HomeMy WebLinkAbout26246AGREEMENT INFORMATION
AGREEMENT NUMBER
26246
NAME/TYPE OF AGREEMENT
OVERTOWN YOUTH CENTER, INC.
DESCRIPTION
GRANT AGREEMENT/ART INSTALLATION & CULTURAL
EXHIIT/OYC'S MIAMI STUDENT BASEL
EFFECTIVE DATE
December 1, 2025
ATTESTED BY
TODD B. HANNON
ATTESTED DATE
7/15/2026
DATE RECEIVED FROM ISSUING
DEPT.
7/14/2026
NOTE
Christine Forde-King
Board Chair
James McQueen
Executive Director
HAND DELIVERY: TRANSMITTAL FORM
DATE: July 30, 2026
TO: Mr. Todd Hannon, City Clerk
City Hall
3500 Pan American Drive
Miami, Miami -Dade, FL, 33133
FROM: Antonette English, Administrative Assistant
Southeast Overtown/ Park West Community Redevelopment Agency
819 N.W. 2nd Avenue, 3rd Floor
Miami, FL 33136
RE: For your records Overtown Youth Center, Inc.
9S :Z Wd 9 Ofln 91OZ
SOUTIIEAST OVERTOWN/PARK WEST
COMMUNITY REDEVELOPMENT AGENCY
819 N.W. 2nd Avenue, 3'd Floor 1 Miami, FL 33136
Tel (305) 679-68001 Fax (305) 679-6335 I http://www.miamicra.com
m
0
rn
rn
0
GRANT AGREEMENT
2025
This GRANT AGREEMENT ("Agreement") is made as of this 1 day of t' C e M ga- 202fs-
("Effective Date") by and between SOUTHEAST OVERTOWN/PARK WEST COMMUNITY
REDEVELOPMENT AGENCY, a public agency and body corporate created pursuant to Section 163.356,
Florida Statutes ("SEOPW CRA"), and OVERTOWN YOUTH CENTER, INC., a Florida Not -For -Profit
Corporation ("Grantee") (collectively, the "Parties").
RECITALS
WHEREAS, the SEOPW CRA is a community redevelopment agency created pursuant to the Community
Redevelopment Act of 1969, currently codified in, Part III, Chapter 163, Florida Statutes (the "Act"), and is
responsible for carrying out community redevelopment activities and projects within its redevelopment area in
accordance with the 2018 Southeast Overtown/Park West Redevelopment Plan Update (the "Plan"); and
WHEREAS, pursuant to Florida Statutes, Section 163.340(9) of the Act, "community redevelopment
means projects of a "... community redevelopment agency in a community redevelopment area for the elimination
and prevention of the development or spread of slum and blight"; and
WHEREAS, Section 2, Goal 4 of the Plan lists the "creati[on of] jobs within the community..." as a
stated redevelopment goal; and
WHEREAS, Section 2, Goal 5 of the Plan lists "[p]romot[ing] and [m]arket[ing] the community —as a
[c]ultural and [e]ntertainment [d]estination ... that is attractive" as a stated redevelopment goal; and
WHEREAS, Section 2, Principle 4 of the Plan lists "restor[ing] a sense of community and unify[ing] the
area culturally" as a stated guided principle; and
WHEREAS, Section 2, Principle 6 of the Plan promotes "address[ing], improv[ing] ... and expand[ing]
economic opportunities of present and future residents... [which] entails both the support and enhancement of
existing businesses and local entrepreneurs" as a stated redevelopment principle; and
WHEREAS, Grantee is a Not -For -Profit Corporation that presents an array of arts & culture programming
within the redevelopment area during Historic Overtown's annual showcase Soul Basel; and
WHEREAS, on July 24, 2025, the SEOPW CRA Board of Commissioners (the "Board"), adopted
Resolution No. CRA-R-25-0037, establishing the Public Art Activation and Beautification Grant Program
("Program") for the purpose of enhancing visual attractiveness in the SEOPW CRA redevelopment area and
providing opportunities to Program applicants in an effort to preserve its rich and connect the community.; and
WHEREAS, Grantee submitted an application to the Program, attached hereto as Exhibit `-`A," requesting'.
financial assistance from the SEOPW CRA and, in accordance with Program requirements, was selected:to receive
a grant in an amount not to exceed Ten Thousand Dollars and Zero Cents ($10,000.00), which shall be used solely
to underwrite approved costs associated with carrying out its arts & culture programming (the "Grant"); arid
WHEREAS, the Parties wish to enter into this Agreement to set forth the terms and conditions relating to ,.
the use of this Grant;
NOW THEREFORE, in consideration of the mutual promises of the Parties contained herein and other
good and valuable consideration, receipt, and sufficiency of which is hereby acknowledged, the SEOPW CRA and
Grantee agree as follows:
1
1. RECITALS. The Recitals to this Agreement are true and correct and are incorporated herein by
referenced and made a part hereof.
2. GRANT. Subject to the terms and conditions set forth herein and Grantee's compliance with all of
its obligations hereunder, the SEOPW CRA hereby agrees to make available to Grantee the Grant to be used for
the purpose and disbursed in the manner hereinafter provided.
3. USE OF GRANT. The Grant shall be used to assist with the Program during the Term (as defined
in Section 4) of this Agreement, in accordance with the Program's approved scope of work and budget ("Program
Budget"), attached hereto as Exhibit "B." Grantee is aware that the SEOPW CRA is not obligated to expend
additional funds beyond the approved Grant amount.
4. TERM.
a. INITIAL TERM. The term of this Agreement shall commence on the Effective Date written
above and shall terminate when the Grant of Ten Thousand Dollars and Zero Cents ($10,000.00) is expended.
However, the following rights of the SEOPW CRA shall survive the expiration or early termination of this
Agreement: to audit or inspect; to require reversion of assets; to enforce representations, warranties, and
certifications; to exercise entitlement to remedies, limitation of liability, indemnification, and recovery of fees and
costs.
b. RETROACTIVE PAYMENTS. Grantee may claim reimbursement for expenses and activities
permissible under the terms of this Agreement and in accordance with the approved Program Budget, attached
hereto as Exhibit `B," that occurred after September 1", 2025 and before December 31 St, 2025.
c. RENEWAL OPTION. At the SEOPW CRA's sole option and discretion, this Agreement and
Grantee's grant may be renewed for one (1) additional one (1) year term.
5. DISBURSEMENT OF GRANT.
a. GENERALLY. Subject to the terms and conditions contained in this Agreement, the
SEOPW CRA shall make available to Grantee an amount not to exceed Ten Thousand Dollars and Zero Cents
($10,000.00). In no event shall payments to Grantee under this Agreement exceed Ten Thousand Dollars and Zero
Cents ($10,000.00). Payments shall be made to Grantee or directly to vendors on behalf of Grantee, only after
receipt and approval of requests for disbursements in accordance with the approved Program Budget.
b. REQUESTS FOR DISBURSEMENT OF FUNDS. All requests for the disbursement of
funds by Grantee shall be submitted in writing to the SEOPW CRA by Grantee's authorized representative prior
to the termination of this Agreement. All such requests must be accompanied by supporting documents reflecting
the use of funds and/or expenditures incurred, and that the request is being made in accordance with the approved
Program Budget, as reflected in Exhibit `B," for expenditures incurred during the Term of this Agreement. For
purposes of this Agreement, "supporting documentation" may include invoices, receipts, photographs, and any
other materials evidencing the expense incurred. Grantee agrees that all invoices or receipts reflecting the expenses`
incurred in connection to the Program shall be in Grantee's name, and not in the name of the SEOPW CRA in light:`;
of Grantee's inability to bind the SEOPW CRA to any legal and/or monetary obligation whatsoever. The :SEOPW ._.
CRA reserves the right to request additional supporting documentation for any expenditures, and the SEOPW CRA
reserves the right to deny any and all requests it deems to be outside of the approved Program Budget. Grantee's
failure to provide additional supporting documentation or explanation regarding expenses incurred, when requested
by the SEOPW CRA, shall serve as grounds for immediate termination of this Agreement, and Grantee solely shall
bear all costs associated with any expenditures not approved by the SEOPW CRA.
2
c. PRE -APPROVAL OF EXPENSES. Grantee agrees to submit to the SEOPW CRA all
requests for the expenditure of Grant funds for pre -approval by the SEOPW CRA. Failure to submit said requests
prior to incurring expenses may result in the Grantee bearing the costs incurred. The SEOPW CRA shall review
said requests to ensure that the expense sought to be incurred by the Grantee is an expense within the approved
Program Budget, attached hereto as Exhibit "B," and the SEOPW CRA reserves the right to deny any and all
requests it deems to be outside of the approved Program Budget.
d. APPROVAL OF BUDGET MODIFICATIONS. Grantee agrees to submit any and all
budget modifications, in writing, including line -item expenditures and descriptions, which exceed the budgeted
amount, to the Executive Director for approval.
e. CASH AND MOBILE PAYMENT TRANSACTIONS PROHIBITED. The Parties agree
that no payment will be made to Grantee as a reimbursement for any Program -specific expenditure paid in cash or
via mobile payment application(s), including, but not limited to, Cash App, Zelle, PayPal, and Venmo. Grantee
acknowledges that cash and mobile payment transactions are insufficient per se to comply with record -keeping
requirements under this Agreement.
f. NO ADVANCE PAYMENTS. The SEOPW CRA shall not make advance payments to
Grantee or Grantee's vendors for services not performed or for goods, materials, or equipment which have not been
delivered to Grantee for use inconnection with the Program.
6. COMPLIANCE WITH POLICIES AND PROCEDURES. Grantee understands that the use of the
Grant is subject to specific reporting, record keeping, administrative, and contracting guidelines and other
requirements affecting the SEOPW CRA activities in issuing the funds. SEOPW CRA agrees to provide notice of
said guidelines and other requirements to the Grantee in advance of requiring compliance with same. Without
limiting the generality of the foregoing, the Grantee represents and warrants that it will comply, and the Grant will
be used in accordance with all applicable federal, state and local codes, laws, rules, and regulations.
7. REMEDIES FOR NON-COMPLIANCE. If Grantee fails to perform any of its obligations or
covenants hereunder, or materially breaches any of the terms contained in this Agreement, the SEOPW CRA shall
have the right to take one or more of the following actions:
a. Withhold cash payments, pending correction of the deficiency by Grantee;
b. Recover payments made to Grantee;
c. Disallow (that is, deny the use of the grant for) all or part of the cost for the activity or
action not in compliance;
d. Withhold further awards for the Program; or
e. Take such other remedies that may be legally permitted.
8. RECORDS AND REPORTS/AUDITS AND EVALUATION.
a. PUBLIC RECORDS; MAINTENANCE OF RECORDS. This Agreement shall be subject
to Florida's Public Records Laws, Chapter 119, Florida Statutes. The Parties understand the broad nature of these
laws and agree to comply with Florida's Public Records Laws, and laws relating to records retention. Moreover,
in furtherance of the SEOPW CRA audit rights in Section 8(c) below, Grantee acknowledges and accepts the
SEOPW CRA right to access Grantee's records, legal representatives' and contractors' records, and the obligation
of Grantee to retain and to make those records available upon request, and in accordance with all applicable laws.
Grantee shall keep and maintain records to show its compliance with this Agreement. In addition, Grantee's
contractors and subcontractors must make available, upon the SEOPW CRA request, any books, documents,
3
papers, and records which are directly pertinent to this specific Agreement for the purpose of making audit,
examination, excerpts, and transcriptions. Grantee, its contractors and subcontractors shall retain records related to
this Agreement or the Program for a period of five (5) years after the expiration, early termination or cancellation
of this Agreement.
b. REPORTS. Grantee shall deliver to the SEOPW CRA reports relating to the use of Grant
as requested by the SEOPW CRA, from time to time and as detailed herein. Failure to provide said reports shall
result in funds being withheld until Grantee has complied with this provision. Thereafter, continued failure by
Grantee in providing such reports shall be considered a default under this Agreement.
c. AUDIT RIGHTS. The SEOPW CRA shall have the right to conduct audits of Grantee's
records pertaining to the Grant and to visit the Program, in order to conduct its monitoring and evaluation activities.
Grantee agrees to cooperate with the SEOPW CRA in the performance of these activities. Such audits shall take
place at a mutually agreeable date and time.
d. FAILURE TO COMPLY. Grantee's failure to comply with these requirements or the
receipt or discovery (by monitoring or evaluation) by the SEOPW CRA of any inconsistent, incomplete, or
inadequate information shall be grounds for the immediate termination of this Agreement by the SEOPW CRA.
