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CMB Fiscal Year 2023-2024 Grant Agreement (Douglas Gardens Community Mental Health)
DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD 20 23-32785 Reso No. NI -,1\/� 1 B FAC;H CITY OF MIAMI BEACH FISCAL YEAR 2023-2024 GRANT AGREEMENT OCT 2 0 2023 GRANT PROJECT No. 2024-CMB-04 This GRANT AGREEMENT (hereinafter the "Agreement') is made and entered into this day of , 20 by and between the City of Miami Beach, Florida (hereinafter the "City"), and Douglas Gardens Community Mental Health Center of Miami Beach, Inc., a Florida not -for -profit corporation (hereinafter the "Grantee"). This Agreement is effective October 1, 2023, the "Effective Date." ARTICLE I / GRANT DESCRIPTION GRANTEE: Douglas Gardens Community Mental Health Center of Miami Beach, Inc. GRANTEE CONTRACT ADMINISTRATOR: Mary E. Lanser, LCSW, CEO ADDRESS: 1680 Meridian Avenue, Suite 501 CITY, STATE, ZIP: Miami Beach, FL 33139 PHONE, FAX, E-MAIL: 305-531-5341 GRANT AMOUNT 22 000 PROJECT DESCRIPTION: See Exhibit 1 hereto GRANT PROJECT BUDGET: See Exhibit 2 hereto GRANT TERM: October 1, 2023 — September 30 2024 EXPENDITURE DEADLINE: September 30, 2024 PROJECT COMPLETION DATE. September 30, 2024 FINAL REPORT DEADLINE: October 10. 2024 FINAL REIMBURSEMENT REQUEST DEADLINE: October 10, 2024 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD IN WITNESS WHEREOF, the parties hereto have executed this Agreement. FOR CITY: ATTEST: By: Rafa E. Granado, City Clerk OCT 2 0 2023 Date FOR GRANTEE. ATTEST: MEL�wwr�® Print Name and Title Date City of Miami Beach, Florida �.� ..... ?.,ina Hudak, City Manager IN"ORP ORATED.- �Fi 26 APPROVED AS TO FORM & LANGUAGE & FOR EXECUTION City Attorney r Date Page 2 Douglas Gardens Community Mental Health Center of Miami Beach, Inc. Federal Id No. 59-1923396 65 rint Name and -i DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD ARTICLE II / GENERAL CONDITIONS 1. PARTIES: The parties to this Agreement are the Grantee listed in Article I, and the City, a municipal corporation organized under the laws of the State of Florida. The City has delegated the responsibility of administering this Grant to the City Manager or the City Manager's authorized designee (the "Contract Administrator"). 2. PROJECT DESCRIPTION: The Grantee may only use the Grant for the purposes that are specifically described in the Project Description, attached hereto as Exhibit 1 (the "Project"). Any modification to Exhibit 1 ("Project Description"), shall not be effective unless approved by a written amendment to this Agreement signed by the City and Grantee. Grantee agrees that all funding provided by the City pursuant to this Agreement will be used exclusively for goods or services to be provided within the City of Miami Beach. 3. GRANT PROJECT BUDGET: Subject to the availability of City funds, the maximum amount payable to Grantee for goods or services rendered under this Agreement shall not exceed the Grant Amount as set forth in Article I of this Agreement. Grantee agrees that should available City funding be reduced, the amount payable under this Agreement will be reduced at the sole option of the City of Miami Beach. All of the Grantee's expenditures are subject to the terms of this Agreement, and as specified in the Grant Project Budget, attached hereto as Exhibit 2. Any modification to Exhibit 2 ("Project Budget"), shall not be effective unless approved, in writing, by the City and Grantee. Any request by Grantee to modify the Project Budget shall be made in writing, using City approved forms, detailing and justifying the need for such changes. Notwithstanding the foregoing, no modification to the Project Budget shall exceed the Grant Amount set forth in Article I of this Agreement. 4. REPORTS: This Grant has been awarded with the understanding that the activities and services contemplated under the Project Description will mutually contribute to the enhancement of services available to City residents, businesses, and visitors. As a condition of disbursements of grant funds, and to demonstrate that the Grant is fulfilling, or has fulfilled, its purpose, the Grantee must submit quarterly reports to the Contract Administrator by the following dates: January 1511, April 1511, July 151', and the final report by October 1 offi New Grant awards will not be released to the Grantee until all Final Reports for previously awarded grants are received. The City may withhold any future payments of the Grant, or the award of any subsequent Grant, if it has not received all reports required to be submitted by Grantee, or if such reports do not meet the City's reporting requirements. Any reports may be disseminated by the City without the prior written consent of the Grantee. All quarterly reports must be submitted on the Grant Quarterly Status Report Form, attached hereto as Exhibit 3, detailing Grantee's compliance at the time of a partial reimbursement request. Page 3 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD 5. REIMBURSEMENT REQUESTS: Reimbursement requests may be submitted to the City at any time during the Grant Term. All reimbursement requests must be made after expenditures have occurred. All reimbursement requests for funds must be submitted on the Grant Reimbursement Request Form, attached hereto as Exhibit 4. All reimbursement requests must be submitted prior to October 10t', 2023. Grantee shall provide the City with copies of all receipts, invoices, cancelled checks (with copies of both front of back) and proof of expenditures of Grant monies. Grantee shall provide the City with and shall categorize all receipts, invoices, cancelled checks, and other documentation, according to the categories set forth in the grant budget. Invoices and checks must be directly related to expenses for Grant -funded activities taking place within the 2023-2024 Fiscal Year. 6. AMOUNT OF GRANT AND PAYMENT SCHEDULE: The total amount of the Grant is set forth in Article I, subject to the restrictions set forth herein. In awarding this Grant, the City assumes no obligation to provide financial support of any type whatsoever in excess of the total Grant Amount. Cost overruns are the sole principal responsibility of the Grantee. The Grant funds will only be remitted to the Grantee once the Mayor and City Commission have approved the grant award, and once all parties have executed this Agreement. 7. GRANT RESTRICTIONS: Grant funds awarded pursuant to this Agreement may not be used for the following expenditures: remuneration of City employees for services rendered as part of a project funded by this Grant; debt reduction; social and/or fundraising events; cash prizes; lobbying or propaganda materials; charitable contributions; or events not open to the public. 