R22-039 1 RESOLUTION R22- 039
2
3 A RESOLUTION OF THE CITY OF BOYNTON BEACH, FLORIDA,
4 APPROVING AND AUTHORIZING THE MAYOR TO SIGN THE ARPA
5 SUBRECIPIENT PARTNERSHIP AGREEMENT WITH FREEDOM SHORES
6 ELEMENTARY SCHOOL TO PURCHASE PROGRAMMABLE ROBOTS AND
7 MATERIALS FOR A ROBOTICS CLUB IN GRADES 3-5 IN THE AMOUNT
8 OF $8,000.00; AND PROVIDING AN EFFECTIVE DATE.
9
10 WHEREAS, the COVID-19 public health emergency has created negative economic
11 impacts across the globe, including disproportionate educational disparities within high-
12 poverty school districts; and
13 WHEREAS, The American Rescue Plan Act (ARPA) was signed into law on March 11,
14 2021 and established the US Department of Treasury Coronavirus State and Local Fiscal
15 Recovery Funds (CSLFRF); and
16 WHEREAS, the CSLFRF Final Rule, which is the governing document for use of ARPA
17 funds, identifies as eligible uses evidence-based services to address the academic, social,
18 emotional, and mental health needs of students; and
19 WHEREAS, On December 7, 2021, the Boynton Beach City Commission approved a
20 Master Spending Plan which allowed for funding assistance through direct allocation
21 subrecipient partnerships to Title 1 Schools in the City of Boynton Beach to address and
22 mitigate disproportionate educational disparities compounded by the COVID-19 public health
23 emergency; and
24 WHEREAS, the City Commission deems it to be in the best interest of the citizens and
25 residents to approve and authorize the Mayor to sign the ARPA Subrecipient Partnership
26 Agreement with Freedom Shores Elementary School to purchase programmable robots and
27 materials for a Robotics Club in Grades 3 — 5 in the amount of$8,000.00.
28 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF
29 BOYNTON BEACH, FLORIDA, THAT:
30 Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as
31 being true and correct and are hereby made a specific part of this Resolution upon adoption
32 hereof.
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33 Section 2. The City Commission of the City of Boynton Beach, Florida does hereby
34 authorize the Mayor to sign the ARPA Subrecipient Partnership Agreement with Freedom
35 Shores Elementary School to purchase programmable robots and materials for a Robotics Club
36 in Grades 3 — 5 in the amount of $8,000.00, a copy of the Agreement is attached hereto as
37 Exhibit "A".
38 Section 3. This Resolution will become effective immediately upon passage.
39 PASSED AND ADOPTED this 1st day of March, 2022.
40 CITY OF BOYNTON BEACH, FLORIDA
41 YES NO
42
43 Mayor—Steven B. Grant
44
45 Vice Mayor—Woodrow L. Hay
46
47 Commissioner—Justin Katz
48
49 Commissioner—Christina L. Romelus
50
51 Commissioner—Ty Penserga ✓
52
53 VOTE S�
54 ATTEST:
55
56 /� �,
57 C stal Gibson, MMC
58 City Clerk
59
60 (Corporate Seal)
S:\CA\RESO\Agreements\ARPA Subrecipient Agreement with Freedom Shores-Reso.docx
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FY 2021-2022 ARPA SUBRECIPIENT GRANT
AGREEMENT between CITY OF BOYNTON BEACH
and
THE SCHOOL BOARD OF PALM BEACH COUNTY, FLORIDA on behalf of
FREEDOM SHORES ELEMENTARY SCHOOL
THIS AGREEMENT entered into this 1st day of March, 2022 is between the CITY OF
BOYNTON BEACH, a Florida municipal corporation, hereinafter referred to as "CITY," and
"THE SCHOOL BOARD OF PALM BEACH COUNTY, FLORIDA on behalf of FREEDOM
SHORES ELEMENTARY SCHOOL". hereinafter referred to as "the SUBRECIPIENT," having its
principal office at 3366 Forest Hill Blvd. A 323, West Palm Beach, FL and its Federal Tax
Identification Number as 85-8013897253C-1.
WITNESSETH:
WHEREAS, the CITY has entered into an Agreement with the U.S. Treasury
Department for Coronavirus State and Local Fiscal Recovery Funds (CSLFRF) for the execution
and implementation the American Rescue Plan Act (ARPA) in the CITY, pursuant to the Interim
Final Rule of May 17, 2021, and the Final Rule, effective date April 1, 2022 (as amended); and
WHEREAS, the CITY desires to engage the SUBRECIPIENT to implement an
element of the Boynton Beach ARPA Master Spending Plan;
NOW, THEREFORE, in consideration of the mutual promises and covenants
contained herein, receipt of which is hereby acknowledged, the parties hereto agree as follows:
ARTICLE I
DEFINITION AND PURPOSE
1. Definitions
1.1 "ARPA" means American Rescue Plan Act.
1.2 "Treasury" means the U.S. Department of Treasury.
1.3 "OMB" means the Federal Office of Management and Budget.
1.4 "CFR" means the Code of Federal Regulations.
1.5 "2 CFR" refers to the Section of the Code of Federal Regulations pertaining to Grants
and Agreements.
1.6 "CSLFRF" means Coronavirus State and Local Fiscal Recovery Funds (also referred to
as ARPA funds).
1.7 "31 CFR 35.6" refers to the Section of the Code of Federal Regulations pertaining to the
Eligible Uses for Part 35, Subpart A— Coronavirus State and Local Fiscal Recovery
Funds.
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1.8 "Program Income" means gross income received directly generated or earned from the
use of ARPA funds. Program Income includes, but is not limited to, interest earned on
advances of federal funds or royalties received as a result of patents or copyrights
produced under this grant.
1.9 "Property" means any purchase of equipment or real property with CSLFRF funds must
be consistent with the Uniform Guidance at 2 CFR Part 200, Subpart D. Equipment and
real property acquired under this program must be used for the originally authorized
purpose in project budget detail.
a. "Real Property" means land, land improvements, structures, fixtures and
appurtenances thereto, excluding movable machinery and equipment.
b. "Personal Property" means personal property of any kind except real property.
c. "Nonexpendable Personal Property" means tangible (i.e., physical) personal property
of a non-consumable nature, with a value of$500 or more per item, with a normal
expected life of one or more years, not fixed in place, and not an integral part of a
structure, facility or another piece of equipment.
d. "Expendable Personal Property" means all tangible personal property other than
nonexpendable property.
1.10 "Subrecipient" means an entity, including but not limited to non-Federal entities, that
receives a subaward from a pass-through entity to carry out part of a Federal award; but
does not include an individual that is a beneficiary of such award. A subrecipient may
also be a recipient of other Federal awards directly from a Federal awarding agency.
2. Purpose
The purpose of this Agreement is to state the covenants and conditions under which the
SUBRECIPIENT will implement the Statement of Work set forth in Article II of this
agreement.
ARTICLE II
FUNDING AND BUDGET
The maximum amount payable by the CITY under this Agreement will be Eight Thousand Dollars
and 00/100($8,000.00). The SUBRECIPIENT shall carry out the activities specified in Attachment
A, "Scope of Services." This award is a subaward of CSLFRF funds and the SUBRECIPIENT
must comply with any and all requirements for use of CSLFR funds and reporting requirements
for expenditures of CSLFRF funds.
ARTICLE III
FUNDING AND METHOD OF PAYMENT
3.1 The maximum amount payable by the CITY under this Agreement will be Eight Thousand
Dollars and 00/100 ($8,000.00). It is expressly understood and agreed by the Parties that
the funds contemplated by this Agreement originated from federal ARPA funds and
funding is contingent upon approval and funding by the Boynton Beach City Commission.
SUBRECIPIENT agrees to reimburse CITY, in full, all funds remitted to SUBRECIPIENT
by CITY that do not comply with any and all requirements for use of ARPA funding.
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3.2 The CITY will be invoiced by the SUBRECIPIENT for eligible expenses on a
reimbursement basis, and will disburse payments once per quarter unless there is a
mutual written agreement otherwise. Bills shall be submitted by the SUBRECIPIENT at
least two weeks in advance and will be paid provided appropriate documentation and
status and beneficiary reports are attached to the invoice.
3.3 Payment by the CITY shall be contingent upon timely receipt of accurate and complete
reports and records required by this Agreement.
