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Home My WebLink AboutCALIFORNIA, STATE OF EMPLOYMENT DEVELOPMENT DEPARTMENT (2)Return ORIGINAL -2019- executed copy tol o7/1aiJ j�- 070-OZC STATE OFCALIFORNIA- DEPARTMENT OFGENERALSERVICES M-30 STANDARD AGREEMENT AGREEMENT NUMBER PURCHASING AUTHORITY NUMBER (it Applicable STD213(Rev.03/2019) M52226-7100 EDD-7100 c; 1. This Agreement Is entered into between the Contracting Agency and the Contractor named below: �I CONTRACTING AGENCY NAME c _ Employment Development Department CONTRACTOR NAME City of Santa Ana 2. The term of this Agreement is: STARTDATE July 1, 2020, or upon final approval THROUGH END DATE June 30,2022 3. The maximum amount of this Agreement Is: $77,000.00 Seventy -Seven Thousand Dollars and No Cents 4. The parties agree to comply with the terms and conditions of the following exhibits, which are by this reference made a parr of the An.cemn r EXHIBITS TITLE - PAGES Exhibit Scope of Work 1 ExhibltB Budget Detail and Payment Provisions 2 Exhibit&1 Budget Detail i Exhibit " General TennsandConditlons GTC04/2017 Exhibit Special Terms and Conditions 1 Iremcchnwnwlrh nnn0od&101nenhnmhu —1 ------ These documents can be viewedathMaE&/5 w.dgs.cag2v/0CS/Resources IN WITNESS WHEREOF, THiSAGREEMENT HASBEEN EXECUTED BY THE PARTIES HERETO. CONTRACTOR CONTRACTOR NAME (if otherthan an Individual, state whether a corporation, partnership, etc.) City of Santa Ana CONTRACTOR BUSINESS ADDRESS SLATE ZIP CITY 801 W. Civic Center Drive, Suite #200 Santa Ana CA 92701 PRIWED NAME OF PERSON SIGNING TIRE Kristine Ridge City Manager CONTRACTOR AUTHORIZED SIGNATURE nas aremn c64¢ or THE C �ICIL fLj%' Daisy Gomez, Clerk of the Council APPROVED AS TO FORM RECOMMENDED FOR APPROVAL: - l e' a /7 �— J `, -- ---- ODGE Steven A. Mendoza Attorney Community Development Executive Director Paqe 1 of 2 STATE OF CALIFORNIA - DEPARTMENT OF GENERAL SERVICES STANDARD AGREEMENT STD 213 (Rev. 03/2019) CONTRACTING AGENCY NAME Employment Development Department AGREEMENTNUMBER PURCHASING AUTHORITY 'NUMBER (if Applicable) M52226-7100 1 EDD-7100 CONTRACTING AGENCYADDRESS Capitol Mall, MIC 62-C CITY Sacramento STATE A IP722 5814 PRINTED NAME OF PERSON SIGNING i1RE Andrea Clayton Chief, Contracts Section CONTRACTING AGENCY AUTHORIZED SIGNATURE DATE SIGNED CAUFORNIA DEPARTMENT OF GENERAL SERVICES AP VAL E%EMP LION OfAppllcabfe) SCM Vol.1, 5.80 (B)(2)(d) Paqe 2 of 2 EDD Contract No. M52226-7100 EDD/City of Santa Ana Page 1 of 1 EXHIBIT A (Standard Agreement) SCOPE OF WORK 1. Purpose This Agreement Is entered Into by and between the Employment Development Department, hereinafter referred to as EDD, and the City of Santa Ana, hereinafter referred to as the Contractor, for the purpose of reimbursing the Contractor for EDD's share of the operating costs at the Santa Ana America's Job Centers of California (AJCC) One -Stop located at 801 W. Civic Center Drive, Suite 200, Santa Ana, CA 92701. See the budget details that are outlined in Attachment B-1, Budget Detail. The EDD is co -located at this site under the Workforce Innovation and Opportunity Act (WIOA), Memorandum of Understanding (MOU), Infrastructure Funding Agreement (IFA) mandate. 2. Services To Be Provided EDD agrees to provide workforce development services to individuals whom EDD determines to be eligible for such services, and for whom such services are necessary and appropriate, consistent with federal and state law. This Contract will reimburse the following co -location costs: rent, utilities, maintenance, telecommunications, security, equipment, information technology services and access costs. 3. Contract Administrators Employment Development Department City of Santa Ana Name: Rhonda Wooten-Savino Name: Deborah Sanchez Title: EPM II Title: Executive Director Address: 801 W. Civic Center#200 Address: 801 W. Civic Center#200 Santa Ana CA 92701 Santa Ana CA 92701 Phone: 714 565-2680 Phone: 714 765-2621 Fax 714 449-2111 Fax: 714 565-2602 Email: rhonda.wooten edd.ca. ov Email: DSanchez santa-ana.or EDD Contract No. M52226-7100 EDD/City of Santa Ana Page 1 of 2 EXHIBIT B (Standard Agreement) BUDGET DETAIL AND PAYMENT PROVISIONS 1. Invoicing and Payment The total dollar amount of this Agreement shall not exceed Seventy -Seven Thousand Dollars and No Cents ($77,000.00) 2. Upon satisfactory completion of the work to be performed, an invoice, in triplicate, in arrears shall be submitted no more frequently than quarterly to the address shown below, for processing. Employment Development Department 801 W. Civic Center Santa Ana, CA 82701 Attn: Rhonda Wooten-Savino The invoice must reference the following: • The EDD Contract Number M52226-7100 • Identifies services (non -IT) provided, service period, unit price (i.e. hourly, monthly), and quantity applicable to the service • Accurate billing address as stated on the purchase order or contract • Supplier invoice date • Company name and remittance address 3, Budget Contingency Clause It is mutually understood between the parties that this Agreement may have been written before ascertaining the availability of congressional and legislative appropriation of funds, for the mutual benefit of both parties, in order to avoid program and fiscal delays which would occur if the Agreement were executed after that determination was made. This Agreement is valid and enforceable only if (1) sufficient funds are made available by the State Budget Act of the appropriate State Fiscal Year(s) covered by this Agreement for the purposes of this program; and (2) sufficient funds are made available to the State by the United States Government or by the State of California for the Fiscal Year(s) covered by this Agreement for the purposes of this program. In addition, this Agreement is subject to any additional restrictions, limitations or conditions established by the United States Government and/or the State of California, or any statute enacted by the Congress and Legislature, which may affect the provisions, terms or funding of the Agreement in any manner. The parties mutually agree that if the Congress and/or Legislature does not appropriate sufficient funds for the program, this Agreement shall be amended to reflect any reduction in funds. The EDD has the option to terminate the Agreement under the 30-day termination clause or to amend the Agreement to reflect any reduction of funds.. EDD Contract No. M52226-7100 EDD/City of Santa Ana Page 2 of 2 EXHIBIT B (Standard Agreement) 4. California Prompt Payment Clause Payment will be made in accordance with, and within the time specified in, Government Code Chapter 4.5, commencing with section 927. EDD Contract No. M52226-7100 EDD/City of Santa Ana Page 1 of 1 ATTACHMENT B-1 (Standard Agreement) BUDGET DETAIL Santa Ana Workforce Development Board AJCC Comprehensive Infrastructure Budget, and Other System Cost Budget EDD FY 2020-2021 and FY 2021-2022 TOW costs Sir Ft i:- Pertenlop T �' Total c Costs Monthly a A w• Property 4 Rant Rent Monthly x12 Yearly x 2 Incl. Janitorial, Malnt and Base Rent Utilities $42,506.20 Operational Cost 2%of Rent Management Fee 1,76%of Rent Total Rent $42,606.25 Uti lilies%Mat�if7Service Montillycostso Dia Tone and Voice Mall Telephone Services Per Person Assigned $42,508.20 $607.60 $9,690.00 $19,380,00 Shared Phones by usage persentage $92.61 $1,111.32 $2222.64 Security Guard (Annual) $1,821.53 $21,868.36 $43,716.72 Total Utl0tles/Maintenance $2,721.64 $32.669.68 $65,319.36 EquipmeriY„ : . Annual Support Cast .0 3 . 4 7.99 $856.97 Total Equipment .$21,478.97 $35.67 $427.99 $855.97 Te6nology and (Amiss costs ' Information Technology Cost Wireless Network Bridge Per Month (Annual) Maintenance $53.93 $647.16 $1,294.33 Resource Room used -by ***Copiers Annual clients $47.38 $568.56 $1,137,12 r pj o staff only $30.47 $365.60 $731.20 Total Technology and Access $0.00 $0.00 $131.78 $1,581.33 $3,162.65 Total Yearly $34,668.99 $69,337.99 10% Increase for 20/21 and 21/22 $144.45 $1,733.46 $3,466.90 Infrastructure Total $63,985A71 $42,506.20 1jp s5,t�6 7 $ Additional usages charges for copiers $2,097.56 $4,195.12 Tota12020.2021 ar7d2021-2022% ***Copiers are leased equipment and are charged by percentage. Additional charge for image will be calculated and charged 1:52 PM EDD Contract No. M52226-7100 EDDICIty of Santa Ana Page 1 of 1 EXHIBIT D (Standard Agreement) SPECIAL TERMS AND CONDITIONS 1. Force Majeure Neither party shall be liable to the other for any delay in or failure of performance, nor shall any such delay in or failure of performance constitute default, if such delay or failure is caused by "Force Majeure." As used in this section, "Force Majeure" is defined as follows: Acts of war (e.g., riots and strikes) and acts of God (e.g„ such as earthquakes, floods, and other natural disasters) such that performance is impossible. 2. Workforce Innovation and Opportunity Act Contractor agrees to conform to nondiscrimination provisions of the Workforce Innovation and Opportunity Act (WIOA) and other federal nondiscrimination requirements as referenced in 29 C.F.R., Parts 37 and 38. 3. Settlement of Disputes Any dispute concerning a question of fact arising under the term of this Agreement which is not disposed of within a reasonable period of time (ten days) by the Contractor and State employees normally responsible for the administration of this contract shall be brought to the attention of the Chief Executive Officer (or designated representative) of each organization for joint resolution. 4. Termination This Agreement may be terminated by EDD giving written notice to the Contractor 30 days prior to the effective date of such termination. A'rTUr. APPWVED AS TO FORM CLERK OF T14E COUNCIL 7 Dais GomezMMC Ig a CCC 04/201 Y , AN . HODG Clerk of the Council s istant ity Attorney CERTIFICATION I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind the prospective Contractor to the clause(s) listed below. This certification is made under the laws of the State of California. Contractor/Bidder Firm Name (Printed) Federal ID Number C : At� o� JC .>o Ans q C5 ooD 485 By (Authorized Signatxare) _ J Printed Name and Title of Person Signing Date Executed Executed in the -County of l �l T /%U�(J CONTRACTOR CERTIFICATION CLAUSES 1. STATEMENT OF COMPLIANCE: Contractor has, unless exempted, complied with the nondiscrimination program requirements. (Gov. Code § 12990 (a-f) and CCR, Title 2, Section 11102) (Not applicable to public entities,) 2, DRUG -FREE WORKPLACE REQUIREMENTS: Contractor will comply with the requirements of the Drug -Free Workplace Act of 1990 and will provide a ding -free workplace by taking the following actions: a, Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations. b. Establish a Drug -Free Awareness Program to inform employees about: 1) the dangers of drug abuse in the workplace; 2) the person's or organization's policy of maintaining a drug -free workplace; 3) any available counseling, rehabilitation and employee assistance programs; and, 4) penalties that may be imposed upon employees for drug abuse violations. c. Every employee who works on the proposed Agreement will: 1) receive a copy of the company's drug -free workplace policy statement; and, 2) agree to abide by the terms of the company's statement as a condition of employment on the Agreement. Failure to comply with these requirements may result in suspension of payments under the Agreement or termination of the Agreement or both and Contractor may be ineligible for award of any future State agreements if the department determines that any of the following has occurred: the Contractor has made false certification, or violated the certification by failing to carry out the requirements as noted above. (Gov. Code §8350 et seq.) 3. NATIONAL LABOR RELATIONS BOARD CERTIFICATION: Contractor certifies that no more than one (1) final unappealable finding of contempt of court by a Federal court has been issued against Contractor within the immediately preceding two-year period because of Contractor's failure to comply with an order of a Federal court, which orders Contractor to comply with an order of the National Labor Relations Board. (Pub. Contract Code §10296) (Not applicable to public entities.) 