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2016-29345 Reso RESOLUTION NO. 2016-29345 A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, AUTHORIZING THE MAYOR AND CITY CLERK TO EXECUTE A MEMORANDUM OF UNDERSTANDING (MOU), SUBSTANTIALLY IN THE FORM ATTACHED TO THIS RESOLUTION, BETWEEN THE CITY OF MIAMI BEACH, THE MIAMI BEACH CHAMBER OF COMMERCE, NORTH BAY VILLAGE, THE TOWN OF BAY HARBOR ISLANDS, THE TOWN OF SURFSIDE, AND BAL HARBOUR VILLAGE TO SUPPORT AND ENHANCE THE NURSE INITIATIVE FOR THE 2016-2017 SCHOOL YEAR AND AUTHORIZING THE APPROPRIATION OF $15,400 FROM THE MIAMI BEACH EDUCATION COMPACT FUND FOR THE CITY OF MIAMI BEACH'S PROPORTIONATE SHARE OF FUNDING FOR THE NURSE ENHANCEMENT INITIATIVE SUBJECT TO APPROVAL IN THE CITY'S FY 2016/17 ANNUAL BUDGET. WHEREAS, in January 2008, the City of Miami Beach entered into an Education Compact with the Miami-Dade County Public Schools to Enhance Learning Opportunities for Youth; and WHEREAS, the Education Compact reflects the desire of the Miami Beach community to support excellence in the City's public schools and enhance the health and well-being of our City's youth; and WHEREAS, as a result of the City's Education Compact with Miami-Dade County Public Schools, all public schools in Miami Beach offer the International Baccalaureate program which is internationally recognized as a benchmark for education excellence and also fosters student participation in community service; and WHEREAS, in the 2012-13 school year, five of the eight schools in our educational feeder pattern had Health Connect in Our Schools (HCIOS) suites which are supported by The Children's Trust and which provide a full-time Medical Assistant and a shared Registered Nurse on campus; and WHEREAS, for students who do not require routine medications, the HCIOS suites are used for nursing assessments, administration of first aid, and other purposes such as consulting with parents and caregivers; and WHEREAS, the City of Miami Beach, North Bay Village, the Town of Bay Harbor Islands, the Town of Surfside, and Bal Harbour Village ("Participating Municipalities") have determined that a program to provide healthcare services to students attending underserviced public schools is in the best interests of the health and public welfare of youth; and WHEREAS, in the 2013-14 school year, a municipal Nurse Initiative was implemented pursuant to a Memorandum of Understanding between the Participating Municipalities to provide a HCIOS team of professionals including a shared Registered Nurse, a full-time Medical Assistant, and a social-worker which is already funded by Miami-Dade County Public Schools for the 2013-14 School Year and 2014-15 School Year; and WHEREAS, the benefits of HCIOS health teams include: a coordinated level of school- based healthcare, expanded health screenings, and assessments with access to follow-up care, mental and behavioral health services to identify and solve student health and educational issues, nutrition and health counseling, heath services for uninsured students with no other option for access to health care, emergency first aid/CPR, and chronic disease management; and WHEREAS, utilization of the HCIOS health teams remained high throughout the 2014- 15 school year, with 52 percent of 3,044 unduplicated students utilizing the services an average of eleven visits per day per school resulting in 3,836 visits in the school year; and WHEREAS, by approval of Resolution 2015-42 on February 9, 2015, The Children's Trust Board of Directors approved the release of RFP 2015-17: School Health Programs to fund improved access to quality health care through providers delivering comprehensive services in the public schools to 145 pre-selected schools for School Years 2015-16, 2016-17, and 2017-18; the programs which are the subject of the RFP include all three (3) Miami Beach schools in the City's original Nurse Initiative; and WHEREAS, due to the success of the Nurse Initiative during the 2013-2014 School Year and the 2014-15 School Year, the City of Miami Beach authorized an enhanced nurse initiative ("Nurse Enhancement Initiative")for the 2015-16 School