Contract No. 1916-1090 with Children's Trust 2o/5-3,131
CONTRACT NO. 1916-1090
BETWEEN THE CHILDREN'S TRUST
AND City of Miami Beach
FOR Youth Enrichment, Employment and Supports
Agency address: 1700 Convention Center Drive
Miami Beach, FL 33139
Agency federal identification number: 59-6000372
Vendor identification number. CITYO109
Effective term: 8/1/2018 through 7/31/2019
Funding amount shall not exceed: $371,089.00
Required match amount(if applicable): $0.00
Board resolution number: ,2018-72
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 (5) 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 far 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 Contractor 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.
8. 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 HELPPages reso_i-Cc
d reereiy.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 Trust's 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, MURIEL.JEANTY@THECHILDRENSTRUST.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.
8. 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 eng,qe mentiettersat her h:Idrenstrustorq. 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 (ies), 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 0) 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 (48) hours, after
Provider becomes aware of it by emailing The Children's Trust with a read receipt at
A :uaty rh hJdren rust org; 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.
19. 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 nor da Department of La Enforcerent (FDLE) LECHS
Nolo rneer & Enol yee Criminal Hstory Syrrien2 Program. 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 De.i aiodin Nationa Sex (render P c W hiSitg(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 1012.32, Florid:
Stat.re5.
All of Provider's employees who work in a school must satisfy Level 2 background screening requirements as provided in
soft en 1012.32, Florida Statutes. All employees who work in a school must inform their employer within 48 hours if
convicted of any 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 fromworking 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.
S. 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 114 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. § 794, as amended, which prohibits
discrimination on the basis of disability; and the Americans with Disabilities Act, 42 U.S.C. §12101 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
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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
(800.952.2873). 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(v ww.thechlldren-ArusLorg). 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
financiacion, creada por los votantes en referendum para mejorar la vida de los nidos y las familias en Miami-Dade.
Kreyol.
Se Children's Trust ki finanse[Pwogram Sa-a]. Children's Trust se yen sous finansman elekte Miyami-Dade to kreye
nan yon referandom. Finansman sa a dedye you pwogram k'ap amelyore lavi ti moun ak fanmi ye.
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 www.thechild Ltrn=_t.crc.
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(commune ronscorn Ierce1rliechi nstrushorg) 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 a 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]
City of iami Beach The Children's Trust
MIAMI-DADE COUNTY, FLORIDA
1
By: By:
Isi.r. : re o < -•resentative) (signature)
James R. Haj
President and CEO
Date: S ' �X Date:
Provider Federal ID# 59-6000372
Provider Vendor ID# CITY0109
This Contract is not valid until signed by both Parties.
APPROVED AS TO
FORM & LANGUAGE
&FOR EXECUTION
,1SLI - 31
_Pate
City Altomey
City of Miami Beach The Children's Trust
MIAMI-DADE COUNTY, FLORIDA
By: By:
(signature of Authorized Representative) (signature)
Judy Hoanshelt for)LM James R. Haj
Grants Management Div. Director for City Manager President and CEO
Date: 10/16/2018 Date: 10/16/2018
Provider Federal ID# 59-6000372
Provider Vendor ID# CITYO109
This Contract is not valid until signed by both Parties.
Attachment A-Scope of Services
Youth Enrichment, Employment and Supports
PROGRAM OVERVIEW
AGENCY sGNEE
Judy Hoanshelt
INITIATIVE
Youth Enrichment, Employment and Supports
PROGRA= NAME
Miami Beach All Stars
PROGRAM DESCRATlCN
Miami Beach All Stars is a best practice youth development program serving students who attend Nautilus Middle School
(NMS) during the school year and middle school-aged youth throughout the community during the summer. Through
the provision of year-round, youth enrichment activities, All Stars promotes the academic success and positive personal
development 110 sixth -eighth grade disadvantaged youth. The program is based on a structured design of activities
(150 direct service hours during school year and 90 during summer) and outcomes-driven programming grounded by
the evidence-based All Stars social-emotional learning (SEL) curriculum. In addition, highly interactive, skill building
activities are provided in the following areas'. academics, arts, sports, civic engagement, entrepreneurship, and STEM. This
comprehensive program seeks to reduce risk factors and build protective factors by offering youth the opportunity to
develop lifelong interests and acquire social, emotional and cognitive skills that promote academic success, healthy youth
development, and- ultimately-successful families and communities.
SERVICE TINE`qAM EG)
School Year, Summer
PARTICIPANTS
Number of %of Youth with Disabilities Number of Service Frequency of Services per
Timeframe Slots Slots Weeks Week
Afterschool 110 14 39 5
Day
Summer 20 10 6 3
Camp
SERVICE SITES
General Site Information School Year Summer
Site Name and Address: PARTICIPANT INFORMATION PARTICIPANT INFORMATION
Nautilus Middle School Number of Slots: 110 Number of Slots: 0
4301 N. Michigan Ave. Miami Beach 33140 %of Children with Disabilities: %of Children with Disabilities: %
14% Grade Range :
Site Timeframe: Grade Range : 6th grade,7th
School Year grade,8th grade SERVICE DATES
Service Dates: -
Number of Direct Service Staff: SERVICE DATES Number of Service Weeks:
School Year: 8 Service Dates: 8/20/2018- Number of Service Days: 0
Summer: 6/6/2019 Services offered days per week
Number of Service Weeks: 39 Hours of Operation:
Focus Meals): Number of Service Days: 181
School Year: Arts,Civic Services offered 5 days per MEALS
EngagementEntrepreneurship,Sports,STEM week Source of Meals:
Summer: Hours of Operation: 4:00 pm - Other:
6:00 pm Source of Lunch Snacks:
Other:
MEALS
Source of Meals: None PROGRAM FEES
Other: N/A Fees Charged:
Source of Lunch Snacks: Registration Fee:
Miami-Dade County Schools Fees:
Other: Fee Description:
PROGRAM FEES
Fees Charged: NO
Registration Fee: 0
Fees:0 N/A
Fee Description:N/A
Site Name and Address: PARTICIPANT INFORMATION PARTICIPANT INFORMATION
Miami Beach Regional Library Number of Slots: 0 Number of Slots: 20
227 22nd St Miami Beach 33139 %of Children with Disabilities'. % of Children with Disabilities: 10%
Grade Range : 6th grade.7th grade,8th grade
Site Timeframe: Grade Range : 6th grade,7th
Summer grade,8th grade SERVICE DATES
Service Dates: 6/17/2019 - 7/26/2019
Number of Direct Service Staff: SERVICE DATES Number of Service Weeks: 6
School Year: Service Dates: - Number of Service Days: 18
Summer: 2 Number of Service Weeks: Services offered 3 days per week
Number of Service Days: 0 Hours of Operation: Monday-Wednesday - 9:00
Focus Area(s): Services offered days per am - 4:00 pm
School Year: week Every other Thursday consists of all-day fiield trip
Summer: STEM Hours of Operation:
MEALS MEALS
Source of Meals: Source of Meals: Other DOE/DOH/USDA Food
Other: Sponsored-Identify Source Below
Source of Lunch Snacks: Other: FLIPANY
Other: Source of Lunch Snacks: Other DOE/DOH/USDA
Food Sponsored-Identify Source Below
PROGRAM FEES Other: FLIPANY
Fees Charged:
Registration Fee: PROGRAM FEES
Fees: Fees Charged: NO
Fee Description: Registration Fee: 0
Fees: 0 N/A
Fee Description:N/A
PROGRAM ACTIVITIES
Activity Details
Academic Support: School Year,
EBP: N/A Other EBP: N/A
Youth expected in activity:All Youth
Duration: 39 Weeks Frequency: ltime(s) per week Minutes offered: 120
Activity Description:Academic support activities can be flexibly structured and delivered in many different formats that fit
the needs of the grade levels and youth being served. Some examples of supports may include core subject tutoring, SAT/ACT
test preparation, project-based learning as part of enrichment activities that incorporate reading, writing and mathematics,
Approach to Implementation:Academic Support sessions address knowledge, skills, attitudes, and behaviors associated with
academic success and are based on the assessment of each participant's needs and interests. Services are flexible to meet the
needs of participants with and without current academic and attendance challenges and include homework assistance. The
participant's academic success is periodically monitored and supports are modified as needed. In addition, staff facilitates
communication to linking the participants' parents, school teachers, and youth enrichment staff.
Sessions are modified, when necessary, to meet the unique needs of each individual.
All Stars One-to-One Facilitators are provided for youth who may have a more difficult time acclimating to a program activity.
Access to and use of computers or other technologies required for homework completion are provided which is essential for
certain students who do not have access to computers and/or Internet at home.
All Stars staff also collaborate with NMS staff to assist students achieve academic success through the MDCPS iReady online
system, and bilingual All Stars staff members often assist English language learners (ELLS) in homework translation.
Additionally, Academic Development Workshops/Group Tutoring will be offered. Sessions contain three primary objectives: 1)
academic support, 2) preparing youth for secondary school and beyond, and 3) mentorship/leadership, Sessions are adapted to
meet the needs of youth from various backgrounds and abilities.
Academic Support Sessions: 08/20/2018 - 06/06/2019: Monday- Friday, 4- 6 pm.
Tutoring Sessions: 09/11/2018 - 03/8/2019: 2x/week, 4- 5:30 pm; 03/11/2019 -06/03/2019: lx/week, 4- 5:30 pm.
On average, it is expected youth will attend academic support at least lx/week.
Direct service hours will be tracked for each participant each week to ensure they are meeting the minimum requirement of
150 hours during school year.
Related Field Trips: N/A
Social-Emotional Learning (SEL): School Year,
EBP: All Stars Life SKills Curriculum Other EBP: All Stars Life SKills Curriculum
Youth expected in activity:All Youth
Duration: 36 Weeks Frequency: 2time(s) per week Minutes offered: 60
Activity Description: Social-Emotional Learning (SEL) activities must include a structured design programming grounded in
positive youth development best practices. Program focuses on positive skill-building (strengths-based versus deficit-based)
through challenging activities, leadership development, decision-making opportunities, and opportunities for youth to have
hands-on practice applying skills to real-world scenarios. Programs ensure a nurturing, socially positive environment, inclusive
of staff equipped to actively and intentionally foster this environment by coaching children and appropriately modeling concepts
and skills.
Approach to Implementation: All participants receive the All Stars life skills 13- session Curriculum which is an interactive,
evidence-based program focusing on Positive peer group norms; Decision Making and Critical Thinking; Self-Management; Goat
setting and Personal Commitments; Bonding with school and family; And increasing positive parental communication among
others. Supplemental sessions are added as needed to ensure that participants meet program goals and objectives (make-up
sessions). Also, sessions are modified when necessary, to meet the unique needs of each individual, and One-to-One
Facilitators are provided for youth who may have a more difficult time acclimating to a program activity.
Participants are broken into 8 different cohorts of 15 unduplicated students throughout the school year (from 09/11/2018-
06/03/2019). Each cohort meets 2x/week from 4- 5 pm for 8 weeks for a total of 16 sessions.
Participant hours will be tracked to ensure contract compliance.
Additional SEL lessons that coincide with the lessons in the All Stars curriculum are infused in all program activities to give
youth the opportunity to practice, implement and grow their newly acquired SEL skills throughout the school year.
Academic support sessions include structured workshops on positive personal development; teamwork and leadership; and goal
setting, decision making and mentoring.
In STEM, youth build skills in critical thinking, problem solving, creativity and teamwork through project based learning.
The positive structured environment of the sports activity teaches youth life skills such as setting goals, constructive thinking,
positive peer and adult relationships and quick problem solving.
Through the art of dance, youth are taught and empowered to practice various life skills, such as: communication, self-
confidence, self-evaluation, empathy, social awareness and creative thinking.
Through civic engagement projects, youth are empowered to use creativity, knowledge, and life experiences to address issues
that affect them and other members of their community.
Related Field Trips: N/A
Social-Emotional Learning (SEL): Summer,
EBP: Other Other EBP: Random Acts of Kindness
Youth expected In activity: All Youth
Duration: 6 Weeks Frequency: 3time(s) per week Minutes offered: 30
Activity Description: Social-Emotional Learning (SEL) activities must include a structured design programming grounded in
positive youth development best practices. Program focuses on positive skill-building (strengths-based versus deficit-based)
through challenging activities, leadership development, decision-making opportunities, and opportunities for youth to have
hands-on practice applying skills to real-world scenarios. Programs ensure a nurturing, socially positive environment, inclusive
of staff equipped to actively and intentionally foster this environment by coaching children and appropriately modeling concepts
and skills.
Approach to Implementation: All youth in the six- week summer program will participate in the evidence-based program,
Random Acts of Kindness three times per week. The highly interactive sessions of the program support social, emotional and
academic learning, while creating a culture of kindness in a group setting that will extend into their school and community. The
positive youth development sessions promote and nurture skills such as empathy; how to be kind to self and others;
communication and listening skills; conflict resolution; problem solving, responsibility; and demonstrating respect to others.
Participants develop an increased awareness of their own emotions, feelings and identities as caring individuals; use
appropriate emotional vocabulary, communication, and listening skills; and increase awareness of others' emotions and
understanding the impact of kind and unkind actions. The sessions tackle five main core competencies that are key in
developing social and emotional skills: Self-Management, Self-Awareness, Responsible Decision-Making, Relationship Skills and
Social Awareness.
SEL sessions: 10- 10:30 am. Monday - Wednesday each week of summer programming.
Direct service hours will be tracked for each participant each week to ensure they are meeting the minimum requirement of 90
during the summer.
Related Field Trips: Every other Thursday of summer programming will be a field trip day.
Art: School Year,
EBP: N/A Other EBP: N/A
Youth expected in activity: Subset of Youth 15
Duration: 34 Weeks Frequency: 2time(s) per week Minutes offered: 90
Activity Description: Participants will receive art programming services that help participants strengthen skills in specific
artistic disciplines, express their creativity and collaborate with others. Arts programs can focus on one or more disciplines
including, but not limited to: dance, painting, drawing, graphic design, theatre/drama, choir, photography, performance art,
creative writing, poetry, storytelling, mixed-media, sculpture, music and film. All arts programs must include an element of
public performance or exhibition developed by youth.
Approach to Implementation: Youth are engaged in Dance life skills activity sessions throughout the school year which teach
communication, self-confidence, self-evaluation, empathy, social awareness and creative thinking. Dance/Hip Hop sessions
consists of participative dance workshops, rehearsals for performances, and/or production and creation of shows for the
community that give participants opportunities for self-expression, expansion of creativity, problem solving, and understanding
and respect of different time periods and cultures.
Hip-Hop sessions:
09/18/2018 - 5/30/2019: 2-3x/week(Tuesday & Thursday and occasionally on Friday or Saturday leading up to competitions), 4 -
5:30 pm.
Sessions are modified, when necessary. to meet the unique needs of each individual.
Youth may participate in multiple activities throughout the school year.
Direct service hours will be tracked for each participant each week to ensure they are meeting the minimum requirement of
150 hours during school year.
Related Field Trips:
A field trip to a show at the Adrienne Arsht Center is planned for participants of the arts/dance component. Participants of
dance also partake in competitions that occur throughout the school year. These opportunities enhance learning and skill
building for youth in the focus area.
STEM (Science,Technology, Engineering, and Mathematics): School Year,
EBP: N/A Other EBP: N/A
Youth expected in activity: Subset of Youth 30
Duration: 34 Weeks Frequency: ltime(s) per week Minutes offered: 90
Activity Description: STEM activities allow youth the opportunity to explore career pathways in related STEM fields as well as
better preparing youth for academic success. High-quality STEM programs build critical thinking skills, problem solving,
creativity, collaboration and teamwork; are experiential, inquiry-based, include rigorous content and are linked to school
curriculum standards. Additionally, they use relevant, real-world applications of STEM content and involve those with STEM
backgrounds as part of the program delivery structure. STEM activities may include programs focused on digital certification
such as robotics, Adobe and gaming.
Approach to Implementation: Participants will be engaged during the school year in experiential sessions that include the
LEGO EV3 Curriculum that enables participants to understand force and motion; graph and interpret rotation sensor data;
develop robots of complex thinking; and design, build and program a fully-functioning robotic system using Science.
Technology, Engineering and Mathematics. The curriculum uses project- based learning allowing youth an experiential learning
environment.
STEM is scheduled to take place 09/20/2018 -05/31/2019, 4- 5:30 pm. Participants are broken into 2 cohorts of approximately
15 participants who are scheduled to attend 30 sessions each.
Cohort 1: 09/2018 - 05/2019
Cohort 2: 09/2018 - 05/2019.
Sessions are modified, when necessary, to meet the unique needs of each individual. All Stars One-to-One Facilitators are
provided for youth who may have a more difficult time acclimating to a program activity.
Youth may participate in multiple activities throughout the school year.
Direct service hours will be tracked for each participant each week to ensure they are meeting the minimum requirement of
150 hours during school year.
Related Field Trips:
A field trip to the Museum of Discovery and Science or the Frost Science Museum is planned for participants of STEAM during
the school year to bring classroom lessons to life
Sports:School Year,
EBP: Other Other EBP: Positive coaching
Youth expected in activity: Subset of Youth 40
Duration: 15 Weeks Frequency: 2time(s) per week Minutes offered: 90
Activity Description: Sports programming will include activities that facilitate the learning of a particular sport and SEL
development in youth. In addition to developing sports-specific skills, youth can strengthen their social/life skills, such as
positive peer and adult relationships, collaboration and leadership skills; build their self-worth and confidence; and develop
more positive attitudes towards school and their future.
Approach to Implementation:The sports component will utilize a team sports-based program for soccer, basketball and flag
football, entitled SUPER (Sports United to Promote Education and Recreation). The component will also utilize evidence-based
strategies and/or curricula that include positive coaching and positive youth development such as those used by the Positive
Coaching Alliance or Up2Us Sports. The positive structured environment of the sports activity focuses on life skills such as
setting goals, constructive thinking, positive peer relationships and quick problem solving. Youth are assessed on the following:
sports skills, knowledge about sport activity, and effective use of life skills gained from the program. SUPER simulates sports
clinics with three sets of activities: learning physical skills related to a specific sport; learning life skills related to sports in
general; and playing the sport.
Youth participate in competitive leagues 3x/week for 15 weeks, and thereafter lx/week for an additional 12 weeks. On average,
youth participate 2x/week for 15 weeks. During the competitive leagues, youth receive intensive coaching and have the
opportunity to practice skills learned by participating in games and competitions. Below are the details for the competitive
leagues:
Soccer: 09/18/2018- 01/23/2019: lx/week- Wednesdays
Flag Football: 01/30/2019-04/24/2019: lx/week- Wednesdays
Basketball: 09/18/2018-12/06/2018: 2x/week-Tuesdays &Thursdays.
In addition to the competitive leagues, youth participate in sports throughout the school year to bolster the skills earned
through the competitive leagues.
Sessions are modified, when necessary, to meet the unique needs of each individual.
Youth may participate in multiple activities throughout the school year.
Direct service hours will be tracked for each participant each week to ensure they are meeting the minimum requirement of
150 hours during school year.
• Related Field Trips:
A field trip to a Ropes Course at FIU-North Campus is planned for participants in the Sports component to encourage teamwork
and enhance positive peer and adult relations on and off the field.
Civic Engagement: School Year,
EBP: N/A Other EBP: N/A
Youth expected in activity: Subset of Youth 20
Duration: 20 Weeks Frequency: ltime(s) per month Minutes offered: 240
Activity Description: Civic Engagement activities will engage youth in assessing community needs and assets, as well as
designing and implementing actions in support of community improvement. Youth may choose to address issues within their
schools, neighborhoods, social networks, or tackle larger social, environmental or health issues. Programming focus can
include, but is not limited to, advocacy efforts, community improvement projects, community needs assessments, participation
in public policy or social justice issues, participatory action research, peer mentoring. photo-voice projects and project-based
learning.
Approach to Implementation: Youth participate in civic engagement projects throughout the school year that assess the
needs and issues of their community. Projects focus on fostering positive social change by using creativity, knowledge, and life
experiences to address issues that affect them. Projects also promote connection to their community, while allowing
participants to advocate and learn strategies to address social, environmental and health issues. The participants learn and
practice a wide range of life skills that empower and support them in achieving a more productive future. Throughout the year,
participants acquire, practice and apply needed knowledge, skills, and behaviors developed during each civic engagement
project.
It is expected that 20 youth will participate in at least 5 of approximately 10 civic engagement projects offered throughout the
school year for at least 3 hours. Beyond this, participants will have an opportunity to utilize critical and creative thinking,
problem solving and teamwork skills through project-based learning where they will spend an additional hour each month
planning, preparing or receiving training on an event or participating in another event.
Youth may participate in multiple activities throughout the school year.
Direct service hours will be tracked for each participant each week to ensure they are meeting the minimum requirement of
150 hours during school year.
Related Field Trips: N/A
STEM (Science,Technology, Engineering, and Mathematics): Summer,
EBP: N/A Other EBP: N/A
Youth expected in activity: Subset of Youth 20
Duration: 6 Weeks Frequency: 3time(s) per week Minutes offered: 240
Activity Description: STEM activities allow youth the opportunity to explore career pathways in related STEM fields as well as
better preparing youth for academic success. High-quality STEM programs build critical thinking skills, problem solving,
creativity, collaboration and teamwork; are experiential, inquiry-based, include rigorous content and are linked to school
curriculum standards. Additionally, they use relevant, real-world applications of STEM content and involve those with STEM
backgrounds as part of the program delivery structure. STEM activities may include programs focused on digital certification
such as robotics, Adobe and gaming.
Approach to Implementation:The STEM Summer Program will consist of coding, programming, engineering and robotic
sessions using the LEGO MINDSTORM EV3 Curriculum, Raspberry Pi-Microcontroller, CAD Design and IFI i I technology, which
enables participants to build skills in computational and critical thinking, problem solving, creativity and teamwork through
project-based learning that allows youth to have an experiential learning environment. Participants also develop an
understanding of force and motion; graph and interpret rotation sensor data; develop robots of complex thinking; and design,
build and program a fully-functioning robotic system. Sessions are modified, when necessary, to meet the unique needs of
each individual. All Stars One-to-One Facilitators are provided for youth who may have a more difficult time acclimating to a
program activity. This activity will take place 3 times per week plus a field trip day every other week,
STEM sessions: 10:30 am - 3 pm (lunch from 12 - 12:30 pm), Monday -Wednesday each week of summer programming.
Direct service hours will be tracked for each participant each week to ensure they are meeting the minimum requirement of 90
during the summer.
Related Field Trips:Three field trips are planned within the South Florida tri-county area that bring STEM classroom lessons to
life, i.e. the Frost Science Museum, Zoo Miami and the Museum of Discovery and Science. Held trips will occur every other
Thursday during the summer program.
Entrepreneurship:School Year,
EBP: Network for Teaching Entrepreneurship (NFTE) Other EBP: N/A
Youth expected In activity: Subset of Youth 15
Duration: 32 Weeks Frequency: ltime(s) per week Minutes offered: 90
Activity Description: Entrepreneurial training will equip youth with an understanding of how business works, financial literacy,
leadership development and methods to foster innovative ideas. Youth will apply this knowledge through the development of
social and economic ventures. Key program activities include business plan development, training-based learning and
networking opportunities.
Approach to Implementation:With economists predicting the jobs of tomorrow don't even exist today, youth are not
prepared to seize the opportunities of the 21st century. Youth must be equipped with an innovator's eye and a founder's grit-
the skills to excel in an innovation economy.
The NFTE Owning Your Future Curriculum activates the entrepreneurial mindset alongside traditional business development
skills and teaches personal skills reflection—laying the groundwork for successful academic, career, and life-planning. With
support from NFTE staff, All Stars team members will become trained in this curriculum and provide youth the opportunity to
express their creativity through designing and potentially selling a product while learning the principals of entrepreneurship and
creating a business plan.
Through experiential, project-based learning, all students:
1. Explore possibility
a. Learn the principles of entrepreneurship, including the entrepreneurial mindset
b. Learn what a career is
c. Discover personal strengths (e.g., effective communications)
2. Create
a. Brainstorm business ideas, identify which ideas are also business opportunities
b. Work as a group to create a business concept and pitch
3. Pitch at an event
a. Pitch as a group during a business expo
b. Have the opportunity to win prizes and recognition.
This course is structured around twelve major career readiness topics:
1. Your personal strengths
2. The roles you play
3. Why we work
4. Think like an entrepreneur
5. Skills for success
6. Communicating with others
7. Building relationships
8. Basic math skills
9. Technology in your career
10. Living a healthy, balanced life
11. Starting your own business
12. Planning your business.
Design/Entrepreneurship sessions: 09/2018 - 05/2019, Wednesdays, 4- 5:30 pm.
Direct service hours will be tracked for each participant each week to ensure they are meeting the minimum requirement of
150 hours during school year.
Related Field Trips: N/A
PROGRAM PARTICIPATION
Number of Participation Start Date Participant Participant Participant
Timeframe Cohort Participants and End Date Frequency Overall Days Overall Hours
School Not 110 8/20/2018 to 6/9/2019 Days per 181 362
Year Applicable Number of weeks: 39 week: 5
Weeks Without Service: Hours per
3 week: 10
Summer Not 20 6/16/2019 to 7/28/2019 Days per 18 90
Applicable Number of weeks: 6 week: 3
Weeks Without Service: Hours per
0 week 15
PARTICIPANT OUTCOMES
Participant Outcomes
75%youth increase school engagement and positive attitudes towards academic success
Associated with: School Year, Academic Support
Data Source/Measurement Tool:Educational Engagement Scale for Teenagers
Timing: Pre-test,Post-test
Meaningful Improvement: Score of 20 on post-test OR an increase of 1 point between pre/post
75%Youth make meaningful improvement in social-emotional learning skills
Associated with: School Year, Social-Emotional Learning (SEL)
Data Source/Measurement Tool:Positive Youth Development Inventory Retrospective
Positive Youth Development Inventory # items: 58 questions in surveyScoring: Each item is scored from 1 to 4: 1) Strongly
Disagree; 2) Disagree; 3)Agree; 4) Strongly Agree
Timing: Pre-test,Post-test
Meaningful Improvement: Score of 3.39 across all subscales OR and increase of .4 from pre to post assessment
75%Youth make meaningful improvement in social-emotional learning skills
Associated with: Summer, Social-Emotional Learning (SEL)
Data Source/Measurement Tool:Positive Youth Development Inventory (SM)
Positive Youth Development Inventory # items: 58 questions in surveyScoring: Each item is scored from 1 to 4: 1)Strongly
Disagree; 2) Disagree; 3)Agree; 4) Strongly Agree
Timing: Pre-test,Post-test
Meaningful Improvement: Score of 3.39 across all subscales OR and increase of .4 from pre to post assessment.
65%Youth will improve fitness performance
Associated with: School Year, Sports
Data Source/Measurement Tool:PACER Multi-Stage Shuttle Run SY
Timing: Pre-test,Post-test
Meaningful Improvement: Score of 55 on post-test OR an increase of 4 laps between pre/post
85%Youth will improve arts skills
Associated with: School Year, Art
Data Source/Measurement Tool:YouthARTS & Science Post Art Skills
Timing: Post-test
Meaningful Improvement: Score of 8 or higher
65%Youth demonstrates positive attitudes towards STEM
Associated with: Summer, STEM (Science, Technology, Engineering, and Mathematics)
Data Source/Measurement Tool:Student Attitude Toward STEM Scales (SM)
Timing: Post-test
Meaningful Improvement: Score of 100 or higher
65%Youth increase positive attitudes towards STEM
Associated with: School Year, STEM (Science, Technology, Engineering, and Mathematics)
Data Source/Measurement Tool:Student Attitude Toward STEM Scales (revised)
Timing: Pre-test,Post-test
Meaningful Improvement: Score of 100 on post-test OR an increase of 4 points between pre/post
65%Youth will increase civic engagement skills
Associated with: School Year, Civic Engagement
Data Source/Measurement Tool:Competence for Civic Action
Timing: Pre-test,Post-test
Meaningful Improvement: Score of 40 on post-test OR an increase of 9 points between pre/post
65%Youth demonstrate appropriate knowledge entrepreneurship skills
Associated with: School Year, Entrepreneurship
Data Source/Measurement Tooi:NFTE Summartive Post-Test
Timing: Pre-test,Post-test
Meaningful Improvement: Score of 65%or higher
PARTNERS & SERVICE LINKAGE
Partners & Service Linkage
Subcontracton AUGMENTED INTELLIGENCE ACADEMY INC.,
Associated Activity: I-STEM (Science, Technology, Engineering, and Mathematics)-0-
Description of Role& Expertise:Augmented Intelligence Academy (AIA) has more than 11 years' experience providing
hands-on innovative technological education and more than 4 years' experience providing STEM education in afterschool and
summer programs.
The STEM curriculum is tailored to provide students with the skills needed for future employability. Learning in the 21st century
must be oriented towards hands-on motivation, curiosity, creativity, computational thinking, artificial intelligence, machine
learning and IFTTT's together with social skills and entrepreneurship to better prepare youth for future success in school as well
as in their careers and personal lives.
For the past three years, AIA has successfully partnered with Miami Beach All Stars to provide year-round STEM programming
for economically-and educationally-disadvantaged students attending Nautilus Middle School (NMS). AIA utilizes coding,
programming, engineering and robotic curricula (LEGO MINDSTORM EV3, Raspberry Pi-Microcontroller, CAD Design, and IFTTT
technology) that enable participants to build skills in computational and critical thinking, problem solving, creativity and
teamwork through project-based learning that allows youth to have an experiential learning environment.
The director of AIA is certified in Business Education & Marketing and has extensive experience in STEM and technology
education. He is trained by the 131-1c< Institute for Edo.atior in Project-Based Learning; he is an Autodesk Inventor Certified User;
he and his staff have been trained and certified to teach various STEM curricula, such as Lego Mndstsr ms E.3. Teacher
Assistants (TAs) are also qualified Project-Based Learning facilitators.
Lastly, per The Children's Trust guidelines, AIA will ensure all program content is linked to school curriculum standards.
InKind: Miami-Dade County Public Schools,
Associated Activity:
Description of Role& Expertise: Miami-Dade County Public Schools (MDCPS)/ Nautilus Middle School has been a partner with
the City's All Stars Program far more than seven years. Nautilus Middle School, the largest middle school in Miami Beach, not
only provides a great deal of student referrals to our youth development program, but also provides meeting space
(classrooms, computer labs, auditorium, and soccer field) to host our afterschool programming,
All Stars staff members have strategy meetings with NMS administration and staff, including the principal, school social workers
and teachers to ensure the program is best meeting the needs of the student population. Program personnel also work with
school social workers to ensure that any youth or families needing additional services are referred to the City's partner
program, Success University.
NMS is also a pivotal partner in the program's marketing and outreach efforts, All Stars staff members regularly coordinate
with NMS staff to ensure program personnel have an opportunity to attend school events, such as PTSA meetings, parent-
teacher meetings, parent orientations, and other potential recruitment events.
M-DCPS will also provide snacks, through the After-school Meals program, during the following afterschool components:
Academic Support, SEL and STEM.
InKind: Miami Dade County Public Library System,
Associated Activity:
Description of Role& Expertise:The Miami-Dade Public Library System (MDPLS) - Miami Beach Regional Branch has been an
active partner of the City of Miami Beach Office of Housing and Community Services for several years now, and the Regional
Branch will be providing a meeting space for the All Stars six-week Summer Program free of cost. In addition, the Regional
Branch delivers quality services reflecting the informational, educational and recreational needs of our diverse Miami Beach
community. The library is a vital resource providing resident(adults and youth)access to computers, Internet, and materials
and resources promoting literacy and improving overall quality of life.
InKind: City of Miami Beach,
Associated Activity:
Description of Role & Expertise: Miami Beach MI Stars Program's key partner is the City of Miami Beach Parks & Recreation
Teen Club. Teen Club is a youth enrichment program serving teenagers who are either Miami Beach residents or are currently
enrolled in a Miami Beach School. The program fosters personal growth by encouraging teens to become mentally strong,
healthy and fit individuals. The program's primary objective is to promote healthy relationships that facilitate social skill
development. This is accomplished through educational and athletic program offerings that appeal to teenage youth.
Participants of the Miami Beach Teen Club have access to an array of services, such as: social skill classes: substance abuse
prevention; sports leagues; dance; homework help; as well as opportunities to socialize and attend workshops, trainings, and
community service events. Funding from All Stars leverages the amount and quality of services that Teen Club is able to
provide.
