Loading...
FY 18/19 Grant Agreement with Douglas Gardens Community Mental Health Center of Miami Beach, Inc. 201g_305) • MIAMIBEACH • CITY OF MIAMI BEACH . • FISCAL YEAR18119 GRANT AGREEMENT • PROJECT No.: 2019-CMB-07 This GRANT AGREEMENT is.made and entered into this - .. day of ten ,/.. , 20 Iq by and:between:the Cityof Miami Beach, Florida (hereinafter the "City"), and the Douglas • Gardens Community.Mental Health Center of Miami Beach, Inc: (hereinafter the'"Grantee")..This I, Agreement is effective October 1, 2018,the"Effective Date." • ARTICLE I /GRANT DESCRIPTION I. GRANTEE;: . . Douglas Gardens Community Mental Health Center ter of Miami Beach, Inc. GRANTEE CONTRACT ADMINISTRATOR: - . Ms:.-Eleanor Lasser, LCSW/CEO'' • Mr: Larry J. Long, MAcc, CFO: • ADDRESS: 1680 Meridian Avenue, Suite 501 ._ CITY, STATE, ZIP: Miami Beach,FL 33139-2719. • PHONE, FAX, E-MAIL: 305-531-5341;305-532-5322; Elanser@dgcmhc.org GRANT AMOUNT: $22,000' 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 I REQUEST DEADLINE: October 15, 2019 . IN WITNESS WHEREOF, the parties hereto have executed this Agreement FOR CITY: City of Miami Beach, Florida ATTEST: :. I 27:/_________ Raf el E. Granado, City Clerk _?,q NM B,G - ^Jim L. M. ales; City Manager v, ____ ..0 , --. -b.- , . , 1 Date F\qtR ils, ' • -------`\- -te s 1.INCORP ORATED �' • VIII �` � L FOR GRANTEE: .1 9........' j Pk i. 1.Douglas Gardens Co ' 4jt lrtal Health Center of.Miami Beach, Inc.. i Federal ID#59-1923396 ATTEST: Ail. i Al BgpAd° ji y: c/ C :aA,a, __7/ r���; l,. A uth, Sigmop-- na Lire - Larry J. Long, MAcc, CFO Ma Eleanor tenser LCSW CEO Print Name and Title Print.Name and Titl I l' to Date Date I. APPROVED AS TO.. FORM & LANGUAGE &FOR EXac;,..,,052....E UTION ,( 14 city Attorney Dote of_ 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 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 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. iv. Medical Malpractice Insurance in the name of the provider, in an amount not less than $1,000,000. 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 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 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 Hoanshelfi. : . Director, Gants Management Division City of Miami Beach Office of Budget and Performance Improvement 17.00 Convention Center Drive Miami Beach,.FL3:3139 Tel: 305-673-7510/305-673-7000.ext. 6183. : • Fax: 7.86-394-4675 Email:.iudvhoansheltc miamibeachfl.gov. ARTICLE III l_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 forsupport: Assuch, use of Grant funds:for:any program.component not meeting this:condiition will be:considered:a.breach of the terms of:this Agreement_and will allow the City toseek remediies'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., nationalorigin, 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. beamended from time to time, prohibiting : : • discrimination in employment, housing and public accommodations on account of actual or.:perceived race,color, national origin; religion, sex,iintersexuality;.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 clearmandate 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 .19:73 and Section_:504 and: • prohibits discrimination on the basisof disability and requires.that Grant recipients provide equal access and equal opportunity and services without discrimination:op 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 Page 9 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, ifin 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 The Grantee is a publicly funded mental health service provider serving the greater Miami Beach area:. More than 45%of theindividualsserved are identified as