HomeMy WebLinkAboutCA DEPTS OF PARKS & RECREATION 1 - 2002
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. NATIONAL HISTORIC PRESERVATION ACT OF 1966
HISTQRICAL RESOURCES PRESERVATION PROJECT AGREEMENT
, 'BGRANT PROGRAM
~03 HISTORIC PRESERVATION WORKSHOP
PARTICIPANT
CITY OF SANTA ANA
PROJECT PERIOD
State of California ~ The Resources Agency
DEPARTMENT OF PARKS AND RECREATION
N-2002-178
03
OCTOBER 1, 2002 - SEPTEMBER 30, 2003
PROJECT SCOPE
i PROJECT NUMBER
106-02-17534
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2\ Participant shall conduct a historic preservation workshop in partnership with the American Planning Association
3 to focus on training for local commissioners and private and public sector planners representing certified and
4 non-certified local govemments. The training will include use of historic preservation tools including the Secretary
5 of Interior's Standards, State Historic Building Code, Federal Tax Incentives, Socio-economic benefits of
6 preserving ethnic and cultural resources, and Adaptive re-use.
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8 Participant shall plan the workshop, obtain speakers, and secure services and supplies required to host
9 the workshop.
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11 Any publications funded by this grant, including workshop programs, shall contain the required acknowledgement
12 of support and nondiscrimination statements furnished by State.
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14 PROGRESS REPORTS AND PRODUCTS:
On or before September 30, 2003 - Participant shall submit all final products, including a final project report
detailing workshop actitivites and accomplishments and the final Request for Reimbursement (DPR 417) along
Continued on Page--1a-- Attached
PROJECT FUNDING
Total costs supported by Federal grant funds under the National Historic Preservation Act of 1966:
Four thousand, seven hundred and eighty seven dollars ($4,787).
Minimum contributions of the Participant to match Federal grant funds under the National Histonc Preservation
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Act of 1966:Three thousand one hundred and ~1,1y-~gv~l, dollars ($3,191).
AGENCY PARTICIPANT
STATE DEPARTMENT OF PARKS AND RECREATION CITY OF
BY
BY
/L--.~ ~
TITLE
TITLE
STATE HISTORIC PRESERVATION OFFICER
DATE / ).... I I (; / d' ~
OATE
OPR 831 (8189)(Excel8/2311999)
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With copies of back-up for both the grant and matching share costs. It is understood by
Participant that the final ten-percent (10%) of the grant mav not be made until after the
audit by the Department's Audit Office.
The attached General Contract Terms, consisting of twelve pages, are incorporated
herein and made a part hereof. The proposed grant application budget, which is
attached and made a part hereof, shall be adhered to as closely as possible. Any major
deviations shall be approved in writing by State.
ATTEST:
PATRICIA E. HEALY
City Clerk
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
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By:n'
aura Sheeay
Assistant City Attorn y
APPROVED AS TO CONTENT:
CY~tE~
Deputy City Manager for
Development Services
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Project Agreement
General Terms
DEFINITIONS
The term "Interior" as used hereiu shall mean the agency of the federal governmeut which
is acting as the delegate of the United States Secretary of the Interior to administer grant programs
authorized hy the National Historic Preservation Act of 1966 as amended.
The term "State" as used herein shall mean the California Office of Historic Preservation 0
the State of California.
The term "Participant" as used herein shall mean the recipient of suhgrauted (q.v.) federal
funds named as Participant on the cover page of this agreement.
The term "Suhgrant" as used herein shall mean the award of federal funds, already
granted to the State, to the agency, institution, organizatiou, other legal entity, or individnal by the
State.
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The term "Project" as nsed herein shall mean the work described in the "Project Scope"of
this agreement performed dnring the time period set forth as the "Project Period" on the cover
page of this agreement.
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The term "Secretary of the Interior's Standards" as used herein shall mean the "Secretary
of the Interior's Standards and Guidelines for Archeology and Historic Preservation", including
standards for planning, identification, evalnation, registration, historical documentation,
architectural and engineering documentation, archaeological documentation, historic preservation
projects, and professional qualifications, as published in the Federal Register, September 29, 1983
(Vol. 48, No. 190), pp. 44716 et seq.
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GENERAL
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3 This agreement is entered under the provisions of the National Historic Preservation Act of
4 1966, 16 USCA Section 470 et seq., and regulations enacted pursuant thereto, 36 CFR Part 60.
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6 In addition to the terms detailed in this subgrant agreement, all federal requirements
7 governing grants (Office of Management and Budget Circulars A-21, A-87, or A-122, A-I02, A-llO,
8 A-128, or A-133) are applicable. The State and the Participant shall comply with, and shall not
9 interpret any part of this agreement to be in conflict with, all applicable provisions of those
10 circulars in carrying out this agreement.
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The Participant agrees to complete the project in accordance with this agreement.
14 The Participant shall perform all work and supply material necessary to complete the
15 project described in the paragraph entitled "Project Scope:" on p.l ofthis agreement within the
16 period specified. Failure of the Participant to render satisfactory progress or to complete this or
17 any other project which is subject to federal assistance under this program to the satisfactiou of the
18 State may be cause for suspension of all obligatious of Interior and the State under this agreement.
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20 However, failure of the Participant to comply with the terms of this agreement shall not be
21 cause for the suspension of all such obligations if, in the judgement of Interior, such failure was due
22 to no fault of the Participant. In such case, any amount required to settle at minimum costs any
23 irrevocable obligations properly incurred shall be eligible for assistance under this agreement.
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25 This agreement is executed in counterparts, each of which shall be deemed a duplicate
26 original.
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28 This agreement may be amended only by agreement in writing executed by both of the
29 parties hereto.
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31 The Participant may upon written notice to the State unilaterally terminate this agreement
32 at any time prior to the commencement of the project. The State may upon written notice to the
Participant unilaterally terminate this agreement at any time prior to the commencement of the
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t project. The project shall he deemed commenced when the Participant makes any expenditure or
2 incurs any obligation with respect to the project.
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4 After the project commences, the Participant and the State may terminate the agreement h
5 mutual consent, in which case they shall negotiate termination conditions.
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7 If the Participant materially fails to comply with the terms of the agreement, the State shall
8 provide written notice of non-compliance, which states the nature of the deficiency. If the
9 Participant is still not in compliance thirty (30) days after receipt of the notice, the State may in
10 addition to other remedies: (1) withhold cash payments until the deficiency is removed; (2)
11 administer the project itself as it deems necessary to fulfill the requirement of the Interior, in which
12 case the Participant agrees to reimbnrse the State for any costs or expenses incurred therehy; (3)
13 terminate the agreement and make no fnrther payments hereunder; (4) disallow costs; and (5)
14 disqualify the Participant from further subgrants.
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16 The Participant hereby waives all claims and recourse against the State including the right
17 to contribution for loss or damage to persons or property arising from, growing ont of, or in any
18 way connected with or incident to this agreement, except claims arising from the concurrent or sole
19 negligence of the State, its officers, agents, and employees. The Participant shall indemnify the
20 State and its officers, agents, and employees against and hold the same free and harmless from any
21 and all claims, demands, damages, losses, costs, and/or expenses of liability due to, or arising out of,
22 either in whole or in part, whether directly or indirectly, the organization, development,
23 construction, operation, or maintenance of the project. Participant shall waive and indemnify State
24 only in proportion to and to the extent that such claims, demands, damages, losses, costs, and/or
25 expenses of indemnification are caused by or result from the negligent or intentional acts or
26 omission of Participant, its officers, agents, or employees.
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28 The State and the Participant shall ensure that the following conflict of interest provisions
29 are enforced:
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a) No official or employee of the State or the Participant who is authorized in his or
her capacity to negotiate, make, or approve, or to take part in such decisions regarding a
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contract or snbcontract in connection with the project shall have any financial or other
2 personal interest in any such contract or subcontract;
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4 (b) No person performing services for the State or the Participant in connection
5 with this project shall have a financial or other personal interest other than his or her
6 employment or retention by the State or the Participant, in any contract or subcontract in
7 connection with this project;
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9 (c) No member or delegate to Congress shall be admitted to any share or part of this
10 agreement, or to any benefit to arise hereupon, unless such benefit shall be in the form of an
II agreement made to a corporation for its general benefit.
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13 PROJECT EXECUTION
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15 The Participant shall carry out its work in accordance with the Secretary's Standards
16 named in the "Definitions Section" ofthis agreement.
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18 If the project scope requires research in history, architectural history, or archeology, the
19 Participant shall ensure that the principal investigator meets the applicable Secretary of the
20 Interior's professional qualifications standards. If the project scope requires architectural plans,
21 the Participant shall ensure that the architect producing those plans meets the applicable Secretary
22 of the Interior's professional qualifications standards. If the project scope requires an expert
23 practitioner in another field, the Participant shall ensure that such expert meets standards of
24 education and experience similar to those of the Secretary of the Interior's professional
25 qualifications standards.
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27 After selection of an employee or contractor to perform professional work outlined in the
28 previous paragraph, but before making any financial commitment to that person, the Participant
29 shall submit the person's resume to the State for review. The State shall either approve or
30 disapprove use of the person on the project within twenty (20) working days after receipt of the
3 1 resume. The Participant may consider failure of the State to respond within the period to
32 constitute approval.
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"1 The Participant shall commence work on the project no later than thirty (30) days after the
2 Participant receives from the State a fnlly execnted duplicate original of this agreement.
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4 When requested to do so by tbe State, the Participant shall make available to the State draft
5 reports, studies, plans, drawings, or other preliminary documents prepared during the project.
6 Tbe Participants shall permit periodic site visits by the State to ensure that work is progressing on
7 scheduled and according to applicable instructions and standards.
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9 As outlined on the cover form of this agreement, or date approved by the State, but no later
10 than at the end of the project period, the Participant shall furnish to the State all final work
11 products mentioned in the project scope and elsewhere in this agreement.
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13 Participant shall submit progress reports and interim work products on the dates indicated
14 on the cover page of this agreement. Progress reports shall be in such form and contain such
15 information as the State instructs.
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17 State shall not be obligated to provide federal funds for work products that, in the opinion
i8 of the State, do not conform to the terms of this agreement or to the applicable Secretary of the
19 Interior's Standards.
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21 As outlined, but no later than the end of the project period, the Participant shall furnish to
22 the State a final performance report, acceptable to the State, which compares actual
23 accomplishments to planned objectives and, if appropriate, gives reasons that the objectives were
24 not met as planned. The State shall provide further instructions for form the form and content of
25 the final report.
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27 FINANCIAL ADMINISTRATION
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29 The Participant shall use a financial management system that: permits the preparation of
30 financial reports required herein, permits the preparation of financial reports reqnired herein,
31 provides an accounting of funds expended on the project, and follows the standards set forth by the
32 aforementioned Office of Management and Budget Circulars. The Participant shall expend funds
only on allowable costs as set forth in the budget established in the approved project notification.
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1 Unless another percentage is indicated in the Project Funding section of the agreement, the
2 Participant shall pay for and furnish not less than 40 percent of the actnal project costs, which shall
3 constitnte its matching share. Non-monetary contribution may constitnte part or all of the
4 Participant's matcb. Valuation of such contribution shall be set forth by the State.
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6 Determination of Value of Goods and Services: Goods in the form of equipment, whether
7 owned, purchased, leased, or donated, will be valued on a nse basis of actual costs of operation or 0
8 purchase or lease or prevailing costs of goods if donated. Residual market value of purchased
9 equipment shall be credited to project costs npon completion. Goods in the form of snpplies and
10 material will be valued at actual direct costs to Participant or, if donated, according to the
11 prevailing costs in the marketplace. Services will be valued in the actual amounts of salaries, wages,
12 and direct overhead costs expended on the project.
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14 Volunteer services will be valued for contribution purposes at the rates paid for similar
15 technical skills and work in other activities of State. Specific procedures for the Participant in
16 establishing the value of in-kind contributions from non-Federal third parties are set forth below:
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18 Valuation of Volunteer Services: Volunteer services may be furnished by professional and
19 technical personnel, consultants, and other skilled and unskilled labor. Volunteered service maybe
20 counted as cost sharing or matching if the service is an integral and necessary part of an approved
21 program.
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Rates for Volunteer Services: Rates for volunteers should be consistent with those paid for
similar work in other activities of State and local government. In those instances in which the
required skills are not found in the Participant's organization, rates should be consistent with those
paid for similar work in the 15 labor market in which the grantee competes for the kind of services I
involved. Volunteers with no historic preservation education or experience may claim only the
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minimum wage rate.
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30 Volunteers Employed by Other Organizations: When an employer, other than the Grantee,
31 furnishes the services of an employee, these services shall be valued at the employee's regular rate
32 of any (exclusive of fringe benefits and overhead costs), provided these services are in the same skill
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for which the employee is normally paid. This rate shall not exceed the maximum daily rate of
2 compensation for a GS-18 position in the federal civil service, as established by law.