Year per Resolution No. 2015-29004 to include behavioral health services; and WHEREAS, the City's proportionate share for the Nurse Enhancement Initiative is approximately$15,400 for the 2016-17 School Year and will not be due to be paid until October 31, 2016; and WHEREAS, the funds for the City's proportionate will be subject to approval in the FY 2016/17 Annual Budget; and WHEREAS, the The Children's Trust has committed to fund the School Health Programs at all Miami Beach feeder schools through the end of the 2017-18 School Year; and WHEREAS, the Miami Beach Chamber Education Foundation (MBCEF) shall provide funding for the 2016-2017 Nurse Enhancement Initiative from unused funds ($14,000) provided by the Aetna Voices Health award pursuant to the 2013-14 Nurse Initiative Memorandum of Understanding, such funds shall be carried over for an additional two years at $7,000 per year through the 2017-18 School Year; and WHEREAS, as of April 2016, each of the Participating Municipalities has committed approximate funding for the Nurse Enhancement Initiative for the 2016-2017 school year as follows: City of Miami Beach $15,400, Town of Surfside $3,667, Town of Bay Harbor Islands $3,667, Bal Harbour Village $3,667, and North Bay Village $6,600; and WHEREAS, the Miami Beach Chamber of Commerce will serve as the fiscal agent to collect the funds from the Participating Municipalities and the City of Miami Beach and will disperse the funds to The Children's Trust; and WHEREAS, on or before October 31, 2016, the Participating Municipalities shall provide their proportionate share of funds for the 2016-2017 Nurse Enhancement Initiative to MBCEF, 2 which funds MBCEF shall hold in escrow pending the execution of its agreement with The Children's Trust; and, WHEREAS, it is anticipated that a Memorandum of Understanding will be entered into between the City of Miami Beach, the Miami Beach Chamber Education Foundation, Inc., North Bay Village, the Town of Surfside, the Town of Bay Harbor Islands, and Bal Harbour Village, with the Participating Municipalities contributing their proportionate share of the costs to support the Nurse Enhancement Initiative program for the 2016-17 School Year; and WHEREAS, the MOU may be extended for up to one additional School Year in 2017-18, pending available funding from the Participating Municipalities. NOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYOR AND THE CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA that the Mayor and City Commission hereby authorize the Mayor and City Clerk to execute a Memorandum of Understanding, substantially in the form attached to this Resolution, between the City of Miami Beach, the Miami Beach Chamber Education Foundation, Inc., North Bay Village, the Town of Bay Harbor Islands, the Town of Surfside, and Bal Harbour Village, to support and enhance the Nurse Enhancement Initiative for the 2016-2017 School Year and authorizing the appropriation of $15,400 from the Miami Beach Education Compact Fund for the City of Miami Beach's proportionate share of funding for the Nurse Enhancement Initiative subject to approval in the City's FY 2016/17 Annual Budget. PASSED AND ADOPTED this L3 day of April, 2016. 7, ATTEST: J •// ' Philip Levine', . f AI Mayor " ITV ,' R•- ael Gran=do ���� '.. ��• City Clerk c t; /Z. :,� ; APPROVED AS TO P ORATEp FORM & LANGUAGE 0, INGOR : (o &FOR EXECUTION ... ........ ,:77......,,,.'.;\:°) ; . 2,...1,.1, zi—.2 . A -5- ( t. y . j H 2b City Attorney Dote Am O 3 COMMISSION ITEM SUMMARY Condensed Title: A Resolution Authorizing The Mayor And City Clerk To Execute The Memorandum Of Understanding Attached Hereto Between The City Of Miami Beach,The Miami Beach Chamber Of Commerce,North Bay Village,The Town Of Bay Harbor Islands,The Town Of Surfside,And Bal Harbour Village To Support And Enhance The Nurse Initiative For The 2016-2017 School Year And Authorizing The Appropriation Of $15,400 From The Miami Beach Education Compact Fund For The City Of Miami Beach's Proportionate Share Of Funding For The Nurse Enhancement Initiative Subject To Approval In The City's FY 2016/17 Annual Budget Key Intended Outcome