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FY 18/19 Grant Agreement Boys and Girls Club MDC, Inc. .o 8- 3os2. iv.', APJ\ BEACH CITY OF MIAMI BEACH FISCAL YEAR 2018-2019 GRANT AGREEMENT PROJECT No.: 2019-CMB-01 This GRANT AGREEMENT is made and entered into this .L-�-� day of Ndte+Ji6c✓ , 2018 by and between the City of Miami Beach Florida (hereinafter the "City"), and the Boys and Girls Clubs of Miami-Dade, Inc. (hereinafter the "Grantee"). This Agreement is effective October 1, 2018, the"Effective Date." ARTICLE I /GRANT DESCRIPTION GRANTEE: Boys and Girls Clubs of Miami-Dade, Inc. GRANTEE CONTRACT ADMINISTRATOR: Rick Hernandez, Director of Grants Development ADDRESS: Boys and Girls Clubs of Miami-Dade, Inc 2805 SW 32nd Avenue CITY, STATE, ZIP: Miami, FL 33133-3431 PHONE, FAX, E-MAIL: (305)446-9910, ext. 15, (305)446-2393 rhernandez@bgcmia.org GRANT AMOUNT: $17,000 PROJECT DESCRIPTION: See Exhibit 1 hereto GRANT PROJECT BUDGET: See Exhibit 2 hereto GRANT TERM: October 1, 2018—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 IN WITNESS WHEREOF, the parties hereto have executed this Agreement. FOR CITY: City of Miami Beach, Florida ATTEST: I Ra el E. Granado, City Clerk �V B& rr. k my L. orales, City Manager Date , D*e Int . I.NCORPl� \IVRI:.TEEDf la FOR GRANTEE: .�z>.* RAWELFERNANOEZ �O.gtid Girls Clubs of Miami-Dade, Inc. nOcwnPubicmissicState &FIoaa Federal ID#59-0879227 ATTEST: MyComm.Emres Mar 22022 Bonded ,N Na,00r N'dry Assn By: Authorized Signature �7 �>. /(4,,,e/ k/NHieieL VPof aper. /t/; A,4f-r /ocl��✓d 2.-l�olg /'•`r5 Print Name and Title Print Name and Title /O/2 Q/ca/I /0/</9a.C/8 Dale ate APPROVED AS TO FORM &LANGUAGE & FOR EXECUTION ,1, � Tr41r8 City At orneY Dote Page 2 ARTICLE II /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. Any modification to Exhibit 1, Project Description, shall not be effective unless approved by a written amendment to this Agreement signed by the City and Grantee. Grantee agrees that all funding provided by the City pursuant to this Agreement will be used exclusively for goods or services to be provided within the City of Miami Beach. 3. GRANT PROJECT BUDGET: Subject to the availability of City funds, the maximum amount payable to Grantee for goods or services rendered under this Agreement shall not exceed the Grant Amount as set forth in Article I of this Agreement. Grantee agrees that should available City funding be reduced, the amount payable under this Agreement will be reduced at the sole option of the City of Miami Beach. All of the grantee's expenditures are subject to the terms of this Agreement, and as specified in the Grant Project Budget, attached hereto as Exhibit 2. Any modification to Exhibit 2, Project Budget, shall not be effective unless approved, in writing, by the City and Grantee. Notwithstanding the foregoing, no modification to the project budget shall exceed the Grant Amount set forth in Article I of this Agreement.Any request by Grantee to modify Exhibit 2, Project Budget, shall be made in writing, using City approved forms, detailing and justifying the need for such changes. 4. 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 the following dates: January 15'h, April 15th, July 15th, and the final report by October 15h. 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. Page 3 5. 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 15h, 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 within the 2019-20 Fiscal Year. 6. 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. 7. 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. 8. 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. 9. PROGRAM MONITORING AND EVALUATION: The City Manager or the City Manager's designee may monitor and conduct an evaluation of the Project under this Grant, which may include,with or without limitation, visits by City representatives to 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 documentation or written reports, prior to the Project completion date, evidencing Grantee's progress on the Project. 10. 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 Page 4 or write checks on Grant Funds. 11. ACCOUNTING AND FINANCIAL REVIEW: Funded activities by this Grant must take place during the City's fiscal year for which the Grant is approved (October 1 — September 30). The GRANTEE shall keep accurate and complete books and records of all receipts and expenditures of Grant funds, in conformance with reasonable accounting standards. These books and records, as well as all documents pertaining to payments received and made in conjunction with this Grant, including, without limitation, vouchers, bills, invoices, receipts and canceled checks, shall be dated within the fiscal year for which they are approved and retained in Miami- Dade County in a secure place and in an orderly fashion by the Grantee for at least three (3) years after the Expenditure Deadline specified in 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, whether or not purported to be related to this Grant. Grantee costs or earnings claimed under this Agreement may not also be claimed under any other Agreement from the City of Miami Beach or from any other entity. Any claim for double payment by Grantee shall be a material breach of this Agreement. 12. 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. 13. 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 Page 5 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. 14. 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. 15. COMPLIANCE WITH LAWS: The Grantee agrees to abide by and be governed by all applicable Federal, State, County and City laws, including but not limited to Miami-Dade County's Conflict of Interest and Code of Ethics Ordinance, as amended, which is incorporated herein by reference as if fully set forth herein, and Chapter 2, Article VII of the City Code, as amended, which is incorporated herein by reference as if fully set forth herein. 16. 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 five (5) calendar days written notice to the Grantee, and the City shall have no further obligation to the Grantee under this Agreement. Further, in the event of termination, the Grantee shall be required to immediately repay to the City all portions of the Grant which have been received by the Grantee, as of the date that the written demand is received. Any uncommitted Grant funds which remain in the possession or under the control of the Grantee as of the date of the Expenditure Deadline specified in this Agreement must be returned to the City within fifteen (15) days after the Expenditure Deadline. If such funds have been committed but not expended, the Grantee must request in writing from the City Manager an extension of the Expenditure Deadline which, if approved, shall be for a period not to exceed one (1) year. Grant funds which are to be repaid to the City pursuant to this Section are to be repaid upon demand by delivering to the City Manager a certified check for the total amount due, payable Page 6 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 Project or 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 immediately returned to the City, except where the City Manager has agreed in writing to alternative use of the unused/unexpended Grant Funds. 17. INSURANCE REQUIREMENTS: A. Verification of Coverage Grantee shall provide the required insurance certificates, endorsements or applicable policy language effecting coverage required by this Section, as follows. 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 right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. i. 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. ii. 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. iii. 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. iv. Professional Liability coverage in the amount of$1,000,000 per claim. Page 7 B. 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. C. 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 affect 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. D. 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. E. 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 Certificate holder must read: CITY OF MIAMI BEACH c/o HR Department/Risk Management Division 1700 Convention Center Drive Miami Beach, FL 33139 F. 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. 18. 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. 19. WRITTEN NOTICES: Any notices required under this Agreement will be effective when delivered to the City in writing and addressed to the City Contract Administrator. Any notices required under this Agreement will be effective when delivered to the Grantee Page 8 in writing and addressed to the Grantee Contract Administrator 20. 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. 21. 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. 22. CITY CONTRACT ADMINISTRATOR: All contract related questions, reports and requests for reimbursements to be submitted to the City Contract Administrator listed below. Judy Hoanshelt Director, Grants Management Division City of Miami Beach Office of Budget and Performance Improvement 1700 Convention Center Drive Miami Beach, FL 33139 Tel: 305-673-7510/ 305-673-7000 ext. 6183 Fax: 786-394-4675 Email: judvhoansheltf&miamibeachfl.gov ARTICLE III / MISCELLANEOUS PROVISIONS 23.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. 24. 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, Page 9 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. 25. 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. THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK. Page 10 EXHIBIT 1 PROJECT DESCRIPTION BACKGROUND/DESCRIPTION OF NEED Boys and Girls Clubs of Miami-Dade Inc. will utilize the grant monies awarded by the City of Miami Beach on expenses incurred to support the programs described below. KEY INTENDED OUTCOME (KIO): Achieve Educational (K-12) Excellence PROGRAM DESCRIPTION Project Learn: This program's goal is to serve 150 children during after-school and 300 children/youth in summer camp at the Miami Beach site described below. Project Learn offers a safe structural environment with evidence based activities for children from kindergarten through sixth grade. The activities include Science, Technology, Engineering, and Math (STEM) through our Boys and Girls Clubs of America (BGCA) DIY-STEM program, literacy, academic support and homework assistance, a cohort of art or music, physical fitness, family engagement, enrichment activities, health education, mentoring, and arts/crafts.Over the last few years, we have enhanced the program by bringing on State of Florida Board Certified Teachers to tutor struggling students. Great Futures for Teens: This program caters to our pre-teen and teenage population. It offers academic support for increased educational achievement, college readiness and preparation, social-emotional learning and skill building, sports, (STEM) Science, Technology, Engineering, and Math, and financial education. The program also prepares students for success by offering job skills training. For those desiring to go into education or social services, we have a number of select positions as part-time Counselors in Training (CIT's) during the summer. Our teens also visit local universities multiple times per year to learn about the application and financial aid process. Our goal is to keep children and youth in school and on track for graduation while providing them opportunities to learn and grow in different directions for a better future. We also have Exceptional Student Education (ESE) Specialists to work specifically with children who have a disability. Approximately 10% of the children in our programs have a disability. LOCATION Boys and Girls Clubs of Miami-Dade, Inc. South Beach Site 1200 Michigan Avenue Miami Beach, Fl. 33139 Page 11 GRANT ACTIVITIES Activity Name i Activity Description Description of Number of Service 11 Service Recipients Recipients Literacy/Homework Tutoring Children 150 Assistance SPARK Sports, Play, and Children 150 Active Recreation for Kids Social Emotional Second Step Children 150 Learning STEM Science, technology, Children 150 engineering & Math through BGCA DIY curriculum GOALS/OUTCOMES Outcome Measure Target Reporting Timeline 65% of children will The PACER multi-stage Based on time End of Year I make meaningful shuttle run improvement in four improvement on laps from pre to physical fitness post test performance 80% of children will ORF Oral Reading Improvement of one End of Year improve reading Fluency Assessment level unless initially fluency testing at the mastery level 75% of children Child Trends SEL Increase of Al End of Year improve Social Survey points or Emotional Learning maintaining a score of 3 Page 12 STAFFING Position Title Description/Responsibilities to Grant Program South Beach Program Director Provides direction for the program's day-to-day operations, supervision, direction and guidance for staff, assure implementation of evidence-based curriculum or program protocols with fidelity. Page 13 EXHIBIT 2 PROJECT BUDGET Budget Line Item Description Project Budget Staff Salary and Wages: Club Director $7,322 Fringe Benefits: Fica/Mica & Payroll Taxes $560 Health Insurance Health Insurance $946 Materials/Supplies Program Supplies $2,000 Insurance Insurance (General liability & $2,672 Commercial Umbrella) Transportation &Admission Transportation and Admission to Field $3,500 Trips Total $17,000 Page 14 y EXHIBIT 3 CITY OF MIAMI BEACH GRANT QUARTERLY STATUS REPORT FORM CMB GRANT AGREEMENT No.: I 2019-CMB-01 GRANTEE NAME: Boys and Girls Clubs of Miami-Dade, Inc. GRANTEE ADDRESS: 2805 SW 32nd Ave, Miami, FL 33131-3431 GRANTEE CONTRACT ADMINISTRATOR: Rick Hernandez, Director of Grants GRANTEE CONTRACT rhernandez@becmia.org ADMINISTRATOR'S E-MAIL ADDRESS: REPORT PERIOD: ❑ 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 WORK ACCOMPLISHED: PROBLEM ENCOUNTERED: PERCENTAGE COMPLETION: OTHER NOTABLE ITEMS: Grantee: Name Signature/Date City of Miami Beach Name Name Signature/Date Signature/Date Page 15 EXHIBIT 4 CITY OF MIAMI BEACH GRANT REIMBURSEMENT REQUEST FORM Part 1 of 2 CMB AGREEMENT No.: 2019-CMB-01 GRANTEE NAME: Boys and Girls Clubs of Miami-Dade, Inc. GRANTEE ADDRESS: 2805 SW 32nd Ave, Miami, FL 33133-3431 GRANTEE CONTRACT ADMINISTRATOR: Rick Hernandez, Director of Grants GRANTEE CONTRACT rhernandez@becmia.org ADMINISTRATOR'S E-MAIL ADDRESS: REQUEST No. Amount of Assistance: $17,000 Less Previous Total Disbursements: $ Balance Available: $17,000 Funds Requested This $ Disbursement: 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. 2019- CMB-01. Grantee: Name Signature/Date City of Miami Beach Name Name Signature/Date Signature/Date Page 16 PROGRESS/YE' PALM BEACH INS CONS COMMERC/AL 1901 SW 27 AVE MIAMI, FL 33145 1-305-860-1052 Policy number: 08264220-6 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY July 30,2018 Page I of 2 Certificate of Insurance Cenificate Holder THE CITY OF MIAMI BEACH 1755 MERIDIAN AVE SUITE 300 MIAMI BEACH,FL 33139 Insured Agent BOYS&GIRLS CLUB MIAMI PALM BEACH INS CONS DADE,INC 1901 SW 27 AVE PO BOX 330219 MIAMI,FL 33145 MIAMI, FL 33233 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s)indicated. This Certificate is issued for information purposes only. It confers no rights upon the.certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations,endorsements,and conditions of these policies. Policy Effective Date'. Jul 30,2018 Policy Expiration Date: Jul 30,2019 Insurance coverage(s) Limits BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT PERSONAL INJURY PROTECTION $10,000 W/80 DED-NAMED INSD&RELATIVE EMPLOYER'S NON-OWNED AUTO BIPD 81,000,000 COMBINED SINGLE LIMIT HIRED AUTO BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT Description of Location/Vehicles/Special Items Scheduled autos only 2004 CHEVROLET EXPRESS CUTAWAY 1 GBHG31 V241125466 Stated Amount 837.500 COMPREHENSIVE 8500 DED COLLISION 8500 DED 2006 FORD E350 SUPER DULY 1FDSE35L76DA34951 Stated Amount $42,395 COMPREHENSIVE $500 DED COLLISION 8500 DED 2007 GMC SAVANA 635001GDJG31 U071172077 Stated Amount $41,300 COMPREHENSIVE 8500 DED COLLISION 8500 DED Continued Policy number: 08264220-6 Page 2 of 2 1998 BLUEBIRD BLUEBIRD 1 BAHBCSA0WF081120 Stated Amount 89,000 COMPREHENSIVE $500 DED COLLISION $500 DED Certificate number 21118NET220 Please he advised that the certificate holder will not he notified in the event of a mid-term cancellation. Form 52r 110102) 44775 A� CERTIFICATE OF LIABILITY INSURANCE DATE(MMID0 8YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEKT NeydaHernandez Commercial Lines-(305)443-4886 PHONE 86]85.1124 FAX 610 537.1947 INC Na F.U__ INC,Not, _ USI Insurance Services National,Inc. E-MAIL ne da.hernandez usi.com ADDRESS. Y.. 2601 South Baysbore Drive,Suite 1600 INSURER(S)AFFORDING COVERAGE NAICtl Coconut Grove,FL 33133 INSURER A: Markel Insurance Company _ 38970 INSURED INSURER B. Associated Industries Insurance Co. Inc. 23140 Boys 8 Girls Clubs of Miami-Dade Inc. INSURER RI Scottsdale Indemnity Company 15580 2805 S.W.32 Ave INSURER D: Hank Kline Club INSURER E: Miami,FL 33133 INSURER F: COVERAGES CERTIFICATE NUMBER: 12793181 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR0. TYPE OF INSURANCE ADOL':SUER POLICY NUMBER POLICY EFF POLICY EXP L ms0'WVDRMIDOYYYY) IMINDOMYYlLIMITS X I COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE I5 1000,000 A X I 8502CY031326-23 03/01/2018 03/01/2019 -DAMAGE TO RENTED CLAIMS-MADE X cootie PREMISES(Ea occurrence) 5 100.000 MED EXP(Any one person) $ 5.000 • PERSONAL 8 ADV NJURY i 5 1000,000 GENII_AGGREGATE LIMIT APPLIES�' PER. GENERAL AGGREGATE IS 3000,000 .7.— POLICY jER A li LOC • PRODUCTS-COMP/OP ADO 1 S 1000,000 I OTHER. S AUTOMOBILE LIABILITY (C Ea accidEent) E LIMIT S — 1 ANY AUTO BODILY INJURY(Per person: : 5 • I OWNED SCHEDULED BODILY INJURY(Per accident) 5 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S J AUTOS ONLY _AUTOS ONLY (Per acndenl) I i 5 A X UMBRELLA UAB X OCCUR '. I 4602CY112073-19 03/01/2018 03/01/2019 EACH OCCURRENCE 5 2.000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE S 2.000.000 DED X RETENTION 5 10,000 1 'S WORKERS COMPENSAUON 1/1/20,18 1/1/2019 XPER OTH • - B AND EMPLOYERS'LIABILITY YIN I AWC1097235 STATUTE ER VPROPRIETORIARTNERIEXECUDVE EL EACH ACCIDENT S 500.000 OFFICERMEMBEREXCLUOED? NI A (Mandatory in NH) E L DISEASE•EA EMPLOYEE'5 servos DyR deambe under ESCRIPTION OF OPERATIONS below EL00,000E•POLICY LIMIT s 500.000 C D80/EPL/Fiduciary EKI3248017 0410112018 04/01/2019 sSDoo DDo • DESCRIPTION OF OPERATIONS'LOCATIONS I VEHICLES IACORD 1Bt.Additional Remarks Schedule.may be attached Roofs space is required) RE:Account MM13F98 Certificate holder is named as additional insured as it relates to general liability in accordance with the terms and conditions of the policy per their written contract with the insured. CERTIFICATE HOLDER CANCELLATION The City of Miami Beach,Florida SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:Gabriela Alfonsin THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1755 Meridian Ave Suite 300 Miami Beach,FL 33139 ALTHORLZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016)03) 44/75 ACORD® CERTIFICATE OF LIABILITY INSURANCE DATA/srzo 8YM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Figir Neyda Hernandez Commercial Lines-(305)443-4886 PROBE Exp: 786.785.1124 rt,),,,,„), 610.537.1947 INC.USI Insurance Services National, Inc. Eneyda ne da hernandez usi.com ADDRESS: 2601 South Bayshore Drive,Suite 1600 -- INSVRERISIAFFamoiNGcOVERAGE NAIOO Coconut Grove,FL 33133 rNSURERA: Markel Insurance Company 38970 INSURED INSURER 8: Associated Industries Insurance Co,Inc. 23140 Boys&Girls Clubs of Miami-Dade Inc. INSURER C: Scottsdale Indemnity Company 15580 2805 S.W.32 Ave -- IHSVRERO: — Hank Kline ClubI INSURER E: Miami,FL 33133 - - INSURER F COVERAGES CERTIFICATE NUMBER: 12793181 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MSR TYPE OF INSURANCE ADEL SUER . . POLICY EFF POLICY EXP INSO WV. POLICY NUMBER (MM/DO(YYYY) (MMIOMLIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1.OW 000 A — X 8502CV031326-23 03/01/2018 03/01/2019 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) S 100.000 _ MED EXP(Any one person) I S 5,000 J _ PERSONAL a ADV INJURY , 5 1.000,000 '_ O GENI'LAF- PELT IXOC PRODUCTS REEL IML APPLIES AGGREGATE AGG I 5 1000,000 OTHER L.S ._ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accident) ' ANY AUTO BODILY INJURY(Per person) 5 i OWNED SCHEDULED BODILY INJURY Per e¢ilen0 5 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE I5 AUTOS ONLY AUTOS ONLY IPer accbe I5 A x UMBRELLA UAB = OCCUR 4602CY112073-19 03/01/2018 03/01/2019 EACH OCCURRENCE s 2,000.000 , EXCESS UAB CLAIMS-MADE , AGGREGATE 5 2.000,000 DEO X RETENTIONS 10.000 5 B WORKERS YER'COMPENSATION PER AWC1097235 1/1/2018 1/1/2019 x STATUTE EERH AND EMPLOYERS'LIABILITY OFFIC R/MEMBE E%LLVDEO?ECVTIVE YIN NIA I E L.EACH ACCIDENT S 500.000 {Mandator/in NH) E L.DISEASE-EA EMPLOYEE S 500.000 if yes.DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT I5 500,000 C D&O/EPL/Fiduciary EKI3248017 04/01/2018 04/01/2019 54000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD IML Additional Remarks Schedule,may be attached II more space Is required) RE:Account#MBF98 Certificate holder is named as additional insured as It relates to general liability in accordance with the terms and conditions of the policy per their written contract with the insured. CERTIFICATE HOLDER CANCELLATION The City of Miami Beach,Florida SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:Gabriela Alfonsin THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 1755 Meridian Ave Suite 300 Miami Beach,FL 33139 AUTHORIZED REPRESENTATIVE 974 The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) M PR00REJJ/1/E' BEACH INS CONS COMMERC/AL 1901 SIN27 AVE MIAMI,FL 33145 1-305-860-1052 Policy number: 08264220-6 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY July 30,2018 Page I of 2 Certificate of Insurance Certificate Holder THE CITY OF MIAMI BEACH 1755 MERIDIAN AVE SUITE 300 MIAMI BEACH, FL 33139 Insured Agent BOYS&GIRLS CLUB MIAMI PALM BEACH INS CONS DADE,INC 1901 SW 27 AVE PO BOX 330219 MIAMI,FL 33145 MIAMI,FL 33233 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s)indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change,alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below aie subject to all the terms,exclusions, limitations,endorsements,and conditions of these policies. Policy Effective Date: Jul 30,2018 Policy Expiration Date: Jul 30,2019 Insurance coverage(s) Limits BODILY INJURY/PROPERTY DAMAGE 11,000,000 COMBINED SINGLE LIMIT PERSONAL INJURY PROTECTION $10,000 W/$0 DED-NAMED INSD&RELATIVE EMPLOYER'S NON-OWNED AUTO BIPD $1,000,000 COMBINED SINGLE LIMIT HIRED AUTO BODILY INJURYIPROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT Description of Location/Vehicles/Special Items Scheduled autos only 2004 CHEVROLET EXPRESS CUTAWAY 1 GBHG31 V241125466 Stated Amount $37,500 COMPREHENSIVE $500 DED COLLISION $500 DED 2006 FORD E350 SUPER DUTY 1FD5E35L76DA34951 Stated Amount $42,395 COMPREHENSIVE $500 DED COLLISION $500 DED 2007 GMC SAVANA G3500 IGDJG31U071172077 Stated Amount $41,300 COMPREHENSIVE $500 DED COLLISION $500 DED Conon d Policy number: 08264220-6 Page 2 of 2 1998 BLUEBIRD BLUEBIRD 1 BAHBCSAOWF081120 Stated Amount $9,000 COMPREHENSIVE $500 DED COLLISION $500 DED Certificate number 21118NET220 Please be advised that the certificate holder will not be notified in the event of a mid-term cancellation. Form 5241110/02)