Since a requirement for All Stars enrollment is Teen Club membership, All Stars staff continually collaborates with Teen Club
staff to improve program participation, activities and outcomes. Primary recruitment efforts are in coordination with Teen Club
and include early recruitment during Teen Club's summer program, weekly recruitment during Teen Club's afterschool
programming during the school year, and marketing efforts through Teen Club's website and media initiatives.
The All Stars Program Coordinators meet weekly with the Recreation Supervisor of Teen Club to discuss contract and budget
performance, and program goals and outcomes of the arts, sport and civic engagement components of the program to ensure
the achievement of proposed outcomes. In turn, the Recreation Supervisor provides direct supervision of Recreation Leaders
working within the Teen Club components.
Subcontractor.The Sunshine Method,
Associated Activity: I-Academic Support-R-,I-Social-Emotional Learning (SEL)-R-
Description of Role& Expertise: Objectives:
The Sunshine Method: Sunshine Academy Workshop series is designed to empower and engage youth from various
backgrounds and abilities to be active and productive leaders in their community, while supporting their academic
development. The workshop series creates consistent programming that will:
o Support youth's academic needs from different backgrounds and abilities;
o Prepare youth for secondary school and beyond;
o Mentor and empower youth to be active citizens and leaders in their communities.
The Sunshine Academy is intended to be implemented ideally for a full calendar school year, once or twice per week, for 90
minute sessions. Sessions have the ability to be adapted to the youth's individual needs and will incorporate academic support,
mentorship, and life skills development to meet social, emotional, and behavioral needs,
Implementation:
While each session will delve into various relevant topics in order to provoke discussion and engagement, the three primary
objectives of 1) academic support, 2) preparing youth for secondary school and beyond, and 3) mentorship/ leadership will be a
theme throughout. The series is adapted to meet the needs of youth from various backgrounds and abilities, supporting youth
with special needs and limited English language abilities.
To ensure youth are comfortable with subject material, sessions with a team of highly trained tutors will be spread over
multiple sessions prior to moving on to the next topic. The sessions will provide consistent project based learning opportunities
to inspire trust and self-confidence in the youth, and empower our future leaders to take charge of their own lives as
successful, active community members,
InKind: FLIPANY,
Associated Activity: I-Social-Emotional Learning (5EL)-R-,I-STEM (Science, Technology, Engineering, and Mathematics) -0-
Description of Role& Expertise: In partnership with the Miami Beach All Stars Program, FLIPANY (Florida Introduces Physical
Activity and Nutrition to Youth) is committed to serving healthy meals and snacks during summer programming at no cost (per
The Children's Trust's guidelines) to the participants of the All Stars Program. FLIPANY is known to provide customized health
and wellness programming to more than 400 partner sites in Palm Beach, Broward, and Miami-Dade Counties. FLIPANY's unique
programs fight childhood obesity and hunger in the community by focusing on healthy food preparation, food security, physical
education and work-site wellness. FLIPANY is federally funded by the United States Department of Agriculture (USDA), and all
meals are balanced in accordance with USDA recommendations.
Healthy eating is especially important during adolescence, as youth experience rapid developmental changes. Healthy eating
has been consistently linked with;Inprcved cog-i;ve function and academic performance. According to a survey conducted
among low-income families, schools were the most trusted source of information on and primary providers of nutritious meals.
Through its partnership with FLIPANY, All Stars has the opportunity to ensure to that all youth have access to healthy food.
All Stars supervisory and direct service staff members have received professional trainings from FLIPANY on nutrition
education, and workshops, games and activities have been incorporated into certain SEL sessions to introduce participants to
healthy foods and nutrition concepts. In addition, these sessions help garner excitement and investment from participants in
the nutritious snacks.
FLIPANY has committed to conducting focus groups with All Stars youth to ensure their snacks and meals menu is not only
nutritionally adequate but also culturally appropriate. This also aligns with the program's client-focused approach and gives
participants ownership of their program experience.
Subcontractor: Network for Teaching,
Associated Activity: I-Entrepreneurship -0-
Description of Role& Expertise:With economists predicting the jobs of tomorrow don't even exist today, youth must be
equipped with an innovator's eye and a founder's grit-the skills to excel in an innovation economy.
Both anecdotal and academic research support the premise that entrepreneurs approach challenges and tasks in a unique way
—with an entrepreneurial mindset. Research also suggests that an entrepreneurial mindset is not a fixed trait, but rather a set
of skills and behaviors that can be taught, practiced, and cultivated, and that having an entrepreneurial mindset lays a
foundation for success throughout life.
NFTE has been developing a scale to measure the entrepreneurial mindset in students. Their Entrepreneurial Mindset Index
(EMI) measures eight core domains that they have identified as critical to becoming entrepreneurial, based on their research
and external studies.
NFTE is working with Educational Testing Service (ETS)to develop the EMI and has signature support from EY This index will be
available as a tool within NFTE programs and beyond. As NFTE builds out its digital capacity, the EMI will be integrated with
curriculum resources, providing real-time information about a user's entrepreneurial mindset successes and progress.
NFTE envisions a future where educational institutions and businesses alike can use the EMI to help students and employees
build entrepreneurial skills and behaviors that drive success.
The NFTE evidence-based curricula is aligned to the Common Career Technical Core Standards for Business Management and
Admin stradon and the National Content Standards for Entrepreneurship Education.
With support from NFTE staff and resources, All Stars team members will become trained NFTE instructors and will provide
students an opportunity to create original business models, either individually or with a partner, and the opportunity to pitch in
a series of competitive events for the chance to earn investment, recognition and prizes.
STAFFING TABLE
Position
Position Details Minimum Qualifications and Responsibilities
Senior Program Timeframe: Qualifications: Master's degree in Social Work or related field; One year experience in
Coordinator School the supervision of others and in program and grant management; Minimum of 5 years
Year,Summer experience working in human services, youth programs, or related field; (Experience can
Position ID: 39515 Number of substitute for education)
Category: Program Staff: 1 on a year-for-year basis).
Management In Ratio: NO
Classification: Supervision: Responsibilities: Oversees program operations, goals and outcomes; Provides overall
Full-Time YES direction for the program's day to day operations and supervision, direction and guidance
for staff; Assures implementation of evidence based curriculum or program protocols with
fidelity; Serves as a liaison to partner and contracted agencies.
Related Subcontractor Budget:
Program Timeframe: Qualifications: Bachelor's degree in Social Work or related field; Past experience in the
Coordinator School supervision of others and program and grant management; Extensive experience working
Year,Summer in human services, youth program, or related field; (Experience can substitute for
Position ID: 39518 Number of education)
Category: Program Staff: 1 on a year-for-year basis)
Management In Ratio: NO
Classification: Supervision: Responsibilities:Assists in overseeing program operations, goals and outcomes; the
Full-Time YES supervision of staff: and implementation of evidence based curriculum or program
protocols; and other administrative tasks.
Related Subcontractor Budget:
Case Worker Timeframe: Qualifications:A high school diploma or General Equivalency Diploma (GED);
School Minimum of 5 years experience working in human services, youth program, or related
Position ID: 31193 Year,Summer field; Minimum of 10 years working with clerical duties and data entry. Experience can
Category: Support Number of substitute for education on a year-for-year basis.
Staff Staff: 1
Classification: In Ratio: YES Responsibilities:Assists in service delivery and coordination, data collection, surveys,
Full-Time Supervision: pre-and post-measures; scoring of measurement tools; Conducts recruitment, enrollment,
NO and intake documentation with youth and their family; Provides logistical support during
programming and assists with other administrative needs.
Related Subcontractor Budget:
Case Worker Timeframe: Qualifications: Minimum of an Associate's degree; Minimum 2 years experience working
Assistant School with middle school youth in an afterschool enrichment program; minimum of 2 years'
Year,Summer experience with clerical and data entry.
Position ID: 31194 Number of Experience can substitute for education on a year-for-year basis.
Category: Support Staff: 1
Staff In Ratio:YES Responsibilities: Co-facilitates All Stars curriculum; Responsible for administering,
Classification: Supervision: gathering, scoring, monitoring, tracking, and entering participant measuring tools to
Part-time/Seasonal NO ensure monthly deadlines and compliance; reports demographic information to the
Children's Trust; Provides logistical support during programming and assists with other
administrative needs.
Related Subcontractor Budget:
All Stars One-to- Timeframe: Qualifications: Minimum of Associate's Degree with a focus on working with children with
One Facilitator School disabilities; Minimum of 1 year experience working with children with disabilities; Inclusion
Year,Summer Training; Minimum of 2 years experience working with at-risk youth.
Position ID: 37291 Number of
Category: Staff: 1 Responsibilities: Facilitates All Stars life skills curriculum sessions, completes
Instructor/Facilitator In Ratio: YES assessments and provides additional support for academic and enrichment activities
Classification: Supervision: within the program; Provides youth with support and individual activities if youth may
Part-time/Seasonal NO have a more difficult time acclimating to a program activity.
Related Subcontractor Budget:
Department Timeframe: Qualifications: Bachelor Degree or equivalent experience in program management.
Director School
Year,Summer Responsibilities: Oversees the administration and management of orgranization
Position ID: 37820 Number of including all program activities and staff.
Category: Staff: 1
CEO/Executive In Ratio: NO Related Subcontractor Budget:
Director Supervision:
Classification: YES
Full-Time
Assistant Timeframe: Qualifications: Bachelor Degree or equivalent experience in program management.
Director School
Year,Summer Responsibilities: Oversees the administration and management of orgranization
Position ID: 37821 Number of including all program activities and staff.
Category: Staff: 1
CEO/Executive In Ratio: NO Related Subcontractor Budget:
Director Supervision:
Classification: YES
Full-Time
Case Worker II - Timeframe: Qualifications:Two years' experience with City of Miami Beach payroll and Children's
Payroll School Trust grants.
Coordinator Year,Summer
Number of Responsibilities: Prepares and processes payroll, purchases materials, and maintains
Position ID: 30428 Staff: 1 budget reports.
Category: Other In Ratio: NO
Classification: Supervision: Related Subcontractor Budget:
Full-Time NO
Recreation Timeframe: Qualifications: Associate's Degree in Exceptional Education or related fields; experience
Supervisor 1 School Year coordinating and facilitating after school recreational activities; experience coordinating
Number of activities for youth with disabilities.
Position ID: 31253 Staff: 1
Category: Support In Ratio: YES Responsibilities: Provides supervision for Recreation Leaders during the Sport and Art
Staff Supervision: Programming; Coordinates and facilitates Sport and Art Programming; Data Collection and
Classification: YES reports delivery to Program Coordinator to ensure timely delivery of reports to the
Full-Time funder; Assists In the Civic Engagement Projects.
Related Subcontractor Budget:
Recreation Leader Timeframe: Qualifications: Minimum of a high school degree or General Equivalency Diploma(GED);
2 School Year at least 3 years experience in working with youth in an after school setting providing skill
Number of building activities; experience in serving children with disabilities.
Position ID: 38862 Staff: 1
Category: Support In Ratio: YES Responsibilities:Assists Recreation Supervisor with monitoring daily Sports and Arts
Staff Supervision: activities; assists in gathering data required by the funder.
Classification: YES
Full-Time Related Subcontractor Budget:
Recreation Leader Timeframe: Qualifications: A high school diploma or General Equivalency Diploma (GED); Some
1 (Coach) School Year experience working in social services, youth programming, or related field. Minimum of 2
Number of years' experience leading recreational and educational activities such as Sports activities.
Position ID: 31273 Staff: 1
Category: Support In Ratio:YES Responsibilities: Facilitation of the Sports activities on a weekly basis to youth in the
Staff Supervision: program; gathers accurate data required by the funder in a timely manner.
Classification: YES
Part-time/Seasonal Related Subcontractor Budget:
Recreation Leader Timeframe: Qualifications: A high school diploma or General Equivalency Diploma (GED); Some
1 School Year experience working in social services, youth programming, or related field. Minimum of 2
Number of years' experience leading recreational and educational activities such as Arts activities.
Position ID: 31257 Staff: 1
Category: Support In Ratio: YES Responsibilities: Facilitation of the Arts activities on a weekly basis to youth in the
Staff Supervision: program; gathers accurate data required by the funder in a timely manner.
Classification: YES
Part-time/Seasonal Related Subcontractor Budget:
Recreation Leader Timeframe: Qualifications:A high school diploma or General Equivalency Diploma (GED); Some
1 School Year experience working in social services, youth program, or related field. Minimum of 2
Number of years' experience leading recreational and educational activities such as Arts activities.
Position ID: 31272 Staff: 1
Category: Support In Ratio:YES Responsibilities: Facilitation of the Arts activities on a weekly basis to youth in the
Staff Supervision: program; gathers accurate data required by the funder in a timely manner.
Classification: YES
Part-time/Seasonal Related Subcontractor Budget:
Recreation Leader Timeframe: Qualifications: A high school diploma or General Equivalency Diploma (GED); Some
1 School Year experience working in social services, youth programming, or related field. Minimum of 2
Number of years' experience leading recreational and educational activities such as Sports activities.
Position ID: 31255 Staff: 1
Category: Support In Ratio:YES Responsibilities: Facilitation of the Sports activities on a weekly basis to youth in the
Staff Supervision: program; gathers accurate data required by the funder in a timely manner.
Classification: YES
Part-time/Seasonal Related Subcontractor Budget:
Tutor Timeframe: Qualifications:Two years of tutoring experience and a level 2 background check.
School Year
Position ID: Number of Responsibilities: Creates and executes an individualized plan of action for each student.
Category: Other Staff: 3 Prepares materials and/or lesson plans prior to each lesson in order to optimize time
Classification: In Ratio: YES spent with the student. Monitors student performance or assist students in academic
Professional Supervision: environments, such as classrooms, laboratories, or computing centers. Reviews class
Services NO material with students by discussing text, working solutions to problems, or reviewing
worksheets or other assignments. Provides additional services, such as: mentorship,
secondary school preparation and life skills training.
Related Subcontractor Budget:The Sunshine Method
CEO Timeframe: Qualifications: Bachelor Degree or equivalent experience in program management.
School Year
Position ID: Number of Responsibilities: Oversees the administration and management of orgranization
Category: Staff: 1 including all program activities and staff.
CEO/Executive In Ratio: NO
Director Supervision: Related Subcontractor Budget:The Sunshine Method
Classification: YES
Professional
Services
COO Timeframe: Qualifications: Bachelor Degree or equivalent experience in program management.
School Year
Position ID: Number of Responsibilities: Oversees the administration and management of orgranization
Category: Staff: 1 including all program activities and staff.
CEO/Executive In Ratio: NO
Director Supervision: Related Subcontractor Budget:The Sunshine Method
Classification: YES
Professional
Services
Teachers Timeframe: Qualifications:A high school diploma or General Equivalency Diploma (GED). Three
Assistant School years of work experience with children in the specialized area may substitute for the high
Year,Summer school diploma or General Equivalency Diploma (GED).
Position ID: Number of
Category: Staff: 4 Responsibilities: Delivers specialized enrichment activities in a particular subject matter
Instructor/Facilitator In Ratio:YES area, but is not a certified teacher.
Classification: Supervision:
Professional NO Related Subcontractor Budget:AUGMENTED INTELLIGENCE ACADEMY INC.
Services
Director Timeframe: Qualifications: Bachelor Degree or equivalent experience in program management.
School
Position ID: Year,Summer Responsibilities: Oversees the administration and management of orgranization
Category: Number of including all program activities and staff.
CEO/Executive Staff: 1
Director In Ratio:YES Related Subcontractor Budget:AUGMENTED INTELLIGENCE ACADEMY INC.
Classification: Supervision:
Professional YES
Services
All Stars One-to- Timeframe: Qualifications: Minimum of Associate's Degree with a focus on working with children with
One Facilitator 2 School disabilities; Minimum of 1 year experience working with children with disabilities; Inclusion
Year,Summer Training; Minimum of 2 years experience working with at-risk youth.
Position ID: 37292 Number of
Category: Staff: 1 Responsibilities: Facilitates All Stars life skills curriculum sessions, completes
Instructor/Facilitator In Ratio: YES assessments and provides additional support for academic and enrichment activities
Classification: Supervision: within the program; Provides youth with support and individual activities if youth may
Part-time/Seasonal NO have a more difficult time acclimating to a program activity.
Related Subcontractor Budget:
Manager of Timeframe: Qualifications: Bachelor Degree or equivalent experience in program management.
Programs School Year
Number of Responsibilities: Provides direction for the program's day to day operations,
Position ID: Staff: 1 supervision, direction and guidance for staff, assures implementation of evidence based
Category: Program In Ratio: YES curriculum or program protocols with fidelity.
Management Supervision:
Classification: YES Related Subcontractor Budget: Network for Teaching
Professional
Services
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: ac-countxr ay bleLr`:her n Iu'e^strust.org and to the Provider and/or Seller's Trust staff
member assigned to this contract. The invoice must include The Trust's issued Purchase Order (PO) number. Submissions
to accountpaiabfethecn:Id-enstrust,org must contain only the invoice and no additional correspondence. Attachments
and other documentation included with the invoice that is submitted to iiccourtspayableCrithechildreristr uskorg 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)(6), 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 aystem Review
Report with a passing score to The Children's Trust;
(b) 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 Standards;.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-YEN X%16.1090 City of Miami Beach
Fiscal Year 18-1918/01/18-7/31/19)
Contract ft: 1916-1090
CSC Program Allocation: $371,089
Budget Status:Approved
Salary Accounts
Original Original Amended
Program CSC CSC
Account ft Title Budget Budget Budget
511 Regular Salaries and Wages 313,300.00 224,513.00 224,513.00
521 FICA/MICA 4,545.00 3,258.00 3,258.00
522 Retirement Contributions 53,736.00 8,785.00 5,785.00
523 Life and Health Insurance 16,021.00 7,850.00 7,850.00
524 Workers Compensation 940.00 674.00 674.00
525 Unemployment Compensation 0.00 0.00 0.00
Salary Totals: 388,542.00 245,080.00 245,080.00
Expense Accounts
Original Original Amended
Program CSC CSC
Account# Title Budget Budget Budget
531 Travel(other than participants) 1,373.00 1,373 00 1,373.00
532 Travel(participants) 13,968.00 5.280.00 5,280 00
533 Meals(participants) 5,477.00 0.00 0.00
534 Space 37,080.00 0.00 0.00
535 Utilities 27,183.00 0.00 0.00
536 Supplies(office) 2,783.00 2,783.00 2,783.00
537 Supplies(program) 17,360.00 17,360.00 17,360.00
540 Non-Capital Equipment 1,891.00 1,891 00 1,891.00
550 Capital Equipment 0.00 0.00 0.00
591 Indirect Cost 9,269.00 9,269.00 9.269.00
611 Subcontractor 68,789.00 66,480.00 66,480.00
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) 285.00 285.00 285.00
821 Other(background screening) 750.00 0.00 0.00
831 Other(admission to field trips) 5,530.00 5,530.00 5,530.00
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) 8720.00 8,720.00 8,720.00
853 Other(Required Staff Training) 2,755.00 2,755.00 2,755.00
854 Other(Discretionary Funds) 2783.00 2,783.00 2,783.00
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: 207,496.00 126,009.00 126,009.00
Salary and Expense Totals: 596,038.00 371,089.00 371,089.00
Program Funders
Summary Funders
Funder Type Funder Total Comment
In-Kind Contributions In-Kind Contributions(Summary) 224,949.00 In-kind summary:
Augmented Intelligence Academy is
providing a discounted rate during
the school year of 10%,$23,085
(total school year STEM
subcontract costs)x 10%=
-$2,309.
Miami-Dade County Public Schools
is providing space for our
afterschool program in-kind:
Three 360 Sq. Ft.classrooms or
spaces at Nautilus Middle School
@$909/average rent per
space/month for 10 months=
$27,270.
Afterschool snacks: $3,603.60
FLIPANY for Summer Meals:
$1,873.20
Miami Beach Regional Library is
providing space for our summer
program in-kind: $545 average daily
fees far room rental and other
applicable fees x 18 days=$9,810.
City of Miami Beach is providing the
following in-kind- $88787 in salaries
+$54675 in benefits+$8,688 in
transportation+$27,183 in utilities
+$750 in background screening
costs=$180,083
Total in-kind: $2,309+$27,270+
$9,810+$180,083+3,604+$1873
=$224,949
Summary Funder Totals: 224,949.00
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AUGMENTED INTELLIGENCE ACADEMY INC.
Program Program Funding
Annual # of Allocation Allocation Request Funding Matching
Positions Salary Positions % $ % Request$ Funds Justification
Total: $0.00 0 FTE: 0.00 $0.00 FTE: $0.00 $0.00
0.00
Program Funding
Staff Allocation Request Matching
Expenses $ % Funds Justification
FICA/MICA $0.00 $0.00 $0.00
Total: $0.00 $0.00 $0.00
Program Funding
Operating Allocation Request Matching
Expenses $ % Funds Justification
Professional $52,754.00 $50,445.00 $2,309.00 Augmented
Services Intelligence
(other) Academy, Inc.
(AIA, Inc.)
subcontracted to
provide STEM
activities: School
year program
allocation:
$423.23/session
x 60 sessions (30
sessions for 2
cohorts) _
$25,393.50
School year CSC
allocation:
$384.75 (10%
rate
discount)/session
x 60 sessions (30
sessions for 2
cohorts) _
$23,085 Summer
Program & CSC
allocation:
$1,520/session x
18 summer
sessions =
$27,360 Total
Program
allocation:
$25,393.50 +
$27,360 =
—$52,754 Total
CSC allocation:
$23,085 +
$27,360 =
$50,445 Source
of match:
Augmented
Intelligence
Academy, Inc.
Total: $52,754.00 $50,445.00 $2,309.00
Subcontractor $52,754.00 $50,445.00 $2,309.00
Total:
Network for Teaching
Program Program Funding
Annual # of Allocation Allocation Request Funding Matching
Positions Salary Positions % $ % Request$ Funds Justification
Total: $0.00 0 FTE: 0.00 $0.00 FTE: $0.00 $0.00
0.00
Program Funding
Staff Allocation Request Matching
Expenses $ % Funds Justification
FICA/MICA $0.00 40.00 $0.00
Total: $0.00 $0.00 $0.00
Program Funding
Operating Allocation Request Matching
Expenses $ % Funds Justification
Professional $6,225.00 $6,225.00 40.00 NFTE (Network for
Services Teaching
(other) Entrepreneurship)
contracted to
provide
entrepreneurship
curriculum
support and
supplies during
the school year:
Annual
curriculum &
support = $2,000
Teacher training
@ $1,000/teacher
x 2 teachers =
$2,000 NFTE
post-tests @
$2,000 for
licensing fee +
($15/test/student
x 15 students) _
$2,225 Program
& CSC allocation:
$2,000 + $2,000
+ $2,225 =
$6,225. Source of
match: N/A
Total: $6,225.00 $6,225.00 $0.00
Subcontractor $6,225.00 $6,225.00 $0.00
Total:
The Sunshine Method
Program Program Funding
Annual #of Allocation Allocation Request Funding Matching
Positions Salary Positions % $ % Request$ Funds Justification
Total: $0.00 0 FTE: 0.00 $0.00 FTE: $0.00 $0.00
0.00
Program Funding
Staff Allocation Request Matching
Expenses $ % Funds Justification
FICA/MICA $0.00 $0.00 $0.00
Total: $0.00 $0.00 $0.00
Program Funding
Operating Allocation Request Matching
Expenses $ % Funds Justification
Professional $9,810.00 $9,810.00 $0.00 Sunshine Method
Services subcontracted to
(other) provide academic
development
workshops:
September 11,
2018 - March 8.
2019: $125/hour
(for 3 tutors) x
1.5 hours/week x
2 days/week x 24
weeks of
programming =
$9,000. March 11
-June 3, 2019:
$45/hour (for 1
tutor) x 1.5
hours/week x 1
day/week x 12
weeks of
programming =
$810. Program &
CSC allocation:
$9,000 + $810 =
$9,810 Source of
match: N/A
Total: $9,810.00 $9,810.00 $0.00
Subcontractor $9,810.00 $9,810.00 $0.00
Total:
Grand Total: $68,789.00 $66,480.00 $2,309.00
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.
Program 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 0:
Records, Reports, Audits and Monitoring 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):
1. Independent Auditor's Report on the Schedule of Expenditures of The Children's Trust Contracts
2. Schedule of Expenditures of The Children's Trust Contracts
3. Notes to Schedule
4. Independent Auditor's Report on Compliance for each of The Children's Trust Contracts and Report on Internal
Control over Compliance
5. Schedule of Findings and Questioned Costs
At a minimum, the auditor must include the following tests in its 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 Program-Specific Audit Example
Requirement Implication
a) Internal Controls 1) An auditor's risk assessment A) Controls tested during the financial
must include an expectation of statement audit may not consider
the operating effectiveness of compliance as it relates to The
controls over compliance, and in Children's Trust's Contract. Overall
doing so, the assessed control control risk must consider each
risk must be assessed at low compliance requirement tested during
during the planning stage. If the the Program-Specific Audit. Separate
auditor determines a lack of risk assessment procedures and
controls and identifies risk of materiality should be performed and
material noncompliance that generated for a Program-Specific
demonstrates internal controls Audit.
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
b) Budget vs. Actual 1)The approved budget is to A)Test work should include a schedule
Expenditures include the original approved identifying each Contract and its
Contract as well as any original/ amended budget, monthly
approved budget billings, Contract utilization and any
amendments/revisions. analytical expectations that may
identify any overbillings.
i. The current Children's Trust
electronic system 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) 1) Requires that the nature of A) If Provider asks to be reimbursed
Allowable/Unallowable services and type of costs paid for six (6)field trips to teach children
Activities and Costs are in agreement with the social skills, only field trips
contractual budget and/or enumerated in either the contractual
Common unallowable budget amendment/revision's budget narrative or the contractual
costs: Scope of Services and budget Scope of Service will be reimbursed.
guidelines.
1. Salary rates, payroll AND/OR B) If the contractual budget, lists a
methods and hours Requires that activities program coordinator position at
billed that do not match performed or costs paid with The $25.00/hour, the provider must pay
original or amended Children's Trust funds are listed the program coordinator and charge
budgets, in the contractual budget The Children's Trust $25.00/hour. The
narrative or a contractual budget provider cannot substitute funding
2. Fringe benefits billed amendment/revision narrative. identified for the program coordinator
to The Children's Trust to any other position.
for employees not 2) Any cost or service billed that
included in Contract is not approved in the Contract's C) If the contractual budget, lists a
budget and are budget is a finding and reported program coordinator's position, with
unrelated to the as a questioned cost on the dedicated time charged to The
program. Program-Specific Audit Report. Children's Trust program of 25%, the
provider must keep records of an
3. Professional services 3) If any cost or service is billed employee's time to substantiate that
billed within regular in more than one Contract, and 25%of time was in fact earned and
salaries and wages. the billings are in excess of the charged to The Children's Trust
total disbursement or approved program.
4. Capital purchases allocation, the expense has been
disguised as repairs. overbilled or double billed D) If three Contracts list a program
and should be considered a coordinator's total budgeted salary as
5. Sales taxes and tips. finding. $100,000.00 and each Contract will
reimburse $35,000.00 (35%), then a
6. Fuel. 4)The Children's Trust funds possible overbilling of$5,000 may
must supplement a program; have occurred
7. Food and beverage supplanting of funds is ($35,000.00*3=$105,000.00 or
costs for parties, unallowable. A provider may 35%*3=105% Children's Trust salary
celebrations, end-of- not use Contract funds to defray allocation).
program events, and any costs that the recipient
conferences or already is obligated to pay. (See E) If an invoice is submitted to The
conventions, unless example F.) Children's Trust that includes food
while attending an out- charges for end-of-year parties and
of-town conference or celebrations, those costs are NOT
convention, allowable per The Children's Trust
budget guidelines and cannot be paid
8. Monetary gift cards by The Children's Trust.
as incentives.
F) If a provider, prior to applying to
A detailed listing of all participate in the contracted program,
costs and activities committed to purchase 10 new
considered allowed and computers for another program, the
unallowed can be provider must purchase those 10
viewed in the Budget computers in addition to any other
Guidelines form on The computers requested for The
Children's Trust Children's Trust program.
website.
d) Cash Management 1)With the exception of the last A) If payroll is paid on 3/31. it should
month of the Contract period, be disclosed in March's
monthly invoices must represent reimbursement.
costs actually paid during the
Contract period (cash basis), B) If payroll is paid on 4/1, but
rather than costs incurred or represents time charged in March, it
accrued. should be disclosed in April's
reimbursement.
el Period of Availability 1) Requires provider to charge A) If the active Contract period extends
The Children's Trust grant with from 8/1 through 7/31, and provider
only allowable costs resulting expends $250.00 for office supplies on
from obligations incurred during 9/30 during said Contract period, that
the funding period. 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
iii. Insurances
f) Special Provisions 1) Eligibility requirements related Each of the following special provisions
to Contract expectations such as must be tested:
type of participants served,
number of participants served A) Insurance requirements (further
and background checks should described in Section K: Insurance
NOT be tested as part of The Requirements of this Contract)
Children's Trust Program-Specific
Audit. The Program-Specific i. Auditor should determine if all
Audit is meant to test the fiscal applicable insurance policies
viability of the provider, were carried during the fiscal
Therefore, certain-Contract year.
provisions that support the fiscal
viability of the provider should
be tested. 8) Proof of tax status (further
described in Section L: Proof of Tax
Status of this Contract)
ii. Auditor should vouch that
applicable documents
verifying that all incurred
payroll and unemployment
taxes have been paid.
C) Data security obligation (further
described in Section 0: 12 of this
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 and
understand any provider
monitoring procedures.
E) Matching Funds
i. In some cases, a required
match is contracted. This will
be indicated in Section C:
Total Funding of this
Contract. Verify the applied
method the provider uses to
satisfy match requirements.
Also, verify that provider
maintains documentation to
back up match requirements.
The independent auditor's report shall state that the audit was conducted in accordance with: (1) auditing standards
generally accepted in the United States of America; (2) the standards applicable to financial audits contained in
Government Auditing Standards, issued by the Comptroller General of the United States; and (3) 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/CEO/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:
0°
II ATTACHMENT E-2
CHILD CARE
1/4"11""""" )" 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 anotherjurisdiction
Section 777.04 attempts,solicitation,and conspiracy
Section 782.04 murder
Section 782.07 manslaughter,aggravated manslaughter of on 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 784.03 battery,if 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 787.04121 taking,enticing,or removing a child beyond the state limits with criminal intent pending custody
proceeding
Section 787.04131 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 790115121 Ib) 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 79405 unlawful sexual activity with certain minors
Chapter 796 prostitution
Section 798.02 lewd and lascivious behavior
Chapter 800 lewdness and indecent exposure
Section 80601 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 817563 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 5..venire inma'es in correctional institution
Chapter 847 obscene literature
Section 874.05(I) encouraging or recruiting another to join a criminal gong
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
• . Child Abuse & Neglect Reporting Requirements
All child care personnel are mandated by law to report their Susoirinn< of child abuse, neglect, or
abandonment to the Florida Abuse Hotline in accordance with s. 39.201 of the Florida Statutes(F.5.).
* 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 (Le.withdrawal, excessive crying, physical symptoms...)
* Reports must be made immediately to the Florida Abuse Hotline Information System by
-Telephone at I-800-96-ABUSE (1-800-962-2873), or
- Fax at 1-800-914-0004, or
-Online at htto,//wvsv.dcLscte.fl.us/couse/reoor/.
* 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. Rtmemhe4, 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(I)(a), F.S.
* For more information about child abuse and neglect, visit the Department's website at
onaw.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. 402305(2) and 402.313(1). F.S. The course is offered both online and instructor-based
throughout Florida.
This statement is to verity that on , 20 , I,
Date Print Name of Employee
Read and understood the information and my mandated reporting requirements.
Signature of Employee For Focht,'Or large fame/doe care home, Signature of Operator
ATTACHMENT E-4
MV I rwmrr its(nm
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,F.S.,the Departments license/registration application requires personnel to give their Social Security
number for the purposes of background screening.Social security numbers are used by the Department for identity 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
(clue on or before employment,following a 90
break,or when changing employers)
5 Year Re-screen
Date Livescanned Date completed
FINGERPRINT
FINGERPRINT
FINGERPRINT
OTHER REQUIREMENTS
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:
F. 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.