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Amendment No. 1 to the Agreement with Boys & Girls Clubs of Miami-Dade, Inc.201x1 -2 81t AMENDMENT NO. 1 TO COMMUNITY DEVELOPMENT BLOCK GRANT AGREEMENT BETWEEN CITY OF MIAMI BEACH, FLORIDA AND BOYS & GIRLS CLUBS OF MIAMI -DADE, INC. This Amendment No. 1 (Amendment) to the Agreement, dated January 29, 2018 (Agreement), by and between the CITY OF MIAMI BEACH, FLORIDA, a municipal corporation organized and existing under the laws of the State of Florida, having its principal place of business at 1700 Convention Center Drive, Miami Beach, Florida 33139 (the City), and BOYS & GIRLS CLUBS OF MIAMI -DADE, INC., a Florida not -for profit corporation, having its principal place of busi. e, at 2805 $4 32 Avenue, Miami, FL 33133 (Sub- Recipient), is entered into this -1 day of 1.1 k5 fi T , 2018 (Effective Date): RECITALS WHEREAS, on June 7, 2017, the Mayor and City Commission adopted Resolution Number 2017- 29876, approving the One -Year Action Plan for Federal Funds for FY 2017/2018, and providing CDBG funds in the amount of TWENTY ONE THOUSAND FOUR HUNDRED AND FORTY -FOUR DOLLARS ($21,444) for youth aftercare and summer programs to be provided by the Sub - Recipient as a Public Service (Program); and WHEREAS, although the public service percentage remained the same, the amount allocated to Public Services increased; and WHEREAS, the increase was prorated among awarded public services as a percentage of the original allocation; and WHEREAS, the updated amount allocated to the Program was increased to TWENTY TWO THOUSAND THREE HUNDRED AND SIXTY -EIGHT DOLLARS ($22,368); and WHEREAS, on January 29, 2018, the City and Sub - Recipient executed the Agreement (the Agreement), which services include youth aftercare and summer camp programs, as set forth in Exhibits A through F of the Agreement; and WHEREAS, the parties agreed to move the commencement date to the date of contract execution; and WHEREAS, the parties agreed to move program funds from operating expenses to cover personnel expenses; and WHEREAS, the Sub - Recipient must collect information on family size and income so that it is evident that at least 51 percent of the clientele are persons whose family income does not exceed the low and moderate income limit; and WHEREAS, the Sub- Recipient has several options to determine if program applicants are income eligible; however, this language was omitted from the executed Agreement. NOW THEREFORE, in consideration of the mutual promises and conditions contained herein, and other good and valuable consideration, the sufficiency of which is hereby acknowledged, the City and Sub - Recipient hereby agree to amend the Agreement as follows: 1. ABOVE RECITALS. The above recitals are true and correct and are incorporated as part of this Amendment. 2. MODIFICATIONS. The Agreement is hereby amended (deleted items ctr ich through and inserted items underlined) as follows: (a) "Sub -award Period of Performance ", on page 1 of Exhibit "A" (Scope of Services), is hereby amended to read as follows: Subaward Period of Performance: Retroactive to October 1, 2017 Contract execution date — September 30, 2018 (b) Exhibit "B" to the Agreement is deleted in its entirety and replaced with the attached Amended Exhibit "B ". (c) Exhibit "C" to the Agreement is deleted in its entirety and replaced with the attached Amended Exhibit "C ". 3. RATIFICATION. Except as amended herein, all other terms and conditions of the Agreement shall remain unchanged and in full force and effect. In the event there is a conflict between the provisions of this Amendment and the Agreement, the provisions of this Amendment shall govern. IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be executed by their appropriate officials, as of the date first entered above. THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK. FOR CITY: ATTEST: By: Rafael E. Granado, City Clerk Date (Ph.' FOR SUB- RECIPIENT: ATTEST: Bv: CITY OF MIAMI BEACH, FLORIDA Jib' +y L ` rates, City Manager ( YS &' I rid�dD -®t- for - profit corporation S CLUB OF MIAMI- Sectary President Alex Rodriquez -Roiq tint N me D at Print Name APPROVED AS TO FORM & LANGUAGE & FOR EX CUTION 1 s i City Attorney ; , Dote AMENDED EXHIBIT "B" "Documentation" The Sub - Recipient agrees to maintain the following documents as part of its record - keeping requirements: To document insurance coverage: Copy of insurance policy or binder (with proof of payment) with limits and scope of coverage adding the City of Miami Beach as additional insured To document service: • Intake & screening forms must include: • Name • Date of birth • Beneficiary's address • Demographic information as required in the CDBG Accomplishment Form • Executed client consent Agreement to receive services • Client authorization to release information • Program enrolled • Any additional documents as requested by the City • Collect information on family size and income so that it is evident that at least 51 percent of the clientele are persons whose family income does not exceed the low and moderate income limit. • Annual income is the gross amount of income anticipated by all adults in a family during the 12 months following the effective date of the determination. To calculate annual income, the Sub - Recipient may choose among three definitions of income, listed below; however, the same income definition must be used for all beneficiaries. o Annual income as defined under the Section 8 Housing Assistance Payments Program (24 CFR 5.609); o Adjusted gross income as defined for purposes of reporting under IRS Form 1040 (long form) for Federal individual income tax purposes; and o Annual income as defined for reporting under the Census long form for the most recent available decennial Census. • To determine if program applicants are income - eligible, grantees have several options: a) Obtain evidence that the household /person assisted qualified under another program having income qualification criteria at least as restrictive as that used in the definitions of LMI household /person, such as Job Training Partnership Act (JTPA) and welfare programs; or b) Obtain evidence that the assisted person is homeless; or c) Obtain a verifiable certification from the assisted person that his /her family income does not exceed the applicable income limit according to the definition of income under 24 CFR 570.3: o Estimate the annual income of a family or household by projecting the prevailing rate of income of each person at the time assistance is provided for the individual, family, or household (as applicable). Estimated annual income shall include income from all family or household members, as applicable. i. Obtain verification of employment for each household member over the age of 18 by obtaining one of the following, as appropriate: 1. Proof of entitlement payments; and /or 2. The last 30 days of pay -stubs for those who are employed; and /or 3. Verification of Self- Employment Tax Deposits for those who are self- employed. ii. Obtain verification of financial assets for each household member over the age of 18 obtaining, as applicable, the following documents: 1. The last 30 days of saving account statements; 2. The last 30 days of checking account statements; and 3. The last 30 days of mutual funds accounts iii. In the event that a household member over the age of 18 does not have employment or financial assets, he /she must complete and notarize the proper affidavits and submit with the application package. • Any additional documents as requested by the City To document expenses incurred: Supporting documents to be submitted with the Monthly Finance Report are as follows: • Salaries related expenses: • Cost allocation plan for each of the employees with split funding • Timesheets reflecting the agreed budget percentage • Electronic payroll ledgers with corresponding bank transactions (statement) • Cancelled checks • Form 941 — Employer's Quarterly Federal Tax Return • Unemployment payment • Any additional documents as requested by the City • Fringe Benefits related expenses: • Bank statements • Worker's Compensation invoice, policy and cancelled check • Any additional documents as requested by the City • AMENDED BUDGET EXHIBIT " C� SLib-Reolpithrit:: Giers Club ofthierri awls, 1TC. . CMG FY17118 P Med Bud at Projea, 'fbigh Cpurseihri Please :lis4silitaris .that be telatersed bytk: City of,M bAT Beath. 44r, Dub Disstor (FT) 4 Ccurzelars OftUr-Rl-goi) SurniTer Crrf; (ta-rps) Pay di Resit Inv/rams 1 3 43 45 13 15 '13E2 3 841,0 S I 2.:0 1E6 $ 1,317 $ 3 Persortne.fEg'j, .nises -Cat - Totals 44 $ 0,1011127 71•4477,7 ' 011111 5 5 5; „MytrErir CapitalEquipment Costs - Cate try els ,14:4)21**-2:4-Pit*:-74A-1.44 „ , v#04,4 ° Zprtre04,-- ;411•49'igitiiik„ 3 3 4; 3, 5 $ 5 5 3 ProfeSsional Semites,- Cateo Totals '04 , 414314264- Other Costa ..4:lates Totak no,74 3 ‘4, 22,73.: