers, and are homeless individuals coming primarily from areas with the highest concentration of homelessness within the City, including the area encompassing the OMNI CRA. The program has historically been funded though a partnership with the City of Miami and its affiliates the Miami Downtown Development Authority (DDA) and the OMNI CRA. The payments in the last two years have been as follows: 1. City of Miami: $460,000 2. OMNI CRA: $175,000 3. DDA: $40,000 Commitments have already been received from the City of Miami and the DDA. Through this proposal, Camillus House is requesting continuation of the OMNI CRA contribution in the amount of $175,000. This funding is essential to ensure the continued level of bed availability for the City to provide emergency housing placements, in particular for City Police Pottinger-related placements. At present, there is limited daily bed availability in all homeless shelters, with average wait times for City of Miami Homeless Outreach placements between two -three weeks. Services Provided: Camillus House provides the following services to homeless persons referred to the program which will include, but are not limited to: a. To the extent possible, make available lower level beds (when bunks beds are present) or regular single beds to facilitate access for persons with disabilities; b. Up to three (3) meals a day; c. Basic case management, information, and/or referral to ancillary services (i.e., independent living skills preparation, etc.); d. Access to basic health, substance abuse, and/or mental health screening on a voluntary basis; e. Participation in the other routine services of the Camillus House Day Center program, including - but not limited to, access to: showers, clothing exchange, toilet facilities, mail room, library, computers, electrical outlets, telephones, socialization, and other recreational activities; f. Assistance to receive entitlement benefits (i.e., SSI, VA, TANF, Medicaid and other entitlements); referral to educational, recreational and vocational services as appropriate, and referral to transitional and/or advanced care housing; g. Camillus provides the following amenities to homeless persons referred to the Program: i. Space sufficient to accommodate seventy-five (75) beds; ii. Organized sleeping arrangements; iii. Personnel to provide necessary care; iv. Functioning restrooms; V. Electricity to provide light; vi. A potable water source or space to accommodate water; vii. Staff personnel adequate to maintain a safe environment at the facility; viii. Adequate supplies necessary to comply with all terms of this Agreement; ix. Appropriate medical care and supplies when necessary, and within the scope of the agency's competence, in its sole discretion; X. A dog kennel; xi. Personnel property storage; and xii. Basic personal hygiene products available at no cost, such as soap, shampoo, tooth paste, toothbrush etc. Reporting: Camillus House provides the City, DDA and can provide to the OMNI CRA with monthly reports detailing: 1. Total number of persons served 2. Average monthly and Daily Bed Vacancy 3. Average length of stay 4. Length of stay by participant Budget: The expenses associated with the City of Miami Shelter Program are as follows: Line Item Salaries --- ---- -------------------—------ I-------------290,000 ',-Benefits — u LFood Service costs -- — --__-- -----------__ — — --; 65,000 j _' _ 60,000 ' General, Administrative, Insurances, Supplies _ _ 35,000 A ^ —_ Direct & Ancillary_ support to clients I— 20,0001 _ _--__ _ Facility Expenses_ _ _ _ _ _ _ — { 205,000 ' v -- �—------- ----------- _— 675,000 ----1 In addition to the expenses above, there are $65,000 in additional expenses associated with service delivery and administrative overheads for the program in the agency FY 2019 budget. The budget for the 2018-19 OMNI portion of the program is as follows: Camillus House, Inc. City of Miami Shelter 2018-19 budget - OMNI CRA OMNI CRA Unit Cost ,(3uly - 3une FTEs Budget (S) Salaries Case Manager 35,000 1.0000 $ 