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4 The State sball not pay federal funds hereunder if the Participant has used financial
5 assistance under any other federal program or activity (not including federal revenue sharing
6 funds, community block grants, and any other federal funds allowable as match) as a match on the
7 project.
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9 BILLING
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II Taking into account a four-to-six-week delay hetween the time a payment request is
12 submitted to the State and the time the State provides the requested federal funds, the Participant
13 shall submit its payment requests so as to minimize the time elapsing between receipt and
14 disbursement of funds.
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16 The Participant shall have sufficient working capital to ensure that the project progresses
17 on schedule even though payments from the State are unexpectedly delayed.
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19 When seeking reimbursements, the Participant shall base its billings upon financial records
20 for both the federal and nonfederal shares of project costs which are supported by appropriate
21 documentation. All reimbursement requests shall he accompanied by copies of timesheets,
22 cancelled checks, receipts, etc., for State's verification before payment.
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24 The Participant shall submit billings during the project period for this agreement. The
25 final billing statement with documentation sufficient for audit dated prior to end of the contract
26 period, shall be submitted with the Final Report as described on p.l of this agreement.
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28 Participant may also submit supplemental billing statements during the project period with
29 progress reports but must include an itemization of expenditures or receipts or timesheets of work
30 completed.
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The Participant shall submit billings on the billing statement form (DPR 417) prescribed by
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the State. The State need not make payment on billings submitted in other formats. The
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Participant shall submit billings in quadruplicate, each with an original signature, to: Office of
2 Historic Preservation, Department of Parks and Recreation, ATTN: Grants Officer, P.O. Box
3 942896, Sacramento, California 94296-0001. The Participant shall ensure that the biDing form
4 bears the signature of the Participant's project representative.
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6 After reviewing each billing for accuracy and appropriateness, the State shall pay the least
7 of the following: (a) sixty percent of the amount of the total project costs incurred during the billing
8 period shown on the billing: (b) the amount of cash outlays made during the billing period as shown
9 on the billing; and (c) the amount offederal grant funds available for support of the project as
10 shown in the project funding section of this agreement.
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12 The State will not reimburse more than ninety (90%) percent of allocated grant funds until
13 the State has verified completion of the project, and if necessary, until an audit approval has been
14 received by the State for the Audits Section of the Department of Parks and Recreation.
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16 CHANGES
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18 The Participant and State understand that the Participant is permitted to re-budget within
19 the approved direct cost budget to meet unanticipated requirements and may make program
20 changes to the project.
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22 Notwithstanding the provisions of the foregoing paragraph, the Participant shall obtain
23 from the State prior approval for: (a) any substantive revision of the scope, objectives, or budget 0
24 the project; (b) extension of the need for federal funds; (c) changes in key persons, including all
25 persons filling positions for which the incumbent must meet the Secretary of the Interior's
26 professional qualifications standards; (d) additional contracts or hiring to perform activities that
27 are central to the project; and (e) new or revised performance or reporting milestones.
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29 The Participant shall make requests for such changes in writing. The State shall approve 0
30 disapprove in writing. If appropriate, the Participant and the State shall amend this agreement to
31 include approved changes.
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REPORTS~~DRECORDS
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3 Records of personal services contributions, whether paid or volunteer, shall include
4 timesheets bearing the signature of the person whose time is contributed and of the supervisor
5 verifying that the record is accurate. "Personnel Activity Reports" as specified in OMB Circular
6 A-21 and its successors shall be acceptable as documentation of time spent on this project by
7 "professional" and "professorial" staff. Volunteer records shall show the actual hours worked, the
8 specific duties performed, and the basis for determining the rate of contribution. These records
9 shall be included with the audit material. The Participant shall keep such records, maps, and
10 reports as State and Interior prescribe, including records that fully disclose the dispositions by the
II Participant of federal grant funds, total cost of the project, the amount and nature of that portion
12 of the cost ofthe project supplied by other sources, and such other records as will facilitate an
13 effective audit.
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15 During its regular office hours, the Participant shall make financial records available to the
16 State, Interior, the Comptroller General of the United States, or any of their duly authorized
17 representatives for the purpose of inspection, copying, and audit. The Participant shall provide
18 copies of such records to the State if requested to do so by the State and shall retain such records
19 for three years following project termination. Project records shall he retained by Participant for
20 three years following project completion or longer until notification that the Federal audit covering
21 the project has been closed.
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23 If a local government, the Participant shall comply with the Single Audit Act of 1984, and
24 furnish the State with a copy of the audit report within thirty (30) days after issuance. If a
25 university or nonprofit organization, the Participant shall comply with the audit requirements of
260MB Circular A-133.
