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Amendment No. 4 to the Memorandum of Understanding between THE CITY OF MIAMI BEACH and THE MIAMI BEACH CHAMBER OF COMMERCE EDUCATION FOUNDATION, INC. DocuSign Envelope ID:94F22D7B-03F4-4DF3-A1 A9-465DC97C048A ZCSI — 3 O c S7 AMENDMENT NO. 4 TO THE MEMORANDUM OF UNDERSTANDING BETWEEN THE CITY OF MIAMI BEACH, FLORIDA AND THE MIAMI BEACH CHAMBER EDUCATION FOUNDATION, INC. TO IMPLEMENT A MIAMI BEACH NURSE ENHANCEMENT INITIATIVE FOR BEHAVIORAL HEALTH SERVICES FOR SCHOOL YEAR 2020/2021 Amendment No. 4("Amendment") is made and entered into this 19 day of Pcs Y( 2020, 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 Miami Beach Chamber Education Foundation, Inc., a not-for-profit corporation organized and existing under the laws of the State of Florida, having its principal place of business at 1920 Meridian Ave, 3rd Floor, Miami Beach, Florida 33139 (`MBCEF") (collectively, the "Parties")to amend the Memorandum of Understanding entered into on July 26, 2016 ("MOU"), as amended by Amendment No. 1 to the MOU, dated May 25, 2017 and Amendment No. 2 to the MOU, dated August 30, 2018, and Amendment No. 3 to the MOU dated August 12, 2019 (the MOU, Amendment No. 1 and Amendment No. 2 and Amendment No. 3 shall be collectively referred to herein as the "MOU"), as follows: RECITALS WHEREAS, the CITY, North Bay Village, the Town of Bay Harbor Islands, the Town of Surfside, and Ba( Harbour Village (the "Participating Municipalities") determined that students at North Beach Elementary, Treasure Island Elementary, and Ruth K. Broad Bay Harbor K-8 Center did not have full-time, on-site healthcare services and were, thus, underserved as compared to other public schools in the feeder pattern that falls within the City of Miami Beach; therefore, the Participating Municipalities, MBCEF and The Children's Trust ("The Trust") entered into a Memorandum of Understanding on August 19, 2013 to provide healthcare services, through a nurse, for these participating schools(the"Nurse Initiative")during the 2013-2014 school year and thereafter extended the Nurse Initiative to the 2014-2015 school year; and WHEREAS, for the 2015-2016 school year, due to the success of the Nurse Initiative, and because the basic healthcare services previously funded in the Nurse Initiative were being provided by The Trust via the new School Health Programs, the services were enhanced to provided behavioral health/mental health services for the participating schools through a licensed clinical social worker ("Nurse Enhancement Initiative"); and WHEREAS, for the 2016-2017 school year, pursuant to Resolution No. 2016- 29345, the Nurse Enhancement Initiative was continued for North Beach Elementary, Treasure Island Elementary, and Ruth K. Broad Bay Harbor K-8 Center, and, pursuant to Resolution No. 2016-29468, was expanded to include Miami Beach Senior High School, Page 1 of 6 DocuSign Envelope ID:94F22D7&03F4-4DF3-A1A9-465DC97C048A Nautilus Middle School, Fienberg-Fisher K-8 Center, Biscayne Elementary School, and South Pointe Elementary School (collectively, the "Participating Schools"), by providing for a licensed clinical social worker one day a week at each of the Participating Schools; and WHEREAS, on May 25, 2017, the CITY and MBCEF executed Amendment No. 1 to the MOU, continuing the Miami Beach Nurse Enhancement Initiative for the 2017- 2018 school year; and WHEREAS, on April 11, 2018, the Mayor and City Commission adopted Resolution No. 2018-30259, approving the expansion of mental health services at all public CITY elementary and middle schools, in an amount not to exceed $60,000; and WHEREAS, pursuant to Resolution No. 2018-30259, the CITY increased funding for behavioral health services for the Miami Beach Nurse Enhancement Initiative for the 2018-2019 school year providing funding for two (2) licensed clinical social workers, or agreed upon equivalent professional, at each of the following CITY schools for the indicated number of days: Miami Beach Senior High School, one(1) day; Nautilus Middle School, two (2) days; Fienberg-Fisher K-8 Center, two (2) days; Biscayne Elementary School, two (2) days; South Pointe Elementary School, two (2) days; and North Beach Elementary, one (1) day, (collectively, the "CITY's Participating Schools"); in a total amount not to exceed $114,000; and WHEREAS, on the 30th day of August, 2018, the CITY and MBCEF executed Amendment No. 2 to the MOU, continuing the Miami Beach Nurse Enhancement Initiative for the 2018-2019 school year; and WHEREAS, on the 12th day of August, 2019, the CITY and MBCEF executed Amendment No. 3 to the MOU, continuing the Miami Beach Nurse Enhancement Initiative for the 2019-2020 school year; and WHEREAS, the MBCEF may provide funding in an amount not to exceed $40,000 to support the Miami Beach Nurse Enhancement Initiative for the 2020-2021 school year with funds to be used from August 5, 2020 —June 5, 2021; and, WHEREAS, the City will contribute funding in the amount of$139,000 to support the Miami Beach Nurse Enhancement