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HomeMy WebLinkAboutExhibit A2/18/2026 E§E?di Department of Housing & Community Development i 1 CITY OF MIAMI COMMERCIAL FACADE & CODE COMPLIANCE PROGRAM PROGRAM YEAR 2025-2026 [Page left intentionally blank] Department of Housing & Community Development ("HCD") Commercial Facade and Code Compliance Program Policies & Procedures Manual Per 24 CFR 570.202(a)(3), "rehabilitation of privately owned and commercial or industrial buildings is limited to improvements to the exterior of the building and correction of code violations". Furthermore, the City requires that improvements be limited to improvements that are visible from a commercial corridor. The City of Miami will not approve or pay for a commercial facade or code compliance project which is not attached to and part of a building structure. Under the Commercial Facade/Code Compliance programs, the Community Based Organization ("CBO") will provide assistance to eligible For -Profit businesses located in the commission district from which the CBO is funded. This Commercial Facade and Code Compliance Program Policies and Procedures Manual ("Manual") is incorporated and made part of the CBO's Agreement with the City of Miami. The Manual may be amended from time to time by the City of Miami HCD, at its sole discretion, by the issuance of Program Directives. 1. Who qualifies for the Commercial Facade/ Code Compliance Program(s) ■ An operating For -Profit Business; ✓ has a valid and current certificate of use for that location and a valid business tax receipt for the type of business they are engaged in; ✓ meets all other requirements stipulated in this manual 2. Eligible Service Area(s): Per 24 CFR 570.208(a)(1)(i) — (1) Area Benefit Activities. (i) "An activity, the benefits of which are available to all the residents in a particular area where at least 51 percent of the residents are low- and moderate -income persons. Such an area need not be coterminous with census tracts or other officially recognized boundaries but must be the entire area served by the activity. An activity that serves an area that is not primarily residential in character shall not qualify under this criterion". To determine if the Service Area complies with these requirements, the CBO must follow the following steps: i. Identify which area (known hereafter as the "Service Area") is being served by the business and determine which census tracts and block groups or portions thereof, comprise this Service Area in the following manner: a. Mark in a census map the location of the business to be assisted; b. Identify the boundaries of the Service Area for such business; • Identify the census tract where the business is located; • Identify the census tracts surrounding the business; • List all the census block groups within the Service Area. • List all the corresponding number of low to moderate income persons and total population for each of the census block groups in the Service Area (Exhibit "I"). 1 ii. Determine that the number of low- and moderate -income persons being served in the Service Area is 51% or higher than the total Service Area population in the following manner (Exhibit "I"): a. Add up the number of low- and moderate -income persons in each block group (total population for the block group) in the Service Area; b. Add up the number of all persons, low/mod and non-low/mod, in each block group in the Service Area; c. Divide the total of low/mod population by the total number of people in each block group to obtain the percentage of low and moderate income persons in the Service Area; d. The business qualifies if the percentage of low to moderate income persons in the Service Area is 51% or higher. iii. Ensure that the Service Area is primarily residential. The CBO must determine that the services being provided by the business are available to all the residents of the Service Area and that the business is serving residential customers. If unsure how to do this, contact your assigned Contract Analyst. The CBO must utilize the Letter of Interest form (Exhibit "A") to determine if the business qualifies for the program. The City will only approve projects for businesses located in a Target Service Area meeting all the above mentioned conditions. 3. Eligible Business Location: Businesses must also meet the following requirements to be assisted under the facade program: i. A commercial business must be located on the first floor with street access, on a commercial corridor or commercial pedestrian walkway; ii. For a business that is located above a first floor, the building must have direct open access to a commercial corridor so that the business entrance can be visible and accessible from the outside/street level; iii. If the building is considered of mixed use (commercial and housing), no part of the commercial facade treatment can be used for any of the housing portion of the building. 