CDBG Boys and Girls Club of Miami, Inc.aoo~-~~s_ ~S-
COMMUNITY DEVELOPMENT BLOCK GRANT AGREEMENT
BETWEEN THE CITY OF MIAMI BEACH AND
BOYS AND GIRLS CLUBS OF MIAMI, INC.
This Agreement made and entered into this 1s' day of October, 2007, by and between the CITY
OF MIAMI BEACH, a Florida municipal corporation, hereinafter referred to as "the City", and BOYS
AND GIRLS CLUBS OF MIAMI, INC., hereinafter referred to as "Provider".
WHEREAS, the City has received an entitlement grant from the U.S. Department of Housing
and Urban Development as part of its Community Development Block Grant (CDBG) Program for the
period of October 1, 2007, to September 30, 2008 (hereinafter "the contract period"); and
WHEREAS, the primary objective of the CDBG Program is the development of viable urban
communities, including decent housing and a suitable living environment and expanding economic
opportunities principally for persons of low and moderate income; and
WHEREAS, the One-Year Action Plan for federal funds was adopted by City of Miami Beach
Resolution No. 2007-26585, on July 1 I, 2007; and
WHEREAS, the City has determined, through its One-Year Action Plan for federal funds for
Fiscal Year 2007/2008, the necessity for engaging [he Provider [o render the following services in Miami
Beach: Miami Beach Juvenile Program (the Program).
NOW, THEREFORE, in consideration of the mutual benefits contained herein, the City and
Provider agree as follows:
Section 1. Agreement Documents: Agreement documents shall consist of this Agreement and four
(4) attachments, all of which are incorporated by reference into this Agreement:
• Attachment I contains a description of the Program services and goals offered by the
Provider.
• Attachment II is a line item Budget.
• Attachment III out]ines financial management procedures and reporting forms for use
with CDBG funds.
• Attachment N contains applicable federal regulations.
Section 2. Statement of Work: The Provider agrees to implement the Program in accordance with
Attachments I and II, and as summarized as follows:
Miami Beach Juvenile Program
(570.208(a)(2)/570.201(e))
To provide a "no charge" after-school program and summer camp for approximately 300
youth ranging in ages from 5 to 16. The Programs are coordinated by a unit director and
counselors and include components such as homework assistance, educational and athletic
field trips, sports, league activities, and indoor and outdoor recreational activities.
Section 3. Agreement Amount: The City agrees to make available TWENTY SEVEN
THOUSAND AND 00/100 DOLLARS ($27,000) for use by the Provider during [he term
of the Agreement.
The City shall notify the Provider in writing when the Provider has been placed in
default. Such notification shall include: (i) actions taken by or to be taken by the
City, such as withholding of payments; (ii) actions to be taken by the Provider as a
condition precedent to clearing the deficiency; and (iii) a reasonable date for
compliance, which shall be no more than fifteen (15) days from notification date. In
the event that Provider fails [o correct such deficiency within the aforestated period,
this Agreement shall be considered terminated for cause by the City, without further
notice to Provider, and Provider shall be solely responsible for repayment to the City
of any or all monies disbursed to Provider under this Agreement. Said monies shall
be due immediately and payable upon receipt of notice by Provider. Notwithstanding
the preceding, the City reserves any and all legal rights and remedies it may have
with regard to recapture of the CDBG funds herein, or any assets acquired or
improved in whole or in part with said funds.
12.3 Termination for Lack of Funds: In the event of curtailment of, or regulatory
constraints placed on the funds by HUD, this Agreement will terminate, effective as
of the time that it is determined such funds are no longer available. Costs of the
Provider resulting from obligations incurred during a suspension or after termination,
are not allowable unless the City expressly authorizes them in the notice of
suspension or termination, or subsequent thereto. Other costs during suspension or
after termination which are necessary and not reasonably avoidable are allowable if,
in the sole discretion of the City:
a. The costs resulting from obligations which were properly incurred before the
effective date of suspension or termination, are not in anticipation of it, and,
in the case of termination, are noncancelable; and
b. The costs would be allowable ifthe award were not suspended or expired
normally a[ the end of the funding period in which the termination takes
effect.
]n the event of termination of the Agreement, at its sole discretion, the City may require
Provider to transfer any CDBG assets to the City pursuant to Section l6 herein.
Section 13. Equal Employment Opportunities: The Provider shall comply with equal employment
opportunities as stated in Executive Order 11246, entitled "Equal Employment
Opportunity" as amended Executive Order 1 1375, and as supplemented in Department of
Labor regulations.
Section 14. Program Income: Any "Program Income" (as such term is defined under applicable
federal regulations) gained from any activity of [he Provider, funded by CDBG funds shall
be reported to the City and utilized by the Provider in the operation of the CDBG-funded
activity during the term of this Agreement.
Section I5. Religious Organization or Owned Property: CDBG funds may be used by religious
organizations or on property owned by religious organizations only with prior written
approval from the City and only in accordance with requirements set in 24 CFR
§570.200(j). The Provider shall comply with First Amendment Church/State principles, as
follows:
a. It will not discriminate against any employee or applicant for employment on the basis
of religion and will not limit employment or give preference in employment to
persons on the basis of religion.
b. It will not discriminate against any person applying for public services on the basis of
religion and will not limit such services or give preference to persons on the basis of
religion.
c. It will retain its independence from Federal, Slate, and local governments, and may
continue to carry out its mission, including the definition, practice, and expression of
its religious beliefs, provided that it does not use direct CDBG funds to support any
inherently religious activities, such as worship, religious instruction, or proselytizing.
d. The funds received under this Agreement shall not be used for the acquisition,
construction, or rehabilitation of structures to the extent that those structures are used
for inherently religious activities. CDBG funds may be used for the acquisition,
construction, or rehabilitation of structures only to the extent that those structures are
used for conducting eligible activities under this part. Where a structure is used for
both eligible and inherently religious activities, CDBG funds may not exceed the cost
of those portions of the acquisition, construction, or rehabilitation that are attributable
to eligible activities in accordance with the cost accounting requirements applicable to
CDBG funds in this past. Sanctuaries, chapels, or other rooms that aCDBG-funded
religious congregation uses as its principal place of worship, however, are ineligible
for CDBG-funded improvements. Disposition of real property after the term of the
grant, or any change in use of the property during the term of the grant is subject to
government-wide regulations governing real property disposition (see 24 CFR parts 84
and 85).
Section 16. Reversion of Assets: In the event of a termination of this Agreement pursuant to Section
] 2 herein, or upon expiration of the Agreement, the Provider shall transfer to the City any
CDBG funds on hand at the time of termination or expiration and any account receivable
attributable to the use of CDBG funds.
Any real property under the Provider's control that was acquired or improved in whole or
in part with CDBG funds (including CDBG funds provided to the Provider in the form of
a loan) in excess of $25,000 must either:
a. Be used to meet one of the national objectives in 24 CFR 570.208 (formerly
section 570.901) until five years after expiration of the term of this Agreement, or
for such longer period of time as determined to be appropriate by the City and as
memorialized by the City and Provider in an amendment to this Agreement or
such instrument as the City, at its discretion, determines appropriate; or
b. If not used in accordance with the above subsection (a), the Provider shall pay to
the City an amount equal to the current market value of the property less any
portion of the value attributable to expenditures of non-CDBG funds for the
acquisition of, or improvement to, the property. No payment is required after the
period of time specified in subsection (a).
Section 17. Conformity to HUD regulations: The Provider agrees to abide by guidelines set forth by
the HUD for the administration and implementation of the CDBG Program, including
applicable Uniform Administrative Requirements set forth in 24 CFR 570.502, and
applicable federal laws and regulations in 24 CFR 570.600, et seg. In this regard, the
Provider agrees that duly authorized representatives of HUD shall have access to any
books, documents, papers and records of the Provider that are directly pertinent to this
Agreement for [he purpose of making audits, examinations, excerpts and transcriptions.
The Provider shall comply with the requirements and standards of OMB Circular No. A-
122, "Cost Principles for Non-profit Organizations", or OMB Circular No. A-21, "Cost
Principles for Educational Institutions" as applicable. The Provider shall comply with the
following provisions of [he Uniform Administrative requirements of OMB Circular A-] 10
(implemented at 24 CFR Part 84, "Uniform Administrative Requirements for Grants and
Agreements With Instihitions of Higher Education, Hospitals, and Other Non-Profit
Organizations") or the related CDBG provision, as specified in this paragraph:
a. Subpart A - "General ";
b. Subpart B - "Pre-Award Requirements", except for 384.12, "Forms for Applying
for Federal Assistance";
c. Subpart C - "Post-Award Requirements", except for:
(1) Section 84:22, "Payment Requirements" -Grantees shall follow the standards
of 33 85.20(6)(7) and 85.21 in making payments to sub-recipients;
(2) Section 84.23, "Cost Sharing and Matching";
(3) Section 84.24, "Program Income" - In lieu of 3 84.24, CDBG sub-recipients
shall follow 3 570.504;
(4) Section 84.25, "Revision of Budget and Program Plans' ;
(5) Section 84.32, "Real Property" - In lieu of 384.32, CDBG sub-recipients shall
follow 3 570.505;
(6) Section 84.34(g), "Equipment" - In lieu of the disposition provisions of 3
84.34(g), the following applies:
a. In al] cases in which equipment is sold, the proceeds shall be program
income (pro-rated to reflect the extent to which CDBG funds were used to
acquire the equipment); and
b. Equipment not needed by the sub-recipient for CDBG activities shall be
transferred to the recipient for the CDBG program or shall be retained
afrer compensating the recipient;
(7) Section 84.51(6), (c), (d), (e), (f), (g), and (h), "Monitoring and Reporting
Program Performance";
(8) Section$4.52, "Financial Reporting";
(9) Section 84.53(6), "Retention and access requirements for records". Section
84.53(6) applies with the following exceptions:
a. The retention period referenced in 3 84.53(6) pertaining to individual
CDBG activities shall be four years; and
b. The retention period starts from the date of submission of the annual
performance and evaluation report, as prescribed in 24 CFR 91.520, in
which the specific activity is reported on for the final time rather than
from the date of submission of the final expenditure report for the award;
(10) Section 84.61, "Termination" - in lieu of the provisions of 3 84.61, CDBG
subrecipients shall comply with 3 570.503(6)(7); and
d. Subpart D - "Afrer-the-Award Requirements" -except for 3 84.71, "Closeout
Procedures".
Section 18. Sponsorships: The Provider agrees that all notices, informational pamphlets, press
releases, advertisements, descriptions of the sponsorship of the Program, research reports,
and similar public notices prepared and released by the Provider for, on behalf of, and/or
about the Program, shall include the statement:
"FUNDED BY THE CITY OF MIAMI BEACH COMMUNITY
DEVELOPMENT BLOCK GRANT PROGRAM"
In written materials, [he words
"CITY OF MIAMI BEACH COMMUNITY DEVELOPMENT BLOCK
GRANT FUNDS ADMINISTERED BY THE NEIGHBORHOOD
SERVICES DEPARTMENT"
shall appear in the same size letters or type as the name of the Provider.
Section 19. F,xamination of Records: The Provider shall maintain sufficient records in accordance
with 24 CFR 570.502 and 570.506 to determine compliance with the requirements of this
Agreement, the Community Development Block Grant Program, and all applicable laws
and regulations. This documentation shall include, but not be limited to, the following:
a. Books, records and documents in accordance with generally accepted accounting
principles, procedures and practices, which sufficiently and properly reflect all
revenues and expenditures of funds provided directly or indirectly by this
Agreement, including matching funds and Program income. These records shall
be maintained to the extent of such detail as will properly reflect all net costs,
direct and indirect labor, materials, equipment, supplies and services, and other
costs and expenses of whatever nature for which reimbursement is claimed under
the provisions of this Agreement.
b. Time sheets for split-funded employees, which work on more than one activity, in
order to record the CDBG activity delivery cost by Program and the non-CDBG
related charges.
c. How the Statutory National Objective(s) as defined in 24 CFR 570.208 and the
eligibility requirement(s) under which funding has been received, have been met.
These also include special requirements such as necessary and appropriate
determinations as defined in 24 CFR 570.209, income certifications, and written
Agreements with beneficiaries, where applicable.
The Provider is responsible for maintaining and storing all records pertinent to this
Agreement in an orderly fashion in a readily accessible, permanent and secured location
for a period of four (4) years after expiration of this Agreement, with the following
exception: if any litigation, claim or audit is started before the expiration date of the four
year period, the records will be maintained until all litigation, claims or audit findings
involving these records are resolved. The City shall be informed in writing after closeout
of this Agreement, of the address where the records are to be kept.
Section 20. Audits and Inspections: At any time during normal business hours, and as ofren as City
and/or Federal Government representatives may deem necessary, the Provider shall make
available all records, documentation, and any other data relating to all matters covered by
the Agreement for review, inspection or audit.
Audits shall be conducted annually and shall be submitted to the City 180 days after the
end of the Providers fiscal year. The Provider shall comply with the requirements and
standards of OMB A-133, "Audits of Institutions of High Education and Other Non-Profit
Institutions" (as set forth in 24 CFR Part 45), or OMB Circular A-128, "Audits of State
and Local Governments" (as set forth in 24 CFR Part 44), as applicable. If this
Agreement is closed-out prior to the receipt of an audit report, the City reserves the right
to recover any disallowed costs identified in an audit after such closeout.
Section 21. Indemnification/Insurance Requirements: The Provider shall indemnify and hold
harmless the City, its officers, employees and agents, from any and all claims, liability,
losses and causes of action which may arise out of an act, omission, negligence or
misconduct on the part of the Provider or any of its agents, officers, servants, employees,
contractors, patrons, guests, clients, licensees or invitees pursuant to this Agreement
and/or the Program. The Provider shall pay all claims and losses of any nature whatsoever
in connection therewith and shall defend all suits in the name of the City, when applicable,
and shall pay all costs (including attorney's fees) and judgements which may issue
thereon. This Indemnification shall survive the termination and/or expiration of term of
this Agreement.
The Provider shall not commence any work and/or services pursuant to this Agreement
until all insurance required under this Section has been obtained and the City's Risk
Manager has approved such insurance. In the event evidence of such insurance is not
forwarded to the City's Risk Manager within thirty (30) days after the execution of this
Agreement, this Agreement shall become null and void and the City shall have no
obligation under the terms thereof unless a written extension of this thirty (30) day
requirement is secured from the City Administration.
The Provider shall maintain and carry in full force during the term of [his Agreement
and/or throughout the duration of the Program contemplated herein, whichever is longer,
the following insurance:
a. General Liability Policy with coverage for Bodily Injury and. Property Damage, in
the amount of $1,000,000 single limit. The policy must include coverage for
contractual liability to cover the above indemnification.
b. Worker's Compensation and Employers Liability, as required pursuant to Florida
Statute.
c. Automobile and vehicle coverage shall be required when the use of automobiles
and other vehicles are involved in any way in the performance of the Agreement.
Limits for such coverage shall be in the amount of $500,000.
d. The City of Miami Beach shall be named as an additional insured under all such
insurance contracts and City of Miami Beach Resolution No. 2007-26585 shall be
referenced in the certiFcate.
e. Thirty- (30) day written notice of cancellation or substantial modification of the
insurance coverage must be given to the City's Risk Manager by the Provider and
his/her insurance company.
f The insurance must be furnished by insurance companies authorized to do
business in [he State of Florida, and approved by the City's Risk Manager. The
companies must be rated no less than "B+" as to management, and not less than
"Class VI" as to strength by the latest edition of Best's Insurance Guide, published
by A.M. Best Company, Oldwick, New Jersey, or its equivalent, subject to the
approval of the City's Risk Manager.
g. Original Certificates of Insurance for the above coverage must be submitted to the
City's Risk Manager for approval prior to any work commencing. These
certificates will be kept on file in the Office of the Risk Manager, Third Floor City
Hal I.
All insurance required by this section of die Agreement shall be and remain in full force
and effect for the entire term of the Agreement and/or throughout the duration of the
Project, whichever is greater, and each certificate or policy shall cant' the provision that
[he insurance shall not terminate, lapse or otherwise expire, prior to thirty (30) days
written notice to that effect, given by [he insurance carrier [o the City, and that the
insurance carrier will not invoke the defense of performance of a governmental function
by [he Provider in performing this contract.
Compliance with the foregoing requirements shall not relieve the Provider of the liabilities
and obligations under this Section or under any other portion of this Agreement. The City
shall have the right to obtain from the Provider specimen copies of the insurance policies,
in the event that submitted Certificates of Insurance are inadequate to ascertain
compliance with required coverage. All of Provider's certificates, above, shall contain
endorsements providing that written notice shall be given to [he City at least thirty (30)
days prior to termination, cancellation or reduction in coverage of the policy.
Section 22. Conflict of Interest: The Provider covenants that no person under its employ who
presently exercises any functions or responsibilities in connection with Community
Development funded activities has any personal financial interests, direct or indirect, in
this Agreement. The Provider covenants that in the performance of this Agreement, no
person having such conflicting interest shall be employed. The Provider covenants that it
will comply with all provisions of 24 CFR 570.61 1 "Conflict of Interest", and the Federal,
State, County and City of Miami Beach statutes, regulations, ordinances or resolutions
governing conflicts of interest. The Provider shall disclose, in writing, to the City any
possible conflicting interest or apparent impropriety that is covered by the above
provisions. This disclosure shall occur immediately upon knowledge of such possible
conflict. The City will then render an opinion, which shall be binding on both parties.
Section 23. Venue: This Agreement shall be enforceable in Miami-Dade County, Florida, and if legal
action is necessary by either party with respect to the enforcement of any or all of the
terms or conditions herein, exclusive venue for the enforcement of the same shall lie in
Miami-Dade County, Florida.
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 TFIIS AGREEMENT,
CITY AND PROVIDER 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.
Section 24. Notices: All notices required under this Agreement shall be sent to the parties at the
following address:
City: John Quade, Director
Housing & Community Development Division
Neighborhood Services Department
City of Miami Beach
1700 Convention Center Drive
Miami Beach, FL 33139
Provider: Alex Rodriguez, Executive Director
Boys and Girls Clubs of Miami, inc.
2805 SW 32"d Ave.,
Miami, FL 33133
Section 25. Limitation of Liability: The City desires to enter into this Agreement only if in so doing
the City can place a limit on City's liability for any cause of action for money damages
due to an alleged breach by the City of this Agreement, so that its liability for any such
breach never exceeds the sum of $10,000. Provider hereby expresses its willingness [o
enter into this Agreement with Provider's recovery from the City for any damage action
for breach of contract [o be limited to a maximum amount of $10,000, less the amount of
all funds actually paid by the City to Provider pursuant to this Agreement.
Accordingly, Provider hereby agrees that [he City shall no[ be liable to Provider for
damages in an amount in excess of $10,000, which amount shall be reduced by the
amount of the funding actually paid by the City to Provider pursuant to [his Agreement,
for any action or claim for breach of contract arising out of the performance or
nonperformance of any obligations imposed upon the City by this Agreement.. Nothing
contained in this subparagraph or elsewhere in this Agreement is in any way intended to
be a waiver of the limitation placed upon City's liability as set forth in Florida Statutes,
Section 768.28.
]0
This Agreement shall be binding upon all parties hereto and their respective heirs, executors,
adminish~ators, successors and assigns.
In witness thereof, the parties hereto have executed or caused to be executed by their duly
authorized officials, this Agreement in three (3) copies, each of which shall be deemed an original on the
date first above written.
ATTEST:
__J~~V VWV'U
CITY CLERx
Robert Parcher
CITY OF MIAMI BEACH, FLORIDA
MAY R
Matti Herrera Bower
ATTEST:
TARY-
BOYS AND GIRLS CLUBS OF MIAMI, INC.
AUTHORIZED SIGN
Alex Rodriguez, Executive Director
NAME AND TITLE OF AUTHORIZED
SIGNATORY
F \NEIG\HSGCDVv16RCY\CONT0.ACTS\Ol-OB\Boys k Gids Clubs\CDBG Agrcememdoc
APPROVED AS TO
FORM & LANGUAGE
& FOR EXECUTION
(~ 5 67
~ at
ll
C.DBG AGREEMENT
October 1, 2007 to September 30, 2008
ATTACHMENTI
STATEMENT OF WORK AND GOALS
DESCRIPTION OF PROGRAM
To provide a "no-charge" after-school program to youth ranging in ages from 5 to 16. The programs
include components such as homework assistance, educational field trips, athletic field trips, sports,
awards, banquets, sports uniforms, trophies, league activities, and recreational activities both indoor and
outdoor.
The Boys & Girls Clubs of Miami will continue to provide a high quality after-school care and academic
improvement program, athletic program and recreational activities, as well as an 8-week summer
program. These programs will remain open to Miami Beach youth, ages 5-16, on a year round basis.
Over 60% of youth crime is committed between the hours of 2-6 p.m. With the program, the Provider
intends to decrease the number of children on the streets in the after-school hours, as well as during the
weekends.
PROGRAM GOALS AND MEASURABLE OUTCOMES
1. To offer year-round programs, including after-school care, academic improvement and homework
assistance, organized league basketball, flag football, softball and volleyball from 2:30 p.m. to
6:00 p.m. running as long as the Miami-Dade County School session.
2. To provide seasonal sports programs structured in a format to provide year round activities seven
days a week for boys and girls, including family involvement activities during the weekends.
3. To provide an eight-week summer program for K-8'" grade students running from Monday to
Friday beginning at 8:30 a.m. until 5:00 p.m. This program will include recreational as well as
athletic activities and educational field trips. Meals and snacks are also provided.
4. To provide activities during Miami-Dade County teacher planning days from 8:00 a.m. [o
6:00 p.m.
5. To provide educational and/or athletic field trips.
SCHEDULE FOR IMPLEMENTATION
Goal 10/2007 11/2007 12/2007 1/2008 2/2008 3/2008 4/2008 5/2008 6/2008 7/2008 8/2008 9/2008
I X X X X X X X X X X X X
2 X X X X X X X X X X X
3 X X X
4 X X X X X X
5 X X X
F \nciA\HSG-CD\MF.RCV\CONTRACiS\Ob°%\AOYS AND GIAL$ CIAO\Niachmcm Ldoc
Page 1 of 1
BUDGET SUMMARY SHEET
Activity Name: Miami Beach Juvenile Program Funding Year 2007-08
Agency Name: Boys & Girls clubs of Miami, Inc.
Category CDBG Request Amount
Other Funds
Source of Other Funds
(Be Specific)
Total Funds
ungelti~~$ala~es ~5,29~s7~ $102,320 The Children's Trust $ 68,072
~~`eYaiing '$ 1,702iZS $ 74,187 The Children's Trust,
Miami-Dade County
Public Schools, Fisher
Island Philanthropic
Fund $ 77,412
Capital /Equipment
Costs
Other (Specify)
Other (Specify)
rw+l ~~
u~,
Total Other Funds $176,507 $115,530
Grand Total $319,037
C)-Of the funding request above, what is the percentage for ADMINISTRATrvE COSTS (divide B/A): 0
VII. BUDGET SUMMARY SHEET, ITEMIZATION, & NARRATIVE
(SEE FORMAT IN RFP. LIMIT NARRATIVE TO ONE PAGE)
BUDGET ITEMIZATION SHEET
(REPRODUCE THIS SHEET AS NEEDED FOR EACH SPECIFIC LINE ITEM)
Activity Name: Miami Beach Juvenile Program Funding Year 2007-08
Agency Name: Boys & Girls Clubs of Miami, Inc.
De[ail/Itemization of sub-category CDBG Other Funds Total Funds
I7'gi7ueetor (+$30¢ $'2/week^'K 44~weeks)
T3~ ~;1~;~OQ $23,]08
$36,608
~' I~'..~~ _~,~`~~4 ~°r~~~4 $9,638 $14,638
:~4~ ~~~ $11,614 $16,614
Athletic Coordinator ($85.35/week X 52
weeks) $10,738 $10,738
2 Afrer-School Assistants ($225/week X 52
weeks; $125/week erA/S Assistant) $20,800 $20,800
~- $3,393,25
$5,191
Health Insurance ($247.01 X 12 months)
$ 0 $0
$2,964
Salaries- Summer Camp Staff (Temps.) $39,000 $39,000
Professional Fees & Contracts $6,400 $6,400
Detail/Itemization ofsub-category CDBG Other Funds Total Funds
Program Expenses $]8,500 $18,500
Maintenance $1,200 $1,200
.fa ~~ $1,826.75
$3,529
Printing/Publication $5,000 ~s OOn
Retirement
- $3,260 $3,260
Office Su lies ~
$1,500
$1,500
Miscellaneous
$18,000 $ ] 8,000
Special Events $7,000 $7,000
BGCA Dues $12,957 $12,957
Transportation (Field Trips, Gas, Vehicle
Maintenance, etc.) $6,000 $6,000
~~~al~~'~_, ouu:'{ .40~', $ 204,472 $ 229,899
CMB Budget Account 131.5433.000345 Month/Year
CITY OF MIAMI BEACH
COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
FINANCIAL STATUS REPORT
Provider: Boys and Girls Clubs of Miami, Inc. Project Name: Juvenile Program
Reporting Period: Date Submitted:
CDBG Year 33
FY 2oo7i2oos $27,000
Budget Amount
Month This Month Year to Date Balance
Oct-07 $ - $ - $ 27,000.00
Nov-07 $ - $ - $ 27,000.00
Dec-07 $ - $ - $ 27,000.00
Jan-08 $ - $ - $ 27,000.00
Feb-08 $ - $ - $ 27,000.00
Mar-08 $ - $ - $ 27,000.00
Apr-OS $ - $ - $ 27,000.00
May-08 $ - $ - $ 27,000.00
Jun-08 $ - $ - $ 27,000.00
Jul-08 $ - $ - $ 27,000.00
Aug-08 $ - $ - $ 27,000.00
Sep-08 $ - $ - $ 27,000.00
This Request
Attached you will find original invoices or canceled checks plus copies of paid invoices to substantiate
the above expenditures. I certify that all goods and services have been received, that they all fall within
the contractual scope of services and budget, and that these costs have not been paid previously by any
other funding source. I certify that substantially all program income received has been disbursed or
will be disbursed within 3 days of this request, in accordance with the provisions at 24 CFR 570.504
and that the amount of this request is additionally needed to pay invoices as listed.
Authorized Signature Name and Title of Person Submitting Report
61 y
m 3 ~
(D d
~ c
_ N
m
r ~
8 H
o m
3
~ ~
3 ~
m
's
3
m
r
3 3
u n
o ~
8
p~ a
F ~
8
m 3
d °
R
s
s
° ° = ~ m a v Q m ~ p ~ o
.n
o x
c
Z ?
~
o
o =
o ~
a D
o z
0 °
3
I
a °
l
o ~
a
D
Z
o N
~
o I
N
O
D
_
O
a p
y
o
° ~ d
o Z
x 2
0
v 2
w
~.
o d
~
~
a °
~
o_ ~
2
a i
S DD_
o ° 3
z ~'
0 o ~
2 z
m
v m
D
0
x
~
o j
Z m
~
O po
o = ~
m
a ~
~ 2 O
D N
C
Z
0 0
~
2
a w
2
~ N m
0 3
v
Z
° m
2
o ^ O
Z i
a
~
o H m
a y
5
Z %
0
x H
N
a
o O p p 0 0 0 0 p 0 0 0 0 ~
ti
O
D ` i ` o o
w o S c m a m w ° o h
O q
E n
m
o S u
0
0
o
~ _
o ~ ~
r
3
N
o° z
w
o ~
3 n
Z
o r
3
g
n
v
o
3
n
3
v
m
n
0
c°
~.
s
m
'm
nm
N
~.
_n
O
'v
m
m
~'
~ o U
a
0 0
~ ~
~ ~ ..
o ~
m
m o
n
O
N
0
N ~ ~
~ ~ ~
c m
3 m
x
m'
olv
3
m
n
c`
m
0
T
3
3
m
n
O
m
m
r
L
3
m
z
i
'D
0
D
3
CDBG AGRF,EMENT
October 1, 2007 to September 30, 2008
ATTACHMENT III
GUIDELINES FOR FINANCIAL MANAGEMENT OF CDBG-FUNDED ACTIVITIES
FINANCIAL MANAGEMENT SYSTEM
To comply with federal regulations, each program must have a financial management system that
provides accurate, current and complete disclosure of the financial status of the activity. This means the
financial system must be capable of generating regular financial status reports which indicate the dollar
amount allocated for each activity (including any budget revisions), amount obligated (i.e., for which
contract exists), and the amount expended for each activity. The system must permit the comparison of
actual expenditures and revenues against budgeted amounts. The City must be able to isolate and to trace
every CDBG dollar received and prove where it went and for what it was used.
The City is responsible for reviewing and certifying the financial management of any operating agency,
which is not a City department or bureau, in order to determine whether or not it meets all of the above
requirements. If the agency's system does not meet these requirements and modifications are not
possible, the City must administer the CDBG funds for the operating agency.
SUPPORT FOR EXPENDITURES
Sufficient support for expenses depends on the type of expenditure. They normally include the following
items:
Salaries (should be supported by proper documentation in personnel files of hire date, position,
duties, compensation, raises with effective date, termination date, and similar type information. Non-
exempt employees are required by law to complete a timesheet showing number of hours they worked
during the day. All employees paid in whole or in part from CDBG funds should prepare a time sheet
indicating the hours worked on CDBG projects for each pay period. Based on these time sheets and
the hourly payroll costs for each employee, a voucher statement indicating the distribution ofpayroll
charges should be prepared and placed in the appropriate files.)
• Employee Benefits (should be supported by personnel policies and procedures manual, describing
the types of benefits, eligibility and other relevant information.)
• Professional Services (should be supported by a complete and signed copy of the conhact between
the organization and the independent contractor, describing at the minimum, period of service, type of
service and method for payments, in addition to the invoice from the private contractor.)
• Purchases (at a minimum, purchases should be supported by a purchase order, packing list and
vendor invoice. Credit card statements, travel itineraries, vendor statements, and similar items do not
represent support for an expense.)
Page 1 of 2
RECORDS
Accounting records must be supported by source documentation. Invoices, bills of lading, purchase
vouchers, payrolls and the like must be secured and retained for four years in order to show for what
purpose funds were spent. Payments should not be made without invoices and vouchers physically in
hand. All vouchers/invoices should be on vendor's letterhead. Financial records are to be retained for a
period of four years, with access guaranteed to the City, to HUD or Treasury officials or their
representative.
AUDITS
For years beginning after June 30, 1996, all nonprofit organizations, state governments, and local
governments that receive Federal funding fall under the revised OMB Circular A-133, Audits of States,
Local Govemments, and Nonprofit Organizations. Non-Federal entities that expend $300,000 or more in
a year in Federal awards must have a single or program-specific audit.
One copy of the sub-recipient or vendors' audited financial statement shall be submitted to the City
immediately following the end of the fiscal year(s) during which CDBG funds are received.
All auditees must submit to the Federal Audi[ Clearinghouse (FAC) a data collection form (Form SF-
SAC) and reporting package upon completion of the annual audit in accordance with OMB Circular A-
133. The deadline for this submission is the earlier of the 30 days after receipt of the auditor's report(s),
or nine months after [he end of the audit period, unless a longer period is agreed to in advance by the
cognizant or oversight agency for the audit. Address for submission is:
The Federal Audit Clearinghouse
1201 E. 10'h Street
Jeffersonville, IN 47132
Phone (301) 457-1551 or (800) 253-0696
Email: ~ov.fac(n)census.gov
Web: htto://harvester.census.eov/sac
REQUESTS FOR PAYMENTS
Payments to sub-recipients will be on a reimbursement basis. Requests are to be submitted utilizing the
enclosed financial status, client profile, and narrative report forms, in a format consistent with the
approved budget as shown in Attachment II, including an analysis of expenses to budget. A cash advance
may be available upon special request. All requests must be submitted to:
John Quade, Director
Housing and Community Development Division
City of Miami Beach
Neighborhood Services Department
1700 Convention Center Drive
Miami Beach, Florida 33139
R9aig\tISG-CU\MF.RC15('ONTRACTS~0.08N\mchnem 111 CURG. doc
Page 2 of 2
CDBG AGREEMENT
October 1, 2007 to September 30, 2008
ATTACHMENT IV
APPLICABLE FEDERAL REGULATIONS
NON-DISCRIMINATION AND EQUAL ACCESS
No person in the United States shall on the grounds of race, color, national origin, religion or sex
be excluded, denied benefits or subjected to discrimination under any program funded in whole or
in part by CDBG funds. The Provider must take measures to ensure non-discriminatory
treatment, outreach and access to program resources. This applies to employment and
contracting, as well as to marketing and selection of program participants.
Fair Housing and Equal Opportunity
The Provider must comply with all the following Federal laws, executive orders and regulations
pertaining to fair housing and equal opportunity. They are summarized below:
• Title VI of the Civil Rights Act of 1964, As Amended (42 USC 2000d et sea ): States that no
person may be excluded from participation in, denied the benefits of, or subjected to
discrimination under any program or activity receiving Federal financial assistance on the
basis of race, color or national origin. The regulations implementing the Title VI Civil Rights
Ac[ provisions for HUD programs may be found in 24 CFR Part 1.
• The Fair Housine Act (42 USC 3 60 1-3 6201: Prohibits discrimination in the sale or rental of
housing, the financing of housing or the provision of brokerage services against any person
on the basis of race, color, religion, sex, national origin, handicap of familial status. Fair
Housing Act implementing regulations may be found in 24 CPR Part 100-115.
• _Equal Opportunity in Housine (Executive Order 11063, as amended by Executive Order
122591: Prohibits discrimination against individuals on the basis of race, color, religion, sex
or national origin in the sale, rental, leasing or other disposition of residential property, or in
the use or occupancy of housing assisted with Federal funds. Equal Opportunity in Housing
regulations may be found in 24 CFR Part 107.
• Ape Discrimination Act of 1975. As Amended (,42 USC 6101]: Prohibits age discrimination
in programs receiving Federal financial assistance. Age Discrimination Act regulations may
be found in 24 CFR Part 146.
• Section 109 of Title I of the Housine and Community Development Act of 1974: Requires
that no person shall be excluded from participation in, denied the benefits of, or be subjected
to discrimination under any program or activity funded with CDBG funds on the basis of
race, color, religion, national origin or sex.
Affirmative Marketing
The Provider must adopt affirmative marketing procedures and requirements for all CDBG-
assisted housing with five or more units. Requirements and procedures must include:
• Methods for informing the public, owners and potential tenants about fair housing laws and
the Provider's policies (for example: use of the Fair Housing logo or equal opportunity
language);
• A description of what owners and/or the Provider will do to affirmatively market housing
assisted with CDBG Funds;
Page 1 of 7
• A description of what owners and/or the Provider will do to inlorm persons not likely to
apply for housing without special outreach;
• Maintenance of records to document actions taken to affirmatively market CDBG-assisted
units and to assess marketing effectiveness; and
• A description of how efforts will be assessed and what corrective actions will be taken where
requirements are not met.
Handicapped Accessibility
The CDBG regulations also require adherence to the three following regulations governing the
accessibility of Federally assisted buildings, facilities and programs.
• Americans with Disabilities Act (42 USC 12131: 47 USC I55 201 218 and 2251: Provides
comprehensive civil rights to individuals with disabilities in the areas of employment, public
accommodations, state and local government services and telecommunications. The Act, also
referred to as the ADA, also states that discrimination includes the failure to design and
construct facilities (built for first occupancy after January 26, 1993) that are accessible to and
usable by persons with disabilities. The ADA also requires the removal of architectural and
communication barriers that are structural in nature in existing facilities. Removal must be
readily achievable, easily accomplishable and able to be carried out without much difficulty
or expense.
• Fair Housing Act: Multi-family dwellings must also meet the design and construction
requirements at 24 CFR 100.205, which implement the Fair Housing Act (42 USC 3601-19)
• Section 504: Section 504 of the Rehabilitation Act of 1973 prohibits discrimination in
federally assisted programs on the basis of handicap. Section 504 imposes requirements to
ensure that "qualified individuals with handicaps" have access to programs and activities that
receive Federal funds. Under Section 504, recipients and subrecipients are not required [o
take actions that create unique financial and administrative burdens or after the fundamental
nature of the program. For any Provider principally involved in housing or social services, all
of the activities of the agency --not only those directly receiving Federal assistance -- are
covered under Section 504. Contractors or vendors are subject to Section 504 requirements
only in the work they do on behalf of the Provider or the City. The ultimate beneficiary of
the Federal assistance is not subject to Section 504 requirements.
• The Architectural Barriers Act of 1968 (42 USC 4151-4157): Requires certain Pedera] and
Federally-funded buildings and other facilities to be designed, constructed or altered in
accordance with standards that ensure accessibility to, and use by, physically handicapped
people.
II. EMPLOYMENT AND CONTRACTING
The Provider must comply with the regulations below governing employment and contracting
opportunities. These concern equal opportunity, labor requirements and contracting/procurement
procedures.
Equal Opportunity
The Provider must comply with the following regulations that ensure equal opportw~ity for
employment and contracting.
• Equal Emplovment Onoortunity Executive Order 11246 as amended: Prohibits
discrimination against any employee or applicant for employment because of race, color,
religion, sex or national origin. Provisions to effectuate this prohibition must be included in
Page 2 of 7
all construction contracts exceeding $10,000. Implementing regulations may be found at 41
CFR Past 60.
Section 3 of the Housine and Urban Development Act of 1968: Requires that, to the greatest
extent feasible, opportunities for training and employment arising from CDBG funds will be
provided to low-income persons residing in the program service area. Also, to the greatest
extent feasible, contracts for work (all types) to be performed in connection with CDBG will
be awarded to business concerns that are located in or owned by persons residing in the
program service area.
• Minoritv/Women's Business Entemrise: Under Executive Orders 11625, 12432 and 12138,
the City and the Provider must prescribe procedures acceptable to HUD for a minority
outreach program to ensure the inclusion, to the maximum extent possible, of minorities and
women, and entities owned by minorities and women, in all contracts (see 24 CFR 85.36(e)).
Labor Requirements
The Provider must comply with certain regulations on wage and labor standards. In the case of
Davis-Bacon and the Contract Work Hours and Safety Standards Acts, every contract for
construction (in the case of residential construction, projects with eight or more units) triggers the
requirements.
• Davis-Bacon and Related Acts (40 USC 276(A)-7): Ensures that mechanics and laborers
employed in construction work under Federally-assisted contracts are paid wages and fringe
benefits equal to those that prevail in the locality where the work is performed. This act also
provides for the withholding of funds to ensure compliance, and excludes from [he wage
requirements apprentices enrolled in bona fide apprenticeship programs.
• Contract Work Hours and Safety Standards Ac[, as amended (40 USC 327-333): Provides
that mechanics and laborers employed on Federally-assisted construction jobs are paid time
and one-half for work in excess of 40 hours per week, and provides for the payment of
liquidated damages where violations occur. This act also addresses safe and heathy working
conditions.
• Copeland (Anti-Kickback) Act (40 USC 276c): Governs the deductions from paychecks that
are allowable. Makes it a criminal offense to induce anyone employed on a Federally
assisted project to relinquish any compensation to which he/she is entitled, and requires all
contractors to submit weekly payrolls and statements of compliance.
• Fair Labor Standards Act of 1938. As Amended (29 USC 201 et seq~: Establishes the basic
minimum wage for all work and requires the payment of overtime at the rate of at least time
and one-half. It also requires the payment of wages for the entire time that an employee is
required or permitted to work, and establishes child labor standards.
Contracting and Procurement Practices
The CDBG program is subject to certain Federal procurement rules. In addition, the City and the
Provider must take measures to avoid hiring debarred or suspended contmctors or subrecipients
and conflict-of-interest situations. Each is briefly discussed below.
• Procurement: For the City, the procurement standards of 24 CFR 85.36 apply. For non-profit
organizations receiving CDBG funds;"the procurement requirements a[ 24 CFR Part 84 apply.
• Conflict of Interest: The CDBG regulations require grantees (the City), state recipients and
subrecipients (the Provider) to comply with two different sets ofconflict-of-interest
provisions. The first set of provisions comes From 24 CFR Parts 84 and 85. The second,
Page 3 of 7
which applies only incases not covered by 24 CPR Parts 84 and 85, is set forth in the CDBG
regulations. Both sets of requirements are discussed below.
- The provisions at 24 CFR 85.36 and 24 CFR 84.42 apply in the procurement of property
and services by grantees (the City), state recipients, and subrecipien[s (the Provider).
These regulations require the City and the Provider to maintain written standards
goveming the performance of their employees engaged in awarding and administering
contracts. At a minimum, these standards must:
- Require that no employee, officer, agent of the City or the Provider shall participate
in the selection, award or administration of a contract supported by CDBG if a
conflict-of-interest, either real or apparent, would be involved;
- Require that employees, officers and agents of the City or the Provider not accept
gratuities, favors or anything of monetary value from contractors, potential
contractors or parties to subagreements; and
- Stipulate provisions for penalties, sanctions or other disciplinary actions for
violations of standards.
A conflict would arise when any of the following has a financial or other interest in a
firm selected for an award:
- An employee, agent or officer of the City or the Provider;
- Any member of an employee's, agent's or officer's immediate family;
- An employee's, agent's or officer's partner; or
- An organization that employs or is about [o employ an employee, agent or officer of
the City or the Provider.
The CDBG regulations at 24 CFR 570.611 goveming conflict-of-interest apply in cases
not covered by 24 CFR 85.36 and 24 CFR 84.42. These provisions cover employees,
agents, consultants, officers and elected or appointed officials of the grantee (the City),
state recipient or subrecipient (the Provider). The regulations state that no person
covered who exercises or has exercised any functions or responsibilities with respect to
CDBG activities or who is in a position to participate in decisions or gain inside
information:
- May obtain a financial interest or benefit from a CDBG activity; or
Have an interest in any contract, subcontract or agreement for themselves or for
persons with business or family ties.
This requirement applies to covered persons during their tenure and for one year after
leaving the grantee (the City), the state recipient or subrecipient (the Provider) entity.
Upon written request, exceptions to both sets of provisions may be granted by HUD on a
case-by-case only after the City has:
- Disclosed the full nature of the conflict and submitted proof that the disclosure has
been made public; and
- Provided a legal opinion from the City stating that there would be no violation of
state or local law if the exception were granted.
• Debarred contractors: In accordance with 24 CFR Part 5, CDBG funds may not be used to
directly or indirectly employ, award contracts to or otherwise engage the services of any
contractor or subrecipient during any period of debarment, suspension or placement of
ineligibility status. The City should check al] contractors, subcontractors, lower-tier
Page 4 of 7
contractors or subrecipients against the Federal publication that lists debarred, suspended and
ineligible contractors.
III. ENVIRONMENTAL REQUIREMENTS
The City is responsible for meeting a number of environmental requirements, including
environmental reviews, flood insurance, and site and neighborhood standards.
Environmental Review
The City is responsible for undertaking environmental reviews in accordance with the
requirements imposed on "recipients" in 24 CFR 58. Reviews must be completed, and Requests
for Release of Funds (RROF) submitted to HUD before CDBG funds are committed for non-
exempt activities. Private citizens and organizations may object to the release of funds for CDBG
projects on certain procedural grounds relating to environmental review (see 24 CFR 58.70 -
58.77). To avoid challenges, grantees (the City) and subrecipients (the Provider) should be
diligent about meeting procedural requirements.
Flood Insurance
Section 202 of the Flood Disaster Protection Act of 1973 (42 USC 410: Requires that CDBG
funds shall not be provided to an area that has been identified by the Federal Emergency
Management Agency (FEMA) as having special flood hazard, unless: The community is
participating in [he National Flood Insurance Program, or it has been less than a year since the
community was designated as having special flood hazards; and Flood insurance is obtained.
IV. LEAD-BASED PAINT
On September 15, 1999, the "Requirements for Notification, Evaluation and Reduction of Lead-
Based Paint Ha-rards in Federally Owned Residential Property and Housing Receiving Federal
Assistance; Final Rule" was published within title 24 of the Code of Federal Regulations as part
35 (24 CFR 35). The regulation was issued under sections 1012 and 1013 of the Residential
Lead-Based Paint Hazard Reduction Act of 1992, which is Title X (ten) of the Housing and
Community Development Act of 1992. Sections 1012 and 1013 of Title X amended the Lead-
Based Paint Poisoning Prevention Act of 1971, which is the basic law covering lead-based paint
in federally associated housing.
The regulation sets hazard reduction requirements that give much greater emphasis to reducing
lead in house dust. Scientific research has found that exposure to lead in dust is the most
common way young children become lead poisoned. Therefore, the new regulation requires dust
testing after paint is disturbed to make sure the home is lead-safe. Specific requirements depend
on whether the housing is being disposed of or assisted by the federal government, and also on
the type and amount of financial assistance, the age of the structure, and whether the dwelling is
rental or owner occupied.
PROPERTY EXEMPT FROM LEAD-BASED PAINT REGULATION.
• Housing built since January 1, 1978, when lead paint was banned for residential use
• Housing exclusively for the elderly or people with disabilities, unless a child under age 6 is
expected to reside there
• Zero-bedroom dwellings, including efficiency apartments, single-room occupancy housing,
dormitories or military barracks
• Property that has been found to be free of lead-based paint by a certified lead-based paint
inspector
• Property where all lead-based paint has been removed
Page 5 of 7
• Unoccupied housing that will remain vacant until demolished
• Non-Residential property
• Any rehabilitation or housing improvement that does not disturb a painted surface
TYPES OF HOUSING SUBJECT TO 24 CFR 35
• Federally-Owned housing being sold
• Housing receiving a federal subsidy that is associated with the property, rather than with the
occupants (project-based assistance)
• Public housing
• Housing occupied by a family (with a child) receiving tenant-based subsidy (such as a
voucher or certificate)
• Multifamily housing for which mortgage insurance is being sought
• Housing receiving federal assistance for rehabilitation, reducing homelessness, and other
special needs
If you want copies of the regulation or have general questions, you can call the National Lead
Information Center at (800) 424-LEAD, or TDD (800) 526-5456 for the hearing impaired. You
can also download [he regulation and other educational materials at
h[to://www.hud.gov/offices/lead/index.cfm. For further information, you may call HUD at (202) 755-
1785, ex[. 104, or e-mail HUD at lead reeulations(n~hud.gov.
V. DISPLACEMENT, RELOCATION, ACQUISITION AND REPLACEMENT OF
HOUSING
CDBG projects involving acquisition, rehabilitation or demolition may be subject to the
provisions of the Uniform Relocation Act (UDA). Demolition or conversion of units with CDBG
funds may trigger section 104 (d) (also known as the "Barney Frank Amendment" requirements.)
VI. COMPLIANCE WITH NATIONAL OBJECTIVE
The Provider will ensure and maintain evidence that activities assisted with CDBG funds from
the City of Miami Beach comply with the primary National Objective, "Benefit to Low and
Moderate Income Persons" and will provide services or activities that benefit at least 51% low
and moderate income persons. A low or moderate-income household is defined as: a household
having an income equal to, or less than, the limits cited below. Individuals who are unrelated but
are sharing the same household shall each be considered as one-person households.
Low and Moderate Household Income Limits (Effective 03/20/2007) (Source: U.S.
Department of Housing & Urban Development) (Note: Low-Income (80% of Median Income),
Very Low-Income (50 % of Median Income), Extremely Low (30% of Median Income), Median
Family Income FY 2007: $45,200)
Household Size Extremely Low
30% of Median Very Low-Income
50% of Median Low-Income
80% of Median
1 Person $12,450 $20,750 $33,200
2 Person $14,250 $23,700 $37,950
3 Person $116,00 $26,700 $42,700
4Person $17„800 $29,650 $47,450
5 Person $19,200 $32,000 $51,250
6 Person $20,650 $34,400 $55,050
7 Person $22,050 $36,750 $58,850
8 Person $23,500 $39,150 $62,650
Page 6 of 7
LOW/MODERATE INCOME DATA
SOUTHERN TARGET AREA
Census Tract Total L/M Persons Total Persons % Low/Mod
40.00-5 310 448 69.20
41.01-1 614 757 81.11
41.01-2 2,137 4,002 53.40
41.01-3 810 1,511 53.61
42 10,042 13,736 73.11
43 6,728 9,582 70.21
44 10,774 13,244 81.35
45 1,768 2,307 76.64
TOTAL 33 183 45,587 73% L/M
NORTHERN TARGET AREA
Census Tract Total L/M Persons Total Persons % Low/Mod
39.01-1 603 1,036 58.20
39.01-2 620 836 74.16
39.01-3 407 468 86.97
39.01-4 518 772 67.10
39.01-5 1,593 2,256 70.61
39.01-6 1,581 2,240 70.58
39.02-1 704 897 78.48
39.02-2 876 1,187 73.80
39.02-3 211 211 100.00
39.02-4 1,564 2,097 74.58
39.05-2 2,408 3,346 71.97
39.05-4 2,401 3,071 78.18
TOTAL 8,677 12,000 72% L/M
F.\neig\DSGCO\MERCY\CONTRAC~S\OROB\AUachmcnt IV CDRG.doc
Page 7 of 7
CERTIFICATION REGARDING LOBBYING
Name of Recipient: CITY OF MIAMI BEACH
Name of Sub-recipient: BOYS & GIRLS CLUBS OF MIAMI INC.
Grant Program Name: COMMUNITY DEVELOPMENT BLOCK GRANT
Grant Number: B-07-MC-12-0014
CFDA Number/Title: 142 ] 8 /COMMUNITY DEVELOPMENT BLOCK GRANT
Date: March 4, 2008
The undersigned certifies, to the best of his or her knowledge and belief, that:
No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,
to any person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or any employee of a Member of
Congress in connection with the awarding of any Federal contract, the making of any Federal grant,
the making of any Federal loan, the entering into of any cooperative agreement, and the extension,
continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or
cooperative agreement.
If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or any employee of a Member of Congress in
connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall
complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying", in accordance
with its instructions.
The undersigned shall require that the language of this certification be included in the award
documents for all sub-awards at all tiers (including sub-contracts, sub-grants, and contracts under
grants, loans, and cooperative agreements) and that all individuals receiving sub-awards shall
certify and disclose accordingly.
BOYS & GIRLS CLUBS OF MIAMI. INC.
~ 7 ~~
Signature
Alex Rodriguez-Roig
Print Name of Authorized Signatory
3/04/08
Date
Executive Director
Print Title of Authorized Signatory
Page 1 of 1
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS
Name of Recipient: CITY OF MIAMI BEACH
Name of Sub-recipient: BOYS & GIRLS CLUBS OF MIAMI, 1NC.
Grant Program Name: COMMUNITY DEVELOPMENT BLOCK GRANT
Grant Number: B-07-MC-12-0014
CFDA Number/1'itle: 14218 /COMMUNITY DEVELOPMENT BLOCK GRANT
Date: March 4, 2008
The Provider shall insert in the space provided below the site(s) expected to be used for the performance
of work under the grant covered by the certification:
Place of Performance (include street address, city, county, state, zip code for each site):
Boys & Girls Clubs of Miami, Inc.- South Beach Club
1200 Michigan Ave.
Miami Beach, FL 33139
BOYS & GIRLS CLUBS OF MIAMI, INC.
v ~ ~~
Signature
Alex Rodricxuez-Roia
Print Name of Authorized Signatory
3/04/08
Date
Executive Director
Print Title of Authorized Signatory
Page I of ]
ACKNOWLEDGEMENT OF DISABILITY NONDISCRIMINATION AFFIDAVIT
CONTRACT REFERENCE CDBG CONTRACT YEAR 33, Fiscal Year 2007/2008
NAME OF FIRM, CORPORATION, OR ORGANIZATION BOYS & GIRLS CLUBS OF MIAMI, INC.
AUTHORIZED AGENT COMPLETING AFFIDAVIT Frank Saavedra
POSITION Director of Grants Development PHONENUMBER(3~15) 446-9910
-, Frank Saavedra ,being duly first sworn state:
That the above named form, corporation or organization is in compliance with and agrees to
continue to comply with, and assure that any subcontractor, or third party contractor under this
project complies with all applicable requirements of the laws listed below including, but not limited
to, those provisions pertaining to employment, provision of programs and services, transportation,
communications, access to facilities, renovations, and new construction.
The Americans with Disabilities Act of 1990 (ADA): Pub. L. 101-336, 104 Stat 327, 42 U.S.C.
12]01-]2213 and 547 U.S.C. Sections 225 and 611 including Title 1, Employment; Tittle Il,
Public Services; Title III, Public Accommodations and Services Operated by Private Entities;
Title 1V, Telecommunications; and Title V, Miscellaneous Provisions.
The Rehabilitation Act of 1973:29 U.S.C. Section 794.
The Federal Transit Act, as amended: 49 U.S.C. Section 1612.
The Fair Housing Act as amended: 42 U.S.C. Section 3601-3631.
Signature
3/04/08
Date
SUBSCRIBED AND SWORN TO (or affirmed) before me on ~(-Cir, ~,~ by
(Date)
Frank Saavedra He/She is personally known to me or has
(Affiant)
presented
(Type of identification)
~~ re o otary)
as
$,~~ublic Slafe of FIOnO
QaD,~P; a=,rnandez
M1-n'}nmMlss~on DD509180
~?mrsd*e Expzes p1.2312010_
Number)
(Print or Stamp Name of Notary) (Expiration Date)
Notary Public t' ~ (State) Notary Seal
The City of Miami Beach will not award a contract to any firm, corporation or organization that fails to
complete and submit this Affidavit with the firm, corporation or organization's bid or proposal or fails to
have this Affidavit on file with the City of Miami Beach.
F:\neig\flSGCDN4ERCY\CGNTRACTS\W-oTBoys & Girls Clubs\Cenifcationcdoc
Page 1 of I