low income and/or without income. In.order for needed mental health services to be effective, linkage to services is crucial, as is access to the : medications prescribed by the psychiatric medical physician.. KEY INTENDED.OUTCOME (KIO): • Maximize Miami Beach as a World Class Destination • PROGRAM DESCRIPTION Grantee provides services as part of this Agreement.by(1):paying for prescription medical co-payments on behalf of low income elderly and disabled Miami Beach residents; and (2) operating the Aftercare program (including one case manager) to assist residents and new clients who aretransitioning from the hospital back to the community setting, and who are also experiencing a; personal emotional/psychiatric crisis or emergency episode;Aftercare services provide assistance to individuals' with chronic mental health challenges after a crisis, includingassessments and:follow-up services:. • Medical co-payments are made only for:prescribed .medications that establish or maintain clients' psychiatric:stability. Grantee owns and operates a pharmacyon site at its Mental Health Center: LOCATION Grantee's Mental Health Center, located at 1680 Meridian Avenue, Suite #501; Miami Beach, Florida. 33139.... . . • GRANT ACTIVITIES .. . • .: Activity Name. Activity Description Description of Service Number of Service Recipients Recipients Aftercare The Aftercare Case Manager Miami : Beach residents 511 clients to Services meets with individuals recently being treated in an receive 1,232 hours discharged from an inpatient inpatient psychiatric unit of service. psychiatric unit to develop trust OR recently discharged and link clients to necessary from inpatient psychiatric mental health services. services and receiving Activities include liaising with outpatient:services referring inpatient psychiatric unit service : providers, as necessary Page 11. Prescription The prescription co-payment Co-payment of fees is 764 clients receiving co-pay. for elderly and disabled provided to disabled and 4,786 prescriptions individuals enables -: the elderly Miami Beach with co-pays valued individuals maintain their residents:under the care at$15,730.47. • prescription medication levels of a psychiatrist and. in and achieve psychiatric need of prescription stability:: : medication. GOALS/OUTCOMES Outcome.: . . Measure Target Reporting.Timeline Linkage to mental Aftercare follow-up within .A minimum of 50% of Quarterly reporting. health services: seven (7) days post hospital discharged inpatient admission: clients will access services, STAFFING Position Title Description/Responsibilities to Grant Program.. Aftercare Care.Manager The. Aftercare Case Manager meets with '.staff and individualsslatedfor needed services weekly at the:. hospital. Position provides direct services to clients in need. as per. this Agreement Page 12 EXHIBIT 2 PROJECT OJECT BUDGET Budget Line Item Description Project Budget Staff Salary and Wages: (After $17..16 per hour x-18.88 hours.per : $16,847 . Care Case Manager) week x 52 weeks Medication Co-Payments Cost per prescription varies; funds are $5,153 provided for an amount not to exceed line item subtotal Total $22,000 Page 13 11,I: EXHIBIT 3 CITY OF MIAMI BEACH GRANT QUARTERLY STATUS REPORT FORM CMB GRANT AGREEMENT No.: ' : 2019-CMB-07 GRANTEE NAME: : Douglas Gardens Community Mental Health Center of Miami Beach, Inc: GRANTEE ADDRESS: 1680 Meridian Avenue, Suite 501. Miami Beach, FL 33139-2719 GRANTEE CONTRACT ADMINISTRATOR: Mary Eleanor Lanser, LCSW, CEO GRANTEE CONTRACT,ADMINISTRATOR'S ELanser@dgcmhc.org :. E-MAIL ADDRESS: REPORT PERIOD: 0 Oct 1 - Dec: 31 0 'Jan. 1 Mar. 31 0 Apr. 1 -Jun: 30 : E Jul: 1 -Sept.30.: Due Jan. 15 : : Due Ap. 15 Due Jul. 