Supported: Supporting Data(Surveys, Environmental Scan, etc.): The 2012 and 2014 Community Satisfaction showed that 91 c/o and 75%respectively of residents with children are very satisfied or satisfied with our City's public schools compared to 51%in 2007. In the 2013-14,2014-15,and 2015-16 school year,the City of Miami Beach in partnership with neighboring municipalities funded a Nurse Initiative and Nurse Enhancement Initiative providing service to over 4,000 children/visits, an average of 80% of the total school populations visiting the Miami Beach funded HCIOS in 2013-14 and 2014-15, and majority of students returning to class. Behavioral Health services were added in the 2015-16 initiative. Item Summary/Recommendation: The effort to support the Nurse Initiative in place since the 2013-14 school year includes the City of Miami Beach, North Bay Village, Town of Surfside, Town of Bay Harbor Islands, and Bal Harbour Village, to converge efforts to secure the funding needed. By approval of Resolution 2015-42 on February 9, 2015, The Children's Trust Board of Directors approved the release of RFP 2015-17 School Health Programs to fund improved access to quality health care through providers delivering comprehensive services in the public schools to 145 pre-selected schools for School Years 2015-16,2016-17,and 2017-18;the programs which are the subject of the RFP include all three (3) Miami Beach schools in the City's original Nurse Initiative. Due to the success of the Nurse Initiative during the 2013-2014 and 2014-15 School Years,the City of Miami Beach and the other Participating Municipalities enhanced the Nurse Initiative for the 2015- 2016 School Year to include behavioral health services since the underlying nurse initiative is now provided by The Children's Trust via School Health Programs. The funding provided by the Participating Municipalities enhanced The Children's Trust School Health Programs for the schools, to include, behavioral health services during the 2015-2016 School Year.As of April 2016,tentative funds requested to sustain the Enhanced Initiative for 2016-17 school year are as follows: City of Miami Beach$15,400, Town of Surfside $3,667, Town of Bay Harbor Islands $3,667, Bal Harbour Village $3,667, North Bay Village$6,600,and Miami Beach Chamber$7,000. An agreement,acceptable to the City Attorney and the City Manager, should be entered into between the MBCC, The Children's Trust, North Bay Village, the Town of Surfside,the Town of Bay Harbor Islands, Bal Harbour Village,and the City,with the expectation that all of the participating municipalities will continue to contribute to the current Nurse Enhancement Initiative for the 2016-17 school year. Advisory Board Recommendation: Finance and Citywide Projects Committee supports Nurse Initiative. Resolution 2013-28219 May 8,2013 approved funding and Commission requested Miami Beach portion in the FY 2015/16 annual budget. Financial Information: Source of Amount Account Fu s: 1 $15,400 177-6881-000343(Subject to appropriation in the FY t 2016/17 operating budget) BPI Total $15,400 Financial Impact Summary: City Clerk's Office Legislativ= i racking:Dr. Leslie Rosenfeld �� Sign-Offs: Department Director Assistant City Manager ity Manager KGB JLM M MBEACH AGENDA ITEM C 7 F -/ - MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov COMMISSION MEMORANDUM • TO: Mayor Philip Levine and Members .;f the City C•mmission FROM: Jimmy L. Morales, City Manager DATE: April 13, 2016 SUBJECT: A RESOLUTION OF THE MAYOR A CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA,AUTHOR! - NG THE MAYOR AND CITY CLERK TO EXECUTE THE MEMORANDUM OF UNDERSTANDING (MOU), ATTACHED HERETO AND INCORPORATED HEREIN, BETWEEN THE CITY OF MIAMI BEACH, THE MIAMI BEACH CHAMBER OF COMMERCE, NORTH BAY VILLAGE,THE TOWN OF BAY HARBOR ISLANDS,THE TOWN OF SURFSIDE, AND BAL HARBOUR VILLAGE TO SUPPORT AND ENHANCE THE NURSE INITIATIVE FOR THE 2016-2017 SCHOOL YEAR AND AUTHORIZING THE APPROPRIATION OF $15,400 FROM THE MIAMI BEACH EDUCATION COMPACT FUND FOR THE CITY OF MIAMI BEACH'S PROPORTIONATE SHARE OF FUNDING FOR THE NURSE ENHANCEMENT INITIATIVE SUBJECT TO APPROVAL IN THE CITY'S FY 2016/17 ANNUAL BUDGET. ADMINISTRATION RECOMMENDATION Approve the Resolution. BACKGROUND On December 11, 2013, the Commission discussed (Item R9K) the continuation of the Nurse Initiative for the 2014-15 school year, approved on July 17,2013, per Resolution#2013-28258(Item C7N) funding the Nurse Initiative for the 2013-14 school year. On October 24, 2012, the Commission requested the motion made by the Committee for Quality Education regarding health care in feeder pattern public schools be referred to the Finance and Citywide Projects Committee to discuss consideration of the request to strengthen Education Compact activities as they relate to health and well-being. The Committee for Quality Education made the following motion at the September 24, 2012, meeting regarding health care in our public schools: The health and well-being of our children are of paramount importance and should be considered a community priority and responsibility. Therefore, the Committee for Quality Education recommends the Mayor and City Commission review the Health and Well-being activities in the Education Compact to strengthen them and consider funding support. The Education Compact with Miami-Dade County Public Schools (M-DCPS), established on January 16, 2008, includes the outcome to increase the health and well-being of students in Miami Beach public schools. The activities included in the Compact agreement to support this outcome include the following: • The school District will maintain health clinics(nurse practitioners and/or registered Commission Memorandum Aprl 13, 2016 Nurse Enhancement Initiative Page 2 of 3 nurses) at Fienberg-Fisher, Biscayne, Nautilus, and Miami Beach Senior High, subject to continued available funding, and will work with all Miami Beach schools to coordinate visits from the Health Connect on Wheels service(as available)or similar service to schools and/or Miami Beach recreation centers; • The District and the City will collaborate-to deliver information regarding health and wellness education, prevention and intervention strategies regarding nutrition, physical activity levels, and health maintenance in accordance with the District's Wellness Initiative; • The City will explore the development of a middle school-level after-school program. The District will collaborate with the City by assisting with the recruitment of students, including providing space within District-owned facilities as needed, and exploring expanded transportation options for participating students; and, • District will explore the expansion of full-time nurse practitioners and/or registered nurses at schools without health clinics, subject to available funding. Of the eight Miami Dade County Public Schools that fall within the City of Miami Beach feeder pattern, as of the 2015-16 school year is Health Connect in Our Schools (HCIOS) Suites in all of them. For students that do not require routine medications, the HCIOS is used for nursing assessments, administration of first aide, consulting with parents and caregivers, etc. These are considered Non-Routine Medication visits and they account for over 90%of all the services provided amongst the HCIOS health suites. During the December 2012 Finance and Citywide Projects Committee meeting, motions made by the Quality Education Committee regarding the funding of a registered nurse at underserved public schools in the feeder pattern were discussed. The Finance and Citywide Projects Committee recommended funding the City's proportionate share of the estimated $62,000 for a full-time registered nurse with benefits for the 2013-14 school year subject to neighboring municipalities also contributing their proportionate share of the nurse for the three underserved schools in the feeder pattern. The City's proportionate share was approximately $30,500 for the 2013-14 school year. These funds were appropriated for FY 2012/13 in the Education Compact Fund adopted by Resolution 2012-28018 anticipated to be used for teacher development programs and fees to the International Baccalaureate Organization redirected at the May 8, 2013 Commission meeting per Resolution 2013-28219 to support the Nurse Initiative. In the 2013-14 School Year, a municipal Nurse Initiative was implemented pursuant to a Memorandum of Understanding between the Participating Municipalities to provide a HCIOS team of professionals including a shared Registered Nurse, a full-time Medical Assistant, and a social worker,which is already funded by Miami-Dade County Public Schools for the 2013-14 School Year and the 2014-15 School Year. The registered nurse rotates between each of the aforementioned schools(or as per Children's Trust recommendation)so that accessibility is equal amongst all three schools. Utilization of the HCIOS remains high. The benefits of HCIOS health teams include: a coordinated level of school-based healthcare, expanded health screenings,and assessments with access to follow-up care, mental and behavioral health services to identify and solve student health and educational issues, nutrition and health counseling, heath services for uninsured students with no other option for access to health care, emergency first aid/CPR, and chronic disease management By approval of Resolution 2015-42 on February 9, 2015, The Children's Trust Board of Directors Commission Memorandum Aprl 13, 2016 Nurse Enhancement Initiative Page 3 of 3 approved the release of RFP 2015-17: School Health Programs to fund improved access to quality health care through providers delivering comprehensive services in the public schools to 145 pre- selected schools for School Years 2015-16, 2016-17, and 2017-18; the programs which are the subject of the RFP include all three (3) Miami Beach schools in the City's original Nurse Initiative Due to the success of the Nurse Initiative and during the 2013-2014 and 2014-15 School Years and Nurse Enhancement Initiative per Resolution 2015-29004 in the 2015-16 School Year, the City of Miami Beach and the other Participating Municipalities wish to continue to support an enhanced Nurse Enhancement Initiative for the 2016-2017 School Year, as the underlying nurse initiative is now provided by The Children's Trust via the School Health Programs. As of April 2016, each of the neighboring municipalities has committed approximate funding for the Nurse Enhancement Initiative for the 2016-17 school year as follows: Town of Surfside $3,667, Town of Bay Harbor Islands$3,667, Bal Harbour Village$3,667,and North Bay Village$6,600. The Miami Beach Chamber Education Foundation (MBCEF) shall provide funding for the 2016-2017 Nurse Enhancement Initiative from the unused funds ($14,000) provided by the Aetna Voices of health prize funds pursuant to the 2013-2014 Nurse Initiative Memorandum of Understanding,which unused funds shall be carried over for use during the 2016-2017 School Year at $7,000 per year and which may be carried over for an additional two years at$7,000 per year through the 2017-18 School Year. The City of Miami Beach's proportionate share for the 2016-17 school year is $15,400. The funding provided by the Participating Municipalities will enhance The Children's Trust School Health Programs for North Beach Elementary, Treasure Island Elementary, and Ruth K. Broad Bay Harbor K-8 Center,to include, behavioral health services during the 2016-2017 School Year at each of the schools. The Children's Trust funding will provide for a shared licensed clinical social worker to provide behavioral health services at each of the schools for the 2016-17 school years. It is anticipated that the Memorandum of Understanding will be entered into between the City of Miami Beach,the Miami Beach Chamber of Commerce,The Children's Trust, North Bay Village,the Town of Surfside, the Town of Bay Harbor Islands, and Bal Harbour Village, with the Participating Municipalities contributing to support the Nurse Enhancement Initiative program for the 2016-2017 School Year. CONCLUSION The Administration recommends the approval of this Resolution. An agreement, acceptable to the City Attorney and the City Manager, should be entered into between the Miami Beach Chamber of Commerce, North Bay Village, the Town of Surfside, the Town of Bay Harbor Islands, Bal Harbour Village, and the City