HomeMy WebLinkAboutR-1993-161 RESOLUTION NO.
161 - 93
A RESOLUTION OF THE CITY OF DANIA, FLORIDA,
APPROVING THAT CERTAIN AGREEMENT BETWEEN
CITY OF DANIA
BROWARD COUNTY AND THE
RELATING TO AFTERSCHOOL CARE; AND PROVIDING
FOR AN EFFECTIVE DATE. {
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BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF DANIA,
FLORIDA:
lion 1• That that certain Agreement between Broward County and the City
of Dania relating to afterschool care, a copy of wh
ich is attached hereto as Exhibit
•1
"A", be and the same is hereby approved, and the appropriate city officials are
hereby directed to execute same.
lion 2. That Michael W. Smith, as Personnel Director, and Timothy G.
Tapp as Recreation Director, are hereby authorized to sign monthly invoices and �-
certification statements as required by said agreement.
S t That this resolution shall be in force and take effect immediately
upon its passage and adoption.
PASSED and ADOPTED this 2 s tt�ay of September 993.
Mayor- Commissioner i
ATTEST:
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4ityC�I�erk - Auditor �
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Approved for Form and Correctness: ! -"
By:
Attorney
Frank C. Adler, City
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AGREEMENT
between
BROWARD COUNTY
and
CITY OF DANIA, FLORIDA
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Contract Number 94-6
Afterschool Care
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EXHIBIT "q„
AGREEMENT
between
BROWARD COUNTY
and
Y
CITY OF DANIA, FLORIDA
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This Agreement, entered Into this day of�,
19 , by and !
between BROWARD COUNTY, a political subdivision of the State of Florida,
hereinafter referred to as "COUNTY":
and
CITY OF DANIA, FLORIDA, a political subdivision of the State of Florida,
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hereinafter referred to as "PROVIDER".
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WHEREAS, this funding Agreement will enable PROVIDER to provide a variety i
of structured afterschool day care activities which will focus on enhancing and !.
increasing academic and life skills and various recreational activities to Broward
Dania of
elemeeiibaryle children/
school(s)l,lnotsother se funded five
by any other enrolled
public or private
funding source; and
determined
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WHEREAS, expenditures given to the PROVIDER
b hat
and of County ` .
and declared to be a county and public purposeY he n oard
Commissioners of COUNTY;
NOW, THEREFORE, the parties agree as follows:
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FY 1994
CITY OF DANIA 94-6
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ARTICLE I
SCOPE OF SERVICES j
The PROVIDER agrees to provide on a monthly basis the services set forth in Exhibit
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A attached hereto and made a part hereof. {
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ARTICLE II
TERM OF SERVICE
Services shall be provided under this Agreement from October 1 , 1993 through f
September 30, 1994. !�
ARTICLE III
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FUNDING AND METHOD OF PAYMENT
3.1 The maximum amount reimbursable to the PROVIDER by the COUNTY under
1 this Agreement shall be thirty thousand dollars ($30,000.00) . Ikl
3.2 COUNTY agrees to reimburse for units actually delivered, correctly invoiced
and documented at unit price specified in Exhibit A. Original invoice plus one
copy are duo on or before the fifteenth of the first month following agreement
execution by COUNTY. COUNTY agrees to reimburse the PROVIDER on a
monthly billing basis. No monthly bill shall exceed that amount obtained by
dividing the maximum amount payable under this Agreement by the number of
months set forth in ARTICLE II of this Agreement, "TERM OF SERVICE",
except for those agencies whose client flow varies with the funding period and
the COUNTY agrees to a monthly payment schedule as specified in the
Activity/Payment Schedule in Exhibit A, if applicable.
In order to be deemed proper as defined in the Florida Prompt Payment Act,
all invoices must comply with the requirements set forth in this agreement and
must be submitted on the form and pursuant to instructions prescribed by the
COUNTY, attached hereto and incorporated herein.
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COUNTY shall pay PROVIDER within thirty (30) calendar days of receipt of
PROVIDER's properly submitted invoice in accordance with the provisions of
the COUNTY's Prompt Payment Ordinance 89-49. All amounts not paid within
thirty (30) days after the due date shall bear interest at a rate of one percent
per month on the unpaid amount.
