HomeMy WebLinkAbout25H - CUSTOMIZED TRAININGREQUEST FOR
COUNCIL ACTION
CITY COUNCIL MEETING DATE:
DECEMBER 6, 2010
TITLE:
AGREEMENT WITH TENACORE
FOR CUSTOMIZED TRAINING
CITY MANAGER
RECOMMENDED ACTION
CLERK OF COUNCIL USE ONLY:
APPROVED
? As Recommended
? As Amended
? Ordinance on 151 Reading
? Ordinance on 2nd Reading
? Implementing Resolution
? Set Public Hearing For_
CONTINUED TO
FILE NUMBER
Authorize the City Manager and the Clerk of the Council to execute the attached agreement with
Tenacore in the amount of $51,000 to provide customized training, subject to non-substantive
changes approved by the City Manager and City Attorney.
DISCUSSION
Workforce Investment Act (WIA) funds may be used to improve the skills of employed individuals.
Training is customized to meet the specific need of an employer and also to increase the earning
potential of the trainee. The customized training program requires the employer to contribute up
to 50% of the training costs; however, a current State waiver allows for a decreased amount of
employer contribution based on company size. Under this waiver, employers with 50 or fewer
employees may receive up to a 90% reimbursement; and employers with 51 to 250 employees
may receive up to a 75% reimbursement.
Tenacore is a small Santa Ana manufacturer specializing in medical equipment products and
repairs. Tenacore is requesting training assistance for 12 of its medical equipment repair
workers. The proposed agreement would reimburse 75% of the cost of training 12 current
employees to become Ultrasound Probe Repair Technicians. Improving this capacity will allow
Tenacore to retain existing jobs and potentially generate new job opportunities.
Training will be provided to Tenacore employees through Farus, LLC, a Qualified Customized
Training Provider pursuant to the Santa Ana W/O/R/K Center procurement process.
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Agreement with Tenacore
December 6, 2010
Page 2
FISCAL IMPACT
Funds for this contract are available in the Workforce Investment Act Rapid Response account
(no. 12318756-62300/11700701212).
Cynthia J. Nels n
Deputy City Manager for
Development Services
Community Development Agency
CJN/LAO/CR/SV/mlr
Exhibit: 1. Tenacore Agreement
APPROVED AS TO FUNDS AND ACCOUNTS:
Francisco Gutierrez ,
Executive Director J
Finance & Management Services Agency
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Agreement No.
CUSTOMIZED TRAINING AGREEMENT
UNDER THE WORKFORCE INVESTMENT ACT
THIS AGREEMENT is made and entered into this 6th day of December, 2010 between
the City of Santa Ana, a charter city and municipal corporation duly organized and existing
under the Constitution and laws of the State of California (hereinafter "CITY") and Tenacore
Holdings Inc. (hereinafter "EMPLOYER").
WITNESSETH
Recitals:
A. CITY has been designated a Local Workforce Investment Area ("LWIA")
pursuant to Section 116 of the Workforce Investment Act ("WIA"), P.L. 105-220, 29 USC
Section 2801, to receive federal funds to promote effective delivery of job training services to
local area residents.
B. The State of California has created the California Workforce Investment Board
pursuant to Section 111 of the Workforce Investment Act, P.L. 105-220, 29 USC 2821 to
administer the WIA programs operated by the State of California.
C. As a LWIA, CITY is entitled to receive federal funds to establish programs to
prepare eligible unskilled youth, adults, dislocated workers, and incumbent workers for entry
into the labor market, and to provide job training to those individuals who face serious barriers in
obtaining productive employment ("said Program"). Such programs include customized training
programs.
D. Pursuant to Section 101(8) of the Workforce Investment Act, "customized
training" means training: (i) that is designed to meet the special requirements of an employer
(including a group of employers); (ii) that is conducted with a commitment by the employer to
employ, or in the case of incumbent workers, continue to employ, an individual on successful
completion of the training; and (iii) for which the employer pays for not less than 50 percent of
the cost of the training.
E. The Department of Labor granted California a waiver of the required 50 percent
employer contribution. This waiver has been granted through June 30, 2011.. Under this waiver,
the following sliding scale is permitted: (1) no less than a 10 percent match for employers with 50 or
fewer employees; (2) no less than a 25 percent match for employers with 51 - 250 employees; and
(3) no less than a 50 percent match for employers with more than 250 employees.
F. Pursuant to 20 CFR Part 663.705 customized training for employed workers must
relate to the introduction of new technologies, introduction to new production or service
procedures, upgrading to new jobs that require addition al skills, workplace literacy, or other
appropriate purposes identified by the Local Board.
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G. EMPLOYER is able and willing to train eligible unskilled applicants to operate
said Program pursuant to the WIA and applicable federal, state and local laws.
WHEREFORE, for and in consideration of the respective and mutual covenants and
promises hereinafter contained and made, and subject to all the terms and conditions hereof, the
parties hereto do hereby agree as follows:
Term. The effective term of this Agreement is for the period beginning December 13,
2010, and ending April 30, 2011. The term of this Agreement may be extended upon
agreement of the City Manager or his/her designee and EMPLOYER.
2. Scope of Work. The EMPLOYER shall train up to 12 incumbent employee(s)/worker(s)
(hereinafter "Trainee(s)") in the occupation and in accordance with the Customized
Training Plan set forth in Exhibit A, attached hereto and incorporated herein by this
reference.
Training must significantly raise the Trainee from his/her prior position in level of skill
by the end of the training period.
A. Incumbent Worker Training
Incumbent workers must:
i. Be WIA eligible employees of Santa Ana companies and
ii. Earn less than the SAWIB self- sufficiency wage of $15.24 and
iii. NOT displace (including a partial displacement, such as a reduction in the
hours of non-overtime work, wages, or employment benefits) any
currently employed employee (as of the date of the participation).
2. Training may include but not limited to:
i. Skills upgrading or adapting skills of line staff
ii. Training of managers and supervisors to provide skills needed to assume
new functions and responsibilities within an at risk business.
3. Duration and Length of Activity
i. The training period shall not exceed 6 months.
B. Incumbent Worker Training Specifications
The proposed customized training must meet the following specifications:
1. Training may be designed for one business or a group of businesses
2. There must be a demonstrated need for training
i. Trainees must have a deficiency in the occupational skills required for
immediate employment in the position to be filled after training OR
ii. Business must identify new or changing regulations that require a change
in technology, software, waste reduction, energy conservation, etc. OR
iii. Identify changing skill requirements as a result of external economic or
market forces, significant changes in operating processes, rapidly
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changing industry or occupational job requirements or emergence of new
products.
3. The business(es) must agree to retain trainees who are current employees upon
successful completion of the training;
4. The business(es) must pay a minimum of 50 percent of the training cost;
5. The project must not cause displacement of current regular employees or reduce
the number of work hours or earnings of current employees;
6. The business(es) cannot be involved in a current labor dispute; and
7. No lay-off shall have occurred within the last 120 days. from the date of
application.
3. Funding. CITY shall reimburse the EMPLOYER an amount not to exceed $ 51,000 in
accordance with the budget Exhibit B. EMPLOYER shall bill the CITY monthly on an
invoice provided by CITY for actual and reasonable cost for providing the services
described in this Agreement.
4. Subcontractiniz. Training may only be subcontracted to Vendors on the Qualified
Customized Training Provider List provided by the CITY (the "List"). EMPLOYER is
legally permitted to subcontract the customized training, however CITY will only
reimburse the cost of training up to 75% of EMPLOYER'S cost for said training so long
as the subcontractor is on the List.
Employer Obligations. During the training, the EMPLOYER shall ensure that the
Trainee:
a. is on the EMPLOYER's payroll, not paid as a contracted employee or independent
contractor; and,
b. receives the same benefits as EMPLOYER's other employees performing similar
work; and,
c. is provided Worker's Compensation Insurance coverage, pursuant to state law;
and,
d. is provided by EMPLOYER with safety instructions and equipment necessary for
reasonable protection against injury and damage. CONTRACTOR shall maintain
appropriate standards for health and safety in work and training situations. Where special
clothing or equipment is provided to the EMPLOYER's regular employees, EMPLOYER
shall provide the same type of clothing or equipment to the Trainee performing similar
work.
6. Employment of Trainee. The EMPLOYER shall employ the Trainee as a regular
member of EMPLOYER's work force. If EMPLOYER wants to continue to employ the
Trainee upon the successful completion of the training period under this Agreement, said
employment shall be subject to the same conditions of employment applied to
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EMPLOYER's other regular employees, including termination for unsatisfactory
performance.
7. Patent, Copyrights and Rights in Data. The EMPLOYER will disclose to the CITY any
invention, written product, computer program developed or data assembled as a result of
performance of work under this Agreement within seventy four (74) days of invention,
development or assembly. The CITY, State of California, and U.S. Department of Labor
will have the right to patent any invention and copyright any written product or computer
program or data generated by EMPLOYER. Upon written request, EMPLOYER will
transfer all pertinent information, specifications and right, title and interest to the
designated agency.
8. INVENTIONS, PATENTS AND COPYRIGHTS.
A. Reporting Procedure. If any project produces patentable items, patent
rights, processes, or inventions in the course of work under a U.S. Department of Labor (DOL)
grant or agreement, the CONTRACTOR shall report the fact promptly and fully to the CITY.
The CITY shall report the fact to the Grant Officer, at the DOL. Unless there is a prior
agreement between the CITY and the DOL and its representative on these matters, the DOL shall
determine whether to seek protection on the invention or discovery. The DOL and its
representative shall determine how the rights in the invention or discovery, including rights
under any patent issued thereon, will be allocated and administered in order to protect the public
interest consistent with the "Governmental Patent Policy" (President's Memorandum for Heads
of Executive Departments and Agencies, August 23, 1971, and Statement of Government Patent
Policy).
B. Copyright Policy.
1. Unless otherwise provided in the terms of the grant or agreement, when
copyright-able material is developed in the course of or under a DOL Grant or agreement, the
author and the CITY which developed the work is free to copyright material or to permit others
to do so. The EMPLOYER and the Workforce Investment Board (WIB) shall have a royalty-
free, nonexclusive and irrevocable license to reproduce, publish, use and to authorize others to
use all copyrighted material.
2. The DOL reserves a royalty-free, nonexclusive, and irrevocable license to
reproduce, publish or otherwise use, and to authorize others to use, for Federal Government
purposes: (a) The copyright in any work developed under any grant, sub-grant, or contract under
a grant or subgrant; (b) Any right of copyright to which a grantee, subgrantee or a EMPLOYER
purchases ownership with grant support; and (c) EMPLOYER shall comply with the
requirements of 29 CFR Part 97.34.
C. Rights to Data. The DOL and the CITY shall have unlimited rights to
any data first procured or delivered under this Agreement.
9. Hold Harmless. The EMPLOYER shall indemnify, defend and hold harmless CITY, and
its officers, agents and employees, from and against any and all damages to property or
injuries to or death of any person or persons, including property and employees or agents
of CITY, and shall indemnify, defend and hold harmless CITY, and its officers, agents
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and employees, from any and all claims, demands, suits, actions or proceedings of any
kind or nature, including, but not limited to, workers' compensation claims, resulting
from or arising out of the negligent acts, errors or omissions of EMPLOYER, its
employees, agents or subcontractors.
10. Insurance. The EMPLOYER shall obtain at its sole cost and file with the City of Santa
Ana - Santa Ana W/O/R/K Center, upon execution of this Agreement, and maintain for
the period covered by this Agreement, a policy or policies of commercial general liability
insurance or a certificate of such insurance, satisfactory to the City Attorney of CITY,
naming the CITY, and its officers, agents, employees and volunteers, as insured or
additionally insured (see attached Additional Insured Endorsement, Exhibit C), which
provides coverage not less than that provided in the form of a comprehensive general
liability insurance policy against liability for any and all claims and suits for damages or
injuries to persons or property resulting from or arising out of operations of
EMPLOYER, and its officers, agents, or employees. Said policy or policies of insurance
shall provide coverage for both bodily injury and property damage in no less than One
Million Dollars ($1,000,000). Said policy or policies shall also contain a provision that
no termination, cancellation or change of coverage or of insured or additional insured
shall be effective until after thirty (30) days notice thereof has been given in writing to
CITY. EMPLOYER shall give to CITY prompt and timely notice of claims made or suit
instituted against said policy. EMPLOYER shall procure and maintain at its own costs
and expense, any additional kinds and amounts of insurance which, in its own judgment,
may be necessary for its proper protection.
11. Record Keeping. CITY, the State of California and the United States government and/or
their representatives shall have access for purposes of monitoring, auditing and
examining of EMPLOYER'S activities, performance, books, documents, papers, and
records of EMPLOYER'S subcontractors, bookkeepers and accountants, and employees
and participants related to this Agreement. Such agencies or representatives shall also
schedule on-site monitoring in their discretion. Monitoring activities may also include,
but are not limited to, questioning employees and participants and entering any premises
or onto any site in which any of the services or activities funded hereunder are conducted
or in which any of the records of EMPLOYER are kept. Nothing herein shall be
construed to require access to any privileged or confidential information as set forth in
federal or state law.
In the event EMPLOYER does not make the above-referenced documents available
within the City of Santa Ana, California, EMPLOYER agrees to pay all necessary and
reasonable expenses incurred by CITY in conducting any audit at the location where said
records and books of account are maintained.
All accounting records and evidence pertaining to all costs of EMPLOYER and all
documents related to this Agreement shall be kept available at the location where
EMPLOYER conducted the program, as well as in the County of Orange, for the duration
of this Agreement and thereafter for three (3) years after completion of an audit. Records
which relate to (a) complaints, claims, administrative proceedings or litigation arising out
of the performance of this Agreement, or (b) costs and expenses of this Agreement to
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which CITY, the State of California or the United States Government take exception,
shall be retained beyond the three (3) years until resolution of disposition of such appeals,
litigation, claims, or exceptions.
12. Government Funding. This Agreement is valid and enforceable only if sufficient funds
are made available to the State by the United States Government for the same Fiscal Year
as for this Program. In addition, this Agreement is subject to any additional restrictions,
limitations, or conditions enacted by Congress or any statute enacted by Congress which
may affect the provision, terms or funding of this Agreement in any manner.
13. Payment Cap. CITY's Customized Training reimbursement payments to EMPLOYER
shall not exceed a maximum of seventy-five percent (75%) of the Customized Training
Cost paid by EMPLOYER as specified in Exhibit B, during the training period specified
in Exhibit A.
14. Amendment of Agreement. No alteration or variation of the terms of this Agreement
shall be valid and/or binding unless made in writing and signed by both parties. There
are no oral understandings or agreements between the parties.
15. Breach/Sanctions. If, through any cause, EMPLOYER violates any of the terms and
conditions of this Agreement, or if EMPLOYER reports inaccurately or if any Audit
Report makes disallowances, EMPLOYER shall promptly remedy its acts or omissions
and/or repay CITY all amounts due CITY as a result of EMPLOYER's violation. For any
such failures or violations, CITY shall also have the right at its sole discretion to either:
(1) discontinue program support until such time as EMPLOYER fulfills its obligations or
remedies all violations of this agreement or prior agreements; and/or (2) collect
outstanding amounts as determined by CITY due CITY by offsetting or debiting from
current claims or invoices, if after thirty (30) days' written notice EMPLOYER has failed
to repay same or a repayment schedule has not been made; and/or (3) terminate this
Agreement by giving written notice to EMPLOYER of such termination in accordance
the notice provision in Paragraph XVIII herein below.
16. Termination. Either party may terminate this Agreement upon thirty (30) days prior
written notice to the other party. However, the CITY may immediately terminate this
Agreement at such time as funds are not made available to CITY through the United
States Department of Labor or the State of California Employment Development
Department for the purpose of carrying out this Agreement.
17. Independent Contractor. The EMPLOYER, and any agents and employees of the
EMPLOYER, in the performance of this Agreement, shall act in an independent capacity
as independent contractors and not as officers, employees, or agents of the CITY. This
Agreement is not intended nor shall it be construed to create an employer-employee
relationship between EMPLOYER and CITY, nor a joint venture relationship. The
EMPLOYER shall not subcontract in the name of the CITY.
18. Aual Employment Opportunities. The EMPLOYER warrants that it will comply with
Title VI of the Civil Rights Act of 1964, and the requirements relating to equal
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employment opportunities set forth in Executive Order No. 11246, as amended by E.O.
11375 and supplemented by the requirements of 41 CFR Part 60. EMPLOYER will also
comply with all applicable federal and state laws and regulations, and particularly those
assurances and certifications set forth in Exhibit D attached hereto and by this reference
incorporated herein.
19. Prohibitions. The EMPLOYER shall not use any of the training funds provided under
this Agreement for political or sectarian activities.
20. Grievance Procedure. The EMPLOYER shall continue to operate, or shall establish and
maintain a grievance or complaint handling procedure relevant to the terms and
conditions of employment and the EMPLOYER's activities and programs, which shall
meet at a minimum the requirements set forth in Section 101(31) of the Act and 663.700-
710 and regulations promulgated by the State or Federal Government. EMPLOYERS
that do not have a grievance or complaint handling procedure shall use the procedures
prescribed by the CITY.
21. Guidelines. The CITY shall make the WIA applicable federal regulations and policy
guidelines available to EMPLOYER at CITY - W/O/R/K Center, 1000 E. Santa Ana
Blvd., Suite 200, Santa Ana, California 92701. The CITY shall also inform the
EMPLOYER of changes in the WIA regulations or policy guidelines if such changes
affect the operation of this Agreement.
22. Drug Free Workplace. The EMPLOYER agrees to provide a drug-free work place and to
execute a certification as set forth in Exhibit E attached hereto and incorporated herein by
this reference.
23. Notices. All notices, reports and correspondence between the parties hereto respecting
this Agreement shall be in writing and deposited in the United States mail, postage
prepaid, addressed as follows:
CITY:
City of Santa Ana - Santa Ana W/O/R/K Center
1000 E. Santa Ana Blvd., Suite 200
Santa Ana, CA 92701
Attention: WORK Center Director
EMPLOYER:
Tenacore Holdings Inc.
1525 E. Edinger Ave.
Santa Ana, CA 92705
Attention: Enrique Lopez
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24. Debarment. To protect the public interest and ensure the integrity of Federal programs,
CITY may only conduct business with responsible persons and may not make any award
or permit any award to any party which is debarred or suspended or is otherwise excluded
from or ineligible for participation in Federal assistance programs under Executive Order
12549, "Debarment and Suspension". See also 29 CRF Parts 97.35 and 98.510.
EMPLOYER must review and sign Exhibit E "Debarment", which is attached hereto and
incorporated herein by this reference.
24. Merger. This Agreement, together with the attachments hereto, expresses the total
understanding of the parties. There are no oral understandings of the parties or terms and
conditions other than as stated herein.
25. Validity. The invalidity in whole or in part of any provision of this Agreement shall not
void or affect the validity of any other provision of this Agreement.
26. Miscellaneous Provisions.
a. Each undersigned represents and warrants that its signature hereinbelow has the power,
authority and right to bind their respective parties to each of the terms of this Agreement,
and shall indemnify CITY fully, including reasonable costs and attorney's fees, for any
injuries or damages to CITY in the event that such authority or power is not, in fact, held by
the signatory or is withdrawn.
b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set
forth in the body of this Agreement.
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IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and
year first above written.
ATTEST:
Maria D. Huizar
Clerk of the Council
APPROVED AS TO FORM:
Joseph W. Fletcher
City Attorney
By: Lisa Storck
Assistant City Attorney
CITY OF SANTA ANA
David N. Ream
City Manager
EMPLOYER:
Brand Caso
Director
33-0911809
9
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Exhibit A
Customized Training Plan
1. GENERAL
1. Name of Employer: Tenacore
2. Address of Work-site: 1525 E. Edinger Ave. Santa Ana CA 92705
3. Phone Number: 714-444-4643
4. Training Supervisor: Jaz Singh Director of Operations
5. Number of Trainees up to 12
6. Trainee Wages at time of training $12.50 hr
7. Trainee Wages at completion of training $13.50 hr
II. TRAINING OUTLINE:
1. Project Length: 3 months
2. Total Training Hours: 200 hours (approximately 16 hours per week
3. Training Type: Classroom and Hands-On Training
4. ONET Code: 49-9062
5. SVP Level 6.0
6. Occupation/Product or Service: Ultrasound Probe Technolo
7. Curriculum:
The curriculum plan includes the following class titles, dates:
1. Class: Overview of ultrasound probe technology
Dates: December 13 - December 17
2. Class: Diagnosis and identification of common micro-coaxial cable failure points
Dates: December 20 - December 24
3. Class: Soldering high-density micro-coaxial cable of 40 gauge or smaller
Dates: December 27 - January 7
4. Class: Quality assurance procedures for the soldering processes
Dates: January 10 - January 14
5. Class: Ultrasound array technology overview
Dates: January 17 - January 21
6. Class: Soldering to ultrasound arrays
Dates: January 24 - February 4
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7. Class: Quality assurance procedures for ultrasound array soldering
Dates: February 7 - February 11
8. Class: Documentation or processes and procedures
Dates: February 14 - February 18
9. Class: Teardown and rebuild of common ultrasound probes
Dates: February 21 - February 25
10. Class: Diagnosis of probe failure points
Dates: February 28 - March 4
11. Class: Ultrasound monitor board-level repair
Dates: March 7 - March 11
12. Class: Conclusion/Wrap-Up
Dates: March 14 - March 18
8. Method of Assessment:
ELEMENTS OF TRAINING HOURS OF TRAINING
1. Overview of ultrasound probe technology
Diagnosis and identification of common micro-coaxial cable failure points
Soldering high-density micro-coaxial cable of 40 gauge or smaller 50
Measurement Method: Student shows a basic understanding of concepts learned
during the training. Students will be evaluated weekly on topics covered during
training sessions to ensure students are understanding concepts being taught during the
week.
Students will receive a written test, as well as oral test. In addition, students will be
evaluated by work observation. Students will be given scenarios where they will
troubleshoot and solve problems.
2. Quality assurance procedures for the soldering processes
Ultrasound array technology overview
Soldering to ultrasound arrays 50
Measurement Method: Student shows a basic understanding of concepts learned
during the training. Students will be evaluated weekly on topics covered during
training sessions to ensure students are understanding concepts being taught during the
week. Students will receive a written test, as well as oral test. In addition, students will
be evaluated by work observation. Students will be given scenarios where they will
troubleshoot and solve problems.
3. Quality assurance procedures for ultrasound array soldering
Documentation or processes and procedures
Teardown and rebuild of common ultrasound probes 50
Measurement Method: Student shows a basic understanding of concepts learned
during the training. Students will be evaluated weekly on topics covered during
training sessions to ensure students are understanding concepts being taught during the
week. Students will receive a written test, as well as oral test. In addition, students will
be evaluated by work observation. Students will be given scenarios where they will
troubleshoot and solve problems.
2
25H-13
ELEMENTS OF TRAINING HOURS OF TRAINING
4. Diagnosis of probe failure points
Ultrasound monitor board-level repair
Conclusion/Wrap-Up 50
Measurement Method: Student shows a basic understanding of concepts learned
during the training. Students will be evaluated weekly on topics covered during
training sessions to ensure students are understanding concepts being taught during the
week. Students will receive a written test, as well as oral test. In addition, students will
be evaluated by work observation. Students will be given scenarios where they will
troubleshoot and solve problems.
RATING LEVELS:
Measurement method: how will it be determined if OJT participant acquired the skill? Q&A, observation, product review/inspection,
etc.
PROFICIENT MODERATE MARGINAL
III. Training Provider
1. Company Name: FARUS, LLC
2. Contact Name: Martin Culjat
3. Address: 2146 Sand Hill Rd. Menlo Park CA 94025
4. Phone : 310-869-5504
5. Total Training Hours: 200 hours
6. Provider on the Santa Ana WORK Center Qualified Vendor List: _X Yes No
IV. Training Reimbursement Rate
50 percent employer contribution for customized training is required per WIA Section 101(8)(C), however current waiver
permits the following sliding scale based on the size of the business:
(1) no less than a 10 percent match for employers with 50 or fewer employees = up to 90 percent reimbursement
(2) no less than a 25 percent match for employers with 51 - 250 employees = up to 75 percent reimbursement
(3) no less than a 50 percent match for employers with more than 250 employees = up to 50 percent reimbursement
1. Number of Tenacore Employees: 12
2. Reimbursement Rate: up to 75%
3. Training Cost: $68,000
4. Reimbursement Calculation: $68,000 X 75% = $51 000
3
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EXHIBIT B
BUDGET FORM
Company Match WIA Total Cost
Personnel
Salaries*
1. Martin Culjat
2. Rahul Singh
3.
Use separate sheet if necessary. $12,000 $36,000 $48,000
Benefits*
1. N/A
2.
3.
Use separate sheet if necessary. $0 $0 $0
Total Personnel $12,000 $36,000 $48,000
Operational Expenses
'
Equipment Purchases
Services 0 0 0
Equipment rental fees $1,000 $3,000 $4,000
Indirect costs $1,250 $3,750 $5,000
Insurance 0 p 0
Internet fees 0 0 0
Legal services 0 0 0
Office expenses
(consumables) $250 $750 $1,000
Other Utilities p 0 0
Parkin fees 0 0 0
Phones 0 0 0
Space Rent $500 $1,500 $2,000
Stafftravel/mileage
Travel
Vehicle lease $250
$500
0 $750
$1,500
0 $1,000
$2,000
0
Other $250 $750 $1,000
1'?trtic1iant is es
?.
- -_-
Tuition 0 0
0
Books
Other (list)* $1,000
p $3,000
0 $4,000
0
Total Participant Expenses $1,000 $3,000 $4,000
GRAND TOTAL
(Total Personnel + Total
Operating Expenses) $17,000 $51,000 $68,000
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Note: Audit Requirements
States, local governments and non-profit institutions who receive $500,000 or more in federal funds in a fiscal year
shall meet the audit requirements of the OMB Circular A-133, "Audits of States, and Local Governments and Non-
Profit Institutions."
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Budeet Narrative:
Equipment Rental Fees - This will cover ultrasound probe equipment rentals that are necessary to
complete training. It will also include a demonstration of a variety of ultrasound probe diagnostic
equipment that is currently being used in the market. The demonstration will include training on each
piece of equipment.
Indirect costs - This will include costs that are indirectly related to the trainings, such as training
materials, network usage, computer usage, and shipping costs for materials.
Office Expenses (Consumables) - This will include printouts, paper, pens, papers, staplers.
Space Rent - This will include space to conduct trainings, storage for equipment that will be used during
the training, storage for materials.
Staff travel/mileage - This will include driving travel for trainers and their staff.
Travel - This will include flight travel for trainers, including hotel stays.
Other - This will include parts, components, soldering equipment that will be used during training.
Books - This will include the cost to purchase books that will be used by trainers and students during
trainings.
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EXHIBIT C
ADDITIONAL INSURED ENDORSEMENT
Insurance Company
This endorsement modifies such insurance as is afforded by the provisions of Policy
# relating to the following:
1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California
92702; its officers, employees, agents and volunteers are named as additional insureds
("additional insureds") with regard to liability and defense of suits arising from the
operations and uses performed by or on behalf of the named insured.
2. With respect to claims arising out of the operations and uses performed by
or on behalf of the named insured, such insurance as is afforded by this policy is
primary and is not additional to or contributing with any other insurance carried by or for
the benefit of the additional insureds.
3. This insurance applies separately to each insured against whom claim is
made or suit is brought except with respect to the company's limits of liability. The
inclusion of any person or organization as an insured shall not affect any right which
such person or organization would have as a claimant if not so included.
4. With respect to the additional insureds, this insurance shall not be
canceled, or materially reduced in coverage or limits except after thirty (30) days written
notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana,
California 92702.
(Completion of the following, including countersignature, is required to make this
endorsement effective.)
Effective , this endorsement form as a part of
Policy #
Issued to
Named Insured
Countersigned by
Authorized Representative
25H-17
EXHIBIT D
ASSURANCES
A. The EMPLOYER assures that:
1. It will comply with the requirements of the Workforce Investment Act (WIA), the California
Unemployment Insurance Code, as amended, and the regulations and policies promulgated thereunder.
2. No Customized Training participant displaces a regular employee nor shall a Customized Training
participant fill a position of a person who has been laid off from the same or similar position.
3. No current employees are receiving unemployment insurance benefits as a result of layoffs or work
reductions.
4. No person in the United States shall on the grounds of race, color, sex, religion, national origin, age,
disability, sexual orientation, or marital status be excluded from participation in, be denied the benefits
of, or be otherwise subjected to discrimination under any program or activity for which the applicant
receives federal financial assistance and will immediately take any measure necessary to effectuate this
Agreement.
5. It will comply with provisions of the Hatch Act, if applicable, which limits the political activities of
employees.
6. Individuals receiving training on the job shall be compensated by the EMPLOYER at such rate,
including periodic increases, as may be deemed reasonable under regulations prescribed by the Secretary
of Labor, but in no event at a rate less than that specified in Section 6 (a) (1) of the Fair Labor Standards
Act of 1938 or, if higher, under the applicable State or local minimum wage law.
7. Services and activities provided under this Agreement will be administered by or under the supervision
of the EMPLOYER.
8. No relative by blood, adoption or marriage of the EMPLOYER may be trained under this Agreement.
9. Appropriate standards for health and safety in work and training situations will be maintained.
10. Conditions of employment or training are appropriate and reasonable with regard to the type of work,
the geographical region, and the proficiency of the trainee.
11. Training will, to the maximum extent practicable, be consistent with every individual's fullest
capabilities and lead to employment possibilities.
12. The program will, to the maximum extent feasible, contribute to the occupational development or
upward mobility of individual participants.
13. Training will be in accordance with the training plan, which plan incorporates documentation that must
be completed by EMPLOYER before end of contract.
14. The participating EMPLOYER must keep an accurate files with pre and post assessments of skills, and
training attendance records be retained on file by the EMPLOYER for each Customized Training trainee
and are subject to review.
15. Monthly progress reports outlining trainee skill attainment are submitted to the Santa Ana WORK
Center by the 10th day of the following month.
16. Trainees must be determined WIA eligible and enrolled in the Customized Training Program by Santa
Ana WORK Center staff prior to the commencement of training.
25H-18
EXHIBIT E
Certification Regarding Drug-Free Workplace Requirements
The certification set out below is a material representation upon which reliance is
placed by the U.S. Department of Housing and Urban Development in awarding the
grant. If it is later determined that the contractor knowingly rendered a false
certification, or otherwise violates the requirements of the Drug-Free Workplace
Act, the U.S. Department of Housing and Urban Development, in addition to any
other remedies available to the Federal Government, may take action authorized
under the Drug-Free Workplace Act.
CERTIFICATION
A. The contractor certifies that it will provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful
manufacture, distribution, dispensing, possession or use of a
controlled substance is prohibited in the contractor's workplace and
specifying the actions that will be taken against employees for
violation of such prohibition;
(b) Establishing a drug-free awareness program to inform employees
about -
(1) The dangers of drug abuse in the workplace;
(2) The contractor's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee
assistance program; and
(4) The penalties that may be imposed upon employees for drug
abuse violations occurring in the workplace;
(c) Making it a requirement that each employee who will be engaged in
the performance of the grant be given a copy of the statement
required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph -(a)
that, as a condition of employment under the contract, the employee
will -
(1) Abide by the terms of the statement; and
(2) Notify the employer of any criminal drug statute conviction for
a violation occurring in the workplace no later than five days
after such conviction.
25H-19
EXHIBIT E
(e) Notifying the U.S. Department of Housing and Urban Development
within ten days after receiving notice under subparagraph (d)(2) from
an employee or otherwise receiving actual notice of such conviction;
(f) Taking one of the following actions, within 30 days of receiving notice
under subparagraph (d)(2), with respect to any employee who is so
convicted -
( 1) Taking appropriate personnel action against such an employee,
up to and including termination; or
(2) Requiring such employee to participate satisfactorily in a drug
abuse assistance or rehabilitation program approved for such
purposes by a Federal, State, or local health, law enforcement,
or other appropriate agency;
(g) Making a good faith effort to continue to maintain a drug-free
workplace through implementation of paragraphs (a), (b), (c), (d), (e)
and (f).
B. The contractor shall insert in the space provided on the attached "Place of
Performance" form the site(s) for the performance of work to be carried out
with the grant funds (including street address, city, county, state, and zip
code) the contractor further certifies that, if it is subsequently determined
that additional sites will be used for the performance of work under the
contract, it shall notify the U.S. Department of Housing and Urban
Development immediately upon the decision to use such additional sites by
submitting a revised "Place of Performance" form.
Dated:
Program Operator
2
25H-20
EXHIBIT E
DIVISION OF EMPLOYMENT SERVICES
PLACE OF PERFORMANCE
FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE
REQUIREMENTS
Name:
Name of Contractor:
Contractor Number:
Date:
The Contractor shall insert in the space provided below the site(s) expected to be
used for the performance of work under the contract covered by the certification:
Place of Performance (include street address, city, county, state, zip code for each
site):
3
25H-21
25H-22