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A-2022-093-01
CLERK OF THE COUN EMERGENCY SOLUTIONS GRANT
MEMORANDUM OF UNDERSTANDING BETWEEN
DATE: J UN 9 2022 THE CITY OF SANTA ANA AND
SANTA ANA POLICE DEPARTMENT
/ l (24 CFR Parts 91 and 576)
0 � `�°II' S J (rA " THIS GRANT AGREEMENT, is hereby made and entered into this July 1, 2022 by and between
the City of Santa Ana, a charter city and municipal corporation of the State of California, herein called
the "CITY" and SANTA ANA POLICE DEPARTMENT, a California nonprofit organization, herein
called the "SUBRECIPIENT".
1. The CITY is the recipient of Emergency Solutions Grant ("ESG") funds from the United
States Department of Housing and Urban Development ("HUD"), pursuant to subtitle B of title IV
of the McKinney-Vento Homeless Assistance Act [42 U.S.C. 11371-11378], for the rehabilitation or
conversion of buildings for use as emergency shelter for the homeless, for the payment of certain expenses
related to operating emergency shelters, for essential services related to emergency shelters and street
outreach for the homeless, and for homelessness prevention and rapid re -housing assistance. Catalogue
of Federal Domestic Assistance ("CFDA') 14.231 and Federal Award Identification Number (FAIN)
E-22-MC-06-0508.
2. The CITY has approved the provision of federal funds under the ESG to be used in
the operation of an emergency solutions program ("program") for the homeless or at -risk of homelessness
of the City of Santa Ana as further described by Exhibit A, Scope of Work, attached hereto and by this
reference incorporated herein.
3. The SUBRECIPIENT represents that it has the requisite qualifications, expertise, and
experience in the provision of emergency solutions programs for the homeless or at -risk of homelessness
and is willing to use said federal funds to operate said program.
4. The SUBRECIPIENT agrees to assist individuals and families that are homeless or
at risk of homelessness in obtaining appropriate supportive services including, but not limited to:
temporary and permanent housing, relocation and stabilization services, rapid re -housing assistance,
medical and mental health treatment, counseling supervision, and other services essential for achieving
independent living, as well as other federal, state, local and private assistance available for such
individuals.
5. The SUBRECIPIENT has agreed to be reimbursed for the above services in an amount
not to exceed
$50,000 in grant funding for Data Collection and Outreach and Engagement Services.
6. This AGREEMENT is contingent upon the award of Emergency Solutions Grant funds
from the United States Department of Housing and Urban Development.
7. The CITY and the SUBRECIPIENT have duly executed this AGREEMENT for the
expenditure and utilization of said funds.
NOW THEREFORE, it is agreed by and between the parties that the foregoing Recitals are a
substantive part of this AGREEMENT and the following terms and conditions are approved and
together with all exhibits and attachments hereto, shall constitute the entire AGREEMENT between the
CITY and the SUBRECIPIENT:
A. General Administration
The SUBRECIPIENT agrees to implement this activity as set forth in detail in Exhibit A, Scope
of Work, which shall provide a description of each activity, including the services to be
performed, the person or entity providing the service, the estimated number of recipients of the
service, and the manner and means of the services.
B. Levels of Accomplishment —Goals and Performance Measures
The SUBRECIPIENT shall be responsible to accomplish the levels of performance asset forth
in Exhibit A and report such measures quarterly to the CITY. If the SU13RECIPIFNT
estimates such goals will not be met, the SUBRECIPIENT is to contact the CITY, at which
time the CITY will determine if any adjustments to the grant award is appropriate.
C. Staffing
The SUBRECIPIENT shall ensure adequate and appropriate staffing is allocated to each ESG
activity. Nothing contained in this AGREEMENT is intended to, or shall be construed in any
manner, as creating or establishing the relationship of employer/employee between the parties.
This AGREEMENT shall take effect on July 1, 2022, and shall terminate on June 30, 2023,
unless otherwise cancelled or modified according to the terms of this AGREEMENT.
IIl. DISBURSEMENT AND FUNDS
The City was allocated $474,154.00 in Emergency Solutions Grant funds under the
McI{inney-Vento Homeless Assistance Act for fiscal year 2022-2023 from the Department of
Housing and Urban Development. CITY agrees to pay to SUBRECIPIENT when, if and to the
extent federal funds are received under provisions of the Act a sum not to exceed $50,000 for
SUBRECIPIENTS performance in accordance with the Budget attached hereto as "Exhibit B"
during the period of this Agreement. Said sum shall be paid after CITY receives invoices
submitted by SUBRECIPIENT as provided hereinabove.
A. Amount and Expenditure End Date
The CITY agrees to reimburse the SUBRECIPIENT a maximum amount not to exceed $50,000
from Emergency Solutions Grant(ESG) funds, as outlined in Exhibit B, Final Budget, and
such funds shall be expended by the SUBRECIPIENT on or before June 30, 2023.
SUBRECIPIENT has the ability to adjust line item amounts in the Budget with the written approval
of the CITY's Executive Director of the Community Development Agency, so long as the total
Budget amount does not increase.
B. Invoicing Procedures
The SUBRECIPIENT shall submit quarterly invoices (on or before the 15t" day of October,
January, April, and July) in a form prescribed by the CITY, detailing such expenses. Such
schedule may be modified with the approval of the CITY.
C. Payment
Payment is subject to the receipt and approval of such invoices and quarterly activity reports, as
hereinafter more fully set forth below under Reporting, with the final payment subject to the
satisfaction of the condition precedent of submittal of complete invoicing and reporting information
due on or before July 15 of the applicable funding year. The CITY shall pay such invoices within
thirty (30) days after receipt thereof, provided the CITY is satisfied that such expenses have
been incurred within the scope of this AGREEMENT and that the SUBRECIPIENT is in
compliance with the terms and conditions of this AGREEMENT. The thirty (30) day period will
discontinue if the reimbursement request is determined to be incomplete and will restart the thirty
day timeline once the remaining required elements have been submitted.
Failure to provide any of the required documentation and reporting will cause the CITY to
withhold all or a portion of a request for reimbursement until such documentation and reporting has
been received and approved by the CITY.
D. Use of Funds
The SUBRECIPIENT agrees to use said funds pursuant to this AGREEMENT to pay for necessary
and reasonable costs allowable underfederal law and regulations to operate said program only.
Said amounts shall include and will be limited to, street outreach, emergency shelter,
homelessness prevention, rapid re -housing assistance, housing relocation and stabilization services,
short-term and medium -term rental assistance, and Homeless Management Information Systems
("HMIS") data contribution as set forth in 24 CFR § 576.101 — §576.107. Allowable program costs
are detailed in the Budget, as set forth in Exhibit B, attached hereto and by this reference incorporated
herein. The SUBRECIPIENT'S failure to perform as required may, in addition to other remedies
set forth in this AGREEMENT, result in readjustment of the amount of funds the CITY is
otherwise obligated to pay to the SUBRECIPIENT pursuant to the terms hereof. The
SUBRECIPIENT agrees that the homeless shelter/services under said program shall be available
for the entire period during which said funds are provided.
E. Condition of Funding
(1) The CITY advises the SUBRECIPIENT that a significant change in entitlement funding
may result in a change in the current process utilized by the CITY to determine funding
allocations. The SUBRECIPIENT acknowledges that the obligation of the CITY is contingent
upon the availability of Federal, State or Local government funds, which are appropriated or
allocated for the payment of such an obligation. If funding levels are significantly affected by Federal
budgeting or if funds are not allocated and available for the continuance of the function performed
by the SUBRECIPIENT, this AGREEMENT may be terminated by the CITY at the end of the
period for which funds are available. At the earliest opportunity, the CITY shall notify the
SUBRECIPIENT of any service which may be affected by a shortage of funds. No penalty shall
accrue to the CITY in the event this provision is exercised and the CITY shall not be liable for
any damages as a result of termination under this provision of this AGREEMENT. Nothing herein
shall be construed as obligating the CITY to expend funds in excess of appropriations authorized
by law.
(2) The SUBRECIPIENT shall allow representatives of the CITY or FM to inspect facilities
which are used in connection with the AGREEMENT or which implement programs funded under
this AGREEMENT.
F. Matchine
The SUBRECIPIENT is required to make matching contributions to supplement the ESG program
in an amount that equals or exceeds the amount of ESG funds provided by HUD through the CITY.
Such contributions shall be entirely consistent with the Matching Requirements as outlined by 24
CFR § 576.201. The anticipated source and amount of all matching funds contributed by the
SUBRECIPIENT will be enumerated in Exhibit B, Final Budget.
G. Program Income
(1) Definition. Program income means, as provided by 2 CFR 200.80, gross income received
by the SUBRECIPIENT directly generated by a grant supported activity, or earned only as a result
of the grant agreement during the grant period. For purposes of ESG, program income will also
include any amount of a security or utility deposit returned to the SUBRECIPIENT.
(2) Use. The SUBRECIPIENT shall use all income received from said funds only for the same
purposes for which said funds may be expended pursuant to the terms and conditions of this
AGREEMENT.
(3) Counts toward Matching. Costs paid by program income may count toward meeting
the matching requirements, provided the costs are eligible ESG costs that supplement the program.
H. Separation of Accounts
All funds received by the SUBRECIPIENT from the CITY pursuant to this AGREEMENT shall
be maintained separate and apart from any other funds of the SUBRECIPIENT, or of any principal
or member of the SUBRECIPIENT, in an account (the "Account') at a federally insured banking or
savings and loan institution with record keeping of such Accounts maintained pursuant to applicable
legal requirements. The SUBRECIPIENT shall keep all records of the Account in a manner that is
consistent with generally accepted accounting principles. No monies shall be withdrawn from the
Account except for expenditures relating to essential services, homeless prevention, and/or operations
costs, as authorized hereunder. All disbursements from the Account shall be for obligations
incurred in the performance of this AGREEMENT and shall be supported by contracts, invoices,
vouchers, and other data, as appropriate, evidencing the necessity of such expenditure. The CITY
may withhold payment allocation requests if the SUBRECIPIENT fails to comply with the
above requirements until such compliance is demonstrated.
Expenditure of Funds
Much like how HUD requires the CITY, pursuant to 24 CFR 576.203, to expend all of the grant funds
for eligible activity costs within 24 months after the date that HUD signs the grant agreement
with the CITY, it is a requirement for the SUBRECIPIENT to expend all of the grant funds
for eligible activity costs within the aforementioned period. For the purposes of this paragraph,
expenditure means either an actual cash disbursement for a direct charge for a good/service or an
indirect cost, or the accrual of a direct charge for a good/service or an indirect cost. Failure to expend
said funds within said timeframe can result in a reallocation of finds.
J. Prohibited Use
(1) Generally. The SUBRECIPIENT hereby certifies and agrees that it will not use funds provided
through this AGREEMENT to pay for meals for persons other than those identified as homeless or at
risk of homelessness. Said funds shall not be used for entertainment purposes or for gifts. The
SUBRECIPIENT certifies that it will not use said funds for illegal or dishonest conduct, rather, fund
use will remain in compliance with all applicable federal, state, and local laws, including applicable laws
not outlined in this AGREEMENT.
(2) Lobbying. The SUBRECIPIENT certifies and agrees that it will comply with federal law (31
U.S.C. 1352) and regulations found at 24 CFR Part 87, which provide that no appropriated fiords may
be expended by the recipient of a federal contract, grant, loan, or cooperative agreement to pay
any person for influencing or attempting to influence an officer or employee of any agency,
Member of Congress, or an officer or employee of a Member of Congress in connection with awarding
of any federal contract, the making of any federal grant or loan, entering into any cooperative
agreement and the extension, renewal, amendment, or modification of any federal contract, grant,
loan, or cooperative agreement. The SUBRECIPIENT shall sign a certification to that -effect in a form
as set forth in Exhibit C, attached hereto and by this reference incorporated herein. The
SUBRECIPIENT shall submit said signed certification to the CITY prior to performing any of its
obligations under this AGREEMENT and prior to any obligation arising on the part of the CITY to
pay any sums to the SUBRECIPIENT under the terms and conditions of this AGREEMENT. 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, an officer or
employee of Congress, or an employee of a Member of Congress in connection with this Federal contract,
grant, loan, or cooperative agreement, the undersigned shall complete and submit a 'Disclosure Form
to Report Lobbying," in accordance with its instructions (see -Exhibit D).
IV. NOTICES
The SUBRECIPIENT and the CITY agree that all notices required by this AGREEMENT shall be
made in writing and delivered via mail (postage prepaid); commercial courier; personal
delivery; or sent by facsimile or other electronic means (provided that receipt is confirmed).
Any notice delivered or sent as aforesaid shall be effective on the date of delivery or sending.
All notices and other written communications under this AGREEMENT shall be addressed to
the individuals in the capacities indicated below, unless modified by subsequent written notice.
Communication and details concerning the AGREEMENT shall be delivered to the office of,
and directed to, the following representatives:
CITY: SUBRECIPIENT:
Holli Safran
David Valentin
Community Development Analyst
Chief of Police
City of Santa Ana
Santa Ana
Police Department Community Development
Agency (M-25) 60
Civic Center Plaza
20 Civic Center Plaza
Santa Ana, CA 92701
P.O. Box 1988
714-245-8249
Santa Ana, CA 92702-1988
(714)667-2267
V. GENERAL CONDITIONS
A. Coordination with Continuum of Care
The SUBRECIPIENT must work with the Continuum of Care ("CoC") to ensure the screening,
assessment, and referral of program participants are consistent with the CITY's written
standards for providing ESG assistance as described in its consolidated plan. The
SUBRECIPIENT must keep documentation evidencing the use of, and written intake
procedures for, the centralized or coordinated assessment system(s) developed by the CoC
in accordance with the requirements established by HUD. See 24 CFR 576.400.
B. Evaluation of Program Participants Eligibility and Needs
The SUBRECIPIENT must conduct evaluations and re-evaluations to determine the eligibility of
each individual or family's eligibility for ESG assistance in accordance with 24 CFR 576.401.
C. Terminating Assistance
If a program participant violates program requirements, the SUBRECIPIENT may terminate the
assistance in accordance with a formal process established by the SUBRECIPIENT that recognizes
the rights of individuals affected. See 24 CFR 576.402
D. Shelter and Housing Standards
The SUBRECIPIENT certifies that shelters and housing supported by ESG funds and used by
ESG beneficiaries will conform to 24 CFR 576.403.
E. Homeless Involvement
The SUBRECIPIENT certifies that it will involve, to the maximum extent practicable, homeless
individuals and families in constructing, renovating, maintaining, and operating facilities assisted
under the ESG program, and in providing services for occupants of these facilities. See 24 CFR
576.405(c) and 42 USC 11375(d).
F. Independent Contractor
Nothing contained in this AGREEMENT is intended to, or shall be construed in any manner,
as creating or establishing the relationship of employer/employee between the parties. The
SUBRECIPIENT and its subcontractors shall at all times remain independent contractors with
respect to the services to be performed under this AGREEMENT. The CITY shall be exempt from
payment of any Unemployment Compensation, FICA, retirement, life and/or medical insurance
and Workers' Compensation Insurance as the SUBRECIPIENT is an independent contractor.
G. Subcontracts
(1) Content Requirements. The SUBRECIPIENT will include all relevant provisions of this
AGREEMENT in all subcontracts entered into as part of the activities undertaken in
furtherance of this AGREEMENT and will take appropriate action pursuant to any
subcontract upon a finding that the subcontractor is in violation of regulations issued by
any federal agency. The SUBRECIPIENT will not subcontract with any entity where it has
notice or knowledge that the latter has been found in violation of regulations under 24 CFR
Part 135 (Economic Opportunities for Low- and Very Low -Income Persons) and will not
allow any subcontract unless the entity has first provided it with a preliminary statement
of ability to comply with the requirements of these regulations.
(2) Submission to the CITY. The SUBRECIPIENT must submit all subcontracts and other
agreements that relate to this AGREEMENT to the CITY.
H. Licensing
The SUBRECIPIENT agrees to obtain and maintain all required licenses, registrations, accreditation,
and inspections from all agencies governing its operations. The SUBRECIPIENT shall ensure that its
staff and subcontractors shall also obtain and maintain all required licenses, registrations, accreditation
and inspections from all agencies governing the SUBRECIPIENT's operations hereunder. Such
licensing requirements include obtaining a City business license, as applicable.
I. Responsibilities Toward Employe
The SUBRECIPIENT accepts full responsibility for payment of any and all unemployment
compensation, insurance premiums, workers' compensation premiums, income tax withholdings,
social security withholdings, and any and all other taxes or payroll withholdings required for all
employees engaged in the performance of the work and activities authorized by the AGREEMENT.
The SUBRECIPIENT accepts full responsibility for providing workers with proper safety
equipment and taking any and all necessary precautions to guarantee the safety of workers or
persons otherwise affected.
J. Insurance and Bonding
(1)Generally. The SUBRECIPIENT shall maintain liability and property insurance to cover
actionable legal claims for liability or loss which are the result of injury to or death of any
person, or damage to property (including property of Grantee) caused by the negligent acts or
omissions, or negligent conduct of the SUBRECIPIENT, its employees, agents or subcontractors,
to the extent permitted by law, in connection with the activities pursuant to this AGREEMENT.
The SUBRECIPIENT shall comply with the bonding and insurance requirements of 2 CPR 200.427,
and 2 CFR 200.447.
The SUBRECIPIENT shall undertake self-insurance, or shall obtain, at its sole cost, a policy
or policies of commercial general liability insurance, or equivalent form.
Such insurance shall: (1) name the City of Santa Ana, its officers, agents, employees and volunteers
as additional insureds; (2) be primary with respect to insurance or self-insurance programs maintained
by the CITY; (3) contain standard separation of insureds provisions; and (4) give to the CITY
prompt and timely notice of claim made or suit instituted arising out of the SUBRECIPIENT's
operations hereunder.
(2) Limits. The SUBRECIPIENT shall maintain, at all times, the following minimum levels of
Insurance, and shall, without in any way altering its liability, obtain, pay for, and maintain insurance
for the coverages and amounts of coverage not less than those set forth below:
a. Workers' Compensation. Amount must comply with State and Federal Laws
b. Comprehensive General Liability. $1,000,OOO combined single limit of liability for
bodily injuries, death, and property damage resulting from any one occurrence, including
the following coverages:
i. Premises and Operations; and
ii. Broad Form Commercial General Liability Endorsement to include blanket
contractual liability (specifically covering, but not limited to, the contractual
obligations assumed by the SUBRECIPIENT); Personal Injury (with
employment and contractual exclusions deleted); and Broad Form Property
Damage coverage.
C. The SUBRECIPIENT's self -insured retention or deductible per line of coverage shall
not exceed $25,000 without the permission of the CITY.
(3) Proof of Insurance. The SUBRECIPIENT shall furnish the CITY's Clerk of the Council with
an insurance certificate from insurance carrier certifying that it carries such insurance and that the
policy shall not be canceled nor the coverage reduced except upon thirty (30) days prior notice to the
CITY.
The SUBRECIPIENT shall, prior to exercising any right under this AGREEMENT:
a. furnish properly executed certificates of insurance and additional insured
endorsement to the CITY which shall clearly evidence all coverage required above;
b. provide that such insurance shall not be materially changed or terminated except on
thirty (30) days prior written notice to the CITY;
c. maintain such insurance for the period covered by this AGREEMENT; and
d. replace such certificates for policies expiring prior to the expiration of this
AGREEMENT.
(4) Company Rating. All insurance coverage shall be written with a company having an A.M. Best
Rating of "A" or better and financial size of VIlI or larger.
(5) Failure to Comply. In the event of any failure by the SUBRECIPIENT to comply with
these provisions, the CITY may, after notice to the SUBRECIPIENT, suspend the program for cause
until there is full compliance.
K. Zoning.
The SUBRECIPIENT agrees that any facility/property used in furtherance of said program shall be
specifically zoned and permitted for such use(s) and activity(ies). Should the SUBRECIPIENT fail to
have the required land entitlement and/or permits, thus violating any local, state, or federal rules and
regulations relating thereto, the SUBRECIPIENT shall immediately make good -faith efforts to gain
compliance with local, state, or federal rules and regulations following written notification of said
violation(s) from the CITY or other authorized citing agency. The SUBRECIPIENT shall notify
the CITY immediately of any pending violations. Failure to notify the CITY of pending violations,
or to remedy such known violation(s), shall result in termination of grant funding hereunder. The
SUBRECIPIENT must make all corrections required to bring the facility/property into compliance
with the law within sixty (60) days of notification of the violation(s); failure to gain compliance
within such time shall result in termination of grant funding hereunder.
L. Displacement and Relocation.
The SUBRECIPIENT must assure that it has taken all reasonable steps to minimize
displacement of persons. Relocation must be consistent with requirements as set forth in 24 CFR §
576.408.
M. Provisions Required by Law Deemed Inserted.
Each and every provision of law and clause required by law to be inserted in this contract shall
be deemed to be inserted herein and the AGREEMENT shall be read and enforced as though
it were included herein, and if through mistake or otherwise any such provision is not inserted
or correctly inserted, then upon the application of either party the contract shall forthwith be
physically amended to make such insertion or correction.
A. Non -Profit Status
The SU13RECIPIENT certifies that:
(1) The SUBRECIPIENT is a duly organized and existing non-profit corporation in
good standing and authorized to do business under the laws of the State of California and in
possession of required non-profit status under the United States Internal Revenue Code [for
example, 26 USC § 501(c)(3)]. The SUBRECIPIENT has full right, power, and lawful authority
to accept the funding hereunder and to undertake all obligations as provided herein and the
execution, performance, and delivery of this AGREEMENT by the SUBRECIPIENT has
been fully authorized by all requisite actions on the part of the SUBRECIPIENT.
(2) If the SUBRECIPIENT's non-profit status changes at anytime during this
AGREEMENT, it will advise the CITY within 15 days.
(3) If the SUBRECIPIENT is a private non-profit, it hereby agrees that the members of its
Board of Directors will receive no compensation, directly or indirectly, other than
reimbursement for expenses, from any funds generated from or because of the ESG program,
for their services.
(4) As a non-profit, the SUBRECIPIENT acknowledges that administration of its operation
and services are subject to the requirements as established in 2 CFR 200.
B. Adherence to Federal, State and Local Laws and Regulations
(1) General. The SUBRECIPIENT agrees to comply with all requirements of the ESG
program and applicable cross -cutting Federal, State, and Local requirements.
(2) Economic Opportunities for Low- and Very Low-income Persons. The SUBRECIPIENT
shall ensure that employment and other economic opportunities generated by the Program shall,
to the greatest extent feasible, be directed to low- and very low-income persons, particularly
those who are recipients of government assistance for housing. Section 3 of the Housing and
Urban Development Act of 1968, 12 U.S.C. 1701u, and regulations at 24 CFR part 135 apply,
except that homeless individuals have priority over other Section 3 residents in accordance with
§ 576.405(c).
(3) Civil Rights. The SUBRECIPIENT agrees to comply with Title VI of the Civil Rights
Act of 1964, as amended, Title VIR of the Civil Rights Act of 1968, as amended, Section 109
of the Title I of the Housing and Community Development Act of 1974, Section 504 of the
Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990, the Age
Discrimination Act of 1975, and 41 CFR Chapter 60.
(4) Nondiscrimination and Equal Employment Opportunity. During the performance under
this AGREEMENT, the SUBRECIPIENT shall not discriminate against any employee or
applicant for employment based on race, color, creed, religion, sex, age, handicap, disability,
ancestry, national origin, marital status, familial status, sexual orientation, or any other basis
prohibited by applicable law.
The SUBRECIPIENT shall take affirmative action to ensure that all applicants and employees are
treated without regard to race, color, creed, religion, sex, age, handicap, disability, ancestry,
national origin, marital status, familial status, and sexual orientation.
The SUBRECIPIENT shall comply with all provisions of Executive Order 11246, Equal
Employment Opportunity, as amended by Executive Orders 11375 and 12086.
(5) Nondiscrimination and Equal Opportunity in Participation. The requirements in 24 CFR part
5, subpart A are applicable, including the. nondiscrimination and equal opportunity requirements
at 24 CFR 5.105(a). The SUBRECIPIENT shall not discriminate against any participant on the
ground of race, color, creed,, religion, sex, age, handicap, disability, ancestry, national origin, marital
status, familiar status, sexual orientation, or any other basis prohibited by applicable law. The
SUBRECIPIENT shall, through affirmative outreach, make known that use of the facilities,
assistance, and services are available to all on a nondiscriminatory basis. The SUBRECIPIENT
must take appropriate steps to ensure effective communication with persons with disabilities.
(6) Americans with Disabilities Act. The SUBRECIPIENT agrees to comply with any federal
regulations issued pursuant to compliance with the Americans with Disabilities Act which
prohibits discrimination and ensures equal opportunity for persons with disabilities in employment,
State and Local government services, and public accommodations.
(7) Fair Housing. Under section 808(e)(5) of the Fair Housing Act, HUD has a statutory duty to
affirmatively further fair housing. HUD requires the same of its funded sub -recipients. The
SUBRECIPIENT has a duty to affirmatively further fair housing opportunities for classes protected
under the Fair Housing Act.
C. Falsification of Information
The SUBRECIPIENT represents and warrants that it has made no false statements to the CITY in
the process of obtaining this award of the ESG Funds.
D. Drug Free Workplace
The SUBRECIPIENT represents and warrants that it has established the following drug -free
workplace policy:
(1) The unlawful manufacture, distribution, dispensing, possession, or use of a controlled
substance is prohibited in the workplace for any employee involved in a federally funded
program.
(2) As an employee working in conjunction with a federally funded program, the
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employees of the SUBRECIPIENT will be required to:
a. Abide by the terms above in statement (1), and
b. Notify the appropriate SUBRECIPIENT authorities and CITY officials of any
criminal drug statute conviction for a violation occurring in the workplace. Such
notification shall be made no later than five (5) days after conviction.
(3) The CITY and the United States Department of Housing and Urban Development will be
notified within ten days after receiving notice of any such violation. .
(4) Within thirty (30) days of receiving such notice, appropriate personnel action will betaken
against such employee, up to and including termination.
(5) Each such employee shall be required 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.
E. Religious Organization
The SUBRECIPIENT may not engage in inherently religious activities, such as worship, religious
instruction, or proselytization as part of said program or services. If the SUBRECIPIENT conducts
such activities, the activities must be offered separately, in time or location, from said programs
or services, and participation must be voluntary for the program participants.
The SUBRECIPIENT shall not, in providing program assistance, discriminate against a program
participant or prospective program participant on the basis of religion or religious belief.
If the SUBRECIPIENT is a religious organization, it retains its independence from Federal,
State, and Local governments, and may continue to carry out its mission, including the definition,
practice, and expression of its religious beliefs, provided that the religious organization does not
use direct ESG funds to support any inherently religious activities.
The SUBRECIPIENT agrees that rehabilitation of structures by the religious organization in
connection with said program must be in sound accord with the provisions under 24 CFR § 576.406.
F. Additional Terms between the CITY and HUD
The SUBRECIPIENT agrees further that it shall be bound by the standard terms and conditions used
in the Grant Agreement between HUD and the CITY and such other rules, regulations, or
requirements as HUD may reasonably impose in addition to the aforementioned assurances at or
subsequent to the execution of this AGREEMENT by the parties hereto.
G. OSHA
Where employees are engaged in activities not covered under the Occupational Safety and Health
Act of 1970, they shall not be required or permitted to work, be trained, or receive services in
buildings or surroundings or under working conditions which are unsanitary, hazardous, or
dangerous to the participants' health or safety.
H. Hatch Act
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The SUBRECIPIENT agrees that no funds provided, nor personnel employed under this
AGREEMENT, shall be in any way or to any extent engaged in the conduct of political activities
in violation of the Hatch Act, 5 U.S.C. Section 1501 et seq.
I. Davis -Bacon Act
All laborers and mechanics employed by contractors or subcontractors in the performance of
construction work, including alterations and repairs, in excess of $2,000.00, financed in whole
or in part with federal funds shall be paid wages at rates not less than those prevailing on
similar construction in the locality as determined in accordance with the Davis -Bacon Act,
as amended, 40 U.S.C. sections 276a - 276a-5. Any such construction contract shall include
and comply with the required contract provisions and rules set forth in 29 C.F.R: §5.5.
Further, the payroll reports (along with the "Statement of Compliance") and basic records
are required to be maintained and submitted, or made available, pursuant to 29 C.F.R.
§5.5(a)(3). No payment, advance, grant, loan or guarantee. of funds shall be approved by the
federal agency unless there is on file with the agency a certification by the contractor that the
contractor and its subcontractors have complied with the provisions of 29 C.F.R. §5.5. A breach
of the contract clauses in 29 C.F.R. §5.5 may be grounds for termination of the contract, and for
debarment as a contractor/subcontractor, as provided in 29 C.F.R. §5.12. Labor standards
interviews/investigations shall be made as necessary to assure compliance. See 29 C.F.R.
§5.6(a)(3).
Generally
The following requirements and standards must be complied with: 2 CFR Part 200, et at,
SUBRECIPIENT shall procure all materials, property, or services in accordance with the
requirements of 2 CFR 200.318-326.
A. Procurement
(1) Compliance. The SUBRECIPIENT shall comply with current HUD and CITY policies
concerning the procurement of equipment, goods, and services, and shall maintain inventory
records of all non -expendable personal property as defined by such policy as may be
procured with funds provided herein. The SUBRECIPIENT shall report to the CITY all
program assets (unexpended program income, property, equipment, etc.), and upon the CITY' S
request, such assets shall revert to the CITY upon termination of this AGREEMENT.
(2) Pursuant to 2 CFR 200.331 (a) (4), the Indirect Cost Rate for the SUBRECIPIENT's
award shall be an approved federally recognized cost rate negotiated between the
SUBRECIPIENT and the Federal government, or, if no cost rate exists, the, de minims indirect
cost rate as defined in 2 CFR 200.414(b) Indirect (F & A) costs shall be used. For this agreement,
the de minims indirect cost of 10% will apply.
(3) Use and Reversion of Assets. The use and disposition. of equipment under this
AGREEMENT shall be in compliance with the requirements of 2 CFR Part 200.
B. Re ortin
Reporting requirements must conform to the policies and procedures as established by the
12
CITY and 24 CFR §
576.500. The SUBRECIPIENT shall submit to the CITY, on or before the 15°i day of
October, January, April, and July, as part of the Quarterly Report:
(1) Payment Request. An original request for reimbursement and true copies of invoices,
receipts, agreements, or other documentation supporting and evidencing how the
ESG Funds have been expended during the applicable quarter.
(2) Quarterly Activities and written cumulative (year-to-date) reports of activities,
program accomplishments, new program information; and up-to-date program
statistics on expenditures, caseload and activities. Failure to provide any of the
required documentation and reporting will cause the CITY to withhold all or a
portion of a request for reimbursement until such documentation and reporting has
been received and approved by the CITY.
(3) Matching. Quarterlycertification of match, plus documentation of match source.
(4) Any other such reports as the CITY (or HUD) shall reasonably require and/or
request, including but not limited to the following information: monthly records of
all ethnic and racial statistics of persons and families benefited by the
SUBRECIPIENT in the performance of its obligations under this
AGREEMENT.
C. Record Keepin¢
Sufficient records must be established and maintained to enable the CITY and HUD to
determine whether the ESG requirements are being met. Record keeping requirements must
conform to the policies and procedures as established by the CITY. All accounting records,
reports, all evidence pertaining to costs, expenses, and ESG Funds of the SUBRECIPIENT,
and all documents related to this AGREEMENT shall be maintained and kept available at
the SUBRECIPIENT'S office or place of business for the duration of the AGREEMENT
and thereafter for five (5) years post -completion of an audit in conformity with the ESG
requirements, except as hereinafter provided relating to retention of any records or
documentation existing, created, or maintained in compliance with Lead -based Paint
regulations, which likely require longer retention as outlined below. 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 which the CITY or
any other governmental agency takes exception, shall be retained beyond the five (5) years
until complete resolution or disposition of such appeals, litigation claims, or exceptions. All said
records must be retained for the greater of the aforementioned duration or the periods specified
in 24 CFR 576.500(y). All records relating to, or created or maintained in compliance with,
the Lead -Based Paint regulations shall be retained and maintained by the SUBRECIPIENT
indefinitely, including without limitation, all inspection report(s), disclosure statement(s), and
clearance report(s). Copies made by microfilming, photocopying, or similar methods may be
substituted for the original records. The CITY, HUD and auditors shall have the right to access
all the SUBRECIPIENT records for as long as the records are retained by the SUBRECIPIENT.
In the event the SUBRECIPIENT does not make the above -referenced documents available within
the City of Santa Ana, California, the SUBRECIPIENT agrees to pay all necessary and reasonable
expenses incurred by the CITY in conducting any audit at the location where said records and
books of account are maintained.
The SUBRECIPIENT agrees to meet the requirements set forth in 24 CPR § 576.500.
13
D. Homeless Management Information S stems HMIS
1. Generally. The SUBRECIPIENT must ensure that data on all persons served and all
activities assisted trader ESG are entered into the applicable community -wide HMIS in the
area in which those persons and activities are located, or with the express knowledge and
written consent of the CITY, a comparable database, in accordance with HUD's standards on
participation, data collection, and reporting under a local HMIS.
2. HMIS Agency Agreement. The SU13RECIPIENT shall have an agreement in place with
the HMIS lead agency. to participate in the regionally HMIS system. A copy of the
SUBRECIPIENTS agreement with the HMIS lead agency shall be attached to this agreement as
Exhibit E. In the case of Domestic Violence service providers or other agencies prohibited from
entering data into HMIS, documentation from the HMIS lead agency certifying that the
SUBRECIPIENT is using a comparable database shall be attached to this agreement as Exhibit
E.
3. HMIS Interagency Data Sharing Agreement. The SU13RECIPIENT shall enter into an
Interagency Data Sharing Agreement with the HMIS Lead Agency where the
SUBRECIPIENT agrees to share HMIS data with other ESG funded agencies regarding clients
that are served in ESG funded programs, unless prohibited by law. A copy of such agreement
shall be attached as Exhibit T.
E. Audit Report Requirements
The SUBRECIPIENT agrees that if the SUBRECIPIENT expends Seven Hundred Fifty Thousand
Dollars ($750,000.00) or more in federal funds, the SUBRECIPIENT shall have an annual audit
conducted by a certified public accountant in accordance with the standards as set forth and
published by the United States Office of Management and Budget (2 CFR 200.501a). The
SU13RECIPIENT shall provide the CITY with a copy of said audit by April 1 of the year following
the program year in which this AGREEMENT is executed. Further, the SUBRECIPIENT shall
comply and/or cause compliance with audit report(s) required by applicable provisions of the Lead -
Based Paint Regulations as further detailed below.
VIII. EVALUATION AND MONITORING
a. Generally
The CITY .will monitor the performance of the SUBRECIPIENT against goals and
Performance standards as required herein. The SUBRECIPIENT shall provide the CITY all
necessary reporting information as required by the CITY in the administration and review of
the Program: Substandard performance as determined by the CITY will constitute
noncompliance with this AGREEMENT. If action to correct such substandard performance is
not taken by the SUBRECIPIENT within a reasonable period of time after being notified
by the CITY, contract suspension or termination procedures will be initiated.
b. Access to Records
The SUBRECIPIENT gives the CITY and HUD, including their authorized representative, access
to and the right to examine all records, books, papers, items, emails, and documents, both
physical and electronic, relating to the program.
14
c. Audit
The CITY shall have the right to audit and monitor any program income as a result of an
ESG activity. Upon request by the CITY and for audit purposes, the SU13RECIPIENT further
agrees to provide all files, records, and documents pertaining to related activities and clientele
demographic data.
A. Generally
Each party to this AGREEMENT acknowledges that it will be liable for its own negligent
acts or negligent omissions by or through itself, its employees, agents, and subcontractors.
Each party further agrees to defend itself and themselves, and to pay any judgments and,
costs arising out of such negligent acts or omissions, and nothing in this AGREEMENT shall
impute or transfer any such liability from one to the other. In other words, the SUBRECIPIENT
agrees to be fully responsible for its negligent acts or omissions, or any intentional tortuous acts
which result in claims or suits against .the CITY, and agrees to be liable for any damages
proximately caused by said acts or omissions. Nothing herein shall be construed as consent by
a State or CITY agency or subdivision to be sued by third parties in any matter arising out of
any contract, and nothing herein is intended to serve as a waiver of sovereign immunity where
sovereign immunity applies.
B. CITY not Liable for Funds
The SUBRECIPIENT further acknowledges that the source of the ESG Funds is a federal pass -
through grant to the SUBRECIPIENT. The CITY shall have no obligation to advance or pay
the SUBRECIPIENT with any funds other than the ESG Funds the CITY receives from HUD.
C. Hold Harmless
The SUBRECIPIENT shall defend, indemnify and save harmless the CITY, its officers,
agents, employees, representatives, volunteers, and student externs 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 the CITY, and shall defend, indemnify and save harmless the
CITY, its officers, agents, employees, representatives, volunteers, and student externs from
and against any and all claims, demands, suits, actions or proceedings of any kind or
nature, including, but not by way of limitation, workers compensation claims and attorney
fees/expenses for litigation or settlement, resulting from or arising out of the negligent or
wrongful acts, errors or omissions of the SUBRECIPIENT, its officers, directors, employees,
agents, subcontractors, and suppliers arising out of the SUBRECIPIENT's performance of this
AGREEMENT.
X. ENVIRONMENTAL CONDITIONS
A. Generally
ESG activities are subject to environmental review by HUD under the environmental regulations
in 24 CFR 50. The SUBRECIPIENT, or any contractor of the SUBRECLPIENT, may not
acquire, rehabilitate, convert, lease, repair, dispose of, demolish, or construct property for a
15
project under this part, or commit or expend HUD or local funds for eligible activities under this
part, until HUD has performed an environmental review under 24 CFR part 50 and the recipient
has received HUD approval of the property.
The SUBRECIPIENT agrees to comply with all applicable environmental requirements insofar
as they apply to the performance of this AGREEMENT, including but not limited to the
Clean Air Act, the Federal Water Pollution Control Act and the Flood Disaster Protection Act.
If applicable, the SUBRECIPIENT also shall comply with the Historic Preservation requirements
of National Historic Preservation Act of 1966.
B. Lead -based paint remediation and disclosure
The Lead -Based PaintPoisoning Prevention Act (42 U.S.C. 4821-4846), the Residential Lead -
Based Paint Hazard Reduction Act of 1992 (42 U.S.C. 4851--4856), and implementing
regulations in 24 CFR part 35, subparts A, B, H, J, K, M, and R apply to all shelters assisted
under ESG program and all housing occupied by program participants that were built before
1978.
C. Assignment of Responsibilities
By this AGREEMENT, the SUBRECIPIENT will accept assignment from the CITY of all
responsibilities set forth in Subpart K of 24 CFR 35.
