HomeMy WebLinkAboutR-1994-126RESOLUTION NO.126-94
A RESOLUTION OF THE CITY OF DANIA, FLORIDA,
APPROVING THAT CERTAIN AGREEMENT BETWEEN
BROWARD COUNry AND THE CITY OF DANIA RELATING
TO AFTERSCHOOL CARE; AND PROVIDING FOR AN
EFFECTIVE DATE.
BE IT RESOLVED BY THE CITY COMMISSION OF THE CIry OF DANIA,
FLORIDA:
Section 1. That that certain Agreement between Broward County and the City of
Dania relating to afterschool care, a copy of which is attached hereto as Exhibit "A", be
and the same is hereby approved and the appropriate city officials are hereby directed to
execute same.
Section 2. That Michael W. Smith, as Personnel Director, and Timothy Tapp, as
Recreation Director, are hereby authorized to sign monthly invoices and certification
statements as required by said agreement.
Section 3. That this resolution shall be in force and take effect immediately upon
its passage and adoption.
PASSED and ADoPTED on this 13th day of septembe,r1994.
ATTEST:
ity Clerk - Auditor
APPROVED FOR FORM & CORRECTNESS
(.alL
Mayor - Co mtsstoner
By:
Frank C. Adler, City Attorney
Resolution No.
726-94
AGREEMENT
between
BROT'ARD COUNTY
and
CITY OF DANIA, FLORIDA
Contract Nunber 95-0 5
AFTERSCHOOL CARE
iXH IBIT ..A"
AGREEMENT
between
BROIIARD COI.INTY
and
CITY OF DANIA, FLORIDA
This Agreement, entered into this _ day ofl9- , by and between BRoWARD COUNry,-a-l6fititaf
WHEREAS, expenditures given to the PROVIDER have beendetermined and declared to be a county and public purposeBoard of County Commissioners of COUNTY;
NOW/ THEREFORE, the partles agree as follows:
subdivision ofthe State of Florida, hereinafter referred to as "Colrt,l:fy":
and
CITY OF DANIA, FLORIDA a political subdivision of the State ofFLorida, hereinafter referred to as "PROVIDER",
WHEREAS, this funding Agreement wiIl enable PROVIDER toprovide a variety of structured afterschool day care activitieswhich will focus on enhancing and increasing academic and llfeski11s and various recreational activities to Broward Countyeligible chi ldren/ s iblings, Pre-K through five (5) enrolled tn anyCity of Dania elementary school(s), not otherwise funded by anyother public or private funding source; and
2
f ound ,by the
CITY OF DANIA #95-05 FY 1995
ARTICLE I
SCOPE OF SERVICES
TERM OF SERVICE
under thls
1995.
Agreement from october 1,Services shall be provided1994 through September 30,
3.1 The maximum aunder this
( $30,000 . oo ) .
ARTICLE III
FUNDING AND METHOD OF PAYMENT
mount reimbursable to the PROVIDER by the COITNTYAgreement shal1 be thirty thousind dollars
3.2
3.3
COIJNTY agrees to reimburse for unlts actually deLlvered,correctly invoiced and documented at unit price -specitiea in
-EIl bit.1, I-1 ._ Origina r invoice plus one copy arL due on orDetore the fifteenth of the first month following "g...rn.niexecution by COLTNTY. COITNTY agrees to reimburse t-ne inOviOinon a monthly billing basis. No monthly bilI shall exceea ifrit:I?""-t obtained by dividing the maxim-um amount payable underthis Agreement by the numbei of months set forth 1., anrrcr,r riof this Agreenent, "TERM OF SERVICE,,, except for thoseagencies whose client flow varies with the funding perioa anAthe coUNTy agrees to a monthly payment schedule .'"'"p..ifi.Jin -the. _ Activity/pal.ment Scheauie in Exhibit A, II iiapplicable.
Monthly invoices submitted by PROVIDER shall include acertification statem.ent signed- by an authorized p".="" ""referenced in Exhibit B, Sttactre-a hereto and made u puiihereof, that each clie-nt served uy rnoviorn :.s effgiufe uideithis Agreement. Should it becom-e n.."i"ury for fnovrosi ioreplace_ signators, .a. notarized copy of the ,rit"ifll"qresolution as passed by pRovlDER'S -iorunissioners sharl bEsubnitted to COLTNTY,S Contract administrator for thi;Agreement. A 1etter from the City Commission setting f.;ththe reason for the action must acciompuny tfr" n"t".rr"i "opy.Both items must be submitted 'to' CoUMIy,s ContractAdninistrator for this Agreement on or before trre rirteenln oithe following nonth.
3 FY 1995
The PROVrDE| agrees to provide on a monthly basis the services setforth in Exhibit A attached hereto and made a part nereof. -
ARTICLE II
CITY OF DANIA #95-06
3.4
3.5
3.6
3.7
3.8
A11 documentation required by this section shall be reported,
luil!1i!9d and presented.upon forms prescribed by o. uipio".aby COUNTY Contract Adminislrator.
Invoices shall be submitted on Bro$rard. County Form #dO9C-2revised 1994 as shown in Exhibit C and calendai documentationshall be submitted on Bro$rard. County Form #609C_3, reviied1992 bea,:ing the appropriate fiscal -year designation on itsface as shown in Exhibit D attached ani made a p-art hereof, orother such form pre-approved by the Contract [dministrator.
