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Amend NO.1 Agreement with University of Miami 2ols - 3652. S- MIAMI BEACH AMENDMENT NO. 1 TO THE AGREEMENT BETWEEN THE CITY OF MIAMI BEACH, FLORIDA AND UNIVERSITY OF MIAMI This Amendment No. 1 (Amendment) to Agreement Number 2018-CMB-05, dated October 1, 2017, by and between the City of Miami Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, having its principal place of business at 1700 Convention Center Drive, Miami Beach, Florida 33139 (City), and the University of Miami, having its principal place of business at 1320 S. Dixie Highway, Gables One Tower, Suite 650, Coral Gables, FL 33146-2926 (Grantee). is entered into this 2-2day of -Toot..ft , 2019. RECITALS WHEREAS, on September 25, 2017, the Mayor and City Commission adopted Resolution Number 2017-30023, approving the Fiscal Year 2017/18 Operating Budget. Under the category of Grants and Contributions, a grant award in the amount of$250,000 was awarded to the Miami University to support its efforts enrolling eligible City of Miami Beach residents into affordable health insurance coverage; and WHEREAS, on October 1, 2017, the City and Grantee executed the Agreement with a term commencing on October 1, 2017 and ending on September 30, 2019; and WHEREAS, the parties desire to amend the Grant Agreement to extend the term of the Agreement for one additional year; and WHEREAS, notwithstanding the extension of the term, the total amount of funding provided under this Grant Agreement remains unchanged at $250,000, with no additional funding provided as part of this amendment. NOW THEREFORE, in consideration of the mutual promises and conditions contained herein, and other good and valuable consideration, the sufficiency of which is hereby acknowledged, the City and Grantee hereby agree to amend the Agreement as follows: 1. ABOVE RECITALS The above recitals are true and correct and are incorporated as part of this Amendment. 2. MODIFICATIONS The Agreement is hereby amended (deleted items struck through and inserted items underlined) as follows: a. The title of the agreement, CITY OF MIAMI BEACH FISCAL YEAR 2017-2019 GRANT AGREEMENT, is hereby modified as follows: CITY OF MIAMI BEACH FISCAL YEAR 2017-2049 2020 GRANT AGREEMENT b. ARTICLE I/GRANT DESCRIPTION, is hereby modified as follows GRANTEE: University of Miami GRANT CONTACT: Jill Frazier Tincher Karen D. Hurdle ADDRESS: 1320 S. Dixie Highway, Gables One Tower, Suite 650 CITY, STATE, ZIP: Coral Gables, FL 33146-2926 PHONE, FAX, E-MAIL: 305 284 3952 305-284-3892, 305-284-4353, mra@med.miami.edu, LFerrer3@med.miami.edu GRANT AMOUNT: $250,000 PROJECT DESCRIPTION: See Exhibit 1 hereto GRANT PROJECT BUDGET: See Exhibit 2 hereto GRANT TERM: October 1, 2017 — September 30, 2019 2020 EXPENDITURE DEADLINE: September 30, 20-1-9 2020 PROJECT COMPLETION DATE: September 30, 2-01-9 2020 FINAL REPORT DEADLINE: October 15, 2019 2020 FINAL REIMBURSEMENT REQUEST DEADLINE: October 15, 2019 2020 c. Paragraph 1 of Section 3 (REPORTS) of Article II (GENERAL CONDITIONS), is hereby modified as follows: This Grant has been awarded with the understanding that the activities and services contemplated under the Project Description will mutually contribute to the enhancement of services available to City residents, businesses, and visitors. As a condition of disbursements of grant funds, and to demonstrate that the Grant is fulfilling, or has fulfilled, its purpose, the Grantee must submit quarterly reports to the Contract Administrator by fifteen (15) days after the end of each quarter (January 15, 2018, April 15, 2018, July 15, 2018, October 15, 2018, January 15, 2019, April 15, 2019, July 15, 2019, and the final report by October 15, 2019, January 15, 2020, April 15, 2020, July 15, 2020, and the final report by October 15, 2020). d. Section 4 (REIMBURSEMENT REQUESTS) of Article II (GENERAL CONDITIONS), is hereby modified as follows: Reimbursement requests may be submitted to the City at any time during the Grant Term. All reimbursement requests must be made after expenditures have occurred. All reimbursement requests for funds must be submitted on Exhibit 4, Grant Reimbursement Request Form. All reimbursement requests must be submitted prior to October 15, 2049 2020. Grantee shall provide the City with copies of all receipts, invoices, cancelled checks (with copies of both front of back) and proof of expenditures of Grant monies. Grantee shall provide the City with and shall categorize all receipts, invoices, cancelled checks, and other documentation, according to the categories set forth in the grant budget. Invoices and checks must be directly related to expenses for grant-funded activities taking place between October 1, 2017 and September 30, 2019 2020. e. Section 10 (ACCOUNTING AND FINANCIAL REVIEW) of Article II (GENERAL CONDITIONS) is hereby amended as follows: Funded activities by this Grant must take place during the City's fiscal years for which the Grant is approved (October 1, 2017- September 30, 2049 2020). The GRANTEE shall keep accurate and complete books and records of all receipts and expenditures of Grant funds, in conformance with reasonable accounting standards. These books and records, as well as all documents pertaining to payments received and made in conjunction with this Grant, including, without limitation, vouchers, bills, invoices, receipts and canceled checks, shall be dated within the fiscal years for which they are approved and retained in Miami-Dade County in a secure place and in an orderly fashion by the Grantee for at least three (3) years after the Expenditure Deadline specified in this Agreement. These books, records, and documents may be examined by the City, and/or its authorized representatives, at the Grantee's offices during regular business hours and upon reasonable notice. Furthermore, the City may, at its expense, audit or have audited, all the financial records of the Grantee that pertain to this Grant or this Grant's related expenditures. f. Paragraph 1 of Objective/Goals set forth in EXHIBIT 1, PROJECT DESCRIPTION, is hereby modified as follows: Grantee will enroll 250 candidates for PrEP services in its first year, with a goal of keeping 3 200 individuals (80%) adherent to their PrEP medication schedule for six months after commencing treatment, and 175 individuals (70%) adherent to their PrEP medication schedule after a full year, with adherence to be monitored by appointment compliance and continued prescriptions. Non-adherent patients will be replaced by new patients after a two-month lapse in care. When possible, PrEP patients will be offered transfer of care to available community providers where they may also receive primary care services. For patients who are unable to access PrEP through alternative means, the UM Mobile Clinic will provide ongoing services. By October-241-9 2020, the project is expected to be fiscally self-sufficient. e. Section c (Operations) of Program Activities set forth in EXHIBIT 1, PROJECT DESCRIPTION, is hereby modified as follow : The UM Mobile Clinic will be a game-changer, providing easy and free access to PrEP in a non-clinical setting within the City of Miami Beach. The challenge for people in Miami Beach now in obtaining this life-changing medication is threefold — few access points for those who are uninsured; anxiety about clinical or HIV-focused settings; and few locations accessible to those who work during the day. The UM Mobile Clinic will be open from 5:00 PM to 7:00 PM two (2) nights per week. This will allow people with 3. RATIFICATION Except as amended herein, all other terms and conditions of the Agreement shall remain unchanged and in full force and effect. In the event there is a conflict between the provisions of this Amendment and the Agreement, the provisions of this Amendment shall govern. IN WITNESS WHEREOF, the parties hereto have executed this Agreement. FOR CITY: City of Miami Beach, Florida ATTEST: Ikikvitl / 1'—ry •::;0\ By: ‘. ■I� .ti Rafael E. Granado, City Q1.a4; ' �'`:leeJim L. Mo les,. City Manager •142419 Z I ,. .II•�C;ORP ORA t O Z((1 'P Date • ' • 0) Date Ili*** �' f '••• ••-••''', N 1)CH2_ FOR GRANTEE: University of Miami Federal ID#59-0624458 ATTEST: Digitally signed by Karen Deborah Hurdle *�� Date:2019.10.10 16:56:36-04'00' By: ilaely Authorized Signature Mario Stevenson, Chief of Infectious Diseases Karen D.Hurdle,Director,Office of Research Administration Print Name and Title Print Name and Title 10/03/2019 Date Date APPROVED AS TO FORM&LANGUAGE &FOR EXECUTION 'lO , j 61 t ill� 5 ��