HomeMy WebLinkAboutPACIFIC INSTITUTE , THE 2 -2003 iNSURANCE ON FILE
WORt', ~A"~ ~ROCE. EO
I)ATE: '7/~-q/off AGREEMENT WITH THE PACIFIC INSTITUTE
C~>~r'~ THIS AGREEMENT, made and entered into this 17th day of June, 2003 by and between
The
Pacific Inc.
and
the
of
Santa
charter
[,~)~ ' Institute, (hereinafter "Consultant"), City Ana, a city
and municipal corporation organized and existing under the Constitution and laws of the State of
California (hereinafter "City").
RECITALS
A. The City desires to retain a consultant having special skill and knowledge in the field of
cognitive psychology, to provide a youth seminar "Mindset Matters".
B. Consultant represents that Consultant is able and willing to provide such services to the
City.
In undertaking the performance of this Agreement, Consultant represents that it is
knowledgeable in its field and that any services performed by Consultant under this
Agreement will be performed in compliance with such standards as may reasonably be
expected fi.om a professional consulting firm in the field.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the parties agree as follows:
1. SCOPE OF SERVICES
Consultant shall perform those services as set forth in Exhibit A to this Agreement.
2. COMPENSATION
a. City agrees to pay, and Consultant agrees to accept as total payment for its services,
the rates and charges identified in Exhibit A. The total sum to be expended under this
Agreement, shall not exceed $15,000.00 during the term of this Agreement.
b. Payment by City shall be made within thirty (30) days following receipt of proper
invoice evidencing work performed, subject to City accounting procedures. Payment need not
be made for work which fails to meet the standards of performance set forth in the Recitals
which may reasonably be expected by City.
3. TERM
This Agreement shall commence on the date first written above and terminate on
September 30, 2003, unless terminated earlier in accordance with Section 12, below. The term
of this Agreement may be extended upon a writing executed by the Executive Director of the
Community Development Agency and the City Attorney.
4. INDEPENDENT CONTRACTOR
Consultant shall, during the entire term of this Agreement, be construed to be an
independent contractor and not an employee of the City. This Agreement is not intended nor
shall it be construed to create an employer-employee relationship, a joint venture relationship, or
to allow the City to exercise discretion or control over the professional manner in which
Consultant performs the services which are the subject matter of this Agreement; however, the
services to be provided by Consultant shall be provided in a manner consistent with all
applicable standards and regulations governing such services. Consultant shall pay all salaries and
wages, employer's social security taxes, unemployment insurance and similar taxes relating to
employees and shall be responsible for all applicable withholding taxes.
5. INSURANCE
Prior to undertaking performance of work under this Agreement, Consultant shall
maintain and shall require its subcontractors, if any, to obtain and maintain insurance as
described below:
a. Commercial General Liability Insurance. Consultant shall maintain commercial
general liability insurance naming the City, its officers, employees, agents, volunteers and
representatives as additional insured(s) and shall include, but not be limited to protection against
claims arising from bodily and personal injury, including death resulting therefrom and damage
to property, resulting from any act or occurrence arising out of Consultant's operations in the
performance of this Agreement, including, without limitation, acts involving vehicles. The
amounts of insurance shall be not less than the following: single limit coverage applying to
bodily and personal injury, including death resulting therefrom, and property damage, in the total
amount of $1,000,000 per occurrence. Consultant shall supply City with a fully executed
additional insured endorsement in substantially the form attached hereto as Exhibit B upon
execution of this Agreement and shall be approved in form by the City Attorney.
b. Business automobile liability insurance, or equivalent form, with a combined single
limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for
owned, hired and non-owned automobiles.
c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300
of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against
liability for worker's compensation or to undertake self-insurance. Prior to commencing the
performance of the work under this Agreement, Consultant agrees to obtain and maintain any
employer's liability insurance with limits not less than $1,000,000 per accident.
d. The following requirements apply to the insurance to be provided by Consultant
pursuant to this section:
(i) Consultant shall maintain all insurance required above in full force and
effect for the entire period covered by this Agreement.
(ii) Certificates of insurance shall be furnished to the City upon execution of
this Agreement and shall be approved in form by the City Attorney.
(iii) Certificates and policies shall state that the policies shall not be canceled
or reduced in coverage or changed in any other material aspect without
thirty (30) days prior written notice to the City.
e. If Consultant fails or refuses to produce or maintain the insurance required by this
section or fails or refuses to furnish the City with required proof that insurance has been procured
and is in force and paid for, the City shall have the right, at the City's election, to forthwith
terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its
time and materials expended prior to notification of termination. Consultant waives the right to
receive compensation and agrees to indemnify the City for any work performed prior to approval
of insurance by the City.
6. INDEMNIFICATION
Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents,
employees, consultants, special counsel, and representatives from liability: (1) for personal
injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims
for personal injury, including health, and claims for property damage, which may arise from the
direct or indirect operations of the Consultant or its contractors, subcontractors, agents,
employees, or other persons acting on their behalf which relates to the services described in
section 1 of this Agreement; and (2) from any claim that personal injury, damages, just
compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects
arising from this Agreement. This indemnity and hold harmless agreement applies to all claims
for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to
have been suffered, by reason of the events referred to in this Section or by reason of the terms
of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold
harmless, and pay all costs for the defense of the City, including fees and costs for special
counsel to be selected by the City, regarding any action by a third party challenging the validity
of this Agreement, or asserting that personal injury, damages, just compensation, restitution,
judicial or equitable relief due to personal or property rights arises by reason of the terms of, or
effects arising from this Agreement. City may make all reasonable decisions with respect to its
representation in any legal proceeding.
7. CONFIDENTIALITY
If Consultant receives from the City information which due to the nature of such
information is reasonably understood to be confidential and/or proprietary, Consultant agrees
that it shall not use or disclose such information except in the performance of this Agreement,
and further agrees to exercise the same degree of care it uses to protect its own information of
like importance, but in no event less than reasonable care. "Confidential Information" shall
include all nonpublic information. Confidential information includes not only written
information, but also information transferred orally, visually, electronically, or by other means.
Confidential information disclosed to either party by any subsidiary and/or agent of the other
party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure
shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is,
through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful
possession of the Consultant without an obligation of confidentiality; (d) is required to be
disclosed by operation of law; or (e) is independently developed by the Consultant without
reference to information disclosed by the City.
8. CONFLICT OF INTEREST CLAUSE
Consultant covenants that it presently has no interests and shall not have interests, direct
or indirect, which would conflict in any manner with performance of services specified under
this Agreement.
9. NOTICE
Any notice, tender, demand, delivery, or other communication pursuant to this
Agreement shall be in writing and shall be deemed to be properly given if delivered in person or
mailed by first class or certified mail, postage prepaid, or sent by telefacsimile or other
telegraphic communication in the manner provided in this Section, to the following persons:
To City:
Clerk of the City Council
City of Santa Ana
20 Civic Center Plaza (M-30)
P.O. Box 1988
Santa Ana, California 92702-1988
telefacsimile (714) 647-6956
With courtesy copies to:
Santa Ana WORK Center
1000 E. Santa Ana Blvd. #200
Santa Ana, CA 92701
Telefacsimile (714) 565-2602
4
and,
City Attorney
City of Santa Ana
20 Civic Center Plaza (M-29)
P.O. Box 1988
Santa Ana, California 92702
telefacsimile (714) 647-6515
To Consultant:
The Pacific Institute
1709 Harbor Avenue, S.W.
Seattle, Washington 98126
Attn: Chris Scaffidi
Telefacsimile (206) 587-6007
A party may change its address by giving notice in writing to the other party. Thereafter,
any notice, tender, demand, delivery, or other communication shall be addressed and transmitted
to the new address. If sent by mail, any notice, tender, demand, delivery, or other
communication shall be effective or deemed to have been given three (3) days after it has been
deposited in the United States mail, duly registered or certified, with postage prepaid, and
addressed as set forth above. If sent by telefacsimile, any notice, tender, demand, delivery, or
other communication shall be effective or deemed to have been given twenty-four (24) hours
after the time set forth on the transmission report issued by the transmitting facsimile machine,
addressed as set forth above. For purposes of calculating these time frames, weekends, federal,
state, County or City holidays shall be excluded.
10. EXCLUSIVITY AND AMENDMENT
This Agreement represents the complete and exclusive statement between the City and
Consultant, and supersedes any and all other agreements, oral or written, between the parties. In
the event of a conflict between the terms of this Agreement and any attachments hereto, the
terms of this Agreement shall prevail. This Agreement may not be modified except by written
instrument signed by the City and by an authorized representative of Consultant. The parties
agree that any terms or conditions of any purchase order or other instrument that are inconsistent
with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor
the City. 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.
11. ASSIGNMENT
Inasmuch as this Agreement is intended to secure the specialized services of Consultant,
Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior
written consent of the City and any such assignment, transfer, delegation or subcontract without
the City's prior written consent shall be considered null and void. Nothing in this Agreement
shall be construed to limit the City's ability to have any of the services which are the subject to
this Agreement performed by City personnel or by other consultants retained by City.