3.3 Monthly invoices submitted by PROVIDER shall include a certification
statement signed by an authorized person as referenced in Exhibit B attached
hereto and made a part of hereof, that each client served by the PROVIDER
is eligible under this agreement. Should it become necessary for PROVIDER
to replace signators, a notarized copy of the authorizing resolution as passed
by PROVIDER'S Commissioners shall be submitted to COUNTY'S Contract
Administrator for this Agreement. A letter from the City Commission setting
CITY OF DANIA 94-6 3 FY 1994
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forth the reason for the action must accompany the notarized copy. Both
items must be submitted to COUNTY'S Contract Administrator for this I
Agreement on or before the fifteenth of the following month.
All documentation required by this section shall be reported, maintained and
presented upon forms prescribed by or approved by COUNTY Contract
Administrator.
invoices shall be submitted on Broward County Form #609C-2 revised 1992 as
shown in Exhibit C and calendar documentation shall be submitted on Broward !f
County Form #609C-3, revised 1992 bearing the appropriate fiscal year
designation on its face as shown in Exhibit D attached and made a part hereof,
or other such form pre-approved by the Contract Administrator.
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3.4 PROVIDER may choose to document units delivered in excess of contracted ! .
levels and not paid by any other source. Units of service so documented may
be used to augment subsequent months' billings when service levels are lower 4
than contracted amounts. Written justification for failing to deliver contracted
service levels must be submitted with billing whenever this deficit occurs.
Adjustments enabling PROVIDER to collect maximum monthly payment(s) for
the month(s) showing unit shortages will be made so long as written
justification for uneven service delivery is submitted and justification is not
in violation of the requirements for delivery of services specified in Exhibit I
A.
3.5 Invoices not acceptably submitted within forty-five (45) days of the closing
date of this Agreement shall not be reimbursable. Acceptance is within the
sole discretion of COUNTY's Contract Administrator for this Agreement.
3.6 PROVIDER shall provide signature authorization to COUNTY as shown in `
Exhibit B attached hereto and made a part hereof.
3.7 Submission of accurate timely documentation, and other requested
information as required by COUNTY shall be considered a factor in evaluating
future funding requests. Invoices and/or documentation returned to
PROVIDER for corrections shall be cause for delay in receipt of
reimbursement.
3.8 PROVIDER represents to COUNTY that no other funds are used for services
invoiced to the COUNTY constituting duplication of funding, including banked
j units and COUNTY has relied upon that representation. -
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3.9 PROVIDER shall keep accurate and complete records of any fee,
reimbursement, or compensation of any kind, assessed against or collected
from any client or other third party, for any service covered by this
Agreement, and shall make all such records available through the COUNTY
upon demand. PROVIDER shall report such fee, reimbursement, compensation
and funding to COUNTY for such payments received for each unit from all
sources (including the COUNTY) to the extent such payments exceed the
actual cost per unit. This reimbursement may be deducted from PROVIDER's
invoices.
CITY OF DANIA 94-6 4 FY 1994
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3. 10 PROVIDER shall bill and pursue collection of 3rd party and client payments
(where applicable) for services rendered under this Agreement.
3.11 All equipment purchased pursuant to the Agreement shall be reported to the
COUNTY on a monthly equipment report, listing in detail the kind and type,
designatesbseriaeNo equipment shall ber, cost: an any hdisposed ofer data ew thont COUNTY approval Conct Administrator .
ARTICLE IV
MONITORING AND REQUIRED REPORTS
The PROVIDER agrees:
4. 1 To provide the COUNTY with an overview of their agency's activities
including goals and outcome objectives for this Agreement. PROVIDER agrees
to submit a mid-term progress report to the Children's Services Section staff,
due within thirty (30) days after March 31 and an annual report due thirty
(30) days after September 30 in a format approved by Contract Administrator
for this Agreement.
4.2 That mid-term and annual reports shall include data on utilization, service
delivery levels, compliance with the requirements of Article Ill, FUNDING
gress on
of objectives esshment
AND ETHOD °setfortlh in Exhibit A ENT set forth herein and pro omp
attached here o and made acpartthereof.
the
a and
ports
4.3 To that,measureake tthe quality and quantity, for review and of seis rvicesCprov provided pursuant suantrto this
Agreement. The data shall be compiled by nROVIDER as set forth in Exhibit
A, VI (Other Requirements) or in a form approved by the Contract
Administrator. The data will be used for programmatic evaluation of services
described in Exhibit A. f
4.4 To assign appropriate staff as necessary to attend meetings with COUNTY fk
staff to assess the quality of service and make recommendations for
improvements-
4.5 COUNTY and PROVIDER shall maintain the confidentiality of client services
and records in full accord with any Federal or State laws or regulations
mandating such confidentiality and in full accord with any applicable
professional standards of ethics requiring confidentiality.
4.6 To make all records pertaining to eligible clients subject at all times to
inspection, review and/or audit by the COUNTY. Required internal
documentation may consist of, but not be limited to the items shown in Exhibit
E attached hereto and made a part of hereof. Client case files shall not be
accessible to the COUNTY to the extent such access is in violation of Federal
and State law.
4.7 That monitoring reports originated periodically by designated COUNTY staff
and all the performance requirements of this Agreement and timeliness of
requested information shall be considered a factor in evaluating future j
funding requests.
FY 1994
CITY OF DANIA 94-6 5
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1 .8 To give representatives of the COUNTY full access to PROVIDER's facilities
for announced and unannounced site visits for the purpose of observation f
{ services and examination of all records and data covered by
providedi
the ext nit such access istinervices violati n ofl not be Federalaccessieor Statbel la the COUNTY to
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� ARTICLE V
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f RETENTION OF RECORDS
The PROVIDER shall preserve and make available all financial records, supportingF:
documents, statistical records, and any other documents pertinent to this Agreement
rs after termination
for a Period of three (3) yea tion of the term of service specified in
Article I1, oeaatsdthe records shallbeh
ave not been
r, if any nadir has been ini d until
reta[ne
resolved at the end of those three (3) y
resolution of the audit findings.
ARTICLE VI
INDEPENDENT CONTRACTOR
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' The PROVIDER is an independent contractor under this Agreement. Services
loyees of the PROVIDER and subject
to
provided by the PROVIDER shall be by emp e
R an
d not
as officers, employees, or agents of the
PROVIDER,e PR al
supervision m the personnel policies, tax responsibilities, social
COUNTY. Employee compensation, p
security and health insurance, employee benefits, travel, per diem policies and other
similar administrative procedures applicable to services rendered under this
Agreement shall be those of the PROVIDER.
ARTICLE VII
FINANCIAL STATEMENTS
7. 1 The PROVIDER shall provide the COUNTY a special report by a Certified
specified in the finanor by the entity's internal aud
Public Accountant,
cial presentation described in Section 7.3 belowlitor on the ements
7.2 If the special report is prepared by an independent Certified Public
Accountant, it shall be in accordance with Section 623 of the Codification of
Statements on Auditing Standards as promulgated by the American Institute
of Certified Public Accountants. If the special report is prepared by an
ly in accordance with that Section as the
internal auditor, it shall be as near
s, realizing that the internal auditor may
status of the internal auditor permit
not issue the opinions required therein.
7.3 The financial presentation shall show all revenues, by source and all a
jj expenditures to include the classification set forth in Exhibit "A" for each
funds we
pnancial
resentation Program/Projectecific hal pecifically d scllosetany funds received ed which rovided. The were not
CITY OF DANIA 94-6
6 FY 1994
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( expended in accordance with the Agreement (or with any regulations j
incorporated by reference therein) . It shall specifically disclose the interest I .
computed as earned on these funds. It shall identify the total of noncompliant
expenditures and interest earned as due back to the COUNTY.
7.4 The reporting period for the financial disclosure information described in 7.1
and 7.2 above shall be the PROVIDER's fiscal year. The information shall be
filed with the COUNTY within sixty (60) days after the close of each of the
PROVIDER's fiscal years in which the PROVIDER accounts for funds under ,
this Agreement.
7.5 Late submission of the financial statement shall result in suspension of
payment under this Agreement until the financial statement is received and
accepted by the COUNTY, and shall be a factor in evaluating future funding
requests. Suspension of payment shall not excuse PROVIDER from continued
delivery of services although COUNTY will not accept invoices until financial
jstatements are received and accepted by the COUNTY.
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ARTICLE VIII
MANAGEMENT LETTERS
8. 1 PROVIDER shall provide to COUNTY's Contract Administrator for this `
Agreement any and all management letters arising from audited financial
statements within sixty (60) days of receipt by PROVIDER. I .
8.2 PROVIDER shall provide to COUNTY's Contract Administrator for this 4
Agreement the schedule of corrections developed in response to said k
management letter(s) within sixty (60) days of development. ( -
r 8.3 PROVIDER shall provide to COUNTY's Contract Administrator for this
Agreement any compliance audits required by law within one hundred twenty
(120) days after the close of each of the PROVIDER's fiscal years in which
PROVIDER accounts for funds under this Agreement.
ARTICLE IX
{i EQUAL OPPORTUNITY FOR El\1PLOYMENT OR SERVICES
9. 1 PROVIDER shall not discriminate against any employee or applicant for
employment because of race, age, religion, color, gender, stational origin,
marital status, physical or mental disability. PROVIDER shall take affirmative
action to insure applicants are employed and employees treated during
employment without regard to race, age, religion, color, gender, national
origin, marital status, physical or mental disability. Such actions shall
include, but not be limited to, the following: employment, upgrading,
demotion, transfer, recruitment or recruitment advertising, layoff,
termination, rates of pay, other forms of compensation, terms and conditions
of employment, training, including apprenticeship, accessibility, reasonable
accommodation or other considerations arising from the Americans with j
Disabilities Act.
CITY OF DANIA 94-6 7 FY 1994
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9.2 Decisions regarding client eligibility sheill be made without regard to, or
consideration of race, age, religion, color, gender, national origin, marital
status, physical or mental disability or other factor which cannot be lawfully i
or appropriately used as basis for service delivery, as specified under the
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9.3 PROVIDER shall comply with Title I and Title II of the Americans With
Disabilities Act regarding nondiscrimination on the basis of disability in
employment and in state and local government services, in the course of
providing any services funded in whole or In part by IIroward County. I
ARTICLE X
INDEMNIFICATION CLAUSE
Any PROVIDER who is a state agency or subdivision, as defined in Chapter , or it,
Florida Statutes, agrees to be fully responsible for its acts of negligence, or it,
agents acts of negligence when acting within the scope of their employment or
agency, and agrees to be liable for any damages resulting from said negligence.
Nothing herein Is intended to servo as a waiver of sovereign immunity by any
i PROVIDER to which sovereign immunity may be applicable. Nothing herein shall be
construed as consent by a state agency or political subdivision of the State of Florida
to be sued by third parties in any matter arising out of any contract.
ARTICLE XI
INSURANCE
As the PROVIDER is a State Agency as defined by Section 768.28, Florida Statutes,
the PROVIDER shall furnish the COUNTY with written verification of liability
protection in accordance with Section 768.28, Florida Statutes, prior to final
execution of said Agreement.
ARTICLE XII
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{ TERMINATION OF AGREEMENT
12.1 This Agreement may be terminated by either party upon thirty (30) days
written notice.
12.2 COUNTY's Board of County Commissioners shall be the final authority as to .
the availability of funds and the allocation of available funds among social
service providers. The COUNTY reserves the right to terminate the services
covered by this Agreement in the event funds are unavailable.
12.3 If the PROVIDER fails to provide services called for by this Agreement within
the time specified herein or any extension thereof, or if the PROVIDER fails
to perform any of the other provisions of this Agreement, the COUNTY may,
by written notice of breach to the PROVIDER, terminate this Agreement.
CITY OF DANIA 94-6 8 FY 1994
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12.4 Termination, pursuant to Section 12.2 or 12.3 shall be upon no less than
twenty-four (24) hours notice, in writing, delivered by registered mail with
� .i return receipt requested or in person, with proof of delivery to the address
specified in Article XIX.
ARTICLE XIII
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AMENDMENTS. ASSIGNMENTS
13.1 No modification, amendment nor alteration in the terms or conditions contained f
herein shall be effective unless contained in a written document executed with
the same formality and of equal dignity herein. ;
13.2 The PROVIDER shall not transfer nor assign the performance of services
ce
called for in the Agreement without the prior written consent of the COUNTY.
ARTICLE XIV
WAIVER OR BREACH
Waiver or breach of any provisions of this Agreement shall not be deemed to be a
i waiver of any other subsequent breach and shall not be construed to be a
modification of the terms of this Agreement.
ARTICLE XV
RENEWAL
PROVIDER understands and acknowledges that, although its successful and
scrupulous performance under this Agreement will be a factor considered by the y
' COUNTY in evaluating future funding requests, COUNTY funding under this
f Agreement relates exclusively to the term of service specified in ARTICLE II herein
and that the COUNTY, by entering into this Agreement with the PROVIDER, assumes
no obligation whatsoever with respect to further or future funding to this
r' PROVIDER. Notice of renewal shall be given to PROVIDER in writing no later than
thirty (30) days before the expiration of the initial term.
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CITY OF DANIA 94-6 9 FY 1994
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ARTICLE XVI
RENEGOTIATION
The parties agree to renegotiate this Agreement If COUNTY revisions of any
applicable law, regulation or Increase/decrease in allocations make changes in this
Agreement necessary.
ARTICLE XVII
REPRESENTATION AND ACKNOWLEDGEMENTS
17. 1 PROVIDER acknowledges that:
a) There have been no irregularities involving its management and
iel affect on PROVIDER'S operations or
employees that could have mater
stability.
b) There are no violations or possible violations of laws or regulations the
j effects of which should be considered.
c) There are no material transactions that have not been properly
recorded in the appropriate document(s) .
d) Related party transactions that have not been receivable or payable
have been properly recorded or disclosed.
17.2 PROVIDER acknowledges that:
a) In order to obtain execution of this Agreement by the Board of County
Commissioners, PROVIDER's most recent audited financial statements, i
compliance audit as required by law and management letter, if
generated, must be provided to, and reviewed and accepted by
COUNTY.
b) Submission of audited financial statements, compliance audit as required
i by law and management letter(s) , if generated, to any Department,
Division, Office or other entity of Broward County as a requirement for f ',
i any transaction or agreement with that Department, a requ Office or
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other entity does not constitute compliance with the requirements of
this Agreement insofar as submission of material to the Contract
j Administrator for this Agreement is concerned. C` ;
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c) The Certificate of Insurance and the Authorized Invoice Signatory of
shown in Exhibit B shall accompany the Agreement upon execution of
said contract by PROVIDER. -
d) Information, guidance and technical assistance offered by COUNTY's
Contract Administrator for this Agreement, the Contract Monitor and
any other staff, whether written or verbal, in no way constitutes a
guarantee of execution of this Agreement by the Board of County
lI Commissioners.
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CITY OF DANIA 94-6 10
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e) Information, guidance and technical assistance provided prior to
contract execution should not be relied upon as a basis for doing {
delivering service, expending financial resources or
business, g
q expectation of reimbursement or receipt of payment.
ARTICLE
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DESIGNATED REPRESENTATIVES AND EMPOWERMENT { w
18. 1 The Contract Administrator for the COUNTY for this Agreement is the
reau of Children's Services
Director of the Bu or designee. The
representative of the PROVIDER responsible for the administration of the F
program under this Agreement is the title r y"
18.2 The empowered signator of this contract for PROV1DEettached R is e e
as referenced in Exhibit B, page yt>,
I Title b
hereto and made a part hereof. r
ARTICLE XIX
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REIMBURSEMENTS AND NOTICES
ever either party desires to give notice unto the other
The parties agree that when
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under the terms of this Agreement, it must be given by written notice, sent by
certified United States mail, with return receipt requested, addressed to the party
for whom it is intended, in this case designated Contract Administrator for the
COUNTY and representative for the PROVIDER as set forth in Article XVIII
Designated Representatives and Empowerment at the place last specified and the
place for giving of notice shall remain such until it shall have been changed by
written notice in compliance with the provisions of this paragraph. For the present,
the parties designate the following as the respective places for giving of notice, to-
wit:
COUNTY: Children's Services Section
Broward County Governmental Center
115 South Andrews Avenue, Annex Room A-300
Fort Lauderdale, Florida 33301
PROVIDER: City of Dania, Florida
Post Office Box 1708
Dania, Florida 33044
CITY OF DANIA 94-6
11 FY 1994
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ARTICLE. XX
ATTORNEY FEES
The PROVIDER understands and acknowledges that if COUNTY incurs any expenses
in enforcing the terms of this Agreement, whether suit be brought or not,
PROVIDER agrees to pay all such costs and expenses including, but not limited to,
court costs, interest and reasonable attorneys fees.
ARTICLE XXI I
GOVERNING LAW AND VENUE
This Agreement shall be governed, construed, and controlled according to the laws
of the State of Florida. Any claim, objection or dispute arising out of the terms of ,»=a
this Agreement shall be litigated in the Seventeenth Judicial Court in and for
Broward County, Florida. "p
ARTICLE XXII s
SEVERABILITY
Should any part, term or provision of this Agreement be by the courts decided to be -
invalid, illegal or in conflict with any law of the State, the validity of the remaining {
portions or provisions shall not be affected thereby.
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FY 1994
CITY OF DANIA 94-6 12
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IN WITNESS WHEREOF, the parties hereto have made and executed this
Agreement on the respective dates under each signature: COUNTY through its
BOARD OF COUNTY COMMISSIONERS, signing by and through the County t
Administrator, authorized to execute same by Board action on the _ day of
119 and PROVIDER, signing by and through its
{ duly authorized to execute same.
j COUNTY
WITNESS: BROWARD COUNTY, through its
BROWARD COUNTY ADMINISTRATOR
County Administrator
day of , 19_
Approved as to form and legality by
the Office of County Attorney ,
Broward County, Florida
- JOHN J. COPELAN, JR.
County Attorney
Governmental Center, Suite 423
115 South Andrews Avenue
Fort Lauderdale, Florida 33301
By
Assistant County Attorney
PROVIDER
City Name
Mayor
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Print Name and Title
APPROVED AS TO LEGAL FORM:
City Manager City Clerk
(CITY SEAL)
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City Attorney — 19 day of , _
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CITY OF DANIA 94-6 13 FY 1994
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EXHIBIT A Page 1
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1. Scope of Service: (Reference Article I, Page 3)
The PROVIDER agrees to provide a variety of structured afterschool day care
activities which will focus on enhancing and increasing academic and life skills
and various recreational activitieseligible
to Broward County
' children/siblings, Pre through five (5) enrolled in any City of Dania
elementary school(s) .
II. Definition of Units of Service: I
A. A unit of service is defined as attendance to a session of one (1) to four (4)
hours of daily afterschool day care by an eligible child and his/her sibling(s)
if enrolled in area schools in grades K-5 or in a Pre-K program.
B. Subject to the deductions provided for in Subsection (C) below, the COUNTY
agrees to reimburse the PROVIDER for each unit of service during TERM OF
forth in ART
ICLE
ICLE II of this Agreement at a cost not to exceed
SERVICE set for tenth 1/10)
$3.75 per unit/session at a maximum of $3,000.00 monthly or one ( • .
the amount of this Agreement.
C. Li the event the PROVIDER collects any fee or collects any reimbursement
from a third party for services provided under this Agreement, PROVIDER
shall keep accurate and complete records of all such fees collected and report
such collection to COUNTY and reimbursement to PROVIDER.
111 . Project Pro ,rE am Information As defined in Exhibit A, Pages 2 and 3 (IIroward
County Form #609C-113) .
IV. Internal Documentation Required for Monitoring (see Exhibit E)
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{ V. Monthly Invoices: (Reference Funding and Method of Payment ARTICLE III)
i VI . Other Requirements:
Client Case Files: The PROVIDER agrees to maintain professional standard
updated case files on all clients. Files shall include, but not be limited to:
tatement verifying client eligibility for
name, date of birth, entry date, s
service, progress notes, exit date and time, and follow-up results. t
intain a formal Tracking
Tracking System: The PROVIDER agrees to ma
System (if applicable) of all clients referred to and from program, identifying bs
services referred for, services received, unavailability of services, and x r
feedback from agency client was referred to. ? s
Statistical Demographic Records: The PROVIDER agrees to maintain (if d
applicable) information on overall client demographics which includes age,
gender, race, ethnic origin, parental marital status, education levels and ; t
status. PROVIDER agrees to track overall client household income, other
provided and satisfaction survey results
benefits received, types of services . E
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FY 1994
CITY OF DANIA 94-6 14
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Exhibit A- page 2
P.ROJECl/iKG(;i.AX INFORMATION
FPROJr.CT/PR0GR,,`1 TITLE: City of Dania - Afterschool Care
� Notd: These objectives may be used as part of the criteria in the monitoring of
f v_....r orrantznr nn
Outt.ume/Baneflt
ObJeccive(s) Activity Component(s) Units of Service (Measurable if
1 . Educational Homework 50 children at 1 unit a. Quarterly Progresr.
Enrichment Helper per day. Report through
School system.
Minumum of one Week to week con-
hour of struc- tact with pupil and
tared homework teacher.
time.
b. Measure Report cart
improvement from It
report to last of
1 the year.
{ c. Attendance per
j child.