PROVIDER nay choose to document units delivered in excess ofcontracted leveLs and not paid by any other source. Unlts ofservice so documented may be used to augment subseguentmonths' billings when service levers are rowei tnan contricteaamounts. Written _iustjfication_ for. failinq to deliverg?D!fac--eC
,3bel..y.. .tt .Dankecl units enabling PROVIDER to collect maximum monthlypayment(s) for the month(s) showing unit shortages wifi beT"9g s" long as written justificalion for ,n"ien servicedelivery is submitted and ju:tification is not in violatlon ofthe requirements for delivery of services specified in ExhibitA.
Monthly invoices submitted by PROVIDER ten (10) or morecalendar days after the due date must be accompini; ;y-aletter signed by the Director of the program ius-tifyinq. tnereason for the deLay,
Invoices not acceptably subnitted within forty_five (45) daysof. the cLosing date of this Agreement shall' not 6"relrnDursable. Acceptance is within the sole discretion ofCOITNTY's Contract Administrator for this Agreement.
S!!Tisiion of= accu:r imelv, documentation, and otherrequested information @ shall beconsidered a factor in evaluat-ing futuie funding ,"q"."t".rnvoices and/or documentation ieturned to pntlvioin--iorcorrections shatl not be considered as submitt,ed and snaf l-blcause for delay ln receipt of reirnbursement.
COUNTY shal1 pay PROVIDER wi-thin_thirty (30) calendar days ofreceipt of pRovrDER's properry submittet invoice in u""oi6i"c.with-the provislons oi tfre c6UNty, s nr-mpt payment Orainance89-49. AlL amounts nor paid wirhin thirty (30i days after itredue date shall bear interest .t " ,ii.- of one 'p".;-.;; ;;;month on the unpaid amount.
4CITY OF DANIA #95-06 FY 1995
?o
3.10
3.11
3.L2
3. 13
In order to be deemed proper as defined In the Florida prompt
Payment Act, all invoices must comply lrlth the requlremenisset forth in this agreement and must be submitted oi the formand pursuant to instructions prescribed by the COt NTy,attached hereto and incorporated herein.
PROVIDER represents to COlrNTy that no other funds are used forservices invoiced to the COIINTY constituting duplication offunding, including banked units and COLrNfy hal relied uponthat representation.
PROVIDER shal1 bill and pursue collection of 3rd party,medicaid, and client payments (where applicable) for seivic6srendered under this Agreement.
PROVIDER shall keep accurate and complete records of any feecollected, reimbursement, or compensation of any klnd recEivedfrom any client or other third party, for any servlce coveredby this Agreement, and sha1l mat<e itf such iecords avallableto- the COITNTY upon demand, PROVIDER shaJ.l report such fee,reimbursement, compensation or funding to COUNTy for sucitpayments received. This reimbursement rnay be deducted fromPROVIDER's invoices.
All equipment purchased pursuant to this Agreement shall bereported to the COLJNTY on a semi-annual equipnent report dueApriL-1 and September 30, listing in detail the klncl a-nd type,serial number, cost, and any other data the ContiiciAdninistrator so designates. No equipment shall be disposedof $rithout COUNTY approval
In the event of the dissolution, voluntary or involuntary, ofPROVIDER, the title and ownership of aI1 nonexpendableproperty acquired wi.th funds from this Agreement shallimmediately be vested in COUNTY.
ARTICLE IV
MONITORING AND RE UIRED REPORTS
The PROVIDER agrees:
4.L To provide the COUNTY with an overview of their agency'sactivities including objectives and outcomes foi ttrisAgreement. PROVIDER agrees to submit a miC-term progressreport to the Children's Services Section staff, Oue wittrtnllrl.ty (_3-0 ) days after March 31 and an annual report duethirty (30) days after September 30 in a format appiovea Uythe Contract Administrator for this Agreement.
5CITY OF DANIA #95-05 FY 1995
and make available a1IstatisticaL records, and
rneetlngs
and make
fulI access tounannounced slteof services and
financialany other
i,
4.3
4.4
4.5
4.6
4.7
That mid-term and annual reports shalI incl-ude data onutilization, service dellvery Ievels, compl-iance with therequirements of Article III, FUNDING AND METHOD OF PAYMENT setforth herein and progress on accomplishment of objectives asset forth in Exhibit A, IV attached hereto and made a parthereof.
To make available, for revj.ew and analysis by the COLJNTY, dataand reports that measure the quality and quantity of servicesprovided pursuant to this Agreement. The data shall becompiled by PROVfDER as set forth In Exhlblt A, III (OtherReguirements ) or in a form approved by the ContractAdministrator. The data will be used for prograru[atlcevaluatl.on of services described in Exhibit A, I (Scope ofService ) .
To assign appropriate staff as necessary to attendwith COLJNTY staff to assess the quality bf servlcesrecommendations for improvements.
COT NTY and PROVIDER shall maintain the confident,ial ity ofclient services and records in ful1 accord with any Federa-l orState_ laws or regulations mandating such confidentiality andin ful1 accord with any applicable - profess ional standaris ofethics requiring conf identiality.