9. UNUSED FUNDS. Upon the expiration of the Term of this Agreement, Grantee shall transfer to
the SEOPW CRA any unused funds on hand at the time of such expiration, as defined in Section 4 of this
Agreement.
10. REPRESENTATIONS; WARRANTIES; CERTIFICATIONS. Grantee represents, warrants, and
certifies the following:
a. INVOICES. Invoices for all expenditures paid for by Grantee shall be submitted to the
SEOPW CRA for review and approval in accordance with the terms set forth in this Agreement. Grantee, through
its authorized representative, shall certify that work reflected in said invoices has, in fact, been performed in
accordance with the approved Program Budget set forth in Exhibit "B."
b. EXPENDITURES. Grant funds disbursed under this Agreement shall be used solely for
the Program in accordance with the approved Program Budget set forth in Exhibit "B." All expenditures of funds
shall be made in accordance with the provisions of this Agreement.
c. SEPARATE ACCOUNTS. This Grant shall not be co -mingled with any other funds, and
separate accounts and accounting records shall be maintained.
d. POLITICAL ACTIVITIES. No expenditure of this Grant shall be used for political
activities.
e. LIABILITY GENERALLY. Grantee shall be liable to the SEOPW CRA for the amount
of the Grant expended in any manner inconsistent with this Agreement.
f. AUTHORITY. This Agreement has been duly authorized by all necessary actions on the
part of, and has been, or will be, duly executed and delivered by Grantee, and neither the execution and delivery
hereof, nor compliance with the terms and provisions hereof: (i) requires the approval and consent of any other
party, except such as have been duly obtained or as are specifically noted herein; (ii) contravenes any existing law,
judgment, governmental rule, regulation or order applicable to or binding on any indenture, mortgage, deed of trust,
bank loan, or credit agreement, applicable ordinances, resolutions, or on the date of this Agreement, any other
agreement or instrument to which Grantee is a party; or (iii) contravenes or results in any breach of, or default
4
under any other agreement to which Grantee is a party, or results in the creation of any lien or encumbrances upon
any property of Grantee.
11. NON-DISCRIMINATION. Grantee, for itself and on behalf of its contractors and sub -contractors,
agrees that it shall not discriminate on the basis of race, sex, color, religion, national origin, age, disability, or any
other protected class prescribed by law in connection with its performance under this Agreement. Furthermore,
Grantee represents that no otherwise qualified individual shall, solely, by reason of his/her/their race, sex, color,
religion, national origin, age, disability, or any other member of a protected class be excluded from the participation
in, be denied benefits of, or be subjected to discrimination under any program or activity receiving financial
assistance pursuant to this Agreement.
12. CONFLICT OF INTEREST. Grantee is familiar with the following provisions regarding conflict
of interest in the performance of this Agreement by Grantee. Grantee covenants, represents, and warrants that it
will comply with all such conflict -of -interest provisions:
a. Code of the City of Miami, Florida, Chapter 2, Article V.
b. Miami -Dade County Code, Section 2-11.1.
13. CONTINGENCY. Funding for this Agreement is contingent on the availability of funds and
continued authorization for Program activities and is subject to amendment or termination due to lack of funds or
authorization, reduction of funds, or change in regulations. The SEOPW CRA shall not be liable to Grantee for
amendment or termination of this Agreement pursuant to this Section.
14. MARKETING.
a. PUBLICATION. In the event Grantee wishes to engage in any marketing efforts, Grantee
shall, if approved by the SEOPW CRA in accordance with Section 14(b) below, produce, publish, advertise,
disclose, or exhibit the SEOPW CRA name and/or logo, in acknowledgement of the SEOPW CRA contribution to
the Program, in all forms of media and communications created by Grantee for the purpose of publication,
promotion, illustration, advertising, trade, or any other lawful purpose, including but not limited to stationary,
newspapers, periodicals, billboards, posters, email, direct mail, flyers, telephone, public events, and television,
radio, or internet advertisements, or interviews.
b. APPROVAL. The SEOPW CRA shall have the right to approve the form and placement
of all acknowledgements described in Section 14(a) above, which approval shall not be unreasonably withheld.
c. LIMITED USE. Grantee further agrees that the SEOPW CRA name and logo may not be
otherwise used, copied, reproduced, altered in any manner, or sold to others for purposes other than those specified
in this Agreement. Nothing in this Agreement, or in Grantee's use of the SEOPW CRA name and logo, confers or
may be construed as conferring upon Grantee any right, title, or interest whatsoever in the SEOPW CRA name and
logo beyond the right granted in this Agreement.
15. DEFAULT. If Grantee fails to comply with any term or condition of this Agreement, or fails to
perform any of Grantee's obligations hereunder, and Grantee does not cure such failure within thirty (30) days
following receipt of written notice from the SEOPW CRA that such failure has occurred, then Grantee shall be in
default. Upon the occurrence of such default hereunder the SEOPW CRA, in addition to all remedies available to
it by law, may immediately, upon written notice to Grantee, terminate this Agreement whereupon all payments,
advances, or other compensation paid by the SEOPW CRA directly to Grantee and utilized by Grantee in violation
of this Agreement shall be immediately returned to the SEOPW CRA. Grantee understands and agrees that
termination of this Agreement under this section shall not release Grantee from any obligation accruing prior to the
effective date of termination.
5
16. NO LIABILITY. In consideration for the issuance of Grant funds under this Agreement, Grantee
hereby waives, releases, and discharges the SEOPW CRA, the City of Miami, its officers, employees, agents,
representatives, or attorneys, whether disclosed or undisclosed, any and all liability for any injury or damage of
any kind which may hereafter accrue to Grantee, its officers, directors, members, employees, agents, or
representatives, with respect to any of the provisions of this Agreement or performance under this Agreement. Any
liability of the SEOPW CRA under this Agreement shall be subject to the limitations imposed by Section 768.28,
Florida Statutes.
17. SPECIFIC PERFORMANCE. In the event of breach of this Agreement by the SEOPW CRA,
Grantee may only seek specific performance of this Agreement and any recovery shall be limited to the funding
authorized for the services provided herein. In no event shall the SEOPW CRA be liable to the Grantee for any
additional compensation, other than that provided herein, and/or required in the approved Program Budget attached
hereto as Exhibit "B."
18. INDEMNIFICATION OF THE SEOPW CRA. Grantee agrees to indemnify, defend, protect and
hold harmless the SEOPW CRA and the City of Miami from and against all loss, costs, penalties, fines, damages,
claims, expenses (including attorney's fees) or liabilities (collectively referred to as "liabilities") for 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 performance or non-performance of the services, supplies, materials and equipment
contemplated by this Agreement or the Program, including risk of loss of artwork on display, or otherwise stored
within public premises for the duration of this Agreement or the Program, whether directly or indirectly caused, in
whole or in part, by any act, omission, default, professional errors or omissions, or negligence (whether active or
passive) of the Grantee or its employees, agents or subcontractors (collectively referred to as "Grantee"), regardless
of whether it is, or is alleged to be, caused in whole or part (whether joint, concurrent or contributing) by any act,
omission, default, breach, or negligence (whether active or passive) of the SEOPW CRA, unless such injuries or
damages are ultimately proven to be the result of grossly negligent or willful acts or omissions on the part of the
SEOPW CRA; or (ii) the failures of the Grantee to comply with any of the paragraph's provisions herein; or (iii)
the failure of the Grantee, to conform to statutes, ordinances, or other regulations or requirements of any
governmental authority, federal, state, county, or city in connection with the granting or performance of this
Agreement, or any Amendment to this Agreement. Grantee expressly agrees to indemnify and hold harmless the
SEOPW CRA, from and against all liabilities which may be asserted by an employee or former employee of
Grantee, any of subcontractors, or participants in the Program, as provided above, for which the Grantee's liability
to such employee, former employee, subcontractor, or participant would otherwise be limited to payments under
state Worker's Compensation or similar laws.
19. INSURANCE. Grantee shall, at all times during the term hereof, maintain such insurance coverage
as provided in Exhibit "C" attached hereto. All such insurance, including renewals, shall be subject to the approval
of the SEOPW CRA, or the City of Miami (which approval shall not be unreasonably withheld) for adequacy of
protection and evidence of such coverage shall be furnished to the SEOPW CRA on Certificates of Insurance
indicating such insurance to be in force and effect and providing that it will not be canceled, or materially changed
during the performance of the Program under this Agreement without thirty (30) calendar days prior written notice
(or in accordance to policy provisions) to the SEOPW CRA. Completed Certificates of Insurance shall be filed
with the SEOPW CRA, to the extent practicable, prior to the performance of Services hereunder, provided,
however, that Grantee shall at any time upon request by SEOPW CRA file duplicate copies of the policies of such
insurance with the SEOPW CRA.
If, in the reasonable judgment of SEOPW CRA, prevailing conditions warrant the provision by Grantee of
additional liability insurance coverage or coverage which is different -in kind SEOPW CRA reserves the right to
require the provision by Grantee of an amount of coverage different from the amounts or kind previously required
6
and shall afford written notice of such change in requirements thirty (30) days prior to the date on which the
requirements shall take effect. Should Grantee fail or refuse to satisfy the requirement of changed coverage within
thirty (30) days following SEOPW CRA's written notice, this Agreement shall be considered terminated on the
date the required change in policy coverage would otherwise take effect. Upon such termination, SEOPW CRA
shall pay Grantee expenses incurred for the Program, prior to the date of termination but shall not be liable to
Grantee for any additional compensation, or for any consequential or incidental damages.
20. DISPUTES. In the event of a dispute between the Parties as to the terms and conditions of this
Agreement, the Parties shall proceed in good faith to resolve the dispute. If the Parties are not able to resolve the
dispute within thirty (30) days of written notice to the other, the Parties agree to resolve any disputes between them
arising from the alleged violation of the terms of this Agreement, in accordance with Section 18-105, of the Code
of the City of Miami, as amended ("City Code").
21. INTERPRETATION.
a. CAPTIONS. The captions in this Agreement are for convenience only and are not a part
of this Agreement and do not in any way define, limit, describe, or amplify the terms and provisions of this
Agreement or the scope or intent thereof.
b. ENTIRE AGREEMENT. This instrument constitutes the sole and only agreement of the
Parties hereto relating to the grant, and correctly set forth the rights, duties, and obligations of the Parties. There
are no collateral or oral agreements or understandings between the SEOPW CRA and Grantee relating to the
Agreement. Any promises, negotiations, or representations not expressly set forth in this Agreement are of no force
or effect. This Agreement shall not be modified in any manner except by an instrument in writing executed by the
Parties. The masculine (or neuter) pronoun and the singular number shall include the masculine, feminine and
neuter genders and the singular and plural number. The word "including" followed by any specific item(s) is
deemed to refer to examples rather than to be words of limitation.
c. CONTRACTUAL INTERPRETATION. Should the provisions of this Agreement require
judicial or arbitral interpretation, it is agreed that the 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.
d. COVENANTS. Each covenant, agreement, obligation, term, condition, or other provision
herein contained shall be deemed and construed as a separate and independent covenant of the party bound by,
undertaking or making the same, not dependent on any other provision of this Agreement unless otherwise
expressly provided. All of the terms and conditions set forth in this Agreement shall apply throughout the term of
this Agreement unless otherwise expressly set forth herein.
e. CONFLICTING TERMS. In the event of a conflict between the terms of this Agreement
and any terms or conditions contained in any attached documents, the terms of this Agreement shall govern.
f. WAIVER. 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.
g. SEVERABILITY. Should any provision 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, then such provision shall be deemed modified to the extent necessary to conform with such laws, or if not
7
modifiable to conform with such laws, that 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.
h. THIRD -PARTY BENEFICIARIES. No provision of this Agreement shall, in any way,
inure to the benefit of any third party so as to make such third party a beneficiary of this Agreement, or of any one
or more of the terms hereof or otherwise give rise to any cause of action in any party not a party hereto.
22. AMENDMENTS. No amendment to this Agreement shall be binding on either party, unless in
writing and signed by both parties.
23. DOCUMENT OWNERSHIP. Upon request by the SEOPW CRA, all documents developed by
Grantee shall be delivered to the SEOPW CRA upon completion of this Agreement, and may be used by the
SEOPW CRA, without restriction or limitation. Grantee agrees that all documents maintained and generated
pursuant to this Agreement shall be subject to all provisions of the Public Records Law, Chapter 119, Florida
Statutes. It is further understood by and between the Parties that any document which is given by the SEOPW
CRA to Grantee pursuant to this Agreement shall at all times remain the property of the SEOPW CRA and shall
not be used by Grantee for any other purpose whatsoever, without the written consent of the SEOPW CRA.
24. AWARD OF AGREEMENT. Grantee warrants that it has not employed or retained any person
employed by the SEOPW CRA to solicit or secure this Agreement, and that it has not offered to pay, paid, or agreed
to pay any person employed by the SEOPW CRA any fee, commission percentage, brokerage fee, or gift of any
kind contingent upon or resulting from the award of grant funds.
25. NON-DELEGABILITY. The obligations of Grantee under this Agreement shall not be delegated
or assigned to any other party without the SEOPW CRA prior written consent which may be withheld by the
SEOPW CRA, in its sole discretion.
26. TERMINATION. The SEOPW CRA reserves the right to terminate this Agreement, at any time
for any reason upon giving five (5) days written notice of termination to Grantee. Should the SEOPW CRA
terminate this Agreement, the SEOPW CRA will be relieved of all obligations under this Agreement. In no way
shall the SEOPW CRA be subjected to any liability or exposure for the termination of this Agreement under this
Section.
27. NOTICE. All notices or other communications which shall or may be given pursuant to this
Agreement shall be in writing and shall be delivered by personal service, or by registered mail, addressed to the
party at the address indicated herein or as the same may be changed from time to time. Such notice shall be deemed
given on the day on which personally served, or, if by mail, on the fifth day after being posted, or the date of actual
receipt or refusal of delivery, whichever is earlier.
To SEOPW CRA:
Southeast Overtown/Park West Community Redevelopment Agency
James D. McQueen, Executive Director
819 N.W. 2nd Avenue, 3rd Floor
Miami, FL 33136
Email: JMcQueen(a,miamigov.com
With copies to: Vincent T. Brown, Esq., Staff Counsel
Email: VTbrownAmiamigov.com
8
To Grantee:
Overtown Youth Center, Inc., a Florida Not -For -Profit Corporation
Tina Brown, Authorized Representative
450 N.W. 14th Street
Miami, Florida 33136
Email: info@oycmiami.org
28. INDEPENDENT CONTRACTOR. Grantee, its contractors, subcontractors, employees, agents,
and participants in the Program shall be deemed to be independent contractors, and not agents or employees of the
SEOPW CRA, and shall not attain any rights or benefits under the civil service or retirement/pension programs of
the SEOPW CRA, or any rights generally afforded its employees; further, they shall not be deemed entitled to
Florida Workers' Compensation benefits as employees of the SEOPW CRA.
29. SUCCESSORS AND ASSIGNS. This Agreement shall be binding upon the Parties hereto, and
their respective heirs, executors, legal representatives, successors, and assigns.
30. COUNTERPARTS AND ELECTRONIC SIGNATURES. This Agreement may
be simultaneously executed in multiple counterparts, all of which shall constitute one and the same instrument,
and each of which shall be deemed to be an original. The facsimile or other electronically delivered signatures of
the Parties shall be deemed to constitute original signatures, and facsimile or electronic copies hereof shall be
deemed to constitute duplicate originals.
31. ANTI -HUMAN TRAFFICKING AFFIDAVIT. The Grantee confirms and certifies that it is not
in violation of Section 787.06, Florida Statutes, and that it does not and shall not use "coercion" for labor or
services as defined in Section 787.06, Florida Statutes. The Grantee shall execute and submit to the SEOPW
CRA an Affidavit in compliance with Section 787.06(13), Florida Statutes, attached an incorporated hereto as
Attachment "A." If Grantee fails to comply with the terms of this Section, the SEOPW CRA may suspend or
terminate this Agreement immediately, without prior notice, and in no event shall the SEOPW CRA be liable to
Grantee for any consequential or incidental damages.
32. MISCELLANEOUS.
a. In the event of any litigation between the Parties under this Agreement, the Parties shall
bear their own attorneys' fees and costs at trial and appellate levels.
b. Time shall be of the essence for each and every provision of this Agreement.
c. All exhibits attached to this Agreement are incorporated herein, and made a part of this
Agreement.
[Signature Page Follows]
9
IN WITNESS WHEREOF, in consideration of the mutual entry into this Agreement, for other good and
valuable consideration, and intending to be legally bound, the SEOPW CRA and Grantee have executed this
Agreement.
ATTEST:
By:
Todd B. Hannon
Clerk of the Board
APPROVED AS TO FORM AND
LEGAL SUFFICIENCY:
By:
Vincent T. Brown, Esq.
General Counsel
Sign Name:
Print Name
Address:
Miami, R. 3313(
Sign Name
Print Name /infonhe En 4 4
Address: 8/9 Nla 2 Wuenue_i ?'°1 flaw
Miami/ Ft .?YI S'k
10
SOUTHEAST OVERTOWN/PARK WEST
COMMUNITY REDEVELOPMENT
AGENCY, a public agency and body
corporate created pursuant to Section 163.356,
Florida Statutes
James D. McQueen
Executive Director
APPROVED AS TO INSURANCE
REQdl gEAFATS:
By: tVIni at v4&
� avia'itUIZ..
Interim Director of Risk Management
OVERTOWN YOU H v' NTER, INC., a
Floridallot-For-P•. i 'orporation
By:
Tin'': rown,
Au orized Representative
IN WITNESS WHEREOF, in consideration of the mutual entry into this Agreement, for other good and
valuable consideration, and intending to be legally bound, the SEOPW CRA and Grantee have executed this
Agreement.
ATTEST:
By:
Clerk of the Board
SOUTHEAST OVERTOWN/PARK WEST
COMMUNITY REDEVELOPMENT
AGENCY, a public agency and body
corporate created pursuant to Section 163.356,
Florida Statutes
'1(1------
James D. McQueen
Executive Director
APPROVED AS TO FORM AND APPROVED AS TO INSURANCE
LEG L SUFFICIENCY: REQUIREMENTS:
By: By:
Vincent T. Brown, Esq.
General Counsel
David Ruiz
Interim Director of Risk Management
Sign Name: OVERTOWN YOUT ENTER, INC., a
Print Names cry Florida Not-For-P orporation
Address: 4 d r • FL
MiAmi , FL ( 3 3 I
Sign Name
Print Name
Address: 04 A/ui 2 ruc./?r+'PIohy
M%a0+% /3 3,7Pi,
r/
I%%M14k /(SA
10
By:
Tina
Auth
Representative
Exhibit "A"
Program Application
11
SEOPW CRA Public Art Activation and Beautification Grant Program
SEOPW CRA PUBLIC ART ACTIVATION AND BEAUTIFICATION GRANT PROGRAM
GRANT APPLICATION
SECTION 1: APPLICANT INFORMATION
Organization Name: Overtown Youth Center, Inc. (OYC Miami)
Primary Contact Person: Yance Torres
Phone Number: (305) 349 - 1204
Email Address: info@oycmiami.org
Website/social media (if applicable): www.oycmiami.org
Is the organization a registered 501(c)(3) Non-profit? (If yes, please attach a copy of your tax-exempt
status.)
Federal EIN or State Registration Number: 65-1048896
SECTION 2: PROJECT OVERVIEW
Project Title:
Type of Grant Requested (Please check box):
O Tier 1 ($5,000)
® Tier 2 ($15,000)
a Tier 2 ($30,000)
SECTION 3: EVENT/ACTIVATION DETAILS
Event Type (Art Installation, Festival, Historical Exhibit, etc.): Art Installation and Cultural Exhibit
Description of Event/Activation (max 300 words): OYC Miami's Student Basel is a dynamic thre1
Date(s) and Time(s): December 2 — 4, 2025
Location(s):
Overtown
NON-TIF (Tax Increment Financing) funding is used to support this program.
SEOPW CRA Public Art Activation and Beautification Grant Program
Will the event take place at a public venue?
O Yes
No
Is this a private venue with substantial public access?
O Yes
a No
Estimated Attendance:
Is this event (check all that apply)
❑✓ Family Friendly
For Profit
Open to the Public
❑ Requiring an Admission Fee
SECTION 4: EDUCATIONAL OR HISTORICAL RELEVANCE
How does your project include an educational or historical component, or highlight SEOPW CRA
redevelopment? (Maximum of 300 words)
OYC Miami's Student Basel is designed as an educational platform, a historical preserval
0
SECTION 5: COMMUNITY ENGAGEMENT
• How will your project involve or benefit the local Overtown community? (max 250 words)
OYC Miami's Student Basel is rooted in and for the Overtown community. Demogr
NON-TIF (Tax Increment Financing) funding is used to support this program.
SEOPW CRA Public Art Activation and Beautification Grant Program
SECTION 6: BUDGET BREAKDOWN
Provide a budget that includes:
• Artist fees
• Production costs
• Permits/security
• Venue/rental fees
• Other (please itemize)
Attach quotes/invoices where available.
SECTION 7: REQUIRED ATTACHMENTS
ElProof of nonprofit or business registration
❑✓ IRS W-9 form
❑✓ Letters of support (optional but encouraged)
❑✓ Visual concept examples or mood board (if applicable)
Grant recipients are required to submit documentation after the event is completed that, at a
minimum, provides:
❑ Total amount spent on the event. (Copies of receipts and invoices are required for processing.)
❑ The number of attendees (not counting the applicant's organization or community partners).
❑ All metrics requested regarding the Events Program Expense & Reporting Form
❑ Failure to provide the information listed above within three months of the event's completion or
the deadline specified in the grant agreement may disqualify the applicant and the event from
future grant funding under this program.
NON-TIF (Tax Increment Financing) funding is used to support this program.
E
TOW
children & youth coalition
MISSION
Through a collective impact
model, Overtown Children and
Youth Coalition (OCYC)
serves as the backbone to
support Overtown's anchoring
organizations to empower all
the community's children and
youth to reach their full
potential.
BOARD of DIRECTORS
Dr. Saliha Nelson,
Chairwoman
Tina Brown, Co -Chair
Keon Williams, Secretary
Sonia Jacobson, Treasurer
Delerene Pitts I Trina Harris
James McQueen
Anthony L. Robinson,
Executive Director
September 18, 2025
Tina Brown, CEO
Overtown Youth Center (OYC Miami)
450 NW 14 Street
Miami, FL 33136
RE: SEOPW CRA Public Art Activation and Beautification Grant Program Proposal
Dear Mrs. Tina Brown,
On behalf of Overtown Children & Youth Coalition we would like to express our support
for the Overtown Youth Center's (OYC Miami) proposal for the SEOPW CRA Public
Art Activation and Beautification Grant Program. This proposal considers the critical
collaboration needed among residents and community partners to support culturally
significant events and public art installations within the SEOPW CRA boundaries. OYC
Miami's proposal to host their Second Annual Student Basel event supports youth
development through this educational platform for students as well as historical
preservation of the neighborhood's rich culture.
We value our existing partnership and share the long-term strategic vision of OYC
Miami to inspire, empower, and enrich the lives of youth and families by bridging social,
emotional, educational, health, and opportunity gaps through a holistic service delivery
approach. We fully support the efforts of OYC Miami as this remarkable organization
seeks external funding to this valuable public art activation project.
Sincerely,
Anthony L. Robinson,
Executive Director
Overtown Children and Youth Coalition
�o
Follow Us @Overtowncyc
786-373-5862
1951 NW 7th Avenue, 3rd Floor, Miami, FL 33136
info@overtowncyc.org I www.overtowncyc.org
Form ■ ■
-9
(Rev. March 2024)
Department of the Treasury
Internal Revenue Service
Request for Taxpayer
Identification Number and Certification
Go to www.lrs.gov/FormW9 for Instructions and the latest information.
Give form to the
requester. Do not
send to the IRS.
Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.
1 Name of entity/Individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded
entity's name on line 2.)
OVERTOWN YOUTH CENTER INC
2 Business name/disregarded entity name, if different from above.
3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check
only one of the following seven boxes.
❑ IndlvduaVsole proprietor ❑✓ C corporation ❑ S corporation ❑ Partnership ❑ Trust/estate
❑ LLC. Enter the tax classification (C = C corporation, S S corporation, P = Partnership) . . . .
Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S. or P) for the tax
classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate
box for the tax classification of its owner.
❑ Other (see instructions)
4 Exemptions (codes apply only to
certain entities, not individuals;
see instructions on page 3):
Exempt payee code (if any)
Exemption horn Foreign Account Tax
Compliance Act (FATCA) reporting
code fit any)
3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification,
and you are providing this form to a partnership, trust, or estate In which you have an ownership Interest, check (Applies to accounts maintained
this box if you have any foreign partner:, owners. or beneficiaries. See instructions ❑ outside the United States.)
6 Address (number, street, and apt. or suite no.). See Instructions.
450 NW 14TH STREET
6 City, state, and ZIP code
MIAMI FL 33136
Requester's name and address (optional)
7 Ust account number(s) here (optional)
Part I
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
backup withholding. For individuals, this is generally yotx social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN, later.
Note: If the account is in more than one name, see the instructions for line 1. See also What Name and
Number To Give the Requester for guidelines on whose number to enter.
Social security number
or
Employer identification number
6
5
1
0
4
8
8
9
6
Part II
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form 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 am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification Instructions. You must cross • t 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 inte . st and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secure • ro•erty, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments
other than interest and dividends, •.% -, t required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign I Signature of
Here u.s. person `fit/,lf' Date
General Instruc
n
Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its instructions. such as legislation enacted
after they were published, go to www.irs.gov/FormW9.
What's New
Line 3a has been modified to clarify how a disregarded entity completes
this line. An LLC that is a disregarded entity should check the
appropriate box for the tax classification of its owner. Otherwise, it
should check the "LLC" box and enter its appropriate tax classification.
1 T
New line 3b has been added to this form. A flow -through entity is
required to complete this line to indicate that it has direct or indirect
foreign partners, owners, or beneficiaries when it provides the Form W-9
to another flow -through entity in which it has an ownership interest. This
change is intended to provide a flow -through entity with information
regarding the status of its indirect foreign partners, owners, or
beneficiaries, so that it can satisfy any applicable reporting
requirements. For example, a partnership that has any indirect foreign
partners may be required to complete Schedules K-2 and K-3. See the
Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS is giving you this form because they
{
Cat. No. 10231X
Form W-9 (Rev. 3-2024)
} _IRS Department of the Treasury
p�'�91fjJJ IRS Internal Revenue Service
005419
OGDEN UT 84201-0038
OVERTOWN YOUTH CENTER INC
450 NW 14TH ST
MIAMI FL 33136-2636
In reply refer to: 0443680429
Nov. 07, 2016 LTR 147C 0
65-1048896 000000 00
00002646
BODC: TE
Employer identification number: 65-1048896
Dear Taxpayer:
Your employer identification number (EIN) is 65-1048896. Please keep
this letter in your permanent records. Enter your name and EIN on all
federal business tax returns and on related correspondence.
You can get any of the forms or publications mentioned in this letter
by calling 1-800-TAX-FORM (1-800-829-3676) or visiting our website at
www.irs.gov/formspubs.
If you have questions, you can call us toll free at 1-800-829-0115.
If you prefer, you can write to us at the address at the top of the
first page of this letter.
When you write, include this letter and provide in the spaces below,
your telephone number with the hours we can reach you.
Keep a copy of this letter for your records.
Telephone number ( ) Hours
Enclosures:
Copy of this letter
Sincerely yours,
Jan Runyen
Program Manager, AM OPS 2
Exhibit "B"
Program Budget
12
Organization Name:
Proposal Budget Form
Overtown Youth Center (OYC Miami)
Public Art Activation & Beautification Grant Program
Expenses - Line Item
Grant Request
Other Income
Sources
In -Kind
Contributions
TOTAL
EXPENSES
Briefly explain "Grant Request" line items.
Project Staff: (Arts Instructor):
94 680.00
S42.120.00
$0.00
546,800.00
This Part -Time position is responsible for facilitating Arts instruction for students
during after school and summer programming. Students wi1 participate in a
artery of art mediums throughout the year and wiM be encouraged to express
themselves through creative outlets. $30.00per hour x60hraybl-
week x 20 weeks . 946,800.00 x 10% = 94,680.00
Fringe Benefits: 14.90%
9697.00
$6,276.00
$0.00
$6973.00
Fringe Benefits is calculated at a rate of 18.99%
Materials/ Program Supplies
59.623.00
S10.000.00
9000
919,623.00
Cost o include program supplies for use exclusively for art classes, event
production cost for student exhibits/showcases, photography, and venue fees.
Classes are for actively partiapatng students during year-round programming.
TOTAL EXPENSES
$15,000.00
988,396.00
$0.00
873,399.00
Program/Project Income: List the income sources that will cover total program/project expenses. Explain how much is committed and how much is pending for each Income source.
List sources, Including this grant request
Committed
Pending
TOTAL INCOME
For pending funds, Indicate when you anticipate notification.
Grant Request
$15.000.00
115,000.00
OYC Operating Budget
958 396.00
558.396.00
90.00
90.00
90.00
90.00
90.00
TOTAL INCOME
$58,396.00
$15,000.00
573,396.00
Exhibit "C"
Insurance Requirements
13
SPECIAL EVENTS INSURANCE
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 SEOPW CRA listed ed as an additional insured
Primary Insurance Clause
Contingent and Contractual liability included
Host liquor included as applicable
City of Miami
444 SW 2nd Avenue
Miami, Florida 33130
Attn: Risk Management
Southeast Overtown/Park West Community Redevelopment Agency
819 NW 2nd Avenue, 3rd Floor
Miami, Florida 33136
II. Business Automobile Liability (If Applicable)
A. Limits of Liability
Bodily Injury and Property Damage Liability
Combined Single Limit
Any Auto
Including Hired, Borrowed or Non -Owned Autos
Any One Accident $ 300,000
B. Endorsements Required
City of Miami included as an Additional Insured
Letter may be provided if no auto exposure is anticipated
III. Worker's Compensation (IF APPLICABLE)
Limits of Liability
Statutory -State of Florida
Employer's Liability
C. 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
Letter may be provided, if less than (4) employees
Attachment A
Anti -Human Trafficking Affidavit
14
ATTACHMENT A - ANTI -HUMAN TRAFFICKING AFFIDAVIT
The undersigned affirms, certifies, attests, and stipulates as follows:
1. The entity/individual is a nongovernmental entity authorized to transact business in the State of
Florida (hereinafter, "nongovernmental entity").