4. CONTRACTS FOR LEGAL SERVICES $50 000 OR MORE- PRO BONG REQUIREMENT: Contractor hereby certifies that Contractor will comply with the requirements of Section 6072 of the Business and Professions Code, effective January 1, 2003. Contractor agrees to make a good faith effort to provide a minimum number of hours of pro bono legal services during each year of the contract equal to the lessor of 30 multiplied by the number of full time attorneys in the firm's offices in the State, with the number of hours prorated on an actual day basis for any contract period of less than a full year or 10% of its contract with the State. Failure to make a good faith effort may be cause for non -renewal of a state contract for legal services, and may be taken into account when determining the award of future contracts with the State for legal services. 5. EXPATRIATE CORPORATIONS: Contractor hereby declares that it is not an expatriate corporation or subsidiary of an expatriate corporation within the meaning of Public Contract Code Section 10286 and 10286.1, and is eligible to contract with the State of California. 6. SWEATFREE CODE OF CONDUCT: a. All Contractors contracting for the procurement or laundering of apparel, garments or corresponding accessories, or the procurement of equipment, materials, or supplies, other than procurement related to a public works contract, declare under penalty of perjury that no apparel, garments or corresponding accessories, equipment, materials, or supplies furnished to the state pursuant to the contract have been laundered or produced in whole or in part by sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor, or with the benefit of sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor. The contractor further declares under penalty of perjury that they adhere to the Sweatfree Code of Conduct as set forth on the California Department of Industrial Relations website located at www.dir.ca.gov and Public Contract Code Section 6108. b. The contractor agrees to cooperate fully in providing reasonable access to the contractor's records, documents, agents or employees, or premises if reasonably required by authorized officials of the contracting agency, the Department of Industrial Relations, or the Department of Justice to determine the contractor's compliance with the requirements under paragraph (a). 7. DOMESTIC PARTNERS: For contracts of $100,000 or more, Contractor certifies that Contractor is in compliance with Public Contract Code section 10295.3. 8. GENDER IDENTITY: For contracts of $100,000 or more, Contractor certifies that Contractor is in compliance with Public Contract Code section 10295.35. DOING BUSINESS WITH THE STATE OF CALIFORNIA The following laws apply to persons or entities doing business with the State of California. L CONFLICT OF INTEREST: Contractor needs to be aware of the following provisions regarding current or former state employees. If Contractor has any questions on the status of any person rendering services or involved with the Agreement, the awarding agency must be contacted immediately for clarification. Current State Employees (Pub. Contract Code § 10410): 1). No officer or employee shall engage in any employment, activity or enterprise from which the officer or employee receives compensation or has a financial interest and which is sponsored or funded by any state agency, unless the employment, activity or enterprise is required as a condition of regular state employment. 