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HomeMy WebLinkAboutR-1996-066RESOLUTION NO. 66-96 A RESOLUTION OF THE CITY OF DANIA, FLORIDA, APPROVING THE AGREEMENT BETWEEN BROWARD COUNTY AND THE CITY OF DANIA FOR SUMMER CAMP PROGRAM (CONTRACT #096-113); PROVIDING THAT ALL RESOLUTIONS OR PARTS OF RESOLUTIONS IN CONFLICT HEREWTH BE REPEALED TO THE EXTENT OF SUCH CONFLICT; AND PROVIDING FOR AN EFFECTIVE DATE. upon its passage and adoption. PASSED AND ADOPTED THIS rd DAY F ly, 19 R-COMMISSIONER ATTEST: CITY CLERK ITOR APPROVED AS TO FORM AND CORRECTNESS: C^*e'a'ao-' CITY ATTORNEY RESOLUTION NO. 66-96 BE IT RESOLVED BY THE GITY COMMISSION OF THE CITY OF DANIA, FLORIDA; Section 1. That that certain Agreement between Broward County and the City Of Dania approving the Summer Camp Program (Contract #096-1 13), a copy of which is attached hereto and made a part hereof as Exhibit "A", be and the same is hereby approved and the appropriate city officials are hereby directed to execute same. Section 2. . That all resolutions or parts of resolutions in conflict herewith be and the same are hereby repealed to the extent of such conflict. Section 3, . That this resolution shall be in force and take effect immediately AGREEIT{ENT Between BROWARD COUNTY and CITY OF DANIA. FLORIDA Contract #096-L13 Sunmer Camp Proqran EXH IBIT "A'' AGREEIT{ENE Betrreen BROWARD COUT{TY and CITY OF DANTA. FLORIDA ThIs Agreenent, entered into this _ day of _,19-----,.by and between BRorTARD cornrrr,I-po-ritieai GfTIlion orthe state of Florida, hereinafter referrei to as rcoffii;- and CI T OT DANHFlorida, lts|IPN,OVITDERi. , FroRrDA, succesS0r a nunicipaland assigns,corporationhereinafter of the Statereferred to of as ryEREA , this Agreenent will enable PROIIIDR to provideapproxiuately 12o scholarshlps for clrildren to atG;d s-unier aaycanp for I week6 t and - _ I{HEREAS, funding given todeclared to aerv€ a -corinty anaCounty Conmiasloners of ct)IDfTy, PROIIIDER havepulrlic purpose been found andby the Board of NOW, TIIEREroRX, the parties agree as follows: 2CIEY OF DANIA '095-113 rY ls6 1.1 2.1 3.1 3.2 3.3 ARTICLE I TERU OF SERVICES Services shall be provided under thls Agreenent from ,June L,1996 through Augrust 31, 1996. ARTICLE II SCOPE OT SERVICES PRO\/IIDER agrees to provide the services set forth in ExhibitE, scope of Services. ARTICLE IIT FI'NDING AND T,IETHOD OF PAYI{ENT The naximum at[ount payable by COU}fTC under this Agreenentshall be ten thousand five hundred dollars (S1o,5oo): PRovtDER will submit paid invoLcesreinbursement.to @IrrTr for oolrllfY a(free6 to reinburse properly subnitted invoices pald byPRO|IIDER as specified in Exhibit E, Scope of Seivices.Invoices are due on or before the fifteenth of the followlngEonth, beginning on the fifteenth of the first ruonth followingcontract execution by Colrffff . COUilTf agrees to relnburse the PRO\rrDER on a nonthly billing basis. In order to be deened proper as defined by the Florida pronpt Palment Act, aIl invoices nust conply with the reguirernenlsset forth in this AgreeDent and rust be su.bloitted using theforn, prescribed by @InnHf, in Exhibit F, Cost RelobursinentInvoice. Invoices arra/or docunentatlon returned to provlderfor corrections shall be cau6e for delay in recLipt ofreirnbursenent. @Ullrr Ehall pay PKTIrIDER wittrin thtrti (30)calendar - days of receipt of pROIItDB,r s properly submittedlnvolce ln accordance with the proviaions of Cdrl*ff , a pronpt Palment ordinance 89-49. 3CITY OF DANIA '096.113 rY ]SE 3.4 3.6 3.'1 llonthly invoices subnitted by PRO.!i1IDER shall include acertification statement signed by an authorized person asreferenced in Exhibit A,- Authorized Invoice signators,attached hereto and made a part hereof, that each- clientserved by PRoWDER is eligible under this Agreenent. Invoices.not acceptably subnitted within fifteen (15) days ofthe closing date of this Agreenent shall not be reinbrirsedunless an extension has be€n granted by the ContractAdainistrator. submission of accurite, tiuef documentation,and other requeated inforuation as required 6y COmUf nay beconsidered a factor in evaluating future tuiaing r"q,reits.fnvoices and,/or documentati.on ieturrred to PRoWDER forcorrections shall not be considered as subnitted - PRO\,:[DER shall provide signature authorization to CtUIfry asshown in Exhibits A, Autho;ized Invoice Sigmators and ExhibitB, Certificatlon of Enpowernent, attached- hereto and nade apart hereof. Should it becoue necessary for PROqIDER toreplace. signatures, a notarized copy oi the authorizingresolution as passed by PRO\IIDER, s City Council or Trusteesshall be subnitted to Contract Adninistrator, along withreplacenent E5fiibits A, Authorized Invoice Signatois andExhibit B, CertLfication of B[powernent, avaflabJ.