HomeMy WebLinkAbout PRCSA Project Pride S.A. 4
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AGREEMENT TERMINA nON
Please complete this form when the attached agreement is no 10ngetmJ &r. 9 PM 3: 00
Return form to the Sf. Deputy Clerk of the Council (M-30). Ca1l6tlCi:L52E_ ~,..~....,...ifyOu hay~~
questions.
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The agreement with fJf(CSII'" Prr{jebt 'P,eio/Q. , NoA-~09-<-()J'
was completed on 0 / 3 0 I 01 . , and final payment has been made.
"::~: (l~--=~~,;~~
Date: g I~
Revised 8-7-03
City of Santa Ana
Clerk of the Council
~
A-2006-092-0Il
INSURANCE NOT REQUIRED
WORK MAY PRomo
CLERK OF COUNCIL
DATE, 7 ~ ( q - c () CDBG PUBLIC SERVICES
MEMORANDUM OF UNDERSTANDING
O' CM{)) WITH THE PARKS AND RECREATIONS COMMUNITY SERVICES AGENCY
(i q fYW'J
THIS CDBG PUBLIC SERVICES MEMORANDUM OF UNDERSTANDING
("MOU") is made as of the 1st day of July, 2006, by and between the City of Santa Ana, a
charter city and municipal corporation ("City") and the Parks and Recreations, Community
Services Agency ("Subrecipient").
RECIT ALS
A. City has received an award of Community Development Block Grant ("CDBG")
funds from the Department of Housing and Urban Development.
B. Subrecipient is an entity of City and is engaged in administration of City's overall
CDBG program and seeks to provide the services described in "Exhibit A," in accordance with
the schedule of performance included therein, hereinafter referred to as "said Program".
Subrecipient represents that it is qualified and willing to operate said Program and certifies that
the activities carried out with funds provided under this Agreement will meet one or more of the
CDBG program's National Objectives (24 CFR Part 570.208).
C. City has approved the issuance of CDBG funds, in an amount not to exceed
$134,500, to Subrecipient for these services.
NOW, THEREFORE, in consideration of performance by the parties of the promises,
covenants and conditions herein contained, the parties hereto agree as follows:
1. Subrecipient's Services.
A. Statement of the Work. Subrecipient shall utilize City's CDBG funds to
provide for its administration of City's overall CDBG program and support of its Program as
described in Exhibit A.
B. Standard of Care. As a material inducement to City to enter into this
MOU, Subrecipient hereby represents and warrants that it has the experience necessary to
undertake the services to be provided as set forth in Exhibit A.
C. Compliance with Laws. All services rendered hereunder by Subrecipient
shall be provided in accordance with all ordinances, resolutions, statutes, rules and regulations of
City and any federal, state or local governmental agency having jurisdiction at the time service is
rendered. This MOU is subject to and incorporates the terms of the Housing and Community
Development Act of 1974, as amended; 24 Code of Federal Regulations ("CFR") Chapter V,
Part 570; City's CDBG Program Guidelines; and all amendments or successor regulations or
guidelines thereto ("CDBG Regulations").
2. Term of MOD. Subrecipient shall provide its services under this MOU for a 12
month period commencing on July 1,2006 through June 30, 2007.
3. Budget, Subrecipient agrees to complete said Program on or before June 30,
2006-07 and to use said funds to pay for necessary and reasonable costs allowable under the
federal law and regulations to operate said program. Other allowable program costs are detailed
in the Budget, as set forth in "Exhibit B," attached hereto and by this reference incorporated
herein. 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.
No budgetary changes shall occur without City's prior approval. Subrecipient hereby certifies
and agrees that it will not use funds provided through this Agreement to pay for entertainment,
meals or gifts.
4. Compensation, Upon compliance with specified performance requirements, City
shall reimburse Subrecipient an amount not to exceed $134,500, which shall constitute full and
complete reimbursement for the implementation of this MOU. The parties understand and agree
that such reimbursement, if any, shall be conditioned upon receipt of such funds by City from
HUD and shall not be a charge on any other funds of City. The CDBG Funds shall be disbursed
by City to Subrecipient on a quarterly basis (October, January, April and July) subject to and upon
receipt and approval of a complete quarterly activity report from Subrecipient, with the final
payment subject to the satisfaction of the condition precedent of submittal of complete reporting
information due on or before July 15 of the applicable funding year, as hereinafter more fully set
forth. Subrecipient shall be obligated to perform such duties as would normally extend beyond
the term, including but not limited to obligations with respect to indemnification, audits,
reporting, data retention/reporting, and accounting.
5. Program Evaluation and Review/ Common Rule, Subrecipient shall make
performance, financial and all other records pertaining to this MOU available to all City and
HUD persounel. City and HUD personnel may inspect and monitor Subrecipient's facilities and
program operations, including the interview of Subrecipient's staff and program participants.
Subrecipient agrees to submit to City or HUD all data necessary to complete the Annual Grantee
Performance Report in accordance with HUD requirements and in the format and at the time
designated by City or HUD Project Directors or their designees. Pursuant to CFR 85.40(a), the
City manages the day-to-day operations of each grant and subgrant supported activities. City
staff has detailed knowledge of the grant program requirements and monitors grant and subgrant
supported activities to assure compliance with Federal requirements. Such monitoring covers
each program, function and activity and performance goals are reviewed periodically.
6. Non-Discrimination and Equal Employment Opportunity. In the performance
of this MOU, Subrecipient shall not discriminate against any employee, subcontractor or
employment applicant because of race, color, creed, religion, sex, marital status, national origin,
ancestry, age, physical or mental handicap, medical condition or sexual orientation. Subrecipient
will take affirmative action to ensure that employees are treated without regard to their race,
color, creed, religion, sex, marital status, national origin, ancestry, age, physical or mental
handicap, medical condition or sexual orientation.
2
7. Record Keeping/Reporting, Subrecipient shall keep and maintain complete and
adequate records and reports to assist City in meeting and maintaining its record keeping
responsibilities under the CDBG Regulations, 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 Program.
b. Documentation of the number of persons and/or families participating
in or benefiting by the Program.
c. Household information shall include number of persons, identification
of head of household, race/ethnicity, and income verification.
d. Documentation of all CDBG Funds received from City.
e. Documentation of expenses as identified in the Budget Proposal,
including evidence of incurring the expense, invoices for goods or services, copies
of any and all contracts or documentation pertaining to costs for subcontractors,
plus all other invoices for which CDBG Funds were expended, and any payments
therefor.
f. Any such other related records as City shall reasonably require or as
required to be maintained pursuant to the CDBG Regulations.
(2) Reports
a. Payment Request. Concurrently with the submittal of each
quarterly report, on or before the 15th day of October, January, April and
July, Subrecipient shall submit both: an original invoice and true copies of
invoices, receipts, agreements, copies of any and all contracts or documents
pertaining to costs for subcontractors or other documentation supporting
and evidencing how the CDBG Funds have been expended during the
applicable quarter.
b. Quarterly Activity Report: Subrecipient agrees to keep monthly records of all
ethnic and racial statistics of persons and families benefited by Subrecipient in the
performance of its obligations under this Agreement, including, but not limited to, the
number oflow 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.
3
8. Revenue Disclosure Requirement. Subrecipient shall make available all books
and records pertaining to each project or business activity that is funded by CDBG Funds under
this MOU for inspection and audit by HUD's representatives, upon request, at any time during
the term of this MOU and during a period of 5 years thereafter. All such books and records shall
be maintained by Subrecipient at a location in Orange County. Failure of Subrecipient to comply
with the requirements of this section shall constitute a material breach for which City may
terminate or suspend this MOU.
9. Audit Report Requirements. Subrecipient agrees that if Subrecipient receives
Three Hundred Thousand Dollars ($300,000.00) or more in federal funds, 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. Subrecipient
shall provide City with a copy of said audit by October I of the year following the program year
in which this Agreement is executed.
10. Termination. This Agreement may be terminated in the following manner for the
following reasons: (a) on thirty (30) days' written notice by either party; (b) upon five (5) days'
written notice for violation of Federal Laws governing the use ofCDBG Funds by Subrecipient;
(c) terminated for convenience in accordance with 24 CFR 85.44; and (d) terminated due to the
non-performance of Subrecipient and/or failure of Subrecipent to perform the work described in
Exhibits A and B or failure to meet the performance standards and program goals set forth therein.