2. The nongovernmental entity is either executing, renewing, or extending a contract (including, but
not limited to, any amendments, as applicable) with the SEOPW CRA or one of its agencies,
authorities, boards, trusts, or other SEOPW CRA entity which constitutes a governmental entity
as defined in Section 287.138(1), Florida Statutes (2024). c. The nongovernmental entity is not in
violation of Section 787.06, Florida Statutes (2024), titled "Human Trafficking."
3. The nongovernmental entity does not use "coercion" for labor or services as defined in Section
787.06, Florida Statutes (2024).
Under penalties of perjury, pursuant to Section 92.525, Florida Statutes, I declare the following:
a) I have read and understand the foregoing Anti -Human Trafficking Affidavit and that the facts,
statements and representations provided in Section 1 are true and correct; and
b) I am an officer, a representative, or individual of the nongovernmental entity authorized to
execute this Anti -Human Trafficking Affidavit.
FURTHER AFFIANT SAYETH NAUGHT.
Nongovernmental Entity/Individual: 04 e/V`� IA� 4-► (, '
Name: Iry A. aA1 Title: C to
Signature:
Office Address: Ili 11‘I j�} -1''� S •}tC��
�/l► "A` F 55i3b
Email Address: Tna 15NA/it/ e bl CMi6m.i- Main Phone Number: 31)5 , 5 0,s1 2124
CERTIFICATE OF AUTHORITY
(IF CORPORATION — INC. — OR LLC)
I HEREBY CERTIFY that at a
°IQ('fb erii Ce,i kr Inc)
the laws of the State of RL,. , held on the�_Z_ day of
passed and adopted, authorizing (Name) ( thy► P»i ."
corporation/LLC to execute agreements on behalf of the corporation/LLC and providing that their execution
thereof, attested by the secretary of the corporation/LLC, shall be the official act and deed of the
corporation/LLC.
meeting of the
Board
of Directors
of
, a corporation/LLC organized and existing under
Fes , 20 Zip, a resolution was duly
as (Title) (=t v of the
I further certify that said resolution remains in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand this ,i day of 3 � , 2010
Secretary: (�
Print: •,nc1��-
NOTARIZATION
STATE OF r`ori (A ) ) SS:
COUNTY OF Ni Grr\1 Oc c
THE FOREGOING INSTRUMENT was acknowledged before me by means of [ u(physical presence or
[ ] online notarization on this 1 day of JUIN , 202,V, by 1 1 r 1 dr--e s As lorls
, on behalf of said entity, who is ( ) personally known to me or ( has
produced the following identification - � ciO1 .
SIGNATURE ► ARY PUBLIC,
STATE OF 1eadjki
COMMISSION EXPIRES ON ,�e 2 2, 0
:a:: �:► F�illa Jean Pierre
! (Nfi Comm.: MM $17737
xpires: Jun. a .2030
Rl„tt•• Notary Public State of Florida
COMMISSION NO. (IF ANY)
rCA\D cic onck-emre,
NAME AND TITLE OF NOTARY PUBLIC
(PRINTED, STAMPED OR TYPED)
CERTIFICATE OF AUTHORITY
(IF LIMITED PARTNERSHIP — L.P.)
I HEREBY CERTIFY that at a meeting of the Board of Directors of
, a partnership organized and existing under the
laws of the State of , held on the day of , 20 , a resolution was
duly passed and adopted, authorizing (Name) as
(Title) of the partnership to execute agreements on behalf of the partnership and
provides that their execution thereof, attested by a partner, shall be the official act and deed of the
partnership.
I further certify that said partnership agreement remains in full force and effect.
Partner:
Print:
IN WITNESS WHEREOF, I have hereunto set my hand this , day of , 20_
Names and addresses of partners:
Name
Street Address
City
State
Zip
NOTARIZATION
STATE OF ) ) SS:
COUNTY OF )
THE FOREGOING INSTRUMENT was acknowledged before me by means of [ ] physical presence or
[ ] online notarization on this _ day of , 20, by as
, on behalf of said entity, who is ( ) personally known to me or ( ) has
produced the following identification
SIGNATURE OF NOTARY PUBLIC,
STATE OF
COMMISSION EXPIRES ON
COMMISSION NO. (IF ANY)
NAME AND TITLE OF NOTARY PUBLIC
CERTIFICATE OF AUTHORITY
(IF JOINT VENTURE)
Joint ventures must submit a joint venture agreement indicating that the person signing this Agreement is
authorized to sign documents on behalf of the joint venture. If there is no joint venture agreement, each
member of the joint venture must sign this Agreement and submit the appropriate Certificate of Authority
(corporate, partnership, or individual).
NOTARIZATION
STATE OF ) ) SS:
COUNTY OF
THE FOREGOING INSTRUMENT was acknowledged before me by means of [ ] physical presence or
[ ] online notarization on this day of , 20, by as
, on behalf of said entity, who is ( ) personally known to me or ( ) has
produced the following identification
SIGNATURE OF NOTARY PUBLIC,
STATE OF
COMMISSION EXPIRES ON
COMMISSION NO. (IF ANY)
NAME AND TITLE OF NOTARY PUBLIC
2 b,zct.�
CERTIFICATE OF AUTHORITY
(IF INDIVIDUAL OR SOLE MEMBER LLC)
I HEREBY CERTIFY that, I (Name) , individually and doing
business as (d/b/a) (If Applicable) have executed and am
bound by the terms of the Agreement to which this attestation is attached.
IN WITNESS WHEREOF, I have hereunto set my hand this day of , 20_
Signed:
Print:
NOTARIZATION
STATE OF ) ) SS:
COUNTY OF
THE FOREGOING INSTRUMENT was acknowledged before me by means of [ ] physical presence or
[ ] online notarization on this day of , 20, by as
, on behalf of said entity, who is ( ) personally known to me or ( ) has
produced the following identification
SIGNATURE OF NOTARY PUBLIC,
STATE OF
COMMISSION EXPIRES ON
COMMISSION NO. (IF. ANY) •
NAME AND TITLE OF NOTARY PUBLIC