15: Due Oct. 15 WORK ACCOMPLISHED: PROBLEM ENCOUNTERED: PERCENTAGE COMPLETION:: . OTHER NOTABLE ITEMS: Grantee: . ,a 3, II i i s l ,00:40.00' i / e/a' .ice., Signatu eLDa ;. City of Miami Beach Name Name Signature/Date Signature/Date Page 14 EXHIBIT 4._ CITY OF MIAMI BEACH GRANT REIMBURSEMENT REQUEST FORM Part 1 of 2. CMB AGREEMENT No:.: 2019=CMB=07.. GRANTEE.NAME: Douglas Gardens Community Mental Health of Miami Be ach, Inc • GRANTEE ADDRESS: 1680.Meridian Avenue, Suite 501 :: Miami Be ach, FL 33139=2719 • GRANTEE CONTRACT ADMINISTRATOR; Mary Eleanor.Lanser, LCSW, CEO GRANTEE CONTRACT ADMINISTRATOR'S ELanseradgcmhc.orq: E-MAIL ADDRESS: • • REQUEST No:: : 22,000 . Amount of Assistance: .$ Leap Previous Total Disbursements•. $ Balance Available: $ Funds.Requested-This. $ . I 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: • eae :491 00/'f/Ci 4g. . ; : ( ame Signature/Date :Cityof Miami Beach Name Name : :Signature/Date Signature/Date.. Page.15 Client#: 154098 DOUGGAR ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/07/2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Evelyn D.Ambler,AAI \. CBIZ Weekes &Callaway PHONE 561 278-0448 FAx (A1C,No,Ext): (A/C,No): 3945 West Atlantic Avenue E-MAIL ADDRESS: www.CbiZ.com . Delray Beach, FL 33445 INSURER(S)AFFORDING COVERAGE NAIC# 561 278-0448 INSURER A:Philadelphia Indemnity Insurance Co. 18058 INSURED INSURER B:Associated Industries Insurance Company 23140 I Douglas Gardens Community Mental Health INSURER C: • Center of Miami Beach,Inc. INSURER D: 1680 Meridian Avenue,Ste 501 INSURER E: Miami Beach, FL 33139 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY PHPK1799391 04/01/2018 04/01/2019 EACH OCCURRENCE _ $1,000,000 DAMAGE Tp RENTED X CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY _$1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY JE PRO- POLICY LOC PRODUCTS-COMP/OP AGG $3,000,000 OTHER: $ A AUTOMOBILE LIABILITY PHPK1799391 04/01/2018 04/01/2019 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY_ (Per accident) $ PIP $10,000 A x UMBRELLA LIAR X OCCUR PHUB623602 04/01/2018 04/01/2019 EACH OCCURRENCE $4,000,000 EXCESS-LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED X RETENTION$10000 $ B WORKERS COMPENSATION AWC1097096 01/30/2018 01/30/2019 X MI'. OTH- AND EMPLOYERS'LIABILITY Y/N STTUTE FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? N N/A . (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 A Professional Liab PHPK1799391 04/01/2018 04/01/2019 $1,000,000 Per Claim A Professional Liab $3,000,000 Aggregate A Abuse&Molestati $1,000,000 Sublimit DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) FULL CERTIFICATE HOLDER: City of Miami Beach c/o Judy Hoanshelt,Grants Management Division,3rd Floor, 1700 Convention Center Drive,Miami Beach,FL 33139 The City of Miami Beach is named as an additional insured with respect to General Liability as required by written contract subject to all policy terms,conditions,definitions&exclusions and respects to liability arising out of work or operations performed by or on behalf of the Grantee. Waiver of (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Miami Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1700 Convention Center Drive ACCORDANCE WITH THE POLICY PROVISIONS. Miami Beach, FL 33139 AUTHORIZED REPRESENTATIVE 4 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1978746/M1791381 80JR DESCRIPTIONS (Continued from Pagel) Subrogation is in favor of The City of Miami Beach with regard to the General Liability. Florida statute requires 45 day notice for non-renewal.Florida statute requires Ten(10)Days Notice of Cancellation for Non Payment of Premium. SAGITTA 25.3(2016/03) 2 of 2 #S1978746/M1791381