Grant Agreement with South Florida Hispanic Chamber of Commerce, Inc. &D(124
MIAMI BEACH
CITY OF MIAMI BEACH
FISCAL YEAR 2018-2019 GRANT AGREEMENT
PROJECT No.: 2019-CMB-10
This GRANT AGREEMENT is made and entered into this day of
20 G by and between the City of Miami Beach, Florida (hereinafter the "City"), and the South
Florida Hispanic Chamber of Commerce, Inc.(hereinafter the"Grantee").This Agreement is effective
October 1, 2018, the "Effective Date."
ARTICLE I /GRANT DESCRIPTION
GRANTEE: South Florida Hispanic Chamber of Commerce,
Inc.
GRANTEE CONTRACT ADMINISTRATOR: Liliam M. Lopez, President/CEO
ADDRESS: 333 Arthur Godfrey Road., Suite 300
CITY, STATE, ZIP: Miami Beach, FL 33140
PHONE, FAX, E-MAIL: 305-534-1903, 305-534-8365, Ilopez@sflhcc.com
GRANT AMOUNT: $18,000.00
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:
By:
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'afael E. ranado, City Clerk i my L. Morales, City Manager
Date �� � Date
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FOR GRANTEE: , •Y � }
) INCORP 'CSb"JthJFlorida Hispanic Chamber of Commerce, Inc.
< f Federal ID# 65-0511241
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Date Date
APPROVED AS TO
FORM & LANGUAGE
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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 15th, April 15th, July 15th,
and the final report by October 15th.
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 15th, 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 2018-19 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 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
Page 4
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 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
Page 5
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 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.
Page 6
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.
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.
Page 7
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
do 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 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.
Page 8
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: iudvhoansheltmiamibeachfl.00v
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, 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.
Page 9
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.
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EXHIBIT 1
PROJECT DESCRIPTION
BACKGROUND/DESCRIPTION OF NEED
Miami Beach Senior High School is a Title I school in which 77% of enrollees are minorities and 65%
of enrollees are economically disadvantaged. It has an 83% graduation rate and its college readiness
score is 53.6/100. Grantee established its Education Enhancement Fellowship Program(the"Program")
in 1994 to enhance the quality of education for financially disadvantaged students by providing them
with internship and scholarship opportunities.
KEY INTENDED OUTCOME (KIO):
Achieve Educational (K-12) Excellence
PROGRAM DESCRIPTION
Grantee provides two services through its Education Enhancement Fellowship Program:
1. Scholarships. Grantee receives approximately twenty(20)scholarship applications and awards
eight(8)scholarships through this Agreement. Eligible students are enrolled in or are graduates
of Miami Beach Senior High School. Five (5) members of the Grantee's education committee
interview applicants and decide who receives the awards. The value of the scholarship is
estimated at $2,500 per student. Each scholarship consists of a fully paid educational trip to a
historic United States city. The experience enhances their education, providing cultural,
educational, career, and societal exposure. Grantee pays for all expenses related to travel,
meals and lodging on behalf of scholarship recipients. Grantee prepares the schedule of
activities including two full days of business meetings with a Grantee partner in the selected city
to learn about the great possibilities that exist for those who study and attend college after high
school. Students are chaperoned by two(2)Miami Beach Senior High School teachers and two
(2)adult chaperones,all of whom have received level two background clearances in accordance
with Florida Statutes. During the Term of this Agreement,scholarship recipients travel to Boston,
Massachusetts. Students attend a conference coordinated with the local TD Bank leadership in
the TD Garden in Boston in April 2019. Students receive a tour of a four-year university, the
identity of which is determined during the course of the Agreement Term. After the conclusion
of the trip, the students give presentations to Grantee board members during a board meeting.
Students share an overview of their experience including lessons learned.
2. Internships. Two students participate in paid internships at the Grantee's office for six
weeks. The Program is coordinated by Grantee's staff.
LOCATION
Grant activities take place at Grantee's office; 333 Arthur Godfrey Road, Suite 300 Miami Beach, FL
33140, or at appropriate community-based location within the City of Miami Beach.
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GRANT ACTIVITIES
Activity Name Activity Description Description of Service Number of
Recipients Service
Recipients
Education Fellowship program including Miami Beach Senior Eight (8)
Enhancement paid trip, air fare, lodging, and High School students or students
Fellowship Program meals graduates
Paid internship Part-time internship program Miami Beach Senior Two (2)
hosted at Grantee office High School students or students
graduates
GOALS/OUTCOMES
Outcome Measure Target Reporting Timeline
Increase educational Education Enhancement Eight(8) Quarterly Narrative
opportunities for youth Fellowship Program — Report
number of individuals
attending scholarship trip
Increase educational Paid Internship Program — Two (2) Quarterly Narrative
opportunities for youth number of individuals Report
completing paid internship
program
STAFFING
Position Title Description/Responsibilities to Grant Program
Administrative Assistant Position assists with coordination of grant activities.
Page 12
EXHIBIT 2
PROJECT BUDGET
Budget Line Item Description Project Budget
Staff Salary and Wages: Administrative Assistant who assists with $10,714.00
(Administrative Assistant) coordination of project, based on 18
hours per week at$12.40 an hour for 48
weeks
Materials/Supplies Supplies to support programming and $1,412.00
scholarship selection committee, for
example: Stamps, Certificates, Binders,
Folders, Paper, Ink Cartridges, and
general office supplies. Estimated
$117.64 per month x 12 months
Printing & Copying Estimated at$19.56 per month x 12 $234.00
months; for professional printing of
brochures and promotional materials
Transportation Airport transportation in shared van at $500.00
$25 per person x 10 people (8 students
and 2 teachers)x 2 trips (to and from
Boston Logan Airport/Boston City Center)
Meals Meals for scholarship recipients and $1,140.00
chaperones during educational trip at per
diem rate of$38 per person x 10 people
(8 students and 2 teachers)x 3 days
Lease/Rent Partial rent(-15%)for office space at 333 $4,000.00
Arthur Godfrey Road, Suite 300
Miami Beach, FL 33140
• •$333.33-per month x 12 months . .
Total Amount $18,000
Page 13
EXHIBIT 3
CITY OF MIAMI BEACH
GRANT QUARTERLY STATUS REPORT FORM
CMB GRANT AGREEMENT No.: 2018-CMB-10
GRANTEE NAME: South Florida Hispanic Chamber of
Commerce
GRANTEE ADDRESS: 333 Arthur Godfrey Road, Suite 300
GRANTEE CONTRACT ADMINISTRATOR: Liliam M. Lopez
GRANTEE CONTRACT ADMINISTRATOR'S Ilopez@sflhcc.com
E-MAIL ADDRESS:
REPORT PERIOD:
❑ Oct. 1 - Dec. 31 0 Jan. 1 —Mar. 31 0 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:
Grantee
Report Prepared By:
Name Signature/Date
City of Miami Beach
Report Reviewed By:
Name Signature/Date
Page 14
EXHIBIT 4
CITY OF MIAMI BEACH
GRANT REIMBURSEMENT REQUEST FORM
Part 1of2
CMB AGREEMENT No.: 2018-CMB-09
GRANTEE NAME: South Florida Hispanic Chamber of Commerce
GRANTEE ADDRESS: 333 Arthur Godfrey Road, Suite 300
GRANTEE CONTRACT ADMINISTRATOR: Liliam M Lopez
GRANTEE CONTRACT ADMINISTRATOR'S Ilopez@sflhcc.com
E-MAIL ADDRESS:
REQUEST No.
Amount of Assistance: $ 18,000.00
Less Previous Total Disbursements: 1 $
Balance Available: $
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 this agreement.
Grantee
Report Prepared By:
Name Signature/Date
City of Miami Beach
Report Reviewed By:
Name Signature/Date
Page 15
Alonso, Elisa
From: Bridges, Sonia
Sent: Tuesday, February 5, 2019 5:29 PM
To: Alonso, Elisa
Subject: RE: COI - South Florida Hispanic Chamber of Commerce
Approved
MIAMI BEACH
Sonia S. Bridges, Division Director, Risk Management&Benefits
Human Resources Department
1700 Convention Center Drive, 3rd floor, Miami Beach, FL 33139
Tel: 305-673-7524/305-673-7000 ext. 6515
soniabridges(c�miamibeachfl.gov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community.
APlease do not print this e-mail unless necessary.
From:Alonso, Elisa
Sent:Tuesday, February 05, 2019 4:47 PM
To: Bridges, Sonia <SoniaBridges@miamibeachfl.gov>
Cc:Thornhill,Talmage<TalmageThornhill@miamibeachfl.gov>
Subject: FW: COI -South Florida Hispanic Chamber of Commerce
Hi Sonia,
Please see attached the COI for GL coverage with the additional insured checked. Please advise if approved.Thanks.
MIAN/IIBEACH
Elisa Alonso, Office Associate V
OBPI/ODPI/Internal Audit
1700 Convention Center Drive,Miami Beach,FL 33139
Tel:305-673-7000 ext.6725/Fax:305-673-7519/www.miamibeachfl.qov
We are committed to providing excellent public service and safety to all who live,work and play in our vibrant,tropical,historic community.