35,000 Case Manager 35,000 0.7500 $ 26,250 Residential Assistant 35,027 1.0000 $ 35,027 Residential Assistant 33,000 1.0000 $ 33,000 3.7500 $ 129,277 Subtotal salaries Fringe benefits and taxes % FICA (6.2%) 6.20% $ 8,015 Unemployment Taxes (4% of first $7k) 4.00% $ 1,050 Life/Disability Expense (1.5%) 1.50% $ 1,939 Gp Health Expense ($8,321/FT employee) $649 $ 29,205 Workers Comp Expense (avg of 1.25%) 1.25% $ 1,616 Medicare (1.45%) 1.45% $ 1,875 Long -Term Care (.15%) 0.15% $ 194 403b (50% enrollment) 3.00% $ 1,829 Subtotal fringe benefits and taxes $ 45 723 35.37% Total Costs 175 000 Exhibit C - INSURANCE REQUIREMENTS Page 16of16 EXHIBIT INSURANCE REQUIREMENTS-CAMILLUS HOUSE I. Commercial General Liability A. Limits of Liability Bodily Injury and Property Damage Liability Each Occurrence $1,000,000 General Aggregate Limit $ 2,000,000 Personal and Adv. Injury $ 1,000,000 Products/Completed Operations $ 1,000,000 B. Endorsements Required City of Miami and OMNI CRA listed as additional insured Contingent & Contractual Liability Premises and Operations Liability Primary Insurance Clause Endorsement II. Business Automobile Liability A. Limits of Liability Bodily Injury and Property Damage Liability Combined Single Limit Owned/Scheduled Autos Including Hired, Borrowed or Non -Owned Autos Any One Accident $ 1,000,000 B. Endorsements Required City of Miami and OMNI CRA listed as an additional insured III. Worker's Compensation Limits of Liability Statutory -State of Florida Waiver of Subrogation 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&rrors and Omissions Coverage Combined Single Limit Each Claim $1,000,000 General Aggregate Limit $1,000,000 Retro Date Included V. Umbrella Liability Each Occurrence $1,000,000 Policy Aggregate $1,000,000 City of Miami and OMNI CRA listed as additional insured. Excess over all applicable liability policies contained herein. The above policies shall provide the City of Miami with written notice of cancellation or material change from the insurer in accordance to 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 Risk Management prior to insurance approval. .4coR7 ® CERTIFICATE OF LIABILITY INSURANCE DATEjMM/DD,YVYY) 11/27/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER Artex Risk Solutions, Inc. (CB) 2850 Golf Road, 5th Floor Rolling Meadows IL 60008-4050 CONTACT NAME; Christian Brothers Services PHONE FAX V—�— -w-r-No, • 800-807-0300 Arc. No]: 63D-378-2508 ADDRESS: INSURERS) AFFORDING COVERAGE NAIC R INSURER A: Pennsylvania Manufacturers Assoc Ins Co _ ` 12262 INSURED CHMBRO-14 Brothers of the Christian Schools & Affiliates INSURER B: Old Republic Insurance Company y 24147 Loc#1176001 CAMILLUS HOUSE INC INSURERC: INSURERD: 1205 Windham Parkway Romeoville IL 60446-1679 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER:1342994300 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DDL UBR POLICY NUMBER MMOIUDU EFF MOUC. YYYY,LIMITS A X COMMERCIALGENERALLUIBILITY Y N 821900099BS22 6/15/2019 6/1512020 EACH OCCURRENCE $2,000,000 CLAIMS -MADE 1­X­1 OCCUR _ PREMISES Ee occurrence $ Included MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY _ $1,000,000 AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $3,000,DD0 GEN'L X POLICY u E�T II LOG 1 PRODUCTS - COMP/OP AGG $1.000,000 $ OTHER: I B AUTOMOBILE LIABILITY Y N MWrB 21543 6/16/2019 6/15/2020 CfEaOMBINED SINGLE LIMIT ecadent) I $1,000,000 xi ANY AUTO BODILY INJURY (Per person) Is OWNED SCHEDULED AUTOS ONLY AUTO AAUTOS ONLY X I AUTOS ONLY BODILY INJURY (Per accident) I $ PROPERTY $ $ I _I UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ —^ EXCESS LIA6 CLAIMS -MADE I I DEC ! RETENTION $ I — $ WORKERS COMPENSATION ER TH- I ER STATUTE AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETORIPARTNERIEXECUTIVE El OFFICER/MEMBER EXCLUDED? I NIA E.L. EACH ACCIDENT --` $ E.L. DISEASE -EA EMPLOYEE $ (Mandatory In NH) I1 yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMB $ A Ltd. Prof. Healthcare N N 1121900 011981122 6/1512/19 6/1112020 $1,000,000 Occu r. $1,000,000 Aggreg. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additlorul Remarks Schedule, may be attached IT more space la required) Only the General Liability coverage will apply on a Primary and Non -Contributory basis (per attached endorsement) if required by fully executed written contract. Certificate Holder is added as an Additional Insured (per the attached endorsement) for General Liability and Automobile coverages solely, strictly, and specifically with regards to: City of Miami Contracts. City of Miami is added as Additional Insured where required by contract. 17mikINIAL I"_a SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Miami 444 SW 2nd Avenue Miami FL 33130 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD PENNSYLVANIA MANUFACTURERS' ASSOCIATION INSURANCE COMPANY Attaching to and forming part of Policy No. 821900 0998922 Named Insured: THE RELIGIOUS AND CHARITABLE RISK POOLING TRUST OF THE BROTHERS OF THE CHRISTIAN SCHOOLS AND AFFILIATES Effective date of this endorsement is June 15, 2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED SCHEDULED PERSON OR ORGANIZATION This endorsement modifies Insurance provided under SECTION II INSURING AGREEMENT C, GENERAL LIABILITY COVERAGE defined within the Coverage Agreement SECTION is Schedule Name of Additional Insured Persons(s) or Organization(s):. Designated Locations) Of Covered Operations: ANY PERSON OR ORGANIZATION WHEN YOU HAVE AGREED IN A WRITTEN CONTRACT FOR THAT PERSON OR ORGANIZATION TO BE ADDED AS AN ADDITIONAL. INSURED ON YOUR POLICY. If no entry appears above, information required to complete this endorsement will be shown in the Certificate of Coverage as applicable to this endorsement Section II Insuring Agreement C =Name of Insured Amended A. Who Is An Insured defined in the General Insurance Agreement is amended to include as an Additional Insured the persons) or organization(s) shown in the Schedule above, butonly with respect to liability in the performance of the Named Insured's, ongoing operations for the Additional Insured(s) at,the Location(s) designated in the Schedule above for "bodily injury" or "property damage", caused in whole or in part, by the Named Insured's acts or omissions Which takes place after the execution of a written agreement with the Additional Insured(s). B. For the coverage provided by this endorsement: the following paragraph is added to Section IV —General Conditions, Section II, Insuring Agreement C-General Liability. This insurance is primary insurance as respects to this coverage to the additional Insured person or organization, Where the written contract or written agreement requires that this insurance'be primary and noncontnutory, In that event, we will hot seek contribution from any other insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. C. Who is An Insured is also amended to Include as an additional insured the person(s) or organization(s) shown in the Schedule, with, respect to liability for''bodlly injury". or "property -damage" caused, in whole or in part, by the "Named Insured's work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". The most we will pay is the amount of insurance required by the written contract or the amount of .applicable limits of Insurance under this policy; whichever is less. This Insurance does not apply to any claims or suits seeking damages, including defense, arising ,out of, directly or indirectly, from any actual or alleged participation in any act of sexual misconduct, sexual harassment, sexual molestation, sexual abuse or any claim sexual in nature, physical or mental, of any person. Except as amended in this endorsement, this. insurance is subject to all coverage terms, clauses and conditions in the policy to which this endorsement is attached and only applies to the extent permitted by law. IL 10 (12106) OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM SCHEDULE Name of Person(s) or Organization(s): All persons or organizations as required by contract or agreement With respect to COVERED AUTOS LIABILITY. COVERAGE, Who Is An Insured is changed with the addition of the following: Each person or organization shown in the Schedule for whom you are doing work is an "insured". But only for "bodily injury" or "property, damage" that results from the ownership,maintenance or use of a covered "auto" by: 1. You; 2. an "employee" of yours; or 3. anyone who drives a covered "auto" with your permission or with the permission of one of your "employees". However, the insurance ,afforded to the person or organization shown in the Schedule shall not exceed the scope of coverage and/or limits of this policy. Not withstanding the foregoing sentence, in no event shall the insurance provided by this policy exceed the scope of coverage and/or limits required by the contract or agreement. PCA0011013. MWrB 21543 Religious and Charitable Risk Pooling Trust 06/15/2019 - 06/16/2020 ACIORV CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDD,rYYY) 12/2/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT, If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED' provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER -- Marsh & McLennan Agency LLC 1000 Corporate Drive Suite 400 Go C NAME: PHONE FAX +Arc Np Edl• 954-938-8786 Afc No EDDRESSO INSURERIS) AFFORDING COVERAGE NAICN Fort Lauderdale FL 33334 INSURERA: fQnsale Insurance Company 38920 INSURED CAMILHOUSEI Camillus House Inc. INSURER e : RetailFirst Insurance Company 10700 1603 NW 7th Avenue INSURERC: INSURERD: Building G Miami FL 33136 INSURER E : INSURER F : I v� CnVF12AMPA CFRTIFICATF MIIMRFR•970f13A34A RFVISInM NIIMRFR• 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. INSLTRR TYPE OF INSURANCE ADDL UBR POLICY NUMBER MMOIUDDMlYY { MMMffDD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE OCCUR 5.000 01000202895 5/29/2019 5/21/2020 + ! EACH OCCURRENCE I $1,000,000 PREMISES EaEocc+nenow $100,000 _ X ( I MED EXP (Any one person) T_ $ Excluded X Retro:529/14 PERSONAL & ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: X I POLICY ERCOT- LOC OTHER: GENERALAGGREGATE $ 2,000,000 PRODUCTS-COMPIOPAGG $Included $ AUTOMOBILELUIBILITY _ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY I !! I - COMBINED SINGLE LIMIT AEe aetldentl IS 1 BODILY INJURY (Per person) 1 $ cci I BODILY INJURY (Per adent) Ij $ PROPERTY DAMAGE Per acdtlent $ _ A X UMBRELLAUAB EXCESS LIAB Hx OCCUR CLAIMS -MADE 01000863340 5/29/2016 5/29/2020 EACH OCCURRENCE $3,000,000 AGGREGATE _ $3,000,000 — DED I X RETENTIONS S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERICXECUrIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS belaw NIA I 052058602 1/1/2019 I i 1/1/2020 1 x 1 STATUTE I I ERH I E.LEACH ACCIDENT I$1.000,000 _ E.L. DISEASE - EA EMPLOYEEI $1,000,ODO E.L. DISEASE - POLICYLIMIT I $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more epaco Is required) City of Miami, as Designated Organization, is Additional Insured as respects General Liability when required by written contract subject to the terns, conditions and exclusions of the policy. GEKIH-IGATE MULOEK GANGELLATIUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Miami 4" SW 2nd Avenue Miami FL 33130 AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD AC� V CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 11/22/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does' not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Artex Risk Solutions, Inc. (CB) 2850 Golf Road, 5th Floor Rolling Meadows IL 60008-4050 NAMET-Christian Brothers Services PHONE FAx M.02_11 Extl; 800-807-0300 Arc No : 63D•378-2508 nDpalss:_ INSURER(Sl AFFORDING COVERAGE NAIC S INSURER A: Pennsylvania Manufacturers Assoc Ins CO 12262 INSURED CHRIBRO.14 Brothers of the Christian Schools & Affiliates Loc#1176001 CAMILLUS HOUSE INC INsuRER e : Old Republic Insurance Company. 24147 msuRERc: 1205 Windham Parkway INSURERD: -INSURERE: Romeoville IL60446-1679 INSURER F : - - rnveoaaue CERTIFICATE NUMBERe1097316A98 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE AOOL SUER POLICY EFF POLICY. EXP LIMITS LTRPOLICY NUMBER MMIDDIYYYY MMIDD A X I COMMERCIAL GENERAL LIABILITY Y N 821900 0998922 6/15/2019 _ 6/15/2020 EACH OCCURRENCE. $ 2,000,000 DAMAGE TD R N ED PREMISES (Ea occurrence) $ Included CLAIMS -MADE FKI OCCUR MED EXP (Any one person) $ 15.000 PERSONAL & ADV INJURY y_ $1,00D.000 W GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 PRODUCTS -COMPIOPAGG $1,000,000 x POLICY JECT ILOC $ .OTHER: 8 Y N MWTB21643 6/15/2019 6/15/2020 �MBBIINEEntSINGLELIMIT $1.000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ NAUnTOMOSILELIABILITY OWNED SCHEDULED AUTOS ONLY AUTOB HIRED NON-0WNED X P�PERTYDAMAGE$ (Per accldenI)� AUTOS ONLY AUTOS ONLY I$ UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE is EXCESS LIAR CLAIMS MADE I DEDRETENTION $ Is - WORKERS COMPENSATION I STAME I ERH AND EMPLOYERS• LIABILITY YIN - `- ANYPROPRIE70R/P/1RTNERIEXECUTIVE E.LEACH ACCIDENT $ E.L. DISEASE- FA EMPLOYEE $ OFFICERIM EMBER EXCLUDED? ❑ (Mandatory In NH) NIA E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A Ltd. Prof. Healthcare N N $21900 0998922 6/11/2019 6115/202/) $1,000,000 Ocarr. $1,000,000 Aggreg. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddtUonal Remarks Schedule, may be attached If more space Is requlred) Only the General Liability coverage will apply on a Primary and Non -Contributory basis (per attached endorsement) if required by fully executed written contract. Certificate Holder is added as an Additional Insured (per the attached endorsement) for General Liability and Automobile coverages solely, strictly, and specifically with regards to: Grant Program. CERTIFICATE Irnl DER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. OMNI CRA 1421 N Miami Ave 2nd Floor Miami FL 33136 AUTHoREPRESENTATIVE epww ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD PENNSYLVANIA MANUFACTURERS' ASSOCIATION INSURANCE COMPANY Attaching to and forming part of Policy No. 821900 0998922 Named Insured: THE RELIGIOUS AND CHARITABLE RISK POOLING TRUST OF THE BROTHERS OF THE CHRISTIAN SCHOOLS AND AFFILIATES Effective date of this endorsement is June 15, 2019 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under SECTION II INSURING AGREEMENT C, GENERAL LIABILITY COVERAGE defined within the Coverage Agreement SECTION 1: Schedule Name of Additional Insured Persons(s) or Organization(s): Designated Location(s) Of Covered Operations: ANY PERSON OR ORGANIZATION WHEN YOU HAVE AGREED IN A WRITTEN CONTRACT FOR THAT PERSON OR ORGANIZATION TO BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY. If no entry appears above, information required to complete this endorsement will be shown in the Certificate of Coverage as applicable to this endorsement. Section II Insuring Agreement C -Name of Insured Amended A. Who Is An Insured defined in the General Insurance Agreement is amended to include as an Additional Insured the person(s) or organlzation(s) shown in the Schedule above, but only with respect to liability in the performance of the Named Insured's ongoing operations for the Additional Insured(s) at the Locations) designated in the Schedule above for "bodily injury" or "property damage", caused in whole or in Part,. by the Named Insured's acts or omissions which takes place after the execution of a written agreement with the Additional Insured(s). B. For the.coverage provided by this endorsement: the following paragraph is added to Section IV -General Conditions, Section II; Insuring Agreement C-General Liability. This insurance is primary insurance as respects to this coverage to the additional insured person or organization, where the written contract or written agreement requires that this insurance be primary and noncontributory. In that event. we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. C. Who Is An Insured is also amended to include as an additional insured the person(s) or organizations) shown In the Schedule; with respect to liability for "bodily injury" or "property damage" caused, in whole or in, part, by the "Named Insured's work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". The