of Miami Beach, subject to all of the participating municipalities contributing to the costs for the Nurse Enhancement Initiative in order to sustain the program. This approval will assist the Department in accomplishing its measurable objectives and approval in the City's FY 20 1.117 Ay' ual Budget. K ''L l•'J MEMORANDUM OF UNDERSTANDING BETWEEN THE CITY OF MIAMI BEACH, NORTH BAY VILLAGE, THE TOWN OF BAY HARBOR ISLANDS, THE TOWN OF SURFSIDE, BAL HARBOUR VILLAGE, AND THE MIAMI BEACH CHAMBER EDUCATION FOUNDATION TO IMPLEMENT A NURSE ENHANCEMENT INITIATIVE FOR SCHOOL YEAR 2016-2017 This is a Memorandum of Understanding ("MOU") made and entered into this _ day of , 2016, by and between the City of Miami Beach ("CMB"), North Bay Village ("NBV"), the Town of Bay Harbor Islands ("TBHI"), the Town of Surfside ("TS"), Bal Harbour Village ("BHV"), and the Miami Beach Chamber Education Foundation, Inc. ("MBCEF") (collectively, the "Parties"), to provide for funding and for the implementation of a Nurse Initiative as provided herein, and as to be provided in an agreement between MBCEF and The Children's Trust ("TCT"). WITNESSETH WHEREAS, the Parties have determined that a program to provide healthcare services to students attending underserviced public schools is in the best interests of the health and public welfare of the City of Miami Beach, North Bay Village, the Town of Bay Harbor Islands, the Town of Surfside, and Bal Harbour Village (the "Participating Municipalities"); and WHEREAS, following the Parties' determination that students at North Beach Elementary, Treasure Island Elementary, and Ruth K. Broad Bay Harbor K-8 Center (the "Participating Schools") did not have full-time, on-site healthcare services and were, thus, underserved as compared to other public schools in the feeder pattern that falls within the City of Miami Beach, the Parties entered into a Memorandum of Understanding on August 19, 2013 for a Nurse Initiative ("2013-2014 Nurse Initiative MOU") to provide healthcare services to the Participating Schools during the 2013-2014 School Year; and WHEREAS, due to the success of the Nurse Initiative during the 2013-2014 and 2014-2015 School Years, the Parties implemented an enhanced nurse initiative ("Nurse Enhancement Initiative") for the 2015-2016 School Year for the Participating Schools because the basic healthcare services previously funded in the Nurse Initiative by the Participating Municipalities, the Miami Beach Chamber Education Foundation, Inc., and The Children's Trust, are now provided by The Children's Trust via the new School Health Programs; and WHEREAS, the Nurse Enhancement Initiative established at the Participating Schools for School Year 2015-2016 was a success, the parties wish to extend the enhanced nurse initiative for the 2016-17 School Year; and, WHEREAS, the Nurse Enhancement Initiative should be established at the Participating Schools for School Year 2016-2017 as herein provided and pursuant to a separate agreement to be entered into between MBCEF and TCT. 1 of 8 NOW, THEREFORE, in consideration of the mutual terms, conditions, promises, covenants, and payments hereinafter set forth, the Parties agree to provide for a Nurse Enhancement Initiative for the Participating Schools during the 2016-2017 School Year as follows: 1. MBCEF shall enter into an agreement with TCT whereby TCT shall provide services including, but not limited to, behavioral health and/or telehealth/telemedicine and TCT shall provide certain schedules and reports as follows: a) A monthly report of services provided at each of the Participating Schools shall be provided to the Participating Schools and to MBCEF; and b) A monthly and an annual report shall be provided to the Participating Municipalities and to MBCEF documenting the percent of students returning to class after all visits relative to the above services at the Participating Schools. 2. On or before November 11, 2016, MBCEF shall provide funding to TCT for the 2016-2017 Nurse Initiative from the Aetna Voices of Health Award in the amount of$7,000. 