Loading...
Grant Agreement with the University of Miami o ( 7-30023 MIAMI BEACH CITY OF MIAMI BEACH FISCAL YEAR 2017-2019 GRANT AGREEMENT PROJECT No.: 2018-CMB-05 This GRANT AGREEMENT made and entered into this 13 day of Va17 , 20 11c by and between the City of Miami Beach Florida (hereinafter the 'City"), and the University of Miami(hereinafter the"Grantee"). ARTICLE I/GRANT DESCRIPTION GRANTEE: University of Miami GRANT CONTACT: Jill Frazier Tincher ADDRESS: 1320 S. Dixie Highway, Gables One Tower, Suite 650 CITY, STATE, ZIP: Coral Gables, FL 33146-2926 PHONE, FAX, E-MAIL: 305-284-3952, 305-284-4353, mra@med.miami.edu, L Ferrera@med.miami.edu GRANT AMOUNT: $250,000 PROJECT DESCRIPTION: See Exhibit 1 hereto GRANT PROJECT BUDGET: See Exhibit 2 hereto GRANT TERM: October 1, 2017—September 30, 2019 EXPENDITURE DEADLINE: September 30, 2019 PROJECT COMPLETION DATE: September 30, 2019 FINAL REPORT DEADLINE: October 15, 2019 FINAL REIMBURSEMENT REQUEST DEADLINE: October 15, 2019 THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK. 1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement this 13 day of rJa�+l , 2018. n I. BF' • ,. - NP:.. ....... ..�6'k Dan Gelber, Mayor l i y3 *iiNCOR D * ' Attest: .....25/ Jaz 13 E ' CH2E, Rafael ranado, City Clerk Grantee's Cor•orate Seal Here The foregoing instrument was acknowledged GRANTEE: _ n. GRANTEE: before me this_ day of A""\ 201`4 Federal ID SA5C7O/ ^ r,I415.1e X by Lt.. r rt'1 N� e kr pp( � of q,r-eas, -ri Df,-thAn-s(,ot-for- "%, na profit corporation. He/She is personally known Pr nter Name of Organization's Authorized to me or has produced R-• -sentative Jill Tincher as identification. Executive Director, Research Administration Signature / / STATEEOF FLORIDA, COUNTY OF MIAMI- X��w `�nj�,"'1�//J DADE Signature of Notary Public I it,'i ELISA RANGEL y': r (City Attorney Approval Here) - ,.. 00111MSSIOII II FF ta9<7 Notary Name: � €" � _ �,. ....� .• Notary Public, -t^.='-.1 loudeK++mrs.wa-errosi ne APPROVED AS TO FORM&LANGUAGE &FOR rECUTION p �� G(Z� ( p My Commission Expires: nn•Attorney ` \�/ Dote O 2 • ARTICLE III GENERAL CONDITIONS 1. PARTIES: The parties to this Agreement are the Grantee listed in Article I, and the City, a municipal corporation organized under the laws of the State of Florida. The City has delegated the responsibility of administering this Grant to the City Manager or the City Manager's authorized designee(the "Contract Administrator"). 2. PROJECT DESCRIPTION: The Grantee may only use the Grant for the purposes that are specifically described in the Project Description, attached hereto as Exhibit 1. All of the grantee's expenditures will be subject to the terms of this Agreement, and as specified in the Grant Project Budget, attached hereto as Exhibit 2. Line item changes to said Budget shall not exceed ten percent (10%) per category, and shall, in no event, exceed the total amount of Grant funds. Notwithstanding the preceding sentence, amendments to the Grant Project Budget in Exhibit 2 shall not be permitted without the prior written consent of the City Manager or the City Manager's designee. Said requests shall be made in writing, detailing and justifying the need for such changes. 3. REPORTS: This Grant has been awarded with the understanding that the activities and services contemplated under the Project Description will mutually contribute to the enhancement of services available to City residents, businesses, and visitors. As a condition of disbursements of grant funds, and to demonstrate that the Grant is fulfilling, or has fulfilled, its purpose, the Grantee must submit quarterly reports to the Contract Administrator by fifteen (15) days after the end of each quarter (January 15, 2018, April 15, 2018, July 15, 2018, October 15, 2018, January 15, 2019, April 15, 2019, July 15, 2019, and the final report by October 15, 2019). New Grant awards will not be released to the Grantee until all Final Reports for previously awarded grants are received. The City may withhold any future payments of the Grant, or the award of any subsequent Grant, if it has not received all reports required to be submitted by Grantee, or if such reports do not meet the City's reporting requirements. Any reports may be disseminated by the City without the prior written consent of the Grantee. All quarterly reports must be submitted on the Exhibit 3, Grant Quarterly Status Report Form, detailing Grantee's compliance at the time of a partial reimbursement request. 4. REIMBURSEMENT REQUESTS: Reimbursement requests may be submitted to the City at any time during the Grant Term. All reimbursement requests must be made after expenditures have occurred. All reimbursement requests for funds must be submitted on Exhibit 4, Grant Reimbursement Request Form. All reimbursement requests must be submitted prior to October 15, 2019. Grantee shall provide the City with copies of all receipts, invoices, cancelled checks (with copies of both front of back) and proof of expenditures of Grant monies. Grantee shall provide the City with and shall categorize all receipts, invoices, cancelled checks, and other documentation, according to the categories set forth in the grant budget. Invoices and checks must be directly related to expenses for grant-funded activities taking place between October 1, 2017 and September 30, 2019. 3 5. AMOUNT OF GRANT AND PAYMENT SCHEDULE:The total amount of the Grant is set forth in Article I, subject to the restrictions set forth herein. In awarding this Grant. the City assumes no obligation to provide financial support of any type whatsoever in excess of the total Grant amount. Cost overruns are the sole principal responsibility of the Grantee. The Grant funds will only be remitted to the Grantee once the Mayor and City Commission have approved the grant award, and once all parties have executed this Agreement. Payment will be made to Grantee as follows: University of Miami, Attn: Office of Research Administration, P.O. Box 405803, Atlanta, GA 30384- 5803 6. GRANT RESTRICTIONS: Grant funds awarded pursuant to this Agreement may not be used for the following expenditures: remuneration of City employees for services rendered as part of a project funded by this Grant; debt reduction; social and/or fundraising events; cash prizes; lobbying or propaganda materials; charitable contributions; or events not open to the public. 7. NO GUARANTEE OF FUNDING: The grantee acknowledges that the receipt of this grant does not imply a commitment on behalf of the City to continue or provide funding beyond the terms specified in this Agreement. 8. PROGRAM MONITORING AND EVALUATION: The City Manager or the City Managers designee may monitor and conduct an evaluation of the Project under this Grant, which may include visits by City representatives to Grantee's offices and/or the site of any project funded by this Grant,to observe Grantee's programs, procedures, and operations, or to discuss the Grantee's programs with Grantee's personnel; and/or requests for submittal of additional documentations or written reports, prior to the Project completion date, evidencing Grantee's progress on the Project. 9. BANK ACCOUNTS AND BONDING: Grantee shall maintain all monies received pursuant to this Agreement in an account with a bank or savings and loan association that is located in Miami- Dade County. The Grantee shall provide the City with the name of the bank or savings and loan association, as well as the name and title of all individuals authorized to withdraw or write checks on Grant Funds. 10. ACCOUNTING AND FINANCIAL REVIEW: Funded activities by this Grant must take place during the City's fiscal years for which the Grant is approved (October 1, 2017 — September 30, 2019). The GRANTEE shall keep accurate and complete books and records of all receipts and expenditures of Grant funds, in conformance with reasonable accounting standards. These books and records, as well as all documents pertaining to payments received and made in conjunction with this Grant, including, without limitation, vouchers, bills, invoices, receipts and canceled checks, shall be dated within the fiscal years for which they are approved and retained in Miami-Dade County in a secure place and in an orderly fashion by the Grantee for at least three(3)years after the Expenditure 4 Deadline specified in this Agreement. These books, records, and documents may be examined by the City, and/or its authorized representatives, at the Grantee's offices during regular business hours and upon reasonable notice. Furthermore, the City may, at its expense, audit or have audited, all the financial records of the Grantee that pertain to this Grant or this Grant's related expenditures. 11. PUBLICITY AND CREDITS: The Grantee must include the City logo and the following credit line in all publications related to this Grant: "This Project is funded in whole or in part by a grant from the City of Miami Beach." Grantee's failure to comply with this paragraph may preclude future grant funding from the City, in the same manner as if Grantee defaulted under this Agreement. The parties will not use the name of the other party, or a variant thereof, in any advertising or promotional material without the other party's prior written consent. 12. LIABILITY AND INDEMNIFICATION: Grantee shall indemnify and hold harmless the City and its officers, employees, agents, and contractors,from and against any and all actions (whether at law or in equity), claims, liabilities, losses, expenses, or damages, including, without limitation, attorneys' fees and costs of defense, for personal, economic, or bodily injury, wrongful death, or loss of or damage to property, which the City or its officers, employees, agents and contractors may incur as a result of claims, demands, suits, causes of action or proceedings of any kind or nature arising out of, relating to, or resulting from the performance of this Agreement by the Grantee or its officers, employees, agents, servants, partners, principals or contractors. Grantee shall pay all claims and losses in connection therewith and shall investigate and defend all claims, suits, or actions of any kind or nature in the name of the City, where applicable, including appellate proceedings, and shall pay all costs, judgments, and attorneys' fees which may issue thereon. Grantee expressly understands and agrees that any insurance protection required by this Agreement, or otherwise provided, shall in no way limit its obligation, as set forth herein, to indemnify, hold harmless, and defend the City or its officers, employees, agents, and contractors as herein provided. If the Grantee is a government entity, this indemnification shall only be to the extent and within the limitations of Section 768.28, Florida Statutes, subject to the provisions of that Statute whereby the Grantee entity shall not be held liable to pay a personal injury or property damage claim or judgment by any one person which exceeds the sum of $200,000, or any claim or judgment or portions thereof, which, when totaled with all other claims or judgments paid by the government entity arising out of the same incident or occurrence, exceed the sum of$300,000 from any and all personal injury or property damage claims, liabilities, losses or causes of action which may arise as a result of the negligence of the Grantee entity. 13. ASSIGNMENT: The Grantee shall not be permitted to assign this Grant, and any purported assignment will be void, and shall be treated as an event of default pursuant to this Agreement. 14. COMPLIANCE WITH LAWS: The Grantee agrees to abide by and be governed by all 5 applicable Federal, State, County and City laws, including but not limited to Miami-Dade County's Conflict of Interest and Code of Ethics Ordinance, as amended, which is incorporated herein by reference as if fully set forth herein, and Chapter 2, Article VII of the City Code, as amended, which is incorporated herein by reference as if fully set forth herein. 15. DEFAULT/TERMINATION PROVISIONS: In the event the Grantee shall fail to comply with any of the provisions of this Agreement, the City Manager or the City Manager's designee may terminate this Agreement and withhold or cancel all or any unpaid installments of the Grant upon giving seven (7) calendar days written notice to the Grantee, and the City shall have no further obligation to the Grantee under this Agreement. Further, in the event of termination,the Grantee shall be required to promptly repay within fifteen (15) days to the City all portions of the Grant which have been received by the Grantee, as of the date that the written demand is received. Any uncommitted Grant funds which remain in the possession or under the control of the Grantee as of the date of the Expenditure Deadline specified in this Agreement must be returned to the City within thirty (30)days after the Expenditure Deadline. If such funds have been committed but • not expended, the Grantee must request in writing from the City Manager an extension of the Expenditure Deadline which, if approved, shall be for a period not to exceed one(1)year. Grant funds which are to be repaid to the City pursuant to this Section are to be repaid within thirty (30) days upon the City's demand by wire transfer, ACH or delivering to the City Manager a certified check for the total amount due, payable to the City of Miami Beach, Florida. These provisions shall not waive or preclude the City from pursuing any other remedies that may be available to it under the law. Notwithstanding the provisions of this Section, and without regard to whether City has exercised the Default provisions thereof,the City reserves the right,at its sole and absolute discretion, to discontinue funding of the Grant if it is not satisfied with the progress of the Projector the content of any required written report. In the event of discontinuation of the Grant or at the close of the Project, any unexpended Grant Funds shall be promptly returned to the City, except where the City Manager has agreed in writing to alternative use of the unused/unexpended Grant Funds. In the case of breach on the part of the City, Grantee may request to terminate the Agreement. 16. INSURANCE REQUIREMENTS: A. Worker's Compensation Insurance as required by Florida Statute, Chapter 440, and Employer's Liability Insurance with limits of no less than $1,000,000 per accident for bodily injury or disease. 6 B. Commercial General Liability on a comprehensive basis, including products and completed operations, contractual liability, property damage, bodily injury and personal & advertising injury combined single limit of $1,000,000 per occurrence for bodily injury and property damage. City of Miami Beach must be shown as an additional insured with respect to this coverage. C. Automobile Liability Insurance covering all owned, non-owned and hired vehicles used in connection with the work, in an amount not less than $500,000 combined single limit per occurrence for bodily injury and property damage. D. Medical Malpractice Insurance in the name of the provider, in an amount not less than $1,000,000. Additional Insured Status The City of Miami Beach must be covered as an additional insured with respect to liability arising out of work or operations performed by or on behalf of the Grantee. Waiver of Subrogation Grantee hereby grants to City of Miami Beach a waiver of any right to subrogation which any insurer of the Grantee may acquire against the City of Miami Beach by virtue of the payment of any loss under such insurance. Grantee agrees to obtain any endorsement that may be necessary to effect this waiver of subrogation, but this provision applies regardless of whether or not the City of Miami Beach has received a waiver of subrogation endorsement from the insurer. Acceptability of Insurers Insurance is to be placed with insurers with a current A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City of Miami Beach Risk Management Office. Verification of Coverage Grantee shall provide the required insurance certificates, endorsements or applicable policy language effecting coverage required by this Section. All certificates of insurance and endorsements are to be received prior to any work commencing. However, failure to obtain the required coverage prior to the work beginning shall not waive the Grantee's obligation to provide them. The City of Miami Beach reserves the tight to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. Special Risks or Circumstances The City of Miami Beach reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. Certificate Holder 7 Certificate holder must read: CITY OF MIAMI BEACH c/o HR DEPARTMENT/RISK MANAGEMENT DIVISION 1700 CONVENTION CENTER DRIVE • MIAMI BEACH, FL 33139 Compliance with the foregoing requirements shall not relieve the grantee of its liability and obligation under this section or under any other section of this agreement. 17. NO WAIVER: No waiver of any breach or failure to enforce any of the terms, covenants, conditions or other provisions of this Agreement by either party at any time shall in any way affect, limit, modify or waive either party's right thereafter to enforce or compel strict compliance with every term, covenant, condition or other provision hereof. 18. WRITTEN NOTICES: Any written notices required under this Agreement will be effective when delivered in person or upon the receipt of a certified letter addressed to the Grantee at the address specified in Article I of this Agreement, and to the City when addressed as follows: City Manager's Office, 1700 Convention Center Drive,4'h Floor, Miami Beach, Florida 33139. 19. CAPTIONS USED IN THIS AGREEMENT: Captions, as used in this Agreement, are for convenience of reference only and should not be deemed or construed as in any way limiting or extending the language or provisions to which such captions may refer. 20. CONTRACT REPRESENTS TOTAL AGREEMENT: This contract, including its special conditions and exhibits, represents the whole and total agreement of the parties. No representations, except those contained within this agreement and its attachments, are to be considered in construing its terms. No modifications or amendments may be made to this Agreement unless made in writing signed by both parties, and approved by appropriate action by the Mayor and City Commission. 21. CONTRACT ADMINISTRATOR: The Contract Administrator is listed below. All contract related questions, reports and requests for reimbursements to be submitted to the Grants Management Division. Jimmy L. Morales, City Manager City of Miami Beach 1700 Convention Center Drive Miami Beach, FL 33139 Tel: 305-673-7010 Fax: 305-673-7782 Email:jimmymorales@miamibeachft.gov 8 ARTICLE III/MISCELLANEOUS PROVISIONS 22. The Grant awarded herein is the result of a finding by the City, based on representatives, documents, materials and other information supplied by Grantee, that the Grantee is performing a public purpose through the programs, projects, and/or services recommended for support. As such, use of Grant funds for any program component not meeting this condition will be considered a breach of the terms of this Agreement and will allow the City to seek remedies including, but not limited to, those outlined in this Grant Agreement. 23. The Grantee also accepts and agrees to comply with the following Special Conditions: The Grantee hereby agrees that it will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.) prohibiting discrimination on the basis of race, color, national origin, handicap, or sex. The Grantee hereby agrees that it will comply with City of Miami Beach Human Rights Ordinance as codified in Chapter 62 of the City Code, as may be amended from time to time, prohibiting discrimination in employment, housing and public accommodations on account of actual or perceived race, color, national origin, religion, sex, intersexuality, gender identity, sexual orientation, marital and familial status, age, disability, ancestry, height, weight, domestic partner status, labor organization membership, familial situation, or political affiliation. The City endorses, and Grantee shall comply with, the clear mandate of the Americans with Disabilities Act of 1990 (ADA) to remove barriers, which prevents qualified individuals with disabilities from enjoying the same employment opportunities that are available to persons without disabilities. The City also endorses the mandate of the Rehabilitation Act of 1973 and Section 504 and prohibits discrimination on the basis of disability and requires that Grant recipients provide equal access and equal opportunity and services without discrimination on the basis of any disability. 24. GOVERNING LAW AND EXCLUSIVE VENUE: This Agreement shall be governed by, and construed in accordance with, the laws of the State of Florida, both substantive and remedial, without regard to principles of conflict of laws. The exclusive venue for any litigation arising out of this Agreement shall be Miami-Dade County, Florida, if in State court, and the U.S. District Court, Southern District of Florida, if in federal court. BY ENTERING INTO THIS AGREEMENT, GRANTOR AND GRANTEE EXPRESSLY WAIVE ANY RIGHTS EITHER PARTY MAY HAVE TO A TRIAL BY JURY OF ANY CIVIL LITIGATION RELATED TO, OR ARISING OUT OF,THIS AGREEMENT. 9 EXHIBIT 1 PROJECT DESCRIPTION Grantee will utilize the grant monies awarded by the City of Miami Beach on the following expenses: • Salary and Fringe Benefits • Program Supplies • Printing of Educational Materials • Testing • Mobile Unit Cost The funding will be used to support the following program: • University of Miami PrEP Mobile Wellness Clinic(UM Mobile Clinic) Background Information and Description of Need Miami Beach is facing an epidemic of new human immunodeficiency ("HIV") infections. Since 2011, new HIV infections on South Beach (33139) have increased by 71%. South Beach's HIV rate of 5% exceeds that of sub-Saharan Africa and all but thirteen African countries. Miami Beach's HIV rate (2.9%) is 97 times the national average; South Beach's is 167 times the national rate. Miami-Dade County has historically led the nation in new HIV infections. 26,000 people live with HIV in Miami- Dade County alone, and 2,910 of them live in Miami Beach. Pre-exposure prophylaxis ("PrEP"), a daily medication that reduces the risk of HIV infection by 99 percent, has been cited in the dramatic reduction of HIV infections in London, New York and San Francisco. After its widespread adoption in San Francisco, new HIV diagnoses dropped 17%. The San Francisco AIDS Foundation PrEP Clinic, which has enrolled 1,200 people, has not seen any new infections since 2014. Meanwhile, in London, the city's busiest sexual health clinic attributed a 40% reduction in new HIV cases to PrEP. Seeking to combat the rise in new HIV infections, the Grantee is partnering with Prevention 305, Inc. ("PAC"), and The Gaythering Hotel (1409 Lincoln Road, Miami Beach 33139), to offer twice-weekly evening sexual wellness and PrEP services in a mobile clinic in order to reduce the rate of new HIV infections in Miami Beach (the"UM Mobile Clinic"). Obiective/Goals Grantee will enroll 250 candidates for PrEP services in its first year, with a goal of keeping 200 individuals (80%) adherent to their PrEP medication schedule for six months after commencing 10 treatment, and 175 individuals(70%) adherent to their PrEP medication schedule after a full year, with adherence to be monitored by appointment compliance and continued prescriptions. Non-adherent patients will be replaced by new patients after a two-month lapse in care. When possible, PrEP patients will be offered transfer of care to available community providers where they may also receive primary care services. For patients who are unable to access PrEP through alternative means, the UM Mobile Clinic will provide ongoing services. By October 2019,the project is expected to be fiscally self-sufficient. Metric Target Timeline Monitoring Mechanism Number of candidates enrolled 250 Within first year Enrollment records for PrEP services individuals Percentage of patients adherent 80% Six months post Appointment compliance; to PrEP medication schedule commencing continued prescriptions treatment Percentage of patients adherent 70% One year post Appointment compliance; to PrEP medication schedule commencing continued prescriptions treatment Program Activities a. Staffing PrEP services will be overseen by an infectious disease specialist and the program will operate with guidance from the University of Miami Chief of Infectious Disease. b. Partners The Grantee will be responsible for community engagement and may engage partners to support its outreach efforts. c. Operations The UM Mobile Clinic will be a game-changer, providing easy and free access to PrEP in a non-clinical setting. The challenge for people in Miami Beach now in obtaining this life- changing medication is threefold — few access points for those who are uninsured; anxiety about clinical or HIV-focused settings; and few locations accessible to those who work during the day. The UM Mobile Clinic will be open from 5:00 PM to 7:00 PM two (2) nights per week. This will allow people with daytime employment to see a medical provider without missing work. d. Services Maintaining 250 PrEP patients in care will require regular medical appointments and quarterly laboratory work. 11 • • • Expected Outcomesllmpact Metric Target Timeline Percentage of PrEP patients compliant 70% Within first year Percentage of compliant PrEP patients not 100% Within first year contracting HIV The UM Mobile Clinic is expected to increase community interest in PrEP, as the project will be holistically integrated into The Gaythering Hotel's program activities. By October 2019. Grantee will secure other funding sources to support its activities for uninsured patients beginning in fiscal year 2019-2020 and will ensure a permanent venue for biomedical HIV prevention in Miami Beach. The Grantee will support the following City Key Intended Outcome and provide documentation and support: • Maximize The Miami Beach Brand As A World Class Destination Grantee Responsibilities: The Grantee shall document progress and support of the City Key Intended Outcome above by providing the following information: • Number of candidates enrolled in the UM Mobile Clinic program during contract term • Number of PrEP pill prescriptions issued • Number of active individuals after six months of enrollment • Number of active individuals after a year of enrollment 12 EXHIBIT 2 PROJECT BUDGET University of Miami/Wellness Clinic Line Item Expense Total Salary(S) and Fringe Benefits (FB)for: Program Director(S) $3,318, (FB) $869 $4,187 Physician/Medical Director(S) $19,988 (FB)$4,557 $24,545 Nurse(S) $19,270 (FB) $7,400 $26,670 Coordinator/Program Administrator(S) $14,094(FB)$5,412 $19,506 PrEP Navigator/HIV Tester(S)$50,013(FB)$19,205 $69,218 Lab Technician/PrEP Counselor(S) $41,000 (FB)$15,744 $56,744 Courier(S) $3,998(FB)$1,534 $5,532 Supplies $18,014 Printing of Educational Materials $459 Non-Health Department Laboratory Tests $20,625 Mobile Unit Cost $4,500 Total $250,000 13 EXHIBIT 2-1 BUDGET JUSTIFICATION • Personnel(Total$206.4021 1. Program Director: Salary: $3,318 Fringe Benefits: 262%, $869 • Oversee administrative aspects of clinic operations 2. Physician/Medical Director: Salary: $19,988 Fringe Benefits: 22.8%, $4,557 • Create/adapt PrEP clinical protocols to clinic venue • Train staff in PrEP provision per CDC protocols • Oversee clinical activities • Oversee clinic outcome tracking • Provide STD testing and treatment 3. Nurse/ARNP: Salary: $19,270 Fringe Benefits: 38.4%, $7,400 • Provide assessment for PrEP appropriateness and HIV prevention counseling • Certified HIV testing counselor; will provide pre- and post-test counseling as needed and rapid HIV test results • Acquire prescription medication for uninsured patients through drug assistance programs • Monitor patient adherence (after first week, month and quarterly) 4. Coordinator/Program Administrator: Salary: $14,094 Fringe Benefits: 38.4% $5,412 • Monitor overall patient load, recordkeeping, compliance and adherence • Produce monthly reporting on progress • Analyze outcome data under supervision of the PD and Medical Director to create reports summarizing outcomes to further optimize implementation • Provide quarterly reporting to Miami Beach City Commissioners 5. PrEP Navigator/HIV Tester: Salary: $50,013 Fringe Benefits: 38.4%, $19,205 14 • Provide assessment for PrEP appropriateness and HIV prevention counseling • Certified HIV testing counselor; will provide pre- and post-test counseling as needed and rapid HIV test results • Acquire drugs for uninsured patients through drug assistance programs • Monitor patient adherence(after first week, month and quarterly) • Oversee medical recordkeeping • Engage in community outreach and planning with Prevention Access Campaign 6. Lab Technician/PrEP Counselor: Salary $41,000 Fringe Benefits: 38.4%, $15,744 • Conduct phlebotomy for STD, HIV and lab tests • Provide assessments for PrEP appropriateness and PrEP counseling • Support Navigator in drug acquisition/prior authorization/insurance work • Certified HIV testing counselor 7. Courier: Salary: $3,998 Fringe Benefits: 38.4%, $1,534 • Transport lab specimens to Health Department and LabCorp Non-Personnel Expenses—Supplies(Total$18.014j 1. Technical Supplies: $10,514 Including medical supplies such as gauze, Band-Aids, condoms and lubricant, specimen collector cups, refrigerator, injectable and oral treatments for sexually transmitted infections. Note that this specifically excludes PrEP medication, which will be obtained outside of this contract through available assistance programs and insurance. 2. Lab Supplies for Phlebotomy: $6,250 Phlebotomy tubes and needles for phlebotomy, alcohol pads, tourniquets. 3. Adherence Tools: $1,250 Provided to patients to support adherence with PrEP medication. 15 Other Expenses(Total$25,5841 1. Educational Materials Printing: $459 Printing of educational brochures and materials for distribution to PrEP clients to provide information regarding PrEP, the importance of adherence, and clinic protocols and follow- up. 2. Non-Health Department Laboratory Tests: $20,625. Includes all tests not supplied by the Health Department. These include kidney function tests and CBC, Hepatitis B and C, pregnancy, and other tests as required. 3. Mobile Unit Costs: $4,500 Fuel and maintenance for the mobile unit. 16 EXHIBIT 3 CITY OF MIAMI BEACH GRANT QUARTERLY STATUS REPORT FORM CMB AGREEMENT No.: GRANTEE NAME: GRANTEE ADDRESS: GRANTEE'S GRANT MANAGER: GRANT MANAGER'S E-MAIL ADDRESS: REPORT PERIOD: October 1, 2017-September 30,2018 0 Oct. 1 - Dec. 31 ❑ Jan. 1 —Mar. 31 ❑Apr. 1 —Jun. 30 ❑ Jul. 1 -Sept.30 Due Jan. 15 Due Ap. 15 Due Jul. 15 Due Oct. 15 October 1, 2018-September 30, 2019 ❑ Oct. 1 -Dec. 31 0 Jan. 1 —Mar. 31 ❑Apr. 1 —Jun. 30 0 Jul. 1 -Sept.30 Due Jan. 15 Due Ap. 15 Due Jul. 15 Due Oct. 15 WORK ACCOMPLISHED: PROBLEM ENCOUNTERED: PERCENTAGE COMPLETION: OTHER NOTABLE ITEMS: Grants Manager Date 17 EXHIBIT 4 CITY OF MIAMI BEACH GRANT REIMBURSEMENT REQUEST FORM Part 1 of 2 CMB AGREEMENT No.: GRANTEE NAME: GRANTEE ADDRESS: GRANTEE'S GRANT MANAGER: GRANT MANAGER'S E-MAIL ADDRESS: REQUEST No. Amount off Assistance: $ '.. Less Previous Total Disbursements: $ Balance Available: _ $ - - -'. Funds Requested This $ Disbursement: THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK. 18 EXHIBIT 4 CITY OF MIAMI BEACH REIMBURSEMENT REPORT FORM Pad 2 of 2 Check No. Total Expense Description Vendor Name and Date Cost • • • Certification of Payment: I certify that the above expenses were necessary and reasonable for the maintenance and operation of our premises and in accordance with the agreement No. 2018-CM&05. Grants Manager Date 19