Unidad, Inc. for Youth Services Agreementmoo ~ ~~ ~,ts-~
PROFESIONAL SERVICES AGREEMENT
BETWEEN THE CITY OF MIAMI BEACH, FLORIDA
AND UNIDAD, INC.
FOR YOUTH SERVICES
RELATED TO THE GITY'S SERVICE PARTNERSHIP INITIATIVE
THIS AGREEMENT made and entered into this 1st day of December, 2007, by
and between the CITY OF MIAMI BEACH, FLORIDA (hereinafter referred to as City),
having its principal offices at 1700 Convention Center Drive, Miami Beach, Florida,
33139, and UNIDAD, INC., a Florida Corporation, (hereinafter referred to as
Contractor), whose address is 1701 Normandy Drive, Miami Beach, Florida, 33141.
SECTION 1
1.1 DEFINITIONS
Agreement: This Agreement between the City and Contractor, and any
exhibits and/or attachments hereto.
City Manager: The Chief Administrative Officer of the City.
Contractor: For the purposes of this Agreement, Contractor shalt be
deemed to be an independent contractor, and not an agent
or employee of the City.
Services: All services, work and actions by the Contractor performed
pursuant to or undertaken under this Agreement, as
described in Section 2 and Exhibit "A" hereto.
Fee (Compensation): Amount paid to the Contractor to cover the costs of the
Services.
Risk Manager: The Risk Manager of the City, with offices at 1700
Convention Center Drive, Third Floor, Miami Beach, Florida
33139, telephone number (305) 673-7000, Ext. 6435, and
fax number (305) 673-7023.
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SECTION 2
SCOPE OF WORK (SERVICES)
The Contractor will provide entrepreneurship and MB Helpers training for up to thirty
(30) youths in accordance with The Children's Trust Miami Beach Service
Partnership Grant, dated December 1, 2007. The scope of work to be performed by
Contractor is further detailed in Exhibit "A," entitled "Scope of Services." The
Contractor shall report to the City of Miami Beach, Neighborhood Services
Department, Office of Community Services, Division Director.
SECTION 3
COMPENSATION
3.1 FIXED FEE
Contractor shall be compensated for the Services, as set forth in Section 2
and Exhibit "A", as follows: Provision of MB Helpers Curriculum Training Twenty-Five
Dollars ($25) per each youth for up to thirty (30) youth, for a maximum not to exceed
Seven Hundred and Fifty Dollars ($750); and (b) Provision of Entrepreneurship
Training in conjunction with the National Foundation for Teaching Entrepreneurship
to up to Thirty (30) youth at Thirty Dollars ($30) per hour for up to Ninety (90) hours,
for a maximum not to exceed Two Thousand Seven Hundred Dollars ($2,700).
Contractor's compensation shall be further subject to and conditioned upon all
or any portion of the Services to be provided herein being allowable and within the
Scope of Services delineated in Exhibit "A".
Notwithstanding the preceding, Contractor's total compensation during the
teen of this Agreement shall not exceed the maximum allowable sum of Three
Thousand Four Hundred and Fifty Dollars ($3,450).
3.2 INVOICING
Contractor shall submit monthly invoices, a Monthly Progress Report, and
accompanying Monthly Progress Submissions Checklist ~ Summary Form, as set
forth in Exhibit "Bn, which includes an itemized, detailed description of the Services,
or portions thereof, provided (including the clients served) and cost(s) for same.
Invoices and supporting documentation shall be submitted to Maria L. Ruiz, Division
Director, Office of Community Services, 1700 Convention Center Drive, Miami
Beach, Florida, 33139.
3.3 METHOD OF PAYMENT
Payments shall be made within thirty (30) days of the date of invoice, in a
manner satisfactory to and as approved and received by the City Manager and/or his
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designee, who shall be the Division Director, Office of Community Services.
SECTION 4
GENERAL PROVISIONS
4.1 RESPONSIBILITY. OF THE CONTRACTOR
With respect to the performance of the Services, the Contractor shall exercise
that degree of skill, care, efficiency and diligence normally exercised by recognized
professionals with respect to the performance of comparable services. to its
performance of the Services, the Contractor shall comply with all applicable laws,
ordinances, and regulations of the City, Miami-Dade County, the State of Florida, and
the federal government, as applicable.
4.2 PUBLIC ENTITY CRIMES
A State of Florida Form PUR 7068, Sworn Statement under Section
287.133(3)(a) Florida Statute on Public Entity Crimes shall be filed with the City's
Procurement Division, prior to commencement of the Services herein.
4.3 DURATION AND EXTENT OF AGREEMENT (TERMI
The term of this Agreement shall commence upon execution of this Agreement
by atl parties hereto, and shall terminate on May 31, 2008.
4.4 TIME OF COMPLETION
The Services to be rendered by the Contractor shall be commenced upon
receipt of a written Notice to Proceed from the City subsequent to execution of the
Agreement by the parties, and shall be completed no later than May 31, 2008.
4.5 INDEMNIFICATION
Contractor agrees to indemnify and hold harmless the City of Miami Beach and its
officers, employees and agents, from and against any and all actions, claims,
liabilities, losses, and expenses, including, but not limited to, attorneys' fees, for
personal, economic or bodily injury, wrongful death, loss of or damage to property, at
law or in equity, which may arise or be alleged to have arisen from the negligent acts,
errors, omissions or other wrongful conduct of the Contractor, its employees, agents,
sub-consultants, or any other person or entity acting under Consultant's control, in
connection with the Contractor's performance of the Services pursuant to this
Agreement; and to that extent, the Contractor shall pay all such claims and losses
and shall pay all such costs and judgments which may issue from any lawsuit arising
from such claims and losses, and shall pay all costs and attorneys' fees expended by
the City in the defense of such claims and losses, including appeals.
The Contractor's obligation under this Subsection shall not include the obligation to
indemnify the City of Miami Beach and its officers, employees and agents, from and
against any actions or claims which arise or are alleged to have arisen from negligent
acts or omissions or other wrongful conduct of the City and its officers, employees
and agents. The parties each agree to give the other party prompt notice of any
claim coming to its knowledge that in any way directly or indirectly affects the other
party.
4.6 TERMINATION, SUSPENSION AND SANCTIONS
4.6.1 Termination for Cause
ff the Contractor shall fail to fulfill in a timely manner, or otherwise
violate any of the covenants, agreements, or stipulations material to this
Agreement, the City shall thereupon have the right to terminate the
Services then remaining to be performed. Prior to exercising its option
to terminate for cause, the City shall notify the Contractor of its violation
of the particular terms of this Agreement and shall grant Contractor
seven (7) days to cure such default. If such default remains uncured
after seven (7) days, the City, upon three (3) days' notice to Contractor,
may terminate this Agreement and the City shall be fully discharged
from any and all liabilities, duties and terms arising out of/or by virtue of
this Agreement.
Notwithstanding the above, the Contractor shall not be relieved of
liability to the City for damages sustained by the City by any breach of
the Agreement by the Contractor. The City, at its sole option and
discretion, shall additionally be entitled to bring any and all
legal/equitable actions that it deems to be in its best interest in order to
enforce the City's right and remedies against the defaulting party. The
City shall be entitled to recover all costs of such actions, including
reasonable attorneys' fees. To the extent allowed by law, the defaulting
party waives its right to jury trial and its right to bring permissive counter
claims against the City in any such action.
4.6.2 Termination for Convenience of City
NOTWITHSTANDING SECTION 4.6.1, THE CITY MAY ALSO, FOR
ITS CONVENIENCE AND WITHOUT CAUSE, TERMINATE THIS
AGREEMENT AT ANY TIME DURING THE TERM HEREOF BY
GIVING WRITTEN NOTICE TO CONSULTANT OF SUCH
TERMINATION, WHICH SHALL BECOME EFFECTIVE SEVEN (7)
DAYS FOLLOWING RECEIPT BY THE CONSULTANT OF THE
WRITTEN TERMINATION NOTICE. IN THAT EVENT, ANY
FINISHED OR UNFINISHED DOCUMENTS AND OTHER
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MATERIALS PREPARED AND OR OTHERWISE COMPILED BY
CONSULTANT PURSUANT TO ITS PROVISION OF THE SERVICES
CONTEMPLATED IN SECTION 2 AND IN EXHIBIT "A", SHALL BE
PROMPTLY ASSEMBLED AND DELIVERED TO THE CITY, AT
CONSULTANT'S SOLE COST AND EXPENSE. IF THE
AGREEMENT IS TERMINATED BY THE GIN AS PROVIDED IN
THIS SUBSECTION, CONSULTANT SHALL BE PAID FOR ANY
SERVICES SATISFACTORILY PERFORMED, AS DETERMINED BY
THE CITY AT ITS SOLE DISCERTION, UP TO THE DATE OF
TERMINATION; PROVIDED, HOWEVER, THAT AS A CONDITION
PRECEDENT TQ SUCH PAYMENT, CONSULTANT SHALL HAVE
DELIVERED ANY AND ALL DOCUMENTS, MATERIALS, ETC, TO
CITY, AS REQUIRED HEREIN.
4.6.3 Termination for Insolvency
The City also reserves the right to terminate the remaining Services to
be performed in the event the Contractor is placed either in voluntary
or involuntary bankruptcy or makes an assignment for the benefit of
creditors. In such event, the right and obligations for the parties shall
be the same as provided for in Section 4.6.2.
4.6.4 Sanctions for Noncompliance with Nondiscrimination Provisions
to the event of the Contractor's noncompliance with the
nondiscrimination provisions of this Agreement, as applicable, the City
shall impose such sanctions as the City or the State of Florida may
determine to be appropriate, including but not limited to, withholding of
payments to the Contractor under the Agreement until the Contractor
complies andlor cancellation, termination or suspension of the
Services and/or the Agreement. In the event the City cancels or
terminates the Services and/or the Agreement pursuant to this
Subsection the rights and obligations of the parties shall be the same
as provided in Section 4.6.2.
4.7 CHANGES AND ADDITIONS
Any changes and additions to the terms of this Agreement shall be by a written
amendment, signed by the duly authorized representatives of the City and Contractor.
No alteration, change, or modification of the terms of this Agreement shall be valid
unless amended in writing, signed by the parties hereto, and approved by the City.
4.8 OWNERSHIP OF DOCUMENTS
Any changes and additions to the terms of this Agreement shall be by a
written amendment, signed by the duly authorized representatives of the City and
Contractor. No alteration, change, or modification of the terms of this Agreement
shall be valid unless amended in writing, signed by the parties hereto, and
approved by the City.
4.9 AUDIT AND INSPECTIONS
Upon 24-hour's written notice, the City Manager (on behalf of the City) and/or
such authorized representatives as the City Manager may deem to act on the City's
behalf, may, during Contractor's normal business hours, audit, examine and make
audits of all contracts, invoices, materials, payrolls, records of personnel, conditions
of employment, and any and all other data and/or records and/or documents
relating to all matters covered by this Agreement. Contractor shall maintain any and
all such records, as necessary to document compliance with the provisions of this
Agreement.
4.10 ACCESS TO RECORDS
Contractor agrees to allow access during normal business hours to all
records including, without limitation, Contractor's financial records, to the City and/or
its authorized representatives, and agrees to provide such assistance as may be
necessary to facilitate audit by the City and/or its representatives, when and as the
City Manager, in his sole and reasonable discretion, may deem necessary to ensure
compliance with the provisions of this Agreement including, without limitation, as
they pertain to any financial audits (with applicable accounting and financial
standards). Contractor shall allow access during normal business hours to any and
all records, forms, files, and documents which have been generated in performance
of this Agreement, by the City and/or its authorized representatives.
4.11 INSURANCE REQUIREMENTS
The Contractor shall not commence any work and/or Services pursuant
to this Agreement until all insurance required under this Section has been obtained
and such insurance has been reviewed and approved by the City's Risk Manager.
Contractor shall maintain and carry in full force during the term of this Agreement the
following insurance:
1. Contractor General Liability, in the amount of $1,000,000.
2. Contractor Professional Liability, in the amount of $200,000.
3. Workers Compensation & Employers Liability, as required pursuant to Florida
Statutes.
All insurance required hereunder must be furnished by insurance companies
authorized to do business in the State of Florida.
6
Original certificates of insurance for the above coverage must be submitted to
the City's Risk Manager at the Office of the Risk Manager of the City of Miami Beach,
1700 Convention Center Drive, Miami Beach, Florida 33139.
The Contractor is solely responsible for obtaining and submitting all insurance
certificates for its sub-contractors.
All insurance policies must be issued by companies authorized to do business
under the laws of the State of Florida. 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.
Compliance with the foregoing requirements shall not relieve the Contractor of
the liabilities and obligations under this Section or under any other portion of this
Agreement, and the City shall have the right to obtain from the Contractor specimen
copies of the insurance policies in the event that submitted certificates of insurance
are inadequate to ascertain compliance with required overage.
All of Contractor's certificates, as required in this Section 4.11, shall contain
endorsements providing that written notice shall be given to the City at leas# thirty
(30) days prior to termination, cancellation or reduction in coverage in the policy.
The Contractor shall not commence any work and/or Services pursuant to this
Agreement until the City's Risk Manager has received, reviewed and approved, in
writing, certificates of insurance showing that the requirements of this Section (in its
entirety) have been met and provided for.
4.12 ASSIGNMENT, TRANSFER OR SUBCONTRACTING
The Contractor shall not subcontract, assign, or transfer any work under this
Agreement without the prior written consent of the City Manager which consent, if
granted at all, shall be at the Manager's sole and absolute discretion.
4.13 SUB-CONTRACTORS
The Contractor shall be liable for Contractor's services, responsibilities and
liabilities under this Agreement, and the services, responsibilities and liabilities of
sub-contractors, and any other person or entity acting under the direction or control
of Contractor. When the term "Contractor" is used in this Agreement, it shall be
deemed to include any sub-contractors and any other person or entity acting under
the direction or control of Contractor. All sub-contractors must be approved, in
writing by the City Manager, or his designee, prior to their engagement by
Contractor (which approval, if granted at all, shall be at the Manager's sole
discretion and judgment).
4.14 EQUAL EMPLOYMENT OPPORTUNITY
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In connection with the performance of this Agreement, the Contractor shall
not discriminate against any employee or applicant for employment because of
race, color, religion, ancestry, sex, age, and national origin, place of birth, marital
status, or physical handicap. The Contractor shall take affirmative action to ensure
that applicants are employed and that employees are treated during their
employment without regard to their race, color, religion, ancestry, sex, age, national
origin, place of birth, marital status, disability, or sexual orientation, as applicable.
4.15 NO CONFLICT OF INTEREST
The Contractor agrees to adhere to and be governed by the Metropolitan
Miami-Dade County Conflict of Interest Ordinance, as same may be amended from
time to time; and by City of Miami Beach Code, as same may be amended from
time to time.
The Contractor covenants that it presently has no interest and shall not
acquire any interest, direct or indirectly which should conflict in any manner or
degree with the performance of the Services. The Contractor further covenants that
in the performance of this Agreement, no person having any such interest shall
knowingly be employed by the Consultant. No member of or delegate to the
Congress of the United States shall be admitted to any share or part of this
Agreement or to any benefits arising there from.
4.16 PATENT RIGHTS~,COPYRIGHTS; CONFIDENTIAL FINDINGS
Any patentable result arising out of this Agreement, as well as all information,
design specifications, processes, data and findings, shall be made available in
perpetuity to the City, for public use.
No reports, other documents, articles or devices produced in whole or in part
under this Agreement shall be the subject of any application for copyright or patent
by or on behalf of the Contractor or its employees or subcontractors.
4.17 ON T1CES
All notices and communications relating to the day-today activities shall be
exchanged between a project manager appointed by the Contractor and the
program coordinator designated by the City Manager, who shall be Neighborhood
Services Department, Office of Community Services, Division Director. The
Contractor's project manager shall be designated following execution of this
Agreement by the parties and prior to commencement of the Services.
All other notices and communications in writing required or permitted
hereunder may be delivered personally to the representatives of the Contractor and
the City listed below or may be mailed by registered mail.
8
Until changed by notice in writing, all such notices and communications shall
be addressed as follows:
TO CONTRACTOR:
TO CITY:
UNIDAD, Inc.
Attn: Margarita Cepeda-Leonardo, Executive Director
1701 Normandy Drive
Miami Beach, Florida 33141
(305)867-0051
City of Miami Beach
Office of Community Services
Attn: Maria L. Ruiz, Director
1700 Convention Center Drive
Miami Beach, Florida 33139
(305) 673-7491
4.18 LITIGATION JURISDICTIONIVENUE
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 the
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 THIS AGREEMENT,
EXPRESSLY WAIVE ANY RIGHTS EITHER PAR
JURY OR ANY CIVIL LITIGATION RELATED TO,
AGREEMENT.
4.19 ENTIRETY OF AGREEMENT
CONTRACTOR AND CITY
TY MAY HAVE TO A TRIAL BY
OR ARISING OUT OF, THIS
This writing and any exhibits and/or attachments incorporated (and/or
otherwise referenced for incorporation) herein embody the entire Agreement and
understanding between the parties hereto, and there are no other agreements and
understandings, oral or written, with reference to the subject matter hereof that are
not merged herein and superseded hereby.
4.20 LIMITATION OF CITY'S LIABILITY
The City desires to enter into this Agreement only if in so doing the City can
place a limit on the City's liability for any cause of action for money damages due to
9
an alleged breach by the City of this Agreement, so that its liability for any such
breach never exceeds the sum of $1,000. Contractor hereby expresses its
willingness to enter into this Agreement with Consultant's recovery from the City for
any damage action for breach of contract to be limited to a maximum amount of
$1,000.
Accordingly, and notwithstanding any other term or condition of this
Agreement, Contractor hereby agrees that the City shall not be liable to the
Contractor for damages in an amount in excess of $1,000 for any action or claim for
breach of contract arising out of the performance or non-performance of any
obligations imposed upon the City by this Agreement. Nothing contained in this
paragraph or elsewhere in this Agreement is in any way intended to be a waiver of
the limitation placed upon the City's liability as set forth in Section 768.28, Florida
Statutes.
{REMAINDER OF THIS PAGE LEFT INTENTIONALLY BLANK]
10
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to
be executed by their appropriate officials, as of the date first entered above.
FOR CITY:
CITY OF MIAMI BEACH, FLORIDA
ATTEST:
a.. l~~r P~~c~-
City Clerk
Mayor
Robert Parcher
FOR CONTRACTOR:
ATTEST:
Matti Herrera Bower
UNIDAD, Inc., A Florida
Corporation
By: By:
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Secre Presid nt __..
y iC/ s~ , /~ ~ivci~'r~ ~
Pri t Name
Print Name
Corporate Seal
APPROVED AS TO
FORM & LANGUAGE
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11
EXHIBIT "A"
"SCOPE OF SERVICES"
The Contractor agrees that its Partner Performance Rating, the score awarded for
performance on the following measures, will be posted on the City's website:
• Timely and accurate submission of monthly, quarterly and annual progress
report
• Timely and accurate submissions of financial reports
• Delivery of contracted service units
• Promotion of the Miami Beach Service Partnership
• Attendance at Miami Beach Service Partnership Governing Board and related
City committee(s) meetings
In addition, the Contractor agrees to allow the City to post a link to the Contractor's
home website as well as enable a link from the Contractor's website to the City's
website.
Service Deliverables
F
~ MB Helpers Tram ng . _ ~ 1 for a ch of _p toto 30 youth_ Site to be determ ned n _
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EntrepreneurshFp Training ~ 90 hours for each of up to 30 ;Miami Beach Senior High
Lyouth---- l School----- --- ------- ---__ - .!
The Contractor further agrees to address the following agency issues that were
identified via the Agency Evaluation conducted by Dr. Martell Teasley of Florida State
University and delineated in the report, "Evaluation for Participation in Success
University: Miami Beach Service Partnership," dated October 2007.
These include:
• Hiring or developing staff who are trained in program evaluation
• Implementing pre- and post-testing for all youth-based intervention programs
• Achieve consistency in tracking client outcomes across intervention programs
• Develop methods for tracking long-term client outcomes
12
The Contractor agrees to provide the following services.
Exhibit "A" Attachments
Training Attendance Roster
Partner PerFormance Ratings
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Miami Beach
~ '~} ''~~ii i Success University ini#iative
Training Attendance Roster
Client:
Reporting Period
^ January 2008
^ March 2008
^ May 2008
^ December 2007
^ February 2008
^ April 200$
^,June 2008
Reporting Date:
Person Submitting Report:
Title:
Signature:
Attendance Record
Family Team Conferencing 7 Habits of Highly Effective Families
D Client D Foundation & Habitl
D Parent/Caregiver D Habits 2 & 3
D Parent/Caregiver D Habits 4 & 5
D Sibling D Habits 6 & 7
D Sibling D Client
D Sibling D Parent/Caregiver
D Sibling D Parent/Caregiver
D Other D Sibling
D Other D Sibling
D Other D Sibling
D Other D Sibling
D Other
D Other
D Other
D Other
Comments/Observations:
Miami Beach Service Partnership
Partner Performance Ratings
Agency:
^ Aspira of Florida
^ Choices et al. Inc.
^ Jewish Community Services
O MBCHC
^ Teen Job Corps
^ Ayuda, Inc.
^ City of Miami Beach
^ Junior Achievement
^ NFTE
^ Unidad
Reporting Period:
^ December 2007
^ February 2008
^ April 2008
^ June 2008
^ January 2008
^ March 2008
^ May 2008
O Final Report
Service Cate o Performance Ratin Scale
Timely submission of monthly, quarterly and annual progress reports 0/20
Timely and accurate submissions of financial reports 0/20
Delivery of contracted service units 0 - 20/20
Promotion of the Miami Beach Service Partnership 0 - 20/20
Attendance at Governing Board and committee meetings 0 - 20/20
TOTAL SCORE 100
Comments:
Office Use Only
Date Posted on Website:
Staff Posting:
EXHIBIT "B"
INVOICING
The Contractor agrees to provide the invoicing and services documentation as
indicated in the Monthly Progress Report and Monthly Progress Submissions
Checklist & Summary Form, as attached to this Exhibit.
13
Exhibit "B" Attachments
Monthly Progress Report Form
Monthly Progress Submissions Checklist & Summary
Miami Beach
Success University In~iative
Monthly Progress Report
Grant Number:
Reporting Period: ^ December 2007
^ January 2008 ^ February 2008
^ March 2008 ^ April 2008
^ May 2008. ^ June 2008
Sub-grantee Organization:
Project Director:
Telephone:
Reporting Date:
Person Submitting Report:
Title:
Signature:
T"rile:
E-Mail:
Population Served
Population & Quantity Served: Population
Check all that apply. Utilize attendance rosters
and sign-in sheets as data source.
^ Youth
^ Parents
^ Extended Family
^ Others
^ Staff
Allocated Budget: $
Year-To Date Spent: $
Remaining Balance: $
Current Year- Projected
Month to-
Date
Financial Summary
Current Month reimbursement Request:
Services Summary
Services Provided: Services
Check all that apply. Utilize attendance rosters,
sign-in sheets and reporting {orms as data source
^ Intakes/Assessments
^ Family Team Conferencing
^ 7 Habits for Youth
^ 7 Habits for Families
^ MB Helpers Training
^ Entrepreneurship Training
^ Tutoring
^ Communiy Service
^ Transportation
^ Meals
^ Programmatic Management
^ Other
Units Provided
Miami Beach .
Success University Initiative
Monthly Progress Submissions Checklist & Summary
Grant Number:
Reporting Period: ^ December 2007
^ January 2008 ^ February 2008
^ March 2008 ^ April 2008
^ May 2008 ^ dune 200$
Sub-grantee Organization:
Project Director:
Telephone:
Reporting Date:
Person Submitting Report:
Title:
Signature:
Title:
E--Mail:
Back Up Documents Submitted
Please include copies of pertinent documents and attach to your report/reimbursement request.
^ Case Contacts
^ Family Team Conferencing Contracts
^ Payroll Records
^ Pre-tests/Initial Surveys
^ Post-tests/Closing Surveys
^ Purchase Receipts
^ School Data (attendance/Grade Point Average/disciplinary referrals)
^ Sign-in Sheets/Attendance Records
^ Other
^ Other
^ Other
Month) Progress Summa
Please provide a narrative summarizing your organization's efforts, concerns and programmatic observations for the
reporting month. Be proactive in identifying areas that went well as well as others that fell short of expectations.
.e: 5/23/2007 Time: 3:19 PM To: Bridgette Yee @ 3055329307
Page: ~U
~oRD,~ CERTIFICATE 4F LIABILITY INSURANCE 2i14i2oo Y'
PROLYUCER (305) 714-4400 FAX: (305) 714-4401 THIS CERI"IFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HBA INSURANCE GROUP, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR
2500 NW 79th Avenue ALTER THE COVERAGE AFFORDED BY THE POLICI~S BELOW.
Suite# 101
Miami EI, 33122 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: CRC Insurance Services
Unidad Of Miami Beach Inc. INSURER e: Pacific Insurance Company 10046
DBA: Miami Beach Hispanic Community Center INSURER C:
833 6111 Street, 2nd ElOOr INSURERD
M].aml Beach EI, 33139 INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
G D C
INSR DD'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS
TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIY DATE MMIDDNY)
GENERAL LIABILITY ~ EAC OCCURRENCE $ 1 , 000 , 000
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY $
A CLAIMS MADE Q OCCUR AS0100072201 4/82007 4/8/2008 M DEXP An one arson $ 3.,000
GENERAL AGGREG TE $ 3 , 000 , 000
MIT APPLIES PER:
GEN'L AGGREGATE LI PRODUCTS • COMPIOP AGG $
RR
X POLICY .PIE~T LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
$ 1,000,000
ANY AlITO A50100072201 4/18/2007 4/18/2008 (Ea accident)
A ALL OWNED AUTOS BODILY IN.II IRY $
SCHEDULED AUTOS (Per person)
X hIIRED AUTOS BODILY INJURY $
X NON-OWNED AUTOS - (Par arcidanq
PROPERTY DAMAGE $
(Per accidenq
GARAGE LIABILITY AUTO ONLY - [A ACCIDENT $
ANY AUTO OTHER THAN ~ $
AUTO ONLY: AGG -$
EXCESStUMBRELLA LIABILITY - $
OC.Cl1R ~ CLAIMSMADE AGGREGATE $
$
DEDLICTI BLE $
RETENTION $
WORKERS COMPENSATION AND WC STATU- DTH-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER CXCLUDED?
E.L. DISEASE - EA EMPLOYEE
$
11 yes, describe under
^PEC AL O ISIONS be o E.L. DISEASE- POLICY LIMIT $
B OTHER property Section ZM0041604 4/8/2007 4/8/2008 sidg: $398,000
Locations: 2 & 3 aar Txv: $165,000
DESCRIPTION OF OPERATIONSILOCA710NSNEHICLES!EXCLUSIONS AOOED BY ENDO RSEMENIISYECIAL PKUVI51UN5
CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED.
City of Miami Beach
1700 Convention Center
:iami Beach, FIB 3313.9
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
*1U DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
AUTHORf••••ZED REPRESENTATIVE ~,,; w~;,,.~.r ~~ -
HBA INSURANCE ~' `a,~.!_,•„~.,_...-
HBE
1CORD 25 (2001/08) m ACORD CORPORATION 1988
VCII?S minn~ nna Pane ~ nr ~
:e. 5/23/2007 Time: 3:19 PM To: Bridgette Yee @ 3055329307
Page: ~U
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an
endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such
endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing
insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively
amend, extend or alterthe coverage afforded by the policies listed thereon.
CORD 25 (2001/08)
5025 ~otoa~ o&a
Page 2 of 2
HB,
~e: 5/23/2007 Time: 3:19 PM To: Bridgette Yee @ 3055329307
Page : °kU
COMMENTS/REMARKS
Co. Citizens - Wind
Policy #474394 Effective: 7/13/2006 to 7/13/2007
Location: 1701 Normandy Dr. Miami Beach, FL 33141
Bldg: $42'I,000 3~o Ded
Contents: $70,000 3~ Ded
Location: 7251 Collins Avenue, Miami Beach, FL 33141
Contents: $25,000 Ded: $1,000
Location: 833 6 Street, 2nd Floor, Miami Beach, FL 331.39
Contents: $90,000 Ded: $2,700
HBO
OFREMARK COPYRIGHT 2000, AMS SERVICES INC.
~~~
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
INFORMATION PAGE
wco7os5639 AEQUICAP INSURANCE COMPANY
Renewal of Number
3000 WEST CYPRESS CREEK ROAD Carrier Code: 26468
FORT LAUDERDALE, FL 33309 FEIN: 59-2599788
policy l,aa. wco~o~oza7
1. The Insured/Mailing address:
UNIDAD OF MIAMI BEACH, INC.
1701 NORMANDY DRIVE
Miami FL 33141-
Other workplaces not shown above:
1701 NORMANDY DRIVE Miami FL 33141
833 63RD, STREET 2ND FLOOR Miami Beach FL 33139
2. Policy Period: The policy period is from 9130107 to 9130108
at the insured's mailing address.
^ Individual ^ Partnership
®Corporation or
Insured's Identification No.
FEIN # 650584874
RISK ID # 091069571
12:01 A.M. Standard Time,
3. Coverage:
A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states
listed here: FL
B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of
our liability under Part Two are:
Bodily Injury by Accident $100,000 each accident
Bodily Injury by Disease $ 500,000 policy limit
Bodily Injury by Disease $100,000 each employee
C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: None
D. This policy includes these endorsements and schedules: see attached endorsement wC s9 00 05 A os os
4. Premium: The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating
Plans. All information required below is subject to verification and change by audit.
Classifications Code Premium Basis Rate Per Estimated Annual
No. Total Estimated $100 of Premium
n
See attached endorsement WC 99 00 06 A 06 05
Experience Rating Premium Expense
Modification Discount Constant
Factor
1.14000
-3.98% $200.00
Total Estimated
Annual Premium $ 17,s7s.oD
Deposit Premium $
Minimum Premium $ 317.00
[~ This is a Three Year Fixed Rate Policy
Premium Adjustment Period: x^ Annual; ^ Semiannual; ^ Quarterly
AGENT: COMPUPAY INSURANCE AND BROKERAGE SERV
1601 Belvedere Road, Suite 502E
West Palm Beach FL 33406- Countersigned By /
a•.
THIS INFORMATION PAGE WITH THE WORKERS COMPENSATION AND EMF
ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMP
WCD00001A
JDL 6400.0-A (Ed. 5.88)
Copvrioht 1987 Nations! Council on Compensation Insurance.
~~~
Paae 1 of 1
Policy No. WC07070247
AEQUICAP INSURANCE COMPANY
EXTENSION TO INFORMATION PACE
1. Location continued: Other workplaces, if any, listed here
UNIDAD OF MIAMI BEACH, INC. 833 63RD, STREET 2ND FLOOR Miami Beach FL 33139
WC 99 00 03 A 05!2005
Policy No. WC07070247
AEQUICAP INSURANCE COMPANY
EXTENSION INFORMATION PAGE
4. Premium continued: The premium for this policy will be determined by our Manuals of Rules, Classifcations, Rates and
Rating Plans. All information required below is subject to verification and change by audit.
Classifications Code Premium Basis Rate Per Estimated Annual
No. Total Estimated $100 of Premlum
Annual Remuneration Remuneration
Charitable or Civic
Terrorism Risk Insurance Act Endorsement
Experience Modified Premium
8861 $1,000,000.00 1.56000 $15,600.00
9740 $1,000,000.00 0.03000 $300.00
gggg $2,184.00
WC 99 00 06 A 05!2005