To-make all records pertaining to ellgible clients subject atall tlmes to inspection, review and/or audit by the COUNEY.Required internal documentation may consist of, but not belimited to the items shown ln Exhibit A, III (OtherRequirements ) attached hereto and made a part of hereof.Client case fi,Ies sha1I not be accessible to the COLJNTY to theextent such access is in violatlon of federal and State law.
Th1!_moni to-r-ing reports originated periodical Iy by des i gnat,edCOITNTY staff and all the performance requirernents of- thlsAgreement and timeliness of requested iniormation shal1 beconsidered a factor in evaLuating future funding requests.
8 To give representattves of the COt NTyPROVIDER's facilities for announced andvisits for the purpose of observationexamination of all records and data covered by this Agreement,provided, however, client services shal1 not be acceisLble tothe COUl,mY to the extent such access Is in vlolation ofFederal or State 1a$r.
ARTICLE V
RETENTION OF RECORDS
The PROVIDER shalI preserverecords, supporting documents,
6CITY OF DANIA #95-06 FY 1.995
/^\
docurnents . ertinent .to tf-li: Agreement for- a period _r three (3)years after termination of the [.erm of service ipecifleJ irr-eiticr"rI, or, if any audit has been iniiiai.a ""a a"ait f irrairrg-""L"r" ,,otbeen resolved at the end of those three (3) years, the recorctsshal1 be retained until resol"ai;; ";"i;. audir findings.
ARTICLE VI
The PROVTDER is an independent contractor under thls Agreement.!:ryigq. provided by th6 pnovroii-"niii-;. ';;-..pi1-""?r"'T. .n"PR.'TDER and subieci to supervlE.;;; trre pnbviJii;,;;; iot as!ili::l:t. ernplofees, _or agents of the cor,rNTy. Emptoyeecompensatlon,- personnel polilies, tax respons ibi l ities,--'-ioclalsecurlty and health insuralnce, .*pi"y"" ueneiits, -iiur"i, ,p.i af"*policies and other similar adr;ini;i;;ai,re proceorres applicable toservices rendered under this eq.";*;i shall be those of thePROVIDER.
INDEPENDENT CONTRACTOR
7.L
7.2
7,3
7.4
7.5
The PROVIDER shalt Drovide the COUfilTy a specialindependent Certif i;d. p*f i. - a"-c-"-"rrl.r,i, o. tyinternal auditor on the .f .rn."i" --"p".jrf eo fnbelow.
report by anthe entity'sSectlon 7.3
If the special reDort is. p5epared by an independent Certified1f1i: Accountanf, it shall'u" in'"""o.dance with generally1!99et"q .auditing standards. If if," special report isprepared by an internar audito., lt -.n"fi ue ;s ;;-.;j; i"accordance with those standards "" ifr" "t"t,r" of the internalauditor permits, realizing tf,"t tt.'i"iernaf auditor may notissue the opinions requir5d tirerein.-"-
The-special report sha1l show al1 revenues, by source and allexpenditures as set-_I9It! i" S*tibit"i, r .r,d rv for eachspecific pRocRAM/pRo_JEC.q jor_ rhj,;h ;;;"; funds were provlded.The report shaIl specitica:.ry ais'.;;; u"y funds recelvedsrhich were not exoendea in a"doroi".e ,itr, in. eir";;;;.i;;hrith any regutati6ns. incorporiieJ-iv-r"i.r.nce thereln). Itsha,1 specificar.lv aiscl0se- tne inteiesi computed as earned onthese funds. ri "nari-iaenlir-v-iiI'1"a.1 0f noncompriantexpenditures and interest earned'u" a,r. back to the COUNfy.
PROVIDER agrees to reimburse COUNTY any and all funds not usedin compliance wirh ttris agreemeJ-ui"inlvronn.
The reporting period for the financial dlscrosure informationdescribed in 7.1 and. 7.2 uoo"L-"i,iii-i.-in. pRovrDER,s fiscatyear. The informati.on sha11 Ue fifeJ riti, tf,. couirry ;iffi;ninety (90) davs after -the "io".-oi..'.i, ot the pRovrDER'sfiscal years ii which the pnb-v-ioii u"".lrnts for funds underthis Agreement.
7CITY OF DANIA #95-06 FY 1995
ARTICLE VII
PINANCIAL STATEMENTS
8,1
o.z
Late -bmission of the special report shai result insuspension of palrment under this Agreement until the report isreceived and accepted by COt NTy, and shalL be a faCtor inevaluating future funding requests. Suspenslon of paymentshall not excuse PROVIDER from continued dalivery of servicesalthough COIJNTY will not accept invoices until such report isreceived and accepted by COLTNTY.
MANAGEMENT LETTERS
PROVIDER shal1 provide to COLTNTY's Contract Adninistrator forthis Agreement any and all management letters arising fromaudited financial presentations within ninety (90) diys ofreceipt by pROVIDER.
PROVIDER sha1l provide to COtNTy's Contract Administrator forthis Agreement the schedule of corrections developed 1nresponse to said management letter(s) within ninety (90) daysof development.
8 3 PROVIDER shalI provide to COLnITY,s Contract Administrator forthis- Agreement any compliance audits required by 1aw withlnone hundred twenty (120) days after the ilose of each of thePROVIDERTS flscal years ln which PROVIDER accounts for fundsunder this Agreement.
ARTICLE IX
EOUAL OPP ORTUNI TY FOR EMPLOYMENT OR SERVICES
9.1
9.2
PROVIDER shaII not discriminate against any employee orapplicant for emplolrment because of race, ige, -rel-igion,
color, gender, national origin, marital status-, physicil ormental disability, PROVIDER shall take affirmaLivl ictlon toinsure applicants are employed and employees treated duringemployment without regard to race, LS", rellglon, color,gender, national origin, marital statuJ, physicil or mentaidisability. Such actions shall include, Lut not be limitedto, the following: employment, upgrading, demotion, transier,recruitment or recruitment advertising, layoff, termfnation,rates .of pay, other forms of compensition, terrns andconditions.of employment, -training, including apprenticeshil,accessibility, reasonable accommodati5n -- or othirconsiderations arising from the Americans with DisabllltlesAct.
Decisions regarding client eligibility shall be nade hrithoutregard to, or consideration o- race, age, religion, color,gender, national origin, marital status, physicil or ment;idisability or othei factor which cann6t be lawfullyorappropriately used as basis for service delivery, ;;specified under the Americans with Disabilities Act.
UCITY OF DANIA #95-05'FY 1995
ARTICLE VIII
9
9
9
.3 PROVi- -r{ shall comply r.Iith Title I and TitI- II of theAmericans With Disabilities Act regarding nondiscrimination onthe basis of disability in emplo)rment and in state and Ioca1government services, in the course of providing any servicesfunded in whole or in part by Brovrard -ounty. - -
,4 PROVfDER agrees to furnish COU}{fy with a copy of its EqualEmplolment Opportunity policy and Affirmative Actlon plan.Such documents must be forwarded through the designatedContract Administrator for this Agreement to the Direcior ofthe Office of Equal Opportunity.
.5 fn 1993, the Board of County Commissioners enacted anordinance updating the SmaLl Disadvantaged Business EnterpriseAffirmative Action program (SDBEAAP), setting goals in allCounty procurement activity at Fifty Thousand ($5O,OOO)Dollars or above in total contract va1ue. (Agreements forfunding below Fifty Thousand ($5O,OOO) DolIarJ do not haveassigned SDBE goals for the utllization of eligible minorltyfor women business enterprises).
o<
9.7
9.8
Broward CountyOffice of Equal Opportunity115 South Andrews Avenue, noom 16g0Fort Lauderdale, Fl 33301Telephone: (305) 357-7BOO
The COT NTY and PROVIDER agree, however, that contractor avendor awards to Smal1 Disadvantaged Business Enterprises aMinority-Maj ority Joint VenturLs are crucial to tachievement of County SDBE participation objectives. Ineffort to assist COLTNTY in achieving its objectives for SDBPROVIDER agrees to take afflrmative action.
nd
nd
he
an
E,
PROVIDER shall submit an SDBE affirmative action plan (lfapplicable) relating to its utilization of SDBE firml , wherepossible, as contractors, subcontractors, vendors /suppl iers,or as providers of professional services.
PROVIDER understands that it is the responsibllity of CountyAdmlnistrator for this Agreement ina the btftce oi!!3]llyinority Buslness Affaiis to monltor compliance with rheSDBEAAP. In_ that reS-al_d r PROVIDER agreea to frirnlsh quarteriy.:po_f!l utilizing Exhibit E, to both parties on the -progre"i
of SDBE participatlon commencing witi the end of tie iirstquarter of this Agreement.
For further information relative to EquaI Opportunity/SDBEAAPplease contact:
9CITY OF DAN]A #95-06 FY 1995
ARTICLE XIII
AI"lENDMENTS ASSIGNMENTS
13.L No modification, amendment nor alteration in the terms orconditions contained herein shall be effectlve unlesscontained in a written document executed by both parties withthe same f ormaJ.ity and of equal dignity herein,
13.2 The PROVIDER shalI not transfer nor assign the performance ofservices called for in the Agreement without the prior written
consent of the COIJNTY.
ARTICLE XIV
WAIVER OR BREACH
Waiver or breach of any provisions of this Agreement shall not be
deemed to be a waiver of any other subsequent breach and shall notbe construed to be a modification of the terms of thls Agreement.
ARTICLE XV
RENEWAL
PROVIDER understands and acknowledges that, although its successful,and scrupulous perfornance under this Agreement will be a factorconsidered by the COT NTY j.n evaluatlng future funding requests,
COLJNTY funding under this Agreement relates exclusively to the termof service specified in ARTICLE II herein and that the COLJNTY, byentering into this Agreement with the PROVIDER, assumes noobligation whatsoever with respect to further or future fundlng tothis PROVIDER. Notice of renewal shall be glven to PROVIDER inwriting no later than thirty (30) days before the expiration of theinitial term.
ARTICLE XVI
RENEGOT IAT I ON
The parties agree to renegotiate this Agreement lf revisions of anyapplicable law, regulation or increase/decrease in allocations makschanges in this Agreement necessary.
ARTICLE XVII
REPRESENTATION AND ACKNOWLEDGEMENTS
17.1 PROVIDER acknowledges that:
a) There have been no irregularities involving ltsmanagement and employees that could have material affecton PROVIDER,S operations or stability.
