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Grant Agreement with Douglas Gardens Community Mental Health Center of Miami Beach, Inc. Amount: $22,000 0261!(9=0)fs7 GRANT AGREEMENT BETWEEN THE CITY OF MIAMI BEACH FLORIDA(CITY)AND DOUGLAS GARDENS COMMUNITY MENTAL HEALTH CENTER OF MIAMI BEACH, INC. (GRANTEE) FOR THE PROVISION OF PRESCRIPTION SUBSIDY AND CASE MANAGEMENT SERVICES FOR CITY OF MIAMI BEACH RESIDENTS This Grant Agreement is entered into this I CO day of N - `i" 2016, between the City and Grantee. Article I/Grant Description 1. Grantee: Douglas Gardens Community Mental Health Center of Miami Beach, Inc. Grant Contact: Mary Eleanor Lanser, LCSW, Chief Executive Officer Address: 1680 Meridian Avenue, Suite 501 City, State, Zip: Miami Beach, Florida 33139 Phone,fax, e-mail : 305=531-5341, 305-532-5322, ELanser @dgcmhc.org 2. Grant amount: $22,000 3. Project Description: See Exhibit 1 hereto 4. Grant Project Budget: See Exhibit 2 hereto 5. Expenditure deadline: September 30, 2017 6. Project completion date: September 30,2017 7. Final Report deadline: Must be postmarked or delivered no later than 15 days after Project completion date. • 1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement this IO day of f43C-1.(‘‘)-1."- , 2016. e ,....,,i4k A/._ ,,. ,_r_,/i, Signature _1Ac�Ilf`r�1�� " P •ip vine, ayor ' // JOy Mu- l et k0({— STATE OF FLORID , COUNTY OF MIAMI-DADE Attest: / The foregoing instrument was acknowledged before me this day of�UV e-14 bef 2016, Iv l� 'Q l,o rte,. ,..:qU r Rafael ranado, City Clerk �4 ' 'y u-'wl';���--'— /`L . - of J� \�'' ' 1.,1!Itt.; _ L .. .,.--' . • / P, a not-for- (Grantee's Corporate Seal Here) ?�P•'' it VK! '• •'r • IS a/She is ersonally known t me i 0 f „oorrAsiv-. . "U.:9404a; ' ■ . 0.et i ... ....e.-A •:INcoa • GRANTEE: h11,^IC t'uTT re%- of r otary Public Federal ID#: BY: Notary Name: -O .D, Printed Name of Organization's Authorized Representative Notary Public, State of Florida (City Attorney Approval Here) My Commission Expires: APPROVED AS TO FORM & LANGUAGE --/-)D'A) i ° I Q & FOR EXECUTION - CKI� ^ _ •... 'MARIUS YE8A-0XLEr 1 � w —*, Nolen Public•Stale of Florida• Commission i FF 938616 City Attorney Dote le*,,..--" e, My Comm.Expires Nov 30,2019 '';°;,;;a Bonded through National Notary Assn -2-of 7 Article Ill General Conditions 1. Parties: The parties to this Agreement are the Grantee listed in Article I, and the City of Miami Beach, a municipal corporation organized under the laws of the State of Florida (City). The City has delegated the responsibility of administering this Grant to the City Manager or his authorized designee. 2. Protect Description: The Grantee may only use the Grant for the purposes that are specifically described in the Project Description, attached hereto as Exhibit 1. All expenditures will be subject to the terms of this Agreement, and as specified in the Grant Project Budget, attached hereto as Exhibit 2. Line item changes to said Budget shall not exceed ten percent(10%) per category, and shall, in no event, exceed the total amount of Grant funds. Notwithstanding the preceding sentence, amendments to the Grant Project Budget in Exhibit 2 shall not be permitted without the prior written consent of the City Manager or his designee. Said requests shall be made in, in writing, detailing and justifying the need for such changes. 3. Reports: This Grant has been awarded with the understanding that the activities and services contemplated under the described Project will mutually contribute to the enhancement of services available to City residents, businesses, and visitors. To demonstrate that the Grant is fulfilling, or has fulfilled, its purpose, the Grantee must supply the City Manager with a written Final Report documenting that the Grantee has fulfilled all requirements. This report must be received by the City within 15 days of the Project's completion date (i.e. For example, Grantees completing their Project by the end of a City Fiscal Year, which is on September 30t of such year, must submit their final reports no later than October 15th of that year). Notwithstanding the preceding, and as a condition of disbursement of the Grant funds, the City Manager or his designee may require Grantee to submit the written report, detailing Grantee's compliance at the time of the reimbursement request. 4. Amount of Grant and Payment Schedule: The total amount of the Grant is specified in Article 1-2 (subject to the restrictions therein). 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 supplied to the Parties' execution of this Agreement. 5. Program Monitoring and Evaluation: The City Manager or his 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 the project site 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 documentations or written reports, prior to the Project completion date, evidencing Grantee's progress on the Project. 6. Bank Accounts and Bonding: Monies received pursuant to this Agreement shall be kept in accounts in established Miami-Dade County banks or savings and loan associations whose.identities be disclosed in writing to the City Manager or his designee with the identity and title of individuals authorized to withdraw or write checks on Grant funds. 7. Accounting and Financial Review: Funded activities must take place on or before the Expenditure Deadline in Article 1 — 5. The Grantee shall keep accurate and complete books and records of all receipts and expenditures of Grant funds, in 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 two (2) years after the Expenditure Deadline specified in Article I-5. 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. 8. Publicity and Credits: The Grantee must include the City of Miami Beach logo and the following credit line in all publications related to this Grant: "This Project is financially assisted by a grant from the City of Miami Beach". Failure to do so may preclude future grant funding from the City in the same manner as if Grantee defaulted under this Agreement, pursuant to Article 11-12. 9. Liability and Indemnification: The Grantee shall indemnify and hold harmless the City and its officers, employees, agents and contractors, from any and all liability, losses or damages, including attorneys' fees and 3 of 7 costs of defense, which the City or its officers, employees, agents and contractors 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 if 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, hold harmless and defined the City or its officers, employees, agents and contractors as herein provided. 10. 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 Article 11-12. 11. 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 Miami Beach City Code, as amended, which is incorporated herein by reference as if fully set forth herein. 12. Default/Termination Provisions: In the event the Grantee shall fail to comply with any of the provisions of this Agreement, the City Manager or his 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 Article 1-5 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 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. • 13. Indulgence Will Not be Waiver of Breach: The indulgence of either party with regard to any breach or failure to perform any provision of this Agreement shall not be deemed to constitute a waiver of the provision or any portion of this Agreement either at the time the breach or failure occurs, or at any time throughout the term of this Agreement. 14. Written Notices: Any written notices required under this Agreement will be effective when delivered in person or upon the receipt of a certified letter addressed to the Grantee at the address specified in Article I-1 of this Agreement, and to the City when addressed as follows: Office of Housing and Community Services, 1700 Convention Center Drive, Miami Beach, Florida 33139. 15. 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. 16. 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, and approved by appropriate action by the Mayor and City Commission. 4 of 7 Article Ill/Miscellaneous Provisions 17. 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 Grant Agreement. 18. The Grantee also accepts and agrees to comply with the following Special Conditions: The Grantee hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.) prohibiting discrimination on the basis of race, color, national origin, handicap, or sex. 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, and as amended from time to time, prohibiting actual or perceived discrimination in employment, housing, public accommodations, or public services on the basis of race, color, national origin, religion, sex, intersexuality, gender identity, sexual orientation, disability, marital status, financial status, age, ancestry, height, weight, domestic partner status, labor organization membership, familial situation, or political affiliation. The City endorses 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. The City also endorses the mandate of the Rehabilitation Act of 1973 and Section 804 and prohibits discrimination on the basis of disability and requires that Grant recipients provide equal access and equal opportunity and services without discrimination on the basis of any disability. 19. 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. 5 of 7 Exhibit 1 /Project Description Project Description Grant monies will be used to help provide prescription co-pay assistance and case management services to Miami Beach residents served by the Grantee. The following expenses will be incurred in the delivery of these services: • Case Management Manager Salary • Medicare Part D Prescription Co-Pay See Exhibit 2 for a complete budget break-down. Grantee Responsibilities 1. The Grantee will maintain the following as evidence of expenses incurred for providing prescription subsidy assistance and case management services to Miami Beach residents: a. Payroll records (including salary,fringe, benefits, etc.) b. Medicare Part D Co-Pays provided (as documented by client and amount) 2. The Grantee will submit a final report no later than October 15, 2017 which documents compliance with the Project and includes the following information: a. Total Number and Value of Co-Pays granted to Miami Beach residents b. Total Number of Miami Beach residents served by the Case management Manager c. Final project budget 6 of 7 Exhibit 2/ Project Budget Line Item Expense I Total Salary support for a Crisis Support Case Manager and Medicare Part D Co-Pays $ 22,000.00 7 of 7 Douglas Gardens Community Mental Health Center/City of Miami Beach Support for the Crisis Support Program Salary Support Crisis support Case Manager $ 36,516.24 Fringe FICA $ 2,242.93 Medicare $ 524.56 Health Insurance $ 3,744.00 Retirement $ 1,447.05 TOTAL Salary and Fringe $44,474.78 Support for Medicare Co-pays $400 a month/12 months $4.800.00 Total $49,274.78 CMHC Support $27,274.78 City Of Miami Beach request $22,000.00 Douglas Gardens Community Mental Health Center of Miami Beach, Inc. 1680 Meridian Ave,Suite 501 Miami Beach,FL 33139 October 19,2016 Phone:(305)531-5341 l+ax:(305)532-5322 Golden Palms Maria L.Ruiz,Department Director 17000 N.E.21st Avenue OFFICE OF HOUSING AND COMMUNITY SERVICES North Miami Beach,FL 33162 Phone:(305)945-5340 1700 Convention Center Drive Miami Beach,FL 33139 Mayfair Residence 1960 Park Avenue Miami Beach,FL 33139 Phone:(305)604-3446 RE:2016/17 Citywide Grant$22,000 North Miami Office 1150 NE 125 Street North Miami,FL 33161 Phone:(305)403-0654 Dear Ms.Ruiz: Oak Grove Apartments 15501 NE 66 Ave The purpose of this letter is to request the $22,000 grant from the City of North Miami,PL 33161 Miami Beach. In the Budget submitted by the Mental Health Center we allocated the grant award to the Center's pharmacy program and crisis support case manager.I have also included a budget scope. OFFICERS President If additional documentation is needed,please let me know. Kristina Bryn Vice President Steve Phillip •• moo) Sincere^, Treasurer Philip Mouissey `///�/ to Secretary { : ie'• /: •r, ' Eileen Yasbir Chief :Pr, utive Officer Past President Michael A.Mowatt Chief Executive Officer Eleanor lancer,LCSW a a womoA[powwow waMIM co South f He nna CH I LDREN wA HEALTH 11 FAMILIES Nrwak,IneBENEFICIARY AGENCY ,... United Way of Dade County MIAMI BEACH `�' or south;fa s°' Douglas Gardens Community Mental Health Center of Miami Beach City of Miami Beach Program The Mental Center is proposing that the City of Miami Beach provide support for two programs. First,the Center operates a community pharmacy for individuals served by the Center. During the year ending June 30, 2011),that pharmacy filled over 20,000 prescriptions. Thirty four percent of the prescriptions were for individuals with Medicare Part D coverage. Medicare Part D has a deductible, co-insurance and the whole in the donut(the no benefit part of Part D). The Center works with consumers to help them receive low-income subsidies, but not everyone is eligible. The Center is proposing to use$400 a month of the City of Miami Beach to allow the Center to waive Part D, deductibles, co-insurance and whole in the donut payments for low-income individuals. The Center would report,total number of prescriptions,total number of Medicare funded prescriptions, number and value of waived, deductibles, copays and whole in the donut cost. The second program is the Center's inpatient follow-up program. The Center has a master level case manager who follow-up on individuals who have been hospitalized. The purpose of this program is to ensure that individuals who have a psychiatric hospitalize are admitted to outpatient care for ongoing services. The Center would report,total number of individuals followed up, length of time from discharge to follow-up and number who stay in treatment 90 days after admission. A proposed budget is attached.