In the event of any such termination, Subrecipient shall only be entitled to reimbursement for
approved expenses incurred to the effective date of termination and any and all funds not used
must be returned to City per the paragraph below.
11, Reversion of Assets. Upon the expiration of this Agreement, Subrecipient shall
transfer to City any CDBG funds on hand at the time of the expiration of this Agreement as well as
any accounts receivable attributable to the use of CDBG funds. [24 CFR 570.503(b)(8).]
Disposition of real property or equipment shall be resolved pursuant to City guidelines.
Subrecipient's obligations and responsibilities set forth in this paragraph and in the
"Termination" clause 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.
12. Exhibits, All documents referenced as exhibits in this MOU are hereby
incorporated in this MOU, including Exhibits A, A-I, B, B-1 and C.
13. Entire Agreement. This MOU, and all other documents incorporated herein by
specific reference, represent the entire and integrated agreement between City and Subrecipient.
This MOD supersedes all prior oral or written negotiations, representations or agreements. This
MOD may not be amended, nor any provision or breach hereof waived, except in a writing
signed by the parties that expressly refers to this MOU.
4
IN WITNESS WHEREOF, the parties have executed this Memorandum of
Understanding as of the date first written above.
.~
~ Patricia E. Healy
Clerk of the Council
CITY OF SANTA AN/;?
By: (;2vcUla~.
David N. Ream
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
"SUBRECIPIENT"
CITY OF SANTA ANA
Parks and Recreation Comm. Svcs Agency
BY:~: (. ~
Lisa E. Storck
Assistant City Attorney
By:
Name: Gerardo Mouet
Title: Executive Dire or
5
Name of Organization- City of Santa Ana
Name of Funded Program- Proiect Pride
Annual Accomplishment Goal
I. Total number of un duplicated clients (Santa Ana and Non-Santa Ana Residents) anticipated to be served by
the funded program, named above, during the l2-month contract period.
825 PERSONS
City of Santa Ana
Community Development Block Grant
Scope of Work
II. Number of only unduplicated Santa Ana residents to be served by the funded program, named above,
during the l2-month contract period.
800PERSONS
Program and Funding Description
III. Description of Work - In the space below, describe the program to be funded during the 12-month
contract period.
Goal # 1: To increase the level of interaction of families in positive recreation activities during their leisure time.
"Nine Family PRIDE Clubs will meet regularly with 160 families and 800 members to plan and implement recreation special events,
excursions and activities as part of the City's recreation center programming and citywide special events programming.
"A minimum of 50 families will complete a total of 500 hours of volunteer service/community involvement in park improvement
projects, recreation special events and neighborhood fairs and festivals, in collaboration with neighborhood associations and PRCSA
special events.
Goal #2: To provide positive alternatives to gang involvement for pre-teens and teens.
"15 students will participate in a kayaking program with the top 10 to 12 students participating in the Kayaking Team that will
compete in regional and national competitions.
"100 teens will participate in volunteer activities with a minimum of 50 teens completing a total of20 hours of volunteer activities
each in a 12-month period.
The Teen Club will meet on a regular basis to plan and implement volunteer activities in a variety of areas. The Kayaking Team
practices and trains at the Newport Aquatics Center in Newport Beach. The team conducts fundraisers to cover the cost of travel and
lodging for regional and national competitions.
Project PRIDE serves children in single parent households or two parent families where both parents work, limited English
proficiency, low socioeconomic status, and poor academic achievement. Project PRIDE addresses these problems with services that
improve the quality of life for family members by helping them use their leisure time in positive recreation activities and getting
them involved in their communities and schools.
Services are provided at Jerome, EI Salvador, Santa Anita, Salgado, Memorial, and Logan Recreation Centers, Santiago Park, Santa
Ana Senior Center, and Roosevelt Elementary School
IV. Activities funded by this grant - How will CDBG funds be used for the funded program? Narratively
describe the budget for the funded program illustrated in Exhibit B and B-1.
CDBG funds are used for a percentage of the Senior Recreation Supervisor salary and benefits. The percentage charged is equal to
the percentage of the time the supervisor dedicates to supervising and managing all Project PRIDE activies. CDBG funds also are
used for salary and benefits of all direct services staff including the Family PRIDE Club Coordinators, the kayaking coach and
driver. CDBG funds also cover the federally approved indirect costs designated for this.
Exhibit A
Page I of2
Schedule of Performance
Estimate the number of only unduplicated Santa Ana residents to be served by the funded program during the
l2-month contract period per quarter. (How many new Santa Ana clients will be served each quarter.)
Quarter I: July 1 - September 30
Quarter 2: October! - December 31
Quarter 3: January I - March 31
Quarter 4: April I - June 30
300Persons
100Persons
300Persons
100Persons
800Total number ofunduplicated Santa Ana residents to be served.
(Must equal the number for II above.)
Schedule ofInvoicing
Estimate the amount of grant funds to be requested during the l2-month contract period on a quarterly basis.
Quarter I: Julyl- September 30
Quarter 2: October! - December 31
Quarter 3 : January I - March 31
Quarter 4: April I - June 30
$33.625
$33.625
$33.625
$33.625
$134.500Total Grant (Must equal the Total Program Budget
indicated on Exhibit B.)
Exhibit A
Page 2 of 2
CITY OF SANA ANA
Community Development Block Grant
Outcome Tracking
IMPORTANT: The City of Santa Ana is in the process of incorporating the new HUD Performance
Outcome Tracking guidelines, therefore this section is subject to change in order to be compliant with
HUD regulations. If the situation should occur that the current tracking system is not sufficient to meet
HUD regulations an amendment to this contract will be needed.
Instructions: From the list of activities below select the activity that best describes the purpose of the program that will be funded
in fiscal year 06-07 by these grant funds. Two activities have multiple outcomes, therefore if "Senior Services" or "Youth Services" is
selected, please select the one outcome that best describes the pUlpose of the funded program. ONLY ifnone of the activities listed
adequately describe the funded program, please select that last activity "Low- and Moderate Income Services".
Fulfillment
Tracking HUD Objective to be fulrdled HUD Outcome to be fulfilled illustrated by
HUD Indicator
Suitable Creating Specific Outcome
Activity/Program Outcome Tracking Goal Living Decent Economic Availability/ AtTordability Sustainabilit: Indicator #
Housing Accessibility (Please see page 4
Environment Opportunitie of 4 for desc.)
rnti-CrimeServices Track thereduclion in I"educeresponsc time to
r.sponsetimeand1l1e enouscrimesintheCity's
umberofcrimmal ILow-andModcratc-lncome
0 apprehended as arcsult. rea byat least 3 minutes
~~ltingintheapprchension 2
fl,500crimina]sthatruay X X
therwiseescape.
U*S_ycar goal to be
chievedby FY 09/10
airHousingServiccs Provide fair housing service 1. Providefairhousing
!a.nd ongoing analysis of ounseling,educationand
IDlpediments to fair housing. ~_forcementservicesto
0 7,000 Sanla Ana households. X X 2
"-5-yeargoaltobe
achievedbyFY09!1O
. Annually assess actions 10
liminaleimpcdimentstofai X X 2
ousing.
omelessnessPrevention Track assisted individuals 50''100Cassistedindividllals
horetainedtheirhousingor ndhouseholdswillrotain
utilities for at least 6 monlhs lheir housing or utilities for 14
0 aft.erassislanccwas tleast6monlhsaftcr X X
!Provided. ssislance is provided.
IcmergencySheller Track individuals who 50% of
F.ccived support services .ndividualslhouscholdslhat 12 or
that were linked to one or F.eprovided with emergcncy
0 ~oreadditionalsuppot1 shelter will transition to X X
servlceandlorappropriatc .nterimhousing(i.e., 13
housing. transitional housing).
ransitionalHousing Track homeless individuals % of homeless individuals
who participated in articipatinginLrnnsitional 2
transilionalhollsingprogram ousing program will be X X
0 that were placed in laccd in permanent hOllsing.
~anenthousing.
upportiveServices Track individuals who 50%ofindividuals/familics
=ived support services ~~ivingsupportservices
that were linlted to one or ill be Iinlted 10 one or more 2
0 ore additional Sllpport additional support service X X
serviccandlorappropriate ndlorappropriatehousing
ousing.
Exhibit A-I
Page I of4
Fulfillment
iUustrated by
Tracking HUn Objective to be fulfilled HUD Outcomes to be fulfilled HUD Indicator
Suitable Creating Specific Outcome
Decent A vailability/ Indicator #
Activity/Program Outcome Tracking Goal Living Housing Economic Accessibility Affordability Sustainabilit (Pleasc see page 4
Environmcnt pportunitic of 4 for desc.)
eniorScrvices 1. Track assisted senior I. 80% of assisted senior
citizens that remained itizens will remain
0 independent for at least I independentforatlcastJ X X 2
ear after services were ear after services are
provided. rovided.
2. Track seniors rccciviIlg . 90% of seniors receiving
ferraIs that were Iillked to ferrals wiH be lillkcd to the
0 e services sought crvicessought. X X 2
wner-Occupied umberofowncrsassistcd hysical safety and comfort
ousingRehabilitalion to rehabilitatc their primary ill be improved for Low
rcsidence for the following and Modernte income
incomecatcgories: ouseholds by improving
0 -Extremely Low Income omes toa level that meets 9
-Very Low Income rcxceedsHUDhousing X X
-ModeratcJncome quality standards.
SpecialNccdsCatcgories
-Large FamiJies
raiJEldcrlyServices Track frail e1dcrJy 90% of frail elderly
iIldividuals that were Iillkcd iIldividuaJs will be Jillkcd to 2
0 1.0 the services sought jilie services sought. X X
isabJedScrvices Track disables pcrsons Suppon independent living
wboscindependentliving for 90% of disabled persons 2
0 Iwas supponed by City funds. ssistedby City funds. X X
crvicesforMentallyJlJ Track individuals assisted JOO% of individuals assisted
ith City resources that were ith City resources will be
0 ~videdanentrypointintc rovided an entry point into
thcreglOnalmentalhcalth the regional mental hcalth X X 2
carcsystemandlinkcdtoat arc system and lillkcd to at
Icast one additional mental lca.st one additional mental
ealthsupportivcserviec. ealth supportive service.
ervicesforSubstance Track how many individuals Provide entry into the
ddicted with substance addiction in regional recovcry system for
ere provided an cntry intc 5 indIviduals with
the rcgional recovcry system substance addiction and link
0 and Iillkcd to additional em to additional services. 2
services. X X
u*5-yeargoallobc
chicvcd by FY 09/10
outhServiccs J. Track improvement in I. For education-based
0 jPre-tcst, post-test scores. Eograms,improvepre-tcst 2
IPDst-tcst scorcs by 50% X X
2. Tracknumberof . Provide opportunities for
0 individuals exposedtc the xposuretothefinearts. X X 2
fine arts.
0 3. Trackchildrenlyouth . 90% of children/youth
seeking referrals that wcrc seckingrcferra1swillbc X X 2
Iillked to the services sought. linked to the services sought.
~w-andModeratc_ rack program participants r:" of program participants
pncomeServlces that were linked to services 111 be Iillked to services 2
sought. sought. X X
I2J
Exhibit A-I
Page 2 of 4
Description of Outcome Tracking System:
Please describe your organization's outcome tracking system that will enable you to fulfill the outcome selected above.
The outcome tracking system that the program will use is based on a pre assesment on the registration form, that asks participants to
specifY the type of services that they are seeking. At the completion of the grant period, a post assesment will be given to the
particpants asking them "of the services they were seeking, what servicies did they use"? The anticipated outcome of this tracking
system will be that this service makes a difference in the participants lives by providing a needed service that is not offered for
families. A tracking system using staff monthly reports will be used to determine the number of families/teens who volunteer and the
number of hours they volunteer.
Exhibit A-I
Page 3 of 4
2) Public service activities
Specific Outcome Indicators
Number of persons assisted:
· with new access to a service
· with improved access to a service
· where activity was used to meet a quality standard or measurably improved quality, report the number
that no longer only have access to substandard service
9) Owner occupied units rehabilitated or improved
Total number of units:
Number occupied by elderly
Number of units brought from substandard to standard condition (HQS or local code)
Number qualified as Energy Star
Number of units brought into compliance with lead safe housing rule (24 CFR part 35)
Number of units made accessible for persons with disabilities
12) Number of homeless persons given overnight shelter
13) Number of beds created in overnight shelter or other emergency housing
14) Homelessness Prevention
· Number of households that received emergency financial assistance to prevent
homelessness
· Number of households that received emergency legal assistance to prevent
homelessness
Exhibit A-I
Page 4 of 4
.
Organization Name
Program Name
Cate 0
Administrative Staff
Salaries & Benefits
Program Staff Salaries &
Benefits
Contractual/Professional
Services: List below
2
3
Office Su lies
Rent
Communications
Utilities
Insurance
Other:List below
1 Indirect Costs
2
3
4
5
Total
Program Year 2006-2007
Final Budget
City of Santa Ana Parks, Recreation and Community Services Agency
PROJECT Pride
Expenditures
Expenses Funded
b Other Sources
Expenses Funded by
Santa Ana COBG
Total Program
Bud et
Total Organizational
Bud et
$
$
48,164 $
50,083 $
98,247
75,434 $
44,152 $
119,586
$
$
$
27,000
27.000
$
10,901 $
$
$
$
$
$
10,901
$
134,499 $
121.235 $
255,734 $
LIST ALL OTHER PROGRAM FUNDS THAT HAVE BEEN SECURED FOR 06-07
(Total Funds for Program must equal Total Program Budget above)
Source Amount
Santa Ana CDBG $ 134,500
Santa Ana General Fund $ 71,152
Other Resource $ 50,083
Total Funds for Program $ 255,735
. .
Exhibit B
Page 1 of 1
.
2006-2007 Funded Personnel
Name of Organization:
Name of Program
City of Santa Ana Parrks Recreation & Community Services Agency
Project PRIDE
ADMINISTRATIVE STAFF
Position Title Annual Annual Total CDBG Funds % of time Of this time % of Total
Salary Benefits Compensation Requested for spent on percent of Compensation
this position funded time serving Eligible
pro~ram Santa Ana
Sr. Recreation Sunervisor $ 83910 $ 16,256 $ 100,166 $ 50,083 50% 100% 50%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
Total Amount Reauested $ 50 083
Must equal amount mdlcated on Exhblt B
PROGRAM STAFF
Position Title Annual Annual Total CDBG Funds % of time Of this time % of Iota 1
Salary Benefits Compensation Requested for spent on percent of Compensation
this position funded time serving Eligible
DrQg[am Santa Ana
Senior Pro~ram Leader $ 11,539 $ 901 $ 12440 $ 8333 100% 100% 100%
Senior Program Leader $ 11,510 $ 899 $ 12409 $ 8307 100% 100% 100%
Senior Pro~ram Leader $ 12,103 $ 945 $ 13,048 $ 8,739 100% 100% 100%
Senior Pro.e:ram Leader $ 11516 $ 899 $ 12415 $ 8,313 100% 100% 100%
Senior Program Leader $ 10 945 $ 855 $ II 800 $ 8554 100% 100% 100%
Senior Program Leader $ 12,097 $ 945 $ 13042 $ 8733 100% 100% 100%
Senior ProlITam Leader $ 11422 $ 572 $ 11 994 $ 11 944 100% 100% 100%
Program Coordinator $ 11878 $ 633 $ 12,511 $ 12511 100% 100% 100%
$ - 0%
Total Amount Requested $ 75 434
Must equal amount mdICated on Exhblt B
CONTRACTUAL/PROFESSIONAL SERVICES
Position Title Annual Annual Total CDBG Funds % of time Of this time % of Total
Contract Benefits Compensation Requested for spent on percent of Compensation
Amount this position funded time serving Eligible
pro~ram Santa Ana
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
Total Amount Requested $ -
Must equal amount mdICated on Exhblt B
***Please note for personnel whose time is not directly traced to serving Santa Ana and instead a percentage is used please
confirm the percentage is accurate prior to requesting reimbursement.
Exhibit B-1
Page I of I
.
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:
(I) No Federal appropriated funds have been paid or will be paid, by or on behalf ofthe
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) 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
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, sub grants, 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.
City of Santa Ana, Parks, Recreation & Comm. Servo
Grantee/Contactor Organization
Executive Director
Program Title
Gerardo Mouet
Name of Certifying Officer
fi~~q~ 7-(/-06
Signature I Date
I
I
EXHIBIT C
Page I of2
SUBRECIPIENT warrants the following:
I. 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. SUB RECIPIENT 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)
SUB RECIPIENT does not assume CITY'S responsibility for initiating the review process
under Executive Order 12372.
EXHIBIT C
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