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HomeMy WebLinkAboutCALIFORNIA, STATE OF - WORKFORCE DEVELOPMENT BOARDMAY 1 1 2021 STATE OF CALIFORNIA- DEPARTMENT OF GENERAL SERVICES WI. STANDARD AGREEMENT -AMENDMENT S I STD 213A (Rev. 4/2020) ¢S ® CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED 10 PAGES 1. This Agreement is entered into between the Contracting Agency ai A-2019-175-02 (UIRED SCO ID: 7120-M521607120-A2 ` 'FOCEFn iGREEMEJ01 ffiiUftFR AMENDMENTNUMBER Purchasing Authority Number M01134, 2 1 EDD-7100 CONTRACTING AGENCY NAME Return ORIGINAL California Workforce Development Board (CWDB) executed copy to COTC, CONTRACTOR NAME M-30 co - City of Santa Ana 2. The term of this Agreement Is: START DATE September 1, 2019, or upon final approval THROUGH END DATE March 31, 2022 3. The maximum amount of this Agreement after this Amendment is: $1,306,117.00 (One Million Three Hundred Six Thousand One Hundred Seventeen Dollars and No Cents) 4. The parties mutually agree to this amendment as follows. All actions noted below are by this reference made a part of the Agreement and incorporated herein: The City of Santa Ana has removed one of their service providers, Chrysalis, and replaced it with Working Wardrobes. Amendment 2 adds no additional time to the contract term, nor additional funding. Specific: Replace Attachment B-1, Budget Summary, in its entirety (Total of 1 page) Replace Attachment B-2, Budget Narrative, in its entirety (Total of 1 page) Add Exhibit G, Agency Funding Form (Total of 2 pages) Add Exhibit H, Partner Roles Responsibilities (Total of 6 pages) All other terms and conditions shall remain the some IN WITNESS WHEREOF, THIS AGREEMENT HAS BEEN EXECUTED BYTHE PARTIES HERETO. CONTRACTOR CONTRACTOR NAME (if other than an individual, state whether a corporation, partnership, etc) City of Santa Ana CONTRACTOR BUSINESS ADDRESS CITY STATE ZIP 20 Civic Center Plaza Santa Ana CA 92701 PRINTED NAME OF PERSON SIGNING TITLE Kristine Ridge City Manager CONTRACTOR AUTHORIZED SIGNATURE DATE SIGNED d� �5 I0—+ l�Z� Approved as to form: RECOMMENDED FOR APPROVAL: Ryo ONHodge Steven A. Mendoza Assistant City Attorney Community Development Executive Director ATTEST. 9: Daisy Gomez, MMC City Clerk `. Clerk of the Council y Page 1 of 2 STATE OF CALIFORNIA -DEPARTMENT OF GENERAL SERVICES STANDARD AGREEMENT -AMENDMENT STD 213A (Rev. 4/2020) M CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED 10 PAGES CONTRACTING AGENCY NAME California Workforce Development Board SCO ID: 7120-M521607120-A2 AGREEMENTNUMBER AMENDMENT NUMBER Purchasing Authority Number M0113404 1 2 1 EDD-7100 CONTRACTING AGENCY ADDRESS CITY STATE ZIP 800 Capitol Mall, Suite 1022, MIC 45 Sacramento CA 95814 PRINTED NAME OF PERSON SIGNING TITLE Emily Sunahara Business and Financial Services Manager CONTRACTING AGENCY AUTHORIZED SIGNATURE DATE SIGNED CALIFORNIA DEPARTMENT OF GENERAL SERVICES APPROVAL EXEMPTION (If Applicable) SCM V1 (4,06) Page 2 of 2 ATTACHMENT B-1 (Standard Agreement) Budget Summary CWDB Contract No. M0113404, A2 CWDB/City of Santa Ana Page 1 of 1 Grantee ISanta Ana - ORPU Budget Line Item Admin* In House Program Contracted Program Total 1 Staff Salaries and Fringe Benefits $91,112.00 $17,000.00 $0.00 $108,112.00 2 Staff Travel $5,000.00 $0.00 $0.00 $5,000.00 3 Operating Expenses Facilities Rent $5,000.00 $2,000.00 $0.00 $7,000.00 Office Supplies $1,000.00 $0.00 $0.00 $1,000.00 -Communications $1,000.00 $0.00 $0.00 $1,000.00 - Other (Describe) $0.00 4 Equipment Purchases & Furniture - Purchases $1,000.00 $0.00 $0.00 $1,000.00 -Leases $1,500.00 $0.00 $0.00 $1,500.00 5 Testing/Instructional Materials $0.00 $0.00 $0.00 6 Tuition Payments/Vouchers $0.00 $0.00 7 Training Costs $0.00 $0.00 8 Supportive Services $0.00 $0.00 $0.00 9 Indirect Costs $25,000.00 $950.00 $0.00 $25,950.00 10 Other Program Services $0.00 $0.00 11 Contracts $1,155,555.00 $1,155,555.00 Total Budget Amount $130,612.00 $19,950.00 $1,155,555.00 $1,306,117.00 Total Cost Percentage Total Admin* $130,612.00, 10% Total Program $1,175,505.00 90% Total Budget Amount $1,306,117.00 100% Administrative Costs not to exceed 10% of total budget EDD RFA #84049 ATTACHMENT B-2 (Standard Agreement) Budget Narrative CWDB Contract No. M0113404, A2 CWDB/City of Santa Ana Page 1 of 1 Grantee JSanta Ana ORPU Budget Line Item 1- Staff Salary and Fringe Benefits Charged to Project List job titles of staff working on project (FTE) Salaries Fringe Benefits Benefits % Total Econ. Dev. Spec. III,Workforce Spec.Il,Senior Admin Assistant,Accountant,Mgmt Analyst,Sr Acct Assist (.75FTE) $50,000.00 $41,112.00 80.00% $91,112.00 Re -Entry Navigators (SFTE) $0.00 $17,000.00 80,00% $17,000.00 $0.00 Subtotal $50,000.001 $58,112.001 $108,112.00 Budget Line Item Narrative Detail Budget Amount 2 Staff Travel Training of staff, attendance grant mgmt. Mtgs in Scramento $5,000.00 3 Operating Expenses - Facilities Rent Office Rent $7,000.00 Office Supplies Basic office supplies - paper,file floders, pens, pencils, notepads, etc. $1,000.00 -Communications phone, internet service $1,000.00 - Other (Describe) 4 Equipment Purchases & Furniture - Purchases computer/laptop/handheld device $1,000.00 -Leases misc - copiers, phone system, etc. $1,500.00 5 Testing/Instructional Materials assessment test materials/instruments, score sheets, booklets,etc. $0.00 6 Tuition Payments/Vouchers Payment to training providers $0.00 7 Training Costs WEX, OJT's $0.00 8 Supportive Services clothing, shoes, tools, transportation, DMV fees, etc $0.00 9 Indirect Costs 11.16% Indirect Cost Rate Cognizant Agency - Dept. of Health and Human Services $25,950.00 10 Other Program Services Treatment, counseling, etc. 11 Contracts $1,155,555.00 Total Budget Amount of Awarded Fund $1,306,117.00 Amount Percentage Total Admin 1 $130,612.00 10% Total Program 1 $1,175,505.00 90% [�7 N N C p 0 N 0 u � in > m c 0 m p I.S a N m o a p nN p Y �� 'o > C RH N N pCj = v� Vl _ OD CY 00, o u v E> Y 0.R N a .Z u m z Y O v E a 3 C Ul O n O O a n O C L i CL E 3 71 a o I- U1 Y O R iX U! 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