most we will pay is the amount of insurance required by the written contract or the amount of applicable limits of insurance under this policy; whichever Is less. This Insurance does not apply to any claims or suits seeking damages, including defense, arising out of, directly or indirectly, from any actual or alleged participation in any act of sexual misconduct, sexual harassment, sexual molestation, sexual abuse or any claim sexual in nature, physical or mental, of any person, Except as amended in this endorsement, this insurance is subject to all coverage terms, clauses and conditions In the Policy to -which this endorsement is attached and only applies to the extent permitted by law. IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM SCHEDULE Name of Persons) or Organization(s): All persons or organizations as required by contract or agreement With respect to COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured is changed with the addition of the following: Each. person or organization shown in the Schedule for whom you are doing: work- is an "insured". But only for "bodily injury" or "property damage" that results from ,the ownership, maintenance or use of a covered "auto" by: 1. You; 2. an "employee" of yours; or 3. anyone who drives a covered "auto" with your permission or with the permission of one of your "employees". However, the insurance afforded to the person or organization -shown in the,Schedule shall not exceed the scope of coverage and/or limits of this policy. Not withstanding the foregoing sentence, in no event shall the insurance provided by this policy exceed the scope of coverage and/or limits required by- the contract or agreement. PCA 001 1013 MWfB 21543 Religlous and Charitable Risk Pooling Trist 06115/2D19 - 05/15/2020 A&GOR H CERTIFICATE OF LIABILITY INSURANCE DATE[Mmmmorr"Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) 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 Marsh &McLennan Agency LLC 1000 Corporate Drive Suite 400 Fort Lauderdale FL 33334 CONTACT NAME:PHONE _ FAx LVC. o. Exti: 954-938-8788Kol— E-MAIL-ADDRE INSURER(S) AFFORDING COVERAGE NAIC! _ INSURERA: Kinsale Insurance Company _ 38920 INSURED CAMILHOUSEI INsuRERs: Retail First Insurance Company 10700 Camillus House Inc. 1603 NW 7th Avenue INSURERC: INSURERD: Building G Miami FL 33136 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER:1906147614 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTRI TYPEOFINSURANCE �ADOL�SUBR' POLICYNUMBER MOMroo LICY Tm EFF M10,91LIDD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY X CLAIMS MADE OCCUR 5,000 I 01000202895 512111019 5121/2020 I EACH OCCURRENCE E 1,000,000 - X DAMa Ei�REaTED PREMISES (Ea occurrence) $100,000 MED EXP (Any one person)_ $ Excluded _ I Retro: 529/14 PERSONAL & ADV INJURY_ $1,000,000 GGEINLAGGREGATE LIMIT APPLIES PER ^ ' POLICY PRCT ❑ LOC `I1 OTHER: GENERAL AGGREGATE $2,ODD,000 PRODUCTS -COMP/OP AGG S Included $ AUTOMOBILEL rr _ TI ABILITY ANY AUTO AUTOS ONLY AUTOS ULED HIRED JA NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ee accident_ BODILY INJURY (Per person) E �__`_ E BODILY INJURY (Per accident) I E PROPERTY DAMAGE Per ecGdent)__� $ $ A X IUMBRELLALIAB EXCESS LIAB HOCCUR CLAIMS -MADE 01000BB3340 5129/2019 512112021) EACHOCCURRENCE $3.000,000 _ $3,000,000 AGGREGATE DED I X I RETENTIONS $ B IWORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFFICERIMEMBEREXCLUDED? IMandafory In NH) FNIA 11 es, describe under DESCRIPTION OF OPERATIONS below 05205B602 1/1/2019 1/1/2020 �X STATUTE ERH__ E.L.EACH ACCIDENT I $1,000,000 DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY L MITE.L. $1,000,000 { DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) OMNI-CRA, as Designated Organizations, is Additional Insured as respects General Liability when required by written contract subject to the terms, conditions and exclusions of the policy. -�T% rwn I" nvwan r1/4111aCLLA I till OMNI-CRA 1401 N. Miami Avenue 2nd floor Miami FL 33136 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD