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AGREEMENT INFORMATION AGREEMENT NUMBER 23635 NAME/TYPE OF AGREEMENT LA LIGA CONTRA EL CANCER, INC. DESCRIPTION ANTI -POVERTY INITATIVE FUNDING AGREEMENT/CHEMO SERVICE SUPPORT 2020-21/FILE ID: 7435/R-20-0152/#35 EFFECTIVE DATE ATTESTED BY TODD B. HANNON ATTESTED DATE 9/11/2020 DATE RECEIVED FROM ISSUING DEPT. 10/28/2021 NOTE CITY OF MIAMI DOCUMENT ROUTING FORM Ot305 ORIGINATING DEPARTMENT: Office of Grants Administration DEPT. CONTACT PERSON: Malissa T. Sutherland NAME OF OTHER CONTRACTUAL PARTY/ENTITY: La Liga Contra El Cancer, Inc. EXT. 1005 IS THIS AGREEMENT A RESULT OF A COMPETITIVE PROCUREMENT PROCESS? ❑ YES ❑ NO TOTAL CONTRACT AMOUNT: $ 10,000 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) This allocation is below the $50,000 threshold for allocations requiring Commission approval. PURPOSE OF ITEM (BRIEF SUMMARY): The attached API agreement is being routed for review/signature. The API allocation from District 4 for $ I0,000 to Liga Contra el Cancer, Inc. fo itralelkC-a�serl - Chemo Service Support 2020-21. COMMISSION APPROVAL DATE: / / FILE ID: ENACTMENT NO.: IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN: ROUTING INFORMATION Date PLEASE PRINT AND SIGN APPROVAL BY DEPARTMENTAL DIRECTOR 9/3/20 PRINT:LILLIAN BLONDET SIGNATURE: 4142-A-',RA SUBMITTED TO OFFICE OF MANAGEMENT AND BUDGET PRINT:CHRISTOPHER ROSE SIGNATURE: SUBMITTED TO RISK MANAGEMENT PRINT: ANN-MARIE SHARPE Z- SIGNATURE: SUBMITTED TO CITY ATTORNEY PRINT: VICTORIA M NDEZ L. 71 SIOeerttO APPROVAL BY ASSISTANT CITY MANAGER OK to proceed with API $10,000 allocation for D4 9/10/20 PST: Sand t3ndgeman SIGNATURE: RECEIVED BY CITY MANAGER PRINT: ARTHUR NORIEGA V SIGNATURE: 1) 2) 3) PRINT: SIGNATURE: PRINT: SIGNATURE: SIGNATURE: 061EI0RI6IreLaTOICIIKOMERK1 ;ONE[C•_QRATiOICITiYIAiriTLQRNEYriSIQFF.IC;E1 EMr�'e1N1t)1GrRIGIN'A.'(�S;) T� ORIGIN�►�TiING] p EP,ARTMENI PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE EXECUTION BY THE CITY MANAGER 20200902 28_D4 API La Liga Contra el Cancer this CITY OF MIAMI ANTI -POVERTY INITIATIVE FUNDING AGREEMENT This ANTI -POVERTY INITIATIVE AGREEMENT ("Agreement") is entered into day of , 20 by and between the CITY OF MIAMI, a municipal corporation of the State of Florida, located at 444 SW 2nd Avenue, Miami, FL 33130 ("CITY"), and Liga Contra el Cancer, Inc. , a Florida not for profit corporation, located at 2180 SW 12 Ave., Miami, FI 33129 ("RECIPIENT"). The CITY and the RECIPIENT may each be referred to as a "Party" and may collectively be referred to as the "Parties." WHEREAS, the City created the Anti -Poverty Initiative ("API") to address poverty based on a strategy of focusing the provision of support towards ,the City's residents achieving self- sufficiency; and WHEREAS, the RECIPIENT submitted a Request for API Funding to the City; and WHEREAS, the CITY adopted Resolution No. R- 20 _ 0152 on May 14 , 20 20 , wherein the CITY approved providing funds to the RECIPIENT in the not to exceed amount of Ten Thousand dollars ($10,000 .00) ("Funds"), attached and incorporated as Exhibit "A", as applicable; and WHEREAS, the CITY agrees to enter into this Agreement with the RECIPIENT to set forth the terms and conditions relating to the use of the Funds by the RECIPIENT. NOW, THEREFORE, in consideration of the mutual covenants and promises herein contained, the Parties agree as follows: TERMS 1. RECITALS: The recitals are true and correct and are hereby incorporated into`and made a part of this Agreement. 2. TERM: The term of this Agreement shall commence on August 5 , 20 20and shall continue until August 5 , 20 21. 3. GRANT OF FUNDS: Subject to the terms and conditions set forth herein and RECEIPIENT'S compliance with all of its obligations hereunder, the CITY hereby agrees to make available to the RECIPIENT the Funds to be used for the purpose(s), program(s), initiative(s), and activity(ies) (as defined in Exhibit "B"), and as disbursed in the manner hereinafter provided. Page 1 20200902 28_D4 API La Liga Contra el Cancer , City of Miami API Funding Agreement Liga Contra el Cancer, Inc. 4. USE OF FUNDS: The Funds shall be used by the RECIPIENT as described in the Scope of Work, attached and incorporated herein as Exhibit "B" and the Budget, attached and incorporated herein as Exhibit "C" submitted by the RECIPIENT to the CITY. DISBURSEMENT OF FUNDS: A. The CITY shall provide Funds to the RECIPIENT in the not to exceed amount of Ten Thousand dollars (S 10,000 .00). B.. Payment shall be made in accordance with the schedule as set forth in Composite Exhibit "D". C. The RECIPIENT shall provide the CITY with a City of Miami Request for Payment Form attached and incorporated as Composite Exhibit "D" prior to any disbursement of funds by the CITY. Prior to any disbursement of funds by the CITY the RECIPIENT will need to provide a valid and executed W9 form and completed City of Miami Supplier Direct Deposit (ACH) Authorization Form, as applicable. D. The RECIPIENT shall provide the CITY a Close -Out Report, in similar format as • I Exhibit "F", at the end of the program,- summarizing the services, programs and/or activities described in the Scope of Work as Exhibit "B" and included in the Budget as Exhibit "C". 5. • COMPLIANCE WITH POLICIES AND PROCEDURES: RECIPIENT understands .; .• • that the use of the Funds is subject to specific reporting, record keeping, .administrative: and, contracting:guidelines, audit, and other reqUirenients affecting the activities being funded by the API Funds for the Scope of Work. RECIPIENT :covenants and agrees to comply With such requirements, and represents and warrants to the CITY that the Funds shall be used in accordance with all of the requirements, terms and conditions contained therein, as the,same may be amended during,the term hereof. Without limiting of the foregoing, RECIPIENT represents and warrants , that it will comply with, and the Funds will be used in accordance with, all applicable federal, state, and local codes, laws, rules arid regulations. 6 RECORDS INSPECTIONSV • To the extent required by law, the Inspection and Audit provisions set forth in Sections 18-101 and 18-102 of the Code of the City of Miami, Florida, as,arnended ("City Code'), are cleeined as being incorporated by reference herein and additiortally-apply_to:this Agreement. TheCITY shall -.haveithe right to conduct audits of RECIPIENT'S records pertaining4o the Funds and that . • , " , • Page 2 ,• , • • 20200902 28 D4 API La Llga-Conra el Cancer , , City of Miami API Funding Agreement Liga Contra el Cancer, Inc. reasonable times, and for a period of up to three (3) years following the termination ofthis Agreement, audit, or cause to be audited, those books and records of the RECIPIENT which are related to RECIPIENT'S performance under this Agreement RECIPIENT agrees to maintain all such books and records at its principal place of business for a period of three (3) years after final payment is made under this Agreement. The CITY may also, and the RECIPIENT shall permit, the CITY and other persons duly authorized byte CITY to inspect all Agreement records, facilities, goods, and activities of the ,RECIPIENT which are in any way connected to the activities undertaken pursuant to the terms of this Agreement, and/or interview any clients, employees, subcontractors or assignees of the RECIPIENT as requested by the CITY. At the request of the CITY, the RECIPIENT shall transmit to the CITY written statements of the RECIPIENT's official policies on specified issues relating to the RECIPIENT's activities. RECIPIENT understands, acknowledges, and agrees that: a) The CITY must meet certain record keeping and reportingrequirements with regard to the Funds and thatin order to enable the CITY to comply with its record keeping,and reporting requirements, RECIPIENT shall maintain all records as required by the CITY; and b) At the ,CITY's request, and no later than thirty (30) days thereafter, RECIPIENT shall deliver to the CITY such -reports and written statements relating to the use of the Funds as • the:CITY may require from time to time;and • c) All costs and expenses of the activities described in Exhibit "C" shall be at actual cost •. With nO markups; and : d) RECIPIENT'S failure to comply with these requirements or the receipt or discoyery (by monitoring, evalnation, or audit) by the CITY of any inconsistent, incomplete, or inadequate information shall be grounds for the immediate termination of this Agreetnent .by the CITY and the immediate reimbursement to the CITY of any and all funds or amounts disbursed pursuant to this Agreement. • RECIPIENT represents and warrants to the 'City that: (i) it possesses all qualifications, licenses and expertise required for the performance„of the:Scope of Work;.(ii) it js nptdelinquent in the payment of any sums due tO the City, including ,payment of permit fees,‘ occupational' licenses, etc,, norin the performance of any obligations.to- the City:and (iii) all personnel assigned to perform the Scope of Work are and shall be, at all "times during the term hereof, fully qualified andtrained to perform the tasks assigned to each. Page 3 20200902 28_D4 API La Liga Contra el Cancer City ofMiami API Funding Agreement Liga Contra el Cancer, Inc. Any inconsistent, incomplete, or inadequate information, either received by the CITY or obtained by the CITY, shall constitute cause for the CITY to terminate this Agreement. 7. AWARD OF AGREEMENT: RECIPIENT represents and warrants to the CITY that it has not employed or retained any person or company employed by the CITY to solicit or secure this Agreement and that it has not offered to pay, paid, or agreed to pay any person any fee, commission, percentage, brokerage fee, or gift of any kind contingent upon or in connection with, the award of this Agreement: 8. COMPLIANCE WITH FIPERAL, STATE AND LOCAL LAWS: RECIPIENT understands, that agreements between private entities and local governments are subject to certain laws, codes, rules and regulations, including, without limitation, laws pertaining to public records, conflict of interest, record keeping, etc. The Parties agree to comply with and obserVe all applicable laws, codes and ordinances as they may be amended from time to time. 9. INDEMNIFICATION: RECIPIENT shall indetnnify, defend and hold harmless the CITY and its officials, employees (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 RECIPIENT or its employees or subcontractors (collectively referred to as "RECIPIENT") Which is directly caused, in whole or in part, by any act; omission, default or negligence (whether active or,passive or in striet liability) of any of them, Or (ii) the failure of the RECIPIENT to comply materially with any of the requirements herein, or • the failure of the RECIPIENT, 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 werenegligent. RECIPIENT expressly agrees to indemnify, defend and hold harmless :the Indemnitees, or any ofthem, from and against all liabilities which may be asserted by an employee or former employee ofRECIPIENT, or any of its subcontractors, as provided above, for which the RECIPIENT's liability to such employee or former employee would otherwise» be limited to payments under state WorkersCompensation or similar laws. RECIPIENT fUrther Agrees to indemnify; defend, and hold harmless the Indemnitees from and against (i) any and all Liabilities 20200902 28_D4 API La Liga Contra el Cancer Page 4 City of Miami API Funding Agreement Liga Contra el Cancer, Inc. imposed on account of the violation of any law, ordinance, order, rule, regulation, condition, or requirement, related directly to RECIPIENT's negligent performance under this Agreement, compliance with which is left by this Agreement to RECIPIENT, and (ii) any and all claims, and/or suits for labor and materials furnished by RECIPIENT or utilized in the performance of this Agreement or otherwise. This provision shall survive the termination or expiration of this Agreement, as applicable. RECIPIENT understands and agrees that any and all liabilities regarding the use of any subcontractor for Services related to this Agreement shall be borne solely by the RECIPIENT throughout the duration of this Agreement and that this provision shall survive the termination or expiration of this Agreement, as applicable. 10.. REVERSION OF ASSETS: Upon the expiration, termination, or cancellation of this Agreement, any unspent API Grant funds shall immediately revert to the possession and ownership of the CITY and RECIPIENT shall transfer to the CITY all unused API Grant funds at the time of such expiration, termination, or cancellation. 11. DEFAULT: If RECIPIENT fails, to comply with any tern :or candition of this Agreement, or fails to perform any of its obligations ,hereunder,,then RECIPIENT shall be in default. Upon the occurrence of a default hereunderthe CITY, in addition to all remedies available to it -by Jaw, may immediately, upon written notice to RECIPIENT, terminate. this Agreement -whereupon all payments, advances, or other compensation paid by the CITY to RECIPIENT while RECIPIENT was in default shall be immediately returned to the CITY. RECIPIENT understands and agrees that termination of this Agreement under this section shall not release RECIPIENT from any obligation accruing prior to the effective, date of termination. Should RECIPIENT be Unable or unwilling to commence to perform the Services within the time provided or • contemplated herein. then, in addition to the foregoing, RECIPIENT shall be liable to the ,C1TY for all expenses incurred by the CITY in preparation and negotiation of this Agreement., as well as all costs and expenses incurred by the CITY in the procurement of the Services, including consequential and incidental damages. 12; &TY'S TERMINATION RIGHTS: The CITY shall have the right to ,terminate this „ ,Agreernent,: in its sole discretion, at any time, by giyjili written ;ncitice; to RECIPIENT at least five(5) business days prior to the effective date of such termination. In such event, the CITY shall pay to RECIPIENT compensation for services rendered and expenses incurred prior to the Page 5 20200902 28_D4 API La Liga Contra el Cancer City of Miami API Funding Agreement Liga Contra el Cancer, Inc, effective date of termination. In no event shall the CITY be liable to RECIPIENT for any additional compensation, other than that provided herein, or for any consequential or incidental damages. 13. REMEDIES FOR NONCOMPLIANCE; The CITY retains the right to terminate this Agreement at any time prior to the completion of the services required pursuant to this Agreetnent without penalty to the CITY. In that event, notice of termination of this Agreement shall be in writing to the RECIPIENT, who shall be paid for those services performed prior to the date of its receipt to the notice of termination. In no case; however, shall the CITY pay the RECIPIENT an amount in excess of the total sum provided by this Agreement. It is hereby understood by and between the CITY and the RECIPIENT that any payment made in accordance with this. Agreement to the. RECIPIENT shall be made onlyif the RECIPIENT is not in default under the terms -of this Agreement. If the RECIPIENT is,in default, the CITYShall not* obligated and shall not paytOthe RECIPIENT arty sum Whatsoever.- • Ifthe.RECIPIENT fails to comply With, any term of this Agreementthe PITY -may. take one or more of the following courses of action: (1) Temporarily withhold cash payments pending correction of the deficiency by . the RECIPIENT, or such :more severe enforcement .action as ,the CITY deterthines is necessary orappropriate. Disallow (that is, deny both the use of funds and matching credit) for all Quart of the cost of the activity.or action not in compliance. (3) ,Wholly or partially suspend or terminate the current API Program .Funds. awarded to the RECIPIENT. (4) Withhold further API Program funding for the RECIPIENT. (5)- Take all such other remedies that may be legally available. O. MARKETING: RECIPIENT shall consult with the City Manager, or his or her • .,• • designee, regarding all uses and displays of the recognition oftheCITY. The CITY. shall have -the right to approve the form and placement of all, acknowledgements, which approval shall not be unreasonably withheld: 15. - -.INgURANCE:. The -required Insurance, :- -as .. approved . by_ the City of Miami Department of RiskManagernent•shaikbe provided by theREPIPINTand all suCkPrOOfShall:be • . Page 6 20200902 28_1D4 API La Liga Contra el Cancer City ofMiami API Funding Agreement Liga Contra el Cancer; Inc. attached as an Exhibit to this Agreement. Those entities/individuals required to be listed as additional insured by the Department of Risk Management shall be included on all insurance certificates and furnished by the RECIPIENT. RECIPIENT shall, at all times during the terra hereof, maintain insurance coverage in accordance with Exhibit "E" attached and incorporated by this reference. All such insurance, including renewals, shall be subject to the approval of the City for adequacy of protection and evidence of such coverage shall be furnished to the City on Certificates of Insurance indicating such insurance to be in force and effect and providing that it will not be canceled during the performance of the services under this contract. Execution of this Agreement is contingent upon the receipt of proper insurance documents. 16. NONDISCRIMINATION: RECIPIENT represents and warrants to the City that RECIPIENT does not and will not engage in discriminatory practices 'and that there shall be no discrimination in connection with RECIP.IENT's performance under this Agreement on account of race, color, sex, religion, age, handicap,;matital status or national origin..RECIPIENT- further covenants, that no otherwise qualified individual shall, solely by reason of his/her race, color, sex, religion, -age, handicap, marital status or national origin, be excluded • from participation in; be denied services, or be subject to discrimination under any provision of this Agreement. 17. ASSIGNMENT: This Agreement shall not be assigned by RECIPIENT, in whole or in part, without the prior written consent of the CITY, which may be withheld or conditioned; in the CITY'S sole discretion. 18. CERTIFICATIONS REGARDING DEBARMENT. SUSPENSION, AND OTHER RESPC)NStJ3ILITY MATTERS: "RECIPIENT certifies.to the best of its knowledge: and belief that it and its principals: a) Are notpresently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal, State, or local agency. b) Have not within a three (3) year period preceding the adoption of the, Resolution, attached and incorporated as Exhibit "A", as applicable, been convicted of or had a civil judgement rendered against .them '.forthe commission of ;fraud pr a criminal . offense in connection with obtaining, 'attempting ,to obtain, :or. performing ,a public (Federal, State, or local) transaction,or contract under. a public transaction; violation of Federal Page 7 20200902 28_D4 API La Liga Contra el Cancer City of Miami API Funding Agreement Liga Contra el .Cancer, Inc. or State antitrust statutes or falsification or destruction of records, making false statements, or receiving stolen property; c) . Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph 16.b of this certification; and d) Have not within a three (3) year period preceding the adoption of the Resolution, attached and incorporated as Exhibit "A", as applicable, had one or more public transactions (Federal, State, or local) terminated for cause ordefault. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall submit an explanation to the CITY and the CITY shall have the right to, in the CITY's sole discretion, to not enter into or terminate this Agreement. 19. NOTICES;,. All notices or other communications required under this, Agreement shall be in writingand shall be given by hand -delivery or by registered or certified. U.S. Mail, return , receipt requested, addressed to the other: party at the address' indicated herein or to such other address as a party may, designate bynotice given asherein provided: Notice shallbe deemed given on the day on which personally delivered; or, if by Mail, on the fifth day after being posted or the date of actual receipt, whichever is earlier. RECIPIENT CITY Liga Contra .el,.Cancer, Inc. 2180 SW. 12 Ave.. Miami;: F133129 Attn: Cesar. Scheker City of Miami Office of Grants Administration. 444 SW 2nd Avenue, 5th Floor Miami, FL 33130 Attn: Lillian Blondet, Director With_copies :tot Office, of the City: Attorney 444 SW1fld,Avenite; Suite 945 Miami; FI; 33:1.34 Attn:Vietoria Mendez, City Attorney Page 8. 20200902 28_D4 API La Liga Contra el Cancer City of Miami API Funding Agreement Liga Contra el Cancer, Inc. 20. PUBLIC RECPRDS: Pursuant to the provisions of Section 119.0701. Florida Statutes, RECIPIENT must comply with the Florida public records laws, specifically the RECIPIENT must: A. Keep and maintain public records that ordinarily and necessarily would be required by the public agency in order to perform the service. B. Provide the public with access to public records on the same terms and conditions that the public agency would provide the records and at a cost that does not exceed the cost provided in this chapter of the Florida Statutes or as 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. D. Meet all requirements for retaining public records and transfer, at no cost, to the CITY all public records in possession of the RECIPIENT upon termination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. E. All records stored electronically must be provided to the CITY in a format that is compatible with the information technology systems of the CITY. IF THE RECIPIENT HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE RECIPIENT'S DUTY TO PROVIDE PUI3LIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (305) 410-1800, PUBLICRECORDS@MIAMIGOV.COM, AND 444 S.W. 2ND AVENUE, SUITE 945, MIAMI, FL 33130, 21. CONFLICT OF INTEREST: RECIPIENT has received copies of, and/or is familiar with, the following provisions regarding conflict of interest in the performance of:this Agreement by RECIPIENT. RECIPIENT covenants, represents and warrants that it will comply with all such conflict of interest provisions including, but not limited to: :(a) the Code of the City of Miami, Florida; Chapter 2,,Article V; and (b) Miami -Dade. County Code, Section 2,11.1. 22. GOVERNING LAW. VENUE. AND FEES: :This. Agreement:shall be, construed and enforced according to the laws of the State of Flerida. Venue in all proceedings ,shall,be in Page 9 20200902 28_D4 API La Liga Contra el Cancer City of Miami API Funding Agreement Liga Contra el Cancer, Inc. Miami -Dade County, Florida and the parties explicitly agree to the use of this venue. The term "proceedings" shall include, but not be limited to, all meetings to resolve the dispute, including voluntary arbitration, mediation, or other alternative dispute resolution mechanism. The parties both waive any defense that venue in Miami -Dade County is not convenient. In any civil action or other proceedings between the parties arising out of the Agreement, each party shall bear its own attorney's fees. 23. WAIVER QF :WRY TRIAL: Neither the RECIPIENT, nor any assignee, successor, heir or personal representative of the RECIPIENT, nor any other person or entity, shall seek a jury trial in any lawsuit, proceeding, counterclaim or any other litigation procedure based upon or arising out of any of the Agreement and/or any modifications, or the dealings or the relationship between or among such persons or entities, or any of them. Neither the RECIPIENT, nor any other person or entity will seek to consolidate any such action in which a jury trial has been waived with any other action. The provisions of this paragraph have been fully discussed by the parties hereto, and the provisions hereof shall be subject to no exceptions. No party to this Agreement has in any manner agreed with or represented to any other party that the provisions of , this paragraph will:not be fully enforced in all instances. 24. MISCELLANEOUS PROVISIONS: A. Title and paragraph headings are for convenient reference and are not a part of this Agreement. - B. No waiver or breach of any provision of this Agreement shall constitute a waiver (*any subsequent breach of the same or any other provision hereof, and no waiver shall be effective unless Made in writing. C. In the event of conflict between the terms of this Agreement- and: any .terns Or .conditionS contained in any attached documents, the terms of this Agreement,shall Control. 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 of Miami, such provision, paragraph, sentence, word or phrase shall be deerned modified to the extent 'necessary in order to conform with such laws, or:if:pot 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. 20200902 28_D4 API La Liga Contra el Cancer Page 10 City of Miami API Funding Agreement Liga Contra el Cancer, Inc. 25. ,NON-DELEGABILITY: The obligations undertaken by the RECIPIENT pursuant to this Agreement shall not be delegated or assigned to any other person or firm, in whole or in part, without the CITY'S prior written consent, which may be withheld in the CITY'S sole discretion. 26. SUCCESSORS AND ASSIGNS: This Agreement shall be binding upon the parties hereto, their heirs, executors, legal representatives, successors, or assigns. 27. INDEPENDENT CONTRACTOR: RECIPIENT, its contractors, subcontractors, employees, and agents shall be deemed to be independentcontractors, and not agents or employees of the CITY, and shall not attain any rights or benefits under the civil service or pension programs of the CITY, or any rights generally afforded its employees; further, they shall not be deemed entitled to Florida Workers' Compensation benefits as employees of the CITY. 28. NO THIRD -PARTY BENEFICIARY RIGHTS: No provision of this Agreement shall, in any way, inure to the benefit of any third parties so as to constitute any such third party a beneficiary of this Agreement, or of anyone or more of the terms hereof, or otherwise give rise to any cause of action in any party not a party hereto. 29. CONTINGENCY CLAUSE: Funding for this Agreement is contingent on the availability of funds and continued authorization for program activities and the Agreement is subject to amendment or termination due to lack of allocated and available funds, reduction or discontinuance of funds or change in laws, codes, rules, policies or regulations, upon thirty (30) days' notice. 30. RECIPIENT CERTIFICATION: The RECIPIENT certifies that it possesses the legal authority to,enter into this Agreement pursuant to authority that has, been duly adopted ,or passed as an official act of the RECIPIENT'S governing body, 'authorizing the . execution of this Agreement, including all understandings and assurances . contained herein, and directing and authorizing the person identified as the official representative; of the . RECIPIENT to act in connection with this Agreement and to provide such information as may be requested. The -aforementioned authorization for the RECIPIENT is attached and .incorporated as Exhibit "G" 3Y. AUTHORITY: Each, person signing this Agreement represents and warrants: that he or she is duly authorized and has legal capacity to execute and; deliver this Agreement. Each p represents and warrants, to the other that the execution. and delivery of the Agreement and;; the • performance of such party's obligations and the certifications hereunder have been duly, authorized 20200902 28_D4 API La Liga Contra el Cancer Page.,l 1 City of Miami API Funding Agreement Liga Contra el Cancer, Inc. and that the Agreement is valid and legal agreement binding on such party and enforceable in accordance with its terms. 32. CONSTRUCTION: Should the provisions of this Agreement require judicial or arbitral interpretation, it is agreed thatthe judicial or arbitral body interpreting or construing the same shall not apply the assumption that the terms hereof shall be more strictly construed against one party by reason of the rule of construction that an instrument is to be construed more strictly against the party which itself or through its agents prepared same, it being agreed that the agents of both parties have equally participated in the preparation of this Agreement. 33. ENTIRE AGREEMENT: This instrument and its attachments constitute the sole and entire agreement between the parties relating to the subject matter hereof and correctly sets forth the rights, duties, and obligations of each to the other as of _its date. Any prior agreements, promises, negotiations, or representations not expressly set forth in this Agreement are of no force or effect. No modification or amendment hereto shall be valid unless in writing and executed by properly authorized representatives of the parties hereto. 34. 'COUNTERPARTS AND ELECTRONIC: SIGNATURES: This Agreement may be 'executed in any number of counterparts, each of which so executed shall be deemed to be an original, and such counterparts shall together constitute but one and the same Agreement. The parties shall be entitled to sign and transmit an electronic signature of this Agreement (whether by facsimile, PDF or other email transmission), which signature shall be .binding on the party whose name is contained therein. Any party providing an electronic signature agrees to .promptly execute -and deliver to the other parties an original. signed Ag,eernent upon request. [Remainder intentionally left blank; Signature page to follow} 20200902 28_D4 API La Liga Contra el Cancer Page 12. - City of Miami API Funding Agreement Liga Contra el Cancer, Inc. IN WITNESS WHEREOF, the parties hereto have caused this instrument to be executed by their respective officials thereunto duly authorized, this the day and year above written. ATTEST: APPROVED AS TO FORM AND CORRECTNESS: !aAdtL % e a/6/ Victoria e City Attorney ATTEST: Ti ame: Cesar Scheker Administrator "CITY" CITY OF MIAMI, a municipal corporation of the State of Florida By: Arthur Norieg • V, City Manager APPROVED AS TO INSURANCE REQUIREMENTS: Ann -Marie Sharpe, Director Risk Management "RECIPIENT" Liga Contra el Cancer, Inc. A Florida Not -For -Profit Corporation By: Print Name: Adrlana Cora Title: Executive Vice President Page 13 20200902 28_D4 API La Liga Contra el Cancer ANTI -POVERTY INITIATIVE FUNDING AGREEMENT EXHIBIT A - CITY OF MIAMI RESOLUTION 20200902 28_D4 API La Liga Contra el Cancer T. Sutherland, Malissa From: Ferreiro, Esteban Sent: Wednesday, August 5, 2020 9:30 AM To: T. Sutherland, Malissa Cc: Cesar Scheker Subject: RE: API Funding request form - Please complete and return I think if we base it on last year's agreement we won't have any issue with it. The allocation amount is $10,000 same as last year. Regards, Esteban (Steven) Ferreiro Chief of Staff Commissioner Manolo Reyes, City of Miami 3500 Pan American Drive Miami,FL 33133 Tel: 305-250-5420 Fax: 305-856-5230 From: T. Sutherland, Malissa Sent: Wednesday, August 5, 2020 9:20 AM To: Ferreiro, Esteban <EFerreiro@miamigov.com> Cc: Cesar Scheker<CScheker@LigaContraElCancer.org> Subject: RE: API Funding request form - Please complete and return Good Morning, I have not received the funding request from the organization. In order for the allocation to be paid before the end of August we would need to have the agreement routing already. I can send the agreement form to the organization today, but I would have to have it back ASAP, have an approval on the amount of the allocation, and have no revisions requests on the agreement items. Please let me know if there are any questions. Regards, Malissa T. Sutherland MPA Administrative Assistant II Office of Grants Administration City of Miami 444 SW 2"d Ave., 5th Floor, Miami, FL 33130 T: 305-416-1005 1 20200902 28_D4 API La Liga Contra el Cancer 8/5/2020 Detail by Entity Name DIVISION OF CORPORATIONS (� Dwmios! Cif ♦ g 1 ,,r �� r�� 0rE'i( cj nil official 61 atsf of Florida j •wibiry.. Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Not For Profit Corporation LIGA CONTRA EL CANCER, INC. Cross Reference Name LEAGUE AGAINST CANCER, INC. Filing Information Document Number 732592 FEI/EIN Number 59-1629554 Date Filed 04/28/1975 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 10/04/2013 Principal Address 2180 S.W. 12 AVENUE MIAMI, FL 33129 Changed: 04/28/2010 Mailing Address 2180 S.W. 12 AVENUE MIAMI, FL 33129 Changed: 01/14/2011 Registered Agent Name & Address CORPORATE CREATIONS NETWORK INC. 801 US HIGHWAY 1 NORTH PALM BEACH, FL 33408 Name Changed: 02/01/2008 Address Changed: 03/25/2020 Officer/Director Detail Name & Address Title President VILLA, LUIS MD 200 CAUSARINA CONCOURSE search sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=LIGACONTRAE... 1/3 20200902 28_D4 API La Liga Contra el Cancer 8/5/2020 Detail by Entity Name CORAL GABLES, FL 33143 Title VP CORA, ADRIANA 6051 S.W. 47TH STREET MIAMI, FL 33155 Title VP Garcia, Mariana 2000 S. Bayshore Drive # 57 MIAMI, FL 33133 Title VP BLANCH, HILDA MM 7945 S.W. 79TH TERRACE MIAMI, FL 33143 Title Treasurer Alfonso, Manuel 8330 S.W. 11 Terrace Miami, FL 33144 Title Administrator Scheker, Cesar A. 12000 Fox Hill Circle Boynton Beach, FL 33473 Annual Reports Report Year Filed Date 2018 01/16/2018 2019 03/26/2019 2020 06/09/2020 Document Images 06/09/2020 — ANNUAL REPORT: View image in PDF format 03/26/2019 — ANNUAL REPORT! 01/16/2018 — ANNUAL REPORT' j+ 03/21/2017 — ANNUAL REPORT? View image in PDF format 04/04/2016 — ANNUAL REPORT1 View image in PDF format 01/27/2015 — ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format 01/28/2014 — ANNUAL REPORT: View image in PDF format 10/04/2013 — REINSTATEMENT i View image in PDF format 03/23/2012 — ANNUAL REPORT. View image in PDF format ............ 01/14/2011 —ANNUAL REPORT View image in PDF format 20200902 28_D4 API La Liga Contra el Cancer search.sunbiz. org/Inquiry/CorporationSearch/Search ResultDetai I?inq uirytype=EntityName&d irectionType=1 nitial&searchN ameOrder=Ll GACONTRAE... 2/3 8/5/2020 Detail by Entity Name U4/202UT U — ANNUAL KtruK I € view image In rur Tormat 09/01/2009 — ANNUAL REPORT View image in PDF format 11/20/2008 — REINSTATEMENT View image in PDF format 03/22/2007 — ANNUAL REPORT View image in PDF format 05/12/2006 — REINSTATEMENT i View image in PDF format 01/13/2003 — ANNUAL REPORT: View image in PDF format 05/12/2002 — ANNUAL REPORT. View image in PDF format 04/17/2001 — ANNUAL REPORT View image in PDF format 01/27/2000 — ANNUAL REPORT. View image in PDF format 07/14/1999 — ANNUAL REPORT. View image in PDF format 07/09/1998 — ANNUAL REPORT,' View image in PDF format 01/30/1997 — ANNUAL REPORT: View image in PDF format 01/24/1996 — ANNUAL REPORT View image in PDF format .............................................. 03/02/1995 — ANNUAL REPORT View image in PDF format Florida Department of State, Do s,on of Co:paatmrs 20200902 28_D4 API La Liga Contra el Cancer search.sunbiz. org/Inquiry/CorporationSearch/Search ResultDetail?inq uirytype=EntityName&d irectionType=1 nitial&searchN ameOrder=Ll GACONTRAE... 3/3 ANTI -POVERTY INITIATIVE FUNDING AGREEMENT EXHIBIT B - SCOPE OF WORK Insert Pages 2 & 3 from Anti Poverty Funding Request Form 20200902 28_D4 API La Liga Contra el Cancer City of Miami Anti -Poverty Initiative Program ORGANIZATION AND PROaRAWPROIKTINFORMATION. Organization History and Background Information: Liga Contra el Cancer (LIGA) is a volunteer driven, non-profit organization, which provides FREE medical care to needy cancer -diagnosed patients, without regard to race, creed or national origin, provided that they have established legal residence in the State of Florida. The non- profit was founded in Florida in 1975, modeled after a similar organization that began serving cancer patients in 1925, in Havana, Cuba. LIGA provides (FREE) from case review and social services, to cancer related surgery, radiation therapy, chemotherapy, laboratory services and radiology, medication, prosthetics, home nursing and nurses aid services, home medical equipment, transportation, hospice care, breast and PAP screening, psychological support, and moral support to patients and their families. Please Select one: Is your program/project providing direct services to residents of the City of Miami? ygg/No Number of residents being served: 10 active patients who reside in the City of Miami. Frequency of service: If patient is on chemo treatment, could be on daily baMs Age group Served: 25 to 75 years old Is your program/project impacting one of Miami's disadvantaged communkties Geographic Area Served (specific to this project)program) District Served (1, Z 3, 4, 5, Citywide) Citywide Neighborhood/Community being served: Program/Project Priority area (Select one): Educational Programs for children, youth and adults Crime Prevention XXXX Elderly meals, transportation, recreational and health/wellness related activities . . • At4isk,youth or*OUthsurnmerlokproirains Transportation -servicesand programs Jolcrdeveleprnent;Iretentinn and_trejning programs Homeless Services • • lrnPrO.Vinghousingr'spportunities,end., complete:minor hnusintrepalrs,end.ADA , • • -0•',UPgrAO!„slpr..1pw,Income.:gidetIY: and veterans • • • g-e 20200902 2.8_D4 API LaLiga Contra el Cancer City of !Miami Anti -Poverty Initiative Program Program/Project Title: Lige Contra el Cancer — Chemo Service Support 2020-21 Project/Program Description: League Against Cancer is requesting the support of the City of Miami — Anti -Poverty initiative, for a one year grant in the amount of $ 10,000,,whiCh will be used to cover partial cost of the drugs/medicines needed by cancer patients during/after chemotherapy treatment at the Leagues Chemo center. The grant will be used for the purchase of drugs/medicines such as Neulasta®) Taxotere®, Neupogen®, Lupron®, Neulaste, Leucovarin®, Aredia ®, Aloxi®, and/or Doxorubicin®, which in turn will contribute to the chemo care cost of ten (10) patients who receive Chemotherapy at the League's Center. Program Start Date: August 5, 2020 Program End Date: AugUst 5, 2021 Please describe how this program/project and funding will alleviate poverty within the City of LeagueAgainst-Cancer's services to the uninsured and deStitiute-Ooputation in Florida notonly, supports and complernentsState/CountY/City-Of Miamiandlickson Hospital Health Sytterres:: strategic health plan for ourcOmmunity, but also:Maximiie'theteipaYer's'investinent in health care -through our organization's unique abihtv to mutttplv every dollar that We receive from private service grants. 1MPACTAND PERFORMANCE: Describe overall expected outcomes and Success metric for this project/program: Thetnittbirie exPected from the -program s of- patients chemo • care at LiGA'S Chemo Clinic Cancer Care is on -going for SeVeral-vearsi:and all'gqali1-qUtCOMeS at least:itit) DA: cOmPletion to iePre'seht-iChietierheht-o# the', he ultimate outcome expectedin a screeninus cancer free results andfor pa len s out'come. T is cancer remission and ettiotional healing contrib th ution is e real support to the continuation ..• _•• 3 .IP g e • 20200902 28_D4 API La Liga Contra el Cancer . • . ANTI -POVERTY INITIATIVE FUNDING AGREEMENT EXHIBIT C — BUDGET Insert Page 4 from Anti Poverty Funding Request Form, 20200902 28_D4 API La Liga Contra el Cancer City of Miami Anti -Poverty Initiative Program FUNDING REQUEST INFORMATION: Amount Requested: $ 10,000.00 Explain how API funding will be utilized: The grant will be used for the purchase of druqs/medicines like Neulasta®, Taxotere®, Neupogen®, Lupron®, Neulasta®, Leucovarin®, Aredia ®, Aloxi®, and/or ©oxorubicin®. which in turn will contribute.to ithe chemo care cost of ten (10) .cancer patients who receive Chemotherapv. at:LIGA's Center. All purchases related to the Grant should be completed within the next twelve (12) months after the approval of the -funding. Itemize API funding related to expenditures below:, Personnel Salaries & Wages: $ 0.00 Personnel Benefits $0.00 Space:$0.00 Utilities (Electricity, Phone, Internet): $0.00 Supplies: $0.00. Marketing: $ Transportation (Participants): $0.00 Meals (Participants): $0.00 Professional. Services (List each): 0.00 Other. (For the purchase of drugs/medicines): $10,000.00 :.. Other (please describe): Other. (please, describe): Wage 20200902 28_D4 API La Liga Contra el Cancer' ANTI -POVERTY INITIATIVE FUNDING AGREEMENT COMPOSITE EXHIBIT "D" 20200902 28_D4 API La Liga Contra el Cancer API AGREEMENT COMPOSITE EXHIBIT "D" PAYMENT SCHEDULE I. The CITY shall pay the RECIPIENT, up to the sum of $ 10,000 for the services provided pursuant to this Agreement. 2. Request for Payments should be submitted to the CITY in a form provided by the City and included in this Exhibit as Request for Payment Form. , 3. The RECIPIENT must submit the final, request for payment to the CITY within 30 calendar, -days following the expiration date or termination date of this Agreement in a form provided by the CITY. If the RECIPIENT fails to comply with this requirement, the RECIPIENT shall forfeit all rights to payment and the CITY shall not honor any request submitted thereafter:, 4. Schedule of payments to RECIPIENT will be as follows: (Ile PaYtnell 5. Any payment due under this Agreement may be withheld pending the receipt and approval by the CITY of all reports and information due from the RECIPIENT as a part of this Agreement and any modifications thereto. 20200902 8D4 API La Liga Cont; el Cancer Date: 8/20/2020 API Request for Payment Form Invoice Number: MIA.G8520 Send to: City of Miami Office of Grants Administration 444 SW 2nd Ave, Stb Floor Miami, FL 33130 Program/Project Title: Recipient's Name: Recipient's Address: Miami-LIGA's Chemo Service Liga Contra el Cancer, Inc. 2180 Sw 12 Avenue Miami, Florida 33129 I hereby request payment in the amount of $ i0000 forexpenses incurred in r lation to the City of Miami Anti -Poverty Initiative Activity/Program/Services provide belnw. N4i,r1.4er Of:People , . , _ .. Sely:ed/LOcatiOo of , . :Servies , , Service Description " Rate-, I Amount IQ dancer patients. , League Against Cancer, through the support of the City of IVIlarni = Anti -Poverty Initiative, will .utilized the One year 'grant in the amount of, $10,000;to cover partialcdst.,61.tne drugs ' ' - neectecil?y,10 Miarrii-oncer patients during chemotherapy treatment at the League',S .. , Cherno.center. $10,000 • , - - TOTAL: $ 10,060 [certify that the Program/Service was provided in accordance to the, approved Program/Project as • ,desti-ibd in the API Funding Request Form and that expenses y‘ipreipcurred in the provisiOn of said • • Program/Service. Authorized Representative Signature ,'-8/26/2020-,f, Adriana Cora Type Narne XeCtjfiVe:Via0 'President „ • !rit16.: 20200902 28_134•API La Liga Contra el Cancer Form ..g (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification. Number and Certification ' Go to www irs.gotrlFarmW9 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. tn t Name (as shown on your income tax return). Name is required on this line; do not leave this tine bian Liga Contra el Cancer, Inc. 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on tine 1. Check only one of the following seven boxes. ❑ Individual/sole proprietor or C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/esfate single -member LLC ❑ Limited Iiabiliity company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► Note: Check the appropriate boxin the line above for the tax classification of the single -member owner. Do not check LLC if the LLC Is classed as a single -member LLC that Is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, 'a single -member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ Other (see instructions) to 4 Exemptions (codes apply only to certain entitles, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from FATCA reporting code (tf any) S, Address (number, street, and apt. or suite no) See instructions. 2180 SW 12 Avenue $ City, state, and ZIP code Miami, Florida 33129 Requester's name and addr (option 7 List account number(s) here (optional) Taxpayer.tderitification Number (T(N) Enter yotir TIN €r( the'appropriate- box. The TIN provided must match the name.given on line 1 to avoid backup withholding:, For individuals, this is generally your soclaisecurity number (SSN). However, for a , resident aten;'sole.proprtetor, or disregarded entity, see the instructions for Part (,.later. For. other 'entities,.it is your employer identification number (EIN). If you do not have a number, see Now to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Aso see What Name and Number.To-Give the ;Requester for guidelines on whose number to enter. ' MO Certification Social security num or .Employer identification number 5 9 1 2 9 5 -Under penalt€es:of perjury, i certify that: 1. The. number shown an this.farm-is my correct taxpayer identification number (or I am waiting for a number to be issued -to me); and 2. I am'not subject to•backup withholding -because; (a) I em exempt from`backup withholding, or,(b) l.have not been notified by the lntemai•Revenue Service.OiRS) that Lam subject to backup. withholding as a result of a failure to report. all interest or dividends, or (c) the IRS hasnotified.me that! am ' no.;ionger subject to backup. withholding; and ' 3.1 am a U.S. citizen or other U.S. person (defined below); and .4:.The FATCA codes) entered on.this-form (if any) indicating.that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because . you have failed to report all interest and dividends on your tax -return. For real estate transactions, item 2 does not apply:,Formortgage interest paid,; acquisition or abandonment of secured property, cancellation ef.debt, contributions to an individual' retirement arrangement (IRA); and gerieraily;•payments. • other: than interest and. dividends, yo r not uired to sign tt a de ation; but you'must provide your correct TIN. See the instructions- for Part 1I; later. Sign Here ,General Instructions Section references are to the. Internal Revenue Code unless otherwise noted: - Future developments:; Far the latest information about developments related to Fomi;W-9 and its instructions; such as legislation enacted rafter"they were published, go•to www:irs.gov/FIIrrrtW9: ' Purpose of Form An indiv€dual er entity (Form W-9 requester) who is required•to file an , €nformation return -with the'IRS must obtain your correct taxpayer Identification number tf iN) which may be your social.secunty number -(SSN),,individual taxpayer identification number (ITIN), adoption taxpayer identification number.(ATIN),; or -employer: identification number (EtN), to report on an information return ttte,amount paid to.you, another amount reportable on an information return: Examples of information returns include, but are not €iniited.to,'the following. • Form 1099-INT (interest earned or paid) .Date ► • Form 1099-D1V1(dividends, in (uding those'frbm stocks or mutual funds) . • Form 1099-MISG (various types of income, prizes, awards, or gross proceeds) + Form 1099-B;(stack or mutual fund sales and certain other transact€ons6y brokers) • Form 1099=S`(proceeds-fromfeel estate. transactions) • Form 1099-K(imerchant card and third party network transactions) « Fenn 1098 (home mortgage interest),,1098-E (student loan interest), 1098-T(tuition) ' « Forrrt.1099-C (canceled debt) Form .1,099-A .(acquis€tton or abandonment of secured, property) Use'Forrri,W-9 'onty€f you are a U.S. person(inctuding a resident alien), to provide>.y tircorreetTiN, - If you do riot return Farm W 9 to the requester with a TIN, you might be subject to backup. withholding. See What is backup withholding, later. Cat. No.10231X Form W-9 (Rev. 10-2018) 20200902 28_D4 API La Liga Contra el Cancer ANTI -POVERTY INITIATIVE FUNDING AGREEMENT EXHIBIT E — INSURANCE REQUIREMENTS I. Commercial General Liability A. Limits of Liability Bodily Injury and Property Damage Liability Each Occurrence $300,000 General Aggregate Limit $600,000 Personal and Adv. Injury $300,000 Products/Completed Operations $300,000 B. Endorsements Required City of Miami 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 Scheduled Autos Including Hired, Borrowed or Non -Owned Autos Any One Accident $ 300,000 B. Endorsements Required City of Miami listed as an additional insured 20200902 28_D4 API La Liga Contra el Cancer 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/Errors and Omissions Coverage (if applicable) Combined Single Limit Each Claim General Aggregate Limit Retro Date Included $ 250,000 $ 250,000 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. 20200902 28_D4 API La Liga Contra el Cancer LIGACON-01 HERL11 tc c Rb CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/20/2020 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 International Insurance Center Inc 7990 SW 117 Ave Suite 209 Miami, FL 33183 CONTACT NAME: PHONE FAX (AM, No, Ext): (305) 279-5446 I(A/C, No):(305) 279-4045 ADDRIESS: Info ii .CC INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Colony Insurance Company INSURED - Liga Contra El Cancer Inc 2180 SW 12th Avenue Miami, FL 33129 INSURER B : Progressive Express Insurance Company 10193 INSURER C : Starstone National Ins Co 25496 INSURER D : Technology Insurance Co 42376 INSURER E : _ INSURER F : COVERAGES CERTIFICATE NUMBER: 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 LTRINSD TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYYL POLICY EXP (MM(DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X 101GL0015484-06 5/5/2020 5/5/2021 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR _PREM SESO(Ea occur RENTED $ 100,000 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG Included $ $ B AUTOMOBILE _ X LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOS ONLY X X SCHEDULED AUTOS NON-OWNED ONLYY 04610906-8 9/6/2020 9/6/2021 COMBINED SINGLE LIMIT (Ea accident) 300,000 $ BODILY INJURY (Per person) $ INJURY (Per accident) $ pBODILY (Pe acatlent) AMAGE $ $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 89553M205ALI 5/5/2020 5/5/2021 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY •ER ANY OFFICER/ RIETOREARLNERE ECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N N/A TWC3863507 4/1/2020 4/1/2021 PER STATUTE OTH- EL. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Miami is listed as an Additional Insured in their Favor with respect to General Liability. CERTIFICATE HOLDER CANCELLATION Cityof Miami 444 SW 2 Ave 9th Floor Miami, FL 33130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 20200902 28_04 API La Liga Contra el Cancer . . . , , - • „ , . ANTI -POVERTY INITIATIVE FUNDING AGREEMENT EXHIBIT F — CLOSEOUT REPORT The Close Out Report must be completed at the end of the program. 20200902 28_D4 API La Liga Contra el Cancer City of Miami Anti -Poverty Initiative Program Close -Out Report Date: Program/Project Title: Recipient's Name: Recipient's Address: Allocation Amount: Please provide the information in reference to all the services provided with the City of Miami Anti -Poverty initiative: Prodrarn.Start Date and End Date Program/Project Oriority Area , Description of Project/Activity/Service _ - ' „ .., 'District where Project/Activity/Service were Provided. 'i . , District 1, District 2,District 2, District3, District 5,and/or Citywide Location of project/Activity/Service (ie. Site," rielliciitioOd, area) .. Total Number of People Served a , . . . „ Frequency of Project/Activity/Service , • , i Certify .that, the Prograrri/Service was provided in accordance to the, City of Miami Anti -Poverty initiative f rpjfam idelines • Type Nerne ' - • title: • CitY Miarni „ • . Office of prants Adrninistration 444 SW 2nd Ave., Sth Flobr • Miami, El_ 33130 • , tt, a , • • • • • 20200902 28:D4 API I:a Liga Contra el Cancer ANTI -POVERTY INITIATIVE FUNDING AGREEMENT EXHIBIT G - RECIPIENT'S CORPORATE RESOLUTION 20200902 28_D4 API La Liga Contra el Cancer - CORPORATE RESOLUTION WHEREAS, Liga Contra el Cancer, Inc. , a Florida 501 (C) (3) , desires to enter into a Agreement with the city of Miami, a copy of which is attached hereto; and WHEREAS, the Board of Ditectors at a duly held eorporate meeting has considered the matter in accordance with the Articles and By -Laws of the not -for -profit corpciratiori; NOW, TOREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS that Adriana COri and Cesar Scheker • are/is hereby authorized and instructed to enter into the Agreement and undertake the responsibilities and obligations as stated in such proposed Agreement in the. name and on behalf of this corporation with the City of Miami upon terms and conditions contained in the proposed Agreement to which this resolution is atMched. DATED this 20th -Prjnt Name: Guillermq PLijals day of P Print Name: L 0 2b is Villa, Jr., M.D. Liga Contra el Cancer, Inc. (CORPORATE SEAL) 91L.Q,b5 20200902 28_D4 API La Liga Contra el Cancer