Amendment No. 9 to the MOU between the CMB and The Miami Beach Chamber Education Foundation, Inc. to Implement a Miami Beach Nurse Enhancement Initiative for Behavioral Health Services for school year 2025-2026 Docusign Envelope ID:96446975-6400-42A2-AEB3-99A325E6FDE1
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AMENDMENT NO. 9
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 2025-2026
1 011 7/202 5� 11:15 AM EDT
This Amendment No. 9 ("AmendmenY'} is made and entered into this day of
, 2025, by and between the City of Miami Beach, Florida, a municipai corporation
organized and existing under the laws of the State of Florida, having its principai place of business
at 1700 Convention Center Drive, Miami Beach, Florida 33139(the"City")and the Miami Beach
Chamber Education Foundation, Inc., a Florida not-for-profit corporation organized and existing
under the laws of the State of Florida, having its principal place of business at 1920 Meridian
Avenue, 3rd Floor, Miami Beach, Florida 33139("MBCEF")(together with the City, the"Parties"),
to modify that certain Memorandum of Understanding dated as of July 26, 2016 (as amended by
Amendments No. 1 through 8, the "MOU").All capitalized terms used in this Amendment but not
otherwise defined herein shall have the meanings given to them in the MOU.
RECITALS
WHEREAS, the City, North Bay Village, the Town of Bay Harbor Islands, the Town of
Surfside, and Bal 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;
WHEREAS, to address this disparity, the Participating Municipalities, MBCEF and The
Children's Trust entered into an initial Memorandum of Understanding on August 19, 2013 for the
provision of nurse-led healthcare services at the identified schools (the "Nurse Initiative"}, a
second Memorandum of Understanding on April 23, 2014, to continue the Nurse Initiative during
subsequent school years at the identified schools, and a third Memorandum of Understanding on
May 17, 2018 to provide enhanced nurse-led healthcare services (the "Nurse Enhancement
Initiative"� and continue provision of the services for subsequent school years at the identified
schools;
WHEREAS, concurrently, desiring to expand the program into additional Miami Beach
schools, the City and MBCEF executed the MOU for the provision of the Nurse Enhancement
Initiative at Miami Beach Senior High School, Miami Beach Nautilus Middle School, Miami Beach
Fienberg-Fisher K-8 Center, Biscayne Beach Elementary School and Miami Beach South Pointe
Elementary School (together with North Beach Elementary, the ''Participating Schools") for the
2016-2017 school year;
WHEREAS, on May 25, 2017, the City and MBCEF executed Amendment No. 1 to the
MOU continuing the Nurse Enhancement Initiative for the 2017-2018 school year;
WHEREAS, pursuant to Resolution No. 2018-30259, on August 30, 2018, the CITY and
MBCEF executed Amendment No. 2 to the MOU continuing the Nurse Enhancement Initiative for
the 2018-2019 school year and increasing the funding for the Nurse Enhancement Initiative to
$114,000.00, among other things;
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WHEREAS, pursuant to Resolution No. 2019-30957, on August 12, 2019, the City and
MBCEF executed Amendment No. 3 to the MOU continuing the Nurse Enhancement Initiative for
the 2019-2020 school year and increasing the funding for the Nurse Enhancement Initiative to
$139,000, among other things;
WHEREAS, on or about August 19, 2Q20, the City and MBCEF executed Amendment No.
4 to the MOU continuing the Nurse Enhancement Initiative for the 2020-2021 school year;
WHEREAS, on June 21, 2021, the City and MBCEF executed Amendment No. 5 to the
MOU continuing the Nurse Enhancement Initiative for the 2021-2022 schoo( year, among other
things;
WHEREAS, on May 5, 2022, the City and MBCEF executed Amendment No. 6 to the
MOU continuing the Nurse Enhancement Initiative for the 2022-2023 school year, among other
things;
WHEREAS, on or about May 16, 2023, the City and MBCEF executed Amendment No. 7
to the MOU continuing the Nurse Enhancement Initiative for the 2023-2024 school year, among
other things;
WHEREAS, on or about July 1, 2024, the City and MBCEF executed Amendment No. 8
to the MOU continuing the Nurse Enhancement Initiative for the 2024-2025 school year and
adding Hazel Heath as a provider of telehealth-based primary care, therapy and counseling
services; and
WHEREAS, pursuant to Resolution No. 2025-33853, the City and MBCEF desire to (i)
modify the MOU to increasing funding for the Nurse Enhancement Initiative from $139,000 to
$169,000, (ii) modify the MOU to remove Hazel Health as a provider, and (iii)continue the Nurse
Enhancement Initiative for the 2025-2026 schoof year.
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 sl��and
inserted items underlined)as follows:
ij Sections (a) and (b�of Amendment No. 8 are hereby deleted in their entirety:
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iij Paragraph 3 of the MOU is hereby deleted in its entirety and repiaced with the
foflowing:
Subject to fundinq appropriation and approval bv the Citv Commission durinq the Citv's bud4etary
process, on or before October 31 st of each school vear the Citv will provide funds ("Ci�'s
Contribution")to MBCEF for Initiative services on behalf of the CITY's Participating Schools,
in the amount af up to $169,000.00 for the period from October 1, 2025 to June 30, 2026 and
from Auqust 1 2026 to September 30 2026.
iii) The following Paragraphs 17-20 are hereby added to the MOU:
17. MBCEF aarees to complv with Section 787.06 Florida Statutes as mav be amended from
time to time, and has executed the Anti-Human Traffickinq Affidavit, containinq the certification of
compliance with anti-human traffickinq laws as required by Section 787.06(13) Florida Statutes
a_copy of which is attached hereto as Exhibit A.
18. MBCEF warrants and represents that it is not currentiv enqaqed in and will not enaaqe in, a
bovcott as defined in Section 2-375 of the Citv Code. In accordance with Section 2-375.1(2)(a)
of the City Code, MBCEF hereby certifies that MBCEF is not currently enqaqed in, and for the
duration of the Agreement, will not enqaqe in a boycott of Israel.
19. MBCEF warrants and represents that,within iwo(2Zvears prior to the Effective Date, MBCEF
has not received comqensation for services performed for a candidate for Citv elected office, as
contemplated bv the prohibitions and exceptions of Section 2-379 of the Citv Code.
For the avoidance of doubt the restrictions on contractinq with the City pursuant to Section 2-
379 of the Citv Code shall not apqly to the followinq:
(a) Any individual or entitv that provides qoods to a candidate for office.
(bj Any individual or entity that provides services to a candidate for office if those same
services are reqularlY qerformed bv the individual or entitv in the ordinary course of
business for clients or customers other than candidates for office. This includes, without
limitation, banks teleqhone or internet service providers, printinq companies, event
venues, restaurants, caterers transportation providers and office supply vendors.
(c) Any individual or entity which performs licensed professional services (includinq for
ex_a_mple, leqal or accounting services).
20. MBCEF hereby aarees to complv with Section 287.138, Florida Statutes, as maY be
amended from time to time. which states that as of January 1, 2024, a qovernmental entitv mav
not acceqt a bid on a proposal for, or a replv to, or enter into, a contract with an entitv which
would qrant the entitv access to an individual's personal identifvinq information(PII), unless the
entitv Rrovides the qovernmental entity with an affidavit siqned bv an officer or representative of
the entitv under penaltv of periury attestinq that the entit�does not meet anv of the criteria in
Paraqraphs 2(a)-(c) of Section 287.138 Florida Statutes: (a? the entity is owned by a
qovernment of a foreiqn country af concern (b)the government of a foreian country of concern
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has a controllinq interest in the entitv; or (c) the entitv is organized under the laws of or has its
principal place of business in a foreiqn country of concern {each a "Prohibited Entitv"). A
foreiqn country of concem is defined in Section 287.138 (1)(c), Florida Statutes as may be
amended from time to time, as the People's Republic of China, the Russian Federation, the
Isiamic Republic of Iran, the Democratic People's Republic of Korea, the Republic of Cuba, the
Venezuelan reaime of Nicolas Maduro or the Svrian Arab Requblic, includinq anv a4encv of or
any other entity of siqnificant control of such foreiqn country of concern.Additionallv beainninq
Julv 1, 2025, a govemmental entity mav not extend or renew a contract with a Prohibited Entitv.
MBCEF warrants and represents that it does not fali within the definition of a Prohibited Entitv.
and as such, has caused an authorized representative of MBCEF to execute the "Prohibition
Against Contractinq with Entities of Foreign Countries of Concern Affidavit", incorporated herein
bY reference and attached hereto as Exhibit B.
iv) Exhibit A attached hereto is hereby attached to the Agreement.
v) Exhibit B attached hereto is hereby attached to the Agreement.
3. 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)
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IN WITNESS THEREOF, the Parties hereto have executed by their respective and duly
authorized officers the day and year first above written.
ATTEST: CITY OF MIAMI BEACH, FIORIDA
DocuSigned by: •� DS OS
a.c.(, �. Gra�n.a.�(.o --- By. � ��C � ; '� 9G l - ,
��B�,e��ado, City Clerk Eric T. Carpen er, P.E.