CITY OF DANIA #95-06 11 FY 1995
b) There are no violations or possible violations of laws orregulations the effects of which should be considered,
c) There are no material transactlons that have nct beenproperly recorded in the appropriate document(s).
d) Related party transactions that have not been receivableor payable have been properly recorded or disclosed.
17 .2 PROVIDER acknowledges that:
a) In order to obtain execution of this Agree!0ent by theBoald of County Commissioners, PROVIDER's nost recentaudited financial statements, compliance audit asrequired by law and management letter, if generated, mustbe provided to, and reviewed and accepted by Comfiy,
b) Submission of audited financlal statements, complianceaudlt as requlred by 1aw and management letter[s), lfgenerated, to any Department, Divisi.on, Offlce or btnE,entity of Broward County as a leguirement for anytransactlon or agreement wlth that Depirtment, DivislonlOffice or other entity does not constitute compliancewith the reguirenents of this Agreement insotar assubmission of materlal to the Contralt Admlnlstrator forthis Agreement Is concerned.
c)
d)
e)sistance providedbe relied upon aservice, expendingreimbursement or
Verification of llability prot.ection, and the AuthorizedInvoice Signators, as shown in Exhiblt B sha1l accompanythe___Agreement upon execution of said contract tiPROVIDER.
Infgrmation, guidance and technical assistance offered byCOLJNTY's Contract Administrator for this Agreement, th;Contract Monitor and any other staff, wheth6r written orygTb"l, in no way constitutes a guarantee of execution ofthis Agreenent by the Board of -County Cotnmissioners.
Information, guidance and technical asprior to contract execution should nota.basis f_or doing business, delivering sfinancial resources or expectation 6freceipt of payment .
CITY OF DANIA #95-05 L2 FY 1995
ARTICLE XVIII
I]ESIGNATED REPRESENTATIVES AND EMPOIiERMENT
TitIe
Title
ARTICLE XIX
REIMBURSEMENTS AND NOTICES
The parties agree that whenever either party desires to give notice
unto the other under the terms of this Agreement, it must be glvenby written notice, sent by certified United States mail, withreturn receipt requested, addressed to the party for whom it Isintended, in this case designated Contract Adninistrator for the
COUNTY and representative for the PROVIDER as set forth in ArticlexvlII, 18.2, (Designated Representatives and Empowerment ) at theplace last specified and the place for glvlng of notice shallremain such until it shal1 have been changed by written notlce ln
compl,iance with the provisions of this paragraph. For the present,the parties designate the follosring as the respective places forgiving of notice 3
COUNTY:Bureau of Children's ServlcesChlldren's Services Section
Bror"rard County Governmental Center Annex
115 South Andrews Avenue, Room A-300Fort Lauderdale, Florida 33301
PROVIDER: City of Dania, Plorida100 West Dania Beach BlvdDania, Florida 33004
CITY OF DANIA #95-06 t?FY 1995
18.1 The Contract Administrator for the COt I,l'rY for this Agreementis the Director of the Bureau of Children's Services ordesignee. The representative of the PROVIDER responsibLe forthe administration of the program under this Agreement is the
18.2 The empowered signator of this contract for PROVIDER is the
ARTICLE XX
GOVERNING LAW AND VENUE
SEVERABI LI TY
This Agreement shal1 be governed, construed, and controlled
accordi;g to the laws of the State of Florida' Any claim,
objectioi or dispute arising out of the terms of thls Agreement
snirr ue }itlgat;d in the seventeenth Judicial court in and for
Broward County, Florida.
ARTICLE XXI
Shoul.d any part, term or provision of this Agreement. be by the
courts aeiia-ea to be invalld, lllegal or in confllct with any law
of the state, the validity of the remaining portions or provislons
shalI not be affected thereby.
CITY OF DANIA #95-06 L4 FY 1995
IN Wi -SS WHEREOF, the parties hereto have made I executedthis Agreement on the respective dates under each signature:
COIJNTY through its BOARD OF COUNTY COMMISSIONERS, slgning by andthrough the County Administrator, authorized to execute same byBoard action on the day of
PROVIDER, signing by and through itsduly authorized to execute same.
WITNESS:BROVIARD COUNTY, through 1ts
BROWARD COUNTY ADMINISTRATOR
19_, and
County Administrator
APPROVED AS TO LEGAL FORM:
City Attorney
(crTY SEAL)
Approved as to form and legality bythe Offlce of County Attorney,Broward County, Florida
Governmental Center, Suite 423
115 South Andrews AvenueFort Lauderdale, Florlda 33301
By Assistant County Attorney
PROVI DER
City Name
Mayor
Print Name and Tltle
City Manager City Clerk
_ day of _, 19_
CITY OF DANIA #95-06 15 FY 1995
COI,JNTY
_ day of _, !9_
JOHN J. COPELAN, JR.
County Attorney
EXHIBIT A, PAGE 1
I. Scope of Service:(Reference Article I, Page 3)
The PROVIDER agrees to provide a variety of structuredafterschool day care activities which will focus on enhanclngand increasing academic and life skil1s and varlousrecreational activlties to Broward County eliglblechi ldren/s ibl ings , Pre-K through five (5) enrolled in any Cityof Dania elementary school(s).
II. Definition of Units of Servlce:
A A unit of servi.ce is defined as attendance to a sesslonof one (1) to four (4) hours of dal1y afterschool daycare by an eligible child and his,/her slbling(s) 1fenrolled in area schools in grades K-5 or in a Pre-Kprogram.
No monthly payment will exceed one tenth (1/10) of the
maximum amount payable under this agreement.
Cost Per Unit of Service: $3.75
Maximum Number of Units to be Reimbursed:
800 per month8r000 during Term of Service
D. Maximun Reimbursement:
$3,000.00 per month
$30,000.00 during Term of Service
III. Other Requirements for monitorinq and eval uation:
A. Statistical Demographic Records: The P ROVIDER agrees tomaintain (if applicable) information on overall cllentdemographics which lncludes age, gender, race, ethnicorigin, parental marital status, education LeveIs andstatus, PROVIDER agrees to track overall cl.ienthousehold incone, other benefits received, types ofservices provided and satisfaction survey resuJ.ts.
B. Tracking Sys tem !The PROVIDER agrees to maintain a
B
C
1
1)
formal Tracking System (if appllcable) of aIl, cllentsreferred to and from program, identifying servlcesreferred fot, services received, unavailabillty ofservices, and action taken by agency client was referredto.
C. Client Case Files:professional standarfiles sha1I include,
The PROVIDER agrees to maintalnd updated case files on aI1 cllents.but not be linited to3 name, date of
CITY OF DAN]A #95_05 16 FY 1995
EXIIIBIT A, PAGE 2
D. fnternal Documentation:
Days /Hours /Sess ions of child day-care and afterschoolcare
Client/parent (authorized) signature dally slgn-ln andsign-out attendance sheets.
Client file as required; client registration form, healthform, immunization record, emergency contacts, and anyother pertinent information.
Personnel files including personnel educatlonrequirements, staff medical statement, crlminal recordsclearance, and any other pertlnent informatlon.
Daily routine and program 1og.
Occupational license and otherpermits displayed.necessary llcense and
birth, entry date, statement verifylng client eliglbilltyfor service, dates of service, exit date and time, andfol1ow-up results.
Client billing and payment records to include third partyreimbursements, 1f appllcabIe.
Agency policy and procedures handbook.
CITY OF DANIA #95-06 77 FY 1995
EXHTBIT A, PAGE 3
IV. PROJECT,/PROGRAM INTORIIATION
AGENCY MISSION STATEI,{ENT: The Dania Afterschool Plogram ls establishedto provide elementary school-age children a safe, structured alternativeenvironment to spend afterschool hours and to give attendees theopportunity to participate ln a variety of activities to developlifelong ski11s, receive leisure instruction and homework assistance.
PROJECT/PROGRATT! TITLE: AftersChool
Goal #13 To provide structural recreation
Note :The information on the follohring chart will be used as part ofthe criteria in the monitoring and evaluation of your
program.
Form #609C-18
Outcomes Obj ectives Activities Meas urement /
Documentat 1on
A) A minimumof 50t ofpart i c ipants
wi 11 attend 80tof scheduledprogram days.
Al) Parentswill becontacted inwriting to
encourage
attendance atthe beginningof the program.
AIa ) ProgramSupervisor willdevelop theLetter,
A) Correspon-
dence files.
A1b)Afters choo 1staff will takeattendance, and
Program
Supervisor wiIImaintain andflag recordsfor follow-up.
A1) Dai Iy
a ttendancerecords.
P arent
conf erenc e
records.
Alc) Dailyattendancerecord w111 bekept andparents ofpart ic ipants
who drop below80t attendancelevel will becontacted for
fo 11ow- up
CITY OF DANIA #95-06 18 FY 1995
Form #6 09C- 18
EXHIBIT A, PAGE 4
Outcomes Obj ectlves Activi tl es Measurement./
Documentation
B) To improvethe socialskills of 60tof participantsenrolled in theprogram bySeptember 30,
1995.
81) To providerecreationski11s as avehicle todevelop socialski1Is.
Bla) Program
Supervj. sor,Recreation
Leader andteacher willdevelop aweekly outlineof sociallyinteractive
games ,activiEies andsports by
September 30,
t994
81) Documentall activitieson a daily log
B2) Conductsoclal ski1lspre and posttests on allpartlcipants
who complete
program.
CITY OF DANIA #95-06 1v FY 1995
EXHTBIT A, PAGE 5
PROJECT/PROGRAU TITLE: Afterschool
Goal #2: To improve afterschool particlpants academic performance.
Form #609C-18
Outcomes ob j ect ives Activities Measurement /
Documentatlon
A) 50* of
chi ldrenparticipatingfor a minimumof three (3)
nonths will
improve in onesubject area,
one lettergrade by June1995, orteacher willreport
improvement (at
non - gradeIevels -K2 ) .
A1) Homeworkassistance $ril Ibe provided to
40 children a
mlnlmun of two(2) hours each
week.
A1a ) TeacherswiIl provide1/2 hour of
homeworkasslstance fourtimes per weekto groups of
tenparticlpants.
A) Report cardand/or teacherpro9res s
report .