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d. Attrition per chile.
a. Demographics
2. Skills a. Arts 6 Crafts a. All 60 children a. Each child will cur
Special/Holiday plete one project I
30-45 minutes a week. Best will `
be kept for display F
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b. Reading Club. b. 40 children b. Child will improve
Grades 1-5 his/her reading all(
Twice weekly comprehension skill
Monthly report fror
School Teachers on
Improvement or pro-
gress.
c. Drama Club c. 24 children
Twice weekly c. Develop self-expre-
ssion and learn to
cope with others.
Christmas and
Easter Holiday pro-
grams.
d. Dance Athletics d. All 60 children. d. Develop motor skil
and cooperation wit
j others.
e. Sewing Club e. 30 children e. Build self-reliance
and ability to com-
N, ;.
plate projects.
FY
3
CITY OF DANIA 94-6 -15- )944
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Note: lticse objectives may be used as part of the criteria in the monitoring of
voor nrs•..aafzat1 1)
Outcome/Benefit
Objective s) Activity Component(s) Units of Service (Measurable if -_
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3. Other Misc. Daily: Games-Movies
] - Free Play - All children Activity Schedule
){ posted daily.
4. Networking Collaboration Referrals a. 0 of referrals
j Activities Efforts b. Type of referrals
+ c. Outcome of
referral
- i 5. Client Administer a satis- 100% of the parents A mimimum if 90% of
Satisfaction faction survey to of the children en- the parents will re
parents. rolled during 3/94 fleet satisfaction
will complete a with after school cart (;
client satisfaction in client satisfaction4,
survey in 9/94. survey. 4?
CITY OF DANIA 94-6 FY 1994
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EXHIBIT B
AIJTHORi•LED lNVO10E SIGNATORS FOR MUNICIPALITIES
r �
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ys
tures authorized by the City Commission of
Appearing below are samples of signa '
as required by Broward County.
Signature i
Signature !
J
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Type Name
jType Name
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STATE OF FLORIDA
COUNTY OF
j
Before me personally appeared
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Name and Title
and
Name and Title
to me well known and known to me to
be the person described in and who
executed the foregoing instrument,
and acknowledged to and before me that
and
Executed said instrument for the
purpose therein expressed.
i
WITNESS my hand and official seal, I
this day of
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Notary Public
State of Florida
Notary Seal
Name of Notary printed/typed
t
Commission No. �—
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` FY 199-4
CITY OF DANIA 94-6
17
._- -- Boer,-of Cavev Ccm�tluow Co&riy.Fbr"
NTRACTEDSERVICESIHVOICE ?ureau of C.::i.d:en' a Services/ChUdnen'eflnevlowSKtbn
2 Fedwar KlanUtKaebn NUMbW
i ion-Prom Orgar izaoan of Governer"Emery
:.OriIISGt Number 4 Name d Contracted Provam
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6. For the Month and Yew 7. Annual Hartman Contact AmourN
rUrKory gb. Month Maximum Un b of Sery to9. Tout Units of Service Provided This Month
imum ConVacl Amount b ollected Divided by Untl Cost Equals rR
Units d Service Mmus Convened Units hemEBanked Date t3. Ban�ke�U�nnB Appliedit.of Sernco Collected(A appticablelanation of Under Penormttnce or
r Reimbursement This Month bursement Requested e or - 5% _
FOR COUNTY USE ONLY CERTIFICATION: The undersigned, as an authorized '^
signature for this contract between Broward County,and
t7.
,nit —_— Agency hereby affirms and certifies that the service billed here-
with have been rendered on behalf of Broward County, ;
yanizalion _ Object that all clients served have met program eligibility
requirements,that all fees collected have been duly
ate Invoice Received by County Contract Administrator. deducted,and that sufficient written information is
available to document services and fees reported.
ite or Inaccuracy Penalty Applied: ❑ Yes ❑ No Approved Signature:
-
jice Received By Date tg• Type N.rrie
voice Reviewed By Date 19.
Date Type Too a �,
voice Approved By __ :
Signature
20.
O
ale Forwarded to Accounting Date: 21. t
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EXHIBIT C PAGE 2 v, w'
ep
Human Services Dartment/Bureau of Children's Services
Children's Services Section
Instruct ions for Contracted Services Invoice -- Form 609C-2
f
1 . Legal name/legal address of agency under contract with Broward County.
I
2• Agency's Federal Identification number.
3. Agency's contract number, as stated on title page of contract. ` z
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4• Name of contracted program.
5. Funding category, i.e. continuing, one-time/capital, one-time emergency and
NPO.
Il request only
6. Month and year for reimbursement Y
7. Maximum contract dollar amount, as stated in the contract.
1
8• a) Monthly maximum contract amount.
j b) Monthly maximum units of service.
9. Total units of service provided this month (including banked units).
10. Total fees collected divided by unit cost to equal converted units of service.
11. Total units of service minus converted units from fees collected (if
applicable) .
12. Banked units Y-T-D (cumulative total) . 4
units applied this month.
13. Banked pP th r ,
c
14. Total units for reimbursement this month including banked units (not to
exceed monthly maximum units of service).
15. Reimbursement request in dollars not to exceed monthly maximum contract
amount.
errmance or over p
16 eComm
xplanation on eddtional sheedt/sheets to monthly invoicerformance. Attach
17. Certification: Legal name of agency under contract with Broward County.
18. Name of authorized signator as stated in Exhibit B-1 of contract. `y`•
19. Title of authorized signator. a
20. Signature of person, as authorized in Exhibit B-1 of contract. kHT
21. Date invoice was signed by authorized signator. rt;
FY 199.1 i .'•:'.
,r
CITY OF DANIA 94-6 19
d --- — �- •- — — —
vti�b
1
Boa,j a County Conrrraegr»n. Br rd C4.1%y cronda Month ._ 19 ---.
CALENDAfRDOCUMENTATIONcc1:iCES, C: E..' c CFF:TCES ScC .^ti
F.Y. 19 9 Location of Services
c.
3 I
\ Total Units: Fees CoNsefsd:
Eyt Cam Cayvtod by
Name--- -------` 1 3 1 6 7 1 1111211 11 1 1 17 1 1 1 1 7 311
li
B,Mdate Entry Data Comments '
Total Units: Fees Collected: i
Exit Date Certdred By Off
Name 1 2 1 3 1 J 1 5 1 6 1 7 1 8 1 9 110111112113114115116117118119120121 4 7 31
of(t(
_— Brrthdatn Entry Date Comments N I
Total Units: Fees Collected: 4(
Earl Date Certified By
f
t
I 11 213 1 4 15 16 1 7 18 1 9 110111112113114115116117118119120121122123124125126127128129130 31;
Bethd:ne Entry Date Comments
Total Units: Fees Collected:
-- Ead Dale --------Certified By _—
.n
t
tJann` ------"--- --- ------ 1 2 1 3 14 15 1 6 1 7 1 8 19 11011111211311411511611711811912012112212312412S 1 26127 28 29 30 31 rn
.V
_.__.___- _
Birurdatc EnlryDatc Lj
Comments A '
Total Units: _ Fees Collected:__ w
E.'t Dale Ced,fied By --
Grand Total Units: Grand Total Fees Collected:
U
s
Aa
EXHIBIT D, PAGE 2
Human Services Department/Bureau of Childron's Services
a
x firm.; Children's Services Section
{ Instructions for Calendar Documentation -- Form 609C-3
1 . Invoice month and year.
! 2. Location of service.
;j 3. Name of client.
4. Date of birth of client.
5. Date of client's entry into contracted program.
f
6. Exit date of client (only if terminated or discharged).
7. Original initials of authorized signator for certification. f
8. Each block represents a day of the month. Indicate days or hours, per day,
that services were rendered (as per Contractual Agreement -- Exhibit A) .
9. Total units (for the month).
10. Fees collected (for the month) . 1
11 . Grand total units (for the whole page) .
12. Grand total fees collected (for the whole page) .
!
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is
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CITY OF DANIA 94-6 21 FY 1994
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EXHIBIT E
INTERNAL DOCUMENTATION REQUIRED FOR MONITORING
Days/flours/Sessions of child day and afterschool care
Client/parent (authorized) signature daily sign-in and sign-out attendance sheets.
Client file as required; client registration form, and any other pertinent information.
Hiring records (personnel file; personnel education requirements, staff medical
statement, criminal records clearance, and any other pertinent information.
Daily routine and program log.
{
Occupational license and other necessary license and permits displayed.
Client billing and payment records to include third party reimbursement, if l
applicable. I
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Agency policy and procedures handbook.
'41 l4
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FY 1994
CITY OF DANIA 94-6 22
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