Loading...
Contract No. 1910-1090 with the Children's Trust �bts- 30165 CONTRACT NO. 1910-1090 BETWEEN THE CHILDREN'S TRUST AND City of Miami Beach FOR Group, Individual, and Home Visitation Agency address: 1700 Convention Center Drive Miami Beach, FL 33139 Agency federal Identification number: 59-6000372 Vendor Identification number: CITY0109 Effective term: 8/1/2018 through 7/31/2019 Funding amount shall not exceed: $294,818.00 Required match amount(If applicable): W.00 Board resolution number. ,2018-73 Agency's authorized official for notices City Clerk Agency's custodian of public records (applicable if City Clerk Agency is subject to Chapter 119, Florida Statutes): THIS CONTRACT is between The Children's Trust, whose address is 3150 SW 3rd Avenue, 8th Floor, Miami, FL 33129, and City of Miami Beach, hereafter referred to as "Provider," whose address is listed above, In consideration of the mutual covenants herein, The Children's Trust and Provider (hereafter collectively referred to as "Parties")agree as follows: This Contract is subject to funding availability and Provider's performance. A. TERMS OF RENEWAL, if applicable In the sole discretion of The Children's Trust, this Contract may be renewed with Provider's authorization. Contract renewals will be contingent on board approval and in accordance with applicable solicitation documents for services provided. Such renewal may not exceed five 15) terms. The Children's Trust's determination to renewing Provider's Contract will include, but is not limited to, consideration of the following: 1. Provider meeting the performance requirements specified in this Contract. 2. Continued demonstrated and documented need for the services funded in the community. 3. Provider's satisfactory program performance, fiscal performance, and compliance with the terms of the Contract, as determined by The Children's Trust in its sole discretion. 4. Availability of funds. B. SCOPE OF SERVICES All Providers 1. Provider agrees to render services in accordance with Attachment A: Scope of Services (hereafter "Services"), to this Contract. Provider shall implement the Services in a manner deemed satisfactory to The Children's Trust. Any modification to the Services shall not be effective until approved, in writing, by The Children's Trust and Provider. 2. The Services activities and performance measures, as well as complete and accurate data and programming information, will be used in the evaluation of Provider's overall performance. 3. Provider agrees that all funding provided by The Children's Trust, pursuant to this Contract, will be used exclusively for Services in and for the benefit of Miami-Dade County residents. School-based Health Providers only In addition to the three requirements above, the school-based health providers must abide by the following: 4. Based upon the referral process, the services under this Contract shall be available to all students at the designated school sites regardless of financial status or social/economic background. Provider is responsible for the clinical supervision of all direct staff. 5. Provider is solely responsible for securing compliance with any applicable state and federally mandated requirements for consents for health services, including medical treatment, and compliance with notification of privacy practices. Provider shall secure parental consent for health services. All consents for treatment shall specifically state that all treatment is being rendered by Provider and not by The Children's Trust. 6. Provider shall comply with applicable state and federal laws and Miami-Dade County Public Schools (M-DCPS) policies and regulations relating to the confidentiality of student records and information. Provider assures it shall provide the parents, or the student who is beyond the age of eighteen (18), the right of access to medical records, as specified in section 228.093, Florida Statutes, and Rule 6A-1.0955, F.A.C. 7. Upon request from the Florida Department of Health, Provider shall provide evidence of appropriate credentials and/or licenses of all direct staff assigned to the schools. 8. Where applicable, Provider shall comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as well as, all regulations promulgated thereunder(45 CFR Parts 160,162. and 164). Provider may apply for Medicaid reimbursement, third party billing or any type of reimbursement available to patients. Provider is solely responsible for compliance with, and adherence to, all state and federal laws and regulations for health care related services, including, but not limited to, privacy and confidentiality. C. TOTAL FUNDING Subject to the availability of funds, the maximum amount payable for Services rendered under this Contract shall not exceed the amount stated above. Provider agrees that should available funding to The Children's Trust be reduced, the amount payable under this Contract may be proportionately reduced at the sole option of The Children's Trust with a proportional reduction in services. Provider agrees to adhere to Attachment B: Budget, Invoices, Method of Payment and Other Fiscal Requirements, of this Contract. D. FISCAL MANAGEMENT 1. Double Billing and Payments Provider costs or earnings claimed under this Contract may not also be claimed under any other contract or grant from The Children's Trust or, unless such claim is denied by The Children's Trust, from any other agency. Any claim for double payment by Provider shall be a material breach of this Contract. 2. No Supplanting of Existing Public Funds The Children's Trust funding may not be used as a substitute for existing resources or for resources that would otherwise be available for children's services, or to replace funding previously provided by, and currently available from, local and state funding sources for the same purpose. A violation of this section is a material breach of this Contract. 3. Capital Equipment Capital equipment is included in the definition of "property" under Florida Statutes, Chapter 274, and Florida Administrative Code, Section 691-73.002, and is defined as individual items with a value of $1,000.00 or greater which have a life expectancy of more than one (1) year. All capital equipment acquired by Provider valued at less than $10,000.00 and reimbursed by The Children's Trust shall be capitalized by the Provider, and Provider shall retain all rights and possession of equipment unless this Contract is subject to termination or early cancellation. Should this Contract be terminated or not renewed, The Children's Trust may, in its sole discretion, acquire rights and possession of all reimbursed capital equipment that is not fully depreciated. All capital equipment acquired by Provider valued as equal to or greater than $10,000.00 and reimbursed by The Children's Trust shall be capitalized by The Children's Trust, and The Children's Trust shall retain all rights to that equipment until the item is fully depreciated. Should this Contract be subject to termination or early cancellation, The Children's Trust may, in its sole discretion, acquire possession of all reimbursed capital equipment that is not fully depreciated. Any or all such qualifying capital equipment shall be returned to The Children's Trust or its designee(s) upon request. Provider is to maintain proof of Property Coverage in accordance with the insurance requirements prescribed in Section K: Insurance Requirements of this Contract. 4. Assignments and Subcontracts Provider shall not assign this Contract to another party. Provider shall not subcontract any Services under this Contract without prior written approval of The Children's Trust. At the time that a subcontractor agreement is entered into and Services are rendered, Provider and subcontractor must be qualified to conduct business in the state of Florida. In any subcontract, Provider shall incorporate language from this Contract into each subcontract and shall require each subcontractor providing Services to be governed by the terms and conditions of this Contract. Provider shall submit to The Children's Trust a copy of each subcontract to this Contract within 30 (thirty) calendar days of its execution. Subcontractors are only entitled to reimbursement for services rendered upon receipt of executed subcontracts. All subcontractors are subject to monitoring by Provider and/or The Children's Trust, in the same manner as Provider under the terms of this Contract. Provider acknowledges and agrees that The Children's Trust and any subcontractor to this Contract have authority to communicate and exchange information about the Contract, the program and/or fiscal issues. Provider waives any and all claims, demands, and/or legal action based upon any such communications. Provider shall be responsible for all Services performed and all expenses incurred under this Contract, including Services provided and expenses incurred by any and all subcontractors. Provider, not The Children's Trust, shall be solely liable to any subcontractor and for all expenses or liabilities incurred under any subcontract. All payments to any contracted subcontractor shall be paid directly by Provider to the subcontractor. The Children's Trust shall not provide funds to any subcontractor unless specifically agreed to in writing by The Children's Trust with notification to the Provider. In such instances,The Children's Trust reserves the right to require verification from Provider and/or subcontractor of payment due for satisfactory work performed by the subcontractor. 5. Religious Purposes Provider and/or its faith-based community partner shall not use any funds provided under this Contract to support any inherently religious activities, including, but not limited to, any religious instruction, worship, proselytization, publicity or marketing materials. Any such use by Provider shall be a material breach of this Contract. 6. Lobbying Provider shall not use any funds provided under this Contract or any other funds provided by The Children's Trust for lobbying any federal, state or local government or legislators. Any such use by Provider shall be a material breach of this Contract. 7. Adverse Action or Proceeding Provider shall not use any funds under this Contract, or any other funds provided by The Children's Trust, for any legal fees, or for any action or proceeding against The Children's Trust, its agents, employees or officials. Any such use by Provider shall be a material breach of this Contract. B. Compliance Provider agrees to maintain and ensure its compliance, as applicable, with federal, state, county and local laws. This includes, but is not limited to, adherence to IRS rules and regulations requiring timely filing of tax documents to maintain tax-exempt status and payment of payroll taxes, as applicable, throughout the term of the Contract and any such renewals thereof. Provider further agrees to maintain a current listing of its agency, program(s) and site(s) in the -" available online and used by 211, Miami-Dade County's health and human services information and referral helpline, managed by Jewish Community Services of South Florida, Inc. E. INDEMNIFICATION BY PROVIDER 1. Government Entity Subject to the limitations of section 768.28, Florida Statutes, Provider shall indemnify, defend, and hold harmless The Children's Trust and its officers, employees, agents and instrumentalities from any and all liability, losses or damages, including attorney fees and costs of defense, which its 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 Contract by Provider or its employees, agents, servants, partners, principals or subcontractors. Additionally, Provider 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 Children's Trust where applicable, including appellate proceedings, and shall pay all costs, judgments and reasonable attorney fees which may issue thereon, subject to the limitations of section 768.28, Florida Statutes. 2. All Other Providers Provider shall indemnify, defend and hold harmless The Children's Trust and its officers, employees, agents and instrumentalities from any and all liability, losses or damages, including reasonable attorney fees and costs of defense, which The Children's Trust or its officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of action or proceedings of any kind or nature resulting from the performance of this Contract by Provider or its employees, agents, servants, partners, principals or subcontractors, except matters arising from The Children's Trust's negligence, willful or wanton acts or omissions. Provider 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 Children's Trust where applicable, including appellate proceedings, and shall pay all costs, judgments and reasonable attorney fees which may issue thereon. Provider agrees that any insurance protection required by this Contract or otherwise provided by Provider shall in no way limit the responsibility to indemnify, keep and save harmless and defend, The Children's Trust or its officers, employees and agents. The provisions of this section on indemnification shall survive the expiration or termination of this Contract. F. INTELLECTUAL PROPERTY AND RIGHT TO DEVELOPED MATERIALS Where activities supported by this Contract produce original software designs or methods or techniques, writing, data, sound recordings, pictorial reproductions, drawings or other graphic representations and works of similar nature (hereinafter "developed materials"), legal title and every right, interest, claim or demand of any kind in and to any copyright, trademark or patent, or application for the same, in such developed materials will vest in Provider. Notwithstanding the foregoing, Provider agrees to grant The Children's Trust a perpetual license, at no cost to The Children's Trust, to reasonably use, duplicate and/or disclose such developed materials, in whole or in part, to others acting on behalf of The Children's Trust, and other providers funded by The Children's Trust, provided that such use, duplication, or disclosure does not compromise the validity of any developed materials or any copyright, trademark or patent rights thereto. Such license shall not extend to scientific publications. In the event of a dispute, both parties agree to go meditation to resolve the matter. G. PUBLIC RECORDS For purposes of this section, the term "public records' shall mean all documents, papers, letters, maps, books, tapes, photographs, films and video recordings, 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 The Children's Trust official business. This Contract is subject to the provisions, limitations and exceptions of Chapter 119, Florida Statutes, regarding public records. Pursuant to section 119.0701, Florida Statutes, if the Provider meets the definition of "Contractor" as defined in Section 119.071(1)(a), the Provider and The Trust shall: 1. Keep and maintain public records required by The Children's Trust to perform the services under this Contract. 2. Upon request from The Children's Trust's custodian of public records, provide The Children's Trust 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. 3. 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 Contract if the Provider does not transfer the records to The Children's Trust. 4. Upon completion of the Contract, transfer, at no cost, to The Children's Trust all public records in possession of Provider or keep and maintain public records required by The Children's Trust to perform the service. If Provider transfers all public records to The Children's Trust upon completion of the contract, Provider shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If Provider keeps and maintains public records upon completion of the contract, Provider shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to The Children's Trust, upon request from The Children's Trusts custodian of public records, in a format that is compatible with The Children's Trust's information technology systems. IF THE PROVIDER HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE PROVIDER'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT 305.571.5700 EXT. 292, NiURIEL.JEANTY,vTHECHILDRENSTRUST.ORG, 3150 SW 3RD AVENUE, 8TH FLOOR, MIAMI, FLORIDA, 33129. In the event Provider does not comply with the public records disclosure requirements set forth in section 119.0701, Florida Statutes, and Section G of this Contract, The Children's Trust shall avail itself of the remedies set forth in Sections I: Breach of Contract and Remedies and J: Termination By Either Party of this Contract. Additionally, a Provider who fails to provide the public records as required by law within a reasonable amount of time may be subject to penalties under section 119.10, Florida Statutes. H. INTELLECTUAL PROPERTY LICENSING FEES AND COSTS Provider is responsible for payment of required licensing fees if Intellectual Property owned by other parties is incorporated by Provider into the Services required under this Contract. Such licensing should be in the exclusive name of Provider. Payment for any licensing fees or costs arising from the use of others' Intellectual Property shall be at the sole expense of Provider. I. BREACH OF CONTRACT AND REMEDIES 1. Breach A material breach by Provider shall have occurred under this Contract if Provider, through action or omission, causes any of the following: a. Fails to comply with Background Screening, as required under this Contract. b. Fails to provide the Services outlined in the Scope of Services, Attachment A, within the effective term of this Contract. c. Fails to correct an imminent safety concern or take acceptable corrective action. d. Ineffectively or improperly uses The Children's Trust's funds allocated under this Contract. e. Does not furnish and maintain the certificates of insurance required by this Contract or as determined by The Children's Trust. f. Does not meet or satisfy the conditions of award required by this Contract. g. Fails to submit, or submits incorrect or incomplete, proof of expenditures to support Services & Activities Management System (SAMIS) disbursement requests or advance funding disbursements; or, fails to submit, or submits incomplete or incorrect, detailed reports of requests for payment, expenditures or final expenditure reports, including, but not limited to, budgets, invoices and amendments in SAMIS. h. Does not submit, or submits incomplete or incorrect, required reports pursuant to the Scope of Services, Attachment A, in this Contract. i. Refuses to allow The Children's Trust access to records or refuses to allow The Children's Trust to monitor, evaluate and review Provider's program, including required client data. j. Fails to comply with child abuse and incident reporting requirements. k. Attempts to meet its obligations under this Contract through fraud, misrepresentation or material misstatement. I. Fails to correct deficiencies found during a site visit/observation, evaluation or review within a specified reasonable time. m. Fails to meet the terms and conditions of any obligation or repayment schedule to The Children's Trust or any of its agencies. n. Fails to maintain the confidentiality of client files, pursuant to Florida and federal laws. o. Fails to fulfill in a timely and proper manner any and all of its obligations, covenants and stipulations in this Contract. p. Fails to submit an Annual Financial Statement Audit and a Program-Specific Audit, as applicable, in accordance with Section 0: Records, Reports, Audits and Monitoring and Attachment D: Program- Specific Audit Requirements of this Contract. q. Fails to submit an Audit Engagement Letter for either the Annual Financial Statement Audit or the Program- Specific Audit within thirty (30) calendar days after Provider's fiscal year end. r. Fails to notify The Children's Trust within thirty (30) calendar days of nonpayment of payroll or other required taxes imposed by the federal government, state of Florida, Miami-Dade County or other authorized taxing entity. Waiver of breach of any provisions of this Contract shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this Contract. 