€ fronContract Administrator. A lettef fron the City Council orTrustees setting forth the rea8on for the -action nustaccoupany the notarized copy. Both ltene aust be subuitted toContract Adolnistrator on or before the fifteenth of the uonthfollowing replacenent of Sigmatora. PROVIDR represents to COt ilTy that no other rej.nbursement isavailable or used for invoiced services and COInfTf has reliedupon that repreEerrtation. pRO\r:tDER shal1 bi1l and pursuecollection of third party, t{edJ.caid, and client pa}nents !$r,":q applicable) for services rendered under this ngielnent.PRoVfDER,BhaIl keep accurate and conplete records oi any feecollected, reimbureement, or conpensatJ.on of any kind recilvedfron. any client, uedicaid, or other thira ptrty, for anyservice covered by this Agreenent, and shall uake all suchrecords avaiLable to the @IrIypI upon deDand. PRO\rIDR shallI:tglt such fee, reinbursenent, compensatj.on or funding toCtUilfI for such palmenta received. fhis reinbursement nay Uededucted froD PROVIDR,a invoices. See Exhibit F, dostReinbursenent fnvoice. 4cIrY OF DAIirrA #096-113 trY llEE 3.5 3.8 3.9 Nane, address and Federal I.D.palment shaII be nade: A11 equipnent purchased pursuant to this Agreement sha1l berePorted to tbe COIIXTI on an equipnent regfort due with theinvoices ,as specified in Exhi;i-C--F; cost Relnbursenentrnvorce, Iisting ln detall the kind and type, serial nunber,cost, and any other data the Contract- - Administrator socesrgnates. No equipnent shall be disposed of without OOt ilTfapproval . In the ev€nt of the dis6olution, voluntary orinvoluntary. of pRovIDER, the tttie ina owrierebip of'all Tl:rje?ldalle.property acquired wittr funds fron this igreenentsnaJ.r rDmediately be vested in @UltTI. Clty of Dania, FLorida100 West Danl,a Beach Boul.evardDania, Florida 33OO2Federal f.D. 59-6000-302 of the official payee to whon advise Contractln address and/or 3.11 It is pROVtDER,s Adrolnistrator, intelephone nunber. responsibility towriting, of changes ARTTCLE TV RENEIIAI PROWDER understands and acknowledges that, although itsperfornance under this AgreeEent wiri ue a factor consideredby the ooUI{Tf in evaluating future funating ."que=G,--cUDEyfunding. under this Agreeuent relate' excfuitveiy ttl,h;-;;r,of service specified in ARTTCLE r herein and that the cot]}rrr,by_ entering into this Agreenent with the pRO\rItDER, ass t'nes nooDJ.lgat,Ion rhatsoever with respact to further or futurefunding to this PRO\IIDER. ARTICLE V I,TONITORII{G. REOUIRED RECORDS AND REPORTS HOT|ITC'R.ITIG: a. To .assigxl ..gppropriate staff as necessary to attendneetings wlth_OOt fTf staff to assess qualitf of servicl,service deliva-ry €ystems, cooralla€ion 6f ""rrri""=,consuner satisfactioni records rnaintenance and fundingnaxinization and to discuss any resultingreconmendations. 5.1 5crTy oF DANIA '095-113 RT E6 b To provide fu1I access at adninistrative and servicedelivery sites to COITXTY, during aI1 announced andunannounced visits, for the purpose of exarnination ofrecords and data cover€d Uy Lfril Agreenent as well asobservation of service delivery anl consuner/pROWDERstaff interaction. CtUXTy and -pROVfDm shall naintainthe confidentiality of client services and records inful1 accordance with any Federal and State lahrs orFederal . regulations nandating such confidentiality.Access to service delivery an-d interactlve situatioi:sneed not be made avallablt, however, when said accesswould violate federaL or State law or conprouriseeffective service delivery or consuner confidentiality. To Dake a1l records pertaining to reinbursernentsrequested subject at aI1 tines tb inspection, reviewand,/or audlt by COUllfy, provided Federal and State Larrsor Federal regulations requiring confidentiality are notvlolated. That |trecords pertaining to reinbursements requestedri asreferenced in the foregoing section shall include but notbe liDited to: client file!i cacie and,/or progress notesiindividual treatnent plans; individual case managenentplans, residential occupancy logs, shelter -logsi telephone logrs; service - delivery records includingtreatroent schedulesi purchase -records; accountin{records i professional credentials i consumer satisfactioisurveys i internal evaluation procedures; agency andproject records of goals - and oujectives' ;eatta innent,/acconpl ishnent . Thul nonitoring reports originated periodicalty bydesignated @IJIwtr staf f ana all €fre pertoriancireguirements of this Aqreeuent and tin6liness ofrequested infornation shall be considered a factor inevaluating future funding requests, d c e. a Ul)on request by CtOt IfTf , in the event services similar oridentlcal to those for whlch @Uill:t reinburses ar.purchased and/or subsldized in nhole or in part byanoth_er -public or private funding source, a repoit stralibe subnitted, containing the eane 1evel' of iifornationconcerning these services as is reguired on invoices andsupporting docunentation for COIrlIPy. reinbursenent. 6CITY OF DANIA #096.113 rY IE 5.2 REPC'RIS: 5. 3 C'NIR REQUTRJEI{ETITS: 6.1 A. CLIENT FILE REQUIRETTEXTS PROVIDER nust naintain I gaqe file, where appropriate, foreach client served through this ag-r-eznent. At r'ininum the filenust contain an imlediately """"t.ltL fact or intake sheetfron which the client,s. iane, d;l; of birth, .r,i--so.iarsecurity and/or case File ,rirrf-i - ,.y be determined orverified, as well as the dates and time-of program entiy anadischarge; record of services;.;;;9*i; provided or detiveredthrough this Agreenent whether air6ci'or subcontracted rdithtfe certification of dates UV appropii..t" pnovrpm staff. AILfile entries must be dated, f,idi-nE ana substantive and thefile must be current and 6onsistent in "t """oi"gi".fpresentation . case nurBbers when used nust be used consistently throughoutthe fil,es in conjunction with ttre name, sociaL Sec'uriit;;7orcase FiLe nunber and date of birth wnlrr".r". trrat inf6rnationappears. Details of sensitive or stigrnatized services nay be segregatedwithin the file, but they *:rr=C U" "f-"-"rfy dated and initialedso.that verification of iervice delivery nay be obtained iionthi! source if no other tire - sourc-e pr6vides ,"iii.i.r,tverification. b. IRACKIIITG SYSTEIi REQI'IREHB}ITS i.:?fi*:ff :IilFri#'?li"E.iBx,.'""":"1.J.H"=.ff lii"..tr".Xl Progran-funded by cruxty. Trackingr -system sfraff lalntiryreason for referral and services d6livered. ff client wasreferred to another agency, file nust include the action taienby that agency as a result of the referral . ARTICLE VI TERMINATTOI OF AGREEMENT Tl]=_1gI:"lent Day be.tenninated by either party or by cou rrror.convenience upon thirty (30) days written nolice t6 eitherparty. 7 rY tg6CTTY OF DANIA #096-113 6.2 Broward County's Board of Cornmissioners shall be the finalauthorlty as to the availabillty of fund6 and how availablefunds will be allotted anong its varioua providers. In theevent funds to finance tlre services set forth in Article fI becom€ unavailable, the obligations of each party hereundernay be termLnated upon no lers than trrenty-four (24) hoursr,ritt€n notice to the other party. 6.3 If PROVIDBR fails to provide services called for by this Agreement pithin the tine specified herein or any extensionthereof, or if mowDER fails to perforn any of the otherprovisions of thls Agreenent, COUl{rI nay, by written notice ofbreach to PROVIDER, terminate thi6 Agrreenent. 6.4 Terruination, pursuant to section 6.3, sha]I be upon no lessthan twenty-four (24) hours notice, in rriting, delivered bycertified nait with retuf,n receipt requested or in person wlthproof of deIlvery. 6,5 Whenever either party deslres to give notlce unto the other,it nust be glven by written notice, sent by registered UnitedStates nail , with return receipt requested, addressed to theparty f,or whon it is intended, in this case the deslgmatedA&nlnistrators as set forth in Article XMEsrcNAl[ED REPRESENITATTVES AI'ID m,IpOWERtIEt{T of this Agrreement, at placeIast specifled. The place for glving notice sha1l reuain suchuntil lt sha1l lrave been changed by rritten notice inconpliance rrith the provisions of this paragraph. f'or thepresent the. folLoulng are designated aB the respective placesfor givlng of notic€, to wit: roR courrY: Bureau of Children,s ServicesChildren's Servlces SectionBrosard County Governncntal Center Annex115 South Andrews Avenue, Roon A-300trort Lauderdala, Florida 33301 FOR PROVIDER: City of Dania, Florida 10O West Dania Beach BoulevardDania, Florlda 33oo4 cIrY or DAilIA #096-113 w )gtI 7.1 8.1 9.1 9.2 ARTICLE VII RETENTION OF RECORDS PROVTDER shal1 preserve and make available all financial records, supporting docunents, statistical records, and any other documlirt= p"itinent to this contract for a period- of three (3) years aiter ternination of this Agreement i or, if an audit has been initiated and audit findings have not been resolved at the end of these three (3) years, the records shalL be retained until resolution of the audit findings' ARTICLE VITI INDEPENDENT CONTRACTOR PRoVIDER is an independent contractor under this Agreenent ' Services provided iry PRoWDER shall be by employees of PRoVIDER a;d subject-to supervision by PRovTDm, and not as officers, enploy6es, or ag6nts of Broward county'. Employee "orp"n="iio., p&=ott "1 poiicies, tax responsibilities, social secirity ancl'hLalth insu-rance, employee benefits, traveL, per aien po-ticies and other sirnitai adninistrative procedures ippfidalfe to services rendered under this Agreement shall be those of PRovtDER. ARTICLE IX SUBCONTRACTING PRoVIDER rnay not subcontract services v,ithout prior written consent oe OOUIITI. Services provided by PRO\rIDER'S sIlBcolTIBAefoRIi shall be subject to supervision . by !h'PRovfDER. Enployee compensatlon, personnel policies,- tax responsibilitias,-social lecurity, health insurance, employee benlfits, travei, P€r diem policies and other sinilar iami.nistiative piocddures appflcabre to services rendered under this agr6enent shall be those of the PROVIDER or SI]B@XIRACIOR. Authorization to deliver services through SUBC:o!|:I!RAC1IORS shall not relieve PRo\rlrDER of ful] responsibility for all requirenents, provisions and terns of this Agreement ' PRoVIDER shall require a1I sIrBcoNTRAeIoiRsi to conform with the i"q"ii"r""i. "t ufii= Agreenent and aLl applicable. federaf and st6te laws, rules, req[rlations, guidelines and standards ' PRoVIDER agrees to reinburse colrlffY any and all funds not used i; -conptiance with this Agreement by PRoVIDER and slrBcolllRAgrtRs. 9.4 9CITY OF DANIA #095-1].3 rY 15 9.3 LO .2 10.3 10.4 10.5 10.5 FINANCIAL STATEMENTS 10.1 The PROVIDER shall provide to COtnffY a specialindependent certified Public Accountant, or byinternal auditor on the eLements specified in beIow. report by anthe entity'sSection L0.3 If the special report is prepared by an independent CertifiedPublic Accountant, it sha11 be in accordance with generally accepted auditing standards. If the speciaf report is prepared by an internal auditor, it shalL be as nearly in accordance with those standards as the status of the internalauditor pernits, realizing that the internal auditor may not issue the opinions required therein. The special report shall show aII revenues, by source and all expenditures as set forth in Exhibit A for each specific PRoGRAII/PRGfECI for which grant funds were provided' Thereport shall specifically disclose any funds received which were not expended in accordance with the Agreenent (or with any regulations incorporated by reference therein). It sha1lspecifically disclose the interest conputed as earned on thesefunds. It shal1 identify the total of noncornpliant expenditures and interest earned as due back to the coUNfI. PRovtDm agrees to reim.burse coIIIffY any or all funds not usedin conpliance with this Agreement by PRo\rltDER. The reportinq period for the financial disclosure information described in 10.1 and 10.2 above shall be the PRovTDER'sfiscal year. Etre infornation shall be filed with the colrllTYwithin ninety (90) days after the close of each of the PROVIDER'S fiscal years in which the PRoVIDER accounts for funds under this Agreenent. Late submission of the special report shaI]' result in suspension of payment under €his Agreenent until the report is received and lccepted by colrxff , and shalI be a factor in evaluating future funding requests. suspension of palaaent shalI not excuse PRoVIDER fron continued delivery of services although ooIrlITY will not accept invoices until such report is received and accepted by COt NTY. CITY OF DANIA #096-1].3 10 rY 19S' ARTICLE X b) c) 10.7 PRoVIDER shaLl provide to Contract Adninistrator anycompliance audits required by Law within ninety (9o) daysafter the close of each of PROVIDER, s fiscal years in which PROVIDm accounts for funds received fron COt l fY. 10.8 ff PROVIDER is unable to provide audited financial statenentsdue to the short history of the agency or its size and annualfinancial statements audited by a certified public Accountantare not available, PROVfDER sha1I provide to ContractAdrninistrator two (2) copies of the most recent Federal Foru #990 subnitted to the Internal Revenue service or an oriqinal and one (L) copy of PROVIDER's financial statenents containinga balance