3. On or before October 31, 2016, the Participating Municipalities shall provide their proportionate share of funds for the 2016-2017 Nurse Enhancement Initiative to MBCEF, subject to budget approval by the Participating 9 Municipalities, which funds MBCEF shall hold in escrow pending the execution of its agreement with TCT referenced in paragraph 1. The Participating Municipalities' proportionate share of funding for the 2016-2017 School Year shall be paid by October 31, 2015 in the following amounts: i) CMB shall provide funding in the amount of$15,400; ii) NBV shall provide funding in the amount of$6,600; iii) TBHI shall provide funding in the amount of$3,667; iv) TS shall provide funding in the amount of$3,667; and v) BHV shall provide funding in the amount of$3,667; 4. MBCEF shall serve as the fiscal agent to collect the funds to be paid as provided - in paragraph 3 above and shall disperse such funds to TCT after entering into the 2 of 8 agreement with TCT referenced in paragraph 1 and upon receipt of invoices from TCT. 5. MBCEF shall indemnify and hold harmless the Participating Municipalities and their respective officers employees, agents and instrumentalities from any and all liability, losses, or damages, including attorneys' fees and costs of defense, which the Participating Municipalities or their officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of actions or proceedings of any kind or nature arising out of, relating to, or resulting from the performance of this MOU by MBCEF or its employees, agents, servants, partners, principals, or subcontractors. MBCEF shall pay 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 Participating Municipalities, where applicable, including appellate proceedings, and shall pay all costs, judgments, and attorney's fees which may issue thereon. 6. In the event that one or more of the Participating Municipalities is not able to secure funds for their respective proportionate share of funding as provided in paragraph 3, then the remaining contributing Participating Municipalities may, in coordination with the MBCEF, adjust the services to be provided through the Nurse Enhancement Initiative. 7. In the event that any of the provisions in this MOU are not performed, or if the 2016-2017 Nurse Enhancement Initiative is terminated after funds have been dispersed to MBCEF as provided in paragraphs 3 and 4, then MBCEF shall promptly reimburse each of the Participating Municipalities their proportionate share of unused funds. If any combination or all of the Participating Municipalities agree to implement a Nurse Enhancement Initiative for the 2017- 2018 School Year, then MBCEF may, as directed by the Participating Municipalities that agree to implement a 2017-2018 Nurse Enhancement Initiative, hold any unused funds in escrow to be applied toward the 2017-2018 Nurse Enhancement Initiative. Any unused funds shall be credited toward each of the Participating Municipalities' proportionate share for the 2017-2018 Nurse Enhancement Initiative. IN WITNESS THEREOF, the Parties hereto have executed by their respective and duly authorized officers the day and year first above written. ATTEST: CITY OF MIAMI BEACH, a Municipal Corporation of the State of Florida By: By: Rafael E. Granado, City Clerk Philip Levine, Mayor Approved as to form and Language and for execution 3 of 8 ATTEST: NORTH BAY VILLAGE, a Municipal Corporation of the State of Florida By: By: Village Clerk Village Manager Approved as to form and Legal sufficiency 4 of 8 ATTEST: TOWN OF BAY HARBOR ISLANDS, a Municipal Corporation of the State of Florida By By Town Clerk Mayor/Town Manager Approved as to form and Legal sufficiency 5 of 8 ATTEST: TOWN OF SURFSIDE, A Municipal Corporation of the State of Florida By: By: Town Clerk Mayor/Town Manager Approved as to form and Legal sufficiency 6 of 8 ATTEST: BAL HARBOUR VILLAGE, a Municipal Corporation of the State of Florida By: By: Village Clerk MayorNillage Manager Approved as to form and Legal sufficiency 7 of 8 ATTEST: MIAMI BEACH CHAMBER EDUCATION FOUNDATION By: By: Approved as to form and Legal sufficiency F:\ATTO\TURN\AGREEMNT\INTERLOCAL MOU WITH MBCEF RE-NURSE ENHANCEMENT INITIATIVE -2015-2016 School Year.docx 8 of 8