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28 The Participant shall reimburse the State for costs disallowed during an audit.
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30 PUBLICATIONS
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32 In regard to all copyrightable material, which are produced as a deliverable under this
project, including but not limited to books reports, plans, photographs, drawings, fIlms, recordings,
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videotapes, and compnter programs, which are produced as part or result of this project, the
2 Participant understands and shall ensure that all of the Participant's affected officers, employees,
3 agents, contractors, and volunteer workers also understand that: (a) other such material may not
4 be copyrighted without prior review from the State; (b) the authors of all such material, whether
5 copyrighted or not, award to the State and federal governments, and to their officers, agents, and
6 employees acting within the scope of their official duties, as a condition of subgrant assistance to the
7 Participant, a royalty-free, nonexclusive, irrevocable license throughont the world for
8 governmental purposes to disclose, publish, translate, reprodnce, and use such materials.
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10 Any publications (including books, brochures, films, videotapes, and other materials
11 designed for public distribution) resulting from the project shall contain the following statements:
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15 "The activity which is the subject of this (type of publication) has been financed in
16 part with Federal funds from the National Park Service, Department of the Interior,
17 throngh the California Office of Historic Preservation. However, the contents and opinions
18 do not necessarily reflect the views or policies of the Department of the Interior or the
19 California Office of Historic Preservation, nor does mention of trade names or commercial
20 products constitute endorsement or recommendation by the Department of the Interior or
21 the California Office of Historic Preservation."
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23 *****************************
24 'Regulations of the U.S. Department of the Interior strictly prohibit unlawful
25 discrimination in departmental Federally assisted programs on the basis of race, color, sex,
26 age, disability, or national origin. Any person who believes he or she has been
27 discriminated against in any program, activity, or facility operated by a recipient of Federal
28 assistance should write to:
29 Director, Equal Opportunity Program
30 U.S. Department ofthe Interior
31 National Park Service
32 P.O. Box 37127
Washington, D.C. 20013-7127
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The Participant shall provide six copies of all puhlications to the State no later than at the
2 end of the project period.
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4 OTHER REQUffiEMENTS
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6 The Participant shall not spend the federal funds provided under this agreement except in
7 conformance to the provisions of the following sentence: "No part of the money appropriated by
8 any enactment of Congress shall, in the absence of express authorization by Congress, be used
9 directly or indirectly to pay for any personal service, advertisement, telegram, telephone, letter,
10 printed or written matter, or other device, intended or designed to influence in any manner a
II Member of Congress, to favor or oppose, by vote or otherwise, any legislation or appropriation by
12 Congress, whether before or after the introduction of any bill or resolution proposing such
13 legislation or appropriation: but this shall not prevent officers or employees of the United States or
14 of its departments or agencies from communicating to Members of Congress on the request of any
15 Member of Congress, through proper official channels, requests of legislation or appropriations
16 which they deem necessary for the efficient conduct of the public business."
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18 The Participant shall not discriminate against any person on the basis of race, color, sex,
19 age, or national origin in the execution of this agreement, and shall comply with the terms and
20 intent of Title VI of the Civil Rights Act of 1964, P.L. 88-352 (1964), and of the regulations
21 promulgated pursuant to such act by the Secretary of the Interior and contained in 43 CFR 17.
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23 The Participant shall, in complying with Section 504 of the Rehabilitation Act of 1973 (p.O.
24 93-112, as amended, 29 USC 794 et seq.) ensnre that no qualified handicapped individual is solely,
25 by reason of handicap, excluded from participation in, denied the benefits of, or subjected to
26 discrimination under the project that is the subject of this agreement.
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28 No officer or employee of the Participant whose principal employment is in connection with
29 any activity which is financed in whole or in part pursuant to this agreement shall take part in any
30 of the political activity proscribed in the Hatch Political Activity Act, 5 USC 118K, with the
3 1 exclusions therein enumerated.
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1 SEVERABILITY
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3 The Contract Documents shall be governed by the laws of the State of California. If any provision
4 of the contract Documents, including without limitation these General Conditions shall be invalid,
5 illegal, or unenforceable, the validity, legality, and enforceability ofthe remaining provisions shall
6 not in any other way be affected or impaired.
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C. (Use a separate sheet to show detail if necessary,)
Please refer to the attached Budget Detail Sheet.
Cost Categories Rate Used to Calculate Cash From Other Cash In-Kind
Cost Grant Services
(# hrs @ $ per hr)
Salaried Employees* Associate &/or Project 0 0 4912.10
(Explain duties to be Mgr Staff Time 42.80/hr
performed relevant to this
grant.) Assistant Planner II Staff
Time 32.501hr
Intern(s) 9.00/hr
Volunteers* Volunteer time 9.00/hr 0 0 153.00
(Explain duties to be
performed relevant to this
grant.)
Contracted Services* Speaker fees 3.000.00 3940,00 MJS7 .85. 185.27
Copying fees 640,00
Room Rental 300.00
~,) 1J'I.I4I."".(; R8f. t.:.h.Lt.lit3 18S7.85
i>t ~ tiP" "'... ~
""1iUlI~\. Printing 185.27
Supplies. copying. Workshop materials/name 847.36 0 161.92
postage. etc. (be specific) badges 847.36
Mailing 161.92
Travel Costs ** NONE 0 0 0
Rate shall not exceed a salary of $68.82 per hour.
** Maximum allowable car mileage rate is $.34 per mile. See table in budget section for federal per diem and lodging rates for your
area.
*
Signature
(Original application must be signed and dated in ink)
T<~/~
PePtff1 (bit; ~
Date
8/15102
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> BUDGET DETAIL SHEET
Name/Company
Address/Contact
Description
lasSUllll' 611 attl'udl't'S 0l1lt1..J
SPt'Ukl'rs)
Cost per
Item!
Person
Tax
Total
Cost
Type of
Expense
taSSUI1lt'
.lH75
";all's
lax)
Office Depot 2" View binders for 1 1.96 each 59.32 827.76 Grant
workshop materials x64= funded
765.44
Office Depot Name badges 18.19 box 1.41 19.60 Grant
funded
Santa Ana Performing Room Rental and 1057.85 76.09 1357.85 l:fJ.n.1\3'
Arts & Events Center Associated Host costs (includes ("b~r~ f@8
room ffflm.
rental, af:t0fu:leer:;
service
chg., 300.00
refreshmen Grant
ts) funde:!
Total Image Printing Printing of flyers (2 171.94 13.33 185.27 Donor/in-
color, offset white 70#) kind
of 460 flyers on
mailing OCAP A
mailin list
In-House copying .05 p. page/charge 10.00 x 64 0 640.00 Grant
costs for workshop back amount funded
materials (estimated 200 pp. per
binder)
In-House design for City graphic artist 42.80/hr 342.40 In-kind
graphic cover for /charge back
worksho
Orange County Mailing costs .352 x 460 161.92 Donor/in-
Chapter of the on mailing kind
American Planning list
Association (OCAPA)
Staff Time Associate Project 42.80/hr 3167.20 In kind
Mana er
StaffTime Assistant II Mana er 32.50/hr 1267.50 In kind
Staff Time Volunteers 9.00/hr 153.00 In kind
StaffTime Interns 9.00/hr 135.00 In kind
Service Fee Speaker Service( s) 3,000.00 Grant
funded
Total Grant Funded: 4,787.36
Total In-Kind: 4,912.10
Total Donor In-Kind: 500.19
Total Charge to Attendees: t,tlS7.Bj
Total Project Cost: H,23'i.56 -
19 191'
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State of California. The Resources A.gency
DEPARTMENT OF PARKS AND RECREATION
CERTIFICATION OF FUNDING
.
,
A aUNT OF THIS ESTIMATE
$ 4,787.00
ADJ. INCREASING ENCUMBRANCE
RANT NUMBER
06-02-17534
epa men 0 enera
ervlces
CONTRACT NUMBER
C8939528
APPROPRIATION
Local Assistance
CALSTARS VENDOR NO.
0000004342.00
TOTALAMT. ENCUMB. TO DATE ITEM CHAPTER STATUTE FISCAL YR.
. $ 4,787.00 3790-101-08902 379 02 2002/03
.. i.B.A. NO. B.R. NO. INDEX OBJECT PCA PROJECT I WORK PHASE
1084 702 58938 084023.03
I hereby certify upon my own personal knowledge that budgeted funds lire available for this encumbrance pursuant to the Budget Act,
Including Section 9.50.
Use Only
FUND
Federal Trust Fund-OHP
ADJ. DECREASING ENCUMBRANCE
CPR 5261Rev. 1/94)
(j- f)~'
12/18102
ACCOUNTING OFFICER SIGNATURE