2. Remedies If Provider fails to cure any breach within thirty (30) calendar days after receiving written notice from The Children's Trust identifying the breach, The Children's Trust may pursue any or all of the following remedies: a. The Children's Trust may, at its sole discretion, enter into a written Performance Improvement Plan (PIP), Attachment F, if applicable, with Provider to cure any breach of this Contract as may be permissible under state or federal law. Any such remedial plan shall be an addition to this Contract and shall not affect or render void or voidable any other provision contained in this Contract, costs, or any judgments entered by a court of appropriate jurisdiction. b. The Children's Trust may suspend payment in whole or in part under this Contract by providing written notice of suspension to Provider and specifying its effective date, at least five (5) business days before the effective date of suspension. On the effective date of suspension Provider may (but shall not be obligated to) continue to perform the Services in this Contract, but Provider shall promptly cease using The Children's Trust logo and any other reference to The Children's Trust in connection with such Services. All payments to Provider as of the date of suspension shall cease, except that The Children's Trust shall continue to review and pay verifiable requests for payment for Services that were performed and/or for deliverables that were substantially completed, at the sole discretion of The Children's Trust, prior to the effective date of such suspension. The Children's Trust may also suspend any payments in whole or in part under any other contracts entered into between The Children's Trust and Provider by providing separate written notice to Provider of each such suspension and specifying the effective date of suspension, which must be at least five (5) business days before the effective date of such suspension. In this event, The Children's Trust shall continue to review and pay verifiable requests for payment as provided for in such other contracts for services that were performed and/or for deliverables that were substantially completed, at the sole discretion of The Children's Trust, prior to the effective date of such suspension. Provider shall be responsible for all direct and indirect costs associated with such suspension, including reasonable attorney fees. c. The Children's Trust may terminate this Contract by giving written notice to Provider of such termination and specifying the date of termination at least five (5) business days before the effective date of termination. In the event of such termination, The Children's Trust may: (a) request Provider to deliver to The Children's Trust clear and legible copies of all finished or unfinished documents, studies, surveys and reports prepared and secured by Provider with Trust funds under this Contract, subject to the rights of Provider as provided for in Sections F: Intellectual Property and Rights to Developed Materials and H: Intellectual Property Licensing Fees and Costs; (b) seek reimbursement of any Trust funds which have been improperly paid to Provider under this Contract; (c) terminate further payment of Trust funds to Provider under this Contract, except that The Children's Trust shall continue to review and pay verifiable requests for payment for Services that were performed and/or deliverables that were substantially completed, at the sole discretion of The Children's Trust, prior to the effective date of such termination; and/or (d) terminate or cancel, without cause, any other contracts entered into between The Children's Trust and Provider by providing separate written notice to Provider of each such termination and specifying the effective date of termination, which must be at least five (5) business days before the effective date of such termination, in which event The Children's Trust shall continue to review and pay verifiable requests for payment as provided for in such other contracts for services that were performed and/or for deliverables that were substantially completed, at the sole discretion of The Children's Trust prior to the effective date of such termination. Provider shall be responsible for all direct and indirect costs associated with such termination, including reasonable attorney fees. d. The Children's Trust may seek enforcement of this Contract, including, but not limited to, filing an action with a court of appropriate jurisdiction. Provider shall be responsible for all direct and indirect costs associated with such enforcement, including reasonable attorney fees, costs and any judgments entered by a court of appropriate jurisdiction, including all direct and indirect costs and reasonable attorney fees through conclusion of all appellate proceedings, and including any final settlement or judgment. e. The provisions of Section H: Intellectual Property Licensing Fees and Costs shall survive the expiration or termination of this Contract. J. TERMINATION OF THE CONTRACT The Parties agree that this Contract may be terminated by either party by written notice to the other party of intent to terminate at least thirty (30) calendar days prior to the effective date of such termination. Notwithstanding any other provision in this Contract, in the event The Children's Trust determines that Provider engaged in fraud, misrepresentation or material misstatement, or that it is in the best interest of The Children's Trust to terminate this Contract, The Children's Trust may do so by giving written notice to Provider of such termination and specifying the effective date thereof at least twenty-four (24) hours before the effective date of termination. K. INSURANCE REQUIREMENTS All Providers, Except State Agencies or Subdivisions Prior to, or on the date commencing the effective term of this Contract, Provider's insurance agent(s) shall provide to The Children's Trust the following, as applicable; a. certificates of insurance naming The Children's Trust as an additional insured and the certificate holder on all applicable policies; and all applicable policies shall be maintained in full force and effect for the entire term of this Contract; or b. A letter of self-insurance indicating coverage applicable to a Florida municipal corporation required under this section or as determined by The Children's Trust, except as required by Florida law for government entities. Failure by Provider to comply with Section K shall be a material breach of this Contract. The Children's Trust will not disburse any funds under this Contract until all required certificates of insurance or letter(s) of self-insurance have been provided to and have been approved by The Children's Trust. Provider will carry insurance policies in the amounts and with the requirements indicated below: 1. Workers' compensation insurance covering all employees, non-incorporated independent contractors or consultants, and incorporated independent contractors or consultants that do not have workers' compensation coverage or a valid state of Florida exemption on file with the Department of Labor, as required by Florida Statutes, Chapter 440. Provider must notify The Children's Trust and provide the necessary certificate of insurance upon the termination of the exemption. In the event that the Provider is no longer exempt from obtaining workers' compensation insurance, the Provider must notify The Children's Trust and provide the necessary certificate of insurance upon the termination of the exemption. The employer's liability portion will be a minimum of $500,000.00/$500,000.00/$500,000.00. 2. Comprehensive general liability insurance, which shall include a rider or separate policy for sexual molestation liability, in an amount not less than $500,000.00 combined single limit per occurrence and $1,000,000.00 aggregate in a policy year. The Children's Trust must be designated and shown as an additional insured and the certificate holder with respects to this coverage.The general liability policy must contain coverage for the following: a. Bodily injury b. Property damage c. No endorsement for premises, only operations d. No exclusions for abuse, molestation or corporal punishment 3. Automobile liability coverage for all owned and/or leased vehicles of Provider, and non-owned coverage for its employees and/or subcontractors and transportation companies transporting program participants.The amount of coverage is $1,000,000.00 combined single limit per occurrence for bodily injury and property damage. The Children's Trust must be designated and shown as an additional insured and the certificate holder with respect to this coverage. Coverage can be purchased as non-owned without hired auto coverage when the cost is prohibitive for hired automobile coverage, such as the case with the Florida Automobile Joint Underwriting Association; but rental cars cannot be used in the course of Provider's regular operations. Rental cars may be used for travel to attend conferences outside the tri-county area. Transportation companies used by the Provider for the funded program must list The Children's Trust as a certificate holder and as an additional insured. 4. Automobile liability coverage for all owned and/or leased vehicles of Provider, and non-owned coverage for its employees and/or subcontractors not transporting program participants. The minimum amount of coverage is $300,000.00 combined single limit per occurrence for bodily injury and property damage.The Children's Trust must be designated and shown as an "Additional Insured as Its Interests May Appear" with respect to this coverage. Coverage can be purchased as non-owned without hired auto coverage when the cost is prohibitive for hired automobile coverage, such as the case with the Florida Automobile Joint Underwriting Association; but rental cars cannot be used in the course of Provider's regular operations. Rental cars may be used for travel to attend conferences outside the tri-county area. 5. If applicable, special events coverage, as determined by The Children's Trust. The liability coverage will be the same as the coverage and limits required for comprehensive general liability, and The Children's Trust must be designated and shown as "Additional Insured as Its Interests May Appear." Special events policies are for short-term functions and not meant to replace annual liability policies.The coverage is for the day or days of the event and must provide coverage the day prior and the day following the event. 6. If applicable, professional liability insurance, as determined by The Children's Trust, with coverage amounts determined by The Children's Trust, but not less than $250,000.00 per claim and in the aggregate. Defense costs may be inside the limits of liability and the policy can be written on claims made form. Professional liability insurance is generally required when the Scope of Services uses professional services that require certification or license(s) to provide direct services to program participants. 7. Proof of property coverage is required for all capital equipment greater than or equal to$10,000.00, and when Provider has capital equipment owned by The Children's Trust and said capital equipment is under the care, custody and control of Provider.The Children's Trust must be shown on the evidence of property coverage as a Loss Payee. Property coverage shall survive the expiration or termination of this Contract until such time the ownership of the capital equipment is transferred to Provider, or such capital equipment is returned to The Children's Trust. B. All required coverages may be afforded via commercial insurance, self-insurance, a captive or some combination thereof. Insurance Requirements for State Agencies and Subdivisions As an agency or political subdivision of the State of Florida, Provider agrees it is subject to the express provisions and limitations of section 768.28, Florida Statutes. Certificate Holder Certificate holder must read: The Children's Trust 3150 SW 3rd Avenue, 8th Floor Miami, FL 33129 Classification and Rating If the coverage will be provided via commercial insurance, all required policies listed above shall be issued by companies authorized to do business under the laws of the state of Florida, with the following qualifications: 1. The company must be rated no less than "B" as to management, and no less than "Class V" as the financial strength, by the latest edition of Best's Insurance Guide, published by A.M. Best Company, Oldwick, New Jersey, or its equivalent, subject to the reasonable approval of The Children's Trust. 2. Provider and or Provider's insurance agent, as applicable, shall notify The Children's Trust, in writing, of any material changes in insurance coverage, including, but not limited, to any renewals of existing insurance policies, not later than thirty (30) calendar days prior to the effective date of making any material changes to the insurance coverage except for 10 (ten) calendar days for lack of payment changes. Provider shall be responsible for ensuring that all applicable insurances are maintained and submitted to The Children's Trust for the duration of this Contract. 3. In the event of any change in Provider's Scope of Services, Attachment A, The Children's Trust may increase, waive or modify, in writing, any of the foregoing insurance requirements. Any request by a Provider to decrease, waive or modify any of the foregoing insurance requirements must be approved, in writing, by The Children's Trust prior to any such decrease, waiver or modification. 4. In the event that an insurance policy is canceled, lapses or expires during the effective period of this Contract, The Children's Trust shall withhold all payments to Provider until a new certificate of insurance, as required under this Contract, is submitted and approved by The Children's Trust. The new insurance policy shall cover the time period commencing from the date of cancellation of the prior insurance policy. Provider shall submit the required certificate of insurance within thirty (30) calendar days of cancellation, lapse or expiration. Failure to provide said certificate of insurance will be considered a material breach of the Contract, which may result in The Children's Trust waiving payment or terminating the Contract. 5. The Children's Trust may require Provider to furnish additional and different insurance coverage, or both, as may be required from time to time under applicable federal or state laws or The Children's Trust's requirements. Provision of insurance by Provider, in no instance, shall be deemed to be a release, limitation, or waiver of any claim, cause of action or assessment that The Children's Trust may have against Provider for any liability of any nature related to performance under this Contract or otherwise. All insurance required hereunder may be maintained by Provider pursuant to a master or blanket policy or policies of insurance. L. PROOF OF TAX STATUS Provider is required to keep on file the following documentation for review by The Children's Trust: 1. An Internal Revenue Service(IRS) tax status determination letter, if applicable. 2. The two (2) most recent IRS form 990 or applicable tax return filing within six (6) months of the end of Provider's fiscal year or other appropriate filing period permitted by law. 3. IRS form 941: employer's quarterly federal tax return. If required by The Children's Trust, Provider agrees to submit form 941 within the timeframe established by IRS Publication 15, and if applicable, all state and federal unemployment tax filings. If form 941 and unemployment tax filings reflect a tax liability, then proof of payment must be submitted within sixty (60) calendar days after the quarter ends. M. NOTICES Written notices pursuant to this Contract shall be sent to the addressee via electronic mail or postal mail for each party appearing on the first page of this Contract. Notices to The Children's Trust shall be marked to the attention of its president/CEO. Notices to Provider shall be marked to the authorized official identified on page 1 of this contract. It is each party's responsibility to advise the other party in writing of any changes in responsible personnel for accepting notices under this Contract, mailing address, and/or telephone number. N. AUTONOMY The Parties agree that this Contract recognizes the autonomy of, and stipulates or implies no affiliation between, the contracting Parties. Provider is only a recipient of funding support and is not an employee, agent or instrumentality of The Children's Trust, and Provider's agents and employees are not agents or employees of The Children's Trust. O. RECORDS, REPORTS, AUDITS AND MONITORING The provisions of this section shall survive the expiration or termination of this Contract, consistent with Florida law. 1. Accounting Records Provider shall keep accounting records that conform to generally accepted accounting principles (GAAP). All such records will be retained by Provider for not less than five (5) years beyond the last date that all applicable terms of this Contract have been complied with, final payment has been received and appropriate audits have been submitted to and accepted by The Children's Trust. However, if any audit, claim, litigation, negotiation or other action involving this Contract or modification hereto has commenced before the expiration of the retention period, then the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular retention period, whichever is later. 2. Financial Statement Audit Within one hundred eighty (180) calendar days from the close of its fiscal year, Provider's independent certified public accounting firm (CPA) must electronically submit to The Children's Trust all the following documents, which together comprise an Annual Financial Statement Audit conducted in accordance with GAAP and standards contained in Government Auditing Standards issued by the Comptroller General of the United States (The Yellow Book). The required items are: a. An annual financial statement audit, performed by a CPA firm that is licensed and registered to conduct business with the Florida Department of Business and Professional Regulation. b. An Annual Financial Statement Audit conducted in accordance with auditing standards generally accepted in the United States of America, and the standards applicable to financial audits contained in Government Auditing Standards. c. Written communication encompassing the requirements of AU-C section 265, "Communicating Internal Control Related Matters Identified in an Audit." d. Written communication encompassing the requirements of AU-C section 260, "The Auditor's Communication With Those Charged With Governance." e. A Single Audit conducted in accordance with OMB "Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards" or the Florida Single Audit Act, Florida Statutes 215.97, if applicable. f. A management letter; if no management letter is prepared by Provider's CPA firm, then the CPA firm must expressly confirm, in writing, that no management letter was issued. If Provider's Annual Financial Statement Audit is prepared by the Florida Auditor General, then the due date for submitting the annual financial statement audit, as defined, is two hundred seventy (270)calendar days after the close of Provider's fiscal year. If Provider is required to have a Single Audit, it agrees to have its CPA firm submit the schedule of expenditures pertaining to awards, summary schedule of prior audit findings, applicable auditor's reports and the corrective action plan, if applicable. 3. Program-Specific Audit Within one hundred eighty (180) calendar days of the close of its fiscal year, Provider is required to provide a Program- Specific Audit related to the Contract to The Children's Trust, in addition to the Annual Financial Statement Audit. The Program-Specific Audit shall be performed by an independent CPA firm that: is licensed and registered to conduct business with the Florida Department of Business and Professional Regulation; has performed audits under Government Auditing Standards; and is either a member of the AICPA or FICPA peer review program to include government engagement reviews. This Program-Specific Audit must encompass an audit of The Children's Trust's Contract(s) as specified in Attachment D: Program-Specific Audit Requirements. 4. Audits Submission Method Electronic filing of the annual financial statement audit and the required Program-Specific Audit related to the Contract to The Children's Trust must be sent by the Provider's CPA firm via the via email or through another online system identified by The Trust, unless otherwise previously agreed upon by the Trust and Provider through a memorialized document within the timeframe specified above in Section 0, subsections 2 and 3. 5. Audit Extensions Audit extensions may be granted by The Children's Trust upon receipt, in writing, of such request with appropriate justification by Provider and for a period of time not to exceed sixty (60) calendar days after the initial due date. A copy of the engagement letter, along with the anticipated audit completion date and any concerns from Provider's CPA firm related to the audit must accompany the request. Approved audit extension requests allow for the continuation of payment until such time that the extension expires. In the event that either the Annual Financial Statement Audit or the Program-Specific Audit is not received in a timely manner and in accordance with the previously stated due dates and an audit extension has not been approved, then The Children's Trust shall withhold all payments to Provider until the documents are received and determined to be acceptable by The Children's Trust. 6. Engagement Letters Audit engagement letters are due to The Children's Trust thirty (30) calendar days after the end of Provider's fiscal year. Provider agrees to submit an audit engagement letter electronically to - Failure to submit an audit engagement letter may result in a breach of Contract, or other remedy, as deemed appropriate by The Children's Trust. 7. List of Approved Certified Public Accounting Firms To receive reimbursement for the preparation of the Program-Specific Audit, as defined, Provider must choose from a list of approved CPA firms, which are posted on The Children's Trust's website. Inclusion in this pre-approved CPA vendor pool requires a CPA firm to meet three (3) criteria, which are enumerated in Attachment B: Budget, Invoices, Method of Payment and Other Fiscal Requirements. 8. Access to Records Provider shall permit access to all records, including subcontractor records, as per the Supporting Documentation Requirements in Attachment B: Budget, Invoices, Method of Payment and Other Fiscal Requirements, which relate to this Contract at its place of business during regular business hours at a date and time mutually agreed upon by Provider and The Children's Trust. Provider agrees to deliver such assistance as may be necessary to facilitate a review or audit by The Children's Trust to ensure compliance with applicable accounting, financial and programmatic standards. This would include access by The Children's Trust, or its designee, to Provider's independent auditor's work papers for complying with federal, state and local requirements. The Children's Trust reserves the right to require Provider to submit to an audit by an auditor of The Children's Trust's choosing and at The Children's Trust's expense. 9. Program Metrics Provider agrees to permit The Children's Trust personnel or contracted agents to perform random scheduled and/or unscheduled site visits, reviews and evaluations of the program which is the subject of this Contract, including any subcontracts under this Contract. Provider shall permit The Children's Trust or contracted agents to conduct site visits, client interviews, client assessment surveys, fiscal/administrative review and other assessments deemed reasonably necessary at the sole discretion of The Children's Trust. Program Metrics reports, which provides real time data can be accessed through Trust Central. Compliance findings will be discussed with Provider and, in accordance with specifications provided by The Children's Trust, Provider will remedy all deficiencies cited in the report from Trust Central. To the extent permitted by law, school-based health Providers shall permit public health authorities and health oversight agency lies), that are charged with supervising health services program in schools, to conduct oversight and regulatory activities authorized by law. 10. Client Records School-based Health Providers only School Health Programs-HealthConnect are comprehensive services and may be provided to Miami-Dade County Public Schools' students in accordance with section 381.0056, Florida Statutes. Provider agrees and shall require all sub- contractors to comply with all applicable state and federal privacy and confidentiality laws, as relevant to the services provided under this contract. The Florida Department of Health is statutorily authorized to review school health records of all students enrolled in the public-school system, regardless of the form in which these records are kept, at all reasonable times for as long as records are retained and in accordance with applicable law. All other Providers The Children's Trust expects all required information, as provided in Attachment C: Programmatic Data and Reporting Requirements, to be entered directly in the electronic data reporting system. If the provider chooses to maintain physical records for participants, provider agrees to comply with all applicable state and federal laws on privacy and confidentiality. 11. Internal Documentation/Records Retention Provider agrees to maintain and, upon request by The Children's Trust, provide for inspection by The Children's Trust during regular business hours the following, as may be applicable and subject to applicable confidentiality requirements: (1) personnel files of employees, which include hiring records, background screening affidavits, job descriptions, verification of education and evaluation procedures; (2) authorized time sheets, records and attendance sheets to document the staff time billed to provide Services pursuant to this Contract; (3) daily activity logs and monthly calendars of the provision of Services pursuant to this Contract; (4) training modules; (5) pre-and post-session questionnaires; (6) all participant attendance records; (7) participant consent and information release forms; (8) agency policies and procedures; and (9) such other information related to Services provision as described in Attachment A: Scope of Services and as required by this Contract. In addition to any requirements for retaining records pursuant to Section G, Public Records, Provider shall retain all records for not less than five(5) years beyond the last date that all applicable terms of this Contract have been complied with and final payment has been received, and appropriate audits have been submitted to and accepted by The Children's Trust and/or other appropriate agency. 12. Confidentiality Provider and The Children's Trust understand that during the course of performing the Services hereunder, each party may have access to certain confidential and proprietary information and materials of the other party in order to further performance of the Services. The Parties shall protect confidential information, comply with applicable federal and state laws on confidentiality, and engage in measures to prevent unauthorized use, dissemination or publication of confidential information regardless of the source of such information. Any information determined to be confidential must be clearly marked as such. The Parties shall not disclose confidential information to any third party (except that such information may be disclosed to such party's attorneys), or to any employee of such party who does not have a need to know such information, which need is related to performance of a responsibility hereunder. However, this Contract imposes no obligation upon the Parties with respect to confidential information which, (a) was lawfully known to the receiving party before receipt from the other; (b) is or becomes a matter of public knowledge through no fault of the receiving party; (c) is rightfully received by the receiving party from a third party without restriction on disclosure; (d) is independently developed by or for that party; (e) is disclosed under operation of law; (f) is disclosed by the receiving party with the other party's prior written approval; or (g) is subject to Chapter 119 of the Florida Statutes or is otherwise required to be disclosed by law. In any event. Provider shall be responsible for defending its claim that any information submitted to The Children's Trust is confidential, trade secret, or otherwise exempt from inspection and copying under Florida's Public Records Law, including, but not limited to, defending or indemnifying The Children's Trust in the event that a claim or case is brought against The Children's Trust. Provider shall specifically require all subcontractors to comply with this paragraph. The confidentiality provision of this Contract shall remain in full force and effect after the termination of this Contract. 13. Data Security Obligation Data Security Definitions are defined and specified in Attachment G: Data Security Definitions attached to this Contract. A. Standard of Care 1. Provider acknowledges and agrees that, in the course of its Contract with The Children's Trust, Provider may, directly or indirectly, receive or have access to Highly Sensitive Personal Information or Personal Information. Provider shall comply with the terms and conditions set forth in this Contract in its collection, receipt, transmission, storage, disposal, use and disclosure of such Highly Sensitive Personal Information or Personal Information, and shall be responsible for the unauthorized collection, receipt, transmission, access, storage, disposal, use and disclosure of Highly Sensitive Personal Information or Personal Information under its control or in its possession. Furthermore, Provider shall be responsible for the actions and omissions of all Authorized Persons that are not Authorized Employees concerning the treatment of such Highly Sensitive Personal Information or Personal Information as if they were Provider's own actions and omissions. 2. Highly Sensitive Personal Information or Personal Information is deemed to be property of The Children's Trust and is not property of Provider. 3. In recognition of the foregoing, Provider agrees and covenants that it shall: a. Keep and maintain all such Highly Sensitive Personal Information or Personal Information strictly confidential. b. Use and disclose Highly Sensitive Personal Information or Personal Information solely and exclusively for the purposes for which the Highly Sensitive Personal Information or Personal Information, or access to it, is provided pursuant to the terms and conditions of this Contract, and shall not divulge, communicate, use, misuse, sell, rent, transfer, distribute, or otherwise disclose or make available Highly Sensitive Personal Information or Personal Information for Provider's own purposes or for the benefit of anyone other than The Children's Trust, without The Children's Trust's prior written consent, which may be withheld in The Children's Trust's sole and absolute discretion. c. Not, directly or indirectly, disclose Highly Sensitive Personal Information or Personal Information to an Unauthorized Third Party, without express written consent from The Children's Trust, which may be withheld in its sole and absolute discretion, If any person or authority makes a demand on Provider purporting to legally compel it to divulge any Highly Sensitive Personal Information or Personal Information, Provider shall (i) immediately notify The Children's Trust of the demand before such disclosure so that The Children's Trust may first assess whether to challenge the demand prior to Provider's divulging of such Highly Sensitive Personal Information or Personal Information; (ii) be responsible to The Children's Trust for the actions and omissions of such Unauthorized Third Party concerning the treatment of such Highly Sensitive Personal Information or Personal Information as if they were Provider's own actions and omissions; and (iii) require the Unauthorized Third Party that has access to Highly Sensitive Personal Information or Personal Information to execute a written Contract agreeing to comply with the terms and conditions of this Contract relating to the treatment of Highly Sensitive Personal Information or Personal Information. Provider shall not divulge such Highly Sensitive Personal Information or Personal Information until The Children's Trust has concluded not to challenge the demand, has exhausted its challenge, including appeals, if any. B. Highly Sensitive Personal Information or Personal Information Security Provider shall protect and secure data in electronic form containing such Highly Sensitive Personal Information or Personal Information. At a minimum, Provider's safeguards for the protection of Highly Sensitive Personal Information or Personal Information shall include: 1. Encrypting, securing or modifying such Highly Sensitive Personal Information or Personal Information by any method or technology that removes elements that personally identify an individual or that otherwise renders the information unusable. 2. Limiting access of Highly Sensitive Personal Information or Personal Information to Authorized Employees and Authorized Persons. 3. Securing business facilities, data centers, paper files, servers, back-up systems and computing equipment, including, but not limited to, all mobile devices and other equipment with information storage capability. 4. Implementing network, device application, database and platform security. 5. Securing information transmission, storage and disposal; and implementing authentication and access controls within media, applications, operating systems and equipment. 6. Encrypting Highly Sensitive Personal Information or Personal Information stored on any mobile media. 7. Encrypting Highly Sensitive Personal Information or Personal Information transmitted over public or wireless networks. 8. Implementing appropriate personnel security and integrity procedures and practices, including, but not limited to, conducting background checks consistent with applicable law, as required by The Children's Trust from time to time. 9. Providing written copies of appropriate privacy and information security training to Provider's employees, as required by and to The Children's Trust. 10. Purchasing and maintaining cyber insurance coverage, as The Children's Trust deems necessary in its sole and absolute discretion. a. Provider shall dispose, or arrange for the disposal, of customer records containing Highly Sensitive Personal Information or Personal Information within its custody or control when the records are no longer to be retained pursuant to Sections G and O. Such disposal shall involve shredding, erasing or otherwise modifying Highly Sensitive Personal Information or Personal Information in its control or possession to make it unreadable or undecipherable through any means. b. During the term of each Authorized Employee's employment by Provider, Provider shall at all times cause such Authorized Employees to abide strictly by Provider's obligations under this Contract. Provider further agrees that it shall maintain a disciplinary process to address any unauthorized access, use or disclosure of Highly Sensitive Personal Information or Personal Information by any of Provider's officers, directors, partners, principals, employees, agents or contractors. Upon The Children's Trust's request, Provider shall promptly identify for The Children's Trust in writing all Authorized Employees as of the date of such request. c. Upon The Children's Trust's written request, Provider shall provide The Children's Trust with a network diagram that outlines Provider's information technology network infrastructure and all equipment used in relation to fulfilling its obligations under this Contract, including, without limitation: (i) connectivity to The Children's Trust and all third parties who may access Provider's network to the extent the network contains Highly Sensitive Personal Information or Personal Information; (ii) all network connections including remote access s and wireless connectivity; (iii) all access control devices, such as (solely by way of example) firewalls, packet filters, intrusion detection and access-list routers; (iv) all back-up or redundant servers; and (v) permitted access through each network connection. C. Security Breach Procedures For purposes of this Contract, "Security Breach" is defined in Attachment G. In the event of a Security Breach, Provider shall: 1. Notify The Children's Trust of a Security Breach immediately, but not later than forty eight (46) hours, after Provider becomes aware of it by emailing The Children's Trust with a read receipt at __ and with a copy of such email to Provider's contract manager at The Children's Trust. The notice shall include, at a minimum: (1) the date, estimated date, or estimated date range of the Security Breach; and (2) a description of the Highly Sensitive Personal Information or Personal Information that was accessed or reasonably believed to have been accessed as a part of the Security Breach. 2.To the extent legally permissible, confer with The Children's Trust prior to informing any third party of any Security Breach related to this Contract. Provider and The Children's Trust shall communicate regarding: (i) whether notice of the Security Breach is to be provided to any individuals, regulators, law enforcement agencies, consumer reporting agencies or others as required by law or regulation, or otherwise; and (ii) the contents of such notice, whether any type of remediation may be offered to affected persons, and the nature and extent of any such remediation. 3. Take steps to immediately remedy any Security Breach and prevent any further Security Breach at Provider's expense in accordance with applicable privacy rights, laws, regulations and standards, or as otherwise required by The Children's Trust in its sole and absolute discretion. Provider shall be solely responsible for all costs associated with a Security Breach and The Children's Trust may seek to recover any costs it expends as a result of such breach from Provider. 14. Withholding of Payment At the sole discretion of The Children's Trust, payment may be withheld for noncompliance of contractual terms. The Children's Trust will provide payment upon satisfactory compliance with the contractual terms as solely determined by The Children's Trust. P. MODIFICATIONS Any alterations, variations, modifications, extensions or waivers of provisions of this Contract, including, but not limited to, amount payable and effective term, shall only be valid when they have been reduced to writing, duly approved and signed by both Parties. Q. GOVERNING LAW AND VENUE This Contract shall be interpreted and construed in accordance with and governed by the laws of the state of Florida without regard to its conflicts of law provisions. Any controversies or legal problems arising out of the terms of this Contract and any action involving the enforcement or interpretation of any rights hereunder shall, to the exclusion of all others, be submitted to the jurisdiction of the state courts of the Eleventh Judicial Circuit, in and for, Miami-Dade County, Florida. R. STAFF AND VOLUNTEER BACKGROUND CHECK REQUIREMENTS Level 2 background screenings must be completed through the . Satisfactory background screening documentation will be accepted from those agencies that already conduct business with either the Florida Department of Children and Families (DCF), the Florida Department of Juvenile Justice (DJJ) or Miami-Dade County Public School (M-DCPS). In addition: 1. Provider shall complete Attachment E-1: Affidavit for Level 2 Background Screenings. The affidavit shall cover employees, volunteers and subcontractors performing services under this Contract who are required to complete a Level 2 background screening as defined in this section. 2. Provider shall complete Attachment E-2: Child Care Affidavit of Good Moral Character, Attachment E-3: Child Abuse & Neglect Reporting Requirements and Attachment E-4: Background Screening & Personnel File Requirements. 3. Provider shall maintain Attachment E-1: Affidavit for Level 2 Background Screenings, Attachment E-2: Child Care Attestation of Good Moral Character, Attachment E-3: Child Abuse & Neglect Reporting Requirements and Attachment E-4: Background Screening & Personnel File Requirements, in Provider's personnel, volunteers, and subcontractors' files. 4. Provider shall ensure that all employees, volunteers and/or subcontractors complete Level 2 background screening no later than every five(5) years. Provider is required to review annually, at minimum, the f: •• _ '.r (NSOPW). School-based Health Providers only All school staff members or sub-contracted agency personnel assigned to work at a site where they have access to children must satisfy Level 2 background screening requirements and comply with all necessary school procedures prior to commencing services within Miami-Dade County Public Schools or doing any work for The Children's Trust related to this contract. Pursuant to the Jessica Lunsford Act (HB 1877), which was adopted during the 2005 legislative session and thereafter signed into law by the Governor, non-instructional school district employees or contractual personnel who are permitted access on school grounds when students are present, have direct contact with students or have access to or control of school funds must meet Level 2 background screening requirements as provided in section I'D__ 32 All of Provider's employees who work in a school must satisfy Level 2 background screening requirements as provided in 1»... . . J , Florida Statutes. All employees who work in a school must inform their employer within 48 hours if convicted of disqualifying offenses included M-DCPS's Employee Manual, while he or she is employed or under contract in that capacity. If Provider employs a person, under this contract or with The Children's Trust's funds, to work in a school who does not satisfy Level 2 background screening requirements, the employee shall be immediately suspended from working in that capacity. A clearance letter or an identification badge issued by Miami-Dade County Public Schools will be accepted as proof that the employee satisfactorily completed background screening. A copy of said clearance letter or identification badge must be on file for each employee hired to work within the school setting. All other Providers Subject to the provisions, limitations and exceptions of all relevant statutory provisions, including sections 1012.465, 1012.468, and 1012.468, Florida Statutes, all employees, volunteers and subcontracted personnel who work in direct contact with children or who may come into direct contact with children at the site in question must complete a Level 2 background screening and comply with the requirements thereto prior to commencing work pursuant to this Contract. This requirement applies to all volunteers who provide more than ten (10) hours of service in any given calendar year to children, youth and their families. Occasional or transient repair or maintenance persons, vendor representatives, contractors or subcontractors who have not completed a Level 2 background screening and appear on the site should be escorted to their work areas and supervised by a Provider staff member who has satisfactorily completed a Level 2 background screening the entire time they are present on the site. 5. CHILDREN WITH DISABILITIES AND THEIR FAMILIES Provider understands that The Children's Trust expects Provider to comply with all relevant provisions of the Americans with Disabilities Act and other state, federal or local laws that mandate the accessibility of programs, services and benefits for persons with disabilities. The Children's Trust also requires Provider implement reasonable programmatic accommodations to include children with disabilities and their families, whenever possible. T. REGULATORY COMPLIANCE 1. Nondiscrimination and Civil Rights Provider shall not discriminate against an employee, volunteer or client of Provider based on an individual's protected class, which includes race, color, religion, ancestry, national origin, sex, pregnancy, age, disability, marital status, familial status, gender identity, gender expression, sexual orientation, source of income, or actual or perceived status as a victim of domestic violence, dating violence or stalking. Provider shall have that it has standards, policies and practices necessary to render services in a manner that respects the worth of the individual, and protects and preserves an individual's dignity. Additionally, Provider agrees to abide by Chapter 11A of the Code of Miami-Dade County ("County Code'), as amended, which prohibits discrimination in employment, housing and public accommodations; Title VII of the Civil Rights Act of 1968, as amended, which prohibits discrimination in employment and public accommodation; the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 as amended, which prohibits discrimination in employment because of age; Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. 4 794, as amended, which prohibits discrimination on the basis of disability; and the Americans with Disabilities Act, 42 U.S.C. 412101 et seq., which, among other things, prohibits discrimination in employment and public accommodations, and by local governments on the basis of disability. It is expressly understood that upon receipt of evidence of discrimination under any of these laws, The Children's Trust shall have the right to terminate all or any portion of this Contract. If Provider or any owner, subsidiary, or other firm affiliated with or related to Provider, is found by the responsible enforcement agency or the courts to be in violation of these laws, said violation will be a material breach of this Contract and The Children's Trust will conduct no further business with Provider. 2. Public Entities Crime Act Provider will not violate the Public Entities Crimes Act Section 287.133, Florida Statutes, which essentially provides that a person or affiliate who is a Provider, consultant or other direct service provider and who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid on a Contract to provide any goods or services; may not submit a bid for the construction or repair of a public building or public work; may not submit bids on leases of real property; may not be awarded or perform work as a Provider supplier, subcontractor or consultant; and may not transact any business in excess of the threshold amount provided in Section 287.017, Florida Statutes, for certain statutorily defined purchases for a period of thirty six (36 ) months from the date of being placed on the convicted vendor list. Violation of this section shall result in cancellation of this Contract and recovery of all monies paid hereto, and may result in debarment from The Children's Trust's competitive procurement activities. 3. Conflict of Interest Provider represents that the execution of this Contract does not violate Miami-Dade County's Conflict of Interest and Code of Ethics Ordinance or Chapter 112, Part III, Florida Statutes, as amended, which are incorporated by reference as if fully set forth herein. Provider agrees to abide by and be governed by these conflict of interest provisions throughout the course of this Contract and in connection with its obligations hereunder. (Refer to _ L= 4. Compliance with Sarbanes-Oxley Act of 2002 Provider shall comply with the following applicable provisions of the Sarbanes-Oxley Act of 2002, including: a. Provider agrees not to alter, cover up, falsify, or destroy any document that may be relevant to an official investigation. b. Provider agrees not to punish whistleblowers or retaliate against any employee who reports suspected cases of fraud or abuse. 5. Licensing Provider (and subcontractor, as applicable,) shall obtain and maintain in full force and effect during the term of this Contract any and all licenses, certifications, approvals, insurances, permits and accreditations required by the state of Florida, Miami-Dade County, relevant municipalities, The Children's Trust or the federal government. Provider must be qualified and registered to do business in the state of Florida both prior to and during the Contract term with The Children's Trust. 6. Incident Reporting An incident is defined as any actual or alleged event or situation that creates a significant risk of substantial or serious harm to the physical or mental health, safety or well-being of a child participating in the program. Reportable incidents include, but are not limited to, allegations of abuse, neglect or exploitation of a child; injury of a participant; missing child or abandoned child; loss of property use for the program; or destruction of property used in the program. Incident definitions can be found on the sample incident report form located on The Children's Trust website. Provider shall immediately report knowledge or reasonable suspicion of abuse, neglect or abandonment of a child, aged person or disabled adult to the Florida Abuse Hotline on the statewide toll-free telephone number (800.962.2873). As required by Chapters 39 and 415, Florida Statutes, Provider and its employees are mandated to report any such suspicions. Provider shall notify the contract manager of any incident as defined within three (3) calendar days after Provider is informed of such incident. The notification must be in writing and include a copy of the incident report. The report must contain the following: 1. Name of reporter (person giving the notice) 2. Name and address of victim and guardian 3. Phone number where reporter can be contacted 4. Date, time and location of incident 5. Complete description of incident and injuries, if any Police report and actions taken shall be submitted to The Children's Trust within fifteen (15) calendar days of the incident. Provider shall provide written notification to The Children's Trust, within seven (7) calendar days of any legal action related to the incident. 7. Sexual Harassment Provider shall complete an incident report in the event a program participant, client or employee makes an allegation of sexual harassment, sexual misconduct or sexual assault by a Provider employee, volunteer or anyone arising out of the performance of this Contract, and Provider has knowledge thereof. Provider shall provide written notification to The Children's Trust within three (3) business days after Provider is informed of such an allegation. Provider shall submit written notification to The Children's Trust within seven (7) business days of any legal action which is filed as a result of such an alleged incident. 8. Proof of Policies Provider and subcontractor, as applicable, shall keep on file copies of their policies, including, but not limited to. confidentiality, incident reporting, sexual harassment, nondiscrimination, equal opportunity and/or affirmative action, Americans with Disabilities Act, and drug-free workplace. U. CONSENT Provider must obtain parental/legal guardian consent for all minor participants to participate and/or for adult participants in the program for Services, and to share information with The Children's Trust for monitoring and evaluation purposes. Provider will ask participants to sign a voluntary Consent to Photograph form through the electronic registration process provided by The Trust. Form will be available in English, Spanish and Haitian Creole. The consent shall be part of the participants' registration, and signed by parent/guardian before Services commence or assessments are administered. Any refusal of consent must be properly documented and signed by the parent or legal guardian on the consent form. V. PROGRAMMATIC DATA REPORTING Demographic and service information on program participants will be provided to The Children's Trust as part of The Children's Trust's research mission. Provider agrees to comply and participate in any data collection reporting, including participant data as required by The Children's Trust and described in Attachment C: Programmatic Data and Reporting Requirements, subject to confidentiality requirements. In addition, Provider agrees to furnish The Children's Trust with complete and accurate reports in the timeframe and format to be reasonably specified by The Children's Trust, and as described in Attachment C. W. MARKETING & PUBLICITY Provider or its contracted departments shall distribute a news release announcing it has been awarded funding by The Children's Trust. Provider shall prominently place a Children's Trust program sign decal on the main entry door or front window of each of its Trust-funded site locations(unless such placement of signage is specifically prohibited by Provider's lease). Provider shall display the official Children's Trust logo on the home page of its website (if Provider maintains a website) and link it to The Children's Trust website -0. If the funded program is part of a larger entity, such as a university, the logo may be placed on the web page dedicated to that program on the Provider's website. Provider shall in addition include the following paragraph, along with the logo, on the web page dedicated to the program funded by this Contract, or elsewhere on its website (in English/Spanish or English/Haitian Creole or all three languages, depending upon population served): English: [Provider Program Name] is funded by The Children's Trust. The Children's Trust is a dedicated source of revenue established by voter referendum to improve the lives of children and families in Miami-Dade County. Espanol: El [Provider Program Name] esta financiado por The Children's Trust. The Children's Trust es una fuente de financiacidn, creada por los votantes en referendum para mejorar la vida de los ninos y las families en Miami-Dade. Kreyol: Se Children's Trust ki finanse[Pwogram Sa-a]. Children's Trust se yon sous finansman elekte Miyami-Dade to kreye nan yon referandom. Finansman sa a dedye you pwogram k'ap amelyore lavi ti moun ak fanmi yo. Note: In cases where funding by The Children's Trust represents only a percentage of Provider's overall funding, the above language can be altered to read "[Provider Program Name] is funded in part by The Children's Trust..." OR "El [Provider Program Name] esta financiado en parte por The Children's Trust..." OR "Se Children's Trust ki finance yon pati nan[Pwogram Sa-a]..." Provider agrees that all program services, activities and events funded by this Contract shall recognize The Children's Trust as a funding source in any and all publicity, public relations and marketing efforts/materials created under its control on behalf of the program. 1. COMMUNICATION WITH MEDIA/NEWS OUTLETS Provider shall request that all media representatives, when inquiring with Provider about the program services, activities and events funded by this Contract, recognize The Children's Trust as a funding source. 2. VIDEO Provider agrees that any video it produces that depicts activities, services and events funded by this Contract shall include a full-screen graphic at its end recognizing The Children's Trust as a funding source. 3. SOCIAL MEDIA If Provider or its contracted departments maintains social media accounts, they shall: a. Post an update on its social media accounts (e.g., Facebook, Twitter, Instagram, etc.) announcing it has been awarded a funding contract by The Children's Trust, and tag The Children's Trust's profile on those social media networks. If The Trust does not have a profile on a particular social media network, the post should link back to . b. State it is funded by The Children's Trust on all of its social media networks"'About" sections. c. Tag and/or mention The Children's Trust on all posts related to services, activities and events funded by this Contract. d. List The Children's Trust's fan page under "Liked by This Page" on its Facebook page (if Provider maintains a Facebook page). e. Follow The Children's Trust Twitter account (if Provider maintains a Twitter account). 4. PRINTED MATERIALS a. Provider or its contracted departments shall ensure that any and all printed materials it creates for program services, activities and events funded by this Contract, including, but not limited to, newsletters, news releases, brochures, fliers, advertisements, signs/banners, letters to program participants and/or their parents/guardians, or any other materials released to the media or general public, shall state that these program services, activities and events are funded by The Children's TruSt. b. Further, Provider shall also employ the use of the appropriate Children's Trust logo and/or language as stated above when recognizing said funding in any and all printed materials. c. Proofs of all printed material referenced herein must be submitted to The Children's Trust communications department (-___ - • _ Z- , ••- -) for approval prior to production/printing and release/distribution. d. Provider agrees to deliver to The Children's Trust, without charge, at least three (3) copies of any and all printed materials it creates for program services, activities and events funded by this Contract. e. Provider agrees that The Children's Trust will have use of copyrighted materials developed under this Contract to the extent provided in, and subject to, the provisions of Sections F: Intellectual Property and Rights to Developed Materials and H: Intellectual Property Licensing Fees and Costs. 5. TERMINATION OF CONTRACT Upon termination of this Contract by either party, Provider shall remove all references to The Children's Trust from its site(s), website, social media accounts, advertisements and promotional materials, to coincide with the effective date of such termination. X. HEADINGS, USE OF SINGULAR AND GENDER Paragraph headings are for convenience only and are not intended to expand or restrict the scope or substance of the provisions of this Contract. Wherever used herein, the singular shall include the plural and plural shall include the singular, and pronouns shall be read as masculine, feminine or neuter as the context requires. Y.JOINT PREPARATION The parties hereto acknowledge that they have sought and received whatever competent advice and counsel as was necessary for them to form a full and complete understanding of all rights and obligations herein and that the preparation of this Agreement has been their joint effort. The language agreed to expresses the parties' mutual intent and the resulting document shall not, solely as a matter of judicial construction, be construed more severely against one of the parties than the other. Z. TOTALITY OF CONTRACT/SEVERABILITY OF PROVISIONS This Contract with its attachments as referenced below contains all the terms and conditions agreed upon by the Parties: Attachment A: Scope of Services Attachment B: Other Fiscal Requirements, Budget and Method of Payment Attachment C: Programmatic Data and Reporting Requirements Attachment D: Program-Specific Audit Requirements Attachment E-1: Affidavit for Level 2 Background Screenings, if applicable Attachment E-2: Child Care Attestation of Good Moral Character, if applicable Attachment E-3: Child Abuse & Neglect Reporting Requirements, if applicable Attachment E-4: Background Screening & Personnel File Requirements, if applicable Attachment F: Performance Improvement Plan, if applicable Attachment G: Data Security Definitions No other Contract, oral or otherwise, regarding the subject matter of this Contract shall be deemed to exist or bind the Parties. If any provision of this Contract is held invalid or void, the remainder of this Contract shall not be affected thereby if such remainder would then continue to conform to the terms and requirements of applicable law. [REMAINDER OF PAGE INTENTIONALLY BLANK] The Children's Trust City of Mia i Beach MIAMI-DADE COUNTY, FLORIDA BY �0- By: (sig • - o •r •e• Representative) (signature) CLT`-1 I"14I01t..7 A Cte e lames R. Haj President and CEO Date: g?(, ItS'j Date: Provider Federal ID# 59-6000372 Provider Vendor ID# CITYO109 This Contract is not valid until signed by both Parties. APPROVED AS TO FORM& LANGUAGE & FOR EECUTIO PO City Altornu•IY y e Iv City of Miami Beach The Children's Trust MIAMI-DADE COUNTY, FLORIDA Cre— Ply \_ N\ I/ By: By: 11, v k! G' (signature of Authorized Representative) (signature) Jagy Hoanshelt for JJJ4 James R. Haj Grants Management Division Director President and CEO Date: 10/3/2018 Date: 10/3/2018 Provider Federal ID# 59-6000372 Provider Vendor ID# CITY0109 This Contract Is not valid until signed by both Parties. Attachment A-Scope of Services Group, Individual, and Home Visitation PROGRAM OVERVIEW s N=- Judy Hoanshelt Group, Individual, and Home Visitation Miami Beach Parent-Child Program r Lsceir-io. The City of Miami Beach Parent-Child Program offers its families and their children the Nurturing Parenting Program (NPP), an evidence-based, psycho-educational model of parental careg lying that engages the entire household to better youth outcomes while strengthening the family dynamic. Utilizing two delivery methods, group and home-based, the program empowers parents to prepare children for the school experience through engaging interactive and personalized sessions. In the home-based model for children aged birth to 5, the parent is empowered to identify areas of parental growth and are then provided with modeling exercises and lessons that enable parents to translate this knowledge to their interactions with their children while strengthening the parent-child bond. Through these sessions, children emerge ready for school prepared to learn and parents emerge more confident to guide and support their children to achieve academic, familial and social success. For children aged 5-11 and adolescents aged 12-18, group sessions begin with a shared dinner between parents and their children/adolescents held within the Miami Beach Community. Dinner is followed by group sessions in which parents and children/adolescents are divided and provided with age appropriate instruction in their preferred language.These sessions address selected topics (such as family dynamics, individual and collective behavioral norms, anger management and expression, positive self-worth, effective communication and familial and social responsibility, among others) through the paradigms unique to parent and child. These dynamic, interactive sessions address topics through discussion, role play, games, instructional DVD's, popular music and expressive dance. Before the session ends, parents and children/adolescents reunite to put into action what was learned in their respective sessions. Through a debrief and practice process, parents and children/adolescents mirror the skills learned, share their personal experience of the learning process and engage in a mutual understanding of what was learned. Year-Round Nurturing Parenting Program EVIDENCE-BASED AND PROMISING PROGRAMS (EBPS)/CURRICULA Minimum EBP Program Staffing Curriculum Type EBP Description Qualifications Additional Program Requirements Nurturing Individual Home-Based -The 55 Session home- High school All Parenting programs are expected to Parenting Parenting visitation program is commonly used minimum with support at-risk and challenged families Program Services by agencies offering long-term social educati who are experiencing early signs of (NPR)/for (Home support to families raising children experience, and problem behaviors and/or more likely to parents of Visiting) infancy to preschool. 55 lessons are training gr experience social, behavioral or health infant, combined to be offered over 24 curriculum. problems based on social, educational, toddlers, weeks. This highly-structured, Recommended economic or environmental factors. Early and evidence-based, strength-based, NPP Bachelors. Childhohod Screenings: All Individual preschoolers curriculum includes experiential Staffing Parenting Programs serving families with (home activities and parent homework. Caseloads: 12-15 young children are required to offer visiting) Family Nurturing Time is a mid- families additional screening, including referral session break time within the linkages and follow-up as needed. The sessions when parents, and children following screenings may be required and facilitator come together to based on the age the child (i.e., Ages practice new skills through games, and Stages Questionnaire (ASQ-3), Ages songs or dance. Each session and Stages Questionnaire: SE-2 (ASQ:SE- consists of approximately 2 lessons. 2), and/or Edinburgh Postnatal This revised NPP curriculum is Depression Scale (EPDS)). Home Safety flexible and tailored to be responsive Education: Regardless of the EBP(s) to parent needs and interests; selected, programs serving families in parents can choose the curriculum their homes are expected to use topic they wish to study during each standard parent education resources, session. The selection of lessons is provided by The Trust, to educate also guided by the results from the parents about the importance of AAPI. regularly checking the environment for Minimum Child Age: 0 safety hazards and taking the necessary Maximum Child Age: 4 steps to prevent child injuries in and outside the home. Additionally, providers must agree to collect pertinent home safety risk-related information from families that will help inform injury prevention strategies and trainings. Nurturing Group A 15 session group-based program High School All Parenting programs are expected to Parenting Parenting with over 25 years of research is Minimum with support at-risk and challenged families Program Education recognized as one of the top recommended who are experiencing early signs of (NPP)/for parenting programs in the country Bachelors level problem behaviors and/or more likely to parents of designed for the treatment and with social service experience social, behavioral or health school age prevention of child abuse and experience, and problems based on social, educational, children neglect. Parents learn to replace old training in economic or environmental factors. ages 5-11 unwanted abusive parenting patterns curriculum years for more caring, nurturing ones. Staffing Activities Manuals detail activities for Caseloads: 10-15 parents and children who engage in parents/caregivers discussion, role play, expressive art per group activities, and assessments. School- age children attend their own group that meets concurrently with the parents group. Subgroups of children ages 5-8 and 9-12 may be created. Minimum Child Age: 5 Maximum Child Age: 11 Nurturing Group This program is designed to repair High School All Parenting programs are expected to Parenting Parenting abusive parent-teen relationships. Minimum with support at-risk and challenged families Program Education Parents and their teens attend recommended who are experiencing early signs of (NPP)/for separate groups concurrently, and Bachelors level problem behaviors and/or more likely to Parents & then join as one group for 90 with social service experience social, behavioral or health Adolescents minutes. Parents and teens role-play, experience, and problems based on social, educational, ages 12-18 discuss, draw, and learn how to live training in economic or environmental factors. with each other, learn how to play curriculum together, to communicate Staffing respectively, and to be a positive, Caseloads: 10-15 nurturing family. Teens participate in parents/caregivers their own group that meets per group concurrently with their parents. After break time, parents and teens stay together in one group for 90 minutes. Role play, discussions, expressive art activities, DVDs, inventories are some of the ways parents and teens build positive, nurturing relationships. Minimum Child Age: 12 Maximum Child Age: 18 PROGRAM ACTIVITIES Activity Activity Name and Description Details EBP Currlculum:Nurturing Parenting Program (NPP)/for parents of infant, toddlers, and preschoolers (home Frequency:1 visiting) time(s) per Required or Optional:Required week Activity Name: Home Visits -Weekly Intensity:150 Home visit activities are delivered by family coaches, social workers and/or nurses on a weekly basis to minutes promote maternal and child health, support child development parenting skills and/or positive family Duration:12 relationships. Home Visitors help parents realize their role as their children's first and most important teacher, Months generating enthusiasm for learning and verbal interaction through the use of engaging books and stimulating Sessions toys. The home visits help families challenged by poverty, limited education, language and literacy barriers, Offered: 24 and other obstacles to achieve school success by preparing their children to enter school ready to be in the Total classroom. Required Approaches to Implementation:The program uses a highly-structured, culturally-competent, strengths-based Sessions:19 curriculum that includes experiential activities, personalized instruction and reflection, and parental homework. Monthly The curriculum is flexible and tailored to meet self-identified parental needs and areas of personal growth and Required interest that the parent feels are crucial for success with their child. Parents drive the learning process for Sessions: 3 themselves and their children by choosing the curriculum topic for each session. This personalized approach encourages parental buy-in and addresses topics of relevance as they emerge within the family. Topics may Families:34 include home safety, child nurturing, sibling rivalry, positive family dynamics, effective family Parents: 34 communication, healthy discipline, family affirmation, creating an enriching home environment, avoiding risky Children: 34 behaviors and parent/child bonding, among others. Sessions are offered in English or Spanish, as preferenced by families and as reflected by our community. Sessions begin with a recap and review of the prior week's lessons and enables the family and home visitor to gauge what was learned and identify and address impediments to practice. All concerns are addressed prior to moving on to the current visits topic ensuring that the foundation for learning is always reinforced. While infants remain with their parents, older children are separated, if possible (as space and supervision allow), to enable age-appropriate dialogue and engagement. Midway through the session, the family is reunited to practice newly-acquired skills through games, songs or dance. At the end of each session, parents are assigned targeted homework to continue the learning process between sessions and establish the framework for the next session. Each session consists of 2 lessons addressing interelated topics that serve to reinforce and strengthen what is learned and the behavior adopted by parents. Each family participates in a minimum of 48 lessons delivered in 24 sessions. Make-up sessions are provided when necessary by scheduling additional weekly visits. Schedule: Schedule Details: Rolling enrollment (Lower frequency of services during the months:July, August, December and January). Schedule Type: Rolling Activity is to be implemented as displayed per EBP requirements EBP Curriculum:Nurturing Parenting Program (NPP)/for parents of school age children ages 5-11 years Frequency:1 Required or Optional:Required time(s) per Activity Name: Child Group Activities: Elementary week Child Group activities are specifically offered to children, are conducted on a regular basis, offer experiential intensity:150 learning, promote child health, and/or positive family relationships, and is delivered by staff trained in the EBP minutes curriculum. These are usually part of curriculums which involve all family members (parents/caregivers and Duration:15 children) in concurrent sessions. Weeks Approaches to Implementation:The sessions begin with families enjoying dinner together and allowing casual Sessions and natural interaction. After dinner, parents and children are separated to attend sessions tailored for each Offered: 15 that encourage freedom of expression and genuine inquiry. While parents are in their respective sessions, Total children are engaged in age-specific activities in which they explore and seek understanding of a variety of Required salient topics that impact their behavior and their interaction with their parents, siblings and others. Topics Sessions:12 include parent-child bonding and attachment, recognizing and understanding feelings, the appropriate Monthly expression of emotions including anger, building self-worth, honoring the role of the family, learning and Required understanding morals and values, communication and personal responsibility, and accountability to family, Sessions: 3 among others. Children are taught these important and uniquely identified topics through experiential learning opportunities including music, movement, psychodrama, role-playing, discussion, video vignettes, art, and Families:36 games. Children are divided by age (5-8 and 9-11, respectively) and will meet concurrently while their parents Parents: 0 are tackling the same topics. Once their respective sessions are completed, the family reunites to put into Children: 36 actuality the knowledge and skills learned in such a way as to reinforce the new skills and knowledge while honoring the family's dynamic. This opportunity for interaction is casual and natural, allowing for personal recognition in the moment. Facilitators stand ready to offer support and reinforcement. Sessions are offered in English or Spanish as preferred by the family. Make-up sessions will be provided, when necessary, to ensure that families access the core material and meet outcomes. Make-up sessions will have a shorter timeframe since they will not include any of the following: mealtime, nurturing time or child-care. Schedule: Schedule Details: 3 cohorts offered; 12 participants (children) per cohort; offered in English and Spanish based on participants' needs. Cohort#2 -Start date: October 2018; Cohort #3 - Start date:January 2019; Cohort#4- Start date:January 2019. Schedule Type: Cohort Activity is to be implemented as displayed per EBP requirements EBP Currlculum:Nurturing Parenting Program (NPP)/for parents of school age children ages 5-11 years Frequency:1 Required or Optlonal:Required times) per Activity Name: Parenting Workshops: Elementary week Parenting Workshop/Training activities are delivered in a group setting by a trained facilitator who not only Intensity:150 covers the specific content included in the curriculum, but also creates opportunities for participants to build minutes social supports, expand their insights and understanding, as well as acquire knowledge and skills around Duration:15 parenting. Weeks Approaches to Implementation:The sessions begin with families enjoying dinner together and allowing casual Sessions and natural interaction. After dinner, parents and children are separated to attend sessions tailored for each Offered: 15 that encourage freedom of expression and genuine inquiry. While their children ages 5-11 are in their Total respective session, parents are led by the facilitator who follows the parent handbook to address a variety of Required topics that are relevant and salient to the family dynamic including: learning how to support their child's Sessions:12 physical and emotional development, managing unwanted behavior, encouraging a love of learning, fostering Monthly positive familial relationships, establishing responsibility and accountability, working collaboratively to solve Required problems, and nurturing self-worth among others. These sessions encourage frank and honest dialogue among Sessions: 3 parental peers and enable the facilitator to guide the discussion for productive and meaningful ends. Parents get to experience the topics through hands-on role-play and exercises that facilitate that encourage honest self- Families:36 reflection in their own behavior and approach in interacting with their children. More so, their fellow peers who Parents: 36 empathize are able to provide productive feedback and hopeful suggestions to further each parent's Children: 0 understanding of their role and power with their children. These exercises create a non-threatening environment in which parents can grow, change their behavior and seek fellowship with their peers. Before the session closes, parents are provided a homework assignment that provides the structure for ongoing reflection and action between sessions. Sessions are offered in English or Spanish as preferred by the family. Make-up sessions will be provided, when necessary, to ensure that families access the core material and meet outcomes. Make-up sessions will have a shorter timeframe since they will not include any of the following: mealtime, nurturing time or child-care. Schedule: Schedule Details: 3 cohorts offered; 12 participants (parents) per cohort, offered in English and Spanish based on participants' needs. Cohort#2 - Start date: October 2018; Cohort#3 - Start date:January 2019; Cohort#4 - Start date:January 2019. Schedule Type: Cohort Activity is to be implemented as displayed per EBP requirements EBP Curriculum:Nurturing Parenting Program (NPP)/for Parents & Adolescents ages 12-18 Frequency:1 Required or Optional:Required time(s) per Activity Name:Youth Group Activities week Youth Group Activities are specifically offered to youth, are conducted on a regular basis, offer experiential Intensity:180 learning, promote child health, and/or positive family relationships, and is delivered by staff trained in the EBP minutes curriculum. These are usually part of curriculums which involve all family members (parents/caregivers and Duration:12 youth) in concurrent sessions. Weeks Approaches to Implementation:The sessions begin with families enjoying dinner together and allowing casual Sessions and natural interaction. After dinner, parents and adolescents are separated to attend sessions tailored for Offered: 12 each that encourage freedom of expression and genuine inquiry. While parents are in their respective sessions, Total adolescents are engaged in age-specific activities in which they explore and seek understanding of a variety of Required salient topics that impact their behavior and their interaction with their parents, siblings and others including: Sessions:10 the challenges of adolescence, the physical and social changes that are occurring, the transition from child to Monthly independent person, parent-child bonding and attachment, recognizing and understanding feelings, the Required appropriate expression of emotions including anger, building self-worth, honoring the role of the family, Sessions: 3 learning and understanding morals and values, communication and personal responsibility, and accountability to family, among others. Utilizing role-play, facilitator led peer discussion, drawing, and situational vignettes, Families:13 among other tools, adolescents learn how to engage, interact, support, and rely upon their parents navigate Parents: 0 their changing world. The supportive environment created through these sessions, encourage the honest Children: 13 presentation and, in some cases confrontation, of difficult and sensitive topics that influence adolescent behavior and impact the family. Once adolescents and parents complete their respective sessions, they reunite to put into practice what was learned. This interaction is casual and natural for both while reinforcing the important and sometimes difficult issues they face. Sessions are offered in English or Spanish as preferred by the family. Make-up sessions will be provided, when necessary, to ensure that families access the core material and meet outcomes. Make-up sessions will have a shorter timeframe since they will not include any of the following: mealtime, nurturing time or child-care. Schedule: Schedule.Details: 1 cohort offered; 13 participants (adolescents) per cohort, offered in English and Spanish based on participants' needs. Cohort#1 - Start date: October 2018. Schedule Type: Cohort Activity is to be implemented as displayed per EBP requirements EBP Curriculum:Nurturing Parenting Program (NPP)/for Parents & Adolescents ages 12-18 Frequency:1 Required or Optional:Required time(s) per Activity Name: Parenting Workshops: Youth week Parenting Workshop/Training activities are delivered in a group setting by a trained facilitator who not only Intensity:180 covers the specific content included in the curriculum, but also creates opportunities for participants to build minutes social supports, expand their insights and understanding, as well as acquire knowledge and skills around Duration:12 parenting. Weeks Approaches to Implementation:The sessions begin with families enjoying dinner and allowing casual Sessions interaction. After dinner, families are separated to attend sessions tailored for each that encourage freedom of Offered: 12 expression and genuine inquiry. While adolescents are in their respective sessions, parents are engaged in Total activities in which they explore and seek understanding of a variety of salient topics that impact their role as Required parent and their interaction with their children. A variety of salient topics are address, including: the challenges Sesslons:10 of adolescence, the physical and social changes that are occurring within their child, the transition from child to Monthly independent person, parent-child bonding and attachment, recognizing and understanding feelings, the Required appropriate expression of emotions including anger, building self-worth, honoring the role of the family, Sessions: 3 learning and understanding morals and values, communication and personal responsibility, and accountability to family, among others. Utilizing a facilitator led peer discussion and situational vignettes, among other tools, Families:13 parents learn how to engage, interact, support, their children as they navigate their changing world. The Parents: 13 supportive environment created through these sessions, encourage the honest presentation and, in some cases Children: 0 confrontation, of difficult and sensitive topics that influence adolescent behavior and impact the family. Once parents and adolescents complete their respective sessions, they reunite to put into practice what was learned. This interaction is casual and natural for both while reinforcing the important and sometimes difficult issues they face. Before the session closes, parents are provided a homework assignment that provides the structure for ongoing reflection and action between sessions. Sessions are offered in English or Spanish as preferred by the family. Make-up sessions will be provided, when necessary, to ensure that families access the core material and meet outcomes. Make-up sessions will have a shorter timeframe since they will not include any of the following: mealtime, nurturing time or child-care. Schedule: Schedule Details: 1 cohort offered; 13 participants (parents) per cohort, offered in English and Spanish based on participants' needs. Cohort#1- Start date:October 2018. Schedule Type: Cohort Activity is to be implemented as displayed per EBP requirements POPULATION AND SITES Teen Parents Parents of Children/Youth with Disabilities CWD,Low Income or High Need,Children with Disruptive Behaviors Parenting Program (Parent-Child Program) serves families, with parents/caregivers of children ages infant to 5, 5-11 and 12-18, including teen parents, who live or work in the City, or whose children/adolescent attend school and are low- income as defined by the 2017 HUD Income Guidelines.The families served by the program will identify as low- income/economically challenged, socially challenged and/or experiencing other familial risk factors.The program will be inclusive of families with no legal immigration status, single parents and grandparents. Additionally, the program will seek to assist parents of children with disabilities by ensuring that reasonable accommodations remove the barriers of participation. Nurturing Parenting Program (NPP) is a structured, culturally-sensitive 12, 15 or 24 week curriculum that includes experiential activities, parent homework, and family time that nurtures empathy, strengthens attachment, fosters effective communication, increases parental knowledge of child development, and empowers parents. Families who will participate in the group-based version of NPP have a child between the ages of 5 to 11 or 12 to 18. and families who will participate in the home-based version of NPP have a child between the ages of infant to 5. Families will be enrolled in the NPP as soon as needs are identified, an appointment is then scheduled to complete an initial assessment to confirm eligibility, determine service needs and natural assets, as well as determine the most appropriate intervention/service approach. During initial home visit, families will be interviewed and screened for level family/youth need based on social, academic, or behavioral issues. Families determined as high need will be prioritized. NPP will equip parents/caregivers who want to be successful and who wish to strengthen family relationships and raise children who are academically and personally successful. SERVICE SITES Number of Site Name and Site Address EBP Curriculums(s) at the Site Participants Fees North Shore Park Nurturing Parenting Program (NPP)/for parents of school age children ages 5-11 Families:24 NO 501 72nd St. years Parents: 24 $ Miami Beach Children: 24 33141 North Shore Park Nurturing Parenting Program (NPP)/for Parents & Adolescents ages 1248 Families:13 NO 501 72nd St. Parents: 13 $ Miami Beach Children: 13 33141 Regional- Nurturing Parenting Program (NPP)/for parents of infant, toddlers, and preschoolers Families:34 NO Northeast(no (home visiting) Parents: 34 $ address) Children: 34 33139, 33140, 33141 Flamingo Park Nurturing Parenting Program (NPP)/for Parents & Adolescents ages 12-18,Nurturing Families:12 NO 999 11th St. Parenting Program (NPP)/for parents of school age children ages 5-11 years Parents: 12 $ Miami Beach Children: 12 33139 PARTICIPANTS Type of Number of Percentage of Families with Child with Target Child Age Participant Participants Disabilities Range Children/Youth 83 0% 0 - 18 Families 83 10% 0 - 0 Parents/Caregivers 83 0% 0 -0 PARTICIPANT OUTCOMES Administration Outcome Data Source and Measurement Details Details Agree: Yes Tool Details: Eyberg Child Behavior Inventory (ECBI)• # of Items: 36• Scaring: EBP Curriculum: 75%of Sum of scaled Intensity items• Range: 36-252(36-130 is normative, greater than or Nurturing Parenting Children/Youth equal to 131 is clinically significant). Program (NPP)/for decrease problem parents of infant, behavior or Meaningful Improvement: A post test score equal or lower than 130. toddlers, and maintain preschoolers (home appropriate Timing Details: Pre-test is administered by the 2nd session of the program and visiting) behavior. Post-test is administered within the last two sessions of program completion. (Required) Service Component: Child Measures Related Activity: Home Visits- Weekly Agree: Yes Tool Details:Adult-Adolescent Parenting Inventory (AAPI-2): (Constructs B through EBP Curriculum: 82%of E)• # Items: 40 (33 items related to B-E)• Scoring: Sten Scores • Range: 1 (highest Nurturing Parenting Parents/primary risk of abusive parenting behaviors) to 10 (lowest risk)for each construct Program (NPP)/for caregivers increase parents of infant, positive parent- Meaningful Improvement: Post-test Sten score of 5 or higher on each of the toddlers, and child interactions. constructs (out of the high risk category)OR Post-test score of 5 or higher on preschoolers (home (Required) Construct B and a 1 point increase in 2 of the 3 other constructs from Pre-to Post- visiting) test Service Timing Details: Pre-test is administered by the 2nd session of the program and Component: Parent Post-test is administered within the last two sessions of program completion. Measures Related Activity: Home Visits - Weekly Agree: Yes Tool Details: Eyberg Child Behavior Inventory (ECBI)• # of Items: 36• Scaring: EBP Curriculum: 75%of Sum of scaled Intensity items• Range: 36-252(36-130 is normative, greater than or Nurturing Parenting Children/Youth equal to 131 is clinically significant). Program (NPP)/for decrease problem parents of school behavior or Meaningful Improvement:A post test score equal or lower than 130. age children ages 5- maintain 11 years appropriate Timing Details: Pre-test is administered by the 2nd session of the program and behavior. Post-test is administered within the last two sessions of program completion. Service (Required) Component: Child Measures Related Activity: Child Group Activities: Elementary Agree: Yes Tool Details: Adult-Adolescent Parenting Inventory (AAPI-2): (Constructs B through EBP Curriculum: 82%of E)• # Items: 40 (33 items related to B-E)• Scoring: Sten Scores • Range: 1 (highest Nurturing Parenting Parents/primary risk of abusive parenting behaviors) to 10 (lowest risk)for each construct Program (NPP)/for caregivers increase parents of school positive parent- Meaningful Improvement: Post-test Sten score of 5 or higher on each of the age children ages 5- child interactions. constructs (out of the high risk category) OR Post-test score of 5 or higher on 11 years (Required) Construct B and a 1 point increase in 2 of the 3 other constructs from Pre- to Post- test Service Component: Parent Timing Details: Pre-test is administered by the 2nd session of the program and Measures Post-test is administered within the last two sessions of program completion. Related Activity: Parenting Workshops: Elementary Agree:Yes Tool Details: Eyberg Child Behavior Inventory (ECBI)• #of Items: 36• Scoring: EBP Curriculum: 75%of Sum of scaled Intensity items• Range: 36-252(36-130 is normative, greater than or Nurturing Parenting Children/Youth equal to 131 is clinically significant). Program (NPP)/for decrease problem Parents & behavior or Meaningful improvement: A post test score equal or lower than 130. Adolescents ages maintain 12-18 appropriate Timing Details: Pre-test is administered by the 2nd session of the program and behavior. Post-test is administered within the last two sessions of program completion. Service (Required) Component: Child Measures Related Activity: Youth Group Activities Agree: Yes Tool Details:Adult-Adolescent Parenting Inventory (AAPI-2): (Constructs B through EBP Curriculum: 82%of E)• # Items: 40 (33 items related to B-E)• Scoring: Sten Scores • Range: 1 (highest Nurturing Parenting Parents/primary risk of abusive parenting behaviors) to 10 (lowest risk)for each construct Program (NPP)/for caregivers increase Parents & positive parent- Meaningful Improvement: Post-test Sten score of 5 or higher on each of the Adolescents ages child interactions. constructs (out of the high risk category) OR Post-test score of 5 or higher on 12-18 (Required) Construct B and a 1 point increase in 2 of the 3 other constructs from Pre-to Post- test Service Component: Parent Timing Details: Pre-test is administered by the 2nd session of the program and Measures Post-test is administered within the last two sessions of program completion. Related Activity: Parenting Workshops: Youth Agree:Yes Tool Details: Ages and Stages Questionnaires (ASQ-3) Parent report tool used for EBP Curriculum: of Children are the early identification of delays or to celebrate milestones within areas of Nurturing Parenting screened for communication, fine motor, gross motor, problem solving, or personal-social. Program (NPP)/for developmental Appropriate referral process must be followed through on for all children with parents of infant, delays using the scores below the cut off. Children with scores close to the cut off should be toddlers, and ASQ-3 (Required) monitored and provided with learning activities whenever possible. preschoolers (home visiting) Meaningful Improvement: N/A Service Timing Details:Age-appropriate version will be administered within the first two Component: Child months of enrollment and every six months thereafter while families are receiving Screenings services. Programs lasting less than 8 months must only administer it once. Related Activity: Home Visits - Weekly Agree:Yes Tool Details:Ages and Stages Questionnaire: Social Emotional (ASQ: 5E-2) Parent EBP Curriculum: 0%of Children are report tool used for the early identification of social-emotional challenges. Nurturing Parenting screened for socio- Appropriate referral process must be followed through on for all children with Program (NPP)/for emotional delays scores below the cut off. Children with scores close to the cut off should be parents of infant, using the ASQ:SE-2 monitored and provided with learning activities whenever possible. toddlers, and (Required) preschoolers (home Meaningful Improvement: N/A visiting) Timing Details: Age-appropriate version will be administer within the first two Service months of enrollment and according to recommended schedule based on child's Component: Child age (at 2, 6, 12, 18, 24, 30, 36, 48, and 60 months of age) while families are Screenings receiving services. Programs lasting less than 8 months must only administer it once. Related Activity: Home Visits - Weekly Agree:Yes Tool Details:The Edinburgh Postnatal Depression Scale (EPOS). Mother report tool EBP Curriculum: 0%of Mothers are used for the detection of risk of perinatal depression from 6 weeks to 1 year post- Nurturing Parenting screened for post- partum. Mothers who screen positive must be referred to mental health services, Program (NPP)/for partum depression monitored, and rescreened every other month while enrolled in the program. parents of infant, using the toddlers, and Edinburgh Meaningful Improvement: N/A preschoolers (home Postnatal visiting) Depression Scale. Timing Details: Must be administered to all mothers 6 to 8 weeks post-partum or (Required) upon enrollment as long as child is less than 1 year old. For mothers who screen Service positive on the EPDS (=10 or endorsement of suicidal ideation) the EPDS will be Component: Child administered every other month, while enrolled in the program, until the mother Screenings screens negative (<5 and no suicidal ideation) until the child reaches 1 year of age, or until the mother is receiving mental health services. Related Activity: Home Visits- Weekly PARTNERS & SERVICE LINKAGE Partner Agency Description of Role Si Expertise City of The City's Parks & Recreation Department, a division within the applicant agency, provides convenient and Miami appropriate locations for parenting group sessions throughout the City. The Parks & Recreation Department Beach provides referrals to the Parent-Child Program and, in turn, receives referrals from the Parent-Child Program for after-school and recreation services, including its Trust-funded after school program. The Parks Department has established relationships with families throughout the City. Through these established relationships, we will identify (InKind) families and children eligible for program participation. In addition to offering City wide programming, the Parks Department has various marketing tools which will be harnessed to maximize program reach and the potential pool of participants. Parks Department staff are multi-lingual and are familiar with the variety of programming choices offered by the City. The Parks Department will also post program information at its various park and recreational facilities throughout the City. In addition to the use of Parks' sites, marketing materials and staff engagement, both entities will share data to reinforce family participation and support program outcomes. Program Activity Delivered by Partner: Miami The Miami Dade County Public Library System has three locations within the City (Miami Beach Regional Dade Library, North Shore Branch Library, and South Shore Branch Library) that will provide in-kind assistance with County recruitment and marketing of all Parent-Child Program activities. Miami Beach libraries are regularly frequented Public by parents and offer an ideal location from which to identify potential participants. This partner will provide Library referrals to the Parent-Child Program and will receive referrals from the Parent-Child Program for its supportive System services to children and families in Miami Beach. For example, the Miami Beach Regional Library offers an innovative YOUmake Miami to children and families free of charge which allows 3-D printing and design, robotics, sewing, photography, and painting. Families have the opportunity to spend quality time in an active learning (InKind) environment that also encourages creativity and fosters useful skills. The Miami Beach libraries also offer group reading activities for babies and their caregivers, services which are particularly well aligned to the Parent-Child Program. These reading activities are augmented by free access to technology and the peripheral tools available. Program Activity Delivered by Partner: Miami Miami Beach Community Health Center (MBCHC)will assist with recruitment and marketing for all program Beach activities including direct referral and the display of marketing materials. MBCHC is the primary provider of health Community care services to low-income persons in Miami Beach as it is the sole, federally qualified health care center in the Health City. The center has two convenient locations (North and South Beach)frequented by families and those seeking pre-natal and pediatric care. The pediatrician at the Stanley C. Myers Center refers patients to the Parent-Child Program and discusses the benefits of program participation to parents. MBCHC will provide referrals to the Unkind) Parent-Child Program and the Parent-Child Program will refer families in need of medical, dental, and mental health services to MBCHC. Program Activity Delivered by Partner: Jewish Jewish Community Services of South Florida's Help Me Grow Program is an important partner for the Parent-Child Community Program. Help Me Grow assists parents with early identification of developmental and/or behavioral concerns with Services their children. Help Me Grow will provide referrals for early intervention services directly to the City's Parent-Child Program participants via telephone contact and/or email. This partner will display marketing materials at its office and special events. Help Me Grow will also participate in community events sponsored by the City of Miami Beach (InKind) and will assist with recruitment and marketing for all program activities. Please note Jewish Community Services is the new voice of our community's hotline and will provide information on its services, eligibility and application. Parents in need of other services such as job placement, counseling, senior services, and meals will be referred to Jewish Community Services. Program Activity Delivered by Partner: City of The City of Miami Beach's Trust-funded Family and Neighborhood Support Partnership/Success University, is an Miami important partner for the Parent-Child Program. Success University is a comprehensive family support program Beach offering home-based early intervention services to families with children of all ages. Each family works with a Care Coordinator to develop and implement an individualized care plan which addresses unique family needs. The Parent-Child Program will refer families to Success University who in turn, will refer families to the Parent-Child (InKind) Program. Because the program is also operated by the applicant agency, data can be shared upon parent registration and consent. Each program will share information with the other, as appropriate, to facilitate maximum use of resources and ensure the most effective outcomes for participants. Parents, children and families in need are offered additional services to address identified areas of concern including rent assistance, counseling, legal services, and Family Team Conferences through wrap around care coordination services. Families receive culturally competent and accessible services responsive to their needs. Program Activity Delivered by Partner: STAFFING TABLE Related Position Title and Subcontractor Details Qualifications, Responsibiliites, and Certifications Budget Senior Program Qualifications: Master's Degree or equivalent experience in program Coordinator management. Master's Degree in Social Work, Public Administration or related field; 37928 Experience may substitute for education on a year-for- year basis; Bilingual skills Category:Program are considered an asset. Management Number of Staff: 1 Responsibilities: Provides direction for the program's day to day operations, Classification:Full-Time supervision, direction and guidance for staff, assures implementation of evidence Direct Service Staff:NO based curriculum or program protocols with fidelity. This position has direct Supervisory Staff:YES supervision over Success University Truancy Coordinator and Parent-Child Program staff.; Supervises program services provided under Success University and the Parent-Child Program; Performs administrative, analytical, and field work to verify that employees, vendors, contractors and sub-contractors are compliant with established standard operating procedures, performance/productivity standards, contract requirements; Prepares and/or renews grant proposals on a yearly basis; Prepares and manages contracts for agency sub-contracts; Works closely with Miami-Dade County Public Schools and other community-based organizations in aspects of programs; Develops a tracking system for clients/services and the necessary referral and internal forms; Prepares budget and programmatic reports for funding providers; Interviews, selects, trains, and supervises staff; Evaluates, and takes disciplinary action, as appropriate; Researches and writes grants to seek additional operational funding; Performs other related duties as assigned. Case Worker II Qualifications: Bachelor's degree or equivalent in college credits with major 30378 course work in Social Work, Criminal Justice. Sociology, or Psychology; Some Category:Other experience working in human services, youth programs or related fields. Number of Staff: 1 Classlficatlon:Full-Time Responsibilities:Assists with recruitment and enrollment of participants by Direct Service Staff:NO communicating with parents; Distributing program brochures and flyers, visiting Supervisory Staff:NO various locations and events to inform the community about the program; Assists with organization of participant files: Assists in data collection and entry to include demographics, units of service, and performance measures of both group-based and home-based activities; Works closely with Senior Program Coordinator to ensure program compliance of The Children's Trust contract; Builds and sustains strong relationships with client families, while maintaining confidentiality; Prepares all materials needed for all activities; Participates in initial group-based settings (NPP for Parents and Adolescents 5-11 and 12-18) to provide logistical support during programming; Attends all staff meetings; Performs other related duties as required. Case Worker Qualifications:Associate's degree or equivalent in college credits with major 36106 course work in Social Work, Criminal Justice, Sociology, or Psychology; Some Category:Other experience working in human services, youth programs or related fields. Number of Staff: 1 Classification:Full-Time Responsibilities:Assists with recruitment and enrollment of participants by Direct Service communicating with parents; Distributing program brochures and flyers, visiting Staff:YES various locations and events to inform the community about the program; Assists Supervisory Staff:NO in data collection and entry to include demographics and group-based documentation; Works closely with Senior Program Coordinator to ensure program compliance of The Children's Trust contract; Builds and sustains strong relationships with client families, while maintaining confidentiality; Prepares all materials needed for all activities; Facilitates in children/youth group-based settings for (PP groups for Parents and Adolescents 5-11 and 12-18, providing logistical support during programming; Attends all staff meetings; Performs other related duties as required. Parent-Child Facilitator Qualifications: Bachelor degree required in Social Work or related area of study 37289 ora Master's degree in Social Work or related area of study; Experience may Category:Other substitute for education on a year-for-year basis; Must be fluent in Spanish; Must Number of Staff: 1 have reliable transportation; Valid Florida Driver's License; Valid Florida auto Classification:Full-Time insurance; Successfully meet Level 2 criminal background screening requirements. Direct Service Staff:YES Responsibilities:Teach the Nurturing Parenting Curriculum (NPP)for parents of Supervisory Staff:NO infants, toddlers and preschoolers- Individual Parenting Services (Home Visiting ); For parents of school age children ages 5-11 years; For parents and adolescents ages 12-18 in accordance with the Nurturing Parenting Philosophy either group- based and/or home-based setting; Fulfill all required EBP Curriculum documentation according to NPP program type (i.e. Administer Early Childhood and Maternal Screenings, all required pre-and post- measures, and complete the Home Safety Checklist for Home Visiting); Prepare curriculum materials prior to session to ensure understanding to maximize curriculum fidelity; Perform all activities, job duties and responsibilities and functions in an efficient manner with respect and appreciation for the culture, traditions, languages and practices of the families served; Provide family support with other resources as needed; Maintain confidential and accurate documentation of attendance, verbal and behavioral family participation and progress, as well as all related contact; Submission of all documentation in a confidential and timely manner for contract compliance; Participate in programmatic and fidelity meetings with Senior Program Coordinator, as scheduled; Participate in workshops, conferences and training to promote the enhancement of professional skills; Assist with recruitment and enrollment of participants; Performs related work as required. Parent-Child Qualifications: Bachelor degree required in Social Work or related area of study FacilitatorHB or a Master's degree in Social Work or related area of study; Experience may 39011 substitute for education on a year-for-year basis; Must be fluent in Spanish; Must Category:Other have reliable transportation; Valid Florida Driver's License; Valid Florida auto Number of Staff: 1 insurance; Successfully meet Level 2 criminal background screening requirements. Classification:Part- time/Seasonal Responsibilities:Teach the Nurturing Parenting Curriculum (NPP)for parents of Direct Service infants, toddlers and preschoolers- Individual Parenting Services (Home Visiting) in Staff:YES accordance with the Nurturing Parenting Philosophy; Administer Early Childhood Supervisory Staff:NO and Maternal Screenings and all required pre- and post- measures, and the Home Safety Checklist; Prepare curriculum materials prior to session to ensure understanding to maximize curriculum fidelity; Perform all activities, job duties and responsibilities and functions in an efficient manner with respect and appreciation for the culture, traditions, languages and practices of the families served; Provide family support with other resources as needed; Maintain confidential and accurate documentation of attendance, verbal and behavioral family participation and progress, as well as all related contact; Submission of all documentation in a confidential and timely manner for contract compliance; Participate in programmatic and fidelity meetings with Senior Program Coordinator, as scheduled; Participate in workshops, conferences and training to promote the enhancement of professional skills; Assist with recruitment and enrollment of participants; Performs related work as required. Case Worker II - Payroll Qualifications:Two years of experience with City of Miami Beach payroll and Coordinator Children's Trust grants. 30428 Category:Other Responsibilities: Prepares and process payroll, purchases materials and Number of Staff: 1 maintains budget reports. Classification:P a rt- time/Seasonal Direct Service Staff:NO Supervisory Staff:NO Department Director Qualifications: Bachelor's degree in related human services field; Five (5) years of 37931 responsible managerial and administrative work experience relevant to the major Category:CEO/Executive duties/essential functions of the position; Other combinations of experience and Director education that meet minimum requirements may substitute. Number of Staff: 1 Classification:Part- Responsibilities: Oversees the administration and management of organization time/Seasonal including all program activities, contract negotiations and hiring of Direct Service Staff:NO department/program staff. Supervisory Staff:YES Assistant Department Qualifications: Bachelor Degree or equivalent experience in program Director management. 37977 Category:CEO/Executive Responsibilities: Oversees the administration and management of orgranization Director including all program activities and staff. Number of Staff: 1 Classification:Part- time/Seasonal Direct Service Staff:NO Supervisory Staff:YES Child-Group Facilitator Qualifications: High school, GED, AA preferred, experience may substitute for 39752 education on a year-for-year basis; Must have reliable transportation; Successfully Category:Other meet Level 2 criminal background screening requirements. Number of Staff: 2 Classification:Part- Responsibilities: Child Group Facilitators co-facilitate the Nurturing Children's time/Seasonal Group for children ages 5-11 years, whose parents/caregivers are participating in Direct Service The Nurturing Parenting Program (NPP); Facilitators are responsible for assisting in Staff:YES creating a supervised, safe-child group environment in which to teach the NPP Supervisory Staff:NO Curriculum in accordance with the Nurturing Parenting Philosophy; Prepare curriculum materials prior to session to ensure understanding to maximize curriculum fidelity; Perform all activities, job duties and responsibilities and functions in an efficient manner with respect and appreciation for the culture, traditions, languages and practices of the families served; Provide family support with other resources as needed; Maintain confidential and accurate documentation of attendance, verbal and behavioral family participation and progress, as well as all related contact; Submission of all documentation in a confidential and timely manner for contract compliance; Participate in programmatic and fidelity meetings with Senior Program Coordinator as scheduled; Participate in workshops, conferences and training to promote the enhancement of professional skills; Assist with recruitment and enrollment of participants; Performs related work as required. Parent-Child Facilitator Qualifications: Bachelor degree required in Social Work or related area of study 39751 or a Master's degree in Social Work or related area of study; Experience may Category:Other substitute for education on a year-far-year basis; Must be fluent in Spanish; Must Number of Staff: 2 have reliable transportation; Valid Florida Driver's License; Valid Florida auto Classlfication:Part- insurance; Successfully meet Level 2 criminal background screening requirements. time/Seasonal Direct Service Responsibilities:Teach the Nurturing Parenting Curriculum (NPP)for parents of Staff:YES infants, toddlers and preschoolers- Individual Parenting Services (Home Visiting ); Supervisory Staff:NO For parents of school age children ages 5-11 years; For parents and adolescents ages 12-18 in accordance with the Nurturing Parenting Philosophy either group- based and/or home-based setting; Fulfill all required EBP Curriculum documentation according to NPP program type (i.e. Administer Early Childhood and Maternal Screenings. all required pre- and post-measures, and complete the Home Safety Checklist for Home Visiting); Prepare curriculum materials prior to session to ensure understanding to maximize curriculum fidelity; Perform all activities. job duties and responsibilities and functions in an efficient manner with respect and appreciation for the culture, traditions, languages and practices of the families served; Provide family support with other resources as needed; Maintain confidential and accurate documentation of attendance, verbal and behavioral family participation and progress, as well as all related contact; Submission of all documentation in a confidential and timely manner for contract compliance; Participate in programmatic and fidelity meetings with Senior Program Coordinator, as scheduled; Participate in workshops, conferences and training to promote the enhancement of professional skills; Assist with recruitment and enrollment of participants; Performs related work as required. ATTACHMENT B OTHER FISCAL REQUIREMENTS, BUDGET and METHOD OF PAYMENT Budget amendments/revisions Budget amendments/revisions require written approval from the Contract Manager and The Children's Trust's Chief Financial Officer or their designees. Request for budget amendments/revisions must be submitted to a Contract Manager using SAMIS, or the appropriate form, as designated by The Children's Trust. All budget amendments/revisions are subject to final approval by The Children's Trust. Budget amendments/revisions cannot be used to increase the total Contract amount or to modify the Scope of Services. No more than two budget amendments/revisions may be approved during the Contract term. Budget amendments/revisions will be disallowed if they seek to revise retroactive costs not previously budgeted. All amendments/revisions must adjust for operational activity effective as of the previously billed period. Budget amendment/revision requests must be submitted sixty (60) days prior to the expiration of Contract. Budget amendments/revisions will be incorporated into the Contract. Invoice/ Request for Payment Requirements Provider and/or Seller shall submit an original request for payment, utilizing the format prescribed by The Children's Trust and in accordance with the approved budget or approved budget revision(s). This format may entail the electronic submission of a request for payment in the SAMIS system in accordance with the approved budget or budget amendments/revisions, paper invoice, spreadsheet, or other submission method. The Children's Trust will notify the Provider and/or Seller the method of submittal. Invoices not submitted in the SAMIS system shall be submitted by the Provider and/or Seller to The Trust at - and to the Provider and/or Seller's Trust staff member assigned to this contract. The invoice must include The Trusts issued Purchase Order (PO) number. Submissions to - , - must contain only the invoice and no additional correspondence. Attachments and other documentation included with the invoice that is submitted to will render the invoice as being not properly submitted. The request for payment is due on or before the fifteenth (15th) day of the month following the month in which expenditures were paid (exclusive of legal holidays or weekends). The Children's Trust will consider all invoices received after the fifteenth (15th) of each month as late, even if the cause of a late submission is due to the delayed approval of a budget or amendment in the SAMIS system. The Children's Trust agrees to reimburse Provider and/or Seller on a monthly basis. Any expense, included on an invoice relating to a reimbursement request that pertains to a check dated greater than two months prior to the invoice period will not be approved. The Children's Trust reserves the right to request any supporting documentation related to this Contract, If there are subcontractors to this Contract, and the invoices are to be submitted using SAMIS, then the Form D: Attestation of Payment must be uploaded to the Trust electronic system Document Repository no later than thirty (30) days after payment to subcontractor. If invoices are submitted using SAMIS, upon the close of this Contract, Provider and/or Seller is required to complete Form E: Close-out Attestation of Payment, which must be uploaded to the Trust electronic system Document Repository no later than thirty (30) days after payment to subcontractor. These forms may be downloaded from The Children's Trust website. For the purpose of payment only, a subcontractor is defined as an independent agency that has entered into agreement with Provider and/or Seller to perform services pertaining to The Children's Trust funded programs identified in this Contract. A final request for payment (last monthly invoice of the Contract term) from Provider and/or Seller will be accepted by The Children's Trust up to forty-five (45) days after the expiration of this Contract. If Provider and/or Seller fails to comply, then all rights to payment shall be forfeited. If The Children's Trust determines that Provider and/or Seller has been paid funds, which are not in accordance with this Contract, and to which it is not entitled, then Provider and/or Seller shall return such funds to The Children's Trust or submit appropriate documentation to support the payment within thirty (30) days of notification by The Children's Trust. After thirty (30) days, The Children's Trust may recapture amounts due to The Children's Trust, from this or any Contract by reducing amounts requested to be reimbursed less the amount owed to The Children's Trust. The Children's Trust shall have the sole discretion in determining if Provider and/or Seller is entitled to such funds in accordance with this Contract. The Children's Trust decision on this matter shall be binding. In the event that Provider and/or Seller, its independent CPA firm or The Children's Trust discovers that an overpayment has been made, Provider and/or Seller shall repay the overpayment within thirty (30) calendar days without prior notification from The Children's Trust. If Provider and/or Seller fails to serve the number of participants and/or fails to utilize the funds in accordance with the Contract, then The Children's Trust may amend the Contract to reduce the amount of dollars. Any delay in amendment by The Children's Trust is not deemed a waiver of The Children's Trust right to amend or seek reimbursement for under-serving participants in accordance with the Contract. A request for payment will be deemed proper as defined by the Florida Prompt Payment Act, if the request complies with the requirements set forth in this Contract and is submitted on the forms prescribed by The Children's Trust. Requests for payment and/or documentation returned to Provider and/or Seller for corrections may be cause for delay in the receipt of payment. Late submission may result in delay in the receipt of payment. The Children's Trust shall pay Provider and/or Seller within thirty (30) calendar days of receipt of Provider and/or Seller's properly submitted Request for Payment (i.e., invoice) and/or other required documentation. The Children's Trust may retain any payments due until all required reports, deliverables, or monies owed to The Children's Trust are submitted and accepted by The Children's Trust. Indirect Administrative Costs In no event shall The Children's Trust fund indirect administrative costs in excess of ten (10%) percent of the total Contract amount, Match Requirement$0.00 Programs requiring a match if required in the respective solicitation, which is defined as cash or in-kind contributions including non-federal cash dollars, donated items, and/ or services that are part of the overall cost of operating the program, should be reasonable, necessary, and/or required for the program. Matching funds do not include The Children's Trust funds. The Children's Trust reserves the right to ask for substantive documentation to support the match at any time and such documentation must be presented to Provider and/or Seller's independent auditors as part of their annual financial statement audit. Direct Deposit of Payment As a requirement of this Contract with The Children's Trust, Provider and/or Seller agrees that prior to, or on the date commencing the effective term of this Contract, Provider and/or Seller will enroll in The Children's Trust direct deposit program. The direct deposit program requires that all reimbursements received from The Children's Trust are directly deposited into the Provider and/or Seller's designated bank account held in a United States financial institution.The format, including the terms and conditions for the direct deposit of payment, can be found on The Trust's website Cost Reimbursement Method of Payment The parties agree that this is a cost reimbursement method of payment Contract; Provider and/or Seller shall be paid in accordance with the approved budget and/or approved budget amendments/revisions as set forth in this attachment. Provider and/or Seller will be paid in accordance with the approved budget, typically after expenses are incurred. Provider and/or Seller also agrees to pay their subcontractors, vendors and employees for the fulfillment of services provided on a timely basis. The Trust expects that Provider and/or Seller maintain sufficient funds in the amount of at least 15% of their operating budget. Adequate working capital is considered a best practice and is necessary when managing a cost reimbursement contract. Provider and/or Seller are expected to possess the funds necessary to cover initial program expenses, and then request reimbursement from The Trust. Deliverable-Based Method of Payment The parties agree that this is a deliverable based Contract, and Provider and/or Seller will be paid based on acceptance by The Children's Trust of deliverables as outlined in Attachment A. Provider and/or Seller will submit required reports and/or deliverables in accordance with the deliverable schedule set forth in Attachment A or in Attachment B if not included in Attachment A. If Provider and/or Seller fails to submit approved deliverables in accordance with the Contract, The Children's Trust may amend the Contract to reduce the amount of dollars representing the deliverables not provided. Any delay in amendment by The Children's Trust is not deemed a waiver of The Children's Trust's right to amend or seek reimbursement for deliverables not provided in accordance with the Contract. Provider and/or Seller also agrees to timely pay its subcontractors, vendors, and employees for the fulfillment of services provided in this Contract. Every request by Provider and/or Seller for payment for services provided, work performed, or costs incurred pursuant to this Contract, except for any advanced payments by The Trust, shall be accompanied by a Request for Payment from The Children's Trust, If there are subcontractors to this Contract, the 'Attestation of Payment' form must be included in the Request for Payment. These forms may be downloaded from The Trust's website. For the purpose of payment only, a subcontractor is defined as an independent agency that has entered into agreement with Provider and/or Seller to perform services pertaining to The Children's Trust funded programs identified in this Contract. Advance payment requests The Children's Trust offers advance payments up to 15% of the total Contract value. The Children's Trust will only approve advance requests that are equivalent to the total amount of the first two (2) months programmatic expenditures and up to 15% of the total Contract value. Determinations of programmatic expenditures will be supported by the immediate prior year's performance or a detailed listing of estimated expenditures. Advance requests shall be limited to governmental entities and not-for-profit corporations, in accordance with subsection 216.181(16)(b), F.S. Advance requests must include the amount requested and a justification for the request. Advance requests must be submitted using the designated form and must be approved in writing by The Children's Trust's Contract Manager and Chief Financial Officer or their designee. Advance payments are made at and within the sole discretion of The Children's Trust. Advance repayment Upon receipt of an advance, repayment must be credited to proceeding reimbursement requests within a sixty (60) calendar day term. Provider and/or Seller shall report the amount of the advance repayment in The Trust electronic system using the "advances/adjustments' button on the reimbursement screen. If a provider does not use the specified Trust electronic system, the Provider and/or Seller is required to deduct its advance repayment from each invoice, consecutively, until the advance is repaid in full. List of Approved Certified Public Accountants or Certified Public Accounting Firms To receive reimbursement for the preparation of the program specific audit, as defined, Provider and/or Seller must choose from a list of approved independent Certified Public Accounting (CPA) firms, which are posted on The Children's Trust website. Inclusion in this pre-approved vendor pool requires that a CPA firm meet the following three criteria: (a) participation in either the American Institute of Certified Public Accountants (AICPA) or the Florida Institute of Certified Public Accountants (FICPA) peer review program as evidenced by submitting a triennial system Review Report with a passing score to The Children's Trust; lb) providing documentation that a CPA firm, or one of its associates, has adequate experience in governmental accounting and/or nonprofit accounting with the application of Government Auditing Standard ;,and (c) completion of an annual CPA training session sponsored by The Children's Trust finance department. Supporting Documentation Requirements Provider and/or Seller shall maintain original records documenting actual expenditures and services provided according to the approved budget and Scope of Services, Supporting documentation shall be made available and provided to The Children's Trust upon request. Provider and/or Seller shall keep accurate and complete records of any fees collected, reimbursement or compensation of any kind received from any client or other third party, for any service covered by this Contract, and shall make all such records available to The Children's Trust upon request. Provider and/or Seller shall maintain a cost allocation methodology that is used to allocate its costs to ensure that The Children's Trust is paying only its fair share of costs for services, overhead and staffing devoted to the program funded by this Contract. Such methodology shall be made available to The Children's Trust upon request. -THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK Budget Summary Report City of Miami Beach-PAR XX10-1090 City of Miami Beach Fiscal Year 18.19(8/01118-7/31/19) Contract#: 1910-1090 CSC Program Allocation: $294,818 Budget Status:Approved Salary Accounts Original Original Amended Program CSC CSC Account# Title Budget Budget Budget 511 Regular Salaries and Wages 259,919.00 243,292.00 243,292.00 521 FICA/MICA 3,769.00 3,528.00 3,528.00 522 Retirement Contributions 29422.00 6,064.00 6,06400 523 Life and Health Insurance 16,632.00 15,402.00 15,402.00 524 Workers Compensation 780.00 730.00 73000 525 Unemployment Compensation 0.00 0.00 0.00 Salary Totals: 310,522.00 269,016.00 269,016.00 Expense Accounts Original Original Amended Program CSC CSC Account# Title Budget Budget Budget 531 Travel(other than participants) 0.00 0.00 0.00 532 Travel(participants) 0.00 000 0.00 533 Meals(participants) 8,430.00 8,430.00 8430.00 534 Space 0.00 0.00 0.00 535 Utilities 7,250.00 0.00 0.00 536 Supplies(office) 1,610.00 1,610.00 1,610.00 537 Supplies(program) 8,344.00 8,344.00 8,344.00 540 Non-Capital Equipment 0.00 0.00 0.00 550 Capital Equipment 0.00 0.00 0.00 591 Indirect Cost 1,145.00 1,145.00 1,145.00 611 Subcontractor 0.00 0.00 0.00 711 Professional Services(instructors) 0.00 0.00 0.00 721 Professional Services(certified teachers) 0.00 0.00 0.00 731 Professional Services(tutors) 0.00 0.00 0.00 741 Professional Services(consultants) 0.00 0.00 0.00 791 Professional Services(other) 0.00 0.00 0.00 811 Other(advertising) 1,073.00 1,073.00 1,073.00 821 Other(background screening) 0.00 0.00 0.00 831 Other(admission to field trips) 0.00 0.00 0.00 891 Other(other) 0.00 0.00 0.00 529 Fringe Benefits(other) 0.00 0.00 0.00 841 Program Specific Audit 1,500.00 1,500.00 1,500.00 751 Professional Services(Evaluation) 0.00 0.00 0.00 Expense Accounts Original Original Amended Program CSC CSC Account# Title Budget Budget Budget 851 Other(Volunteers) 0 00 0.00 0.00 852 Other(Special Events) 0.00 0.00 0.00 853 Other(Required Staff Training) 2,700.00 2,700.00 2,700.00 854 Other(Discretionary Funds) 1,000.00 1,000.00 1,000.00 855 Other(conference registration) 0.00 0.00 0.00 2000 Salary Summary 0.00 0.00 0.00 2005 EBP Trainings 0.00 0.00 0.00 Expense Totals: 33,052.00 25,802.00 25,802.00 Salary and Expense Totals: 343,574.00 294,818.00 294,818.00 Program Funders Summary Funders Funder Type Funder Total Comment In-Kind Contributions In-Kind Contributions(Summary) 48,756.00 In-kind contributions provided by the City of Miami Beach. Summary Funder Totals: 48,756.00 C a o 9 0 0 \ \ \ } \ . , : ` / R j � / 0 , , ! , . 2 } 2 \ \ \ ! _ d 0to 0 0 : ! / f 2 d \ ° \ � �us / \ ! 0 � ° ` \ / u. 0 g � I r 0 ) U7 E o ° To 0 ) g » � : t. OEE . ! ' • ° & 2 c \ / ; . ! V : -g to, 710 , 2 , . \ ) \ ` 0000 ! ! i ! ) 0 0 o 4 0 CL c E o 0 0 E a Z C 0 6 a 4444 a a E o 0 0 F a G D E 4 < a o 6 6 5 _ G 0 0 6 x r c a e o 0 0 a V it a 6 o C a f E c x _ 4 - 0 0 0 oo aa o < a 6 6 a V t 0 o a a E e I. a a a 6 8 g g a rc e a 5 o a a E 6 0 0 E w 2 r r z ' p E ^ • so to F u $ m ry r 8 2 a E _ m N. m u m 2 v < a C E b - 0 Co o 0 p p j 3 e 0 0 0 n E J:' o o 0 r. m 7.N 0. CO 0 U_ 5 a a E L r 0 g a % N N.o Ni e ci $" n 8 c $ - 9 > m m mr N i E 22 2 0 E gym^ =• n e o 8 LL Qz g 0 . F i i '`- a c o iE 'm a- u o6 ; L. Cl) r coC n u" 4 0 ! | o „ ! ! C 0 � ' 8880 !o 09 co u3 4. \ \ \ \\ \\ � / C 0. . . , , , , - ; ; , _ o; {� o co a a o �im ) - � � \ 0200 9 0 u. � = o Ed i' { § , , ' § \ , 12 \ \\ \ \\\ \ ( i �/ I. a ) \ ° � ( ! to op \ ' i ! [ _ : ^ \ \ / } V •"' \ z , _ , . . - ) / \ - 0 | t E t ! ! z t0 a | a ! 5 ` 9 , _ o , , ! / . \ c9 08 08 � ° ! ! 05 ! . Cc cc o \ \\ Qjj\ ; a /: ,. : , {, 0\ ! \ |\ § !\ }\ �� a\ 0 0 \44 , aa0 gai § , , , � . , , 0 \ 4 ! \ , aa9 aeq00 \ \ ! • 0P. al al. \ \ } \/ § 11 \ I� ) ! i / e vi )" ti' ,— ,\ }a. ( c. / . \ ! f } : : �Cm : . f } ) \ \ 0 • { 04Li 0 ° \ { \\ / \ 17� } • ; } \ a-r \ \ / / / \ � � j \ / o } § ` 0 ! ° ; ! ! I ) / ) ! h § § ` o o co 55 to : 0 � ) (:) cc , , , j § ) - - / / ,0 0 0 , , ! ! / ! § §! ! / f! / y 1 15 Z oo , , , { 00 ) } 0 , , , oo0 \ \ / 000 � � � \ . . c F 13 / ) ! rc .0 ^ ` - . . ` g 0 -0 st \ , : } ( ( !j ! { / 0 0 0 �\ \ ( �, 13� _ � ! , , =/ .s_ r co 0- / / 4 -0g§ / g| 1g 422 2 ,—| " / ° !), / ! ! ! | : , : an o E 6• 5 0 ! ! ! `• • ;i .• . , i ` ( `� }) { } \ ) \! o \ " ` ~ ^ ` ^ ` = 0 m }N.6 Ma . } \ 04 , , , {H � � � \ \ Eda a ! to \ \ \ ) NV0 t. . - . '23 \\� \ }\(\ , \ —, , . / \ }§ am a 03 ,00 , , \ ] \ - ! U. - ! I ( ( ; ! / \ E , § I ! ! C = / \ ) I. a ` ` z \ � ( E Q ! „ = ! : } i ! ! _ ! / , ( 7 3`0) \ .227 { / ) 3 ) \ - . ,2 ° _ 0- { \ / } ) a ` O } \ / ; \ ( Lan 4 ; ! pa CM ! { N. 64 / \ , \ )60 121 a / ! , ) ) ] el lt 22 2 o E . 5m Ts ) {t227 :z , ,62 im _ -- 0 . ! ` - ci - \ g / ) I \ oe E .=)II { \NV a }/ } \ \\ §\ } \ {\ \ !\ /C { \ { } _ ^/\ { \ EZ\ R( _ cm { - 0 ( *E. 2 - - { - ) { , =i : : , : _ _ - a - - - - - 3 ,3 33 § / / � » - 4 ^ - - } ) ) % __ _ - - n / i % : _ - § > � - _ _ : }a. \ { / \ / :• : _ " _ : E ! ra - t 9 ! \ 7 _ } Og / j \ / / { ) \ ) \ / i 17 ) t .- - 08 S ; - 2 ! ° � • 2 / ) \ ! ! ! ! I | ! ! ! , ! _ caE-a 3 " E " " , • ' _ , , i i § ! ! ] ! / ! ! I / ; i { f / moo i / , 4 / \ m < ) \ O 0 o 4 a E E o 0 0 a o O 0 0 a e a s 0 0 0 go `c F 0 O E 3 a a 0 a O .13 .42 1 z c a 0 yo u o• a 0 - V a 'e t 0 0 0 0 O - u c 15 6 X O 0 0 a a 0 0 0 e `o In Q O 0 0 E XSI 2 CI O = 0 0 0 X 3 g rg u c < - 5 a O 0 0 a 0 0 0 E m 2 & r r z 0 o 3 gi 0 co m N N 8 C a -H N 0 a LL x' « $ p 3 • r N e ; a N N G ~ 0 d LL O 4 u E0 0 0g b - 8 r — 6 Lo• 6 66 - a q pc pc 0el f0 0 0 c aar - oo . Ea • E ' 2 -n =13 13 73 I no - € E • Pof . ¢° ¢° LL y E ° a ° c o = to E to 0.• - m f $ o c t n 0 0 U. CO I - CO < 6 0 o 0 0 f. 0 Cr. 01 ! ! ! - ` ! 000 i ` ) ! ; § / � ; : : _ | , ) ; ! ! el 2 4d - , , , ! ! „ 0) 0 ! ) ; ! § - 4 !fa g ) ! [ ! 0 0 0 u. { ) / ) „ u. / ) ! a \ } �0, 4� , ,a. _ 4 0. \ } ` \ 11 \\ -,! } )! i d § w a <. , / ! 2 e.) - - / ))\ \ \ \ � }/ / " § � o o 9 0 , , , ! \ { QM 0 0 4 o o 0 0 0 ! , \ \ j \ Q } - \\ , , , , , . , , ,/ \ ! ) E. \} § ! 0 0 § „ _ . , , . � / } ! EE / 066 ) ` ; § \ { / '{ ( _ � ' , 0. a - \ Ia e. )y ; 0 : / \) ` \ \. . ! , _ . , : a a \ j , \ ) ( ) m <.via 9 • \ •a ( ) \ \ 2.1 ! ) di | : = j , .I' 8. ) { ! / \ ) ® � 03 \ ) \ . - ; ; - .- 0 E / \ / / \ Z . � el io / ) } \ \ / \ j / Z : 0 0 oQ a t c o a o 0 6 en ea o 0 a 2 o 0 o y 0 o a a 0 0 0 0 a a o e V n n n Z a 3 cc N o a o v p 0 .m o n n n r2 O Z p Q 0 al _ a Nx 4) LC 0 0 V 0 a o = p = o a 6 o }E. % N N N p n 0 E O Ec - E U a - a U p 0 a o 0 0 a 0 a 5 _ a E I p < < .- .- 0 `a 0 0. o a o o E 0 LiiN e ' E E N IN u 0 N g a n C i 0 0 0 E f ¢ m N 0 y r r r v o p 0 NI U E m N e `°0 8 0 o n a ,I. o m I m ; g Z p 5 C = 0 3 O La co N 0 0o 0 ° H 3 3 0 O 0r. e Co m Cr. U o 6 c o 2 G 0 0 oa i E Eco G5 N I o r ✓ v v 3 - 6 a m m N n E - 3 p x $ a a 0/ 0 5 mu a i u „ r a E n v v 0 C 0 e E E o % 0 E i o n 0 a n B - z E0 LA E n $ LI 00. 0 m0 • 11° - y a o ? U c p Y A a.a.. % 6'. o > I/ 0 F 0 6 co W < n 0 0 0 0 CI IC 03 gl 2 C CO C 4 0 0 0 2 2 01 4 co 0 0 0 00 o 4 4 o 0 0 g col 0 a '5 a IN \ \ 46E 13 (CI I ! , : „: — ; , : ; , a < , , . _ } \ \I ( * Lz} ( \ } \ a } \ } } \ § o ! ! ; : 0n 0< ! ! ! g W4 4 0, / C. a } go 0` _ ! / ! cp or CP el cn 0 o 23 -gg on or ti 2 CI Pa v 13 o 2 It 21 0 co So _co 0 69 a ii \ \ \ a / � ; ! ; \ : Pv ! !} ! 2 or - EE a : = , - \ ! \ \ \\ 28i9cca› T \ _ . . § Ca / . - - ; ! . z ) \ , \ _ _ - i / \ / | E . , / 40 c re;0P : . CO. : - II /{}f | ' / '3 5 | / _ ! • g ° \ ! / \\ \ \ } g 83 / / \ j 0\ \ } _ . . „ , P 5 a 4 4 01 0 0 01 In all na 2 ! B } 4 4 la 3 03 N ea 01 01 ED \ 0 4C 4 0 0 c c8 { 0a 4 a i 0T1 ! :: 2. \ = 6 : ! _ ,{ ! . , . . } \ < : 9 0 ) \ ) 1 \} \ 3.V\ \ .� •k - \ / k _ _ � a] E aEo LO 0 o ' E a o m V H V 0 0 F- 0 0 a 9 L 0 0 1 x W r N Grand Total: $0.00 $0.00 $0.00 ATTACHMENT C: Data Requirements and Program Progress Metrics The Children's Trust requires collecting ongoing measures on the quantity, quality and impact of service efforts. The purpose of data collection, reporting and analysis is to promote continuous improvement in program quality and participant outcome achievement. Contract-specific reporting requirements are identified in Attachment A- Scope of Services. The Program Metrics tool can be found on the Children's Trust website and it details the components that are regularly reviewed by Trust staff or approved contractors. These components—as well as the way they are rated—are specific to the initiative and can be revised throughout the funding cycle. Successful programs regularly monitor the quality of their own implementation at the site level, offer staff training and coaching on program components, and incorporate feedback from participants and staff. Data requirements: As applicable, provider is expected to collect and enter demographic, attendance, screening, and assessment data in a timely manner, while incorporating practices that ensure data quality and integrity. Data must be collected using the appropriate tools (e.g.. required demographic fields can be found in the Child and Adult Information Forms found on The Children's Trust website) and entered in a timely manner into the Trust' approved data system, All data entered must be reviewed and validated by the provider no later than the 15th of month following the month in which services were delivered. As applicable, provider may also be expected to complete a Program Narrative Report (see initiative specific requirements— including timing—in the Initiative Specific Reporting Requirements in The Children's Trust website) that captures a brief account of the program's successes, challenges, and supports needed. With each submission, the provider attests, based on his/her best knowledge, information and belief, that all data submitted in conjunction with the reports are accurate, truthful and complete. The trust and approved partners shall use and analyze this data for evaluation and strategic planning purposes. Prggram Progress Metrics: • Compliance Items: Provider shall fulfill all applicable compliance items specified in the safety, administrative and fiscal compliance component in the Program Metrics tool, as well as in the Required Documentation Checklist posted on The Children's Trust website. • Quarterly or Yearly Growth Plan: In partnership with the Contract Manager, the provider will develop and implement Growth Plans up to four times per contract year. A Growth Planning Guidance Document with additional information can be found on The Children's Trust website. Additional Program Continuous Quality Improvement Requirements: Provider must ensure appropriate staff and subcontractors attend various Trust-sponsored or facilitated trainings. Training requirements by initiative are detailed on The Children's Trust website. At a minimum, staff will be required to attend the following annually • Contract management trainings • The Children's Trust provider meetings • SAMIS training for budgets, amendments, invoices, SAMIS programmatic and reports trainings • Content-specific trainings related to program quality and performance measures (e.g., Injury Free, ACT, Project RISE, evidence-based programs, and measurement tools), ATTACHMENT D Program Specific Audit Requirements The Program Specific Audit must encompass an audit of The Children's Trust Contracts in accordance with section Pi Program Specific Audit of this Contract. The comprehensive nature of auditing performed in accordance with the standards set forth below places on the independent certified public accounting firm (CPA) the responsibility for ensuring that (1) the audit is conducted by personnel who have the necessary skills; (2) independence is maintained; (3) applicable standards are followed in planning and conducting audits and reporting the results; (4) the organization has an appropriate internal quality control system in place; and (5) the organization undergoes an external quality control review. Program Specific Audits must be conducted in compliance with AU-C 935 and are required to include performing tests of controls over compliance. An auditor's risk assessment must include an expectation of the operating effectiveness of controls over compliance; and in doing so; the assessed control risk must be assessed at low during the planning stage. If the auditor determines a lack of controls and identifies risk of material noncompliance that demonstrates internal controls do not exist or are not effective regarding the compliance requirement, a response to such risks should be developed, and a finding (significant deficiency or material weakness) should be reported. The auditor's test work and sample size of each compliance requirement should be the result of the assessed level of inherent risk and control risk as it relates to each compliance requirement as stated in The Children's Trust Contracts. The Program Specific Audit requires the following components (a sample format may be found on The Children's Trust website): a. Independent Auditor's Report on the Schedule of Expenditures of The Children's Trust Contracts; b. Schedule of Expenditures of The Children's Trust Contracts; c. Notes to Schedule; d. Independent Auditor's Report on Compliance for each of The Children's Trust Contracts and Report on Internal Control over Compliance; and e. Schedule of Findings and Questioned Costs. At a minimum, the auditor must include the following tests in their audit program to ensure that the compliance requirements set forth in The Children's Trust compliance supplement are met. They are: The Children's Trust Compliance Supplement to the Program Specific Audit: Compliance Requirements: a. Internal Controls Program Specific Audit Implication 1. An auditor's risk assessment must include an expectation of the operating effectiveness of controls over compliance; and in doing so; the assessed control risk must be assessed at low during the planning stage. If the auditor determines a lack of controls and identifies risk of material noncompliance that demonstrates internal controls do not exist or are not effective regarding the compliance requirement, a response to such risks should be developed, and a finding (significant deficiency or material weakness) should be reported. The auditor's test work and sample size of each compliance requirement should be the result of the assessed level of inherent risk and control risk as it relates to each compliance requirement as stated in The Children's Trust Contracts. Example A. Controls tested during the financial statement audit may not consider compliance as it relates to the Children's Trust Contracts. Overall control risk must consider each compliance requirement tested during the program specific audit. Separate risk assessment procedures and materiality should be performed and generated for a program specific audit. b. Budget vs. Actual Expenditures Program Specific Audit Implication 1. The approved budget is to include the original approved Contract as well as any approved budget amendments/revisions. Example A. Testwork should include a schedule identifying each Contract and its original/amended budget, monthly billings, Contract utilization and any analytical expectations that may identify any overbillings. i. SAMIS does not allow providers to overbill any budgeted line item or Contract allocation, however, if Contract utilization is greater or less than expected, this could indicate that a budgeted salary rate is not the employee's actual rate. Provider must compensate employees at the rate stated on the budget. Any difference in rate would warrant a finding in the Program Specific Audit Report. c. Allowable/Unallowable Activities and Costs Common unallowable costs: 1. Salary rates, payroll methods and hours billed do not match original or amended budgets. 2. The amount of fringe benefits billed to the Trust is actually for employees not included in Contract budget and unrelated to the program. 3. Professional services are billed within regular salaries and wages. 4. Capital purchases disguised as repairs. 5. Sales taxes and tips. 6. Fuel 7. Food and beverage costs for parties, celebrations, end-of-program events, and conferences or conventions, unless while attending an out-of-town conference or convention. 8. Monetary gift cards as incentives. (A detailed listing of all costs and activities considered allowed and un-allowed can be viewed in the Budget Guidelines form on the Children's Trust website, www.thechildrenstrustarg/providers/forms.) Program Specific Audit Implication 1. Requires that the nature of services and type of costs paid are in agreement with the contractual budget and/or budget amendment/revision's Scope of Services and budget guidelines. AND/OR Requires that activities performed or costs paid with The Children's Trust funds are listed in the contractual budget narrative or a contractual budget amendment/revision narrative. 2. Any cost or service billed that is not approved in the Contract budget is a finding and reported as a questioned cost on the Program Specific Audit Report. 3. If any cost or service is billed in more than one Contract, and the billings are in excess of the total disbursement, or approved allocation, the expense has been overbilled or doubled billed and should be considered a finding. 4. The Children's Tust funds Contract funds tto defray any ucosts st pthat the trecipienrt already is obligated toam, supplanting is ll pay.unallowable. example F)ay not use Example social ls, y ld s A. If either thedasks contra ual budget narrative be reimbursed for ordthecontractual s to teach Sclope of Servicewillbe reimbursed. enumerated in B. If the Contractual budget, lists a Program Coordinator position at $25.00/hour, the provider must pay the Program Coordinator and charge The Children's Trust $25.00/hour.The provider cannot substitute funding identified for the Program Coordinator to any other position. C. If the Contractual budget, lists a Program Coordinator's position, with dedicated time charged to The Children's Trust program of 25%, the provider must keep records of an employee's time to substantiate that 25%of time was in fact earned and charged to The Children's Trust program. D. If 3 Contracts list a Program Coordinator's total budgeted salary as $100,000 and each Contract will reimburse$35,000 (35%), then a possible overbilling of$5,000 may have occurred ($35,000*3=$105,000 or 35%*3=105% Children's Trust salary allocation). E. If an invoice is submitted to The Children's Trust that includes food charges for end of the year parties and celebrations, those costs are NOT allowable per The Children's Trust budget guidelines and cannot be paid by The Children's Trust. F. If a provider, prior to applying to participate in the contracted program, committed to purchase 10 new computers for another program, the provider must purchase those 10 computers in addition to any other computers requested for The Children's Trust program. d. Cash Management Program Specific Audit Implication 1. With the exception of the last month of the Contract period, do monthly invoices represent cost actually paid during the Contract period (cash basis), rather than costs incurred or accrued. Example A. If payroll is paid on 3/31, it should be disclosed in March's reimbursement. B. If payroll is paid on 4/1, but represents time charged in March, it should be disclosed in April's reimbursement. e. Period of Availability Program Specific Audit Implication 1. Requires Provider to charge The Children's Trust grant with only allowable costs resulting from obligations incurred during the funding period. Example A. If the active Contract period extends from 8/1 through 7/31, and Provider expends $250.00 for office supplies on 9/30, during said Contract period, that expenditure must support program services performed during the Contract term. B. The following items warrant the most attention at the beginning and end of Contract periods: i. Payroll from expired Contracts is not allowed to be billed in the first month of the renewed Contract if it was paid during the invoiced month but was incurred in prior Contract. Reporting requirements for final invoice allow this payroll to be expensed and reimbursed in prior Contract. Only the portion of payroll incurred during the Contract period may be billed. ii. Utilities Hi. Insurances f. Special Provisions Program Specific Audit Implication 1. Eligibility requirements related to Contract expectations such as type of participants served, number of participants served and background checks should NOT be tested as part of The Children's Trust program specific audit. The program specific audit is meant to test the fiscal viability of the provider. Therefore, certain core Contract provisions that support the fiscal viability of the provider should be tested. Example Each of the following special provisions must be tested: A. Insurance requirements (further description in Section L of the Core Contract) i. Auditor should determine if all applicable insurance policies were carried during the fiscal year. B. Proof of tax status (further description in Section M of the Core contract) ii. Auditor should vouch to applicable documents verifying that all incurred payroll and unemployment taxes have been paid. C. Data security obligation (further description in Section 12 of the Core Contract) i. Auditor should obtain and/or understand the Provider's data security policy. D. Subcontractor agreements(if applicable) i. Auditor should obtain and understand any agreements made with subcontracted parties. Additionally, the auditor should obtain an understanding of any Provider monitoring procedures. E. Matching Funds i. In some cases, a required match is contracted. This will be indicated in Section D of the Core Contract. Verify the applied method the provider uses to satisfy match requirements. Also, verify that provider maintains documentation to backup match requirements. The independent auditor's report shall state that the audit was conducted in accordance with auditing standards generally accepted in the United States of America; the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States, and the Program Specific Audit requirements listed in The Children's Trust Contract. ATTACHMENT E-1 Affidavit under Penalty of Perjury for Level 2 Background Screenings Affidavit under Penalty of Perjury Affirming Compliance with Background Screening for Provider Personnel, Volunteers, and Subcontracted Personnel, as applicable. In accordance with Sections 943.0542, 984.01, Chapter 430, 435, 402, 39.001, and 1012.465 Florida Statutes,and pursuant to the requirements of Paragraph R. Background Screening of this Contract, the undersigned affiant makes the following statement under oath and under penalty of perjury, which is a first degree misdemeanor, punishable by a definite term of imprisonment not to exceed one year and/or a fine not to exceed $1,000, pursuant to Sections 837.012 and 775.082, Florida Statutes. All full-time, part-time, contracted staff and volunteers, along with the staff and volunteers provided to the program by a subcontractor have been checked against The Dru Sjodin National Sex Offender Public Website http://www.nsopw.gov/eng (Check must have taken place within 30 calendar days prior to the signing of this document.) STATE OF FLORIDA COUNTY OF MIAMI-DADE Before me, the undersigned authority, personally appeared fCEO/Executive Director) Authorized Provider Representative of (Provider Name) ,who being by me first duly sworn, deposes and says: I swear and affirm that the above-named contracted Provider is compliant with the requirements for personnel background screening detailed in Sections 943.0542,984.01,Chapter 435,402,39.001, and 1012.465 Florida Statutes, as applicable, for all personnel having direct contact with children. (Signature of CEO/Executive Director/HR Director) Date Sworn to and subscribed before me at Miami-Dade County, Florida this_day of , 20_by Who is personally known to me Who produced identification: Type of identification Signature of Notary Public State of Florida at Large Print type or stamp name of notary public My Commission Expires: F " f1, ATTACHMENT E-2 CHILD CARE "'"I '""""" AFFIDAVIT OF GOOD MORAL CHARACTER State of Florida County of Before me this day personally appeared who, being duly sworn, deposes and says: (Applicant's/Employee's Name) As an applicant for employment with, an employee of, a volunteer for, or an applicant to volunteer with I affirm and attest under penalty of perjury that I meet the moral character requirements for employment,as required by Chapter 435 Florida Statutes in that: I have not been arrested with disposition pending or found guilty of, regardless of adjudication, or entered a plea of nob contendere or guilty to, or have been adjudicated delinquent and the record has not been sealed or expunged for,any offense prohibited under any of the following provisions of the Florida Statutes or under any similar statute of another jurisdiction for any of the offenses listed below: Relating to: Section 393.135 sexual misconduct with certain developmentally disabled clients and reporting of such sexual misconduct Section 394.4593 sexual misconduct with certain mental health patients and reporting of such sexual misconduct Section 415.111 adult abuse,neglect,or exploitation of aged persons or disabled adults or failure to report of such abuse Section 741.28 criminal offenses that constitute domestic violence.whether committed in Florida or another jurisdiction Section 77704 attempts,solicitation,and conspiracy Section 782.04 murder Section 782.07 manslaughter,aggravated manslaughter of an elderly person or disabled adult,or aggravated manslaughter of a child Section 782.071 vehicular homicide Section 782.09 killing an unborn child by injury to the mother Chapter 784 assault,battery,and culpable negligence,if the offense was a felony Section 784.011 assault,if the victim of offense was a minor Section 78403 battery,it the victim of offense was a minor Section 787.01 kidnapping Section 787.02 false imprisonment Section 787.025 luring or enticing a child Section 787.04(2} taking,enticing,or removing a child beyond the state limits with criminal intent pending custody proceeding Section 787.04(31 carrying a child beyond the state lines with criminal intent to avoid producing a child at a custody hearing or delivering the child to the designated person Section 790.115{11 exhibiting firearms or weapons within 1,000 feet of a school Section 790.115121 (b) possessing an electric weapon or device,destructive device,or other weapon on school property Section 794,011 sexual battery Former Section 794.041 prohibited acts of persons in familial or custodial authority Section 794,05 unlawful sexual activity with certain minors Chapter 796 prostitution Section 798.02 lewd and lascivious behavior Chapter 800 lewdness and indecent exposure Section 806.01 arson Section 810.02 burglary Section 810.14 voyeurism,if the offense is a felony Section 810.145 video voyeurism,if the offense is a felony Chapter 812 theft and/or robbery and related crimes,if a felony offense Section 817.563 fraudulent sale of controlled substances,if the offense was a felony Section 825.102 abuse,aggravated abuse,or neglect of an elderly person or disabled adult Section 825.1025 lewd or lascivious offenses committed upon or in the presence of an elderly person or disabled adult Section 825.103 exploitation of disabled adults or elderly persons,if the offense was a felony Section 826.04 incest Section 827.03 child abuse,aggravated child abuse,or neglect of a child Section 827.04 contributing to the delinquency or dependency of a child Former Section 827.05 negligent treatment of children Section 827.071 sexual performance by a child Section 843.01 resisting arrest with violence Section 843.025 depriving a law enforcement,correctional,or correctional probation officer means of protection or communication Section 843.12 aiding in an escape Section 843.13 aiding in the escape of juvenile inmates in correctional institution Chapter 847 obscene literature Section 874.05)1) encouraging or recruiting another to join o criminal gang drug abuse prevention and control only if the offense was a felony or if any other person involved in the offense was a minor Section 916.1075 sexual misconduct with certain forensic clients and reporting of such sexual conduct Section 944.35(3) inflicting cruel or inhuman treatment on an inmate resulting in great bodily harm Section 944.40 escape Section 944.46 harboring,concealing,or aiding an escaped prisoner Section 944.47 introduction of contraband into a correctional facility Section 985.701 sexual misconduct in juvenile justice programs Section 985.711 contraband introduced into detention facilities I understand that I must applicable acknowledge the existence of any criminal record relating to the above lists of offenses including those under any similar statute of another jurisdiction, regardless of whether or not those records have been sealed or expunged. Further, I understand that, while employed or volunteering at in any position that requires background screening as a condition of employment, I must immediately notify my supervisor/employer of any arrest and any changes in my criminal record involving any of the above listed provisions of Florida Statutes or similar statutes of another jurisdiction whether a misdemeanor or felony.This notice must be made within one business day of such arrest or charge. Failure to do so could be grounds for termination. I attest that I have read the above carefully and state that my attestation here is true and correct that my record does not contain any of the above listed offenses. I understand, under penalty of perjury,all employees in such positions of trust or responsibility shall attest to meeting the requirements for qualifying for employment and agreeing to inform the employer immediately if arrested for any of the disqualifying offenses. I also understand that it is my responsibility to obtain clarification on anything contained in this affidavit which I do not understand prior to signing. I am aware that any omissions, falsifications, misstatements or misrepresentations may disqualify me from employment consideration and, if I am hired, may be grounds for termination or denial of an exemption at a later date. SIGNATURE OF AFFIANT: Sign Above OR Below, DO NOT Sign Both Lines To the best of my knowledge and belief, my record contains one or more of the applicable disqualifying acts or offenses listed above. I have placed a check mark by the offense(s) contained in my record. (If you have previously been granted an exemption for this disqualifying offense, please attach a copy of the letter granting such exemption.) (Please circle the number which corresponds to the offense(s) contained in your record.) SIGNATURE OF AFFIANT: Sworn to and subscribed before me this day of , 20_. SIGNATURE OF NOTARY PUBLIC,STATE OF FLORIDA (Print,Type,or Stamp Commissioned Name of Notary Public) (Check one) Affiant personally known to notary OR Affiant produced identification ATTACHMENT E-3 Alp Child Abuse & Neglect Reporting Requirements All child care personnel are mandated by law to report their ansnirinnx of child abuse, neglect, or abandonment to the Florida Abuse Hotline in accordance with s. 39.201 of the Florida Statutes(F.S.). * Child care personnel must be alert to the physical and behavioral indicators of child abuse and neglect. "Child Abuse or Neglect" is defined ins.39.201, F.S.,as "harm or threatened harm" to a child's health (mental or physical) or welfare by the acts or omissions by a parent, adult household member, other person responsible for the child's welfare, or for purposes of reporting requirements by any person. Categories include: - Physical Abuse or Neglect (i.e.unexplained bruises, hunger, lack of supervision...) - Emotional Abuse or Neglect (i.e.impairment in the ability to function, depression...) -Sexual Abuse (i.e.withdrawal,excessive crying, physical symptoms...) • Reports must be made immediately to the Florida Abuse Hotline Information System by -Telephone at 1-800-96-ABUSE (1-800-962-2873), or -Fax at 1-800-914-0004,or -Online at http://www.dcf.state.i1.us/abuse/report/. * Failure to perform duties of a mandatory reporter pursuant to s.39.201, F.S.constitutes a violation of the standards in ss. 402.301-319, F.S. and is a felony of the third degree.$pmrmbrI, it is each child care personnel's responsibility to report suspected abuse and/or neglect. * All reports are confidential. However, persons who are mandated reporters (child care personnel) are required to give their name when making a report. * It is important to give as much identifying and factual information as possible when making a report. * Any person, when acting in good faith, is immune from liability in accordance with s.39.203(1)(a), F.S. * For more information about child abuse and neglect, visit the Department's website at www.mvflorida.com/childcare and select "Training Requirements." The Department offers a 4-hour Identifying and Reporting Child Abuse and Neglect course for child care providers. This course is an overview of the various types of abuse and neglect, indicators that may be observed, the legal responsibility of mandatory reporters,and the proper procedure for reporting abuse and neglect,as required by ss. 402.305(2) and 402.313(1), F.S. The course is offered both online and instructor-based throughout Florida. This statement is to verify that on , 20 , I, Date Print Name of Employee Read and understood the information and my mandated reporting requirements. Signature of Employee [for loci*or large lamaych,Id care home' Signature of Operator ATTACHMENT E-4 .ful„u,n. on, BACKGROUND SCREENING & PERSONNEL FILE REQUIREMENTS Place in employee file and attach all background screening documentation. Authority: s. 402.301-319, F.S., and s. 435, F.S. Name of Employee: Name of Facility: *Social Security #: Date of Birth: Employment Date: 'Pursuant to Chapter 435.05.ES.,the Department's license/registrofion application requires personnel to give their Social Security number for the purposes of background screening.Social security numbers are used by the Department for identify verification only. Position Classification Position Type Age Group Assigned Education Level (check one) (check all that apply) [check one) check one) Child Care Personnel Owner 0- 12 Months No High School/GED Intermittent Volunteer Director I Year High School Student Other Personnel Lead Teacher 2 Years High School/GED (must select age group) 3 Years National Early Childhood Credential VPK Instructor 4 Years Birth Through Five Child Care Credential Assistant Teacher 4 Years VPK School-Age Child Care Credential Substitute 5+Years Associates Degree Mixed Bachelor's Degree Not Applicable Master's Degree or Higher SCREENING DOCUMENTATION All child care personnel are required by law to be screened pursuant to Chapter 435, F.S., as a condition of employment and continued employment. Initial Screen Date Livescanned Date completed FINGERPRINT FDLE/FBI FDLE/FBI Affidavit of Good Moral Character N/A (due on or before employment,following a 90 break,or when changing employers) 5 Year Re-screen Date Livescanned Date completed FINGERPRINT FINGERPRINT FINGERPRINT OTHER R O fIR M NTS Date Employment References Checked: Names of References (attach additional documentation if necessary): Leave of Absence Documentation from Employer (if applicable): ATTACHMENT G Data Security Definitions "Authorized Employees" means Provider's employees who have a need to know or otherwise access Personal Information to enable Provider to perform its obligations under this Agreement. "Authorized Persons" means (i) Authorized Employees; or(ii) Provider's subcontractors approved by The Children's Trust who have a need to know or otherwise access Personal Information to enable Provider to perform its obligations under this Agreement, and who are bound in writing by confidentiality obligations sufficient to protect Personal Information in accordance with the terms and conditions of this Agreement. "Unauthorized Third Party" means any person other than Authorized Employee or Authorized Person(s). "Highly-Sensitive Personal Information" means an individual's (i) government-issued identification number (including, without limitation, social security number, driver's license number or state-issued identified number); (ii) financial account number, credit card number, debit card number, credit report information, with or without any required security code, access code, personal identification number or password, that would permit access to an individual's financial account; or(iii) biometric or health data. "Personal Information" includes Highly-Sensitive Personal Information or any of the following: i. An individual's first name or first initial and last name in combination with any one or more of the following data elements for that individual: 1. A social security number; 2. A driver license or identification card number, passport number, military identification number, or other similar number issued on a government document used to verify identity; 3. A financial account number or credit or debit card number, in combination with any required security code, access code, or password that is necessary to permit access to an individual's financial account; 4. Any information regarding an individual's medical history, mental or physical condition, or medical treatment or diagnosis by a health care professional; or 5. An individual's health insurance policy number or subscriber identification number and any unique identifier used by a health insurer to identify the individual. ii. User name or e-mail address, in combination with a password or security question and answer that would permit access to an online account. Notwithstanding the foregoing, the term "Personal Information' shall not include information (1) about an individual that has been made publicly available by a federal, state, or local governmental entity; or (2) that is encrypted, secured, or modified by any other method or technology that removes elements that personally identify an individual or that otherwise renders the information unusable. "Security breach" or "breach" means unauthorized access of data in electronic form containing personal information, or a breach or alleged breach of this Agreement relating to such privacy practices. Good faith access of Personal Information by an employee or agent of the covered entity shall not constitute a breach of security under this Agreement, so long as the information is not used for a purpose unrelated to the business of The Children's Trust, or as a result of any other unauthorized use.