2). No officer or employee shall contract on his or her own behalf as an independent contractor with any state agency to provide goods or services. Former State Employees (Pub. Contract Code § 10411): 1). For the two-year period from the date he or she left state employment, no former state officer or employee may enter into a contract in which he or she engaged in any of the negotiations, transactions, planning, arrangements or any part of the decision -making process relevant to the contract while employed in any capacity by any state agency, 2). For the twelve-month period from the date he or she left state employment, no former state officer or employee may enter into a contract with any state agency if he or she was employed by that state agency in a policy -making position in the same general subject area as the proposed contract within the 12-month period prior to his or her leaving state service. If Contractor violates any provisions of above paragraphs, such action by Contractor shall render this Agreement void. (Pub. Contract Code § 10420) Members of boards and commissions are exempt from this section if they do not receive payment other than payment of each meeting of the board or commission, payment for preparatory time and payment for per diem. (Pub. Contract Code § 10430 (e)) 2, LABOR CODE/WORI{ERS' COMPENSATION: Contractor needs to be aware of the provisions which require every employer to be insured against liability for Worker's Compensation or to undertake self-insurance in accordance with the provisions, and Contractor affirms to comply with such provisions before commencing the performance of the work of this Agreement. (Labor Code Section 3700) 3. AMERICANS WITH DISABILITIES ACT: Contractor assures the State that it complies with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on the basis of disability, as well as all applicable regulations and guidelines issued pursuant to the ADA. (42 U.S.C. 12101 et seq.) 4. CONTRACTOR NAME CHANGE: An amendment is required to change the Contractor's name as listed on this Agreement. Upon receipt of legal documentation of the name change the State will process the amendment. Payment of invoices presented with a new name caimot be paid prior to approval of said amendment. 5. CORPORATE QUALIFICATIONS TO DO BUSINESS IN CALIFORNIA: a. When agreements are to be performed in the state by corporations, the contracting agencies will be verifying that the contractor is currently qualified to do business in California in order to ensure that all obligations due to the state are fulfilled. b. "Doing business" is defined in R&TC Section 23101 as actively engaging in any transaction for the purpose of financial or'pecuniary gain or profit. Although there are some statutory exceptions to taxation, rarely will a corporate contractor performing within the state not be. subject to the franchise tax. c. Both domestic and foreign corporations (those incorporated outside of California) must be in good standing in order to be qualified to do business in California. Agencies will determine whether a corporation is in good standing by calling the Office of the Secretary of State. 6. RESOLUTION: A county, city, district, or other local public body must provide the State with a copy of a resolution, order, motion, or ordinance of the local governing body which by law has authority to enter into an agreement, authorizing execution of the agreement. 7. AIR OR WATER POLLUTION VIOLATION: Under the State laws, the Contractor shall not be: (1) in violation of any order or resolution not subject to review promulgated by the State Air Resources Board or an air pollution control district; (2) subject to cease and desist order not subject to review issued pursuant to Section 13301 of the Water Code for violation of waste discharge requirements or discharge prohibitions; or (3) finally determined to be in violation of provisions of federal law relating to air or water pollution. 8. PAYEE DATA RECORD FORM STD 204: This form must be completed by all contractors that are not another state agency or other governmental entity. STATE OF CALIFORNIA DARFUR CONTRACTING ACT CERTIFICATION DOS PD 1 (Rev. 12/19) DEPARTMENT OF GENERAL SERVICES PROCUREMENT DIVISION Public Contract Code Sections 10475 -10481 applies to any company that currently or within the previous three years has had business activities or other operations outside of the United States. For such a company to bid on or submit a proposal for a State of California contract, the company must certify that it is either a) not a scrutinized company; or b) a scrutinized company that has been granted permission by the Department of General Services to submit a proposal. If your company has not, within the previous three years, had any business activities or other operations outside of the United States, you do not need to complete this form. OPTION #1 - CERTIFICATION If your company, within the previous three years, has had business activities or other operations outside of the United States, in order to be eligible to submit a bid or proposal, please insert your company name and Federal ID Number and complete the certification below, I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that a) the prospective proposer/bidder named below is not a scrutinized company per Public Contract Code 10476; and b) i am duly authorized to legally bind the prospective proposer/bidder named below. This certification is made under the laws of the State of California. CompanyWendor Name (Printed) / IFederal ID Number 11 By (Authorized Signature) / \� IDate Printed Name and Title of Prison Signing OPTION #2 — WRITTEN PERMISSION FROM DGS Pursuant to Public Contract Code Section 10477(b), the Director of the Department of General Services may permit a scrutinized company, on a case -by -case basis, to bid on or submit a proposal for a contract with a state agency for goods or services, if it is in the best interests of the state. If you are a scrutinized company that has obtained written permission from the DGS to submit a bid or proposal, complete the information below. Page 1 of 2 We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the Department of General Services to submit a bid or proposal pursuant to Public Contract Code section 10477(b). A copy of the written permission from DGS is included with our bid or proposal. CompanyNendorName (Printed) By (Authorized Signature) Date Printed Name and Title of ID Number Page 2 of 2 STATE OF CALIFORNIA AGREEMENT SUMMARY STD 215 (Rev. 08/2017) CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED AGREEMENT NUMBER AMENDMENTNUMBER M52226-7100 1. CONTRACTOR'S NAME 2. FEDERAL I.D. NUMBER City of Santa Ana 95-6000785 3. AGENCY TRANSMITTING AGREEMENT 4. DIVISION, BUREAU, OR OTHER UNIT 6. AGENCY BILLING CODE Employment Development Department BOPSD/Contract Services Group 23336 Be. CONTRACT ANALYST NAME 6b. EMAIL 6c. PHONE NUMBER Wanda Yanez wanda.yanez@edd.ca.gov (916) 654-0075 7. HAS YOUR AGENCY CONTRACTED FOR THESE SERVICES BEFORE? O✓ No n Yes (BYes, enterprior ContradorName and Agreement Number) PRIOR CONTRACTOR NAME PRIOR AGREEMENT NUMBER 8. BRIEF DESCRIPTION OF SERVICES Co -location reimbursement 9. AGREEMENT OUTLINE (Include reason torAgreement Identity, specific problem, administrative requirement, program need or other circumstances making the Agreement necessary; Include special or unusual terms and conditions) The purpose of reimbursing the Contractor for EDD's share of operating costs at the Santa Ana America's Job Centers of California (AJCC) One -Stop located at 801 W. Civic Center Drive, #200, Santa Ana, CA 92701. 10. PAYMENT TERMS (More than one may apply) Monthly Flat Rate Quarterly 0 Itemized Invoice Withhold % Reimbursement/Revenue Other (Explain) 11. PROJECTED EXPENDITURES One -Time Payment Progress Payment Advanced Payment Not To Exceed or % FUND TITLE ITEM FISCAL YEAR CHAPTER STATUTE PROJECTED EXPENDITURES UA 7100-001-0870 20/21 006 2020 $38,500.00 UA 7100-001-0870 20/22 2021 $38,500.00 OBJECT CODE AGREEMENTTOTAL $77,000.00 OPTIONAL USE 2020/2021-205/500-00420-962 $38,500.00 2021/2022-205/500-00420-962 $38,500.00 AMOUNT ENCUMBERED BY THIS DOCUMENT $77,000.00 PRIOR AMOUNT ENCUMBERED FOR THIS AGREEMENT I certify upon my own personal knowledge that the budgeted funds for the current budget year are available for the period and purpose of the expenditure stated above. TOTAL AMOUNT ENCUMBERED TO DATE $77,000.00 A COUNTING FFICER_ S SIGNATURE `fvwf_\ ACCOUNTING OFFICER'S NAME (Print or Type) rvlu ��Z DATE SIGNED 1CjT 2� Z,0 MLMA Page 1 of 3 STATE OF CALIFORNIA AGREEMENT SUMMARY STD 215 (Rev. 08/2017) 12. AGREEMENT NUMBER M52226-7100 AMENDMENT NUMBER AGREEMENT TERM FROM TERM THROUGH TOTAL COST OF THIS TRANSACTION BID, SOLE SOURCE, EXEMPT Original 7/1/2020 6/30/2022 $77,000.00 Exempt Amendment 1 Amendment TOTAL $77,000.00 13. 61UUINU METHUD USED ❑ Request for Proposal (RFP) (Attach justification if secondary method is used) ❑ Use of Master Service Agreement ❑ Invitation for Bid (IFB) 0 Exempt from Bidding (Give authority for exempt status) ❑ Sole Source Contract (Attach STD. 821) 0 Other (Explain) SCM Vol. 1 5.80 (B) (2)(d) co -location Note: Proof of advertisement in the State Contracts Register or an approved form STD. 821, Contract Advertising Exemption Request, must be attached 14. SUMMARY OF BIDS (List of bidders, bid amount and small business status) (if an amendment, sole source, or exempt, leave blank) 15. IF AWARD OF AGREEMENT IS TO OTHER THAN THE LOWER BIDDER, EXPLAIN REASON(S) (If an amendment, sole source, or exempt, leave blank) 16. WHAT IS THE BASIS FOR DETERMINING THAT THE PRICE OR RATE IS REASONABLE? Exempt- co -location 17a. JUSTIFICATION FOR CONTRACTING OUT (Check one) ❑Contracting out is based on cost savings per Government Code Contracting out Is Justified based on Government Cade 19130(b). When this box 19130(a). The State Personnel Board has been so notified. Z is checked, a completed JUSTIFICATION - CALIFORNIA CODE OF REGULATIONS, TITLE 2, SECTION 547.60 must be attached to this document. ❑ Not Applicable (Interagency I Public Works! Other) 17b. EMPLOYEE BARGAINING UNIT NOTIFICATION ❑✓ By checking this box, I hereby certify compliance with Government Code section 19132(b)(1). AUTHORIZED SIGNATURE A � SIGNER'S NAME (Print or Type) Andrea Clayton run AUKEEMEN I S IN EXCESS Ol-000: Has the letting of the agreement been reported to the Department of Falklmployment and Housing? ❑ No 0 Yes ❑ N/A HAVE CONFLICT OF INTEREST ISSUES BEEN IDENTIFIED AND RESOLVED AS REQUIRED BY THE STATE CONTRACT MANUAL SECTION 7.107 ❑ No ❑ Yes Q N/A 20. FOR CONSULTING AGREEMENTS: Did you review any contractor evaluations on file with the DGS Legal Office? ❑ None on file ❑ No ❑ Yes 0 NIA 21. IS A SIGNED COPY OF THE FOLLOWING ON FILE AT YOUR AGENCY FOR THIS CONTRACTOR? A. Contractor Certification Clauses B. STD 204 Vendor Data Record ❑ No ❑✓ Yes ❑ NIA ❑ No Q Yes ❑ N/A 24, ARE DISABLED VETERANS BUSINESS ENTERPRISE GOALS REQUIRED? (if an amendment, explain changes if any) ❑,/ No (Explain below) ❑ Yes Exempt SIGNED REQUIRED ESOL IONS f u IMSZ v ARE ATTACHED ❑ No ❑ Yes ❑✓ NIA IS THIS A SMALL BUSINESS AND)( A DISABLED VETERAN BUSINESS CERTIFIED BY DGS? Q No ❑ Yes SBIDVBE Certification Number: % of Agreement 25. IS THIS AGREEMENT (WITH AMENDMENTS) FOR A PERIOD OF TIME LONGER THAN THREE YEARS? Q No ❑ Yes (If Yes, provide justification below) 1 certify that al) copies of the referenced Agreement will conform to the original agreement sent to the Department of General Services. ITLE (Print or Type) Yanez/AGPA Page 2 of 3 STATE OF CALIFORNIA AGREEMENT SUMMARY SM 215 (Rev. 08@017) AGREEMENT NUMBER I AMENDMENT NUMBER M52226-7100 JUSTIFICATION - CALIFORNIA CODE OF REGULATIONS, TITLE 2, SECTION 547.60 In the space provided below, the undersigned authorized state representative documents, with specificity and detailed factual information, the reasons why the contract satisfies one or more of the conditions set forth in Government Code section 19130(b). Please specify the applicable subsection. Attach extra pages if necessary. Section 8. WIOA mandates the establishment of the EDD Workforce Services One•Stop/AJCC. Perthe regulations, EDD must enter Into a cost sharing Agreement called a Memorandum of understanding (MOU), in order to reimburse the contractor for services rendered at this new site. The undersigned represents that based upon his or her personal knowledge, Information or belief the above jusfrBcatfon correctly reflects the reasons why the contract saildies Government Code section 19180(b). SIGNATURE NAMErrITLE(Ptlnt or Type) Ana Martlnl/ EPMII SIGNED PHONE NrMBER ! STREET ADDRESS (714) 24 -4906 801 W. Civic Center, #200 EMAIL CITY STATE 21P Ana.Martlni®edd.ca.gov Santa Ana CA 92701 Page 3 of 3