CITY OF DANIA #95-06 20 FY 1995
EXIIIBIT A, PAGE 5
PROJECT/PROGRAM TITLE: Afterschool
Goal #3: To improve health and safety awareness of partlcipants.
Outcomes Obj ect ives Activities Measurement /
Documentat lon
A) A minimumof 60t ofpart i c iPantswill be able toproperlyidenti fy
components ofthe foodpyramid by
September 30,1994.
B) 80t ofparticipants
wi 1I be able toidentify atleast three (3)
dangers
associated wlthdrug abuse.
c) To
demons tratepositive parentsatisfaction in90t of the
c I ientpopulation.
A1) To providenutritioninformation to40 participantsa minimum ofone time per
week.
B1) Anti-drugprograms willbe presented topart 1c lpantsonce eachquarter.
Cl) To
admi ni s terclientsatis faction
surveys to a
minimum of 50*of the parents.
Al.a ) Teachersand nut,ritionexperts from
outs ideagencies wl11provide weekly1/2 hour
programs .
BIa) BSo
communlty
i nvo lvementofflcers willprovidequarterly 1,/2hour programs.
Cla) Develop aclient
satis factioninstrument byOctober 1,
1994.
c1b )Admini s terclientsatis factionsurveys to allparents .
A) Weeklyactivity 1og.
A1 ) Pre and
Post test onfood pyramld.
B) Weeklyactivity 1og.
81) Pre andpost test r"/hlch
may be writtenor oral.
C) Clientsatisfactlonsurvey file andmalntained onthe informationdata system.
CITY OF DANIA #95-05 FY 19952I
EXHIBIT B
Commi s of the City amIot s i gnaturesFlor idaAppea!i below are s Ies ofDani-a,
authorized by the Cl ty
, to sign invoices.
I ture
Michael W Smi th
S i gnat
T imo thy Tapp
TyPe Name
STATE OF FLORIDA
COlrNTy OF BRoWARD
The foregoing instrunent was acknowledged before
me this day of Sept embe r , L994 ,
by l,1i chae I W. Smith as Per sonnc l Di re..J-^r
(name of person whose slgnature is betng notarized)
and Timoth Ta as Recr
( name o person whose signature is being notarized)
known to me to be the persons described herein,
or who produced Personally known)
( type of identi fication)
as identificatlon, and who did/did not take an oath.
Notary
Uy commission expires:
Type Name
CITY OF DANIA #95-05 FY 1995
AUTHORIZED INVOICE S IGNATORS
tz
COflTNASTED SEnMCESlrfVO|CE _ UMTS OF SEffVICE GO'fTRACTS
Board oa Cq,y Cdrrrt !,r, *rrd Coarray, Fb,EsHllan tEf,vtcts rrtn8TE|.rBurru ol Cf**nt S-rh,qlf|r!f Srvb sr<rixr
(-,
Ai
(J
F
J. @i{TRAciT MI.ER
Fund
_ FOB COUNTY USE ONLY _
Agency
ObjectOrganization
lnvoice Reviewed By
lnvoice Approved By
'late Slamp
Date
Oate
(
\oa
I
z
o
o
ti
(-)
t. r(n cftT dEaa{z/[Ea o cIA'Il|rf. Exrrry 2 FET'EA^L r{rrE{rra i.Itt
.. r{ tf oF colTn^clEo PnGA^^4
5. FC rca{TH t{t YEIIR
f ro.arx,y L^xtlrxi6.
ArcUTfi 9-Gn^](lajtr
s€RvrcE r0. cogT t {,7
lt. Tora uNrrs of SEFV|CE PFOVTOEO rHts trca{TH 2.FE€STOTAL CO(rEC-IED OrvlD€O I UNIT cosT EOUALSCOi.VERTED uNrTs OF s€RvtcE (tFAPPTJC StE)3.TOTAL UNTTS OF SERVICE MINUS CO VERTED UNITSFNOttFEESCo|J.ECTEO (tF APPLJCAAIE}
!a.." BA}IKEO UNTTS gEGtN tMtOF rcNTH I'. b. EANXED UNrTS EAFNEO
THIS l,lotlTH (+)
ra. c. SANKEO UNTTS ApruEO THIS
MONTH(-)1'. d, BANXEO UNTTS ENO
OF MONTH Ut{lTS FOR REIMAUFSEMEMT THIS MONTH15. TOTA
18. REtMBURSEMENT REQUESTED I7. BEII,IBURSEMEI{T REOUESTS YEAN TO OATE 8.COMMENTS:OFEXPLANATION UNOE PERFORUANCEOFOVERPEFFOAMANCE
CEBTIFICAnON: The undersignecr, as an authorized signatureloJ this contract between Browird County, and19.
deducted, and that sutficient wriltento document services and tees reported.
21.
E
hereby atfirms and certifie;that the service billed herewith hasbeen rendered on behall of Broward County, lhat all clienlsseryed have mel program eligibility requirements, thal aI tees
lycollecled have been du
information is avdilable
Authorized Signature:
20.
22. Signature:
23. Dale:
6O9C.? (nov. 6Ea)
Dale Forwarded To Accounting
(
1
E:CTIBIT C, PAqE 2
Hunan services Departrnent/Bureau of Childlen's servicesChildren's Services Section
Instructions for Contracted Services Involce Folm 509c-2
(Units of Service Contracts )
Legal name/Legal address of agency under contract with Brovrard
County .