City Manager
Date: 10/17/2025� 11:15 AM EDT
ATTEST: MIAMI BEACH CHAMBER EDUCATION
FOUNDATION, INC., a Florida not-for-profit
corporation
Siqncd by:
._ By' Vl L A.SS 10/10/2025� 10:27 AM EDT
'tifP�l���nt, President & CEO
Name:
Titte:
Date:
APPROVED AS TO
FORM & LANGUAGE
& FOR EXECUTION
��,`�`�— °q ,� zs
� City Attorney �t{� Date
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EXHIBIT"A"
ANTI-HUMAN TRAFFICKING AFFIDAVIT
In accordance with Section 787.06 (13), Florida Statutes, the undersigned, on behalf of MBCEF
hereby attests under penalty of perjury that MBCEF does not use coercion for labor or services
as defined in Section 787.06, Florida Statutes,entitled"Human Trafficking".
I understand that I am swearing or affirming under oath to the truthfulness of the claims made in
this affidavit and that the punishment for knowingly making a false statement includes fines and/or
imprisonment.
The undersigned is authorized to execute this affidavit on behalf of MBCEF.
MBCEF:
Miami Beach Chamber Education Foundation, Inc.,a Florida not-for-profit corporation.
) _ � �
_� �9�z /�U��cG,r..,,. /�Ve M,ca.n.,.�' �e�.G.G
ame/Title: , a� a,.d C�v (Address)
State of � �G�•C�Ck
County of M;a,�,�, - �D�� e
The foregoing instrument was acknowledged before me by means of�physical presence or 0
online notarization, thfs �� day of �• � 202.5 by
�r1ln,�. �ru.t�n.� , as ��.e a-r�P.�.��-r , of Miami Beach
Chamber Education Foundation, Inc., a Florida not-for-profit corporation, known to me to be the
person described herein, or who produced as
identification, and who did/did not take an oath.
NOTARY PUBLIC:
,�:'�'���. co�nN.asor+
� �1•��.a ti,�� Mr Comm.BYpIre�Oct 2�!202E
(Signature}
. ..IonarE throu�h Muion�l Noury bfn.
.O r P.�.1 a-+"�n Yl
(Print Name)
My commission expires: DC�-o aG �tJ��
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�
I
EXHIBIT"B"
PROHIBITION AGAINST CONTRACTING WITH FOREIGN COUNTRIES OF CONCERN
AFFIDAVIT
In accordance with Section 287.138, Florida Statutes, incorporated herein by reference, the
undersigned, on behalf of MBCEF, hereby attests under pena�ty of perjury that MBCEF does not
meet any of the following criteria in Paragraphs 2(a)-(c)of Section 287.138, Florida Statutes: (a)
MBCEF is owned by a govemment of a foreign country of concern;(b)the government of a foreign
country of concem has a controlling interest in MBCEF;or(c)MBCEF is organized under the laws
of or has its principal place of business in a foreign country of concern.
I understand that I am swearing or affirming under oath, under penalties of perjury, to the
truthfulness of the claims made in this affidavit and that the punishment for knowingly making a
false statement includes fines and/or imprisonment.
The undersigned is authorized to execute this affidavit on behalf of MBCEF.
MBCEF:
Miam� Beach Ch ber Educ tion Foundation, Inc., a Florida not-for-profit corporation.
� /9�h/l.t.�..��r-/�✓t .tti�.�... ��.�.�.G
ame� itle./,. �.,�,�,c �r..r�a,:+� ;°s:�,��.�a,,,d cc7� (Address)
State of �}�0�,(�cZ
County of ��a-m� �' Dq�e.
The foregoing instrument was acknow�dged before me by means of�physical presence or❑
on}lf'�e . notarization, this (�) — day of -t , 202 by
/'dYr�il..,e- �St�s� , as , of Miami Beach
Chamber Education Foundation, Inc., a Florida n6t-for-profit c r ration, known to me to be the
person described herein, or who produced as
identification, and who did/did not take an oath.
NOTARY PUBLIC:
"r"�"� �ORfY NARSOh
i� �;`� Notiry iubllc•SUt�ot fiorfu
0
(Signature) �i;' Commisslon y HH 581962
`••...a r+..:� My Comm.ExDU�s Oct 26,202d
n ^ �,1 �y S p� Eonded thtouQh Wtlon�l Noury A�fn.
1.:,�J� �., -
(Print Name)
My commission expires: Q!;��a�'_c�� ���
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2025-33853
RESOLUTION NO.
A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF
MIAMI BEACH, FLORIDA, (I} APPROVING AN INCREASE IN THE CITY
GONTRtBUTiON FOR THE MIAMI BEACH NURSE ENHANCEMENT
INITIATIVE FOR THE 2025-2026 SCHOOL YEAR FROM AN AMOUNT NOT TO
EXCEED $139,000.00, AS SET FORTH IN RESOLUTION NO. 2Q19-30957, TO
AN AMOUNT NOT TO EXCEED $169,000.00; (II)APPROYING AN INCREASE
OF THE CITY CONTRIBUTION FOR THE MIAMI BEAGH NURSE
ENHANCEMENT INITIATIVE TO AN AMOUNT NOT TO EXCEED$169,000 FOR
EACH SUBSEQUENT SCHOOL YEAR, ON A RECURRING BASIS, SUBJECT
TO FUNDING APPROVAL DURING THE CITY'S BUDGETARY PROCESS; (III)
APPROVING, IN SUBSTANTIAL FORM, AMENDMENT NO. 9 TO THE
MEMORANQUM OF UNDERSTANDING DATED JULY 26,2016 BETWEEN THE
CITY AND THE MIAMI BEACH CHAMBER EDUCATION FOUNDATION, INC.