12. TERMINATION
This Agreement may be terminated by the City upon thirty (30) days written notice of
termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant
compensation for all services performed by Consultant prior to receipt of such notice of termination,
subject to the following conditions:
a. As a condition of such payment, the Executive Director may require Consultant to deliver
to the City all work product completed as of such date, and in such case such work product shall be
the property of the City unless prohibited by law, and Consultant consents to the City's use thereof
for such purposes as the City deems appropriate.
b. Payment need not be made for work which fails to meet the standard of performance
specified in the Recitals of this Agreement.
13. DISCRIMINATION
Consultant shall not discriminate because of race, color, creed, religion, sex, marital
status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited
by applicable law, in the recruitment, selection, training, utilization, promotion, termination or
other employment related activities. Consultant affirms that it is an equal opportunity employer
and shall comply with all applicable federal, state and local laws and regulations.
14. JURISDICTION - VENUE
This Agreement and all questions relating to its validity, interpretation, performance, and
enforcement shall be government and construed in accordance with the laws of the State of
California. This Agreement has been executed and delivered in the State of California and the
validity, interpretation, performance, and enforcement of any of the clauses of this Agreement
shall be determined and governed by the laws of the State of California. Both parties further
agree that Orange County, California, shall be the venue for any action or proceeding that may
be brought or arise out of, in connection with or by reason of this Agreement.
15. PROFESSIONAL LICENSES
Consultant shall, throughout the term of this Agreement, maintain all necessary licenses,
permits, approvals, waivers, and exemptions necessary for the provision of the services
hereunder and required by the laws and regulations of the United States, the State of California,
the City of Santa Ana and all other governmental agencies. Consultant shall notify the City
immediately and in writing of her inability to obtain or maintain such permits, licenses,
approvals, waivers, and exemptions. Said inability shall be cause for termination of this
Agreement.
16. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and wan'ants 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.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year
first above written.
ATTEST:
Clerk of the Council
APPROVED AS TO FORM:
Joseph W. Fletcher, City Attorney
By: Lisa E. Storck
Assistant City Attorney
CITY OF SANTA ANA:
DA~v.-iDN.~- -- ,.
City Manager
THE PACIFIC INSTITUTE, INC.
chis ~caffidi, 'Project Director
Tax ID#: 91-0877927
RECOMMENDED FOR APPROVAL:
7
Executive Directod
Jo~p.~'Reekstin,
Community Development Agency
City of Santa Ana
THE PACIFIC INSTITLiTE®
EXHIBIT
A
"Mindset Matters"
PROPOSAL FOR
YOUTH SEMINAR
FOR
The Santa Work Center
Chris Scaffidi
Crsscaffidi(~,aol.com
978-762-0933
Michael Lucey
Mluce 1 ~aol.com
617-901-9303
THE PACIFIC INSFITLITE®
May 20, 2003
Dear Sandy,
Mike and I are thrilled with the opportunity to again bring the concepts and tools of The Pacific
Institute (TPI) to the youth of Santa Ana. And equally excited with the chance to give your
members another, fuller exposition of how these principles can change lives.
Attached is general information on TPI and an outline of the specifics of that event which we
have discussed. We will be in contact with Tony Dalessi to coordinate the content in order to
have the greatest impact.
I'll call to confirm receipt and answer any questions.
Thank you,
Chris Scaffidi
Project Director
978-762-0933
crsscaffidi@aol.com
THE PACIFIC INSTITLITE®
The Pacific Institute has 3 0 years of experience helping nations, organizations and individuals
translate and apply leading cognitive research in order to meet their potential.
Sam Standard, Stanford University Researcher, differentiated The Pacific Institute's process from
commercialized approaches as, "Not reheated 'pop psychology' or charismatic motivation, The
Pacific Institute's empirically validated process relies on the development of specific skill sets
that build efficacy, one's causative power and the ability to exercise control over one's own life."
Habits, beliefs and expectations that have developed as a product of our life's experience can be
the greatest limiting factor in achieving our potential. But research in Cognitive Psychology
shows that these habits, beliefs and expectations can be changed through:
· Guided self-examination
· Gathering insights on effective and ineffective thinking
· Raising expectations
· Providing tools to upgrade automatic responses
These principles form the basis for The Pacific Institute's methodology.
Experience: For almost three decades, in 50 countries and in 15 languages, working with a
wide range of nations, organizations and millions of individuals from around the globe, TPI has
made it's mission the distribution of the knowledge and tools that allow people to take greater
control of their lives and achieve their potential. In this capacity, TPI has been a resource for
over 62% of The Fortune 500, the European Theater of Generals, the governments of Guatemala,
South Africa and N. Ireland with their focus on peace, and with countless public institutions
throughout North, Central and South America.
Credibility: Endorsed by the Canadian and American Psychological Associations, The Pacific
Institute has developed the distinction of being able to successfully place into the "mainstream"
the most useful, tried and proven, concepts for psychological effectiveness ever uncovered.
The Pacific Institute's education has been validated and supported by leading research
psychologists:
· Dr. Albert Bandura (Stanford University)
· Dr. Gary Latham (University of Toronto)
· Dr. Cecil Bell, (University of Washington)
· Dr. Martin Seligman (University of Pennsylvania)
· Dr. Matthew Budd (Harvard University)
· Dr. Glenn Terrell (Washington State University).
The research and resulting education is reconstructed by the TPI curriculum committee into a
complimentary sequence of learning units which are then further customize for specific groups,
organizations and industries by the Project Directors. The result is the latest in Cognitive
Psychology research delivered with a focus and in a form and manner most appropriate to the
organization or audience.
THE PACIFIC INST1TLrI'E*
Santa Aha Work Center: Event Objectives
"Mindset Matters"
The Pacific Institute (TPI) understands the objective of its work with the Santa-Ana Work Center
is to provide these adolescents and young adults with a survey overview of the habits of thought
which impede success.
Participants will gain knowledge to help them to fulfill objectives in the following areas:
Transitioning towards self-sufficiency
A person who consciously or unconsciously lacks a belief in their ability to be self-sufficient a)
will struggle to benefit from any "hard skills" program offered b) will most likely lack the
motivation necessary to acquire new knowledge. Research also demonstrates that people
resist change. When moved beyond a pm-established a comfort zone, even if the comfort
zone is unhealthy, the brain brain-self-regulates, by blocking performance, impairing thinking
and by causing people to creatively avoid that which may be necessary for self-sufficiency.
By understanding these and other cognitive youth will be empowered perform at higher
levels.
Academic Performance
Cognitive Research demonstrates that peoples' performance matches their self-perception. A
student who believes they are incapable of succeeding in a certain subject sets him or herself
up for failure. By understanding the thought processes that impede or accelerate success,
participant will increase their chances of performing at their potential.
Motivation and Self Esteem
Because the expectation of success tends to be very limited for "at risk youth" the desire to grow
in a given area is often lacking. Participants will be given the tools needed to raise the
awareness of their true potential thereby increasing his or her desire to grow or improve.
Leadership and Independence
At the very core of leadership development is a high sense of Efficacy (ones causative power or
ones belief in their ability to bring about effective change) and Self-confidence. Participants
will be equipped with the tools to raise their own efficacy levels.
Establishing and Maintaining New Goals
Because the brain self-regulates and is resistant to change, a person who has established habits of
failure will often find it difficult to stick to a new goal whether it is academic or professional.
By understanding how the mind self-regulates and how to assimilate new goals, participants
will be better equipped to establish and maintain their goals.
Decision Making
Decisions are often based on what has occurred in the past, not on what could be. People often
make their decisions based on previously stored information about themselves or their
abilities. When self-efficacy and self-confidence are low, we often settle for less. If the
information we have about ourselves is inaccurate, negative or limiting, their choices will
follow a similar pattern. By understanding the relationship between efficacy levels and
decision making, participants will be empowered to make more effective choices about their
lives and futures.
THE PACIFIC INSTITUTE*
Snntn An~ Work Center: Presentntion Approach
"Mindset Mntters"
Entertain - Engage - Inform - Reinforce
Youth events thrive on energy and the combination of entertainment and information. We will
produce an event that delivers an introductory knowledge of the identified concepts through Key
and Supporting facilitation. The concepts will be chosen to specifically augment the job
preparation skills that being taught during the rest of the day.
Mike Lucey and Chris Scaffidi will be the Key facilitators and introduce the core concepts
through out the event.
The presentation of each concept will then be supported in breakout sessions of smaller groups
facilitated with exercises to reinforce the concepts, engage the participants and start the process of
visualizing the affect of the concept on their lives.
Topics Addressed in Seminar
· How beliefs about ourselves limit our success.
· How are beliefs formed and are they worth believing?
· How Self-Talk and Thinking can help or Hurt us.
· How do you move outside of your Comfort Zone.
· How do we Motivate ourselves.
· How do we change beliefs and set goals that last.
We will create the delivery for 2 half-day formats with some adjustments for the different age
group. We will also create a ½ hour Introduction and ½ hour close that for the entire group that
will be designed to set the tone and reinforce the education.
This event will be produced for a fixed fee of $15,000.
Expenses are included in the fee.
Santa Ana Work Center will be responsible for securing an appropriate venue. Specific
recommendations for technical and material needs will be made at a logistics-planning meeting.
EXHIBIT B
ADDITIONAL INSURED ENDORSEMENT
FOR COMMERCIAL GENERAL LIABILITY POLICY
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 92701; its
officers, employees, agents, volunteers and representatives 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 cancelled, 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 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effective.)
Effective
Policy #
Issued to
, this endorsement fom~ as a part of
Named Insured
Countersigned by
Authorized Representative
EXHIBIT C
EMPOWERMENT ZONE GRANT REQUIREMENTS
This Exhibit C to the Agreement shall constitute the a material portion of the Agreement
between the City of Santa Ana ("CITY") and Pacific Institute ("CONSULTANT").
I. CONSULTANT'S OBLIGATIONS
A. Non-Profit Status - Representations and Warranties.
(a) Authority. CONSULTANT is duly organized and existing and in good standing and
authorized to do business under the laws of the State of California. CONSULTANT has full
right, power and lawful authority to accept the funding hereunder and to undertake all
obligations as provided herein.
(b) Experience. CONSULTANT is a qualified provider of the services to be provided
hereunder.
(c) Familiarity With Services Required. By executing this Agreement,
CONSULTANT warrants that (i) it has thoroughly investigated and considered the services to be
performed and provided hereunder, (ii) it has carefully considered how the services should be
performed, and (iii) it fully understands the facilities, difficulties and restrictions attending
performance of the services under this Agreement.
(d) No Conflict. To the best of CONSULTANT'S knowledge, CONSULTANT'S
execution, delivery and performance of its obligations under this Agreement will not constitute a
default or a breach under any contract, agreement or order to which CONSULTANT is a party or
by which it is bound.
(e) No Bankruptcy. CONSULTANT is not the subject of any current or threatened
bankruptcy proceeding.
(0 No Pending Legal Proceedings. CONSULTANT is not the subject of a current or
threatened litigation that would or may materially affect CONSULTANT'S performance under
this Agreement.
(g) Application Veracity. All provisions of and information provided in
CONSULTANT'S submittals to CITY regarding the purchase of said real property, including
any exhibits, are true and correct in all material respects.
(h) No Pending Investigation. CONSULTANT is not aware that it is the
subject of any current or threatened criminal or civil action investigation by any public agency,
including without limitation a police agency or prosecuting authority, that would relate to affect
performance of the Agreement or provision of services hereunder.
B. Use of Funds. CONSULTANT agrees to use all federal funds provided by CITY to
CONSULTANT pursuant to this Agreement to operate said program, as set forth in "Exhibit A" to
the Agreement, attached hereto and by this reference incorporated herein.
C. Licensing. CONSULTANT agrees to obtain and maintain all required licenses,
registrations, accreditation and inspections from all agencies governing its operations.
CONSULTANT shall ensure that its staff shall also obtain and maintain all required licenses,
registrations, accreditation and inspections from all agencies governing CONSULTANT's
operations hereunder.
D. Zoning. CONSULTANT agrees that any facility/property used in furtherance of its
program shall be specifically zoned and permitted for such use(s) and activity(ies). Should
CONSULTANT fail to have the required land entitlement and/or permits, thus violating any local,
state or federal roles and regulations relating thereto, CONSULTANT 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.
CONSULTANT shall notify CITY immediately of any pending violations. Failure to notify CITY
of pending violations, or to remedy such known violation(s) shall result in termination of grant
funding hereunder. CONSULTANT 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.
E. Audit Report Requirements. CONSULTANT agrees that if CONSULTANT
receives Three Hundred Thousand Dollars ($300,000.00) or more in federal funds, CONSULTANT
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.
CONSULTANT shall provide CITY with a copy of said audit by October 1 of the year following
the program year in which this Agreement is executed.
F. Record Keeping/Reporting. CONSULTANT shall keep and maintain complete and
adequate records and reports to assist CITY in meeting and maintaining its record keeping
responsibilities under Title 24, Part 570 of Code of Federal Regulations 24 CFR 570.000, et seq.
("CDBG REGS"), including the following:
(1)Records
a. Documentation evidencing program income requirements in
conformity with 24 CFR 570.504(b((2)(i), (ii) and 24 CFR 570.503(b)(3) and 24
CFR 570.208(a)(2)(B) of the income level of persons and/or families participating
in or benefiting by the CONSULTANT program.
b. Documentation of the number of persons and/or families participating
in or benefiting by the CONSULTANT program.
c. Household information shall include number of persons, identification
of head of household, race/ethnicity, and income verification.
d. Any such other related records as CITY shall reasonably require or as
required to be maintained pursuant to the CDBG REGS.
e. Quarterly Activity Report: CONSULTANT agrees to keep monthly
records of all ethnic and racial statistics of persons and families benefited by
CONSULTANT in the performance of its obligations under this Agreement, including,
but not limited to, the number of low and moderate income persons and households
assisted in accordance with federal income limits, the number of female heads of
households assisted, new program information and year-to-date program statistics on
expenditures, caseload and activities..
G. Access to Records. CITY and the United State Government and/or their representatives
shall have access for purposes of monitoring, auditing, and examining CONSULTANT's activities
and performance, to books, documents and papers, and the right to examine records of
CONSULTANT's subcontractors, bookkeepers and accountants, employees and participants in
regard to said program. CITY and the United States Government and/or their representatives shall
also schedule on-site monitoring at their discretion. Monitoring activities may also include, but are
not limited to, questioning employees and participants in said program and entering any premises or
any site in which any of the services or activities funded hereunder are conducted or in which any of
the records of CONSULTANT are kept. Nothing herein shall be construed to require access to any
privileged or confidential information as set forth in federal or state law.
H. Location of Records/Required Length of Record Keeping. All accounting records,
reports, and evidence pertaining to all costs, expenses and the funds received by CONSULTANT
and all documents related to this Agreement shall be maintained and kept available at
CONSULTANT'S office or place of business for the duration of the Agreement and thereafter
for five (4) years after completion of an audit in conformity with the CDBG REGS's. 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 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. In the event
CONSULTANT does not make the above-referenced documents available within the city of Santa
Ana, California, CONSULTANT 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.
I. Compliance with Law/Program Income. CONSULTANT acknowledges that the real
property being provided by CITY for said program are received by CITY pursuant to the ACT as
amended and that expenditures of these funds shall be in accordance with the ACT and all pertinent
regulations issued by agencies of the federal government, including, but not limited to, all
regulations found at Title 24 of the Code of Federal Regulations. Program income received by
CONSULTANT shall be returned to CITY unless otherwise provided for in this Agreement.
CONSULTANT agrees to comply fully with all federal, state and local laws and court orders
applicable to its operation whether or not referred to in this Agreement.
3
J. Confidentiali_ty. Without prejudice to any other provisions of this Agreement,
CONSULTANT shall, where applicable, maintain the confidential nature of information provided
to it concerning participants in accordance with the requirements of federal and state law. However,
CONSULTANT shall submit to CITY and or HUD or its representatives, all records requested,
including audit, examinations, monitoring and verifications of reports submitted by
CONSULTANT, costs incurred and services rendered hereunder.
K. Independent Contractor. CONSULTANT agrees that the performance of obligations
hereunder are rendered in its capacity as an independent contractor and that it is in no way an
agency of CITY.
L. Lobbying. CONSULTANT certifies 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 fimds 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. CONSULTANT shall sign a certification to that effect in a form as set forth
in Attachment Nos. 1 and 1-A attached hereto and by this reference incorporated herein.
CONSULTANT shall submit said signed certification to CITY prior to performing any of its
obligations under this Agreement and prior to any obligation arising on the part of CITY to pay any
sums to CONSULTANT 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 C-1).
M. Financial Interest. CONSULTANT agrees that except for the use of funds
to pay salaries and other related administrative or personnel costs, no persons who exercise or have
exercised any function with respect to activities assisted under the terms of this Agreement, or who
are in a position to participate in a decision-making process or gain inside information with regard
to such activities, may obtain a financial interest or benefit from a CITY-assisted activity of
CONSULTANT, either for themselves or those with whom they have family or business ties,
during their tenure or for one year thereafter. This prohibition applies to any person who is an
employee, agent, consultant, officer, or elected or appointed official of CITY, or of
any designated public agencies, or the CONSULTANT.
N. 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 roles 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 [29 C.F.R. §5.6(a)(3)].
O. Drug Free Workplace. CONSULTANT certifies that it has established the following
drag-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
employees of CONSULTANT will be required to:
a) Abide by the terms above in statement 1.
b) Notify appropriate officials of CONSULTANT and CITY officials of
any criminal drug statute conviction for a violation occurring in the workplace not
later than five days after such conviction.
3. The City and the United State Department of Housing and Urban
Development will be notified within ten days after receiving notice of any such violation.
4. Within 30 days of receiving such notice, appropriate personnel action will be
taken against such employee, up to and including termination.
Each such employee shall be required to participate satisfactorily in a drag abuse
assistance or rehabilitation program approved for such purposes by a federal, state or local health,
law enforcement, or other appropriate agency.
P. Nondiscrimination. CONSULTANT agrees that no person on the ground of race,
age, color, national origin, religion or sex will be excluded from participation in, be denied the
benefits of, or be subjected to discrimination under any program or activity funded in whole or in
part with funds received pursuant to this Agreement.
Q. Conflict of Interest. CONSULTANT agrees that no officer, employee, agent or
assignee of CITY who was involved in the sale of said property, either directly or indirectly, shall
serve as an officer of CONSULTANT. Further, any conflict or potential conflict of interest of any
officer of CONSULTANT shall be fully disclosed in writing prior to the execution of this Agreement
and said writing shall be attached and deemed fully incorporated as a part hereof. Notice shall be sent
by CONSULTANT to CITY regarding any changes or modifications to its board of directors and list
of officers.
R. Prohibition Of Nepotism. CONSULTANT agrees not to hire or permit the
hiring of any person to fill a position fimded through this Agreement if a member of that person's
immediate family is employed in an administrative capacity by CONSULTANT. For the purposes
of this section, the term "immediate family" means spouse, child, mother, father, brother, sister,
brother-in-law, sister-in-law, father-in-law, mother-in-law, son-in-law, daughter-in-law, aunt, uncle,
niece, nephew, stepparent and stepchild. The term "administrative capacity" means having
selection, hiring, supervisor or management responsibilities.
II. REVERSION OF SAID REAL PROPERTY
A. Said real property under CONSULTANT's control that was acquired pursuant to this
Agreement must either be:
1. Used, where CITY has given written approval, to meet one of the national
objectives stated in 24 CFR 570.208 until five (5) years after expiration of this Agreement, or for
such longer period of time as determined to be appropriate by CITY (the parties acknowledge and
agree that at the time of execution of this Agreement the proposed use of said real property is for job
creation pursuant to 24 CFR 570.208(a)(4)); or
2. If not used in accordance with subparagraph 1 above, CONSULTANT shall
pay to CITY an amount equal to the current fair market value of the property less any portion of the
value attributable to the expenditure of funds received from sources other than CITY for acquisition
of, or improvement to, the property. Such payment is program income to CITY.
B. CONSULTANT hereby agrees, upon the demand of CITY, to execute, acknowledge
and deliver, or cause any person or entity who may have any claim to rights hereunder or under any
document, instrument or agreement executed in furtherance of the services and activities to be
performed hereunder, to execute, acknowledge and deliver, to CITY assignment(s), quit claim
deed(s) or such other and further instruments, documents and agreements as may be necessary, in
the sole and absolute discretion of CITY, to vest in CITY all of CONSULTANT's right, title and
interest (if any it may have) in and to CITY, CDBG or other federal, state and/or local accounts or
program funds or allocation of funds to which CITY is or may be entitled, either for its own account
or as fiduciary or trustee for others, which were obtained for the purpose of the performance of this
Agreement or any previous agreements relating to the same subject matter or activities as this
Agreement, together with any instruments, loans, grants or advances by CONSULTANT on behalf
of CITY, in furtherance of the activities hereunder or thereof.
CONSULTANT's obligations and responsibilities set forth in this paragraph "II.
REVERSION OF ASSETS," and in paragraph "1II. TERMINATION" and other requirements
pertaining to program income shall not be affected by the termination of this Agreement and shall
survive the date of termination of this Agreement for such period of time as CITY and/or HUD
deems necessary for the responsibilities, duties and obligations to be performed and completed to
the satisfaction of CITY and HUD.
III. TERMINATION
A. This Agreement may be suspended or terminated by CITY upon five (5) days'
written notice for violation by CONSULTANT of Federal Laws governing the use of Community
Development Block Grant Funds.
B. Pursuant to 24 CFR 85.43, in the event CONSULTANT defaults by failing to fulfill
all or any of its obligations under this Agreement, CITY may declare a default and termination of
this Agreement by written notice to CONSULTANT, which default and termination shall be
effective on a date stated in the notice which is to be not less than ten (10) days after certified
mailing or personal service of such notice, unless such default is cured before the effective date of
termination stated in such notice. If terminated for cause, CITY shall be relieved of further liability
or responsibility under this Agreement, or as a result of the termination thereof, including the
payment of money, except for payment for approved expenses incurred for services satisfactorily
and timely performed prior to the mailing or service of the notice of termination, and except for
reimbursement of (1) any payments made for services not subsequently performed in a timely and
satisfactory manner, and (2) costs incurred by CITY in obtaining substitute performance.
C. In the event this Agreement is terminated as set forth in subparagraphs III.A. through
III.B., inclusive, CONSULTANT agrees to immediately return to CITY upon CITY's demand and
prior to any adjudication of CONSULTANT's rights, any and all fimds not used, and to comply with
paragraph "II. REVERSION OF ASSETS" of this Exhibit C.
7
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 extensio..n, continuation,
renewal, amendment, or modification of any Federal contact, grant, loan or cooperative
agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, 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
of Lobbying Activities," attached hereto 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 fails to file the required certification shall be subject to
a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
The Pacific Institute
Summer Youth Program
Grantee/Contactor Organization
Name of Certifying Officer
Signature
Program Title
Date
Chris Scaffidi, Program Director
ATTACHMENT No. 1 to EXHIBIT
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 1.
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 the
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.
ATTACHMENT No. 1 to EXHIBIT
'ACORD.. CERTIFICATE OF LIABILITY INSURANCE
DATE (MM~DD~FYYY)
04/16/2003
PRODUCER
AT.I. AGENCY, INC.
1022 N.E. 65TH ST.
SEATTLE, WA 98115
INSURED
THE PACIFIC INSTITUTE, INC.
P.O. BOX 84208
SEATTLE, WA 98124
206-522-9200
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURERA: AMERICAN STATES INSURANCE CO.
INSURER B:
INSURER C:
INSURER D:
NAIC #
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION
POLICY N UMBER DATE tMM/DD/YY} DATE fMMIDD/YYI LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
__ CLAIMS MADE L~J OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
AUTOMOBILE LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON)OWNED AUTOS
02-CC-202232-3
02/04/03
02/04/04
EACH OCCURRENCE $
GARAGEL~BILITY
ANY AUTO
PREMISES (Ea occurence.)
MEO FXP (Any one person)
1,000,000
200,000
.$ 10~000
$ 1,000,000
EXCESS/UMBRELLA LIABILITY
OCCUR I I CLAIMS MADE
DEDUCTIBLE
RETENTION $10,000
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY P ROPRIETO PJPARTN ERJEXECUTIVE
OFFICER/MEMBER EXCLUDED?
tf yes, describe under
SPECIAL PROVISIONS below
OTHER
02-CC-202232-3
01-SU-102425-30
02/04/03
02/04/03
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED.
02/04/04
02~04~04
PERSONAL & ADV INJURY
GENERAL AGGREGATE $ 2,000,000
PRODUCTS ) COM P/DP AGG
PROPERTY DAMAGE
(Per accident)
$ 2,000,000
COM DINED SINGLE LIMIT 1,000,000
(Ea accident) $
BODILY INJURY
(Per person) $
BODILYINJURY
(Per accident) $
$
AUTO ONLY ) EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY: AGG
EACH OCCURRENCE
AGGREGATE
X j wc STATU) IOTH)
ITORYLIM TS ER
E.L. EACH ACCIDENT
E.L. DISEASE)EAEMPLOYEE
E.L. DISEASE ) POLICY LIMIT
F)¢putv City Attorney
10,000,000
10,000,000
$ 1,000,000
$ 1,000,000
$ 2,000,000
FORM
CERTIFICATE HOLDER CANCELLATION
CiTY OF SANTA ANA
ATTN: ANNABELLE BATES
1000 E. SANTA ANA BLVD., SUITE 220
SANTA ANA, CA 92702
I
ACORD 25 (2001/08)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ~J~t'~'~[~Or-.MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
' ~ f' ~~~ 'ACORD CORPO~TION 1988
MAY-07-2083
87:55
P.02×02
ADDITIONAL INSURED ENDORSEMENT
Insurance Company Arnedca Economv Insurance Comoany
This endorsement modifies such insurance as is afforded by the provisions of Policy
~ relating to the following:
1. The City of Santa Aha, 20 Civic Center Plaza, Santa Ana, California 92701;
its officers, employees, agents and volunterrs are named as additional insure<Is with regard to
liability ami 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 13rimary
and is not additional to or contributing wih any other insurance can'ied by or for the benefit
of the additional insureds.
3. This insurance applies separately to each insurecl against whom claim is
made or suit is brought exCept with respect to the company's limits of liability. The inctusion
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 92701.
(Completion of the following, including countersignature, is required to make this endorsement
effectrve.)
Effective
Policy #
Issued to
February_ 4th 2003 - February 4th 2004,
0~
City. of Santa Aria.
Named Insured
Countersigned by
this endorsement form as part of
TOTAL P.02