Agency's Federal Identiflcation number.
Agency's contract number, as stated on title page of contract.
Name of contracted progran.
Month and year for reimbursement reguest on1y.
Funding category, i.e. continuing, one-time/capital , one-tlme
match, etc.
Maximum annual contract dollar amount, as stated 1n the
contract.
Monthly naximum contract anount ,
Monthly maximum units of service.
cost per unit - Ilst each type of unit cost.
Total units of service provided this month ( includlng bankedunits).
TotaI client fees, 3rd party or medicaid reinbursementscollected divided by unit cost to equal converted unlts ofservice. (If applicable )
Total units of service minus converted units from feescollected (1f applicable).
Banked units at beglnning of thls month.
Banked units accumulated this month.
Banked units applied thls month.
Balance of banked units at end of month.
oF DANrA *95-06 24 FY 1995
3
4
5
6
8.
9.
10.
11.
t2.
13.
14a.
14b.
14c.
14d.
C ITY
7.
EXIiIBIT C, Page 3
15. Total units for reimbursement this month including bankedunits (not to exceed monthly naximum unlts of service).
16.Reimbursement request in dollars not to exceed monthly maximumcontract amount.
77.Total of reimbursement requests Y-T-D ( including thlsinvolce ) .
18. Corunents: Explanatlon of under performance or overperformance. Attach explanation on additlonal sheet/sheets tomonthly invoice.
19. Certi fication:
Broward County.
Legal name of agency under contract wlth
20. Name of authorized invoice slgnator as stated In Exhibit B-1of contract.
2t.
22 -
23.
Title of authorized signator.
Signature of person, as authorj.zed in Exhibit B-1 of contract.
Date invoice was signed by authorized slgnator.
CITY OF DANIA #95-05 'E FY 1995
9ZE65t .\c 90-E6# vrNvc J0 IC
I
Tt
R
l
f,
a
a
o
t?
C'
!{
o
a
a
F
t!
at
ch
.t(h
O
r{
g
d
g
E.t
DoIoootu-
iio
IJ
-9oo
a,ooLL
oN
R
N
CtN
o
Q
l'-
o
c)
o
a
ac
t-
(o
6a
iio(Jo
oo
aDoolt
o
o
E
Eo
(t
$
o
o
o
l\
(o
ro
e,
N
o
o
ao
N
(D
|o
aoN
(r.
N
ao
l\
(o
ro
c,
a\l
o
o
o
F
(o
ro
Eo
t-,o
oo
altoolr.
R
E
F
R
o
o
l\
o
r|
o
ac
n
o
5
N
EoE
.QIao6lt
Ec)a
.oF
l
ts
_oF
f
E.oF
al,
cl
(E
.oF
.E
f
E
P
II
5II
i[f
ilf;-!II
I
zo
E-
g
E
E
oaut
o
co
E
Eoo
tl,co
E
Eoo
o
tro
E
Eoo
E
5
aoo
_lJ
trE
o
|r,
o
E
o
E
2
oI
ta6
.Dog
E
!E
o
IU
o
E
o
t!I
z
E6
o
cFarruo
o
ts
1-
o
EFz
.Dogtc
tt
o
t-
o
E
o
E
oI
tE6
lDog
E
E
o
E
E
EI
E
tlJ
oI
E6
I
2
3
E
r=z
:
z
I govd q IISIHXS
d
F{
q
N
q
rr/c.{
r{.!
arl
ol(')l
q
olNl
FINl
El
('lNl
rlNI
FIrrl
Bl
r-lo.l
(.lNl
,olNl
il
F
leF
tF
/ijoIoo
8otl.
EP
Ego
iitrf
E.o
E66
ll.l
ll
l,IE
Ii
r
IEt-lal..i
l
r-t
lP
F_l
r
I;
lq
El(t
F
lot:
t-
1
2
3
4
5
6
7
8
EXIIIBIT D, PAGE 2
Human Servi.ces Department/Bureau of Chlldren's ServlcesChildren's Services Section
Instructions for Calendar Documentatlon -- Form 509C-3
Invoice month and year.
Location of service.
Name of client.
Date of birth of client.
Date of client's entry Lnto contracted program.
Exit date of client (only if terminated or discharged).
Original initials of authorized signator for certlfication.
Each block represents a day of the month. Indlcate days orhours, per day, that servlces were rendered (as per
Contractual Agreement -- Exhibit A).
Total units (for the month).
Fees collected (for the month).
crand total units (for the whole page).
Grand total fees collected ( for the whole page).
9.
10.
11.
12.
CITY OF DANIA #95-06 27 FY 1995
EXTIIBIT E
- BROWARD COUNTY COMMISSION
SMALL/MINORITY BUSINESS AFFAIRS
SMALL DISADVANTAGED BUSINESS ENTERPRISE PROGRAM
PERFORMANCE REPORT
SDBE Participation Report No.Repo rts of
Contract Title and No.:
Prime Contractor Name 3
Contact Person:
Addres s :
Telephone No. :_
Date:
Name of SDBE Firm Type of
Work
AgreedPrice t of work
Compl eted
TotaIPrice
Pa id
CITY OF DANIA #95-05 28
Signature of Officer
FY 1995