8. NO GUARANTEE OF FUNDING: The Grantee acknowledges that the receipt of this Grant does not imply a commitment on behalf of the City to continue or provide funding beyond the terms specified in this Agreement. 9. PROGRAM MONITORING AND EVALUATION: The City Manager or the City Manager's designee may monitor and conduct an evaluation of the Project under this Grant, which may include, with or without limitation, visits by City representatives to Grantee's offices and/or the site of any project funded by this Grant, to observe Grantee's programs, procedures, and operations, or to discuss the Grantee's programs with Grantee's personnel; and/or requests for submittal of additional documentation or written reports, prior to the Project completion date, evidencing Grantee's progress on the Project. 10. BANK ACCOUNTS AND BONDING: Grantee shall maintain all monies received pursuant to this Agreement in an account with a bank or savings and loan association that is located in Miami -Dade County. The Grantee shall provide the City with the name of the bank or savings and loan association, as well as the name and title of all individuals authorized to withdraw or write checks on Grant funds. 11. ACCOUNTING AND FINANCIAL REVIEW: Funded activities by this Grant must take place during the City's fiscal year for which the Grant is approved (October 1 — September 30). The Grantee shall keep accurate and complete books and records of all receipts and expenditures of Grant funds, in Page 4 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD conformance with reasonable accounting standards. These books and records, as well as all documents pertaining to payments received and made in conjunction with this Grant, including, without limitation, vouchers, bills, invoices, receipts and canceled checks, shall be dated within the fiscal year for which they are approved and retained in Miami -Dade County in a secure place and in an orderly fashion by the Grantee for at least three (3) years after the Expenditure Deadline specified in in this Agreement. These books, records, and documents may be examined by the City, and/or its authorized representatives, at the Grantee's offices during regular business hours and upon reasonable notice. Furthermore, the City may, at its expense, audit or have audited, all the financial records of the Grantee, whether or not purported to be related to this Grant. Grantee costs or earnings claimed under this Agreement may not also be claimed under any other Agreement from the City of Miami Beach or from any other entity. Any claim for double payment by Grantee shall be a material breach of this Agreement. 12. INSPECTOR GENERAL AUDIT RIGHTS: A. Pursuant to Section 2-256 of the Code of the City of Miami Beach, the City has established the Office of the Inspector General which may, on a random basis, perform reviews, audits, inspections and investigations on all City contracts, throughout the duration of said contracts. This random audit is separate and distinct from any other audit performed by or on behalf of the City. B. The Office of the Inspector General is authorized to investigate City affairs and empowered to review past, present and proposed City programs, accounts, records, contracts and transactions. In addition, the Inspector General has the power to subpoena witnesses, administer oaths, require the production of witnesses and monitor City projects and programs. Monitoring of an existing City project or program may include a report concerning whether the project is on time, within budget and in conformance with the contract documents and applicable law. The Inspector General shall have the power to audit, investigate, monitor, oversee, inspect and review operations, activities, performance and procurement process including but not limited to project design, bid specifications, (bid/proposal) submittals, activities of the Grantee , its officers, agents and employees, lobbyists, City staff and elected officials to ensure compliance with the contract documents and to detect fraud and corruption. Pursuant to Section 2-378 of the City Code, the City is allocating a percentage of its overall annual contract expenditures to fund the activities and operations of the Office of Inspector General. C. Upon ten (10) days written notice to the Grantee, the Grantee shall make all requested records and documents available to the Inspector General for inspection and copying. The Inspector General is empowered to retain the services of independent private sector auditors to audit, investigate, monitor, oversee, inspect and review operations activities, performance and procurement process including but not limited to project design, bid specifications, (bid/proposal) submittals, activities of the Grantee, its officers, agents and employees, lobbyists, City staff and elected officials to ensure compliance with the contract documents and to detect fraud and corruption. Page 5 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD D. The Inspector General shall have the right to inspect and copy all documents and records in the Grantee's possession, custody or control which in the Inspector General's sole judgment, pertain to performance of the contract, including, but not limited to original estimate files, change order estimate files, worksheets, proposals and agreements from and with successful subcontractors and suppliers, all project -related correspondence, memoranda, instructions, financial documents, construction documents, (bid/proposal) and contract documents, back -change documents, all documents and records which involve cash, trade or volume discounts, insurance proceeds, rebates, or dividends received, payroll and personnel records and supporting documentation for the aforesaid documents and records. E. The Grantee shall make available at its office at all reasonable times the records, materials, and other evidence regarding the acquisition (bid preparation) and performance of this contract, for examination, audit, or reproduction, until three (3) years after final payment under this contract or for any longer period required by statute or by other clauses of this contract. In addition: i. If this contract is completely or partially terminated, the Grantee shall make available records relating to the work terminated until three (3) years after any resulting final termination settlement; and ii. The Grantee shall make available records relating to appeals or to litigation or the settlement of claims arising under or relating to this contract until such appeals, litigation, or claims are finally resolved. F. The provisions in this section shall apply to the Grantee, its officers, agents, employees, subcontractors and suppliers. The Grantee shall incorporate the provisions in this section in all subcontracts and all other agreements executed by the Grantee in connection with the performance of this contract. G. Nothing in this section shall impair any independent right to the City to conduct audits or investigative activities. The provisions of this section are neither intended nor shall they be construed to impose any liability on the City by the Grantee or third parties. 13. PUBLICITY AND CREDITS: The Grantee must include the City logo and the following credit line in all publications related to this Grant: "This Project is funded in whole or in part by a grant from the City of Miami Beach." Grantee's failure to comply with this paragraph may preclude future grant funding from the City, in the same manner as if Grantee defaulted under this Agreement. 14. LIABILITY AND INDEMNIFICATION: Grantee shall indemnify, defend and hold harmless the City and its officers, employees, agents, and contractors, from and against any and all actions (whether at law or in equity), claims, liabilities, losses, expenses, or damages, including, without limitation, attorneys' fees and costs of defense, for personal, economic, or bodily injury, wrongful death, or loss of Page 6 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD or damage to property, which the City or its officers, employees, agents and contractors may incur as a result of claims, demands, suits, causes of action or proceedings of any kind or nature arising out of, relating to, or resulting from the performance of this Agreement by the Grantee or its officers, employees, agents, servants, partners, principals or contractors. Grantee shall pay all claims and losses in connection therewith and shall investigate and defend all claims, suits, or actions of any kind or nature in the name of the City, where applicable, including appellate proceedings, and shall pay all costs, judgments, and attorneys' fees which may issue thereon. Grantee expressly understands and agrees that any insurance protection required by this Agreement, or otherwise provided, shall in no way limit its obligation, as set forth herein, to indemnify, defend and hold harmless the City or its officers, employees, agents, and contractors as herein provided. If the Grantee is a government entity, this indemnification shall only be to the extent and within the limitations of Section 768.28, Florida Statutes, subject to the provisions of that Statute, whereby the Grantee entity shall not be held liable to pay a personal injury or property damage claim or judgment by any one person which exceeds the sum of $200,000, or any claim or judgment or portions thereof, which, when totaled with all other claims or judgments paid by the government entity arising out of the same incident or occurrence, exceed the sum of $300,000 from any and all personal injury or property damage claims, liabilities, losses or causes of action which may arise as a result of the negligence of the Grantee entity. 15. ASSIGNMENT: The Grantee shall not be permitted to assign this Grant, and any purported assignment will be void, and shall be treated as an event of default pursuant to this Agreement. 16. COMPLIANCE WITH LAWS: The Grantee agrees to abide by and be governed by all applicable Federal, State, County and City laws, including but not limited to Miami -Dade County's Conflict of Interest and Code of Ethics Ordinance, as amended, which is incorporated herein by reference as if fully set forth herein, and Chapter 2, Article VII of the City Code, as amended, which is incorporated herein by reference as if fully set forth herein. 17. DEFAULT/TERMINATION PROVISIONS: In the event the Grantee shall fail to comply with any of the provisions of this Agreement, the City Manager or the City Manager's designee may terminate this Agreement and withhold or cancel all or any unpaid installments of the Grant upon giving five (5) calendar days written notice to the Grantee, and the City shall have no further obligation to the Grantee under this Agreement. Further, in the event of termination, the Grantee shall be required to immediately repay to the City all portions of the Grant which have been received by the Grantee, as of the date that the written demand is received. Any uncommitted Grant funds which remain in the possession or under the control of the Grantee as of the date of the Expenditure Deadline specified in this Agreement must be returned to the City within fifteen (15) days after the Expenditure Deadline. If such funds have been committed but not expended, the Grantee must request in writing from the City Manager an extension of the Expenditure Page 7 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD Deadline which, if approved, shall be for a period not to exceed one (1) year. Grant funds which are to be repaid to the City pursuant to this Section are to be repaid upon demand by delivering to the City Manager a certified check for the total amount due, payable to the City of Miami Beach, Florida. These provisions shall not waive or preclude the City from pursuing any other remedies that may be available to it under the law or in equity. Notwithstanding the provisions of this Section, and without regard to whether City has exercised the Default provisions thereof, the City reserves the right, at its sole and absolute discretion, to discontinue funding of the Grant if it is not satisfied with the progress of the Project or the content of any required written report. In the event of discontinuation of the Grant or at the close of the Project, any unexpended Grant Funds shall be immediately returned to the City, except where the City Manager has agreed in writing to alternative use of the unused/unexpended Grant Funds. 18. INSURANCE REQUIREMENTS: A. Verification of Coverage Grantee shall provide the required insurance certificates, endorsements or applicable policy language effecting coverage required by this Section, as follows. All certificates of insurance and endorsements are to be received prior to any work commencing. However, failure to obtain the required coverage prior to the work beginning shall not waive the Grantee's obligation to provide them. The City of Miami Beach reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. i. Worker's Compensation Insurance as required by Florida Statute, Chapter 440, and Employer's Liability Insurance with limits of no less than $1,000,000 per accident for bodily injury or disease. ii. Commercial General Liability on a comprehensive basis, including products and completed operations, contractual liability, property damage, bodily injury and personal & advertising injury combined single limit of $1,000,000 per occurrence for bodily injury and property damage. City of Miami Beach must be shown as an additional insured with respect to this coverage. iii. Automobile Liability Insurance covering all owned, non -owned and hired vehicles used in connection with the work, in an amount not less than $500,000 combined single limit per occurrence for bodily injury and property damage. Page 8 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD B. Additional Insured Status The City of Miami Beach must be covered as an additional insured with respect to liability arising out of work or operations performed by or on behalf of the Grantee. C. Waiver of Subrogation Grantee hereby grants to the City of Miami Beach a waiver of any right to subrogation which any insurer of the Grantee may acquire against the City of Miami Beach by virtue of the payment of any loss under such insurance. Grantee agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation, but this provision applies regardless of whether or not the City of Miami Beach has received a waiver of subrogation endorsement from the insurer. D. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City of Miami Beach Risk Management Office. E. Special Risks or Circumstances The City of Miami Beach reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. Certificate Holder Certificate holder must read: CITY OF MIAMI BEACH c/o HR Department/Risk Management Division 1700 Convention Center Drive Miami Beach, FL 33139 F. Compliance with the foregoing requirements shall not relieve the Grantee of its liability and obligation under this section or under any other section of this Agreement. 19. FLORIDA PUBLIC RECORDS LAW: A. Grantee shall comply with Florida Public Records law under Chapter 119, Florida Statutes, as may be amended from time to time. B. The term "public records" shall have the meaning set forth in Section 119.011(12), which means all documents, papers, letters, maps, books, tapes, photographs, films, sound recordings, data processing software, or other material, regardless of the physical form, characteristics, or means of transmission, made or received pursuant to law or ordinance or in connection with the transaction of official business of the City. Page 9 DocuSign Envelope ID: F2EB48C6-2C6F-4F36-AC5A-7A87832760CD C. Pursuant to Section 119.0701 of the Florida Statutes, if the Grantee meets the definition of "Contractor" as defined in Section 119.0701(1)(a), the Grantee shall: i. Keep and maintain public records required by the City to perform the service; ii. Upon request from the City's custodian of public records, provide the City with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in Chapter 119, Florida Statutes or as otherwise provided by law; iii. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed, except as authorized by law, for the duration of the contract term and following completion of the Agreement if the Grantee does not transfer the records to the City; iv. Upon completion of the Agreement, transfer, at no cost to the City, all public records in possession of the Consultant or keep and maintain public records required by the City to perform the service. If the Consultant transfers all public records to the City upon completion of the Agreement, the Grantee shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the Grantee keeps and maintains public records upon completion of the Agreement, the Consultant shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the City, upon request from the City's custodian of public records, in a format that is compatible with the information technology systems of the City. D. REQUEST FOR RECORDS; NONCOMPLIANCE i. A request to inspect or copy public records relating to the City's contract for services must be made directly to the City. If the City does not possess the requested records, the City shall immediately notify the Consultant of the request, and the Grantee must provide the records to the City or allow the records to be inspected or copied within a reasonable time. ii. Grantee's failure to comply with the City's request for records shall constitute a breach of this Agreement, and the City, at its sole discretion, may: (1) unilaterally terminate the Agreement; (2) avail itself of the remedies set forth under the Agreement; and/or (3) avail itself of any available remedies at law or in equity. iii. A Grantee who fails to provide the public records to the City within a reasonable time may be subject to penalties under s. 119.10. Page 10 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD E. CIVIL ACTION i. If a civil action is filed against a Grantee to compel production of public records relating to the City's contract for services, the court shall assess and award against the Grantee the reasonable costs of enforcement, including reasonable attorneys' fees, if: a. The court determines that the Grantee unlawfully refused to comply with the public records request within a reasonable time; and b. At least 8 business days before filing the action, the plaintiff provided written notice of the public records request, including a statement that the Grantee has not complied with the request, to the City and to the Grantee. ii. A notice complies with subparagraph (i)(b) if it is sent to the City's custodian of public records and to the Grantee at the Grantee's address listed on its contract with the City or to the Grantee's registered agent. Such notices must be sent by common carrier delivery service or by registered, Global Express Guaranteed, or certified mail, with postage or shipping paid by the sender and with evidence of delivery, which may be in an electronic format. iii. A Grantee who complies with a public records request within 8 business days after the notice is sent is not liable for the reasonable costs of enforcement. F.IF THE GRANTEE HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE GRANTEE'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT: CITY OF MIAMI BEACH ATTENTION: RAFAEL E. GRANADO, CITY CLERK 1700 CONVENTION CENTER DRIVE MIAMI BEACH, FLORIDA 33139 E-MAIL: RAFAELGRANADO(cD_MIAM I BEACH FL. GOV PHONE: 305-673-7411 20. E-VERIFY: A. Grantee shall comply with Section 448.095, Florida Statutes, "Employment Eligibility" ("E- Verify Statute'), as may be amended from time to time. Pursuant to the E-Verify Statute, commencing on January 1, 2021, Grantee shall register with and use the E-Verify system to verify the work authorization status of all newly hired employees during the Term of the Agreement. Additionally, Page 11 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD Grantee shall expressly require that any approved sub -contractor performing work or providing services pursuant to the Agreement to likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the contract Term. If Grantee enters into a contract with an approved subcontractor, the subcontractor must provide the Grantee with an affidavit stating that the subcontractor does not employ, contract with, or subcontract with an unauthorized alien. Grantee shall maintain a copy of such affidavit for the duration of the subcontract or such other extended period as may be required under this Agreement. B. TERMINATION RIGHTS. i. If the City has a good faith belief that Grantee has knowingly violated Section 448.09(1), Florida Statutes, the City shall terminate this Agreement with Grantee for cause, and the City shall thereafter have or owe no further obligation or liability to Grantee. If the City has a good faith belief that a subcontractor has knowingly violated the foregoing Subsection 20(A), but the Grantee otherwise complied with such subsection, the City will promptly notify the Grantee and order the Grantee to immediately terminate the agreement with the subcontractor. Grantee's failure to terminate a subcontractor shall be an event of default under this Agreement, entitling City to terminate this Agreement for cause. A contract terminated under the foregoing Subparagraphs (B)(i) or (B)(ii) is not in breach of contract and may not be considered as such. iii. The City or Grantee or a subcontractor may file an action with the Circuit or County Court to challenge a termination under the foregoing Subparagraphs (B)(i) or (B)(ii) no later than 20 calendar days after the date on which the contract was terminated. iv. If the City terminates the Agreement with Grantee under the foregoing Subparagraph (B)(i), Grantee may not be awarded a public contract for at least 1 year after the date of termination of this Agreement. v. Grantee is liable for any additional costs incurred by the City as a result of the termination of this Agreement under this Section 20. 21. BOARD TRAINING: Pursuant to Resolution 2018-30552, Grantee is required to have 51% or more of its board membership complete the City's training for board members, if all three of the following apply: 1) the agency is a non-profit; 2) the agency has an annual operating budget of less than $5 million; and, 3) the grant award is for $25,000 or more in City funds. The Board Training must be completed within the last two years prior to the receipt of City funds. 22. WRITTEN NOTICES: Any notices required under this Agreement will be effective when delivered to the City in writing and addressed to the City Grant Administrator, as identified in Section 23. Any notices required under this Agreement will be effective when delivered to the Grantee in writing and addressed to the Grantee Contract Administrator. Page 12 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD 23. CITY CONTRACT ADMINISTRATOR: All contract related questions, reports and requests for reimbursements to be submitted to Grants Management Department listed below: Krystal M. Dobbins, Grants Management Division Director KrystaIDobbins (d)miamibeachfl.gov Elizabeth Carrino, Grant Writer Researcher ElizabethCarrino(�miamibeachfl.gov ARTICLE III / MISCELLANEOUS PROVISIONS 24. PUBLIC PURPOSE- The Grant awarded herein is the result of a finding by the City, based on representatives, documents, materials and other information supplied by Grantee, that the Grantee is performing a public purpose through the programs, projects, and/or services recommended for support. As such, use of Grant funds for any program component not meeting this condition will be considered a breach of the terms of this Agreement and will allow the City to seek remedies including, but not limited to, those outlined in this Agreement. 25. NO DISCRIMINATION: The Grantee also accepts and agrees to comply with the following Special Conditions: A. Grantee hereby agrees that it will comply with Title VII of the Civil Rights Act of 1964 (Pub. L. 88-352) (Title VII), as amended, as it appears in volume 42 of the United States Code, beginning at Section 2000e, prohibiting employment discrimination based on race, color, religion, sex and national origin. B. The Grantee hereby agrees that it will comply with City of Miami Beach Human Rights Ordinance as codified in Chapter 62 of the City Code, as may be amended from time to time, prohibiting discrimination in employment (including independent contractors), housing and public accommodations, public services and in connection with its membership or policies on account of actual or perceived race, color, national origin, religion, sex, intersexuality, gender identity, sexual orientation, marital and familial status, age, disability, ancestry, height, weight, hair texture and/or hairstyle, domestic partner status, labor organization membership, familial situation, or political affiliation. C. The City endorses, and Grantee shall comply with, the clear mandate of the Americans with Disabilities Act of 1990 (ADA) to remove barriers, which prevents qualified individuals with disabilities from enjoying the same employment opportunities that are available to persons without disabilities. D. The City also endorses the mandate of the Rehabilitation Act of 1973 and Section 504 and prohibits discrimination on the basis of disability and requires that Grant recipients provide equal Page 13 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD access and equal opportunity and services without discrimination on the basis of any disability. 26. GOVERNING LAW AND EXCLUSIVE VENUE: This Agreement shall be governed by, and construed in accordance with, the laws of the State of Florida, both substantive and remedial, without regard to principles of conflict of laws. The exclusive venue for any litigation arising out of this Agreement shall be Miami -Dade County, Florida, if in State court, and the U.S. District Court, Southern District of Florida, if in federal court. BY ENTERING INTO THIS AGREEMENT, GRANTOR AND GRANTEE EXPRESSLY WAIVE ANY RIGHTS EITHER PARTY MAY HAVE TO A TRIAL BY JURY OF ANY CIVIL LITIGATION RELATED TO, OR ARISING OUT OF, THIS AGREEMENT. 27. NO WAIVER: No waiver of any breach or failure to enforce any of the terms, covenants, conditions or other provisions of this Agreement by either party at any time shall in any way affect, limit, modify or waive either party's right thereafter to enforce or compel strict compliance with every term, covenant, condition or other provision hereof. 28. CAPTIONS USED IN THIS AGREEMENT: Captions, as used in this Agreement, are for convenience of reference only and should not be deemed or construed as in any way limiting or extending the language or provisions to which such captions may refer. 29. CONTRACT REPRESENTS TOTAL AGREEMENT: This contract, including its special conditions and exhibits, represents the whole and total agreement of the parties. No representations, except those contained within this Agreement and its attachments, are to be considered in construing its terms. No modifications or amendments may be made to this Agreement unless made in writing signed by both parties. The City Manager, on behalf of the City, shall be authorized to execute amendments to this Agreement; however, any changes to the Grant Amount shall require approval by the Mayor and City Commission. 