4. Commercial Facade/Code Compliance Project Costs: The dollar limitation for a single business project is $50,000 for the Commercial Facade Program and $25,000 for the Code Compliance Program. However, HCD may evaluate specific projects and, at its sole discretion, approve/disapprove up to 10% of the dollar limitation. The CBO must request approval from HCD's Contract Manager in writing prior to commencing any work. 2 MORATORIUM IN EFFECT FOR SECTION 5 5. Treatments: All treatments listed below must be affixed to the building. Commercial Facade Treatments Code Compliance Treatments** Pressure Cleaning/ Painting Work requiring altering/rehabbing the structure Awnings: Install new or replace Work done without permits Doors: Install new or replace ADA Signs: Install new or replace Fire System Windows: Install new or replace Other Shutters: Install new or replace **business may be required to provide additional information Lighting: Install new or replace NOTE: The City of Miami will not approve or pay for the rehabilitation of any property which was damaged as a result of a hurricane. 6. Compensation: The City will compensate the CBO on actual expenditures not to exceed 15% of the total amount allocated for hard cost. STEPS FOR COMPLETING A COMMERCIAL FACADE/CODE COMPLIANCE PROJECT: (1) The business to be assisted must complete the Letter of Interest ("LOP') form (Exhibit "A"). The LOI must be approved and signed by the Business Owner and Property Owner. If the project consists of a code violation, then the LOI must be accompanied by a copy of the Notice/Letter of Violation. A LOI dated more than six (6) months prior to the beginning of the program year must be updated. The CBO must complete the following steps: a) Ensure that the business is in an eligible Target Service Area; b) Submit the LOI to the City on behalf of the Business Owner for approval; c) Submit copies of the business' Business Tax Receipt and Certificate of Use; d) If applicable, submit the Letter/Notice of Violation; e) Take pictures of the business before starting the commercial facade work. These photos will need to be included in the reimbursement package. (2) Obtain an Environmental Clearance and Flood Certification by the City (CBO must obtain a Flood Insurance certificate from Property Owner if business is located in a flood zone). This is a U.S. Department of Housing & Urban Development ("HUD") requirement. Construction cannot begin until the project has received clearance in writing. The City will forward the CBO verification that the Environmental Review has been completed via an "Approval for Project Commencement" form. (3) Execute the Agency & Business Agreement (Exhibit "B"). This agreement lists the requirements and guidelines for this program. 3 a) This agreement states the responsibilities of the contractor, including that upon satisfactory completion of the work, the contractor shall sign a Release of Lien (Exhibit "C"); b) Partial Release of Lien (Exhibit "D") shall be executed and sent with the reimbursement package. This partial will be included in the reimbursement for partially completed work. (4) Participating businesses, in coordination with the CBO, shall prepare the specifications for the project and solicit bids within 30 days for all the treatments approved in the Approval for Project Commencement form for the project. Procurement for the Commercial Facade/Code Compliance projects must be open and competitive and in accordance with 24 CFR 200.318 to 327. CBO must ensure that; a. A minimum of three (3) contractor bids are required for a commercial facade/code compliance project. All bidding contractors and business owners must sign and date all of their bids with the participant indicating acceptance or rejection of the bid. The bids must have a detailed description of the commercial facade/code compliance work and a breakdown of the total project cost. Failure to contain any of the information required will result in disqualification of the bid. b. All sealed bids must be submitted to HCD for opening. HCD will choose the lowest responsive bidder to perform the contracted job and shall enter into an agreement within 15 days of receiving the bid with said contractor. The bid opening will be held publicly at the City of Miami HCD office located at 14 NE 1st Ave, 2nd FL Miami, FL 33132. If the Property Owner selects a contractor other than the lowest responsive bidder, the City will only reimburse for the amounts that would have paid to the lowest responsive bidder. It will be the Property Owner's responsibility to pay for the difference. c. All bidding contractors must be provided a copy of the Federal Labor Standards Provisions. • The Davis Bacon Act governs the wage rate paid by contractors to construction workers. Projects that are funded in excess of $2,000 must meet these wage rate requirements. Certified Payroll (HUD WH-347) forms in spreadsheet format are prepared by the contractor and submitted to the CBO. The HUD 4010 form and the applicable Davis -Bacon Wage Determination must be included for all contractors and subcontractors in the commercial facade reimbursement package along with the Federal Labor Standard Provisions. A copy of the HUD 4010 form, the Federal Labor Standard Provisions and HUD form WH-347 are included in this Manual. d. The CBO shall obtain proof, to the City's satisfaction, that the contractor selected is licensed. e. Debarment and suspension: 24 CFR Part 84.15(a). (a) Recipients and Subrecipients shall comply with the government -wide non - procurement debarment and suspension requirements in 2 CFR Part 24. These government -wide requirements restrict sub awards and contracts with certain parties that are debarred, suspended, or otherwise excluded from or ineligible for 4 (5) participation in federal assistance programs or activities. It is the responsibility of the CBO to ensure that the contractor is not debarred and submit the documentation of verification (Exhibit "H"). f. A contractor's Certificate of Competency in their field of work from Miami -Dade County and a current Business Tax Receipt must be obtained from the selected contractor/subcontractors. Contractors cannot use the license of another contractor to serve in lieu of the one they are required to have by law. g. Letters stating the following are not acceptable: • "a qualifier for contractor A authorizes contractor B to develop work using my license"; • "the owner of contractor A authorizes contractor B to work under our license and insurance" • "Contractor licensee A authorizes contractor B to operate and work where electrical license A will sign and oversee all work that will require my authorization". A licensed contractor can hire a licensed subcontractor to complete a project. All contractors and subcontractors working on a commercial facade/code compliance project must have current Business Tax Receipt and a Certificate of Competency. A copy of the license certificate(s) must be included in the reimbursement package. h. Bids from manufacturers will not be accepted unless they have a Certificate of Competency (license) to pull permits and install. A licensed manufacturer can hire a licensed contractor/subcontractor to complete a project. For example, a licensed sign manufacturer can bid on a project and then hire an electrical contractor to complete the electrical work for the sign. Ensure that all improvements are in compliance with the City of Miami Building Department and City of Miami Zoning Department rules and regulations. Permits must be obtained for any work that may alter the original structure. Painting work is exempted with the exception of historical designation or special business district. It is the owner and/or the agency's responsibility to find out if the building is located in an area that requires any special type of permit (i.e. Class II Permit). The City will not reimburse commercial facade/code compliance projects that do not have all the required permits. All permits must be finalized and closed when submitting reimbursement packages. Complete and sign the Final Payment Release Authorization Form (Exhibit "E"). Take photos of the completed commercial facade project. The photos need to be included in the reimbursement package. The work performed under the Commercial Facade/ Code Compliance Program shall be subject to a site inspection by the City of Miami. Four years must elapse between facade treatments of the same type being performed for the same location. 5 REIMBURSEMENT PROCEDURE: FOR SOFT COST: (1) CBO must submit the Commercial Facade/Code Compliance Reimbursement Request Form (Exhibit "F.2"). (2) Requests for soft cost payments must be made on a monthly basis. (3) Reimbursements requests should be submitted to the City within thirty (30) calendar days after the indebtedness has been incurred. (4) Each written request for payment shall contain a statement declaring and affirming that services were provided to certified program participants and in accordance with the approved work program and program budget. All documentation in support of each request shall be subject to review and approval by the City at the time the request is made. (5) In addition to the request for payment, the CBO must submit a Budget to Actual Expenditure Report along with the documents supporting expenditures. (6) Verifiable hours of service related to soft costs are those hours of service provided by the CBO that can be substantiated by the payroll and other pertinent records and which are reasonable, necessary, and directly allocable to the business participating in the commercial facade/code compliance program from the CBO. (7) (8) (9) All expenditures must be verified with a copy of the original invoice and a copy of a check or other form of payment which was used to pay that specific invoice. Within sixty (60) days of submitting each reimbursement request, copies of the cancelled checks or other City approved document(s) evidencing the payments made by the CBO, for which reimbursement was requested, shall be submitted. In the event that an invoice is paid from multiple funding sources, the copy of the invoice must indicate the exact amount (allocation) paid by those multiple funding sources equaling the total of the invoice. No miscellaneous categories shall be accepted as part of the line -item budget. Absent the completion of a commercial facade/code enforcement project, the City will pay up to one half the amount of the grant for soft costs to the CBO. Once the CBO documents the implementation of the required commercial facade/code compliance projects and/or treatments equivalent to the soft cost paid by the City, payments will resume. During the term thereof and for a period of five (5) years following the date of the payment made hereunder, the City shall have the right to review and audit the related records of the CBO pertaining to any payments by the City. (10) The CBO must submit the request for final payment to the City within 10 (ten) calendar days following the expiration date or termination date of this agreement in a form to be provided by HCD. If the CBO fails to comply with this requirement, the CBO may forfeit all rights to payment and the City may not honor any request submitted thereafter. The final reimbursement request might not be processed if the 6 close out package has not been properly completed and submitted to HCD by the due date. FOR HARD CosT: (1) CBO must submit the Commercial Facade/Code Compliance Reimbursement Request Form (Exhibit "F.1") along with the Commercial Facade/Code Compliance Project Reimbursement Package Checklist (Exhibit "G") Packages that are missing any documents listed in Exhibit "G" or having incorrect dates will be returned to the CBO within 3 business days. (2) Reimbursements should be submitted to the City as treatments are completed. (3) During the term thereof and for a period of five (5) years following the date of the payment made hereunder, the City shall have the right to review and audit the related records of the CBO pertaining to any payments by the City. 7 EXHIBIT "A" COMMERCIAL FACADE/CODE COMPLIANCE PROGRAM LETTER OF INTEREST As A MERCHANT IN THIS COMMUNITY, I WISH TO PARTICIPATE IN THE COMMERCIAL FACADE/CODE COMPLIANCE PROGRAM TO IMPROVE MY BUSINESS AND/OR CORRECT CODE VIOLATIONS, WHICH WILL ENHANCE THE COMMERCIAL CORRIDORS OF THIS NEIGHBORHOOD. I UNDERSTAND THAT THIS LETTER OF INTEREST IS NOT A BINDING CONTRACTUAL OBLIGATION ON MY PART. Commercial Facade Program Code Compliance ❑ Program Name of Business: Name of Business Owner: Owner Signature: Business Address: Telephone #: Year Building was Built: Business Tax Receipt #: Certificate of Use #: WORK AUTHORIZATION FROM PROPERTY OWNER I, legal owner of the property located at the abovementioned business address, give authorization to rehabilitate the exterior facade of my property and/or correct code violation(s). I further agree that the City of Miami and (CBO) will not be responsible for any damages resulting from said rehabilitation. Furthermore, I certify that the work to be performed is not as a result of damages caused by a hurricane. Property Owner Signature Date WORK TO BE PERFORMED Please ulace a checkmark next to the treatment to be uerformed: Commercial Facade Treatments Owner Initials Code Compliance Treatments** Pressure Cleaning/ Painting Work requiring altering/rehabbing the structure Awnings: Install new or replace Work done without permits Doors: Install new or replace ADA Signs: Install new or replace Fire System Windows: Install new or replace Other Shutters: Install new or replace **business may be required to provide additional information Lighting: Install new or replace 8 EXHIBIT "B" COMMERCIAL FACADE/CODE COMPLIANCE PROGRAM COMMUNITY BASED ORGANIZATION (AGENCY) & BUSINESS AGREEMENT Commercial Facade Program I, o Code Compliance Program enters into this agreement with o , representing (hereinafter referred as "Contractor") (hereinafter referred as "Participating Business/Property Owner") to perform work at , Miami, FL, 33 ARTICLE I - SCOPE OF WORK The scone of work to be performed is as follows: Commercial Facade Treatments Code Compliance Treatments** Pressure Cleaning/ Painting Work requiring altering/rehabbing the structure Awnings: Install new or replace Work done without permits Doors: Install new or replace ADA Signs: Install new or replace Fire System Windows: Install new or replace Other Shutters: Install new or replace **business may be required to provide additional information Lighting: Install new or replace ARTICLE II - COMPLYING WITH THE SCOPE OF WORK Contractor agrees to comply with the specifications and/or drawings provided by the Participating Business/Property Owner, which will be delivered, monitored, and approved only by the CBO. If the Contractor does not comply with the scope of work, specifications, and/or drawings provided, Contractor shall not receive payment until work complies with the scope of work, specifications, and/or drawings. Contractor agrees to complete all of his/her work by the day of ,2026 or before, weather permitting. ARTICLE III - COMMENCEMENT OF WORK Contractor shall not commence work until s/he receives a written notice from the CBO to begin the work. CBO will not be liable for any work performed by the Contractor in the event that the Contractor