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HomeMy WebLinkAboutExhibitHEALTH FOUNDATION OF SOUTH FLORIDA GRANT AWARD AGREEMENT BOARD APPROVAL DATE: December 5, 2016 GRANT NO.: 16-04400 GRANTEE: City of Miami AWARD AMOUNT: $53,462.00 AWARD DURATION: 12 months PROJECT CONTACT: Lillian Blondet PROJECT TITLE: Outdoor Fitness Equipment at Hadley Park: Creating More Active City Communities In accordance with the policy of Health Foundation of South Florida, the undersigned, (either the President/CEO or Executive Director of the above listed Grantee or an agent with signatory authority), does hereby acknowledge that a Foundation Grant of $53,462.00 over 12 months has been approved for the above stated project and as further described in the grant proposal. The undersigned further agrees that the Grant Award will be used only for the purpose as stated in this Agreement, as described in the grant proposal and with no substantial variance to the approved budget unless prior approval in writing is obtained from the Foundation. The undersigned certifies that the grantee organization operates under a tax-exempt status. The undersigned also agrees to return to the Foundation any grant funds not expended for the purposes of the grant within the grant period. A. Requirements for approval of Grant Award Agreement: Requirements for this grant are listed below. Each requirement including this grant award agreement must be sent via the Health Foundation's portal. Start/End Date: Provide grant project start date, end date and reporting dates. For all projects, start date must be on the first or 15th day of the month. A progress report is due 30 days following the completion of the first six month period. Two year grant recipients must submit a progress report 30 days following each 6 -month period. A final report is due 30 days following the completion of the grant period. Please mark all applicable report due dates in the space provided. Start date: End date: First Progress report date: Second progress report date (for two-year grants only): Third progress report date (for two-year grants only): Final report date: 2. Work Plan: If necessary, please revise your Work Plan Benchmarks (outcome objectives, outcome measures and process objectives). The Work Plan Benchmarks that were submitted with your proposal are located on the HFSF Portal's Dashboard on the Benchmarks tab. Your Work Plan Benchmarks will need to be reviewed and approved by your project liaison before the first grant payment is issued. 3. Budget: Please finalize your project budget and include a budget narrative. 4. Letter of Employment Engagement: If applicable, a signed Letter of Employment Engagement (see Letter of Employment Engagement Sample, attached) for any staff over 40% FTI; hired for the project with Health Foundation grant funds (this does not apply to currently employed personnel). 5. Job Descriptions: Please provide a job description for each staff person supported with Health Foundation grants funds. 6. Equipment Policy: If applicable, please submit a letter signed by the grantee's chief executive officer stating that the organization has read Health Foundation's equipment policy and is committed to adhering to the policy. The equipment policy can be found on our website, www.hfsf.org, on the Grantee page under the Grants tab. 7. Press Release: Please prepare a draft of a Press Release which describes your project and acknowledges Health Foundation of South Florida. Upload the draft Press Release to the Health Foundation's portal. A media guide to help you in drafting a release may be accessed on our website, www.hfsf.org, under the Grants tab. Upon approval by the Foundation, the release should be disseminated to the media. The Foundation should also be acknowledged in any subsequent media releases or in any printed, website or other communication materials related to the project. Copies of any other publicity as well as copies of any major work products generated in connection with this grant should be forwarded to the Foundation. Please include the following copy in the Press Release: Health Foundation of South Florida, a nonprofit grant making organization, is dedicated to improving health in Broward, Miami -Dade and Monroe Counties. By funding providers and supporting programs to promote health and prevent disease, the Foundation makes a measurable and sustainable impact in the health of individuals and families. Since 1993, the Foundation has awarded more than $115 million in grants and program support. For more information, please call 305.374.7200 or visit the website, www,hfsf.org. 8. Conditions and Contingencies: Documentation of a favorable environmental (soil) assessment of the Park site. Provide site selection criteria. B. Additional Requirements due throughout the funding period: 1. Evaluation Consultant: You may be required to work with an evaluation consultant who will be assigned by the Foundation. If required, you will find details on the evaluator and the requirements in an attached document. 2. Outreach with Elected Officials: Health Foundation recognizes that only through collaborative effort can we successfully establish a more health promoting public policy environment. As a result, you may be asked to work with your Health Foundation liaison to engage and inform selected elected officials on public policy issues relating your HFSF grant supported project and your organization as a whole. 3. Reporting: Progress and Final Reports must be submitted electronically via a link that will be e-mailed to you at the appropriate times. 4. Data Tracking: Please track the Income/Poverty level and the Race/Ethnicity of your program participants and report the data in the Final Report. 5. Organizational Status Changes: Notify your liaison within two weeks of changes in organizational status including but not limited to: key personnel such as senior or project staff, organizational name, tax status, and organizational address. 6. Other Organizational Changes: Notify your liaison of any organizational changes, such as new address or contact information to ensure that you maintain proper communications with the Foundation and receive payments promptly. If a grant payment has to be reissued, it will be subject to a $35 change fee. 7. Budget Modifications: Notify your liaison and submit a budget modification form if budget changes greater than $3,000 are required during the course of the project. Please advise your liaison if the budget change is due to an increase or decrease in committed funding from other sources. A Request for Budget Modification Form is available on our website, www.hfsf.orq, on the Grantees page under the Grants tab. 8. Success Stories: Provide at least two stories of individuals who have benefited from the grant and have given permission to share their success stories. The stories should be submitted before the end of your grant. For your convenience a "Share Your Success" electronic form is available on our website, www.hfsf.org, under the Grants tab, **Please note that you must meet all requirements A.1 through A.8 before submitting a signed Grant Award Agreement. ** ACCEPTED and AGREED by the President/CEO, Executive Director, or agent with signatory authority: 0 Title: Date: