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HomeMy WebLinkAboutA-2004-092 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 A-2004-092 AGREEMENT BETWEEN COUNTY OF ORANGE AND CITY OF SANTA ANA FOR THE PROVISION OF WELFARE-TO-WORK EMPLOYMENT SERVICES THIS AGREEMENT, entered into this 1st day of July, 2004. which date is particularized for purpose of reference only, is by and between the COUNTY OF ORANGE. hereinafter referred to as "COUNTY." and CITY OF SANTA ANA, a California muni ci pa 1 i ty. he rei nafter referred to as "CONTRACTOR." Thi s Agreement shall be administered by the County of Orange Social Services Agency Director or designee. hereinafter referred to as "ADMINISTRATOR." WIT N E SSE T H: WHEREAS. COUNTY desires to contract with CONTRACTOR for the provision of Welfare-To-Work employment training services: and WHEREAS. CONTRACTOR agrees to render such servi ces on the terms and conditions hereinafter set forth: and WHEREAS. such contracts are authorized and provided for pursuant to California Welfare and Institutions Code Section 11200 et seq., also known as the California Work Opportunities and Responsibility to Kids (CalWORKs) Act of 1997; NOW. THEREFORE. IT IS MUTUALLY AGREED AS FOLLOWS: (WSH0204) 1 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 TABLE OF CONTENTS Page 1. IT~.................................................................4 2. AL TERATION OF TERMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4 3. STATUS OF CONTRACTOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4 4. DEFINITIONS:.......................................................... 5 5. DESCRIPTION OF SERVICES, STAFFING..................................... 7 6. LICENSES AND STANDARDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8 7. DELEGATION AND ASSIGNMENT/SUBCONTRACTS................................ 8 8. USE OF COUNTY PROPERTY............................................... 13 9. NON-DISCRIMINATION................................................... 13 10. NOTICES.............................................................. 16 11. INDEMNIFICATION AND INSURANCE........................................ 17 12. CONFLICT OF INTEREST................................................. 21 13. ANTI-PROSELYTISM PROVISION........................................... 21 14. SUPPLANTING GOVERNMENT FUNDS......................................... 22 15. BREACH SANCTIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 22 16. PAYMENTS............................................................. 23 17 . OVERPAYMENTS......................................................... 24 18. REVENUE.............................................................. 25 19. PROGRAM INCOME....................................................... 25 20. FINAL REPORT......................................................... 26 21. INDEPENDENT AUDIT.................................................... 26 22. RECORDS, INSPECTIONS AND AUDITS...................................... 27 23. PERSONNEL DISCLOSURE................................................. 28 24. CHILD AND DEPENDENT ADULT/ELDER ABUSE REPORTING...................... 30 25. CONFIDENTIALITY...................................................... 30 26. COPYRIGHT ACCESS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 31 27. WAIVER............................................................... 31 28. PETTY CASH... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 32 29. PUBLICITY............................................................ 32 30. COUNTY RESPONSIBILITIES.............................................. 32 31. RE PORTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 32 32. ENERGY EFFICIENCY STANDARDS... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 32 33. ENVIRONMENTAL PROTECTION STANDARDS................................... 33 34. CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS................................................. 33 35. POL ITI CAL ACTI V ITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 35 36. TERMINATION PROVISIDNS............................................... 35 37. GOVERNING LAW... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 35 38. SIGNATURE I N COUNTERPARTS.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 36 EXHIBIT A 1. POPULATION TO BE SERVED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1 2. WORKLOAD STANDARDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2 3. SERVICES.............................................................. 2 4. ADDITIONAL CONTRACTOR RESPONSIBILITIES................................ 3 5. FORMS................................................................. 4 6 . F AC I L ITI ES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 5 7. CASE RECORDS.......................................................... 5 8. REPORTS............................................................... 5 9. PERFORMANCE REVIEW.................................................... 6 (WSH0204) 2 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 10. STAFF TRAINING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 7 11. HOURS OF OPERATION.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 7 12. BUDGET FOR PROVISION OF COMMUNITY SERVICE ACTIVITIES.................. 7 13. STAFF................................................................. 8 EXHIBIT B 1. POPULATION TO BE SERVED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1 2. WORKLOAD STANDARDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1 3. SERVICES.......~...................................................... 2 4. ADDITIONAL CONTRACTOR RESPONSIBILITIES................................ 3 5. FORMS................................................................. 4 6. FACILITIES............................................................ 4 7. CASE RECORDS.......................................................... 4 8. ~~m..............................................................4 9. PERFORMANCE REV I EW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 5 10. STAFF TRAINING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 6 11. HOURS OF OPERATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 6 12. BUDGET FOR PROVISION OF WORK EXPERIENCE ACTIVITIES.................... 6 13. STAFF................................................................. 8 (WSH0204) 3 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1. TERM The term of this Agreement shall commence on July 1, 2004, and terminate on June 30. 2005, unless ear 1 i er termi nated pursuant to the provi si ons of Paragraph 37 of thi s Agreement; however. CONTRACTOR sha 11 be ob 1 i gated to perform such duties as would normally extend beyond this term, including but not limited to obligations with respect to indemnification, audits, reporting and accounting. CONTRACTOR and ADMINISTRATOR may mutually agree in writing to extend the term of this Agreement. provided that COUNTY's maximum obligation as stated in Subparagraph 17.1 of thi s Agreement does not increase as a result . 2. ALTERATION OF TERMS This Agreement. including Exhibit(s) attached hereto and any incorporated by reference, fully expresses all understandings of the parties and is the tota 1 Agreement between the parti es as to the subject matter of alteration of. the terms of this this Agreement. No addition to, or Agreement. whether written or verbal, by the parties. their officers, agents, or employees. shall be valid unless made in the form of a written amendment to this Agreement which is formally approved and executed by both parties. 3. STATUS OF CONTRACTOR CONTRACTOR is and shall at all times be deemed to be, an independent contractor and shall be wholly responsible for the manner in which it performs the services requi red of it by the terms of thi s Agreement. Noth i ng herei n contained shall be construed as creating the relationship of employer and emp 1 oyee. or pri nci pa 1 and agent, between COUNTY and CONTRACTOR or any of CONTRACTOR's agents or employees. CONTRACTOR assumes exclusively the res pons i bi 1 i ty for the acts of its employees or agents as they relate to services to be provided during the course and scope of their employment. III (WSH0204) 4 of 37 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1 2 CONTRACTOR. its agents, employees and volunteers, shall not be entitled to any rights and/or privileges of COUNTY employees. and shall not be considered in any manner to be COUNTY employees. 3 4 4. DEFINITIONS: 4.1 Barriers to Employment: Circumstances that interfere with Welfare- To-Work (WTW) participation. employment, or job search. 4.2 Ca 1 WORKs: The acronym for the Ca 1 iforni a Work Opportunity and Responsibility to Kids Act of 1997. as described in Section 11200 et. seq. of the Welfare and Institutions Code. 5 6 4.3 Community Servi ce: A Welfare-To-Work training activity that is temporary and transitional. which is performed in the public or private non- profit sector under close supervision, and provides participants with job skills that can lead to employment while also meeting a community need. The Community Service activity is not intended to be punitive in nature or seen as a last stop program for participants approaching the sixty (61) month CalWORKs time limit. It is an opportunity to succeed through an intense case management approach that utilizes all available resources in a focused manner. Community Service is mandated under California Welfare and Institutions Code Section 11322.9. 4.4 Electronic Data Systems (EDS): COUNTY provi ded e 1 ectroni c data systems through which participant referrals are received by CONTRACTOR and data is recorded regarding services provided to participants. 4.5 Multi-disciplinary Team (MDT): A partnership team including but not limited to staff from Welfare-To-Work, Behavioral Health Services. Domestic Abuse Services. Health Care Agency. One-Stop Centers. Employment Support, Job Servi ces and Vocat i ona 1 Assessment counselors. The purpose of this team is to assist the participant to identify and address issues that have prevented the participant from being successful and work towards the (WSH0204) 5 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 program goa 1 of self -suffi ci ency. The MDT wi 11 be bound by the informed consent requirements specified in Exhibit A, Paragraph 7.3. 4.6 One-Stop Centers: Employment-based facilities integrating COUNTY and One-Stop Partners into a single comprehensive center providing a mix of core, i ntens i ve. and tra i ni ng servi ces to busi nesses seeki ng employees and participants seeking jobs under various federal and state funding programs. The centers have been established statewide, pursuant to the federal Workforce Investment Act of 1998, to implement a collaborative system of employment training and education programs and services in support of California's economic development. 4.7 One-Stop Partner: One of the entities responsible for conducting the day-to-day activities associated with the delivery of workforce development services to employers and job seeking customers. including daily management. supervision, and coordination of staff physically co-located at the Santa Ana WORK Center. 4.8 Participant: A reci pi ent of CalWORKs financial assistance benefits who has voluntarily enrolled or is required to participate in the program pursuant to state regulations. 4.9 Support i ve Servi ces: Payments provi ded to or on beha lf of WTW participants for child care. transportation and ancillary expense costs. 4.10 Welfare-To-Work (WTW): A mandated program under Ca 1 WORKs whi ch requires parents or caretakers in families on welfare, unless exempted. to meet work requirements by participating in Welfare-To-Work activities with a goal of unsubsidized employment leading to self-sufficiency. 4.11 Work Experience: A planned, structured learning experience that takes place in a workplace for a limited period of time. gain exposure to the working world and its requirements. It is designed to 4.12 Workforce Investment Act (WIA): The Federal Workforce Investment (WSH0204) 6 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Act of 199B provides the framework for a national workforce preparation and emp 1 oyment system. Ti t 1 e 1 of the WIA authori zes and funds a number of employment and training programs in California. Workforce investment activities authorized by WIA are provided at the local level via the One-Stop de 1 i very system to i ndi vi dua 1 sin need of those servi ces, i nc 1 udi ng job seekers, di s located workers, youth. incumbent workers, new entrants to the workforce. veterans. persons with disabilities and employers. The WIA's primary purpose is to provi de workforce investment act i viti es that increase the employment, retention, and earnings of the participant. and increase attainment of occupational skills by participants. 4.13 Workforce Investment Board (WIB): A consortium of local business and community leaders who shall provide pol icy guidance and oversight to a local Workforce Investment Plan that is responsive to the workplace needs of business and job seekers alike. 4.14 Workforce Investment Plan: A local plan created under the WIA, and administered by the WIB on behalf of CONTRACTOR. that provides a coordinated mix of services that best meets the workforce investment needs of the local labor market. 5. DESCRIPTION OF SERVICES. STAFFING 5.1 CONTRACTOR agrees to provide those services. facilities, equipment and supplies as described in the exhibits to the Agreement Between County of Orange and City of Santa Ana, for the Provision of Employment Training Services. attached hereto and incorporated herein by reference: Exhibit "A" relating to Community Service activities. and Exhibit "B" relating to Work Experience activities. 5.2 Subject to thirty (30) days advance notice. ADMINISTRATOR may, in its sole discretion. require changes in staffing patterns in accordance with workload demands related to the number of clients to be served. (WSH0204) 7 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 5.3 Upon the of ADMINISTRATOR. request CONTRACTOR sha 11 send appropri ate staff to attend an ori entati on sess i on and subsequent tra i ni ng sessions given by COUNTY. 6. LICENSES AND STANDARDS 6.1 CONTRACTOR warrants that it has all necessary licenses and permits requi red by the 1 aws of the Uni ted States. Orange and all other appropriate governmental State of Ca 1 iforni a, County of agencies. and agrees to maintain these licenses and permits in effect for the duration of this Agreement. Further. CONTRACTOR warrants that its employees shall conduct themselves in compliance with such laws and licensure requirements including. without limitation, compliance with laws applicable to sexual harassment and ethical behavior. 6.2 In the performance of this Agreement, CONTRACTOR shall comply, unless waived in whole or in part by ADMINISTRATOR, with all applicable provisions of the California Welfare and Institutions Code: Title 45 of the Code of Federal Regulations (CFR); Federal Office of Management and Budget Circulars A-21. A-122. and A-87: 48 CFR 31.2; and all applicable laws and regulations of the United States, State of California, County of Orange Social Services Agency Regulations and all administrative regulations, rules and po 1 i ci es adopted thereunder as each and a 11 may now exi st or be hereafter amended. 7. DELEGATION AND ASSIGNMENT/SUBCONTRACTS 7.1 Delegation and Assignment: CONTRACTOR sha 11 nei ther delegate its duti es or ob 1 i gati ons nor assign its rights with respect to this Agreement, either in whole or in part. Any such attempted delegation or assignment shall be void. The transfer of assets in excess of ten (10) percent of the total assets of CONTRACTOR. or any change in the corporate structure, the governi ng body. or the management of (WSH0204) 8 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 CONTRACTOR. which occurs as a result of such transfer, shall be deemed an assignment of benefits under the terms of this Agreement and shall be void. 7.2 Subcontracts: CONTRACTOR shall not subcontract for services under this Agreement without the prior written consent of ADMINISTRATOR. If ADMINISTRATOR consents in writing to a subcontract. in no event shall the subcontract alter. in any way. any 1 ega 1 res pons i bi 1 i ty of CONTRACTOR to COUNTY. ADM I N I STRA TOR may refuse to pay obligations incurred under any subcontract that does not comply with the terms of this Agreement. All subcontracts must be in writing and copies of same shall be provided to ADMINISTRATOR. CONTRACTOR shall include in each subcontract any provision ADMINISTRATOR may require. 7.2.1 Subcontracts of $10,000 or less: CONTRACTOR shall develop a standard form Purchase Order. subject to prior written approval of ADMINISTRATOR, to be utilized for the purchase of servi ces by CONTRACTOR when the cumul ati ve tota 1 cost of the services to be provided by any organization is anticipated to be ten thousand dollars ($10.000) or less during the term of this Agreement. The basis for costs incurred by any such Purchase Order (s) sha 11 be the actua 1 cost of provi di ng servi ces or the usua 1 and customary charges estab 1 i shed by the organization(s) providing the services. 7.2.2 Subcontracts in excess of $10,000: CONTRACTOR shall develop and submit for approval to ADMINISTRATOR a system for the procurement of subcontracts with any organization in which the total cumulative cost of services provided by any single organization is anticipated to exceed ten thousand dollars ($10.000) during the term of this Agreement. CONTRACTOR's proposed procurement system shall take into consideration such factors as: degree of price competition; pricing policies and techniques; experience and quality of service; methods of (WSH0204) 9 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 evaluating subcontractor responsibility: relationship of subcontractor to CONTRACTOR: planning, award. and postaward management of subcontracts. including internal audit procedures and monitoring of subcontractor's performance until completion of services. Upon ADMINISTRATOR's approval of CONTRACTOR's proposed system. CONTRACTOR sha 11 comply wi th such procurement system in procurement obtai ni ng subcontracts with a tota 1 cost in excess of ten thousand dollars ($10,000) duri ng the term of thi s Agreement. In addition. CONTRACTOR shall obtain ADMINISTRATOR's written consent prior to entering into a subcontract with any organization when the total cumulative cost of services to be provided by that organization is anticipated to exceed ten thousand dollars ($10.000) during the term of this Agreement. CONTRACTOR and its subcontractor(s) shall establish and maintain accurate and complete financial records related to services provided under the terms of thi s Agreement. Such records may be subject to the satisfaction of ADMINISTRATOR, and the to examination and audit by ADMINISTRATOR or designee. for a period of four (4) years after the date of final payment under this Agreement, or until any pending audit is completed. 8. FORM OF BUSINESS ORGANIZATION AND REAL PROPERTY DISCLOSURE 8.1 Form of Business Organization: Upon the request of ADMINISTRATOR. CONTRACTOR sha 11 prepare and submit. within thirty (30) days thereafter. an affidavit executed by persons satisfactory to ADMINISTRATOR containing. but not limited to, the following information: 8.1.1 The form of CONTRACTOR's business organization. i.e. . proprietorship. partnership. corporation. etc. 8.1. 2 A detai 1 ed statement i ndi cati ng the relationship of CONTRACTOR. by way of ownership or otherwise. to any parent organization or (WSH0204) 10 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 individual. 8.1. 3 A detailed indicating the statement relationship of CONTRACTOR to any subsidiary business organization or to any individual who may be providing services. supplies, material or equipment to CONTRACTOR or in any manner does business with CONTRACTOR under this Agreement. 8.2 Change in Form of Business Organization: If duri ng the term of thi s Agreement. the form of CONTRACTOR's bus i ness organi zat i on changes, or the ownershi p of CONTRACTOR changes. or CONTRACTOR's re 1 at i onshi p to other bus i nesses dea 1 i ng with CONTRACTOR under this Agreement changes. CONTRACTOR shall promptly notify ADMINISTRATOR. in writi ng. detailing such changes. A change in the form of business organi zat i on may. at COUNTY's sole di scret ion. be treated as an attempted assignment of rights or delegation of duties of this Agreement. 8.3 Real Property Disclosure: If CONTRACTOR is occupying any real property under any agreement, oral or written. where persons are to receive services hereunder. CONTRACTOR may be required to submit the following information in addition to a copy of the 1 ease. 1 i cense or renta 1 agreement. as well as any other i nformati on requested. within ten (10) days from the date of the request by ADMINISTRATOR: 8.3.1 The 1 ocat i on by street address and ci ty of any such rea 1 property. 8.3.2 The fai r market value of any such real property as such va 1 ue is refl ected on the most recent ly issued County Tax Collector's tax bill . 8.3.3 A detai led description of all existing and pending agreements, with respect to the use or occupation of any such real property. Such description shall include. but not be limited to: 8.3.3.1 The term duration of any rental agreement, lease (WSH0204) 11 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 or sublease: 8.3.3.2 The amount of monetary consideration to be paid to the lessor. sublessor or licensor over the term of the rental agreement, lease. or sublease: 8.3.3.3 The and type do 11 a r value of any other consideration to be paid to the lessor, sublessor or licensor; 8.3.3.4 The full names and addresses of all parties to any agreement concerning the real property and a listing of liens (if any) thereof, together with a listing by full names and addresses of all officers, directors and stockholders of any private corporation and a similar listing of all general and limited partners of any partnership which is a party. 8.3.4 A Ii sti ng by full names of all of CONTRACTOR's offi cers. directors andlor partners. members of its administrative and advisory boards, staff and consultants. who have any family relationship by marriage or blood with a party to any agreement concerning real property referred to in Subparagraph 8.3.3. immediately above, or who have any present or future financial interest in such person's business. whether the entity concerned is a corporation or partnership. Such listing shall also include the full names of a 11 of CONTRACTOR's offi cers. di rectors, partners and those ho 1 di ng a fi nanci a I interest. Included are members of its advisory boards. members of its staff and consultants. who have any family relationship by marriage or blood. to an offi cer, di rector. or stockholder of the corporati on or to any partner of the partnership. also indicate the names In preparing the latter listing. CONTRACTOR shall of the officers, directors. stockholders, or partner(s). as appropriate, and the family relationship such person(s) and CONTRACTOR's representatives listed. 8.3.5 True and correct copies of all agreements with respect to real property shall be appended to the affidavit described above and which exists between any such (WSH0204) 12 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 made a part thereof. If. during the term of this Agreement, there is a change in the agreement(s) with respect to real property where persons receive services. CONTRACTOR in writing, shall promptly notify ADMINISTRATOR, describing such changes. 9. USE OF COUNTY PROPERTY 9.1 COUNTY intends to permi t CONTRACTOR the rent- free use of offi ce space, office furniture, and office equipment located in any and all offices and COUNTY facilities at which CONTRACTOR will be collocated with COUNTY staff pursuant to this Agreement, as is more particularly set forth in that certain sublease described in Subparagraph 9.2, below. As stated in the sublease. said office space. office furniture, and equipment shall be used solely by emp 1 oyees of CONTRACTOR whi 1 e performi ng thei r assi gned duties pursuant to this Agreement. 9.2 CONTRACTOR sha 11 enter into rent-free sublease with a ADMINISTRATOR for faci 1 ities provided by ADMINISTRATOR and wi 11 execute all terms and conditi ons of sai d agreement upon ADMIN ISTRATOR' s presentati on of said document to CONTRACTOR. breach of this Agreement. Failure to execute the sublease will result in a 10. NON-DISCRIMINATION 10.1 In the performance of this Contract. CONTRACTOR agrees that it shall not engage nor employ any unlawful discriminatory practices in the admission of clients. provision of services or benefits, assignment of accommodations, treatment. evaluation. employment of personnel or in any other respect on the basis of. sex, race, color. ethnicity. national origin, sexual ancestry. religion. marita 1 status. medical condition. age, orientation. physical or mental disability or any other protected group in accordance with the requirements of all applicable Federal or State law. 10.2 CONTRACTOR shall develop an Affirmative Action Program Plan which (WSH0204) 13 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 meets the lawful and applicable requirements of the Department of Health and Human Services. 10.3 CONTRACTOR shall furnish any and all information requested by ADMINISTRATOR and shall permit ADMINISTRATOR access. during business hours. to books, records and accounts in order to ascertain CONTRACTOR's compliance with Paragraph 10 et seq. 10.4 CONTRACTOR shall comply with Executive Order 11246. entitled "Equa 1 Employment Opportunity". as amended by Executi ve Order 11375 and as supplemented in Department of Labor regulations (41 CFR Part 60). 10.5 Non-Discrimination in Employment 10.5.1 All solicitations or advertisements for employees placed by or on behalf of CONTRACTOR shall state that all qualified applicants will receive consideration for employment without regard to sex. race. color, ethnicity, national origin, ancestry. religion, age. marital status, medical condi t ion, sexua 1 ori entati on. phys i ca 1 or menta 1 di sabil ity or any other protected group in accordance with the requirements of all applicable Federal or State law. Notices describing the provisions of the equal opportunity clause sha 11 applicants. be posted in a conspicuous place for employees and job filing a 10.5.2 CONTRACTOR sha 11 refer any and all employees desi rous of formal discrimination complaint to: State of California Public Inquiry and 744 P Street. MS 20-23 Sacramento. California 95814 Telephone: 1-800-952-5253 1-800-952-8349 (Hearing Response Bureau Impaired) 10.6 Non-Discrimination in Service Delivery 10.6.1 CONTRACTOR shall comply with Title VI and VII of the Civil Rights Act of 1964. as amended: Section 504 of the Rehabilitation Act of 1973. as amended: the Age Discrimination Act of 1975. as amended: the Food Stamp Act (WSH0204) 14 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 of 1977, as amended. and Americans with Disabilities in particular Section 272.6; Title II of the Act of 1990: California Civil Code Section 51 et seq.. as amended: California Government Code Sections 11135-11139.5, as (1), (i), and (j): amended: California Government Code Section 12940 (c), (h) California Government Code Section 4450: Title 22, California Code of Regulations Sections 98000-98413: Title 24 of the California Code of Regulations. Section 3105A(e): the Dymally-Allatorre Bilingual Services Act (California Government Code Section 7290-7299.8); Section 1808 of the Removal of Barriers to Interethnic Adoption Act of 1996: and other applicable Federal and State laws, as well as their implementing regulations (including 45 Code of Federal Regulations (CFR) Parts 80, 84. and 91, 7 CFR Part 15. and 28 CFR Part 42). and any other law pertaining to Equal Employment Opportunity, Affirmative Action and Nondiscrimination as each may now exist or be hereafter amended. CONTRACTOR shall not implement any administrative methods or procedures which would have a discriminatory effect or which would violate the California Department of Social Services (CDSS) Manual of Policies and Procedures (MPP) Division 21. Chapter 21-100. If there are any violations of this paragraph. CDSS shall have the right to invoke fiscal sanctions or other legal remedies in accordance with Welfare and Institutions Code Section 10605. or Government Code Sections 11135-11139.5. or any other laws. or the issue may be referred to the appropriate Federal agency for further compl iance action and enforcement of Subparagraph 10.6 et seq. 10.6.2 CONTRACTOR shall provide any and all clients desirous of filing a formal complaint any and all information as appropriate: 10.6.2.1 Pamphlet: "Your Rights Under California Welfare Programs (PUB 13) 10.6.2.2 10.6.2.3 Discrimination Complaint Form Civil Rights Contacts: (WSH0204) 15 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 County Civil Rights Contact: Orange County Social Services Agency Program Integrity 1200 N. Main Street Santa Ana. CA 92701-3633 Attn: Civil Rights Coordinator Telephone: (714) 480-6501 State Civil Rights Contact: California Department of Social Services Civil Rights Bureau 744 P Street. M.S. 15-70 Sacramento, CA 95814 Federal Civil Rights Contact: U.S. Department of Health and Human Services Office of Civil Rights 50 U.N. Plaza, Room 322 San Francisco. CA 94102 11. NOTICES All notices. claims. correspondence. reports, andlor statements authorized or required by this Agreement shall be addressed as follows: COUNTY: County of Orange Social Contract Services 888 N. Main Street Santa Ana. CA 92701 Services Agency CONTRACTOR: Santa Ana WORK Center 1000 E. Santa Ana Blvd.. Santa Ana, CA 92701 Suite 200 All notices shall be deemed effective when in writing and deposited in the United States mail. first class, postage prepaid and addressed as above. Any notices, c 1 aims. correspondence, reports andlor statements authori zed or required by this Agreement addressed in any other fashion shall be deemed not given. ADMINISTRATOR and CONTRACTOR may mutually agree in writing to change the addresses to which notices are sent. III (WSH0204) 16 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 12. INDEMNIFICATION AND INSURANCE 12.1 CONTRACTOR agrees to indemnify. defend wi th counsel approved in writing by COUNTY. and hold Department of Health and Human Services, the State. COUNTY. and their elected and appointed officials, officers. employees, agents and those special districts and agencies which COUNTY's Board of Supervi sors acts as the governi ng Board ("COUNTY INDEMNITEES") harml ess from any claims, demands or liability of any kind or nature. including but not limited to personal injury or property damage, arising from or related to the servi ces, products or other performance provi ded by CONTRACTOR pursuant to agai nst CONTRACTOR and COUNTY by a th i s Agreement. If judgment is entered court of competent jurisdiction because of the concurrent active negligence of COUNTY or COUNTY INDEMNITEES. CONTRACTOR and COUNTY agree that liability will be apportioned as determined by the court. apportionment. Neither party shall request a jury 12.2 Without limiting CONTRACTOR's liability for indemnification. prior to the provi si on of servi ces under thi s Agreement, CONTRACTOR agrees to purchase all requi red insurance at CONTRACTOR's expense and to depos it wi th ADMINISTRATOR Certificates of Insurance. including all endorsements required herei n, necessary to satisfy COUNTY that the insurance provi si ons of thi s Agreement have been complied with and to keep such insurance coverage and the certificates therefore on deposit with ADMINISTRATOR during the entire term of this Agreement. as set forth herein. 12.3 CONTRACTOR shall ensure that all subcontractors performing work on behalf of CONTRACTOR pursuant to this Agreement shall be covered under CONTRACTOR's insurance as an additional insured or maintain insurance subject to the same terms and conditions as set forth herein for CONTRACTOR. CONTRACTOR shall not allow subcontractors to work if subcontractors have less than the 1 eve 1 of coverage requi red by COUNTY from CONTRACTOR under thi s (WSH0204) 17 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Agreement. It is the ob 1 i gat i on of CONTRACTOR to provi de notice of the insurance requirements to every subcontractor. and to receive proof of insurance pri or to all owi ng any subcontractor to begi n work. Such proof of insurance must be maintained by CONTRACTOR through the entirety of this Agreement for inspection by County representative(s) at any reasonable time. 12.4 All insurance pol i ci es requi red by thi s Agreement sha 11 declare any deductible or self-insured retention (SIR) in an amount in excess of $25.000 ($5.000 for automobile liability). which shall specifically be approved by the County Executive Office (CEO)/Office of Risk Management. CONTRACTOR shall be responsible for reimbursement of any deductible to the insurer. Any self-insured retentions (SIRs) or deductibles shall be clearly stated on the Certificate of Insurance. 12.5 If CONTRACTOR fails to maintain insurance acceptable to COUNTY for the full term of this Agreement. COUNTY may terminate this Agreement. 12.6 The policy or policies of insurance required herein must be issued by an insurer licensed to do business in the State of California (California Admitted Carrier). If the insurer is not licensed to do business in the State of California, ADMINISTRATOR retains the right to approve or reject the insurer after a review of the insurer's performance and financial ratings by the County Executive Office (CEO)/Office of Risk Management. 12.7 The policy or policies of insurance required herein must be issued by an insurer with a minimum rating of "A- (Secure Best's Rating)" and a minimum financial rating of "VIII (Financial Size Category)," the most current edition of the Best's Key Rating Casualty/United States or by going on-line to "ambest.com." 12.8 The policy or polices of insurance maintained by CONTRACTOR shall as determined by GUide/Property- provide the minimum limits and coverage as set forth below: III (WSH0204) 18 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Coverage Minimum Limits Per Occurrence* Annual Aggregate Commercial General Liability with broad form property damage and $1.000,000 $2.000.000 contractual liability Automobile Liability (covering all $1,000,000 $1.000,000 owned, non-owned and hired vehicles) Workers' Compensation Statutory Statutory 12.9 All liability insurance. required by this Agreement shall be at least $1.000,000 combined single limit per occurrence. The minimum aggregate limit for the Commercial General Liability policy shall be $2.000.000. 12.10 The County of Orange shall be added as an additional insured on all insurance policies required by this Agreement with respect to the services provi ded by CONTRACTOR under the terms of thi s Agreement (except Workers' Compensation/Employers' Liability. An additional insured endorsement evidencing that the County of Orange is an additional insured shall accompany the Certificate of Insurance. 12.11 All insurance policies required by this Agreement shall be primary insurance, and any insurance maintained by the County of Orange shall be excess and non-contributing with insurance provided by these policies. An endorsement evidencing that CONTRACTOR's insurance is primary and non- contributing shall specifically accompany the Certificate of Insurance for the Commercial General Liability. 12.12 All insurance policies required by this Agreement shall give the County of Orange 30 days notice in the event of cancellation. Thi s sha 11 be evi denced by an endorsement separate from the Cert Hi cate of Insurance. In addition. the cancellation clause must include language as follows, which edits the pre-printed ACORD certificate: (WSH0204) 19 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 "SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL E~IDE^VOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. [JUT FMLURE TO M:\IL SUCFI NOTICE ~H!\LL IMPOSE ~IO OBLI Gi'.TI ml OR LI/'.BILITY OF /\NY KIND upml THE COMPNIY. ITS ,^,GE~IT OR REPREWIT^TIVE." 12.13 All insurance policies required by this Agreement shall waive all rights of subrogation against the County of Orange and members of the Board of Supervisors, its elected and appointed officials, officers. agents and employees when acting within the scope of their appointment or employment. 12.14 The Commercial General Liability policy sha 11 contain a severability of interests clause. 12.15 CONTRACTOR is aware of the provisions of Section 3700 of the Ca 1 iforni a Labor Code whi ch requi res every employer to be insured agai nst 1 i abi 1 i ty for Workers' Compensati on or be self - insured in accordance wi th provisions of that code. CONTRACTOR wi 11 comply with such provi s ions and shall furnish COUNTY satisfactory evidence that CONTRACTOR has secured, for the peri od of thi s Agreement. statutory Workers' Compensation insurance and Employers' Liability insurance with minimum 1 imits of $1.000,000 per occurrence. 12.16 If CONTRACTOR fails to provide the insurance certificates and endorsements within seven (7) days of notification by CEOIPurchasing or ADMINISTRATOR, award may be made to the next qualified proponent. 12.17 COUNTY expressly retains the right to require CONTRACTOR to increase or decrease insurance of any of the above insurance types throughout the term of this Agreement. Any increase or decrease in insurance will be as deemed by County of Orange Risk Manager as appropriate to adequately protect COUNTY. (WSH0204) 20 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 12.18 COUNTY shall notify CONTRACTOR in writing of changes in the If CONTRACTOR does not deposit copies of acceptable insurance requirements. certifi cates of insurance and endorsements wi th ADMINISTRATOR i ncorporat i ng such changes within thirty (30) days of receipt of such notice, this Agreement may be in breach wi thout further noti ce to CONTRACTOR, and COUNTY sha 11 be ent i t 1 ed to all 1 ega 1 remedi es . 12.19 The procuri ng of such requi red pol i cy or pol i ci es of insurance shall not be construed to limit CONTRACTOR's liability hereunder nor to fulfill the indemnification provisions and requirements of this Agreement. 12.20 The County of Orange Certificate of Insurance and the Special Endorsement for the County of Orange can be utilized to verify compliance with the above-menti oned insurance requi rements in place of commerci a 1 insurance certificates and endorsements. 12.21 If CONTRACTOR is a governmental entity. CONTRACTOR may self-insure for required coverages. 13, CONFLICT OF INTEREST CONTRACTOR shall exercise reasonable care and diligence to prevent any actions or conditions that could result in a conflict with the best interests of COUNTY. This obligation shall apply to CONTRACTOR's employees. agents. relatives. subcontractors. and third parties associated with accomplishing the work hereunder. CONTRACTOR's efforts shall include, but not be limited to. establishing precautions to prevent its employees or agents from making. receiving, or other providing, or offering gifts. entertainment. payments, loans, considerations which contrary to the best could be deemed to appear to interests of COUNTY. influence individuals to act 14. ANTI-PROSELYTISM PROVISION No funds provi ded di rect ly to i nsti tut ions or organi zati ons to provi de (WSH0204) 21 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 services and administer programs under 42 U.S.C. Section 604(a)(I)(A) shall be expended for sectari an worshi p, i nstructi on, or prose lyt i zati on. except as otherwise permitted by law. 15. SUPPLANTING GOVERNMENT FUNDS CONTRACTOR shall not supplant any Federal, State or COUNTY funds intended for the purposes of thi s Agreement wi th any funds made ava il ab 1 e under this Agreement. CONTRACTOR sha 11 not c 1 ai m reimbursement from COUNTY for, or apply sums received from COUNTY with obligations which have been paid by another respect to, that portion of its source of revenue. CONTRACTOR agrees that it shall not use funds received pursuant to this Agreement, either di rect ly or i ndi rect ly. as a contri but i on or compensation for purposes of obtaining Federal, State or COUNTY funds under any Federal. State or COUNTY program without prior written approval of ADMINISTRATOR. 16. BREACH SANCTIONS Failure by CONTRACTOR to comply with any of the provisions, covenants, or conditions of this Agreement shall be a material breach of this Agreement. In such event ADMINISTRATOR may, in its sole discretion. and in addition to immediate termination and any other remedies available at law, in equity. or otherwise specified in this Agreement: 16.1 Afford CONTRACTOR a time period within which to cure the breach, which period shall be established at the sole discretion of ADMINISTRATOR: and/or 16.2 Discontinue reimbursement to CONTRACTOR for and during the period in which CONTRACTOR is in breach, which reimbursement shall not be entitled to later recovery: and/or 16.3 Offset against any monies billed by CONTRACTOR but yet unpaid by COUNTY those monies disallowed pursuant to Subparagraph 16.2, above. ADMINISTRATOR shall give CONTRACTOR written notice of any action (WSH0204) 22 of 37 I 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 pursuant to this paragraph, which notice shall be deemed served on the date of mailing. 17. PAYMENTS 17.1 Maximum Contractual Obligation: The maximum obl igation of COUNTY under this Agreement shall be $265.000, or actual allowable costs. whichever is less. 17.2 Allowable Costs: Duri ng the term of thi s Agreement. COUNTY sha 11 pay CONTRACTOR monthly in arrears. for actual allowable costs incurred and paid by CONTRACTOR pursuant to this Agreement. as defined in OMB Circular A-87 or as approved by ADMINISTRATOR. However, COUNTY. in it sole discretion. may pay CONTRACTOR for anticipated allowable costs that will be incurred by CONTRACTOR for June 2005. during the month of such anticipated expenditure. 17.3 Claims: 17.3.1 All claims must be submitted monthly by CONTRACTOR on a form approved by ADMINISTRATOR. All claims submitted to COUNTY must be supported with source documents including. inter alia, a monthly statement of services. general ledgers. supporting journals, and receiving records, time sheets. invoices, canceled checks. receipts. some of which may be required to be copied and submitted with each monthly documents that CONTRACTOR must submit with each monthly invoice. Source invoice shall be determined by ADMINISTRATOR andlor COUNTY's Auditor-Controller. CONTRACTOR sha 11 reta in all fi nanci a 1 records in accordance with Paragraph 23 (Records, Inspections, Audits) of this Agreement. 17.3.2 Payments should be released by COUNTY within a reasonable time period of approximately thirty (30) days after receipt of a correctly completed claim form and required supporting documentation. 17.3.3 Final Claim/Settlement: (WSH0204) 23 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 17.3.3.1 ADMINISTRATOR no 1 ater than Any and all c 1 ai ms must be recei ved by August 30, 2005 at 5: 00 p. m.. sa i d date bei ng approxi mate ly sixty (60) days after termi nati on of thi s Agreement. Claims received after this date and time may not be reimbursed. ADMINISTRATOR may. in its sole di scret ion, modify the date upon whi ch the fi na 1 c 1 aim must be received. upon notice to CONTRACTOR. 17.3.3.2 The basis for final settlement shall be the actual allowable costs as defined in Title 45 of the Code of Federal Regulations and OMS Circular A-87, incurred and paid by CONTRACTOR pursuant to this Agreement: limited. however, to the maximum obligation of COUNTY. event that any overpayment has been made. COUNTY may offset the amount In the of the overpayment against the final payment. In the event overpayment exceeds the final payment, CONTRACTOR shall pay COUNTY all such sums within five (5) days of notice from COUNTY. Nothi ng herei n sha 11 be construed as 1 imiti ng the remedies of COUNTY in the event an overpayment has been made. 18. OVERPAYMENTS Any payment(s) made by COUNTY to CONTRACTOR in excess of that to which CONTRACTOR is entitled under this Agreement shall be repaid to COUNTY. in with any applicable regulations andlor policies in effect during accordance the term of thi s Agreement, or as estab 1 i shed by COUNTY procedure. Any overpayments made by COUNTY which result from a payment by any other funding source shall be repaid. at the discretion of ADMINISTRATOR. to COUNTY or the funding source. Unless earlier repaid. CONTRACTOR shall make repayment within thirty (30) days after the date of the final audit findings report, and prior to any administrative appeal process. In the event an overpayment owing by CONTRACTOR is collected from COUNTY by the fundi ng source. then CONTRACTOR shall reimburse COUNTY within thirty (30) days thereafter, and prior to any administrative appeal process. CONTRACTOR agrees to pay all costs incurred by (WSH0204) 24 of 37 9 10 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1 2 COUNTY necessary to enforce the provisions set forth in this paragraph. 19. REVENUE Whenever CONTRACTOR recei ves any money specifi ca 11y desi gnated for use 3 4 in programs funded through this Agreement. such monies shall be considered a cost off-set and treated as a reduction against the amount claimed by 5 6 CONTRACTOR, except for Program Income as defined in 45 CFR. Section 92.25 as 7 8 that section currently exists or may be hereafter amended. The procedure for designating money as Program Income is set forth in Paragraph 20 of this Agreement. 20. PROGRAM INCOME It is mutually understood that the State or Federal agency responsible 11 12 for providing the funding for this Agreement may designate certain revenue of CONTRACTOR as Program Income. To be designated as Program Income and. therefore. as other than a cost off -set, CONTRACTOR sha 11 do a 11 of the fo 11 owi ng: 20.1 Submit a plan to ADMINISTRATOR for the use of any and all proposed Program Income: 20.2 Set up and ma i ntai n a separate bank account for any proposed Program Income and account for any and all such income received; and 20.3 Report to ADMINISTRATOR any and all Program Income received no 1 ater than thi rty (30) days from the date of recei pt: record the amount recei ved on i nterna 1 fi nanci a 1 records: and i ndi cate the amount recei ved on the monthly claim submitted to ADMINISTRATOR. 20.4 ADMINISTRATOR shall then forward the plan for the requested use of the proposed Program Income to the appropriate State and/or Federal agencies for approva 1 . 20.5 CONTRACTOR shall not spend any of the proposed Program Income unless or until such time as ADMINISTRATOR obtains authorization for the use (WSH0204) 25 of 37 3 4 5 6 7 8 9 10 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1 2 of the Program Income from the respons i b 1 eState andlor Federa 1 agency and provides CONTRACTOR with prior written approval for the use of the funds. 20.6 ADMINISTRATOR may, in its sole discretion, issue future policy statements andlor i nstructi ons wi th respect to Program Income. CONTRACTOR shall immediately comply with such policy statements and/or instructions. 21. FINAL REPORT CONTRACTOR sha 11 complete and submit to ADMINISTRATOR a final report within sixty (60) days after the termination of this Agreement, which shall summarize the activities and services provided by CONTRACTOR during the term of this Agreement. CONTRACTOR and ADMINISTRATOR may mutually agree in writing 11 12 to modify the date upon which the final report must be submitted. 22. INDEPENDENT AUDIT 22.1 CONTRACTOR sha 11 emp 1 oy a 1 i censed cert Hi ed pub 1 i c accountant. who shall prepare and file with ADMINISTRATOR, an annual organization-wide audit of related expenditures during the term of this Agreement in compliance with the Office of Management and Budget (OMB) Circular A-133, Audits of States. Loca 1 Governments. and Non-Profi t Organi zati ons. The audi t must be performed in accordance with Generally Accepted Government Auditing Standards (GAGAS) and OMB Circular A-8? CONTRACTOR shall cooperate with County. State andlor Federal agencies to ensure that corrective action is taken within six (6) months after issuance of all audit reports with regard to audit exceptions. CONTRACTOR agrees to provide ADMINISTRATOR with a copy of its organization- wide audit for the period ending June 30 within sixty (60) days after the end of its fiscal year. Failure to comply with this paragraph shall be sufficient cause for ADMINISTRATOR, in its sole discretion. to deny payment of any monies under this or any other subsequent Agreement with CONTRACTOR until such time the audit is received. ADMINISTRATOR may. in its sole discretion, modify the (WSH0204) 26 of 3? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 date upon which the independent audit must be received. upon notice to CONTRACTOR. 23. RECORDS. INSPECTIONS AND AUDITS 23.1 Financial Records: 23 . 1 . 1 CONTRACTOR sha 11 and maintain accurate and prepare comp 1 ete fi nanci a 1 records. CONTRACTOR, for a mi ni mum of Financial records sha 11 be retained, by four (4) years from the date of final payment under this Agreement or until all pending COUNTY, State and Federal audits are completed. whichever is later. 23 . 1 . 2 CONTRACTOR sha 11 establish and maintain reasonable account i ng. i nterna 1 control and fi nanci a 1 reporti ng standards in conformi ty with genera 11y accepted accounting pri nci p 1 es estab 1 i shed by the Ameri can Institute of Certified Public Accountants (AICPA) and to the satisfaction of ADMINISTRATOR. 23.2 Participant Records: 23.2. 1 CONTRACTOR shall and maintain accurate and prepare complete records of clients served, and dates and type of services provided under the terms of this Agreement in a form acceptable to ADMINISTRATOR. 23.2.2 All c 1 i ent records related to servi ces provi ded under the terms of this Agreement shall be retained by CONTRACTOR for a minimum of four (4) years from the date of fi na 1 payment under thi s Agreement or unti 1 all pending COUNTY. State and Federal audits are completed, whichever is later. Notwithstanding anything to the contrary, upon termination of this Agreement, CONTRACTOR sha 11 reI i nqui sh control wi th respect to c 1 i ent records to COUNTY in accordance with Subparagraph 37.2. 23.2.3 COUNTY may refuse payment for a cIa i m if c 1 i ent records are determined by COUNTY to be incomplete or inaccurate. In the event client records are determined to be incomplete or inaccurate after payment has been (WSH0204) 27 of 37 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1 2 made. COUNTY may treat such payment as an overpayment within the provisions of this Agreement. 3 4 23.3 Inspections and Audits: 23.3.1 The Department of Hea lth and Human Servi ces, Comptroller of the United States. Director of the California Department of Social 5 6 General Services. State Auditor-General, ADMINISTRATOR, COUNTY's Auditor-Controller and Interna 1 Audit Department. or any of thei r authori zed representati ves, sha 11 have access to any books, documents, papers and records, i nc 1 udi ng medical records. of CONTRACTOR which any of them may determine to be pertinent to this Agreement for the purpose of financial monitoring. Further. a 11 the above mentioned persons have the right at all reasonable times to inspect or otherwise evaluate the work performed or being performed under this Agreement and the premises in which it is being performed. 23.3.2 CONTRACTOR shall make available its books and financial records within the borders of Orange County within ten (10) days after receipt of written demand by ADMINISTRATOR. 23.3.3 In the event CONTRACTOR does not make available its books and financial records within the borders of Orange County. CONTRACTOR agrees to pay all necessary and reasonable expenses incurred by COUNTY. or COUNTY's designee, necessary to obtain CONTRACTOR's books and financial records. 23.3.4 CONTRACTOR shall pay to COUNTY the full amount of COUNTY's liability to the State or Federal government or any agency thereof resulting from any di sa 11 owances or other audit exceptions to the extent that such liability is attributable to CONTRACTOR's failure to perform under this Agreement. 24. PERSONNEL DISCLOSURE 24.1 CONTRACTOR shall make available to ADMINISTRATOR a current list of all personnel providing services hereunder. including resumes and job (WSH0204) 28 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 applications. ADMINISTRATOR Changes the 1 ist wi 11 to be immediately provided to in writing. along with a copy of a resume andlor job application. The list shall include: 24.1.1 All full or part-time staff positions by title, including volunteer positions whose direct services are required to provide the programs described herein; 24.1.2 A brief description of the functions of each position and the hours each person works each week, or for part-time personnel each day or month. as appropriate: 24.1.3 The professional degree, if applicable. and experience required for each position: and 24.1.4 The language skill, if applicable. 24.2 Where authorized by law, CONTRACTOR shall for all personnel. conduct criminal record background checks on all employees and/or volunteers who will provide services under this Agreement. 24.3 CONTRACTOR warrants that all persons employed or otherwise assigned by CONTRACTOR to provide services under this Agreement have satisfactory past work records and/or reference checks indicating their ability to perform the required duties and accept the kind of responsibility anticipated under this Agreement. CONTRACTOR shall maintain records of background investigations and reference checks undertaken and coordinated by CONTRACTOR for each employee andlor volunteer ass i gned to provi de servi ces under this Agreement for a minimum of four (4) years from the date of final payment under thi s Agreement or until all pendi ng COUNTY. State and Federa 1 audits are completed. whichever is later, in compliance with all applicable laws. 24.4 CONTRACTOR shall immediately notify ADMINISTRATOR concerning the arrest and/or subsequent conviction. for offenses other than mi nor traffi c (WSH0204) 29 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 offenses. of any pai d employee andlor volunteer staff performi ng servi ces under this Agreement, when such information becomes known to CONTRACTOR. ADMINISTRATOR. in its sole discretion. may determine whether such employee andlor volunteer may continue to provi de servi ces under thi s Agreement and shall provide notice of such determination to CONTRACTOR in writing. CONTRACTOR's failure to comply with ADMINISTRATOR's decision shall be deemed a material breach of this Agreement. pursuant to Paragraph 16, above. 25. CHILD AND DEPENDENT ADULT/ELDER ABUSE REPORTING CONTRACTOR shall establish a procedure acceptable to ADMINISTRATOR to ensure that all employees, volunteers. consultants, or agents performing services under this Agreement report child abuse or neglect to a child protective agency as defined in Penal Code Section 11165.9 and dependent adult abuse as defined in Section 15630 (a) of the Welfare and Institutions Code. and elder abuse as defined in Section 15610.07 of the Welfare and Institutions Code, to an adult protection agency. CONTRACTOR shall require such employee. volunteer. consultant or agent to sign a statement acknowledging the reporting requirements as defined in Section 11166 of the California Penal Code and will comply with the provisions of the code section as it now exists or as it may hereafter be amended. 26. CONF I DENTIAL ITY 26.1 CONTRACTOR agrees to maintain the confidentiality of its records pursuant to Welfare and Institutions Code Sections 10850-10853. the CDSS Manual of Policies and Procedures. Division 19-000, and all other provisions of law. and regulations promulgated thereunder relating to privacy and confidentiality, as each may now exist or be hereafter amended. All records and information concerning any and all persons referred to CONTRACTOR by COUNTY or COUNTY's designee shall be considered and kept confi dent i a 1 by CONTRACTOR. CONTRACTOR's staff, agents, employees and (WSH0204) 30 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 volunteers. CONTRACTOR shall requi re all of its employees. agents. subcontractors and volunteer staff who may provi de servi ces for CONTRACTOR under thi s Agreement to si gn an agreement wi th CONTRACTOR before commenci ng the provision of any such services, to maintain the confidentiality of any and all materi a 1 sand i nformati on with whi ch they may come into contact. or the identities or any identifying characteristics or information with respect to any and all parti ci pants referred to CONTRACTOR by COUNTY. except as may be requi red to provi de servi ces under thi s Agreement or to those specifi ed in thi s Agreement as havi ng the capaci ty to audi t CONTRACTOR, and as to the latter, only during such audit. CONTRACTOR shall comply with any audits specified in Paragraph 23. provide reports and any other information required by COUNTY by law. 26.2 CONTRACTOR in the administration of this Agreement, and as otherwise permitted sha 11 inform all of employees. its agents. subcontractors. volunteers and partners of this provision and that any person knowingly and intentionally violating the provisions of said State law may be guilty of a crime. 26.3 CONTRACTOR agrees that any and all subcontracts entered into shall be subject to the confidentiality requirements of this Agreement. 27. COPYRIGHT ACCESS The Department of Health and Human Services. the California Department of Soci a 1 Servi ces. and COUNTY sha 11 have a roya lty- free, nonexc 1 usi ve and i rrevocab 1 e 1 i cense to pub 1 i sh, trans 1 ate, or use. now and hereafter, all material developed under this Agreement including those covered by copyright. 28. WAIVER No delay or omission by either party hereto to exercise any right or power accruing upon any noncompliance or default by the other party with respect to any of the terms of this Agreement shall impair any such right or (WSH0204) 31 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 power or be construed to be a wai ver thereof. A wa i ver by ei ther of the parti es hereto of any of the covenants, condi t ions. or agreements to be performed by the other shall not be construed to be a waiver of any succeeding breach thereof or of any other covenant, condition or agreement herein contained. 29. PETIY CASH CONTRACTOR is authorized to establish a petty cash fund in an amount not to exceed two hundred and fifty dollars ($250.00). 30. PUBLI C ITY Information and solicitations. prepared and released by CONTRACTOR. concerni ng the servi ces provi ded under thi s Agreement, sha 11 state that the program. wholly or in part, is funded through COUNTY. State and Federal government funds. 31. COUNTY RESPONSIBILITIES ADMINISTRATOR will provide consultation and technical assistance, and will monitor performance of CONTRACTOR in meeting the terms of this Agreement. 32. REPORTS CONTRACTOR shall mai ntai n records and submit reports contai ni ng such data and information regarding the performance of CONTRACTOR's services, costs or other data relating to this Agreement as upon a form approved by ADMINISTRATOR. may be requested by ADMINISTRATOR, ADMINISTRATOR may modify the provisions of this paragraph upon written notice to CONTRACTOR. 33. ENERGY EFFICIENCY STANDARDS CONTRACTOR shall comply with such mandatory standards and policies relating to energy efficiency as particularized in the State Energy Conservation Plan. (Title 24. California Code of Regulations). as required by the U.S. Energy Policy and Conservation Act (P.L. 94-163) as each may now exist or be hereafter amended. (WSH0204) 32 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 34. ENVIRONMENTAL PROTECTION STANDARDS CONTRACTOR shall be in compliance with Section 306 of the Clean Air Act [42 USC 1857(h)], Section 508 of the Clean Water Act (33 USC 1368), Executive Order 11738 and Envi ronmenta 1 Protecti on Agency, herei nafter referred to as "EPA". regulations (40 CFR, Part 15) as any may now exist or be hereafter amended. Under these laws and regulations. CONTRACTOR assures that: 34.1 No faci 1 i ty to be utili zed in the performance of the proposed grant has been listed on the EPA List of Violating Facilities: 34.2 It wi 11 notify COUNTY pri or to award. of the recei pt of any communication from the Director, Office of Federal Activities. U.S. EPA, indicating that a facility to be utilized for the grant is under consideration to be listed on the EPA List of Violating Facilities; 34.3 It will notify COUNTY and the EPA about any known violation of the above laws and regulations. 35. CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS CONTRACTOR shall be in compliance with Section 319 of Public Law 101-121 pursuant to 31 U.S.C. 1352 and the guidelines with respect to those provisions set down by the Federal Office of Management and Budget and published in the Federal Register dated December 20. 1989, Volume 54. No. 243, pp. 52306-52332. Under these laws and regulations. it is mutually understood that any contract which utilizes federal monies in excess of $100.000 must contain and CONTRACTOR must comply with the following provisions: FAR A. 52.203-12. Federal The definitions and prohibitions contained in the clause at Limitation Payments Influence to Certain on Transactions. included in this solicitation, are hereby incorporated by reference in paragraph (B) of this certification. B. The offeror, by signing its offer, hereby certifies to the (WSH0204) 33 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 best of his or her knowledge and belief as of December 23. 1989 that 1) No Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or emp 1 oyee of any agency, a Member of Congress, an offi cer or employee of Congress. or an emp 1 oyee of a Member of Congress on hi s or her beha 1 fin connection with the awarding of any Federal contract. the making of any Federa 1 grant, the maki ng of any Federal loan, the enteri ng into of any cooperative agreement, and the extension. continuation, renewal. amendment or modification of any Federal contract, grant, loan. or cooperative agreement: 2) If any funds other than Federal appropriated funds (including profit or fee received under a covered Federal transaction) have been pai d. or wi 11 be pai d. to any person for i nfl uenci ng or attempting to i nfl uence an offi cer or employee of any agency, a Member of Congress. an officer or employee of Congress, or an employee of a Member of Congress on his or her behalf in connection with this solicitation, the offeror shall complete and submit, wi th its offer, OMS standard form LLL, Di sc 1 osure of Lobbyi ng Activities. to the Contracting Officer: and 3) He she wi 11 include the language of thi s or certification in all subcontract awards at any tier and require that all recipients of subcontract awards in excess of $100.000 shall certify and disclose accordingly. C. Submission of this certification and disclosure is a prerequisite for making or entering into this contract imposed by Section 1352, Title 31. United States Code. Any person who makes an expenditure prohibited under this provision or who fails to file or amend the disclosure form to be fil ed or amended by thi s provi si on. pen a lty of not 1 ess than $10.000, and not more sha 11 be subject to a ci vil than $100,000. for each such failure. (WSH0204) 34 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 36. POLITICAL ACTIVITY CONTRACTOR agrees that the funds provi ded herei n sha 11 not be used to any political party, political candidate or promote, directly or indirectly, political activity. except as permitted by law. 37. TERMINATION PROVISIONS 37.1 ADMINISTRATOR may pena lty terminate this Agreement without immediately with cause or after thirty (30) days' written notice without cause. unless otherwise specified. Notice shall be deemed served on the date of mailing. Cause shall be defined as any breach of contract. any misrepresentation or fraud on the part of the CONTRACTOR. Exerci se by ADMINISTRATOR of the right to terminate this Agreement shall relieve COUNTY of all further obligation under this Agreement. 37.2 Upon cooperate with termination. thereof. orderly notice CONTRACTOR agrees or to ADMINISTRATOR in the transfer of service responsibilities. active case records. and pertinent documents. 37.3 The obligations of COUNTY under this Agreement are contingent upon the availability of Federal andlor State funds, as applicable. for the reimbursement of CONTRACTOR's expenditures. and inclusion of sufficient funds for the services hereunder in the budget approved by the Orange County Board of Supervisors each fiscal year this Agreement remains in effect or operation. In the event that such fundi ng is termi nated or reduced, ADMINISTRATOR may immediately terminate this Agreement, reduce COUNTY's maximum obligation, or modify this Agreement. without penalty. The decision of ADMINISTRATOR shall be binding on CONTRACTOR. ADMINISTRATOR shall provide CONTRACTOR with written notification of such determination. CONTRACTOR shall immediately comply with ADMINISTRATOR's decision. 38. GOVERNING LAW This Agreement shall be governed by the laws of the State of California. (WSH0204) 35 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 39. SIGNATURE IN COUNTERPARTS The Parties agree that separate copies of this Agreement may be signed by each of the Parties and this Agreement will have the same force and effect as if the original had been signed by all the Parties. /11 1/1 1/1 11/ /11 III //1 11/ /11 /11 1/1 11/ /11 III 11/ /1/ 1// 11/ III III //1 11/ 1// (April 9, 2004) (WSH0204) 36 of 37 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 HERE FORE , the parties hereto have executed this Agreement in the County By: CITY OF SANTA ANA CITY MANAGER David N. Ream Dated: ATTEST: BY~c<-<.:; , / / - CITY OF S~ CLERK OF THE COUNCIL Patricia E. Healy Dated: SIGNED AND CERTIFIED THAT A COPY OF THIS DOCUMENT HAS BEEN DELIVERED TO THE CHAIRMAN OF THE BOARD ATTEST: Jo ~.,- co ~ ~ '_~,',él ( "'\, . 0 j'¡".rk-,J:; , ì\ 'pf\ . j¿ ...íf7¿,,, "'," '~,',',',' ( 1^ J. ~-1. - \";) ... DARLENE J. BLô~ \. f:;J;,':',,>, Clerk of the Board of Supervisors' Orange County. California APPROVED AS TO FORM COUNTY COUNSEL COUNTY OF ORANGE. CALIFORNIA By: ~~L~ DEPUTY ijU! ò'f Dated: (WSH0204) 37 of 37 By: ïl1WA/~r- Dated: COUNTY OF ORANGE CHAIRMAN OF THE BOARD OF SUPE~ISORS '1/1 0 if APPROVED AS TO FORM: Joseph W. Fletcher. City Attorney ~c ¿: ~ By: Lisa E. Storck Assistant City Attorney RECOMMEDED FOR APPROVAL: P. Reekstin, Executive Director unity Development Agency 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 EXHIBIT A TO AGREEMENT BETWEEN COUNTY OF ORANGE AND CITY OF SANTA ANA FOR THE PROVISION OF WElFARE-TO-WORK EMPLOYMENT SERVICES COMMUNITY SERVICE ACTIVITIES 1. POPULATION TO BE SERVED 1.1 The population to be served consists of CalWORKs Welfare-To-Work (WTW) participants who: 1.1.1 Have completed their IB or 24-month WTW time period. as applicable. or are deemed suitable for this activity by ADMINISTRATOR: 1.1.2 Have not found unsubsidized employment sufficient to meet minimum required hours of participation. and for whom COUNTY has certified job is currently available to fulfill the minimum required hours of that no participation: 1.1.3 Continue to meet CalWORKs financial eligibility criteria: and 1.1.4 Currently reside within the city limits of Santa Ana. 1.2 CONTRACTOR agrees to serve only participants in the CalWORKs WTW Program referred to CONTRACTOR by COUNTY under this Agreement. It is mutua lly understood that all services are for the purpose of WTW participants achieving self-sufficiency within the CalWORKs time constraints. 1.3 CalWORKs participants will be required to participate in Community Service activities for the required 32/35 hours, unless fewer hours of (WSH0204) 1 of 10 9 10 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1 2 Community Service participation are required by law. 2. WORKLOAD STANDARDS 3 4 2.1 CONTRACTOR's work load goa 1 s wi th respect to Exhi bit A to thi s Agreement are as follows: 5 6 2.1.1 Each One-Stop Case Manager shall carry a maximum caseload of forty (40) Community Service participants. 7 8 2.2 CONTRACTOR and ADMINISTRATOR may agree in writing to modify workload goals as set forth in this paragraph. 3. SERVICES 3 . 1 CONTRACTOR shall provide WTW participants with Community Service 11 12 activities necessary to remove barriers to subsequent employment. These activities will be provided to participants referred by COUNTY to the SANTA ANA Workforce Investment Board (WIB). a division of CONTRACTOR. CONTRACTOR shall cooperate with the California Department of Social Services (CDSS) on the implementation of Community Service activities to the mutual satisfaction of COUNTY and CDSS. and with any and a 11 future requi rements estab 1 i shed by CDSS relating to calculation of required Community Service participation hours for each participant. Removal of barriers to employment shall be accomplished limited to the following: by a variety of methods, including but not 3.1.1 Working with participants, MDT and educational providers to develop job training and employment related interpersonal skills in one of the following areas identified as growth oriented; meeting an unmet community need; and in high demand for new employees: 3.1.1.1 3.1.1.2 Automation Technician (Data Entry) Certified Nurse Assistant 3.1.1.3 3.1.1.4 Child Care Provider (Day Care Center) Clerical 3.1.1.4.1 General Clerical (WSH0204) 2 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 3.1.1.4.2 Health Services Clerical 3.1.1.5 3.1.1.6 Domestic Care Giver Food Services 3.1.1.7 Hospita 1 i ty ADMINISTRATOR may, in its sole discretion. revise the career areas identified in this paragraph. 3.1. 2 CONTRACTOR shall make every attempt to engage participants and i nvo 1 ve them in the development of a Communi ty Servi ce Pl an that meets their 32/35-hour WTW participation requirement. In formulating that plan, CONTRACTOR shall take into account the participant's WTW Plan. COUNTY WTW staff wi 11 retai n sole respons i bil i ty for fi na 1 development and approva 1 of the participant's Community Service Plan. 3.2 COUNTY shall retain any and all rights to require pre-approval by ADMINISTRATOR andlor limit any and all services provided by CONTRACTOR. Services shall be provided in accordance with ADMINISTRATOR's policies and procedures and other instructions provided by ADMINISTRATOR. 3.3 ADMINISTRATOR may. in its sole discretion. change the services required under Subparagraph 3.1 to ensure full comp 1 i ance wi th all the State of California Department of Social Services (CDSS) requi rements if requi res subsequent changes to the County of Orange Community Servi ce Pl an. changes to Community Service requirements under the Welfare and Institutions Code. CDSS regulations or Manual of Policies and Procedures. 4. ADDITIONAL CONTRACTOR RESPONSIBILITIES 4.1 Welfare Fraud: 4.1.1 If welfare eligibility of support services payment fraud is suspected of the participant. CONTRACTOR shall report the suspected fraud to COUNTY or COUNTY's contracted CalWORKs WTW Case Manager. 4.1. 2 If servi ce provi der fraud is suspected, CONTRACTOR sha 11 (WSH0204) 3 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 report. in writing, the suspected fraud to ADMINISTRATOR. 4.2 Complaint Response: 4.2.1 CONTRACTOR shall develop, operate. and maintain procedures for receiving, investigating. and respondi ng to service provider and participant complaints, including Civil Rights complaints. CONTRACTOR sha 11 provide ADMINISTRATOR. in a form approved by ADMINISTRATOR, pertaining to such complaints within two (2) business days. information 4.3 Outside Contacts: 4.3.1 CONTRACTOR sha 11 i mmedi ate ly inform COUNTY' s WTW Program Manager, or a designee, of any inquiries from elected officials, their representatives. participant advocates. or the press, and immediately provide information permitting ADMINISTRATOR to respond. 4.3.2 CONTRACTOR sha 11 consult with COUNTY's WTW Program Manager, or a designee, prior to initiating contact with elected officials, their representatives. participants advocates of the press. 4.4 Utilizing Electronic Data Systems (EDS): 4.4.1 CONTRACTOR shall use COUNTY provided EDS to receive referrals and to record data regarding services provided. COUNTY sha 11 provide a designated number of CONTRACTOR's personnel with sufficient training necessary to operate the equi pment, track cases. generate requi red reports, etc. CONTRACTOR, in turn. sha 11 provi de thi s trai ni ng to any subcontractors that will have on-line access to EDS. COUNTY shall provide and maintain the necessary data processing equipment. including personal computers. shall provide a secure location for such equipment. CONTRACTOR 4.4.2 CONTRACTOR shall ensure that its personnel understand the uses of EDS and follow EDS procedure. 5. FORMS 5.1 ADMINISTRATOR shall provide CONTRACTOR with a camera-ready copy of (WSH0204) 4 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 a 11 mandated forms. CONTRACTOR sha 11 dup 1 i cate and di stri bute the forms to subcontractors as needed. 6. FACILITIES 6.1 Services under this Agreement shall be provided at: Santa Ana WORK Center 1000 E. Santa Ana Blvd. Santa Ana, CA 92701 CONTRACTOR and ADMINISTRATOR may agree in writing to add, change, 6.2 modify, or delete facility location(s) as necessary to best serve the needs of participants and ADMINISTRATOR. 7. CASE RECORDS 7.1 CONTRACTOR shall maintain a current and complete electronic case record for each participant referred. CONTRACTOR shall also maintain a hard copy case record as well. The contents of the hard copy case records will be in a format approved by ADMINISTRATOR and will be uniform among subcontractors and other educational providers. 7.2 Such i nformati on sha 11 be treated as confi denti a 1 and released only to ADMINISTRATOR as required or to others upon the written approval of ADMINISTRATOR. 7.3 CONTRACTOR shall obtain and maintain in the case record a written release, on an ADMINISTRATOR approved form. from participant authorizing the exchange of confidential information among CONTRACTOR, MDT, and subcontractors or other educational providers. All subcontractors shall treat all confidential information in the same manner as CONTRACTOR, and in adherence to the terms of this Agreement. 8. REPORTS 8.1 CONTRACTOR shall prepare and submit to ADMINISTRATOR's designated staff written reports. including, but not limited to: 8.1.1 Number of new cases referred each month: (WSH0204) 5 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 8.1. 2 Number who attended classeslreceived of participants services each month. by service type and provider: Number of cases closed each month: 8.1.3 8.1.4 8.1.5 8.1.6 8.2 All ADMINISTRATOR. 8.3 Number of cases pending at the end of each month; Number of cases completing training: and Number of cases obtaining unsubsidized employment. reports sha 11 a be prepared format approved in by ADMINISTRATOR may, in it's sole discretion, add. delete, modify or 9. waive individual reporting requirements as stated in this Paragraph. PERFORMANCE REVIEW 9.1 ADMINISTRATOR may variety of methods to evaluate use a 9.1.1 CONTRACTOR's performance including. but not limited to: Random sampling of program activities including a review of case files: 9.1. 2 9.1. 3 necessary: 9.1.4 9.1.5 questionnaires: and 9.1.6 9.2 Activity checklists and random observations: Inspection of output items on a periodic basis as deemed Management Information Systems (MIS) reported results: WTW participant complaints andlor WTW participant ADMINISTRATOR may requi re CONTRACTOR to provi de offi ce space for Subcontractor complaints or reports. designated ADMINISTRATOR staff assigned to conduct performance reviews. 9.3 In the event that CONTRACTOR performs services unsati sfactorily, ADMINISTRATOR may require a corrective plan. CONTRACTOR shall comply with any such corrective action plan within the time specified by ADMINISTRATOR. III (WSH0204) 6 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 10. STAFF TRAINING 10.1 COUNTY shall provide CONTRACTOR with written program requirements. including policies and general procedures. as requirements are revised or new policies are developed. 10.2 COUNTY staff will provide initial training to a designated number of CONTRACTOR's staff wi th respect to Ca 1 WORKs regul at ions. ADMINISTRATOR' s po 1 i ci es and procedures, and use of the EDS. conducted by CONTRACTOR. Subsequent trai ni ng must be 10.3 CONTRACTOR shall ensure that its staff receives training to understand cu ltura 1 differences of participants, a nd to among groups effectively recognize and intervene to overcome any language andlor cultural barriers to employment that may be evident. 10.4 CONTRACTOR shall designate a staff person to maintain a log of in- house training activities and participants. 11. HOURS OF OPERATION 11.1 At a minimum. CONTRACTOR shall maintain business hours of Monday through Fri day from the hours of B: 00 a. m. to 5: 00 p. m. (COUNTY ho 1 i days exc 1 uded) as well as schedu 1 ed eveni ng and weekend hours to best meet the needs of participants and their families. 12. BUDGET FOR PROVISION OF COMMUNITY SERVICE ACTIVITIES 12.1 The budget for services provided pursuant to Exhibit A of this Agreement is set forth as follows: LINE ITEMS Salaries and Benefits Case Manager Fiscal Specialist Max. Hourly Rate'" FY04-05 Cost FTE'" $ 24.23 28,44 0.85 0,03 $ 45.138 1,817 46.955 Subtotal Salaries $ Benefi ts (31 9.780 (WSH0204) 7 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Total Salaries and Benefits $ 56,735 Expenses Telecommunications Office Operations Office Supplies User Fee Indirect Costs SOO 240 125 2.000 5.100 $ S,265 $ 65.000 Total Expenses Maximum County Obligation (1)Maxi mum hourly rate whi ch wi 11 be permi tted duri ng the term of thi s Agreement; employees may be paid at less than maximum rate. (2)For hourly employees. Full-Time Equivalent (FTE) is defined as the amount of time (stated as a percentage) the position will be providing services under the terms of this Agreement. This percentage is based upon a 40-hour work week. For salaried employees. Full-Time Equivalent (FTE) is defined as the amount of time (stated as a percentage) the position will be paid for under the actually worked. terms of this Agreement, regardless of the number of hours (3)Medi ca 1 . long di sabil ity. term retirement. pension, employee assistance. FICA. SUI. Worker's Compensation and vacation accrual. 12.2 CONTRACTOR and ADMINISTRATOR may agree in writing to add, delete or otherwise modify individual line items and lor amounts andlor the number and type of FTE positions without changing COUNTY's maximum obligation under this Agreement. 13. STAFF CONTRACTOR. be responsible for providing through the WIB. sha 11 competent staff to ful fill the terms of thi s Agreement. Contractor sha 11 provide an adequate number of bilingual staff as need to provide services. All CONTRACTOR's staff shall be able to read. write, speak and understand English. CONTRACTOR shall provide the following described staff positions: (WSH0204) 8 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 13.1 Case Manager 13.1.1 Duties: 13.1.1.1 Assist participants in defining and pursuing career goals. Assess. advise and direct participants on job search techniques. Prepare written reports on placement efforts. education and worksite contact. and program effectiveness. 13. 1. 2 Qua 1 ifi cat ions: 13.1.2.1 Knowledge of problems participants have seeking employment. various alternative programs, and program effectiveness. 13. 1. 2.2 Ability to effectively i niti ati ve, communicate with match participants and employers: follow up 1 eads on own participant capabilities with placement opportunities. and direct participants to the most appropriate placement: establish and maintain effective working relationships with employers and worksite supervisors, participants. other City employees and the general public. 13.2 Fiscal Specialist 13.2. 1 Dut i es : 13.2. 1.1 Authorize of payments invoices: enter and maintain payroll records; prepare contracts for all programs; monitor program operators for fiscal compliance. 13.2.2 Qualifications; 13.2.2.1 Minimum of (1) experience in one year accounting. budgeting or monitoringlanalyzing funding programs, and graduation from an accredited four-year college or university with accounting, finance. business administration. or related field. a degree in III III (April 9. 2004) (WSH0204) 9 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 EXHIBIT B TO AGREEMENT BETWEEN COUNTY OF ORANGE AND CITY OF SANTA ANA FOR THE PROVISION OF WELFARE-TO-WORK EMPLOYMENT SERVICES WORK EXPERIENCE ACTIVITIES 1. POPULATION TO BE SERVED 1.1 The population to be served consists of CalWORKs Welfare-To-Work (WTW) participants who: 1.1.1 Have not completed their 18 or 24-month WTW time period, as applicable. and are deemed suitable for this activity by ADMINISTRATOR: 1.1.2 Cant i nue to meet Ca 1 WORKs fi nanci ale 1 i gi bi 1 i ty cri teri a: and 1.1.3 Currently reside within the city limits of Santa Ana. 1.2 CONTRACTOR agrees to serve only participants in the WTW Program referred to CONTRACTOR by COUNTY under this Agreement. It is mutually understood that all services are for the purpose of WTW participants achieving self-sufficiency within the CalWORKs time constraints. 1.3 Ca 1 WORKs participants will be required to participate in Work activities for the required 32/35 hours. unless fewer hours of WTW Experience participation are required by law. 2. WORKLOAD STANDARDS 2.1 CONTRACTOR's work load goa 1 s with respect to Exhi bit A to thi s Agreement are as follows: (WSH0204) 1 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 2.1.1 Each Case Manager sha 11 moni tor a maxi mum of forty (40) Work Experience (WEX) participants. 2.2 CONTRACTOR and ADMINISTRATOR may agree in writing to modify workload goals as set forth in this paragraph. 3. SERVICES 3.1 CONTRACTOR shall provide WTW participants with WEX activities necessary to remove barriers to subsequent employment. These activities will be provided to participants referred by COUNTY to the SANTA ANA Workforce Investment Board (WIB). a division of CONTRACTOR. CONTRACTOR shall cooperate with the California Department of Social Services (CDSS) on the implementation of WEX activities to the mutual satisfaction of COUNTY and CDSS, and with any and all future requirements established by CDSS relating to calculation of required WTW participation hours for each participant. Removal of barriers to employment shall be accomplished by a variety of methods. 3.1.1 CONTRACTOR shall make every attempt to engage participants and involve them in the development of a WEX activity that meets their 32/35- hour WTW participation requirement. COUNTY WTW staff will retain sole responsibil ity Plan. for final development and approval of the participant's WTW 3.2 COUNTY shall retain any and all rights to require pre-approval by ADMINISTRATOR andlor limit any and all Servi ces sha 11 be provi ded in accordance services provided by CONTRACTOR. with ADMINISTRATOR's policies and procedures and other instructions provided by ADMINISTRATOR. 3.3 ADMINISTRATOR may, in its sole discretion, change the services required under Subparagraph 3.1 to full compliance with all ensure requirements if the State of California Department of Social Services (CDSS) requires subsequent changes to the County of Orange CalWORKs Plan, changes to WTW requirements under the Welfare and Institutions Code. CDSS regulations or (WSH0204) 2 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Manual of Policies and Procedures. 4. ADDITIONAL CONTRACTOR RESPONSIBILITIES 4.1 We lfare Fraud: 4.1.1 If welfare eligibility of support services payment fraud is suspected of the participant. CONTRACTOR shall report the suspected fraud to COUNTY or COUNTY's contracted CalWORKs WTW Case Manager. 4.1.2 If servi ce provi der fraud is suspected, CONTRACTOR sha 11 report, in writing. the suspected fraud to ADMINISTRATOR. 4.2 Complaint Response: 4.2.1 CONTRACTOR sha 11 i mmedi ate ly inform COUNTY' s WTW Program Manger, or a designee, of any inquiries from elected officials, their representatives. participant advocates, or the press. and immediately provide information permitting ADMINISTRATOR to 4.2.2 CONTRACTOR sha 11 respond. consult with COUNTY's WTW Program Manager, or a designee. prior to initiating contact with elected officials, their representatives, participants advocates of the press. 4.3 Utilizing Electronic Data Systems (EDS): 4.3.1 CONTRACTOR shall use COUNTY provided EDS to receive referrals and to record data regarding services provided. COUNTY sha 11 provide a designated number of CONTRACTOR's personnel with sufficient training necessary to operate the equipment, track cases, generate requi red reports. etc. CONTRACTOR, in turn, shall provide this training to any subcontractors that will have on-line access to EDS. COUNTY shall provide and maintain the necessary data processing equipment, including personal computers. shall provide a secure location for such equipment. CONTRACTOR 4.3.2 CONTRACTOR shall ensure that its personnel understand the uses of EDS and follow EDS procedure. III (WSH0204) 3 of 10 I 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 5. FORMS 5.1 ADMINISTRATOR shall provide CONTRACTOR with a camera-ready copy of a 11 mandated forms. CONTRACTOR sha 11 dup 1 i cate and di stri bute the forms to subcontractors as needed. 6. FACILITIES 6.1 6.2 Services under this Agreement Santa Ana WORK Center 1000 E. Santa Ana Blvd. Santa Ana. CA 92701 CONTRACTOR and ADMINISTRATOR may agree in writing to add, change, shall be provided at: modify. or delete facil ity 1 ocati on (s) as necessary to best serve the needs of participants and ADMINISTRATOR. 7. CASE RECORDS 7.1 CONTRACTOR shall update the electronic case record and meet data entry requi rements for the record of each part i ci pant referred. CONTRACTOR shall also maintain a hard copy case record as well. The contents of the hard copy case records wi 11 be in a format approved by ADMINISTRATOR and wi 11 be uniform among subcontractors and other educational providers. 7.2 Such information shall be treated as confidential and released only to ADMINISTRATOR as required or to others upon the written approval of ADMINISTRATOR. 7.3 CONTRACTOR shall obtain and maintain in the case record a written release. on an ADMINISTRATOR approved form, from participant authorizing the exchange of confidential information among CONTRACTOR, MDT, and subcontractors or other educational providers. All subcontractors shall treat all confidential information in the same manner as CONTRACTOR, and in adherence to the terms of this Agreement. 8. REPORTS 8.1 CONTRACTOR shall prepare and submit to ADMINISTRATOR's designated (WSH0204) 4 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 staff written reports. including. but not limited to: 8.1.1 8.1. 2 Number of new cases referred each month; Number of participants who received services each month, by service type and provider: Number of cases closed each month: 8.1.3 8.1.4 8.1.5 8.1. 6 8.2 All ADMINISTRATOR. 8.3 Number of cases pending at the end of each month: Number of cases completing training: and Number of cases obtaining unsubsidized employment. reports sha 11 a be prepared in format approved by ADMINISTRATOR may, in it.s sole discretion. add, delete. modify or 9. waive individual reporting requirements as stated in this Paragraph. 9.1 PERFORMANCE REVIEW ADMINISTRATOR may variety to evaluate of methods use a 9.1.1 CONTRACTOR's performance including, but not limited to: of case files; 9.1. 2 9.1. 3 necessary; 9.1.4 9.1.5 questionnaires; and 9.1.6 9.2 Random samp 1 i ng of program acti vi ties i nc 1 udi ng a revi ew Activity checklists and random observations; Inspection of output items on a periodic basis as deemed Management Information Systems (MIS) reported results: WTW participant complaints andlor WTW participant ADMINISTRATOR may requi re CONTRACTOR to provi de offi ce space for Subcontractor complaints or reports. designated ADMINISTRATOR staff assigned to conduct performance reviews. 9.3 In the event that CONTRACTOR performs servi ces unsat i sfactori ly , ADMINISTRATOR may require a corrective plan. (WSH0204) CONTRACTOR shall comply with any 5 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 such corrective action plan within the time specified by ADMINISTRATOR 10. STAFF TRAINING 10.1 COUNTY shall provide CONTRACTOR with written program requirements, including policies and general procedures. as requirements are revised or new policies are developed. 10.2 COUNTY staff will provide initial training to a designated number of CONTRACTOR's staff with respect to CalWORKs regulations, ADMINISTRATOR's po 1 i ci es and procedures, and use of the EDS. conducted by CONTRACTOR. Subsequent training must be 10.3 CONTRACTOR shall ensure that its staff receives training to understand cultura 1 differences of participants. and to among groups effectively recognize and intervene to overcome any language andlor cultural barriers to employment that may be evident. 10.4 CONTRACTOR shall designate a staff person to maintain a log of in- house training activities and participants. 11. HOURS OF OPERATION 11.1 At a minimum. CONTRACTOR shall maintain business hours of Monday through Fri day from the hours of 8: 00 a. m. to 5: 00 p. m. (COUNTY ho 1 i days exc 1 uded) as well as schedul ed eveni ng and weekend hours to best meet the needs of participants and their families. 12. BUDGET FOR PROVISION OF WORK EXPERIENCE ACTIVITIES The budget for services provided pursuant to Exhi bit B of this Agreement is set forth as follows: Max. Hourly LINE ITEMS Rate(1) FTE(2) FY04-05 Cost Salaries and Benefits Case Manager $ 24.23 1.15 $ 60.879 Workforce Specialist I 21.61 0.12 5.450 Intake Specialist 18.76 0,10 4.390 Fiscal Specialist 28,44 0.03 1. 817 Subtotal Salaries $ 72,536 (WSH0204) 6 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Benefi ts (3) 15,350 Total Salaries and Benefits $ 87.886 Expenses Telecommunications Office Operations Office Supplies Equipment Rental User Fee Indirect Costs 1,000 440 2.907 800 7,400 7,877 20.424 Total Expenses $ Participant Costs Participant Wages Supportive Services Transportation 87.040 2.550 2.100 $ 91.690 $ 200,000 Total Participant Costs Maximum County Obligation Il)Maxi mum hourly rate whi ch wi 11 be permi tted duri ng the term of thi s Agreement: employees may be paid at less than maximum rate. (2)For hourly employees, Full-Time Equivalent (FTE) is defined as the amount of time (stated as a percentage) the position will be providing services under the terms of this Agreement. This percentage is based upon a 40-hour work week. For salaried employees. Full-Time Equivalent (FTE) is defined as the amount of time (stated as a percentage) the position will be paid for under the terms of this Agreement. regardless of the number of hours actua lly worked. (3)Medi ca 1 . long term disability. retirement, pension, employee assistance. FICA, SUI. Worker's Compensation and vacation accrual. 12.1 CONTRACTOR and ADMINISTRATOR may agree in writing to add. delete or otherwise modify individual line items andlor amounts andlor the number and type of FTE positions without changing COUNTY's maximum obligation under this Agreement. (WSH0204) 7 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 13. STAFF CONTRACTOR. be responsible for providing through the WIB. sha 11 competent staff to fulfi 11 the terms of thi s Agreement. Contractor sha 11 provi de an adequate number of bi 1 i ngua 1 staff as need to provi de servi ces. All CONTRACTOR' s staff sha 11 be able to read. wri te, speak and understand English. CONTRACTOR shall provide the following described staff positions: 13.1 Case Manager 13. 1. lOut i es : 13. 1. 1. 1 Assist participants in defining and pursuing career goals. Assess, advise and direct participants on job search techniques. Prepare written reports on placement efforts. education and worksite contact, and program effectiveness. 13.1.2 Qualifications: 13. 1. 2. 1 Knowledge of problems participants have seeking employment. various alternative programs, and program effectiveness. 13. 1. 2.2 Ability to communicate effectively initiative. with match participants and employers: follow up leads on own participant capabilities with placement opportunities. and direct participants to the most appropriate placement: establish and maintain effective working relationships with employers and worksite supervisors, participants, other City employees and the general public. 13.2 Workforce Specialist I 13.2. lOut i es : 13.2.1.1 Orient clients regarding the One-Stop system and use of One-Stop Center resources so that clients may secure and retain employment in accordance with program performance goals. Assist clients with preparati on of resumes, 1 etters of interest and other job search materi a 1 s. Assist higher level staff with implementation of One-Stop Center training (WSH0204) 8 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 programs. case management. job development and imp 1 ementati on of c 1 i ents' employment plans. Uses a computer to track and monitor information such as client status. job placement, employment outreach. program costs and customer satisfaction. Maintain database pertaining to work force development activities: reports. assists with collection and compilation of data: generates 13.2.2 Qualifications: 13.2.2.1 One of responsible work experience year involving substantial public contact in personnel, human services or workforce development programs. 13.2.2.2 Knowledge of workforce development programs; pertinent regulations and documentation requirements for program participation: interviewing methods; resources for providing information on the job opportuni ties and job search assi stance; content and formatting of effective and application materials: methods and techniques of resumes community outreach and program marketi ng: rel evant computer app 1 icati ons and software programs. 13.3 Intake Specialist 13.3.1 Duties: 13.3. 1. 1 Assist technical and professional staff who administer various federally funded workforce development and training programs. Coordinate appointments to meet with clients for technicians and case managers. Contact c 1 i ents after placement to determi ne status. and monitors performance. Assist with coordination of training and special events. which includes locating training sites. notifying participants and making any necessary special arrangements. Maintain database and information pertaining to workforce development activities and generates reports as required. (WSH0204) 9 of 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 13.3.2 Qualifications: 13.3.2.1 One of work experience involving year substantial public contact, personnel. human in services. or workforce development programs. 13.3.2.2 Knowledge of workforce development training programs. pertinent regulations, and documentation requirements: interviewing methods used to obtain information from and about participants: computer app 1 i cati ons and relevant software programs; 1 oca 1 communi ty resources and services having programs designed to assist unemployed individuals. 13.4 Fiscal Specialist 13.4. lOut i es : 13.4.1.1 Authorize payments of invoices: enter and maintain payroll records: prepare contracts for all programs: monitor program operators for fiscal compliance. 13.4.2 Qualifications: 13.4.2. 1 Minimum of (1) experience in one year accounting. budgeting or monitoringlanalyzing funding programs. and graduation from an accredited four-year college or university with a degree in accounting. finance. business administration. or related field. III III III III III III III III (April 9. 2004) (WSH0204) 10 of 10 CONTRACT PROVIDER FEDERAL FUND RECORD Agency Name: City of Santa Ana Date: 5/6/04 Type of Agency: Non- ProfitJUniversity For Profit x State or Local Government Agency Fiscal Year: July 1 - June 30 Please check appropriate box: I. D Our agency receives less than $300,000 in federal funds per our fiscal year from anyone program. 2. ~ Our agency receives more than $300,000 in federal funds per our fiscal year from anyone program. I will notify the County of Orange Social Services Agency/Contract Services of any changes in the future. ~~ Authorized Signature O:\Privatization Contract Services\Contract Documents\FedFund.doc CERTIFICATION REGARDING DEBARMENT, SUSPENSION, PROPOSED DEBARMENT, AND OTHER RESPONSIBILITY MATTERS This certification is setforth as amended at 54 Federal Register 19814 on May 8,1989, The definitions and prohibitions contained in the clauses of 48 Code of Federal Regulations subparts 9.400 to 9.409 are hereby incorporated by reference in the paragraphs of this certification. Under these laws and regulations it is mutually understood that the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Section 1001, Title 18, United States Code. (a) (I) The Offeror certifies, to the best of its knowledge and belief, that (i) The Offeror and/or any of its Principals (A) Are ( ) are not (x) presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any federal agency: (8) Have ( ) have not (X), within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state or local) contract or subcontract; violation of federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and (C) Are ( ) are not (x) presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of, any of the offenses enumerated in subdivision (a)(I)(I)(8) of this provision. (ii) The Offeror has ( ) has not ()(), within a three-year period preceding this offer, had one or more contracts terminated for default by any federal agency. (2) "Principals," for purposes of this certification, means officers; directors; owners; partners; and persons having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of subsidiary, division, or business segment; and similar positions). (a) This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Section 1001, Title 18, United States Code. (b) (c) (d) (e) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible. Nothing contained in the foregoing shall be construed to require . establishment of a system of records in order to render, in good faith, the certification required by paragraph (a) of this provision, The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If it is later determined that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default. /} /h Signature: ~¿~jÍ~- v- , Print Name: David Ream Title: City Manager Name of Business: City of Santa Ana Date: 5/10104 CERTIFICATION REGARDING LOBBYING This form is a certification of the prohibition on the use of federal funds for lobbying activities pursuant to 31 U.S.C. 1352. This form is for any contracts, grants, loans and cooperative agreements involving federal funds. The undersigned certifies, to the best of his or her knowledge and belief, that: 1) 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 for any agency, a Member of Congress, an officer or employee of Congress, or any employee of a Member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. . 2) 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, or an employee of a Member of Congress in connection with this federal contract, grant, loan, or cooperative agreements, the undersigned shall complete and submit Stand Form - LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. 3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U. S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Signature: f2&~ Print Name: David Ream Title: City Manager Name of Business: City of Santa Ana Date: 5/10104 INTERNAL CONTROL QUESTIONNAIRE FOR RECEIPTS, DISBURSEMENTS, PAYROLL AND SEGREGATION OF DUTIES CONTRACTOR: City of Santa Ana PREPARED BY: Faye Wong/Lydia Morgan DATE 5/6/04 RECEIPTS: YES NO N/A 1) Are there written procedures for the proper recording and X processing of receipts? a) Are these procedures followed? X b) Are these procedures reviewed and updated to ensure X Compliance therewith? 2) Is the processing of all receipts recorded separately from other X other programs to ensure separation of funds? 3) Is responsibility established for all receipts? X I 4) Are all receipts recorded by usinl! me-numbered receipts? X I 5) Are cash receipts (including checks) adequately safeguarded ITom X the time they are received until they are deposited? 6) Are all receipts deposited daily and intact? X I I 7) Are duplicate deposit slips retained and filed with reference X Infonnation for comparison to the individual receipt? 8) Is responsibility established when cash receipts (including checks) are transferred from one employee to another? X CHECK ONE 10f6 O:\Privatization Contract Servìces\Contract Documents\INTERNAL CONTROL QUESTIONNAIRE FOR.doc YES NO N/A 9) Is a listing of remittances received throllirllthemail prepared? X If yes: a) Is the listing prepared by someone other than the cashier X and! or nerson who nrenares the denosit? b) Does someone determine that the items shown on the X listing are either entered on the official collection records or have some other nroner disnosition? , 10) Are all used receipts controlled so as to nrevent possible misuse? I X I 11) Are all checks restrictivelv endorsed on receipt? X 12) Does someone other than the cashier or receivable clerk prepare X the denosit? 13) Are monthly bank reconciliations prepared by someone who had X nothing to do with the preparation of deposits or the signing of checks? CHECK ONE 20f6 O:\Privatization Contract Services\Contract Documents\INTERNAL CONTROL QUESTIONNAIRE FOR.doc DISBURSEMENTS: YES NO N/A 1) Are there written procedures for the proper recording and X processing of disbursements? 2) Is the processing of all disbursements recorded separately ITom X other programs to ensure separation of funds? 3) Are all disbursements, other than petty cash, made by check? I X I 4) Are all checks approved and signed by authorized personnel? I x I I 5) Are all checks made payable to a person, vendor, etc., not to X cash and never signed in advance? 6) Are voided checks retained and filed with cancelled checks? X I I 7) Are the checks outstanding for a considerable time investigated X llnd properlv resolved? 8) Are supporting documents examined by the person signing or X or controlling the signing of checks at the time checks are signed? 9) Are supporting documents marked "Paid" by the persons signing X or controlling the signing of checks and referred to check number? 10) Is the bank account reconciled monthly? I X 11) Are all disbursements, excluding petty cash purchases, approved X by persons independent of check preparation and bookkeeping? CHECK ONE 30f6 O:\PrivatizatÎon Contract Services\Contract Documents\lNTERNAL CONTROL QUESTIONNAIRE FOR.doc YES NO N/A 12) AIe all capital equipment purchases approved by authorized Personnel with prior approval by the Orange County Social x Services Agencv Contracts Administrator? 13) Is a current list of capital equipment maintained, and is an x inventorv conducted periodically? 14) Is a pre-printed serial number tag affixed to the capital x eouinment shortlv after it is received? 15) AIe all offices and/or employees who handle cash or have access x To cash bonded? CHECK ONE 40f6 O:\Privatization Contract Services\Contract Documents\INTERNAL CONTROL QUESTIONNAIRE FOR.doc PAYROLL YES NO N/A I) Does each employee prepare hislher time card/time sheet for each x pay period? 2) AIe time cards/time sheets signed by the employees and approved x by their supervisor? 3) AIe paychecks distributed by someone other than the supervisor x who approves time worked? 4) AIe paychecks for employees who are absent on paydays x AdeQuatelv safeguarded until distributed? 5) AIe personnel files maintained for each employee showing! Containing each employee's: x a) date of hire x b) hourly rate of pay x c) W-4 form x d) iob description X e) iob status (full-time, part-time, etc.) X f) documentation/authorization for pay adjustments T 6) AIe there established policies for sick leave, vacation, leave of x Absence, etc.? 7) AIe there procedures in effect to ensure that employee absences are properly recorded on their time cards? x 8) AIe pavroll advances allowed? x If so, are procedures to record advance and prevent duplicate Payments adeQuate? 9) AIe hiring, terminating or pay rate changes approved by persons x independent ofpavroll functions? CHECK ONE 50f6 O:\Privatization Contract Services\Contract Documents\INTERNAL CONTROL QUESTIONNAIRE FOR.doc SEGREGATION OF DUTIES Svstem I) Receipts 2) Disbursements 3) Payroll 4) Petty cash 5) General Dutv Mail opening and endorsement Retention of remittance advises Entry into cash receipts journal Completion of deposit slips Delivery of deposits to the bank Safeguarding blank checks (Non-Payroll) check preparation Check signing Entry into cash disbursement journal Cancellation of support documents Time card/Time sheet approval Preparation of Payroll Journal and compensation records Preparation of payroll checks Distribution of payroll checks Payroll check signing Custodian Approval of General Journal Approval of supporting documents for reimbursement Approval of General Journal Reconciliation of bank statements 60f6 PositionJEmplovee Assistant Revenue Processing Elsa Ortega Treasury Supervisor Minerva Mancha Data Entry Lynda Kelley Management Analyst William Navaja Pick-up by Brinks Armor Delivery Treasury Supervisor Minerva Mancha Programmatically thru Information Services Supervisor - Bob DePrat Executive Director - Finance Rod Coloma Programmatically thru Information Services Supervisor - Bob DePrat Lead Accounting Assistant - Purchas: Sandra Perez Agency respective supervisors I managers Programmatically thru the payroll system Same as above Payroll Assistant Alicia Moore Executive Director Rod Coloma - Finance Treasury Supervisor Minerva Mancha Acting Accounting Manager Alex Ugarte Senior Accountant Faye Wong Acting Accounting Alex Ugarte Acting Accounting Alex Ugarte Manager Manager O:\Privatization Contract Services\Contract Documents\INTERNAL CONTROL QUESTIONNAIRE FOR.doc