(MBCEF) FOR THE PROVISION OF THE MIAMI BEACH NURSE
ENHANCEMENT INITIATIVE FOR THE 2025-2U26 SCHOOL YEAR IN AN
AMOUNT NOT TO EXCEED $169,000; (11� AUTHC?RIZING THE GITY
MANAG�R AND CITY CLERK TO EXECUTE SAID AMENDMENT NO. 9; AND
(Vj AUTHORIZING MBCEF, AS THE CITY'S FISCAL AGENT, TO NEGOTIATE
AND EXECUTE ANY REQUIRED AGREEMENTS WITH THE CHILDREN'S
7RUST AND A PROVIDER AUTHORIZED BY THE CHILDREN'S TRUST TO
FUND THE SERVICES PROVIDED PURSUANT TO THE MOU.
WHEREAS, the City of Miami Beach (the "City"), North Bay Viliage, the Town of Bay
Harbor Islands, the Town of Surfside and Bal Harbour Viilage (collectively, together with the City,
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; and
WHEf2EAS, on August 19, 2013, the Participating Municipalities, the Miami Beach
Chamber Education Foundation, fnc. ("MBCEF"),and The Children' s Trust("The TrusY')entered
inta a Memorandum of Understanding, to provide healthcare services through a nurse for these
participating schools(the "Nurse Initiative"}during the 2013- 2Q14 school year; and
WHEREAS, the Nurse Initiative was extended to the 2014-2015 school year; and
WHEREAS, due to the success of the Nurse Initiative, and because the basic healthcare
services previously funded through the Nurse Initiative were being provided by The Trust via the
new school health programs, on April 13, 2016, the Mayor and City Commission adopted
Resolution No. 2016-29345, approving the enhancement of the Nurse Initiative by providing
behavioral health/mental health services for the participating schools through a licensed clinical
social worker(the "Nurse Enhancement Initiative"}for the 2016- 2017 school year; and
WHEREAS, pursuant to Resolution No. 2016-29345, on July 26, 2016, the City and
MBCEF entered into a Memorandum of Understanding ("MOU"), which continued the Nurse
Enhancement Initiative fior North Beach Elementary, Treasure Island Elementary, and Ruth K.
Broad Bay Harbor K-8 Center, and expanded the Nurse Enhancement Initiative to include Miami
Beach Senior High School, Nautilus Middle School, Fienberg Fisher K-8 Center, Biscayne
Elementary School and South Pointe Elementary School (collectively, together with North Beach
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Elementary, the"City Participating Schools"), by providing far a licensed ciinical 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 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 inental health services at ali public City elementary and
middle schools, in an amount not to exceed $60,000.00 per year; and
WHEREAS, pursuant to Resolution No. 2018-30259, the City increased funding for the
Nurse Enhancement Initiative for the 2018-2019 school year, providing funding for two licensed
clinical social workers, or agreed upon equivalent professional, at each of the City Participating
Schools for the indicated number of days:(a)Miarni Beach Senior High School,one day,(b)Miami
Beach Nautilus Middle School, two days, (c) Miami Beach Fienberg Fisher K-8 Center, two days,
(d) Biscayne Beach Elementary School, two days, (e) Miami Beach South Pointe Elementary
School, two days, (f) and North Beach Elementary, one day, in a total amount not to exceed
$114,000.00 per year {the Nurse Enhancement Initiative for the City Participating Schools shall
be referred to herein as the "Miami Beach Nurse Enhancement initiative"); and
WHEREAS, on August 30, 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 September 11, 2019, the Mayor and City Commission adopted Resolution
No. 2019-30957, approving Amendment No. 3 to the MOU for the extension of the Miami Beach
Nurse Enhancement Initiative, in the amount not to exceed $139,000.00 per year (the "City
Contribution") for the 2019- 2020 school year and each subsequent school year, on a recurring
basis, subject to funding approval during the City's budgetary process: and
WHEREAS, MBCEF also provided funding, in an amount not to exceed $40,000.00, to
support the Miami Beach Nurse Enhancement Initiative services for the 2019-2020 schoal year,
with funds to be used from August 5, 2019 to June 5, 2020 and remaining funds to be used from
August 5, 2Q20 to June 5, 2021; and
WHEREAS, on August 12, 2019, Amendment No. 3 was executed, extending the Miami
Beach Nurse Enhancement Initiative services for the 2019-2020 school year, increasing the City
Contribution from $114,000.00 to $139,000.00, and providi�g for the execution of a separate
agreement among MBCEF, The Trust and a healthcare provider approved by The Trust for the
provision of sta�ng and the payment of certain costs associated with the Nurse Enhancement
Initiative for all of the participating schools, for a total minimum global sum of $232,600.00,
pursuant to which the City Participating Schools may also receive additional days of service; and
WHEREAS, on August 19, 2020, the City and MBCEF executed Amendment No. 4 to the
MOU, continuing the Miami Beach Nurse Enhancement Initiative for the 2020-2021 school year;
and
WHEREAS, on June 21, 2021, the City and MBGEF executed Amendment No. 5 to the
MQU, continuing the Miami Beach Nurse Enhancement Initiative for the 2021-2022 school year;
and
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WHEREAS, on May 5, 2022, the City and MBCEF executed Amendment No. 6 to the
MOU, continuing the Miami Beach Nurse Enhancement Initiative for khe 2022-2023 school year;
and
WHEREAS, on May 16, 2023, the City and MBCEF executed Amendment No. 7 to the
MOU, continuing the Miami Beach Nurse Enhancement Initiative for the 2023-2024 school year;
and
WHEREAS, on July 1, 2Q24, the City and MBCEF executed Amendment No. 8 to the
MOU, continuing the Miami Beach Nurse Enhancement Initiative for the 2024-2025 school year
and adding Hazel Heath as a provider of telehealth-based primary care, therapy and counseling
services; and
WHEREAS, Hazel Health, the provider for the Nurse Enhancement Initiative for the 2023-
2024 and 2024-2025 school years, was not selected to continue providing said services at the
City Participating Schools by The Trust: and
WHEREAS, the City seeks to utilize the services of certain providers as may be approved
by The Trust from time to time ("Authorized Providers") for the Nurse Enhancement Initiative to
enhance these services at the City Participating Schools for the 2024-2025 school year and every
year thereafter, as may be needed; and
WHEREAS, in order to utilize these services, MBCEF will execute agreement(s)with The
Trust and one or more Autho�ized Providers, which agreements shall allow MBCEF, as the Citys
fiscal agent, to fund the primary care, therapy, and counseling services provided, as needed; and
WHEREAS, the current City Gontributi�n fo� the Nurse Enhancement Initiative is
$139,0OO.OQ, as approved in Resolution No. 2019-30957, but the Administration requests an
increase to an amount not to exceed $169,000.00; and
WNEREAS, the City Manager recommends the following: (i} approval of an increase in
the City Contribution for the Miami Beach Nurse Enhancement Initiative for the 2025-2026 school
year from an amount not to exceed $139,000.00, as set forth in Resolution No. 2019-30957, to
an amount not to exceed $169,Q00.00, (ii)approval af an increase of the City Contribution to an
amount not to exceed $169,000 for each subsequent school year, on a recurring basis, subject to
funding approval during the City's budgetary process, (iii) approval, in substantial form, of
Amendment No. 9 to the MOU, attached to the City Cornmission Memorandum accompanying
this Resolution, for the provision of the Miami Beach Nurse Enhancement Initiative for the 2025-
2026 school year in an amount not to exceed $169,OOQ; (iv} authorization for the City Manager
and City Clerk to execute said Amendment No. 9; and (v)authorization for MBCEF, as the City's
fiscal agent, to negotiate and execute any requi�ed agreements with The Children's Trust and an
Authorized Provider to fund the services provided pursuant to the MOU.
fVOW, THEREFORE, BE IT DULY RESOLVED BY THE MAYC)R AND THE CITY
COMMISSION OF THE CITY OF MIAMI BEACH,FLORIDA,that the Mayor and City Commission
hereby(i)approve an increase in the City Contribution for the Miami Beach Nurse Enhancement
Initiative for the 2025-2026 school year from an amount not to exceed $139,OQ0.00, as set forth
in Resolution No. 2019-30957, to an amount not to exceed $169,000.00; (ii)approve an increase
of the City Contribution for the Miami Beach Nurse Enhancement Initiative to an amount not to
exceed $169,000 for each subsequent school year, on a recurring basis, subject to funding
approval during the City's budgetary process; (iii)approve, in substantial form,Amendment No. 9
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to the Memorandum of Understanding dated July 26, 2016 between the City and the Miami Beach
Chamber Education Foundation, Inc. (MBCEF) for the provision of the Miami Beach Nurse
Enhancement Initiative for the 2025-2026 school year in an amount not to exceed $169,000: (iv)
authorize the City Manager and City Clerk to execute said Amendment No. 9; and {v) authorize
MBCEF, as the City's fiscal agent, to negotiate and execute any required agreements with The
Children's Trust and a provider authorized by The Children's Trust to fund the services provided
pursuant to the MOU.
PASSED and ADOPTED this�day of ��� 2025.
Steven Meiner, Mayor
ATTEST:
SE�% =��'^`���,`-
' �1 (� 'i�J(J --��'' ��.:ti'�;
Rafael E. Granado, Cit Clerk '���'''�`•.��,
y ':l4�Q,�°�QRAi:O:
,�A'. I�:
:��Cf��;.;\i0j;�
i�
APPROVED AS TO
FORM & LANGUAGE
8 FO UTION
` ' B)�Izozs-
ey Date
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Resolutions -C7 D
1�i11A1�/11 BEA�N
COMMISSION MEMORANDUM
TO: Honorable Mayor and Members of the City Cammission
FROM: Errc Carpenter, City Manager
DATE: September 3. 2Q25
TITLE: A RESQIUTfON OF THE MAYQR AND GITY COMMISSlON OF THE CITY OF
MfAM1 BEACH, FLC?RIDA, (!} APPROVING AN INCREASE IN THE CITY
GONTRIBUTION FOR TNE MIAMI BEACH NURSE ENHANCEMENT INITIATIVE
FOR TNE 2025-2026 SCHOOL YEAR FROM AN AMOUNT NOT TO EXCEED
$139.00Q.00, AS SET FORTH IN RESOLUTION NO. 2019-30957. TO AN AMOUNT
NOT TO EXCEED $169,000.00: (II) APPRQVWG AN INCREASE OF THE CITY
CONTRI@UTIC�N FOR TNE MIAMI BEACH NURSE ENHANGEMENT INITIATIVE
TO AN AMOUNT NOT TO EXCEED$169,OOQ FOR�ACH SUBSEGlUENT SCHOOL
YEAR, ON A RECURRING BASIS, SUBJECT TO FUNDING APPROVAL DURING
THE CfTY'S BUDGETARY PROCESS;(III)APPROVING, IN SUBSTANTIAL FORM,
AMENDMENT NO. 9 TO THE MEMORANDUM OF UNDERSTANDING DATED
JULY 26, 2016 BETWEEN THE CITY AND THE MIAMI BEACH CHAMBER
EDUCATION FOUNDATION, INC (MBCEF)FOR TNE PROVfSION OF THE MIAMI
BEACH NURSE ENHANCEMENT INITIATIVE FOR THE 2025-2026 SCHOOL
YEAR IN AN AMUUNT NQT TO EXCEEQ$169,000; (IV)AUTHORIZING THE CITY
MANAGER AND GITY CLERK TO EXECUTE SAIQ AMENDMENT NO 9; AND (V)
AUTH4RIZING MBCEF, AS THE CITY'S FISCAL AGENT, T� NEGOTlATE AND
EXECUTE ANY REGIUIRED AGREEMENTS WITH THE GHILQREN'S TRUST AND
A PROVEDER AUTH4RIZED BY THE CHI�DREh!"S TRUST TO FUND THE
SERViGES PROVkDED PURSUANT T� THE MOU.
RECOMMENDATION
The City Manager recommends approving Amendment No. 9 to the Memorandum of
Understanding (MOU), dated J�ly 26, 2016, between the City and The Miami Beach Chamber
Education Foundation (MBCEF). This Amendment will approve the utilization of Jessie Trice
Community Health System INC., a primary care, therapy and caunseling services provider for
The Ghildren's Trust for the Miarrn Beach Feeder Pattern.
The City Manager also recommends amendmg the city's cantribution cap,as set fo�th in resolution
2019-30957, from an annual amount not to exceed $139,000 to an annual amount not to excesd
$169,000; and authan2ing MBCEF, as the City's fiscal agent, to negotiate and execute any
required agreements to fund the services. as needed, for the participating schools; and further
recommends authorizing MBCEF to execute fulure funding agreemenis, which may include other
providers, approved by The Children's Trust fo�sirnilar services, m connection with the fulfillment
of the Nurse Enhancement Initiative.
BACKGROUNDMiSTORY
The Gty of Miam� Beach, North Bay Vil{age, the Town af Bay Harbor Islands, Ihe Town of
Surfs�de, and Bal Narbour Village 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
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healthcare sernces and were, thus, underserved as compared to other public schools in the
feeder pattern that fafls within the City of Miami Beach.
On August 19, 2013, the Participating Municipalities, the Miami Beach Ghamber Education
Foundation, Inc., and The Ghildren' s Trust entered into a Memorandum of Understanding, ta
provide healthcare services through a nurse for these participating schools during the 2013-2014
school year. Dunng the 2a14-2015 school year, the Nurse Initiative was extended.
Due to the success of the Nurse Initiative, and because the basic healthcare services previously
funded through the Nurse Initiative were being provided by The Trust via the new school health
programs, an April 13. 201 fi, the Mayor and City Cammission adopted Resolution No. 2016-
29345, approving the enhancement of the Nurse Initiative by providing behavioral health/mental
health services for the participating schools through a(icensed clinical social worker for the 2016-
2017 school year.
Pursuant to Resolution PVo. 2016-293d5, on July 26, 2016, the City and MBCEF entered into a
Memorandum of Understanding which continued the Nurse Enhancement Initiative for North
Beach Elementary, Treasure Island Elementary, and Ruth K. Broad Bay Harbor K-8 Center, and
expanded the Nurse Enhancement Initiative to include Miami Beach Senior High Schoo� Miami
Beach Nautilus Middle School, Miami Beach Fienberg Fisher K-8, Biscayne Elementary School,
and Miami Beach South Point� Elementary Schaol, by providing for a licensed clinical social
worker one day a week at each of the participating schools.
dn May 25. 2017, the City and MBCEF executed Amendment No. 1 to the MOU, continuing the
Nurse Enhancement Initiative for the 2017-201$ school year.
The Mayor and City Commissian adopted Resolution No. 2018-30259, on April 11, 2018,
approving the expansion of inental health services at aR public City elementary and middle
schools, in an amount not to exceed $60,000.00 per yea�.
Pursuant to Resolution No. 2018-30259, the Ciry increased funding for the 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 City schools for the indicated
number of days: Miami �each Senior Nigh School, one (1) day; Miami Beach Nautilus Middle
School, two (2) days; Miam� Beach Fienberg Fisher K-8 Center, two (2) days; Biscayne
Elementary School, two (2) days; Miami Beach South Poinie Elementary School, two (2) days;
and North Beach Elementary, one(1}day, in a totaf amount not to exceed$114,000.00 per year.
On August 30, 2018, the City and MBCEF executed Amendment Na. 2 to the MOU, continuing
the Miami Beach Nurse Enhancement Initiative far the 2018-2019 school year.
On September 11. 2019, the Mayor and City Gomm�ssion adopted Resolution No. 2019-30957,
approving Amendment No. 3 to the MOU for the extension of the Miami Beach Nurse
Enhancement initiative, in the amount not ta exceed$139,0OO.OQ per year the 2019-2020 school
year and each subsequent schoal year, on a recurring basis, subject to funding approval during
the City's budgetary process.
C?n August 19. 2Q20 through July 1, 2024, the City and MBCEF executed Amendments No. 4-8
to the MOU, continuing the Miami Beach Nurse Enhancement Initiative for school year 2020-
2021 through 2024-2C125(Attachment A).
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Ha�e! Health, a provicier for the Nurse Enhancement IniUat�ve for the 2024-2025 schooV years,
was not selected to continue providing said services dunng the 2025-2426 school year at the
City's Partic�pating Schaois by the Children's Trust.
The Chiidren's Trust has an existing agreemeni with Jessie Trice eommunity Health System
(JTCHSj to prov�de primary care, therapy, and counseling and seiected .1TCHS for the Miami
Beach Feeder Paktern Schools.
The City seeks b utrlize the services of The Children's Trust approved provider for the Nurse
Enhancement Init►a6ve to enhance services at the City's Pa�t�cipating Schools, and every year
thereafter, as may be needed.
In order to utilize these services, MBCEF wiil execute an agreement with The Children's Trust
and duly autharized provider, which agreement would al4ow MBCEF, as the City's fiscal agent. to
fund ihe primary care, therapy, and caunseling services provided.
The City's current contribution for the Nurse Enhancement Initiative is $139,000.00, as approved
in Resolution No. 2019-30957 and has increased to a not to exceed $169,000.00.
ANALYSlS
Mental health support was sustained fn 2025 with 252 youth receiv�ng a total of 1,370 sessions,
up from 131 youths and 779 sessions in the prewous year (Attachment B}. Several schools
received telehealth services through a partnership with Nazel Health. The tab(e below indicates
the number of sessions provided to yauth at on-site at select Miami Beach feeder schools
receiving services during the 2024-2025 schaol year through a pa�tnership with neighboring
municipalities, Bo�inquen Medical Centers, The Children's Trust and the Miami Beach Chamber
Educatio� Foundation:
Schaol Name # Students i� Sessions
. . _ _. _
Miami Beach Senior High School 205 930
_ ______ ._.� __
, __ , _--__
North Beach Elementary » �72
. ------�----_ _ _ ; ______._ _ __
Treasure lsland Elementary � ' S2
Ruth K. Broad Bay Harbor K-8 t
, Center ; 23 � 216
�_.-- -_ _ __ _�_ _ __ _. _--. __.
The enhanced behavioral services provide on-site access to a licensed clinical social worker to
provide services including, but not limited to, the following:
■ Academic Issues • Disruptive Behavior •Attention Issues
■ Attention Issues ■ Depression ■ Anxiety
■ Anger Management ■ Stress Management . Family Issues
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For the �025-26 schaoi year. The Ch�idren's Trust has selected Jesse Tnce Con�rnunity Health
Services as the pravider (or the Miami Beach pub(ic schaols. As such, the city will execute
agreements with the Miami Beach Chamber Education Foundation and our neighboring
municipalities to continue these much needed and heavily utilized mental health serv�ces with our
new provider.
FISCAL IMPACT STATEMENT
FY 2Q26 5169,QQ0.00 which �s a $30,Q00 increase from prior years as funding has remained fiat
for the past S years.
Does this Ordinance require a Business Imqact Estimate?
(FOR ORQWANCES ONI.Yj
tf appticable, the Business Impact Estimate (BiE�was published on:
See BIE at: https:/(tivww.miamibeachfl.qovlcity•hall/city-clerklmeetinq•notices/
FINANCIAL tNFORMATION
177-6881-000343-12-400-592-00-00-00-
CONCLUSION
To continue supporting the Nurse Initiative for behav�oral health services in FY 2026, the
allacation wil! increase to an annual amount not to exceed $169,000 per fiscal year to fund the
aforementioned services. All neighboring municipalities and the Miami Beach Chamber of
Commerce Education Fou�dation have requested to sustain the partnership for the upcoming
schoof year
Applicabte Area
Citywide
Is this a "Residents Right ta Know" item, Is this item related to a G.O. Bond
pursuant to Citv Code Section 2-17? Proiect?
No No
Was this Aqenda Item initiallv requested bv a tobbyist which as defined in Code Sec. 2-481,
includes a arincipal enaaaed in lobbvina? No
If so. specify the name of lobbyistfs) and pnncipal(s):
Department
Education and Performance Initiatives
Sponsor(s}
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CO-SpOftSOf(S1
Condenaed Title
Amendment 9 lo MOU w/ MBCEF EPI
Previous Action (For Citv Clerk Use Onlv)
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MIAMIBEACH � � _ � ��l� . . �
:� _ .�....r.�:.
� �:r.; �;�-
Amendment NO.9 MOU w/MBCEF for Nurse Enha�cemen[2025-2026
� �. . � . ,
;'+";�'
s.'�;^` "C;,,
Miami Beach Chamber Education foundation,Inc. Education and Performance Initiatives
> -;?;'+ t,�Oned ;�::
OR.LESLIE ROSENFELD �;'�,Y %/`� 1A50N GREENE �j� � ��
19a82aCa97D7o4F '..1ad5?'S�t::eBF
Type 1—Contract,amendment,change order or task order resulting(rom a procurement iszued competitive solicitation.
Type 2—Other contract,amendment,change order or task order not resulting from a procurement issued competitive solititation.
Type 3—Independent Contractor Agreement�ICA) Type 6—Tenan[Agreement
Type 4—Grant agreements with the City as the recipient Type 7—Inter-governmental agency agreement
Type 5—Grant agreements with the City as the grantor X Other:Memorandum of Understanding
_..
� ... ., .,.�-...+��:. >y. y,� . ,. . ,,.-�a�� -�. . .
For the 2025-26 school year,The Children's Trust has selected Jesse Trice Community Health Services as the provider for the j
Miami Beach public schools.As such,the city wili execute agreements with the Miami Beach Chamber Edu�ation Foundation �
and our neighboring municipalities to continue these much needed and heavily utilized mental health services with our new
provider.Each partner municipality has agreed to a 25 percent increase annually as the program is heavily utilized by students
throughout the school year.
��� � �.. I
j October 1,2025— September 30,2026 ; ` � " • .
— _ �---- -------- �
Fundin is sub ect to i ommission a roval of nnual o eratin sub ect.
���� ; �
GrantFunded: Yes X No i State Federal Other: ';
_ 9�---
,, �.
1 $169,000 177-6881-000343-12-400-592-00`00-00- � Yes No
1.For contracts longer tha�five years,contact the Proturement Department.�ach any supporting explanation needed. '
3.Budget approval indicates approval for the current fiscal year only.Future years are subject to City�ommission approval of
annual adopted operating budget.
ity Commission Approved: I X Yes � No Resolution No.: CC Agenda Item CC Meeting Date:
N o.:
2025-33853
If no,explain why CC approval is not requi�ed:
e al Form Approved: X Yes No If no,explain below why form approval is not necessary:
a
Procurement: N/A Grants: N/A
Budget:Tameka Otto Information Technology: N/A
Stewart �
Risk Management:Marc ezceanh �inas Fleet&Facilities: N/A
Chevalier �� ��,y�
Human Resources: 9cseoez�s%awoa Other: N/A