30. BACKGROUND SCREENING REQUIREMENT: (ONLY IF GRANTEE OR GRANTEE'S EMPLOYEES WILL BE IN CONTACT WITH CHILDREN DO YOU NEED THIS BACKGROUND SCREENING REQUIREMENT)ln accordance with Sections 943.0542, 984.01, 39.001 and 1012.465, Florida Statutes and Chapters 430, 435, and 402, Florida Statutes, as applicable, employees, volunteers, contractors, and subcontracted personnel who work in direct contact with children or who come into direct contact with children must complete a satisfactory Level 2 background screening prior to commencing work pursuant to this Agreement. Level 2 Background screenings must be completed through the City of Miami Beach, Human Resources Department. Contractor agrees to complete Level 2 Background screening prior to initiating any work related to this Agreement, unless the City's Contract Administrator approves an alternative process. Page 14 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD EXHIBIT 1 PROJECT DESCRIPTION BACKGROUND/DESCRIPTION OF NEED Douglas Gardens Community Mental Health Center is a publicly funded provider of Mental Health services for greater Miami Beach. More than 65% of individuals served are identified as low income and/or without income. Linkage to services is deemed crucial for mental health care and treatment as well as access to prescribed medication by the psychiatric provider. PROGRAM DESCRIPTION The agency agrees to: 1. Operate an Aftercare program for individuals transitioning from In -patient hospital care. This includes individuals experiencing an emotional/ psychiatric crisis considered of emergency proportions. The transition to the community is supported by the Aftercare provider to assist individuals facing challenges after a crisis. 2. Waive consumer medication co -payments for prescriptions filled at DGCMHC on behalf of low- income elderly and disabled Miami Beach residents. Psychiatric stability through medication management with prescribed medications is only for those medications specific for mental health treatment. LOCATION The Douglas Gardens Community Mental Health Center is located at 1680 Meridian Avenue# 501 Miami Beach, Florida 33139 Page 15 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD GRANT ACTIVITIES Activity Name Activity Description Description of Service Recipients No. Service Recipients Aftercare The Aftercare case manager is Miami Beach residents being 500 clients to Services expected to meet with individuals treated in an inpatient receive 1,200 discharged from a psychiatric unit psychiatric OR recently hours of to engage in follow-up treatment discharged from an inpatient service. and care. episode of care. Prescription The prescription co -payment for Co -payment fees for 175 clients to co -pay elderly and disabled residents medications prescribed by a receive 1,085 enables individuals to maintain psychiatric provider. prescriptions. medication levels and achieve psychiatric stability. GOALS/OUTCOMES Outcome Measure Target Reporting Deadline Linkage to mental Aftercare follow-up within 7 days post Quarterly reporting health services. (7) days post inpatient hospitalization. admission. STAFFING Position Title Description/Responsibilities to Grant Program Budget Description Aftercare Case The Aftercare Case Manager will meet with staff and Manager individuals slated for needed services weekly while inpatient in the hospital. Subsequent services will be provided to link the individuals to appropriate needed services. Page 16 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD EXHIBIT 2 PROJECT BUDGET Budget Line Item Description Project Budget Staff Salary and Wages: Position Aftercare Case Manager $16,850.00 Fringe Benefits: Fica/Mica & Health Insurance Consulting Services Medication Co -Payments Medication Co -Pas - waived $5,150.00 Professional Services Marketing/Publicity/Advertising Outside Services Trainin s/Worksho s Materials/Supplies Printing & Copying Postage & Delivery Equipment Rental/Purchase Utilities: Telephone, Internet, Cable Lease/Rent Repairs/Maintenance Insurance Transportation & Admission Waste/Garbage Collection Child Care Subsidy TOTAL $22,000 Page 17 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD EXHIBIT 3 CITY OF MIAMI BEACH GRANT QUARTERLY STATUS REPORT FORM GRANT PROJECT No.: GRANTEE NAME: GRANTEE ADDRESS: GRANTEE CONTRACT ADMINISTRATOR: GRANTEE CONTRACT ADMINISTRATOR'S E-MAIL ADDRESS: REPORT PERIOD: ❑ Oct. 1 - Dec. 31 Due Jan. 15 GOALS/OUTCOMES: Outcome ❑ Jan. 1 — Mar. 31 Due Ap. 15 Measure PROBLEM ENCOUNTERED: OTHER NOTABLE ITEMS: Grantee Report Prepared By: Name City of Miami Beach Report Reviewed By: Name ❑ Apr. 1 —Jun. 30 ❑ Jul. 1 - Sept.30 Due Jul. 15 Due Oct. 10 Target I Accomplishments To -Date Page 18 Signature/Date Signature/Date DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD EXHIBIT 4 CITY OF MIAMI BEACH GRANT REIMBURSEMENT REQUEST FORM GRANT PROJECT No.: GRANTEE NAME: GRANTEE ADDRESS: GRANTEE CONTRACT ADMINISTRATOR: GRANTEE CONTRACT ADMINISTRATOR'S E-MAIL ADDRESS j REQUEST No. -{I Amount of Assistance: Less Previous Total Disbursements: _ Balance Available: Funds Requested This Disbursement. Certification of Payment: I certify that the above expenses were necessary and reasonable for the completion of the Project and in accordance with this Agreement. I further warrant and represent that these expenses have not been, and will not be, covered by any other third party funding source, including under any other separate agreement between the City and Grantee. Grantee Report Prepared By: Name City of Miami Beach Report Reviewed By: Name Page 19 Signature/Date Signature/Date ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD CITYWIDE ACCOUNTS CITYVADE ACCOUNTS OPERATING BUDGET FY 2021 FY 2022 FY 2023 FY 2024 2024 Prop to Actuals Actuals Adopted Proposed 2023 Adop GRAMS & CONTRIBUTIONS Garden Center (Botanical Garden) 152,000 38,000 152,000 152,000 0 North Beach Programming (fka Food Trucks/First Fridays)' 0 50,000 50,000 0 (50,000) New Year's Eve/Fourth of July (Ocean Drive Association)' 2,999 40,250 50,000 0 (50,000) Jewish Museum 23,722 0 50,000 50,000 0 UNIDAD Senior Center 14,000 0 0 0 0 Jewish Community Services of South Florida, Inc. 45,367 43,242 47,000 47,000 0 Miami Beach Chamber/Visitor Center 36,000 36,000 36,000 36,000 0 Veteran's Day 9,100 37,662 40,000 40,000 0 Miami Beach Gay 8, Lesbian Chamber of Commerce 25,000 25,000 25,000 25,000 0 Miami Design Preservation League 23,000 23,000 23,000 23,000 0 Douglas CGerdens Cemmwdy Mental Health tenter, Inc. 21,868 22,000 22,000 22,090. 0 Miami Beach Community Health Center 22,000 27,500 22,000 22,000 0 South Florida Greater Miami Hispanic Chamber 23,428 23,266 24,000 24,000 0 Boys and Girls Club 17,000 17,000 17,000 17,000 0 Orange Bowl 17,000 17,000 17,000 17,000 0 Ayuda, Inc. 13,300 0 0 0 0 Sister Cities 0 20,000 25,000 25,000 0 COVID-19 Feeding Program 44,607 0 0 0 0 Hispanic and Black Affairs 0 0 3,000 0 (3,000) Subtotal $ 490,390 $ 419,919 $ 603,000 $ 500,000 $ (103,000) CITY SERVICES City Usage - Water/Sewer/Stormwater/Sanitation 2,727,905 3,472,764 3,348,000 4,181,000 833,000 Historic City Hall 209,000 275,000 149,000 12,000 (137,000) 77717thStreet 389,101 729,634 211,000 211,000 0 External Auditor` 159,000 155,185 180,000 0 (180,000) Property Management of City -Owned Facilities 3,000 0 0 0 0 OIG Internal Service Chargeback 0 0 79,000 39,000 (40,0001 State Court Costs Article V• 0 10,996 0 0 0 Subtotal $ 3,488,006 $ 4,643,578 $ 3,967,000 $ 4,443,000 $ 476,000 SPECIAL PROJECTS Elections 56,631 611,939 654,000 620,000 (654,000) Performance Improvement/Workshops/Community Survey 22,592 77,990 117,000 139,000 22,000 Cost Allocation Study" 0 9,500 25,000 0 (25,000) Superlative Group (Coca Cola Sponsorship Commissions) 29,315 0 0 0 0 Contracted Repairs and Maint (Monuments) 30,000 37,960 30,000 30,000 0 OIG Funding 1,969,588 46,000 0 0 0 Other Studies 92,728 40,884 0 60,000 60,000 City Residency Pilot Program 0 0 150,000 150,000 0 Other 2,029,731 1,748,320 366,000 297,000 551,000 Subtotal $ 4,230,584 $ 2,572,593 $ 1,342,000 $ 1,296,000 $ (46,000) GENERAL FUND CAPITAL PROJECTS Pay -As -You -Go Capital Fund (Transfer) 4,252,000 34,141,000 3,974,000 10,720,000 6,746,000 Subtotal $ 4,252,000 $ 34,141,000 $ _ 3,974,000 $ 10,720,000 $ 6,746,000 445 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD DOUGGAR ACORD..3 , CERTIFICATE OF LIABILITY INSURANCE D9/2012102/YYYY) /20/2 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Evelyn D. Ambler CBIZ Insurance Services, Inc. PHONE .iI561 278-0448 2255 Glades Road E-MAIL o E.):ac No: Suite 321A ADDRESS: eambler@cbiz.com Boca Raton, FL 33431 INSURER(S) AFFORDING COVERAGE NAIC0 _ INSURER A: Philadelphia Indemnity Insurance Co. 18058 INSURED Douglas Gardens Community Mental Health INSURER B : Associated Industries Insurance Company 23140 Center of Miami Beach, Inc. INSURER C : 1680 Meridian Avenue, Ste 501 INSURER D : Miami Beach, FL 33139 INSURER E : 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 CONTRACTOR 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 LT R LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MM/DDrYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X PHPK2535816 4/01/2023 04/01/2024 EDAACMHq�OECTCURRENCE $1000000 CLAIMS -MADE a OCCUR PREMISES Ea cccuErrrence1 $100 000 MED EXP (Any one person) $5,000 PERSONAL BADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROT- LOC GENERAL AGGREGATE s3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 $ OTHER: • AUTOMOBILE LU181UTY PHPK2535816 4/01I2023 04/01/202 COMBINED SINGLE LIMIT Eaaccdent $1,000,000 BODILY INJURY (Per person) $ ANY AUTO Ix OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ AUTOS ONLY X NON -OWNED AUTOS ONLY PROPERTY DAMAGE Per accident $ $ A UMBRELLA LIAR OCCUR PHUB857396 4/01/2023 04/01/2024 EACH OCCURRENCE s4,000,000 AGGREGATE s4,000,000 EXCESS LIAR CLAIMS -MADE DED I X I RETENTION $10000 OTH- X IsPTEARTUTE $ 1 1/30/2023 01/30/2024 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? F N I A AWC11911311 E.L. EACH ACCIDENT $5O0000 E.L. DISEASE - EA EMPLOYEE $500 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 4/01/2023 04/01/2024 E.L. DISEASE -POLICY LIMIT $600,000 1,000,000 Per Calim A Professinal Liab PHPK2635816 A Medical Prof Liab PHPK2535816 4/01/2023 04/01/202 3,000,000 Aggrregate A Abusive Acts PHPK2535816 4/01/2023 04/01/202 1,000,000 Sub -Limit DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Florida Statute required a 10 day notice of cancellation for non-payment of premium and 45 day notice for non -renewal. FULL CERTIFICATE HOLDER: City of Miami Beach, c/o HR Department/Risk Management Division, 1700 Convention Center Drive, Miami Beach, FL 33139 The City of Miami Beach is named as an additional insured with respect to General Liability as required by (See Attached Descriptions) 1-1=11I IFIL;AIL HULUEK GANGLLLATION City of Miami Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1700 Convention Center Drive ACCORDANCE WITH THE POLICY PROVISIONS. Miami Beach, FL 33139 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S3721974/M3490584 80EA SAGITTA 25.3 (2016/03) 2 of 2 #S3721974/M3490584 DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD PHILADELPHIA INSURANCE COMPANIES A Member of the Tokio Marine Group PI-CXL-002 (05/19) One Bala Plaza, Suite 100 Bala Cynwyd, Pennsylvania 19004 610.617.7900 Fax 610.617.7940 PHLY.com COMMERCIAL UMBRELLA LIABILITY INSURANCE POLICY DECLARATIONS Philadelphia Indemnity Insurance Company 4644 CBIZ Insurance Services, Inc. dba CBI 2255 Glades Rd Ste 321A Boca Raton, FL 33431 (561)278-0448 NAMED INSURED: moo,-4a,s_•Gardena-CQwtL tyx: jjqn_ta1_Health Center of Miami Beach Inc " MAILING ADDRESS: 1680 Meridian Ave Ste 501 Miami Beach, FL 33139-2719 POLICY PERIOD: FROM-1.¢(,U/_2023 -, TO 041/011/2024,ft AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. LIMITS OF INSURANCE E=A'C3F't �O G Cad fpR�'G�IJ�N11 I T (LIABILITY COVERAGE) $ 0010 fj$ONAL & ADVERTISING4NJURY LIMIT $ W46,19P0 O0%, Any one person or organization M 0 0 W CT S ' C 0 M P L E TED0PERATjQfj6AGQIKE0ATE*LIMIT,-,:p-& $ www GENERAL AGGREGATE LIMIT (LIABILITY COVERAGE) (except with respect to Auto Liability and Products Completed Operations) $ RETAINED LIMIT RETAINED LIMIT: $ 10,000 PI-CXL-002 (05/19) Page 1 of 5 Includes copyrighted material of Insurance Services Office, Inc., with permission. DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD POLICY NUMBER: PHUBB57396 PREMIUM PREMIUM SUBTOTAL STATE TAXES, FEES, SURCHARGES (if applicable) PI-CXL-002 (05/19) S PREMIUM TOTAL(including Taxes, Fees, Surcharges) $ AUDIT PERIOD: I ® NOT APPLICABLE I ❑ ANNUALLY ❑ SEMI-ANNUALLY ❑ QUARTERLY ❑MONTHLY I DESCRIPTION OF BUSINESS FORM OF BUSINESS: NON PROFIT ORGANIZATION BUSINESS DESCRIPTION: Mental Health Umbrella tNUUKbtMtN 15 Al 1 A(:HtU 1 U I H15 F'ULIGY SEE ATTACHED SCHEDULE PI-CXL-002 (05/19) Page 2 of 5 Includes copyrighted material of Insurance Services Office, Inc., with permission. DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD PI-CXL-002 (05/19) POLICY NUMBER: PHUBB57396 SCHEDULE OF UNDERLYING INSURANCE Employers' Liability Company: Associated Industries Insurance Company , Inc. Policy Number: AWC1191311 Policy Period. 01 30/2023 01/30/2024 Minimum Applicable Limits Bodily injury by accident $ 5oo,000 Each Accident Bodily injury by disease $ 5oo, coo Each Employee Bodily injury by disease $ 500,000 Policy Limit Commercial General Liability ❑ Occurrence ® Claims -Made Company: Philadelphia Indemnity Insurance Company Policy Number: PHPK2535816 Policy Period: 04/01/2023 04/01/2024 Retroactive Date: 11/07/2003 Minimum Applicable Limits: General Aggregate $ 3,000,000 Products -Completed Operations Aggregate $ 3,000,000 Personal And Advertising Injury $ 1,000,000 Each Occurrence $ 1,000,000 Commercial Auto Liability Company: Philadelphia Indemnity Insurance Company Policy Number: PHPK2535816 Policy Period: 04/01/2023 04/01/2024 Minimum Applicable Limits Garage Aggregate Limit For Other Than Autos (if applicable) $ Not Applicable Each Accident $ 1,000,000 Professional Liability ❑ Occurrence ® Claims -Made Company: Philadelphia Indemnity Insurance Company Policy Number: PHPK2535816 Policy Period: 04/01/2023 04/01/2024 Retroactive Date: 11/07/2003 Minimum Applicable Limits Each Professional Incident $ 1,000,000 Aggregate $ 3,000,000 PI-CXL-002 (05/19) Page 3 of 5 Includes copyrighted material of Insurance Services Office. Inc with permission. DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD PI-CXL-002 (05/19) POLICY NUMBER: PHUB857396 Employee Benefits Liability ❑ Occurrence ® Claims -Made Company: Philadelphia Indemnity Insurance Company Policy Number: PHPK2535816 Policy Period: 04/01/2023 04/01/2024 Retroactive Date: 11/07/2009 Minimum Applicable Limits Each Claim $ 1,000,000 Aggregate $ 1,000,000 Abusive Conduct Liability ❑ Occurrence ® Claims -Made Company: Philadelphia Indemnity Insurance Company Policy Number: PHPK2535816 Policy Period: 04/01/2023 04/01/2024 Retroactive Date: 11/07/2003 Minimum Applicable Limits Each Abusive Conduct $ 11000,000 A arecate $ 1,000,000 Directors & Officers Liability ❑ Occurrence ❑ Claims -Made Company: Policy Number: Policy Period: Retroactive Date: Minimum Applicable Limits Liquor Liability ❑ Occurrence ❑ Claims -Made Company: Policy Number: Policy Period: Retroactive Date: Minimum Applicable Limits $ PI-CXL-002 (05/19) Page 4 of 5 Includes copyrighted material of Insurance Services Office, Inc., with permission. DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD POLICY NUMBER: PHUB857396 Watercraft Liability Company: Policy Number: Policy Period: Retroactive Date: Minimum Applicable Limits PI-CXL-002 (05/19) ❑Occurrence ❑ Claims -Made Other Coverages Not Included in Above ❑ Occurrence ❑ Claims -Made Company: Policy Number: Policy Period: Retroactive Date: Minimum Applicable Limits THESE DECLARATIONS, TOGETHER WITH THE COMMON POLICY CONDITIONS AND COVERAGE FORM(S) AND ANY ENDORSEMENT(S), COMPLETE THE ABOVE NUMBERED POLICY. Countersigned: By: (Date) (Authorized Representative) IN WITNESS WHEREOF, we have caused this policy to be executed and attested, and, if required by state law, this policy shall not be valid unless countersigned by our authorized representative. lw�*_ John W. Glomb, Jr. President & CEO PI-CXL-002 (05/19) Secretary Page 5 of 5 Includes copyrighted material of Insurance Services Office, Inc., with permission. DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD DIVISION OF CORPORATIONS (Dr/ow of trs uJ/lrird SGcur of Flurltlu ivrinitr Department of State / Division of Corporations / Search Records / Search by Enti Name / Detail by Entity Name Florida Not For Profit Corporation DOUGLAS GARDENS COMMUNITY MENTAL HEALTH CENTER OF MIAMI BEACH, INC. Filing Information Document Number FEI/EIN Number Date Filed State Status Last Event Event Date Filed Event Effective Date Principal Address 1680 MERIDIAN AVENUE SUITE 501 MIAMI BEACH, FL 33139 Changed: 01 /04/2012 Mailing Address 1680 MERIDIAN AVENUE SUITE 501 MIAMI BEACH, FL 33139 742508 59-1923396 04/18/1978 FL ACTIVE NAME CHANGE AMENDMENT 10/21 / 1980 NONE Changed: 01 /04/2012 Registered Agent Name & Address Lanser, Mary Eleanor 1680 MERIDIAN AVENUE SUITE 501 MIAMI BEACH, FL 33139 Name Changed: 03/20/2017 Address Changed: 01/04/2012 Officer/Director Detail Name & Address Title CEO DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD Lanser, Mary e 1680 MERIDIAN AVENUE SUITE 501 MIAMI BEACH. FL 33139 Title VP Yasbin, Eileen R., Esq. 2710 NE 183rd Street TH18 Aventura, FL 33160 Title President, Treasurer Morrissey, Philip F. 331 Ives Dairy Road Unit 3 Miami, FL 33179 Title Secretary Hernandez, Orestes 4840 SE Hanson Circle Stuart, FL 34997 Annual Reports Report Year Filed Date 2021 02/02/2021 2022 02/09/2022 2023 01 /23/2023 Document Images 01/23/2023 --ANNUAL REPORT View image in PDF format 02/09/2022 -- ANNUAL REPORT View image in PDF format 02/02/2021 --ANNUAL REPORT View image in PDF format 02/11/2020 -- ANNUAL REPORT View image in PDF format 03/13/2019 -- ANNUAL REPORT View image in PDF format 01/22/2018 --ANNUAL REPORT View image in PDF format 03/20/2017 --ANNUAL REPORT View image in PDF format 02/18/2016 --ANNUAL REPORT View image in PDF format 03/12/2015 --ANNUAL REPORT View image in PDF format J 02/24/2014 --ANNUAL REPORT View image in PDF format 02/12/2013 -- ANNUAL REPORT View image in PDF format 01/04/2012 --ANNUAL REPORT View image in PDF format 02/17/2011 --ANNUAL REPORT View image in PDF format j 04/20/2010 --ANNUAL REPORT View image in PDF format 04/27/2009 --ANNUAL REPORT View image in PDF format DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD 04/29/2008 --ANNUAL REPORT View image in PDF format 02/22/2007 --ANNUAL REPORT View image in PDF format 02/16/2006 --ANNUAL REPORT View image in PDF format 03/23/2005 -- ANNUAL REPORT View image in PDF format 02/05/2004 -- ANNUAL REPORT View image in PDF format 03/03/2003 — ANNUAL REPORT View image in PDF format 05/29/2002 --ANNUAL REPORT View image in PDF format 02/27/2001 --ANNUAL REPORT View image in PDF format 01 /28/2000 --ANNUAL REPORT View image in PDF format 03/11/1999 -- ANNUAL REPORT View image in PDF format O6/02/1998 -- ANNUAL REPORT View image in PDF format 02/14/1997 --ANNUAL REPORT View image in PDF format 04/17/1996 --ANNUAL REPORT View image in PDF format 06107/1995 --ANNUAL REPORT View image in PDF format DocuSign Envelope ID: F2EB48C6-2C6F-4F3B-AC5A-7A87832760CD GRANTS MANAGEMENT DIVISION DATE: Ocotber 16, 2023 TO: Alina T. Hudak, City Manager FROM: Krystal M. Dobbins, Grants Director Citywide Agreement FY 2023-2024 - SUBJECT: Douglas Gardens Community Mental Health Center of Miami Beach, Inc. Routing (—DoeuSgned by: Krystal Dobbins nn,s 10/17 Tameka Otto Stewart aSfwAyf 10/ls Jason Greene 10/18 For: x City Manager's Signature Other Signature Comments: itywide Agreement - Fiscal Year 2023-2024 rant Agreement: Douglas Gardens Community lental Health Center of Miami Beach, Inc. rant Amount: $22,000 2023 i 4 udget Code Number: DocuSfyned by: 11-9113-000353-90-405-540-00-00-00 [�'ax+t �a Re S 92064A610EE1463... Return to: Krystal ext. 26433', PM EDT AM EDT AM EDT