D. Compliance with Subpart K
The purpose of Subpart K is to establish procedures to eliminate as far as practicable lead -based
Paint ("LBP") hazards in a residential property that receives Federal assistance under certain
HUD programs for acquisition, leasing, support services, or operation. In connection with the
grant funds under this AGREEMENT; the CITY requires that the SUBRECIPIENT comply and
show evidence of compliance with all applicable subparts of 24 CFR 35, and especially, Subpart
K ("LBP Regs").
The SUBRECIPIENT shall conduct the following activities for the dwelling unit, common. areas
servicing the dwelling unit, and the exterior surfaces of the building in which the dwelling unit is
located:
(1) A visual assessment of all painted surfaces in order to identify deteriorated paint;
(2) Paint stabilization of each deteriorated paint surface, and clearance, in accordance with §§
35.1330(a) and (b), before occupancy of a vacant dwelling unit or, where a unit is
occupied, immediately after receipt of Federal assistance; and
(3) Ongoing lead -based paint maintenance activities into regular building operations, in
accordance with § 35.1355(a), if the dwelling unit has a continuing, active financial
relationship with a Federal housing assistance program, except that mortgage insurance
or loan guarantees are not considered to constitute an active programmatic relationship
for the purposes of this part.
(4) And, notice to occupants in accordance with §§ 35.125(b)(1) and (c), describing the
results of the clearance examination.
E. Notification of LBP Hazard
EC
The SUBRECIPIENT shall provide to all occupants of housing:
(1) In accordance with Section 35.130 of the LBP Regs - the LBP hazard information
pamphlet. The pamphlet shall be the EPA/HUD/Consumer Product Safety Commission
lead hazard information pamphlet or an EPA -approved equivalent.
The current form and version of the pamphlet can be found at,,
bttp://www.hud.gov/offices/lead/library/enforcement/fs-disel.pdf
(2) In accordance with 24 CFR 35, Subpart A, all available information and knowledge
regarding the presence of LBP and LBP hazards prior to leasing a housing unit.
(3) In accordance with 24 CFR 35, Subpart A, notification in writing of the results of the
presumption of LBP and/or LBP hazards, results of any lead hazard evaluation, and any lead
hazard reduction work.
F. LBP Information Summary
For purposes of information only and in no respect intended to be a representation or warranty of
the provisions of the LBP Regulations, the CITY has caused to be prepared an information
summary relating to the LBP Regulations and Application to dwelling units that may be occupied
by recipients of services and/or funding from the SUBRECIPIENT under this AGREEMENT.
CITY staff will cooperate with and be available to the SUBRECIPIENT to assist in
implementation of compliance with the LBP Regs as to residential dwelling units to be assisted
by the SUBRECIPIENT. The parties acknowledge and agree the CITY shall not be liable or
responsible for the accuracy of such summary, and the SUBRECIPENT is directed to the LBP
Regulations and implementing guidance published and provided by HUD relating to compliance
with such LBP Regulations.
G. Exemptions
Section 35.115(a) provides exemptions from Subparts B through R, For example, lead -based
paint requirements do not apply to housing assistance if the assistance lasts less than one
hundred (100) days.
XI. CONFLICTS OF INTERF
The SUBRECIPIENT shall comply with 2 CFR 200.112 with respect to the use of program
funds to procure services, equipment, supplies, or other property. With respect to all other
decisions involving the use of program funds, the following restriction shall apply: No person
who is an employee, agent, consultant, officer, or elected or appointed official of the
SUBRECIPIENT and who exercises or has exercised any functions or responsibilities with
respect to assisted activities, or who is in a position to participate in a decision making process
or gain inside information with regard to such activities, may obtain a personal or financial
interest or benefit from the activity, or have an interest in any contract, subcontract, or
agreement with respect thereto, or the proceeds there under, either for himself or herself, or for
those with who he or she has family or business ties, during his or her tenure or for one (1) year
thereafter.
The SUBRECIPIENT agrees to abide by the ESG Program's Conflict of Interest provisions as
17
expressly detailed in 24 CFR § 576.404 regarding Organizational Conflicts of Interest and
Personal Conflicts of Interest. All contractors of the SUBRECIPIENT must comply with the
same requirements that apply to the SUBRECIPIENT under this section.
XH. ASSIGNABH,ITY
None of the duties of, or work to be performed by, the SUBRECIPIENT under this
AGREEMENT shall be subcontracted or assigned to any agency, consultant, or person without
the prior written consent of the CITY. The SUBRECIPIENT must submit all subcontracts and
other agreements that relate to this AGREEMENT to the CITY. No subcontract or
assignment shall terminate or alter the legal obligations of the SUBRECIPIENT pursuant to
this AGREEMENT.
/V. I I I�CIIiF \L a U
This AGREEMENT supersedes any and all other agreements, either oral or in writing, between
the parties hereto with respect to the use of the CITY's ESG Funds by the SUBRECIPIENT
and contains all the covenants and agreements between the parties with respect to such ESG
Funds in any manner whatsoever. Each party to this AGREEMENT acknowledges that no
representations, inducements, promises or agreements, orally or otherwise, have been made by
any party, or anyone acting on behalf of any party, which are not embodied herein, and that no
other agreement or amendment hereto shall be effective unless executed in writing and signed
by both the CITY and the SUBRECIPIENT.
XIV. AMENDMENTS OR MODIFICATION
The SUBRECIPIENT shall not obligate, encumber, spend, or otherwise utilize program funds
for any activity or purpose not included or not in conformance with the budget as apportioned
and as submitted to the CITY unless:
(1) The SUBRECIPIENT has received explicit written approval from the CITY to undertake
such actions, or
(2) Budget changes may be made among approved program activities and among approved
budget categories so long as the specific project activity has been approved, there is
no change to the total grant amount, and the changes to the budget are documented.
Any program modification request by the SUBRECIPIENT must be requested at least forty-five
(45) days prior to the end of the term of this AGREEMENT. No modification to this
AGREEMENT shall be binding by either party unless in writing and signed by both parties.
In the event that the CITY approves any amendment to the funding allocation, the
SUBRECIPIENT shall be notified in writing and such notification shall constitute an official
amendment.
The CITY may, at its discretion and upon provision of proper notice to the
SUBRECIPIENT, amend this AGREEMENT to conform with changes in Federal, State, and/or
the CITY laws, regulations, guidelines, directives, and objectives. Such amendments shall be
incorporated by written amendment as a part of this AGREEMENT.
XV. VIOLATION OF TERMS AND CONDITIONS
18
The invalidity in whole or in part of any provision of this ARGREEMENT shall not void or
affect the validity of any other provision of this AGREEMENT. Whenever possible, each
provision of this AGREEMENT shall be interpreted in such manner as to be effective
and valid under applicable law, but if any provision of this AGREEMENT is held to be
prohibited by or invalid under applicable law, such provision shall be ineffective only to
the extent of such prohibition or invalidity, without invalidating the remainder of such
provisions of this AGREEMENT.
MI&VIRD11149moren 01 11/
This AGREEMENT shall be governed by and construed in accordance with the laws of the
State of California, and all applicable federal laws and regulations.
Nai n.+/f C i�oi7
No delay or omission by the CITY hereto to exercise any right or power accruing upon any
noncompliance or default by the SUBRECIPIENT with respect to any of the terms of this
AGREEMENT shall impair any such right or power or be construed to be a waiver thereof.
A waiver by either of the parties hereto of any of the covenants, conditions, 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.
XX. AGREEMENT DOCUMENT EX11MITS. AND ATTACHMENTS
All of the attachments and exhibits attached to this AGREEMENT are deemed incorporated
by reference. This document may be executed in three (3) counterparts, each of which shall be
deemed to be an original.
Each undersigned represents and warrants that its signature herein below has the power, authority and
right to bind their respective parties to each of the terms of this AGREEMENT, and shall indemnify the
CITY fully, including reasonable costs and attorney'sI fees, for any injuries or damages to the CITY in the
event that such authority or power is not, in fact, held by the signatory or is withdrawn.
[signature page to follow]
20
A-2022-093-01
IN WITNESS WHEREOF, the parties hereto have executed this AGREEMENT on the date and
year first above written
ATTEST:
i
Daisy Gomez
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By:
Ryan O. ridge
Assistant ity Attorney
CITY OF SANTA ANA
TINE G
City Manager
SUBRECIPIENT
i
�.f
alentin
Chief of Police
Tax ID: 95-6000785
Unique ID #: KZE9G2M4GRX9
RECOMMENDED FOR APPROVAL:
an
Steven Mendoza,
Executive Director,
Community Development Agency
21
Exhibit A
City of Santa Ana
Scope of Work
Name of Organization Santa Ana Police Department
Name of Funded Program H.E.A R T Program
Annual Accomplishment Goal
I: Total number of unduplicated clients (Santa Ana and Non -Santa Ana Residents) anticipated to be served by the
funded pLoqram, named above, during the 12-month contract period.
100 Persons
II. Number of unduplicated Santa Ana residents expected to be served by the funded program during the 12-month
contract period.
100 Persons
Program and Funding Description
III. Description of Work - In the space below, describe the program to be funded during the 12-month contract period.
What specific activities will be undertaken during the contract period. Please be concise in your response. Only the
viewable space will print.
Santa Ana Police Officers will contact individuals experiencing homelessness and attempt to provide the
person(s) with necessary resources. The various resources will include lodging at the Link, Yale Navigation
Center, or other available homeless shelters and housing programs, as well as transportation and mental health
services utilizing the County PERT team members. Through a collaborative approach, officers will work the
entire City in areas that are Impacted by calls for service, citizen complaints, or noticeable encampments.
Schedule of Performance
Estimate the number of unduplicated Santa Ana residents to be served by the funded program during the 12-month
contract period per quarter. (Enter number of new Santa Ana clients served each quarter. If they were served in
quarter 1 do not count them again In quarter 2)
Quarter 1: July 1 - September 30 50 Persons
Quarter 2: October 1 - December 31 50 Persons
Quarter 3: January 1 - March 31 50 Persons
Quarter 4: April 1 -June 30 50 Persons
200 Schedule of Invoicing Total unduplicated Santa Ana Residents to be served.
Estimate the amount of grant funds to be requested during the 12-month contract period on a quarterly basis.
Quarter 1: July 1 -September 30 E12,500.
00.00
Quarter 2: October 1 - December 31 00.00
Quarter 3: January 1 • March 31 00
Quarter 4: April 1 -June 30 00.00
0,000.00 Total Grant
Exhibit A
Page 1 of 1
Organization Name
Program Name
ESG Final Budget
Fvn.L ,414.......
Exhibit B
Category
En a ement
Expenses Funded by
Santa Ana
��ry .LNIGJ
Expenses Funded
b Other Sources
Total Program
Budget
Total Organizational
Budget
$ 50,000
$ 50,000
$ 100,000
Case Management
Emergency Health Svc.
$
.Emergency Mental Svc.
Transportation
Other
Indirect Cost
$
$
Total
$ 50,000
$ 50,000 1
$ 100,000
$
LIST ALL OTHER PROGRAM FUNDS THAT HAVE BEEN SECURED
(Total Funds for Program must equal Total Program Budget above)
otal
Page 1 of 1
Certification Regarding
Debarment, Suspension, Ineligibility. and Voluntary Exclusion
Lower Tier Covered Transactions
This certification is required by the regulations implementing Executive Order 12549, Debarment and
Suspension, 29 CFR Part 98, Section 98.510, Participants' responsibilities. The regulations were published
as Part VII of the May 26, 1988 Federal Re ig stet (pages 19160-19211).
(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS FOR CERTIFICATION -
Attached)
(1) The prospective recipient of federal assistance funds certifies, by submission of this proposal, that
neither it nor its principals are presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this transaction by any federal department or
agency.
(2) Where the prospective recipient of federal assistance funds is unable to certify to any of the
statements in this certification, such prospective participant shall attach an explanation to this
proposal.
DAV%b VAImt".l v4 I UteF C
Name and Title of Authorized Representative
Signature
l
Date
EXHIBIT C
Page 1 of 2
M
INSTRUCTIONS FOR CERTIFICATION
By signing and submitting this proposal, the prospective recipient of federal assistance funds is
providing the certification as set out below.
2. The certification in this clause is a material representation of fact upon which reliance was placed
when this transaction was entered into. If it is later determined that the prospective recipient of
federal assistance funds knowingly rendered an erroneous certification, in addition to other remedies
available to the Federal Government, the Department of Labor (DOL) may pursue available
remedies, including suspension and/or debarment,
3. The prospective recipient of federal assistance funds shall provide immediate written notice to the
person to which this proposal is submitted if at any time the prospective recipient of federal
assistance funds learns that its certification was erroneous when submitted or has become erroneous
by reason of changed circumstances,
4. The terms 'covered transaction," "debarred," "suspended," "ineligible," "lower tier covered
transaction," "participant," "person," "primary covered transaction," "principal," "proposal," and
"voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and
Coverage sections of rules implementing Executive Order 12549. You may contact the person to
which this proposal is submitted for assistance in obtaining a copy of those regulations.
5. The prospective recipient of federal assistance finds agrees by submitting this proposal that, should
the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier
covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily
excluded from participation in this covered transaction, unless authorized by the DOL.
6. The prospective recipient of federal assistance fiords further agrees by submitting this proposal that
it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and
voluntary exclusion - Lower Tier Covered Transactions," without modification, in all lower tier
covered transactions and in all solicitations for lower tier covered transactions.
7. A participant in a covered transaction may rely upon a certification of a prospective participant in a
lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded
From the covered transaction, unless it (mows that the certification is erroneous. A participant may
decide the method and frequency by which it determines the eligibility of its principals. Each
participant may, but is not required to check the List of Parties Excluded from Procurement or Non
Procurement Programs
8. 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 this clause. The knowledge and
information of a participant is not required to exceed that which is normally possessed by a prudent
person in the ordinary cause of business dealings.
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a
covered transaction knowingly enters into a lower tier covered transaction with a person who is
suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in
addition to other remedies available to the Federal Government, the DOL may pursue available
remedies, including suspension and/or debarment.
EXHIBIT C
Page 2 of 2
Certification Regarding Lobbying
Certification for Contracts Grants Loans, and Cooperative Agreements
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 of any agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with the awarding of any Federal
contract, the making of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal contact, grant, loan or cooperative
agreement.
(2) 1f 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, an officer or employee of Congress, or an employee of a
Member of Congress in connection with this Federal contract, grant, loan, or cooperative
agreement, the undersigned shall complete and submit Standard 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 subcontract, 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 falls 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.
SA4TA AnLa POL9GC zi A'l TA (C—/�'i r• C /h��
Grantec/Contactor Organization Program Title
Officer Signature Date
EXHIBIT D
Page l of 2
SUBRECIPIENT warrants the following;
1. SUBRECIPIENT will comply with Public Law 88-352, Title VI of the Civil Rights
Act of 1964 (42 U. S. C. section 2000 et seq.) and implementing regulation in 24 CFR
Part I.
2. No person in the United States shall on the ground of race, color, religion, national
origin, or sex, be excluded from participation in; or be denied the benefits of, or be
subjected to discrimination under any program or activity funded in whole or in part with
community development funds made available pursuant to the ACT.
3. All laborers and mechanics, employed by contractors or subcontractors in tile.
performance of construction work financed in whole or in part with community
development funds shall be paid wages at rates not less than those prevailing on similar
construction in the locality as determined in accordance with the Davis -Bacon Act, as
amended, 40 U. S. C. Sections 276 a 1-5, except for individuals who perform services for
which they volunteered; do not receive compensation for such services; or are paid
expenses, reasonable benefits, or a nominal fee for such services; and are not otherwise
employed at any time in construction work.
4. SUBRECIPIENT will comply with all Federal statutes applicable to projects funded
with community development funds, except that (a) SUBRECIPIENT does not assume
CITY'S environmental responsibilities described at 24 CFR 570,604; and (b)
SUBRECIPIENT does not assume CITY'S responsibility for initiating the review process
under Executive Order 12372.
EXHIBIT D
Page 2 of 2
t.
df
OC HMIS Participating Agency Agreement
Purpose
The HMIS (Homeless Management Information System) is a HUD -mandated information technology system
that is designed to capture client -level information over time, on the characteristics and service needs of
homeless persons. Client data Is maintained on a central server, which will contain all client information in an
encrypted state. HMIS integrates data from all homeless service providers and organizations in the community
and captures basic descriptive information on every person served. Participation in the OC HMIS allows
organizations to share information with other participating organizations to create a more coordinated and
effective service delivery system. The OC HMIS is the secured electronic database for Orange County and is a
valuable resource for local communities.
Agreement and Understanding
This Agreement authorizes this Participating Agency (Agency) to designate HMIS Users (User). A User is a staff
person entrusted to enter Protected Personal Information (PPI) into the OC HMIS, on behalf of this Agency. In
order to allow a User to access the OC HMIS, a User Agreement must be signed by the User and stored
electronically in the HMIS.
Confidentiality and Informed Consent
Confidentiality: This Agency must require all Users to abide by its organization's policies and procedures;
uphold all privacy protection standards established by the OC HMIS Policies and Procedures; and comply with
all relevant federal and State of California confidentiality laws and regulations that protect client records.
Except where otherwise provided for by law, this Agency shall ensure that confidential client records are
released with the client's written consent.
Written Consent: To obtain written consent, prior to each client's assessment, each client must be Informed
that the client's information will be entered Into an electronic database called HMIS. The terms of the Consent
to Share Protected Personal Information form must also be explained to each client. Clients who agree to have
their PPI entered into the OC HMIS must sign the Consent to Share Protected Personal Information form.
Verbal Consent: Verbal consent to enter PPI into the OC HMIS may be obtained during circumstances such as
phone screenings, street outreach, or community access center sign -ins, Each client must be informed that
their information will be entered into the HMIS database. The terms of the Consent to Share Protected
Personal Information form must also be explained to each client. The client's written consent must be
obtained once the client appears for their initial assessment.
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Client's Rights
The client has a right to receive a copy of this Agency Agreement at the time of request.
Each client has the right to receive the following, no later than five (5) business days of a written request:
• A correction of inaccurate or incomplete PPI
• A copy of their consent form
• A copy of their HMIS records
• A current list of participating agencies that have access to HMIS data
Data Use
This Agency must protect HMIS data by ensuring that:
• A link to the Privacy Notice is accessed from the Organization's website.
• OC HMIS is not accessible to unauthorized users
• OC HMIS is only accessed by computers approved by the Organization
• HMIS Users are trained regarding user responsibilities and conduct
• HMIS Users sign and comply with the OC HMIS User Agreement
• HMIS Users forward a copy of a client's Revocation of Consent to the HMIS System Administrator, 2-1-
1 Orange County (2110C), within 24 hours of receipt
Responsibilities
This Agency is responsible to ensure that:
• The Notice Regarding Collection of Personal Information is posted at each Intake desk or comparable
location
• HMIS Users do not misuse the system
• Clients are notified if a breach of their PPI is discovered
• Any HMIS User who finds a possible security lapse on the system is obligated to immediately report it
to 2110C
• A signed copy of the Consent to Share Protected Personal Information Is retained for a period of seven
(7) years after the PPI was created or last changed.
Rights and Privileges
OC HMIS data is stored in one central database and is managed by 2110C. While each agency owns their own
data within the database, the Orange County Continuum of Care (CoC) may release aggregate data about its
own continuum at the program, sub -regional, and regional level, Aggregate data may be released without
organization permission at the discretion of the Continuum. Use of the OC HMIS Is a privilege and is assigned
and managed by 2110C.
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Copyright
The OC HMIS and other CoC-provided software are protected by copyright and are not to be copied, except as
permitted by law or by contract with the owner of the copyright. The number and distribution of copies of any
CoC provided software are at the sole discretion of 2110C.
Violations
Any violations or suspected violations of any of the terms and conditions of this agreement, the HMIS User
Agreement, and/or the HMIS Policies and Procedures, must be immediately and confidentially reported to
2110C and the Executive Director or other authorized representative of this Agency.
Term
This Participating Agency Agreement becomes effective on the date of final execution and shall remain in
effect unless terminated pursuant to paragraph XI. Termination, below.
Amendment and Termination
• The OC CoC reserves the right to amend this agreement by Providing a 3-day notice to this Agency.
• Either party has the right to terminate this agreement, with or without cause, by providing a 3-day
written notice to the other party.
• If this agreement is terminated, this Agency shall no longer have access to HMIS or any information
therein. The CoC shall retain the right to use all client data previously entered by this Agency, subject
to any restrictions requested by the client.
All agencies that sign this agreement and are granted access to the OC HMIS agree to abide by OC HMIS'
Policies and Procedures. The signature of the Executive Director or other authorized representative of this
Agency indicates acceptance of all terms and conditions set forth in this agreement.
This Agreement is executed between the CoC and the Participating Organization. Upon final execution, this
Agency will be given access to the OC HMIS.
Agency Name
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Executive Director/Authorized Representative Name
(Print)
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Executive Director/Authorized Representative Signature
(Wetsignatureo •-- —`
Date
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DO NOT WRITE IN THIS SECTION — 2110C USE ONLY
HMIS System Administrator Name (Print)
HMiS System Administrator Signature (Wet signature
only)
Date
Orange County CoC Inter -Agency Data Sharing
Memorandum of Agreement
The h " Y Ma M614 agency agrees to share client data among
participating agencies via the OC HMIS (Orange County Homeless Management Information System) for the
purposes outlined below. Each participating agency must complete and comply with the Agency Agreement.
Each individual HMIS user must complete and comply with the HMIS User Agreement. This document is
available on the OCHMIS website.
Uses of HMIS Data:
• Coordinate housing services for families and individuals experiencing homelessness or facing a housing
crisis in Orange County
• Understand the extent and the nature of homelessness in Orange County
• Evaluate performance and progress toward community benchmarks
• Improve the programs and services available to Orange County residents experiencing homelessness or
a housing crisis
• Improve access to services for all Orange County homeless and at -risk populations
• Reduce inefficiencies and duplication of services within our community
• Ensure that services are targeted to those most in need, including "hard to serve" populations
• Ensure that clients receive the amount and type of services that "best fits" their needs and preferences
• Pursue additional resources for ending homelessness
• Advocate for policies and legislation that will support efforts to end homelessness in Orange County
Client Protection:
• Informed consent must be given by clients in order for their identifying information to be shared
among agencies in the OC HMIS (see Orange County HMIS participating agencies on OCHMIS.org). If
the client does not give consent, their identifying information can still be entered into HMIS, but the
record should only be visible to the agency entering the data.
• All agencies participating in HMIS must sign this agreement. The client has the right to see a current list
of the OC HMIS participating agencies. As part of the informed consent process, clients must be
informed that additional agencies mayjoin the OC HMIS at any time and will have access to their
information.
• HMIS Users will maintain HMIS data in such a way as to protect against revealing the identity of clients
to unauthorized agencies, individuals, or entities.
Last Updated: 8/28/2018
• Clients may not be denied services based on their choice to withhold their consent.
Each party to this memorandum of agreement shall defend, indemnify, and hold all other parties harmless
from any and all claims arising out of that party's negligent performance of this agreement. Any loss or liability
to third parties resulting from negligent acts, errors, or omissions of an OC HMIS user while acting within the
scope of their authority under this Agreement shall be borne by that user exclusively.
Agreed to and signed by the following agency representative (Executive Director or equivalent only):
Printed Name V4\JtD � Al cW-rI KI-
Last Updated:8/28/2018