3.3 Prior to receipt of ARPA funds(through reimbursement), SUBRECIPIENT shall submit the
following documentation:
a. Quarterly Progress Report.
b. All back up original documentation relating to the expenditures for which payment
is sought.
3.4 Release of funds is subject to the approval of the ARPA Project Manager, Finance
Director, and/or City Manager.
ARTICLE IV
TERM OF AGREEMENT
The term of this Agreement shall be from October 1, 2021 to September 30, 2022.
ARTICLE V
SUSPENSION AND TERMINATION
5.1 Termination/Suspension of Payments/Agreement for Cause: If through any cause either
party shall fail to fulfill in timely and proper manner its obligations under this Agreement,
or if either party shall violate any of the covenants, agreements, or stipulations of this
Agreement, either party shall thereupon have the right to terminate this Agreement or
suspend payments in whole or in part by giving written notice of such termination or
suspension of payments and specify the effective date of termination or suspension.
If payments are withheld, the CITY shall specify in writing the actions that must be taken
by the SUBRECIPIENT as a condition precedent to resumption of payments and shall
specify a reasonable date for compliance. Sufficient cause for suspension of payments
shall include, but not be limited to:
a. ineffective or improper use of ARPA funds,
b. failure to comply with the Statement of Work or terms of this Agreement,
c. failure to submit reports as required,
d. submittal of materially incorrect or incomplete reports,
e. failure to comply with any additional conditions that may be imposed by the Treasury,
OMB, or CITY.
5.2 Termination for Convenience of City: The CITY may terminate this Agreement without
cause at any time by giving at least ten (10) working days' notice in writing to the
SUBRECIPIENT. If this Agreement is terminated by the CITY as provided herein, the
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SUBRECIPIENT will be paid for allowable services performed under Article II of this
Agreement until the effective date of the termination.
5.3 Termination for Convenience of the SUBRECIPIENT: At any time during the term of this
Agreement, the SUBRECIPIENT may, at its option and for any reason, terminate this
Agreement upon ten (10) working days written notice to the CITY. Upon termination, the
SUBRECIPIENT shall be paid for services rendered pursuant to this Agreement through
and including the date of termination.
ARTICLE VI
RECORDS AND REPORTS
6.1 The SUBRECIPIENT agrees to maintain and produce all business records related to use
of the subaward grant funds and related business expenditures from the time of grant
award through December 31, 2029.
6.2 The SUBRECIPIENT agrees to submit upon request other documentation which may later
be determined necessary to assure compliance with this Agreement.
ARTICLE VII
PROGRAM INCOME
The SUBRECIPIENT agrees to expend ARPA funds for the purpose outlined in Article I of this
Agreement. It is not anticipated that program income shall be generated from this allocation.
However, such income, if generated, may be retained by the SUBRECIPIENT and used for costs
that are in addition to the approved costs of this agreement, provided that such costs specifically
further the objectives of this agreement and are an eligible use under 31 CFR 35.6. Under no
circumstances shall the SUBRECIPIENT use program income to pay for charges or expenses
that are specifically not allowed pursuant to the terms of this agreement and applicable federal
regulations or rules. The use of program income by the SUBRECIPIENT shall comply with the
requirements set forth at 31 CFR 35.6 and must be pre-approved by the CITY.
ARTICLE VIII
PUBLICITY
The SUBRECIPIENT shall ensure that all publicity, public relations, advertisements and signs,
recognize the CITY and the ARPA Program for the support of all contracted activities. The use
of the official CITY logo is permissible, but all signs used to publicize CITY contracted activities
must be approved by the CITY prior to being posted.
ARTICLE IX
GENERAL CONDITIONS
9.1 Federal Office of Management and Budget Requirements: The SUBRECIPIENT shall
comply with requirements established by the Federal Office of Management and Budget
(OMB) concerning the Dun and Bradstreet Data Universal Numbering System (DUNS)
and System for Award Management (SAM) database, as set forth on 2 CFR Part 200,
and the Federal Accountability and Transparency Act, as set forth at 2 CFR Part 170.
9.2 Federal, State, County and CITY Laws and Regulations: The SUBRECIPIENT shall
comply with applicable provisions of applicable federal, state, County, and CITY laws,
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regulations and rules, including 2 CFR part 200, subpart E, OMB A-21, 2 CFR part 200,
subpart F.
The SUBRECIPIENT shall comply with Section 504 of the Rehabilitation Act of 1973, as
amended, which prohibits discrimination on the basis of handicap; Title VI of the Civil
Rights Act of 1964, as amended, which prohibits discrimination on the basis of race, color,
or national origin; the Age Discrimination Act of 1975, as amended, which prohibits
discrimination on the basis of age; Title VIII of the Civil Rights Act of 1968, as amended,
and Executive Order 11063 which prohibits discrimination in housing on the basis of race,
color, religion, sex, or national origin; Executive Order 11246, as amended which requires
equal employment opportunity; and with the Energy Policy, amended and Conservation
Act (Pub.L 94-163) which requires mandatory standards and policies relating to energy
efficiency.
The SUBRECIPIENT shall report its compliance with Section 504 of the Rehabilitation Act
whenever so requested by the CITY. The SUBRECIPIENT shall comply with all applicable
requirements of the Americans with Disabilities Act (ADA) of 1990, including, but not
limited to, those provisions pertaining to employment, program services, transportation,
communications, access to facilities, renovations, and new construction.
9.3 Other Program Requirements: The SUBRECIPIENT shall comply with all federal laws and
regulations pertaining to 31 CFR 35.6 Treasury Department Interim Regulations, Treasury
Department CSLFRF Frequently Asked Questions, and Treasury Department CSLFRF
Compliance and Reporting Guidance.
9.4 Opportunities for Residents and Civil Rights Compliance: The SUBRECIPIENT agrees
that no person shall on the grounds of race, color, national origin, religion, or sex be
excluded from the benefits of, or be subjected to, discrimination under any activity carried
out by the performance of this Agreement. To the greatest feasible extent, lower-income
residents of the project areas shall be given opportunities for training and employment;
and to the greatest feasible extent, eligible business concerns located in or owned in
substantial part by persons residing in the project areas shall be awarded contracts in
connection with the project.
9.5 Evaluation and Monitoring: The SUBRECIPIENT agrees that the CITY will carry out
periodic monitoring and evaluation activities as determined necessary and that the
continuation and/or renewal of this Agreement is dependent upon satisfactory evaluation
conclusions. Such evaluations will be based on the terms of this Agreement, comparisons
of planned versus actual progress relating to activity scheduling, budgets, audit reports,
and output measures. The SUBRECIPIENT agrees to furnish upon request to the CITY
and make copies of transcriptions of such records and information as is determined
necessary by the CITY. The SUBRECIPIENT shall submit on a schedule set by the CITY
and at other times upon request, information and status reports required by the CITY to
enable the evaluation of said progress and to allow for completion of reports required of
the CITY by the Treasury. The SUBRECIPIENT shall allow the CITY or the Treasury to
monitor its agency on site. Such site visits may be scheduled or unscheduled as
determined by the CITY or the Treasury. Ongoing monitoring of the SUBRECIPIENT will
be done through quarterly reporting from the SUBRECIPIENT to the City. Reporting
requirements will be based upon the SUBRECIPIENT'S risk assessment and in
compliance with the CSLFRF Compliance and Reporting Guidance and Uniform Guidance
2 CFR Part 200. Monitoring will include identification of deficiencies in meeting stated
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requirements in Article II of this agreement and follow-up to ensure appropriate
remediation.
9.6 Audits: Any non-federal agency and/or non-profit organization that expend $750,000 or
more annually in federal awards shall have a single or program specific audit conducted
accordance with 2 CFR 200, Subpart F. Non-federal agencies and/or nonprofit
organizations that expend less than $750,000 annually in federal awards shall be exempt
from an audit conducted in accordance with 2 CFR 200, Subpart F, although their records
must be available for review. These agencies are required by the CITY to submit"reduced
scope" audits (e.g., financial audits, performance audits). Each audit shall cover a time
period of not more than 12 months and an audit shall be submitted covering each assisted
period until all the assistance received from this agreement has been reported on. A copy
of the audit report must be received by the CITY no later than six months following each
audit period.
The SUBRECIPIENT shall maintain all records in accordance with generally accepted
accounting principles, procedures, and practices which shall sufficiently and properly
reflect all revenues and expenditures of funds provided directly or indirectly by the CITY
pursuant to the terms of this agreement.
9.7 Uniform Administrative Requirements: The SUBRECIPIENT agrees to maintain books,
records and documents in accordance with accounting procedures and practices which
sufficiently and properly reflect all expenditures of funds provided by the CITY under this
Agreement. The SUBRECIPIENT is required to comply with the following uniform
administrative requirements:
a. Specific provisions of the uniform administrative requirements of 2 CFR 200, Subpart
E — Cost Principles
b. OMB 2021 Compliance Supplement Addendum Final V2 (Audit Requirements).
c. Applicable provisions of 31 CFR 35.6.
9.8 Lobbying Prohibition: The SUBRECIPIENT shall certify that no federal appropriated funds
have been paid or will be paid, by or on behalf of the undersigned, to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress
in connection with the awarding of any federal Agreement, the making of any federal grant,
the making of any federal loan, the entering into of any cooperative Agreement, and the
extension, continuation, renewal, amendment, or modification of any federal Agreement,
grant, loan, or cooperative Agreement.
The SUBRECIPIENT shall disclose to the CITY if any funds other than federal
appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection
with this federal Agreement.
9.9 Insurance: The SUBRECIPIENT shall furnish to the CITY, do the ARPA Project Manager,
certificate(s) of current insurance coverage.
9.10 Property: All real property purchased in whole or in part with funds from this agreement
with the CITY, or transferred to the SUBRECIPIENT after being purchased in whole or in
part with funds from the CITY, shall be listed in the property records of the
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SUBRECIPIENT and shall include a legal description, size, date of acquisition, value at
time of acquisition, present market value, present condition, address or location, owner's
name if different from the SUBRECIPIENT, information on the transfer or disposition of
the property, and map. The property records shall describe the programmatic purpose for
which the property was acquired and identify the ARPA national objective that will be met.
If the property was improved, the records shall describe the programmatic purpose for
which the improvements were made and identify the ARPA national objective that will be
met.
All nonexpendable personal property purchased in whole or in part with funds from this
agreement with the CITY shall be listed in the property records of the SUBRECIPIENT
and shall include a description of the property, location, model number, manufacturer's
serial number, date of acquisition, funding source, unit cost at the time of acquisition,
present market value, property inventory number, information on its condition, and
information on transfer, replacement, or disposition of the property.
The SUBRECIPIENT shall obtain prior written approval from the CITY for the disposition
of real property, expendable personal property, and nonexpendable personal property
purchased in whole or in part with funds given to the SUBRECIPIENT pursuant to the
terms of this agreement. The SUBRECIPIENT shall dispose of all such property in
accordance with instructions from the CITY. Those instructions may require the return of
all such property to the CITY.
9.12 Reversion of Assets: The SUBRECIPIENT shall return to the CITY, upon expiration or
P
termination of this Agreement, all the assets owned or held as a result of this Agreement,
including, but not limited to any funds on hand, any accounts receivable attributable to
these funds, mortgages, notes, and other collateral and any overpayments due to
unearned funds or costs disallowed pursuant to the terms of this Agreement that were
disbursed to the SUBRECIPIENT by the CITY. The SUBRECIPIENT shall within 30 days
of expiration or termination of this Agreement execute any and all documents as required
by the CITY to effectuate the reversion of assets. Any funds not earned, as described and
provided for in 2 CFR 200, Subpart E, by the SUBRECIPIENT prior to the expiration or
termination of this Agreement shall be retained by the CITY.
9.13 Conflicts with Applicable Laws: If any provision of this agreement conflicts with any
applicable law or regulation, only the conflicting provision shall be deemed by the parties
hereto to be modified to be consistent with the law or regulation or to be deleted if
modification is impossible. However, the obligations under this agreement, as modified,
shall continue and all other provisions of this agreement shall remain in full force and
effect.
9.14 Renegotiation or Modification: Modifications of provisions of the agreement shall be valid
only when in writing and signed by duly authorized representatives of each party. The
parties agree to renegotiate this agreement if the CITY determines, in its sole and absolute
discretion, that federal, State and/or CITY revisions of any applicable laws or regulations,
or increases or decreases in budget allocations make changes in this agreement
necessary.
9.15 Right to Waive: The CITY may, for good and sufficient cause, as determined by the CITY
in its sole and absolute discretion, waive provisions in this agreement or seek to obtain
such waiver from the appropriate authority. Waiver requests from the SUBRECIPIENT
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shall be in writing. Any waiver shall not be construed to be a modification of this
agreement.
9.16 Disputes: In the event an unresolved dispute exists between the SUBRECIPIENT and
the CITY, the CITY shall refer the questions, including the views of all interested parties
and the recommendation of the CITY, to the City Manager for determination. The City
Manager, or an authorized representative, will issue a determination within 30 calendar
days of receipt and so advise the CITY and the SUBRECIPIENT, or in the event additional
time is necessary, the CITY will notify the SUBRECIPIENT within the 30 day period that
additional time is necessary. The SUBRECIPIENT agrees that the City Manager's
determination shall be final and binding on all parties.
9.17 Indemnification: SUBRECIPIENT acknowledges the waiver of sovereign immunity for
liability in tort contained in Florida Statutes Section 768.28, the State of Florida's partial
waiver of sovereign immunity, and acknowledges that such statute permits actions at law
to recover damages in tort for money damages up to the limits set forth in such statute for
death, personal injury or damage to property caused by the negligent or wrongful acts or
omissions of an employee acting within the scope of the employee's office or
employment. To the extent and limits of §768.28, Florida Statutes, SUBRECIPIENT will
indemnify and be responsible for and hold CITY harmless from and against any and all
claims, damages, costs, and expenses caused by its negligent or intentional acts, any
copyright violations or arising out of the breach of this contract. Notwithstanding the
forgoing, this provision is not intended to serve or constitute (i) an agreement by
SUBRECIPIENT to indemnify CITY for its own negligence; (ii) a waiver of sovereign
immunity by SUBRECIPIENT; (iii) a waiver of any defense SUBRECIPIENT may have
under such statute; (iv) the consent of SUBRECIPIENT or its officers, employees to be
sued; or (v) a waiver of sovereign immunity of the State of Florida beyond the waiver
provided in Section 768.28 of the Florida Statutes.
If SUBRECIPIENT uses a subcontractor, SUBRECIPIENT shall, by written contract,
require its subcontractors to agree to the requirements and obligations of this Section 9.17.
9.18 Public Records: SUBRECIPIENT shall comply with all public records laws in accordance
with Chapter 119, Fla. Stat. In accordance with state law, SUBRECIPIENT agrees to:
a) Keep and maintain all records that ordinarily and necessarily would be required by
the CITY.
b) Provide the public with access to public records on the same terms and conditions
that the CITY would provide for the records and at a cost that does not exceed the
costs provided in Chapter 119, Fla. Stat. or as otherwise provided by law.
c) Ensure that public records that are exempt or confidential and exempt from public
records disclosure are not disclosed except as authorized by law.
d) Meet all requirements for retaining public records and transfer, at no cost, to the
CITY all records in possession of the SUBRECIPIENT at the termination of the
contract and destroy any public records that are exempt or confidential and exempt
from public records disclosure requirements. All records stored electronically must
be provided to the CITY in a format that is compatible with the information
technology systems of the CITY. All records shall be transferred to the CITY prior
to final payment being made to the SUBRECIPIENT.
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e) If SUBRECIPIENT does not comply with this section, the CITY shall enforce the
contract provisions in accordance with the contract and may unilaterally cancel this
contract in accordance with state law.
9.19 Inspector General:
SUBRECIPIENT is aware that the Inspector General of Palm Beach County has the
authority to investigate and audit matters relating to the negotiation and performance of
this Agreement, and may demand and obtain records and testimony from
SUBRECIPIENT. SUBRECIPIENT understands and agrees that in addition to all other
remedies and consequences provided by law, the failure of SUBRECIPIENT to fully
cooperate with the Inspector General when requested may be deemed by the CITY to be
a material breach of this Agreement.
IN WITNESS OF THE FOREGOING, the parties have set their hands and seals on this
day of , 20 .
WITNESSES:
By:
Print
Title
Print
STATE OF FLORIDA
COUNTY OF PALM BEACH
The foregoing instrument was acknowledged before me this day of , 20 ,
by
Personally Known _ OR Produced Identification Type of Identification Produced
Seal NOTARY PUBLIC
Signature
Print
ATTEST: CITY OF BOYNTON BEACH, FLORIDA
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