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STATE OF CALIFORNIA WORKFORCE DEVELOPMENT (2)
,TE OF CALIFORNIA -DEPARTMENT OF GENERAL SERVICES ANDARDAGREEMENT -AMENDMENT \10 213A(Rev.4/2020) o! GOA(0,b raMr3trtka)(�^) (I CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED 10 PAGE CONTRACTING AGENCY NAME California Workforce Development Board CONTRACTORNAME 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: 9eo A-2019-242-02 *PIP' P' SCO ID: 7120-521587120-A2 4V AWMENTNUMBER AMENDMENTNUMBER Purchasing Authority Number M0113521 1 2 EDD-7100 $2,510,850.00 (Two Million Five Hundred Ten Thousand Eight Hundred Fifty 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: That the Agreement entered into September 1, 2019, by and between the California Workforce Development Board, hereinafter referred to as the CWDB, and Santa Ana, hereinafter referred to as the Contractor, is hereby amended to: Remove Attachment A-1, Workplan pages 3-8 and replace with updated Attachment A-1 Workplan, pages 3-7 with removing page 8 Remove Exhibit B, Budget Details and Payment Provisions page 3 and replace with updated Exhibit B, Budget Details and Payment Provisions page 3 and add page 4 Remove Attachment B-1, Budget Summary in its entirety and replace with updated Attachment B-2, Budget Summary Remove Attachment B-2, Budget Narrative in its entirety and replace with updated Attachment B-2, Budget Narrative All other terms and conditions shall remain the same. IN WITNESS WHEREOF, THIS AGREEMENT HAS BEEN EXECUTED BY THE 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 801 W. Civic Center Dr., Suite 200 Santa Ana CA 92701 PRINTED NAME OF PERSON SIGNING TITLE Kristine Ridge City Manager CONTRACTOR AUTHORIZED SIGNATURE DATE SIGNED 1 n4_ I b - C) C) e. \ Approved as to form: /4�L_ Rya O. Aodge Assistant City Attorney RECOMMENDED FOR APPROVAL: Steven A. Mendoza Community Development Executive Director ATTEST• Icy: Daisy Gomez, MMC City Clerk Clerk of the Council Page 1 of 2 STATE OF CALIFORNIA - DEPARTMENT OF GENERAL SERVICES STANDARD AGREEMENT- AMENDMENT STD 213A (Rev. 4/2020) CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED 10 PAGES CONTRACTING AGENCY NAME California Workforce Development Board SCO ID: 7120-521587120-A2 AGREEMENT NUMBER AMENDMENT NUMBER Purchasing Authority Number M0113521 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 Fiscal and Business Service Manager CONTRACTING AGENCY AUTHORIZED SIGNATURE DATE SIGNED r c5-ulutlGClit.2 10/27/21 CALIFORNIADEPARTMENT OF GENERAL SERVICES APPROVAL EXEMPTION (if Applicable) SCM V1 (4.06) Page 2 of 2 Q z Z cW C 2 U FQ- F- Q N C t" a T Z = to O N N V) N to a) (� a) C Y N y v c L a LL c C a O 3 Y Y Y Y Y 0 ac°n= c c c c c I: h N U C Y O O O O O O v YQm o 0 0 0 0 cs= O O O O O O 0 0 u a o in N N N V N E9 ER EA L CD- O O O W O �• O R d > L c O L > _ c. a)L > It,w C Y o 0 O 3 -0 n c a) O 3 -D D. c a) 0 3 -D a c Y c v 0- a 0 � a 0 0 n 0_ O 0 0 U o �= _o O N C +' O fn C O N C N N U) (6 a .G Q� u a� = 0) (n a� (n a� Q 0 o N c m n N 1.6 '� 0 L-o '� 0 0' '� O L_0 0 O U 0 O O C N h L O Z i O O N L O Z Y a o O N L O Z Y D O a CD- U N D_ M D_ D. 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G \ \ \ ƒ } ) _ _ _ _ _ _ ) ) ) ) ) ) \ k \ / \ \ } / / \ / / £f6 E m m 0) k « « 5 _ °cc \�)§%� J= ${eo.o \ f - �E0 0 e \ c080 COa) G 2 G 2� )�u)E£ 2®R7§} = j{ _ ] ] ,_ ° }\8{)/§ { e e ]\ 82 )ekSE § t § t }3f> �7) oou LS 7)\E ®S )}0- [ )0 { [$)) \ )\ \7 §§] #/ & & o» )0 *\f �\� \ \ 0E \2E G %o Ga ) k§ / � E \\ E S\\ oo o= EE Qo /o CL CL moo ou oo oo mo !oocao moo om cli 7 - 2D-E §§ \\k/ kkCC ( ) LLJ ) I \ \ ƒ } f / f ] CD @ CD CD 0 / \ \ \ co \ \ 1 &}\ 2 ` 0 a)S 0 a)S rg%= s °o(D _ ) > ��-» =§J= �±%> I f*,n oo=k /*®(n co=m ==1:00 aE��c0E ) 2� a e M � s.0 Fn M C) , U) wE±a mE«� R=\goE� a }) §/\/Ira)cu /.-a— » m -� k >$\\yo a 77 3){/\))f/j){%ir2{ \) )7k/{k7§i'0U)U, ° a o o c 0 0 o J0 00)00f)]\$afo-00 \t&2/ 3t&2/ )\E m(D f § / e E'^ £ 2 2 <\. l )/ % -< \«=_ mm m < ky =22 t 0 y7 «v-« §§° y a a0 x 2 om< o 0 oI S ;ZF ft2 {ka \ }� ;. �..e 2C»- ik( F-> 0 CL A a / C O U m 0 6 s v = m J c C m C m W N u O E y > L LL r O N = c a G) r (u > C d ECo mQaCL = tu X a V w IC £ N c - O N M w N .a -6 a � m LL (J C GJ Q 0) a.+ s x W O O O N N O O O N afo O O O O O m N .--I O C N r, N Q h0 O m a c o > in p 0 C O U O m v � C O1 O U H � .6 O N u t u O w Y r C a C O N a v w '°„°N° E E o C v > N v a E E a s bo ubo Y `J m m a N C a O E Z Y W `O m d a ° a w u c 3 m ii O N O m V ti N m m o �- r w w m w m m O O m O i^ 0 0 N O O L O C O C v C C h C C H v a u v 'O -o 0 > N N C 4J CL o Q - a u o a v s K r u~ a K to vOi a 0 tCo a O m i II m m b�A O 3 � � v>i Q U u O a y O I N M V C 0 Q l0 V C N N ) N m�a O 0 0 0 r o 0 0 O N W Z 0 1 N mU 0 U c o m N U c v E m � N 1O � O o E ° X U j c d c y m�_ ccN 6 O co ¢ maa o 2 -a o wam c Y Y Q d M m m 0 QI j0 N Y 0 - Z ATTACHMENT B-1 (Standard Agreement) Budget Summary CWDB Contract No. M0113521 Am. 2 CWDB/City of Santa Ana Page 1 of 1 EDD RFA #84049 Grantee I Santa Ana ORPU Budget Line Item Admin* In House Program Contracted Program Total 1 Staff Salaries and Fringe Benefits $189,585.00 $175,000.00 $0.00 $364,585.00 2 Staff Travel $5,000.00 $5,000.00 $0.00 $10,000.00 3 Operating Expenses $10,000.00 Facilities Rent $10,000.00 $40,000.00 $0.00 $50,000.00 Office Supplies $4,850.00 $15,000.00 $0.00 $19,850.00 - Communications $1,000.00 $6,000.00 $0.00 $7,000.00 - Other (Describe) $150.00 $150.00 4 Equipment Purchases & Furniture Purchases $1,000.00 $5,000.00 $0.00 $6,000.00 -Leases $1,500.00 $5,000.00 $0.00 $6,500.00 5 Testing/Instructional Materials $20,000.00 $0.00 $20,000.00 6 Tuition Payments/Vouchers $400,000.00 $0.00 $400,000.00 7 Training Costs $364,270.00 $0.00 $364,270.00 8 Supportive Services $75,000.00 $0.00 $75,000.00 9 Indirect Costs $38,000.00 $20,000.00 $0.00 $58,000.00 10 Other Program Services $5,000.00 $0.00 $5,000.00 11 Contracts $1,124,495.00 $1,124,495.00 Total Budget Amount i $251,085.00 $1,135,270.00 $1,124,495.00 $2,510,850.00 Total Cost Percentage Total Admin* $251,085.00 10% Total Program $3,384,260.00 135% Total Budget Amount $3,635,345.00 145% *Administrative Costs not to exceed 10% of total budget G 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Vf O O O ON}OQioU O O O Ow OVvi0MvrOOONh0 OOmO OOOOIOOO O to to O O 00 O O O O O O O 0-/C3ON3000 O Lr m O C 1 r� l0 t O Oct Lr 06 Lr � 00 1l = E O l0 1l f NOvu h T iVLWLeOWOrIfli-TTTI VVVoOrO�-•FI}1} VOMtX>W-Y N iLNae-Ri-II iO !1 IO CD O cs W'•rIYCOOC,°-nJ)' 4p'LCO@C@VO''"lV a iO�ONO>UO@@C-o-J.NO o E E yUwvNYQCC1 u �aNvivvE0vN+iNi O O 00 u6 Li O O O w w N CO n°i t"LOyO(maO0 to 0 b0 o "hchofOtC�Oo0No O O u0to1 00 Cc) CD 'IOaNA O uNNE 0 OO C00° ° E° viUl a �U�Oa(0r UyacNdNa@ijiO o O LONuOCcOJ oCO IV V cc u CO @ L O Ol H N y N N O W O0 c @ L O CV Q 0� 00 O O V m C O 0 O w N uD 0 N N C _ co N m 0 _ \ cu L Y O m L O Y u 0) O C O1 K L O CL VI L Y @ J OJ N OJ O OD c0 ?i O O 00 O1 to 3 C C m u CO 3 $ n m ` '`�- =_ �^ r u m i E c e tw c c u aL p Y C w— a w O m w w LL O U O •O 0_ N Y G L L C @ O u C F@ Y O. O' w7 o. m .00 n OW ft,22 0 c Q N m V V1 LO h 00 OlCD Y E V w W Q Q K SCO ID: 7120-521587120-A2 STATE OF CALIFORNIA AGREEMENT SUMMARY STD 215 (Rev. 04/2020) 0 CHECK HERE IF ADDITIONAL PAGES ARE ATTACHED AGREEMENT NUMBER AMENDMENT NUMBER M0113521 2 1. CONTRACTOR'S NAME 2. FEDERAL I.D. NUMBER City of Santa Ana 1 9560000785 3. AGENCY TRANSMITTING AGREEMENT 4. DIVISION, BUREAU, OR OTHER UNIT S. AGENCY BILLING CODE California Workforce Development Board/EDD Contract Services Group 010015 6a. CONTRACT ANALYST NAME 6b. EMAIL - So. PHONE NUMBER Tyler Jennings Tyler.Jennings@edd.ca.gov (916) 653-1660 7. HAS YOUR AGENCY CONTRACTED FOR THESE SERVICES BEFORE? DNo n Yes (If Yes, enterprior Contractor Name and Agreement Number) PRIOR CONTRACTOR NAME PRIOR AGREEMENT NUMBER 8. BRIEF DESCRIPTION OF SERVICES Subvention Grant -CWDB RFA No.84049 9. AGREEMENT OUTLINE (Include reason forAgreement: Identify specific problem, administrative requirement, program need or other circumstances making the Agreement necessary; include special or unusual terms and conditions.) The purpose of this amendment is due to the region removing the service provider, Chrysalis, from their Agency Funding Form, and adding Working Wardrobes in its place. The region reallocated funds within their Agency Funding form to better serve participants in their program. Also, the region implemented a budget modification to ensure their Invoicing is correct and allocated more funds for their contracts. This scope of work amendment does not impact the amount of the contract or extend the term dates. Contractor will provide services and deliverable specific t0 the Prison to Employment Initiative, as per CWDB RFA No. 84049. 10. PAYMENT TERMS (More than one mayapply) Q Monthly Flat Rate R) itemized Invoice nReimbursement / Revenue 0 Other (Explain) Monthly Quarterly n One -Time Payment L-J Progress Payment Q Withhold % 1:1 Advanced Payment Not To Exceed or % FUND TITLE ITEM FISCAL CHAPTER STATUTE PROJECTED YEAR EXPENDITURES E GF 7120 101-0001 18/19 029 2018 $1,013,128.00 171 GF 7120-101-0001 19/20 023 2019 $1,497,722.00 0 0_ OBJECT CODE 1497722 AGREEMENTTOTAL $2,510,850.00 Page 1 of 4 SCO ID: 7120-521587120-A2 STATE OF CALIFORNIA AGREEMENT SUMMARY STD 215 (Rev. 04/2020) OPTIONAL USE 18/19 004/415-44150-701 $1,013,128.00 19/20004/415-44150-701 $1,497,722.00 AGREEMENT NUMBER AMENDMENT NUMBER M0113521 1 2 AMOUNT ENCUMBERED BY THIS DOCUMENT $2,510,850.00 AMOUNT ENCUMBERED FOR THIS AGREEMENT I certify upon my own personal knowledge that the budgeted funds for the current TOTAL AMOUNT ENCUMBERED TO DATE budget year are available for the period and purpose of the expenditure stated above. $2,510,850.00 ACCOUNTING OFFICER'S SIGNATURE JACCOUNGG OFFICER'S NAME (Print or Type) I DATE SIGNED AGREEMENT TERM TERM TOTAL COST OF BID, SOLE SOURCE, EXEMPT FROM THROUGH THIS TRANSACTION Original 9/1/2019 3/31/2022 $2,510,850.00 NOT BID- Subvention Grant Amendment 9/1/2019 3/31/2022 $0.00 NOT BID- Subvention Grant Amendment 9/1/2019 3/31/2022 $0.00 NOT BID- Subvention Grant dAmendment TOTAL $2,510,850.00 13. BIDDING METHOD USED Q Request for Proposal (RFP) (Attach justification if secondary method is used) Use of Master Service Agreement n Invitation for Bid (IFB) Q Exempt from Bidding (Give authority for exempt status) LJ Sole Source Contract (Attach STD. 821) Q Other (Explain) CWDB RFA No. 84049 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? Research and CWDB RFA No.84049 17a. JUSTIFICATION FOR CONTRACTING OUT (Check one) Contracting out is justified based on Government Code 19130(b). When this box E] Contracting out is based on cost savings per Government Code is checked, a completed JUSTIFICATION - CALIFORNIA CODE OF 19130(a). The State Personnel Board has been so notified. REGULATIONS, TITLE 2, SECTION 547.60 must be attached to this document. Not Applicable (Interagency I Public Works I Other ) 17b. EMPLOYEE BARGAINING UNIT NOTIFICATION n By checking this box, I hereby certify compliance with Government Code section 19132(b)(1). AUTHORIZED SIGNATURE SIGNER'S NAME (Printor Type) Emily Sunahara rUM HUKCCIVICIV 10 [IN =AI 1C00 Vr . u,uvv. flab lI 1C VIM llf VI IIIU ayl CCI IICIII been reported to the Department of Fair Employment and Housing? 0 No Q Yes [] N/A HAVE CONFLICT OF INTEREST ISSUES BEEN IDENTIFIED AND RESOLVED AS REQUIRED BY THE STATE CONTRACT MANUAL SECTION 7.10? © No Yes NIA FOR CONSULTING AGREEMENTS( bid you review any contractor evaluations on file with the DGS Legal Office? None on file ©No n Yes n( NIA A. Contractor Certification Clauses B. STD 204 Vendor Data Record No 0 Yes [] N/A El No L:J Yes M N/A SIGNED ATTACHED n No (1 Yes n N/A A DISABLED VETERAN BUSINESS CERTIFIED BY DGS? 0 No [] Yes SBIDVBE Certification Number: Page 2 of 4 SCO ID: 7120-521587120-A2 STATE OF CALIFORNIA AGREEMENT SUMMARY STD 215 (Rev. 04/2020) AGREEMENT NUMBER AMENDMENTNUMBER M0113521 1 2 24. ARE DISABLED VETERANS BUSINESS ENTERPRISE GOALS u REQUIRED? (If an amendment, explain changes if any) ❑ No (Explain below) Yes _ /o of Agreement Subvention Grant 25. IS THIS AGREEMENT (WITH AMENDMENTS) FOR A PERIOD OF TIME No Yes (If Yes, provide justification below) LONGER THAN THREE YEARS? ❑ ❑ I certify that all copies of the referenced Agreement will conform to the original agreement sent to the Department of General Services. SIGNATURE (Print or Type) DATE SIGNED Page 3 of 4 SCO ID; 7120-521587120-A2 STATE OF CALIFORNIA - AGREEMENT SUMMARY STD 215 (Rev. 04/2020) AGREEMENT NUMBER AMENDMENTNUMBER M0113521 1 2 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. N/A -Subvention Grant The undersigned represents that, based upon his or her personal knowledge, information or belief the above justification correctly reflects the reasons why the contract satisfies Government Code section 19130(b). SIGNATURE PHONE ADDRESS Type) SIGNED Page of