commenced work prior to the receipt of said written notice. Contractor understands that this Project must comply with the Federal Labor Standards Provisions and Davis -Bacon Act and acknowledges the receipt of the HUD-4010 form which states the Federal Labor Standards Provisions and the applicable wage decision must be incorporated to this project. CONTRACTOR INITIALS 9 EXHIBIT "B" (CONTINUATION) ARTICLE IV - CHANGES IN THE SCOPE OF WORK Contractor will only accept or act upon written instructions or changes in the scope of work signed by the Participating Business/Property Owner, an employee of the City of Miami Department of Housing & Community Development AND the CBO. ARTICLE IV - NOTICES All notices or other instruments under this agreement shall be in writing and delivered personally, sent by fax, or via email with confirmation sheets, or mail by certified mail postage prepaid to the following addresses: ARTICLE V - INSURANCE The participating business agrees to indemnify and hold harmless the CBO and the City of Miami from and against all claims, suits, damages, costs, and expenses, in any manner resulting from or arising out of any activities under this contract. ARTICLE VI - LICENSES Contractor certifies that s/he is licensed to complete the Commercial Facade/Code Compliance project and agrees to provide a copy of the contractor's Certificate of Competency and/or Business Tax Receipt, as applicable, to the CBO prior to commencing construction. ARTICLE VII - COUNTERPARTS This agreement shall be executed in two (2) counterparts, each of which shall be deemed an original, but all for which together shall constitute one and the same instrument. CONTRACTOR: Print Name Signature Date PARTICIPATING BUSINESS/PROPERTY OWNER: Print Name Signature Date CBO: Print Name Signature Date To BE COMPLETED BY THE CBO: Date contract was awarded to Contractor: Date Construction Started: The Applicable Wage Decision for this Project is: 10 EXHIBIT "C" UNCONDITIONAL WAIVER AND RELEASE OF LIEN UPON PROGRESS PAYMENT (PURSUANT TO FLORIDA STATUTES ANNOTATED 713.20) The undersigned lienor, in consideration of the sum of $ , hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished through (insert date) to (insert the name of your customer) on the job of (insert the name of the owner) to the following property: (Property address) This waiver and release does not cover any retention or labor, services, or materials furnished after the date specified below. CONTRACTOR: (LIENOR) Print Name Signature Date For a corporation: Not an individual. STATE OF COUNTY OF The foregoing instrument was acknowledged before me by means of J physical presence or J online notarization, this (date) by (name of officer or agent, title of officer or agent) of (name of corporation), a (state or place of incorporation) corporation, on behalf of the corporation. He/she is personally known to me or has produced (type of identification) as identification. [Notary Seal] Notary Signature Notary Name typed, printed 11 EXHIBIT "D" UNCONDITIONAL WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT (PURSUANT TO FLORIDA STATUTES ANNOTATED 713.20) The undersigned lienor, in consideration of the final payment in the amount of $ , hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished to (insert the name of your customer) on the job of (insert the name of the owner) to the following described property: Contractor: (LIENOR) Print Name Signature Date For a corporation: Not an individual. STATE OF COUNTY OF The foregoing instrument was acknowledged before me by means of ® physical presence or 0 online notarization, this (date) by (name of officer or agent, title of officer or agent) of (name of corporation), a (state or place of incorporation) corporation, on behalf of the corporation. He/she is personally known to me or has produced (type of identification) as identification. [Notary Seal] Notary Signature Notary Name typed, printed 12 EXHIBIT "E" COMMERCIAL FACADE/CODE COMPLIANCE PROGRAM FINAL PAYMENT RELEASE AUTHORIZATION FORM We have inspected all work performed by (Contractor) at the following address, , Miami, FL, 331 . We are satisfied that the work was completed in accordance with the Commercial Facade/Code Compliance Program Guidelines & Specifications. We hereby authorize for the final payment to be made: Print Name - Property Owner Signature of Property Date Owner/Merchant Print Name — CBO Representative Print Name - Contractor Print Name — HCD Representative Signature of CBO Date Representative Signature of Contractor Date Signature of HCD Date Representative Total Amount of Reimbursement Due: Commercial Facade: $ Code Compliance $ 13 Department of Housing Zt & Community Development Reimbursement Request CDBG — Economic Development Commercial Fagade Program — CFDA 14.218 Hard Cost ONLY Agency Name: National Objective: Low/Mod Area Business Name: Matrix Code: 14E Business Address: uc £ R H Paint ❑ Doors ❑ # of Businesses in Project: Facade #: F_ Awnings ❑ Shutters ❑ IDIS Number: Contract Amount: Windows ❑ Signs ❑ Project Number: District Served: Lighting ❑ # of "unduplicated" facades comp eted to date (REQUIRED): 4 HCD Reception Stamp Special Instructions: We certify that all expenditures charged to the project under contract are necessary, reasonable, and allowable costs, in compliance with the US Department of Housing and Urban Development regulations. We further agree that any and all expenditures found not to be in compliance with Federal, State, and/or Local regulations will be reimbursed to the City of Miami. Agency Name Payee's Name (if applicable) Facade Project Cost: Less: Business Owner Match: Payable by City of Miami: Authorized Representative's Signature 0.00 For City of Miami use ONLY DAVIS BACON REVIEW CERTIFICATION: I certify that the above Project was satisfactorily reviewed for Davis -Bacon Compliance: Initials Date Project # Award Task # Expenditure Fund Vendor Description: Approvals: Fiscal Assistant Amount of Drawdown: Voucher Number: Contract Analyst Contract Supervisor Administration Available in ORACLE: Transaction ID #: Check #: 14 Department of Housing 1 & Community Developcment Reimbursement Request CDBG — Economic Development Commercial Fagade Program — CFDA 14.218 Soft Cost ONLY Agency Name: National Objective: Low/Mod Area Business Name: Matrix Code: 14E Business Address: HCD Reception Stamp IDIS Number: Contract Amount: Project Number: District Served: # of "unduplicated" facades completed to date (REQUIRED): 44 Special Instructions: We certify that all expenditures charged to the project under contract are necessary, reasonable, and allowable costs, in compliance with the US Department of Housing and Urban Development regulations. We further agree that any and all expenditures found not to be in compliance with Federal, State, and/or Local regulations will be reimbursed to the City of Miami. Agency Name Payee's Name (if applicable) We request payment in the amount of: Authorized Representative's Signature For the month of: For City of Miami use ONLY Project # Award Task # Expenditure Fund Vendor Description: Approvals: Fiscal Assistant Amount of Drawdown: Voucher Number: Contract Analyst Contract Supervisor Administration Available in ORACLE: Transaction ID #: Check #: 15 EXHIBIT "G" COMMERCIAL FACADE/CODE COMPLIANCE PROGRAM REIMBURSEMENT PACKAGE CHECKLIST FOR HARD COSTS ONLY Project #: F- CC: ACTIVITIES & ATTACHMENTS TO BE INCLUDED IN THE REIMBURSEMENT PACKAGE: Document 1..........._Minimum 2 bids signed and dated...................................................................................................... 2. Contractor's Certificate of Competency 3. Contractor's Occupational License 4. Agency & Business Agreement (Exhibit "B") 5. Before Pictures of the Business being assisted 6_ Copy of the printout of the Debarment Documentation 7. Applicable Permits Obtained 8. Final Inspection and Permits (if applicable) 9. After Pictures of the Business assisted 10. HUD form 4010, Certified Payrolls, and Davis -Bacon Wage Determination (if applicable) .................................................................................... 11. Final Payment Release Authorization Form (Exhibit "E") 12. Progress Release of Lien (Exhibit "C") 13. Final Release of Lien (Exhibit "D") 14. Commercial Facade/Code Compliance Reimbursement Request CBO Representative Date Completed 16 EXHIBIT "H" COMMERCIAL FACADE/CODE COMPLIANCE PROGRAM EXCLUDED PARTIES LIST SYSTEM https://www.sam.gov to obtain proof of debarment. If "No Matches Found" appears then the contractor can proceed. A copy of the search results must be included in the reimbursement request. Provided by the agency for each contractor working on the project. Contractors cannot be barred from entering any state, federal or local government contract. 17 EXHIBIT "I" COMMERCIAL FACADE/CODE COMPLIANCE PROGRAM SERVICE AREA CERTIFICATION FORM Project #: F- Name of Business: Business Address: Type of Business: CC: RESIDENTIAL BLOCK GROUPS BEING SERVED BY BUSINESS TOTAL POPULATION* LOW/MOD PERSON* TOTALS: OF LOW TO MODERATE INCOME PERSONS IN SERVICE AREA: *2010 CENSUS DATA CERTIFICATION QUESTIONS: YES NO 1. Is the % of Low/Mod Income Persons in the Service Area 51% or Higher? 2. Is this a non -manufacturing facility? 3. Is this a non -wholesale facility? (ie. Does not sell just to other businesses) 4. Are the services/products available to all the residents of the Service Area? 5. Is the Service Area Primarily Residential If you answered any of the questions above (1-5) "No", then the business DOES NOT qualify for the program. If the answers were "Yes" to all questions above, then the business can be assisted. TO BE COMPLETED BY CITY OF MIAMI STAFF ONLY I have verified that the information in this form is true and complete and I further certify that it meets all program requirements and that the Service Area is Low/Mod and Primarily Residential Name: Signature: Title: Contract Analyst.......................................................................................................................... Date: ...................................................................... 18