Initiative for the 2020-2021 school year providing funding for two (2) licensed clinical social workers, or agreed upon equivalent professional, at each of the following CITY schools for the approximate number of days indicated: Miami Beach Senior High School, four (4) or five (5) days; Nautilus Middle School, two (2) days; Fienberg-Fisher K-8 Center, one (1) day; Biscayne Elementary School, one (1) day; South Pointe Elementary School, one (1) day; and North Beach Elementary, one (1) day, (collectively, the "CITY's Participating Schools"); and Page 2 of 6 DocuSign Envelope ID:94F22D7B-03F4-4DF3-A1A9-465DC97C048A WHEREAS, the Miami Beach Nurse Enhancement Initiative for behavioral health services for the CITY's Participating Schools (the"Initiative")for the 2020-2021 school year should be established pursuant to, and as part of, separate agreements to be entered into between MBCEF, The Trust and/or the healthcare provider approved by The Trust ("Provider") to provide for the staffing and the payment of certain costs associated with the Nurse Enhancement Initiative for the Participating Schools, for a total minimum global sum of $232,600, pursuant to which the CITY's Participating Schools may receive additional days of service. Once executed, the MBCEF/The Trust/Provider agreements shall be attached as Attachment"A" hereto. NOW, THEREFORE, in consideration of the mutual conditions and promises contained herein, the Parties agree to amend the MOU as follows: 1. ABOVE RECITALS. The above recitals are true and correct and are incorporated as part of this Amendment. 2. MODIFICATIONS. The MOU is hereby amended (deleted items struck through and inserted items underlined) as follows: (a) Paragraph 1 of the MOU is hereby replaced with the following: 1. MBCEF shall enter into an agreement with The Trust and Borinquen Health Care Center, Inc. ("Provider"), The Trust's approved healthcare provider, whereby The Trust,through its Provider, shall provide the following in-kind services, set forth in subsectionsa-f and valued at $22,000; and whereby The Trust shall provide the following in-kind funding, for the Participating Schools. a. Promote a wellness approach within each Participating School by training various school staff members; b. Conduct school-wide behavioral screenings that will lead to early identification of at-risk students; c. Implement protocols that ensure behavioral screenings are administered briefly, efficiently, and respectfully; d. Support identified students and their families by linking them to appropriate clinical intervention and supportive services; Page 3 of 6 DocuSign Envelope ID:94F22D7B-03F4-4DF3-A1 A9-465DC97C048A e. Collaborate with various clinical teams at the Participating Schools and in the community; and f. Deliver culturally competent services and support systems. Paragraph 3 of the MOU is hereby deleted in its entirety and replaced with the following: 3. On or before October 31st, of each school year, the CITY shall provide funds ("CITY'S Contribution") to MBCEF for Initiative services on behalf of the City's Participating Schools,in the amount of $53,600,for Initiative services from October 1, 2016 to July 31, 2017 and from October 1, 2017 to July 31, 2018; and $113,600 for Initiative services from October 1, 2018 to July 31, 2019 and $139,000, for the period from August 5, 2019 to June 5, 2020 and from August 5, 2020 to September 30, 2020, and $139,000, for the period from October 1, 2020 to June 5, 2021 and from August 1, 2021 to September 30, 2022 subject to the following conditions: a) a favorable recommendation of the City's Contribution toward the Initiative is made by the CITY's Finance and Citywide Projects Committee in July of each fiscal year; and b) the CITY approves a budget during the CITY's budget hearings in September of each fiscal year that provides funding for the CITY's Contribution in each respective school year. 4. RATIFICATION. Except as amended herein, all other terms and conditions of the MOU shall remain in full force and effect. In the event there is a conflict between the provisions of this Amendment and the MOU, the provisions of this Amendment shall govern. (THE REMAINDER OF THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK) Page 4 of 6 DocuSign Envelope ID:94F22D7B-03F4-4DF3-A1 A9-465DC97C048A IN WITNESS THEREOF, the Parties hereto have caused this Amendment to be executed by their respective and duly authorized officers as of the day and year first written above. ATTEST: CITY OF MIAMI BEACH, FLORIDA DocuSigned by: f—DocuSigned by: DS B :FI a+.t L f. anti/.ab B : ,�iw,mc� Moran t-s L Y 21A06013ADDC186... By: "-28CA1 194070496... Rafael E. Granado, City Clerk Jimmy L. Morales, City Manager 8/19/2020 14:55 PM EDT Date: .,p APPROVED AS TO 11iCO5Pr]Of1ATEDI FORM&LANGUAGE tip; `& FOR CLITION .,43--- f14( 2- C` • City Attorney.;1a' Date • • Page 5 of 6 DocuSign Envelope ID:94F22D7B-03F4-4DF3-A1A9-465DC97C048A ATTEST: MIAMI BEACH CHAMBER EDUCATION FOUNDATION Prim Name: 2i0,9 (• /erb n, Presider and CEO Date: , '-/0 -Z.-0Z0 Page 6 of 6