sheeti statements of support and revenuei expensesand changes in fund balances or similar titles, and astaternent of functionaL expenses in support of the project funded by cot NTY acconpanied by a statenent signed by the President of the Board and chief Financial officer, certifyingas to the accuracy of these statenents. a) said statenents shall account for all nonies receivedfrom C:Ot t*fY via explicit disclosures and/or acconpanyingnotes to the statements. said statenents shaLl be attached to the last invoice. Late submlssion of said statenents accornpanied by thecertifying statement sha11 result in suspension ofpaynent under this Agreement until the requireddocumentation is received and/ or accepted by c-ot lf.fY.Suspension of palment shall not excuse PROVTDER froncontinued delivery of service, although COt ilTY will pay no invoices during the suspension. PROVIDER acknowledges submission of f inancial statementswith funding application or to any other Brolrard countyoffice or Division does not constitute conpliance withrequirenents to submit that naterial to the contractAdninistrator. ARTICLE XI EOUAL OPPORTUNITY FOR EMPLOYMENT OR SERVICES d) 11.1 PROVIDER shal1 not discriminate against any enployee orapplicant for employroent because of race, age, religion,color, gender, national origin, narital status, physical or nental" disability. PRoVIDER shal1 take affirEative action toinsure applicants are enployed and employees treated during enployrnent without regard to race, d9€, religion, color,gender, national origrin, narital status, sexual orientation,physical or mental disability. such actions shall include,but not be linited to, the fotlowing: employnent, upgrading, dernotion, transfer, recruitnent or recruitroent advertising, CITY OF DANIA #095-113 11 rY lg 11.5 11.5 LI .2 11.3 PROVIDER shall conply rrith Title I and Title II of theAnericans with Disabilities Act regardingnondiscrinination on the basis of disability in emplolment and in provj.ding state and local governmentservices, in the course of providinq any services fundedin whole or in part by Broward County. layoff, tennination, rates of paY, other forms of conpensation, terns and conditions of enployment, training,including apprenticeship, accessibility, reasonable accornmodation oi other considerations arising from Title vIIof the Civil Rights Act of 1964, as anended i or the Americans!{ith Disabilities Act of 1990. Decisions regarding client eJ-igibility shall be nadewithout regard to, or consideration of race, d9€,religion, color, gender, national origin, narital status,physical or rnental disability or other factor whichcannot be lawfully or appropriately used as basis forservice delivery, as specified under Title vI of thecivil Rights Act of 1964, as arnended i or the AmericansWith Disabilities Act of 1990. 11.4 PRoVIDER agrees to furnish Contract Administrator a copyof its Equal Employnent opportunity Policy andAffirmative Action Plan to be submitted with the firstinvoice. In L993, .The Board of county Commissioners enacted an ordinance updating the snal1 Disadvantaged Business EnterpriseAffirmative Action Progran (SDBEAAP), setting goals in all oo[rllTY procurement activity at the following levels: one Hundred and Fifty-Thousand (915o,ooo) Dollars or above in construction activity; Seventy-Five Thousand (S75,ooo) Doflars or above in totar contract varue for architecturar'/engineering and related activity; Fifty Thousand ($5o,ooo) Dollars or above in total contrlct valrie for all other activity. (This Agreement does not have assigned SDBE gToals for theutilization of eligible ninority or women business enterprises ) . The coIrNTf and PRoVIDm agrree, however, that contractor and vendor awards to Smal1 Disadvantaged Business Enterprises and Minority-Ma jority Joint ventures are crucial to the achievenent of COUIITY's SDBE participation objectives. In aneffort to assist CoUilTY in achieving its objectives for SDBE, PRo\iltDm. agrees to take affirnative act'ion. 11.7 PRovIDER shall submit an SDBE affin0ative action plan with thefirst invoice, relating to its utilization of SDBE firns,where possible, as contractors, subcontractors, vendors/suppliers. or as providers of professional services. CITY OF DANIA #095-113 L2 TY Itr L1.8 PRoVIDER understands that it is the responsibility of contractAdministrator and the office of sna11/uinority BusinessAffairs to nonitor compliance with the SDBEAAP. ARTTCLE XTI INDEI.{NIFTCATION CI"AUSE ARTICLE XITI DES IGNATED REPRESE}TTATIVES AND EIITPOWERMENT 1-3.L The Adninistrator for colrlflfY for this Agreement is theDirector of the Bureau of Children's Services, or desiqnee. PRo\i:tDER's representative responsible for the administrationof the piograro under this Agreement is the Title 13.2 The enpowered signator of this contract for PRo\i1IDER is the Certif ication of Enpowerment,hereof. as referenced in Exhibit B, attached hereto and nade a Part ARTICLE XIV INST'RANCE 14.L PRoVIDER is a self-insured entity. Any and all claims arising as a result of this Aglreement shal-l be processed through PROVIDER ' S Risk Iilanagement Of f ice. CITY OF DANIA #095-113 13 rY 1qt Any PRoVIDER that is a municipal corporation agrees to be fuLly responsible for its acts of negligence, or its agents acts of negligence lrhen acting within the scope of their employnent or agency, and agrees to b! liable for any damaqes resulting from saidnegligence. Nothing herein is intended to serve as a waiver of sovereign innunity by any PROWDER to which sovereign immunity nay be applicable. Nothing herein shall be construed as consent by a municipal corporation to be sued by third parties in any matterarising out of any contract. b) c) ARTTCLE XV AMENDMENTS,. ASSIGNMENTS 15.1 No modification, arnendment or alteration in the terms or conditions contai-ned herein shal1 be effective unlesscontained in a rdritten document executed with the sameformality and of equal dignity herewith. 15.2 PROVIDER shall not transfer or assignservices caLl,ed for in this Agreementwritten consent of COUXTY. the performance of without the Prior ARTICLE XVI WAIVER OR BREACH 16.1 Waiver or breach of any provj.sion of this Aqreement shall not be deemed to be a waiver of any other subsequent breach andshall not be construed to be a nodification of the tenns ofthis Agreenent. ARTTCLE XVII REPRESENTATIONS AND ACKNOWLEDGE}IENTS 17.1 PROVIDER represents to Colnffy that: a) There have been no irregularlties involving its management or employees that could have a naterial effecton PRo\rlfDER's operations or stabillty. The PRoVTDER has cornnitted no violations or possibleviolations of laws or regulations the effects of which should be considered by ooIrNIfY prior to entering intothis contract. There are no naterialproperly recorded indisclosed. transacti,ons that have not beenthe appropriate docunent(s) or d) Related party transactions and related arnounts receivableor payable have been properly recorded or disclosed. 17.2 PRoWDER acknowledges that: Infornation, guidance and technical assistance offered by contract Administrator, or any other staff, rrhether Irritten or verbal , in no way constitutes a guarantee of execution of this Agreenent by the Board of county Connissioners and should notbe relied upon as a basis for doing buslness, delivering CITY OF DANIA #096-113 l4 rY IE DRUG FREE WORKPLACE CERTIFICATION lS.L PRoVIDER certifies by neans of Exhibit c, Drug Free Workplace, pages 1 and 2 attachEd hereto and nade a part hereof ,. that it wiif proviae a drug free workplace progran and continue to nake i good faith lffort to maintain a drug free workplace progran 1s set forth in the Drug Free workplace Act, Section L72.0455, (Florida Statutes 1991) . service, expending financiaL resources reinbursernent or receipt of pa)rment. or expectation of ARTICLE XVIII ARTICLE XIX RENEGOTTATION19.1 The parties aqree to Gnegotiate this Agreement if revisions "i "i,v appliJable taw, iegulation or -increase/decrease in allocations Dake changes in this Aqreement necessary' ARTICLE XX GOVERNING I"AW AND VENUE 2o.1 This Agreement shall be governed, construed, and.controlled accordfng to the laws of the state of Elorida' Any "f"ir,oUj""tion or dispute arising out of the terms of this Agreenen€ shall be litigateal in the Seventeenth Judicial Court in and for Brolrard County, Florida. ARTICLE XXI SEVERABTLITY 21.1 Should any part, term or provision of this Agreemint be.by the courts aeliaea to ue invitid, iIlegaI or in conflict with any la!, of the state, the validity of the renaining portions or provisions shaIl not be affected thereby. CITY OF DATIA #096-113 15 FY ]g IN WITNESS WHEREOF, the parties hereto have made and executedthis Agreement on the resp-ctive dates under each signature: BROflARD C{)I,}lrf through its SbARD OF COT NTY COI,IMTSSTONERS, signing by and through the County A&linistrator, authorized to execute same by Board aciion on the - day of -, 19- and fnOvtOm., signing by and through its duly authorized to execute same. coulflfY ATTEST: witness APPROVED AS TO LEGAL FORI{: city Attorney (crTY sEAt ) CITY OF DANIA #096-113 Approved as to forrn and legalitY by office of county Attorney, Bioward county, Florida BROIIARD Cot,lffY, through its BROWARD COUNTY ADII{INISTRATOR JoHl{ J. coPEr,AN, JR. county Attorney Governmental center, Suite 423 115 south Andrews AvenueFort Lauderdale, Florida 33301 Telephone: (954) 357-7600 Telecopier: (954) 357-764L ByAssistant countY Attorney city Nane l.!ayor Print Name and Title city uanager city clerk 19_ PROVIDER - day of 16 rY EE county Administrator day of ---, L9- EXHIBIT A AIIIHORIZED INVOICE SIGNATORS Appearing below are sanples of signatures authorized by the CityManager of _, to siqn invoices Signature S i gnature Type Nane & Title Type Nane & Title STATE OF TTORIDA COI]ilTY OF The foregoing instrument was acknolrledged before me this day of L9 _, by (nane of person whose signature is being notarized) and (nane of person whose signature is being notarized) known to me to be the persons described herein. or who produced (type of identiflcation) as identification, and who did/did not take an oath. Notary My connission expires: crTy oF DANIA #096-113 L7 FY 1!5 BXIIIBIT B cmTIFICATIoil oF EI.IPOWERI,IEIIT I, , hereby certifY that: Typewritten Nane and Office L. I an duly authorized to sigrn this Aqreement between Brovrard county .rU by resolution of its City Council taking place on Date of Council Resolution. 2 It{y signature on this Aqreenent on behalf of the aqency bindsit to the Tern and Scope of Services and all other conditions appearing in this Agreement. That ny nane, office and enpowernent to bind are a natter of corporate record in the files of the Office of the Secretaryof State of Florida as required by Iaw. AlI infornation supplied by the agency appearing in this Agreenent or used in its development is accurate and true andI acknowledge that failure to supply accurate, truthful Lnformation nay resutt in tennination of the Agreement. 3 4. Slgmature Nr-o-(Print or Type ) Titl (Print or Type ) Date ( SEAL ) witness Sigmatures Nane (Print or Type ) signablre- Name (Print or Type ) Da CITY OF DANIA #096-113 18 Da FY IE sigmature- EXHfBITC-page1 DRUG FREE WORKPI.ACE CERTTFICATIOI{ The undersigrned vendor hereby certifies that it will provide adrug-free workplace progran b:y: (1) Publishing a statenent notifying its enployees that theunlarrful nanufacture, distribution, disienling,possession, or use of a controlled substance iiprohibited in the offeror,s workplace, and specifyingthe actions that will be taken alainsi enpfoiees io.'violations of such prohibition,. (2) Establishing a continuing drug-free arrareness programto inforn its enployees ilout i (r) (ii) The dangers of drug abuse in the workplace; The. offerorrs policy of naintaining a drug-freerrorkplace i Any.available drug counseling, rehabilitation, and enployeeasslstance prograns i and The penalties that nay be irnposed upon employees fordrug abuse vioLations occurr-ing in Lne woikplace; Giving alt .ernployees engaged in performance of thecontract a copy of the stiteruent- reguired bysubparagraph (1), (iii) (iv) (3) (4) (s) Notifying all enployees, in writingr, of the statenentrequired by subparagraph (1), that as a condition ofenplolment on a covered contract, the enployee shall: (r) (ii) Abide by the terns of the statement i and Notify the ernployer in writing of theenployee,s conviction under a crininal drugstatute for a violation occurring in theworkplace no later than 5 catendir days aftersuch conviction; l{otifying Broward County governnent in writing within10- calendar days qfter receiving notice undersuMivision ( 4 ) ( ii ) above, frora an enployee orotherwise receiving actual notice of sirch- conviction.The notice shall include the position title of theeroployee i l-9 Fy LsCITY OF DANIA #096-113 dal days after receiving notice under) ^ a conviction, takinq one of thens .rith respect to an employee who isdrug abuse violation occurring in the ropriate personnel action against,yee, up to and includingni or such employee to participaterily in a drug abuse assistance ortion program approved for suchy a federal , state, or 1ocalw enforcenent, or other appropriate d aith effort to naintain a drug-freeam through inplernentation of1) through (6). ( Vendor Signature ) (Print Vendor Nane) lent was acknowledged before ne this , 19-, by ;e sigmature is being notarized) _of (nane of corporation/conpany ) r person described herein, or who produced as identification, and who did/did:ion ) 3 20 FY IX EXIIIBIT DBoard of county Conmissioners, Broward county, Florida SIIALL/MINORITY BUSINESS AFFAIRS STiAT.L DISADVANTAGED BUSITESS ENTERPRISB PROGRA}I PERFIORIIIAIICE REPC,RT Reports of SDBE Participation Report No. Contract Title and No. : Prine Contractor Nane: Contact P€rson: Address: Telephone No. : Date: Name of SDBE r.irn Type of Work AgreedPrice 8 of work Completed IotalPrice Paid CITY OF DANIA #096-113 2T signature of Officer rY 19S' I BXIIIBIT E. PAGE 1 Scope of Service: (Reference Article II, Page 3) The PROVIDER agrees to provide approxinately 120scholarships for children to attend sunmer day camp from8:00 a.n. until 6:00 p.n. for eight (8) weeks. outcorle ,1: A11 participants sha1l be provided with asafe environment and supervised activities while enrolted inthe progran. outcone ,2: Participants in the sunmer camp prograra willdemonstrate a reduction in juvenile delinquency whileenrolled in the program. These outcomes will be measured through client attendancesheets. II. Definition of Servi.ce and Client Pooulation: Clients wilt consist of children living in the City of Dania whose parents have been determined to be unable to afford to send their children to canp. c.Client Case Files: The PROVIDBR agrees to maintainprofessi.onal standard updated case files on allclients. Fitres shaIl inctude, but not be linited to: nane, date of birth, entry date, statenent verifyingclient eliqibility for service, dates of service, exitdate and tine, and fo1low-up results. Assessment information, individual treatnent or case roanagenentplans and progress notes shalt be included in all case files fortherapeutic, residential , case nanagement, intervention, medicalor direct nursing servicee. CITY OF DATIA #096.113 22 Fv Ls IIf. Other Requirements for monitorino and evaluation: A. Statistical Dernographic Records: The PRo\EDER agreesto naintain (if applicable) infornation on overalLclient denographics tshich includes age, gender, race,ethnic origin, parental uarital status, educationlevels and status. PRoVIDER agrees to track overaLlclient household ineome, other benefits received, t]rpesof services provided and satisfaction survey results. B. Tracking Systen: The PRoyIDER agrees to naintain afornal Tracking System (if applicable) of all clientsreferred to and from program, identifying servicesreferred for, services received, unavailability ofserwices, and action taken by agency client lrasreferred to. D. fnternal Documentation: Daysr/hrs/sessions of day-care, afterschool care, orattendance in a day canp or sleep away caup. Personnel files including hiring records, job descriptions,policies, and evaluation - procedrlres . CLient file as required,. client registration form, healthform, i.mnunization record., energency contacts, and any otherpertinent inforroation Parent satisfaction surveys. CITY OF DANIA #095-113 23 FY ]!E EXHIBfT F. PAGE 1 ( invoice ) insert here CITY OF DANIA #096.113 24 rY l.5 EXIIIBIT F. PAGE 2 Eulan Senrices DeEEtlentr/Bureau of children's ServicesChildren's Serwices Sestion Instructiona for Contracted Services Invoice -- Forn 6o9c-12 (cost Reinbursement contracts ) PROWDER IIUST SI'BT{IT A }IO}ITIILY BT'DGEI REPIORI REELECIIXG ACTUAL EXPEIIDITT'RES TO lEB BI]DGEf,. 1. Legal nane/Iegal address of agency under contract with Broward County. 2. Agency's Federal Identification nuEber. 3. Agency's contract nuEber, as stated on title page of contract. 4. Nane of contracted program. 5. Funding category, i.e. continuingr, one-tine,/capital , one-tine natch,etc. -_6. Uonth and year for reimbursement request on1y. 7. lIaxinun annual contract dolLar amount, as stated in the contract. 8. Total cost of services provided this nonth. 9. List any client fees, 3rd party or nedicaid reinbursements collectedfor services provided by this Agreement. 10. Total anount of reirnbursenent requested for the nonth listed in nunbersix (5) above. 11. Total of reinbursenent requests Y-T-D ( including this invoice). L2. Comnents on utilization rate. 13. Certification: Legal nane of agency under contract with Broward county. L4. l{ame of authorized signator as stated in Exhibit B-1 of contract. 15. Title of authorized signator. 16. signature of person, as authorized in Exhibit B-1 of contract. "^.L? . Date invoice was signed by authorized sigmator. CITY OF DANIA #096-113 25 W1sfi EIOIIBIT F. PAGE 3 LINE ITEXII BUDGET Description Personnel ITCEAL: Cost s10. soo s]'O,5OO CITY OF DANIA ,096.113 26 FY ]S