From: Bridges,Sonia
Sent:Wednesday,January 30, 2019 4:54 PM
To:Alonso, Elisa<ElisaAlonso@miamibeachfl.gov>
Cc:Thornhill,Talmage<TalmageThornhill@miamibeachfl.gov>
Subject: RE: COI -South Florida Hispanic Chamber of Commerce
City of Miami Beach must be an additional insured regarding the GL coverage.
1
Alonso, Elisa
From: llopez@sflhcc.com
Sent: Tuesday,January 29, 2019 10:32 AM
To: Alonso, Elisa
Cc: Thornhill,Talmage
Subject: RE:CMB Citywide Grant Agreement- Submitted signed agreement
Good Morning, Elisa,
With regard to COI for automobile,we do not have company cars in this office so I believe it would not apply to us.
Kindly let me know.
Thank you.
Liliam
. Baa
,Tre
Liliam M. Lopez
President/CEO
www.SFLHCC.com
333 Arthur Godfrey Road,Suite 300
Miami Beach, FL 33140
(305)534-1903
www.sflhcc.com
Business Champion
Academy of Business and Hospitality
Miami Dade County Public Schools
From:aloaisiga@sflhcc.com<aloaisiga@sflhcc.com>
Sent:January 29,2019 9:55 AM
1
•
•
•
•
e 1 f
— •=' 06-10-2008
ALEX SINK STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION. OF WORKERS' COMPENSATION .
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * *
NON-CONSTRUCTION INDUSTRY EXEMPTION '
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 06110/2008 EXPIRATION DATE: NIA• .
PERSON: LOPEZ LILIAM M ..
FEIN: 650511241
BUSINESS NAME AND ADDRESS:
SOUTH FLORIDA HISPANIC CHAMBER OF COMMERCE INC
333 ARTHUR GODFREY ROAD SUITE :
410
MIAMI BEACH FL 33140
SCOPES OF BUSINESS OR TRADE:
1—.CHAMBER OF COMMERCE
IMPORTANT: Persuaat to Chapter 440 . 061141, F.S., an officer ala corporation who elects exemption from this chapter by tiling • certificate of election ender this
section may not recover benefits or compensulioe under this chapter. Pursuant to Chapter 440.06021, F.S., Certificatesof election to be exempt... apply only within the
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.061131, F.S., Notices of election to be exempt and certificates of
election to be exempt shill be subject to revocation If, at any time after the tiling of the notice or the issuaace of the certificate, the person named oe the notice or I
certificate no longer meets the requirements of this section tar Issuance of a certificate. The department shall revoke .a certificate at any time far failure
el he person
413-1609
nomad an the certificate to meet the requirements of this section.
MC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06
SOUTFLO-01 DWINCHELL
,4eter. . CERTIFICATE OF LIABILITY INSURANCE DATE 02/05/2019
2/05/DD/YYYY)
`• . 0 210 512 01 9
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(les)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 COMNTACT
NAE:
Hub International Florida PHONE FAX
10368 W.State Road 84,Suite 201 (NC,No,Ext):(954)925-2590 (ac,No):(954)925-7004
Davie,FL 33324 E-MAIL ESS:
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:Allied Insurance Company of America 10127
INSURED INSURER B:
South Florida Hispanic Chamber of Commerce,Inc. INSURER C:
333 Arthur Godfrey Road,No 300 INSURER D:
Miami Beach,FL 33140
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR INSD WVD IMMIDDIYYYY1 jY1
MM/DD/YYY
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE X OCCUR ACPBPOL3007730584 06/05/2018 06/05/2019 DAMAGE TO REN7E0 300,000
X PREMISES(Ea occurrance) $
MED EXP(Any one person) $ 5,000
PERSONAL 8 ADV INJURY $
1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
•
POLICY j 0: LOC PRODUCTS-COMP/OP AGO 2,000,000
��
OTHER: $
AUTOMOBILE LIABILITY COMBINED(Geaccident)
SINGLE LIMIT
S_
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED •
AUTOS�� ONLY _ AUTOS BODILY INJURY(Per accident) $
AUTO ONLY _
NOV-OWNEDUU l O (P(OPERTY rM. AGE
(t ar aERTYq.
$
UMBRELLA LIAB — OCCUR . EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION PER
AND EMPLOYERS'LIABILITY YIN STATUTE ER
ANY
PROPRIETOR/PARTNER/EXECUTIVE
E IMM ECUTIVE E.L.EACH ACCIDENT
EXCLUDED? N/A $
(Mandeorym ) J E.L.DISEASE-EA EMPLOYEE $.
E yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
•
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cityof Miami Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
AC RDANCE WITH THE POLICY PROVISIONS.
do HR Department/Risk Management Division
1700 Convention Center Drive .,-
Miami Beach,FL 33139 AUT RI EDREPRE EN, ME
ACORD 25(2016/03) ®1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD