HomeMy WebLinkAboutBOYS AND GIRLS CLUB 5 - 2006
AGREEMENT TERMINA nON
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CITY C .. ' ANA
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Date:
Revised 8-7-03
City of Santa Ana
Clerk of the Council
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CLERKCIFCQUNC!1 AGREEMENT BETWEEN THE CITY OF SANTA ANA AND
DATE, AUG 0 9 2006 BOYS AND GIRLS CLUB OF SANTA ANA FOR USE OF
COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS
A-2006-092-005
5105
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This Agreement, is hereby made and entered into this 1st day of July, 2006, by and between
the City of Santa Ana, a charter city and municipal corporation of the State of California ("CITY")
and Boys and Girls Club of Santa Ana, a California nonprofit corporation ("SUB RECIPIENT").
WUNES-S-EIH
Recitals:
A. The CITY, as an entitlement recipient and grantee of the United States Department of
Housing and Urban Development ("HUD") Community Development Block Grant ("CDBG")
Program, desires to enter this Agreement with the SUBRECIPlENT for the expenditure of CDBG
funds in accordance with Title 24, Part 570 of Code of Federal Regulations 24 CFR 570.000, et seq.
("CDBG REGS"); and
B. CITY has applied for and received CDBG funds from HUD pursuant to Title I of the
Housing and Community Development Act of 1974, Public Law 93-383, as amended ("ACT"); and
C. The SUB RECIPIENT is a private nonprofit agency that has been selected by the CITY
to receive CDBG funds and administer such financial assistance; and to provide the services
described in Exhibit A, in accordance with the schedule of performance included therein, hereinafter
referred to as "said program". SUBRECIPlENT 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).
D. SUBRECIPlENT agrees that it will adhere to the performance measurements and
outcomes as indicated on Exhibit B-1 (Outcome Tracking). Failure to follow the measurements
and meet the stated outcomes may constitute breach of contract that could result in termination
of this Agreement or serve as reason for the City to recapture the grant funds awarded to
SUBRECIPIENT pursuant to this Agreement.
E. The CITY and SUB RECIPIENT have duly executed this Agreement for the expenditure of
such funds; and
WHEREFORE, it is agreed by and between the parties that the foregoing Recitals are a
substantive part of this Agreement and the following terms and conditions are approved and
together with all exhibits and attachments hereto, shall constitute the entire Agreement between the
CITY and SUB RECIPIENT:
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I. SUBRECIPIENT'S OBLIGATIONS
A. Non-Profit Status - Representations and Warranties.
(a) Authority. SUB RECIPIENT is a duly organized and existing non-profit corporation
in good standing and authorized to do business under the laws ofthe State of California.
SUBRECIPlENT has full right, power and lawful authority to accept the funding hereunder and
to undertake all obligations as provided herein and the execution, performance and delivery of
this Agreement by SUBRECIPlENT has been fully authorized by all requisite actions on the part
of SUBRECIPIENT.
(b) Experience. SUBRECIPIENT is a qualified provider of the services to be provided
hereunder.
(c) Familiarity With Services Required. By executing this Agreement,
SUB RECIPIENT 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 ofthe services under this Agreement.
(d) No Conflict. To the best of SUB RECIPIENT'S knowledge, SUBRECIPIENT'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 SUB RECIPIENT is a party
or by which it is bound.
(e) No Bankruptcy. SUB RECIPIENT is not the subject of any current or threatened
bankruptcy proceeding.
(t) No Pending Legal Proceedings. SUBRECIPIENT is not the subject of a current or
threatened litigation that would or may materially affect SUBRECIPIENT'S performance under
this Agreement.
(g) Application Veracity. All provisions of and information provided in
SUB RECIPIENT'S application for funding submitted to CITY including any exhibits are true
and correct in all material respects.
(h) No Pending Investigation. SUB RECIPIENT 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 ofthe Agreement or provision of services hereunder.
B. Amount of Grant and Ouarterly Disbursement. The amount granted to
SUB RECIPIENT is $ 29,000("CDBG FUNDS"), and such funds shall be expended by
SUBRECIPIENT on or before June 30, 2007. 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
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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 indenmification, audits,
reporting, data retention/reporting, and accounting.
C. Use of Funds. SUBRECIPIENT agrees to use all federal funds provided by CITY to
SUBRECIPlENT pursuant to this Agreement to operate said program, as set forth in "Exhibit A,"
attached hereto and by this reference incorporated herein. SUB RECIPIENT'S failure to perform as
required may, in addition to other remedies set forth in this Agreement, result in readjustment of the
amount of funds CITY is otherwise obligated to pay to SUBRECIPIENT hereunder.
D. Allowable Costs. SUBRECIPIENT agrees to complete said program on or before
June 30, 2007 and to use said funds to pay for necessary and reasonable costs allowable under the
federal law and regulations to operate said program. Said amounts shall include, but not be limited
to, wages, administrative costs, and employee benefits comparable to other similarly situated
employees. Other allowable program costs are detailed in the Budget, as set forth in "Exhibit B,"
attached hereto and by this reference incorporated herein. SUB RECIPIENT 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.
E. Licensing. SUB RECIPIENT agrees to obtain and maintain all required licenses,
registrations, accreditation and inspections from all agencies governing its operations.
SUBRECIPlENT shall ensure that its staff shall also obtain and maintain all required licenses,
registrations, accreditation and inspections from all agencies governing SUBRECIPIENT's
operations hereunder. Such licensing requirements include obtaining a City business license, as
applicable.
F. Zoning. SUBRECIPIENT agrees that any facility/property used in furtherance of
said program shall be specifically zoned and permitted for such use(s) and activity(ies). Should
SUBRECIPlENT fail to have the required land entitlement and/or permits, thus violating any local,
state or federal rules and regulations relating thereto, SUB RECIPIENT 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.
SUBRECIPIENT 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. SUBRECIPIENT must make all corrections required to bring the
facility/property into compliance with the law within sixty (60) days of notification of the
violation(s); failure to gain compliance within such time shall result in termination of grant funding
hereunder.
G. Separation of Accounts. All funds received by SUBRECIPIENT from CITY
pursuant to this Agreement shall be maintained in an account in a federally insured banking or
savings and loan institution with record keeping of such accounts maintained pursuant to applicable
OMB Circular A-110 requirements. SUBRECIPIENT is not required to maintain separate
depository accounts for CDBG FUNDS; provided however, the SUBRECIPlENT must be able to
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account for receipt, obligation and expenditure of CDBG FUNDS pursuant to applicable OMB
Circular A-II 0 requirements.
H. Audit Report Requirements. SUBRECIPlENT agrees that if SUB RECIPIENT
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. SUB RECIPIENT 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.
I. Record Keeping/Reporting. SUB RECIPIENT shall keep and maintain complete and
adequate records and reports to assist CITY in meeting and maintaining its record keeping
responsibilities under the 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 SUBRECIPlENT program.
b. Documentation of the number of persons and/or families participating
in or benefiting by the SUB RECIPIENT 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 REGS.
(2) Reports
(i) Payment Request. Concurrently with the submittal of each
quarterly report, on or before the 15th day of October, January,
April and July, SUBRECIPlENT shall submit both: an original
invoice and true copies of invoices, receipts, agreements, copies
of any and all contracts or documentation pertaining to costs for
subcontractors or other documentation supporting and
evidencing how the CDBG FUNDS have been expended during
the applicable quarter.
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(ii) Quarterly Activity Report: SUBRECIPlENT 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, case load and activities.
J. Access to Records. CITY and the United State Government and/or their representatives
shall have access for purposes of monitoring, auditing, and examining SUBRECIPIENT's activities
and performance, to books, documents and papers, and the right to examine records of
SUBRECIPIENT'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 is conducted or in which any of
the records of SUBRECIPIENT are kept. Nothing herein shall be construed to require access to any
privileged or confidential information as set forth in federal or state law.
K. Location of RecordslRequired Length of Record Keeping. All accounting records,
reports, and evidence pertaining to all costs, expenses and the CDBG FUNDS of
SUB RECIPIENT and all documents related to this Agreement shall be maintained and kept
available at SUBRECIPlENT'S office or place of business for the duration of the Agreement and
thereafter for five (5) 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 SUBRECIPlENT does not make the above-referenced documents available within the city
of Santa Ana, California, SUBRECIPlENT 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.
L. Compliance with Law/Program Income. SUBRECIPlENT acknowledges that the funds
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 govermuent, including, but not limited to, all
regulations found at Title 24 of the Code of Federal Regulations. Program income received by
SUB RECIPIENT shall be returned to CITY unless otherwise provided for in this Agreement.
SUBRECIPIENT 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.
M. Standing. SUB RECIPIENT shall be in good standing, without suspension by the
California Secretary of State, Franchise Tax Board and Internal Revenue Service. Any change in
the corporate status or suspension of SUB RECIPIENT shall be reported immediately to CITY.
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N. Confidentiality. Without prejudice to any other provIsions of this Agreement,
SUB RECIPIENT 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,
SUBRECIPIENT shall submit to CITY and or HUD or its representatives, all records requested,
including audit, examinations, monitoring and verifications of reports submitted by
SUBRECIPIENT, costs incurred and services rendered hereunder.
O. Independent Contractor. SUBRECIPlENT agrees that the performance of
obligations hereunder is rendered in its capacity as an independent contractor and that it is in no way
an agency of CITY.
P. Violation of Terms and Conditions. SUBRECIPIENT agrees that if
SUB RECIPIENT violates any of the terms and conditions of this Agreement or any prior
Agreement whereby CDBG funds were received by SUBRECIPlENT, or if SUBRECIPIENT
reports inaccurately, or if on audit there is a disallowance of certain expenditures, SUBRECIPlENT
agrees to remedy the acts or omissions causing the disallowance and repay CITY all amounts spent
in violation thereof. If SUBRECIPIENT engaged in fraudulent activity to obtain and/or justify
expenditure of the CDBG funds granted hereunder, SUBRECIPIENT shall be required to reimburse
the CITY of all such funds that were obtained/spent under fraudulent circumstances.
Q. Equipment. SUBRECIPIENT agrees to maintain a record for each item of non-
expendable personal property acquired under the terms of this Agreement. Said record shall be
made available to CITY upon request. The term "non-expendable personal property" shall include
leased and purchased equipment.
R. Prohibited Use. SUBRECIPIENT hereby certifies and agrees that it will not use
funds provided through this Agreement to pay for entertainment, meals or gifts.
S. Lobbying. SUB RECIPIENT certifies that it will comply with federal law (31
US.C. 1352) and regulations found at 24 CFR Part 87, which provide that no appropriated funds
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. SUB RECIPIENT shall sign a certification to that
effect in a form as set forth in "Exhibit C," attached hereto and by this reference incorporated herein.
SUBRECIPIENT 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 SUBRECIPIENT under the terms and conditions of this Agreement.
If any funds other than Federal appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of
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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-l).
T. Financial Interest. SUBRECIPIENT agrees that except for the use of CDBG funds
to pay salaries and other related administrative or personnel costs, no persons who exercise or have
exercised any function with respect to CDBG 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 CDBG-assisted activity of
SUBRECIPIENT, 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 SUBRECIPIENT.
V. Davis-Bacon Act. All laborers and mechanics employed by contractors or
subcontractors in the performance of construction work, including alterations and repairs, in excess
of $2,000.00, financed in whole or in part with federal funds shall be paid wages at rates not less
than those prevailing on similar construction in the locality as determined in accordance with the
Davis-Bacon Act, as amended, 40 U.S.C. sections 276a - 276a-5. Any such construction contract
shall include and comply with the required contract provisions and rules set forth in 29 CF.R. !i5.5.
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 CF.R. !i5.5(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. !i5.5. A breach of the contract
clauses in 29 CF.R. !i5.5 may be grounds for termination of the contract, and for debarment as a
contractor/subcontractor, as provided in 29 C.F.R. !i5.12. Labor standards interviews/investigations
shall be made as necessary to assure compliance [29 C.F.R. !i5.6(a)(3)].
V. Drug Free Workplace. SUBRECIPlENT certifies that it has established the following
drug-free workplace policy:
I. 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 SUB RECIPIENT will be required to:
a) Abide by the terms above in statement 1.
b) Notify appropriate officials of SUB RECIPIENT and CITY officials of
any criminal drug statute conviction for a violation occurring in the workplace not
later than five days after such conviction.
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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 drug abuse
assistance or rehabilitation program approved for such purposes by a federal, state or local health,
law enforcement, or other appropriate agency.
II. CITY'S OBLIGATIONS
A. Payment of Funds. Upon execution ofthis Agreement by SUBRECIPIENT, CITY shall
pay to SUBRECIPIENT from CDBG funds, when, if and to the extent received from HUD, for
CITY's 2006-07 CDBG program year amounts expended by SUBRECIPlENT in carrying out said
program for fiscal year 2006-07 pursuant to this Agreement up to a maximum aggregate payment
of Twenty-Nine Thousand Dollars ($ 29,000) in installments determined by CITY. Payments shall
be made to SUBRECIPIENT through the submission of invoices on a quarterly basis (October,
January, April and July) in a form prescribed by CITY, detailing such expenses. CITY shall pay
such invoices within thirty (30) days after receipt thereof provided CITY is satisfied that such
expenses have been incurred and documented within the scope and provisions of this Agreement
and that SUBRECIPIENT is in compliance with the terms and conditions of this Agreement.
B. Audit of Account. CITY shall include an audit of the account maintained by
SUBRECIPIENT in CITY's annual audit of all CDBG FUNDS in accordance with Title 24 of
the Code of Federal Regulations and other applicable federal laws and regulations.
C. Common Rule: 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 sub grant supported activities to assure
compliance with Federal requirements. Such monitoring covers each program, function and activity
and performance goals are reviewed periodically.
D. Environmental Review: In accordance with 24 CFR 58, the CITY is responsible for
undertaking environmental review and maintaining environmental review records for each
applicable project.
E. Performance Monitoring: CITY shall monitor the performance of the
SUB RECIPIENT against goals and performance standards required herein. Substandard
performance as determined by the CITY will constitute non-compliance with this Agreement. If
action to correct such substandard performance is not taken by the SUBRECIPlENT within a
reasonable period of time after being notified by the CITY, contract suspension or termination
procedures will be initiated.
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III. NONDISCRIMINATION
SUB RECIPIENT 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 CDBG funds.
IV. CONFLICT OF INTEREST
Pursuant to the conflict of interest requirements set forth in 24 CFR 576.57 and OMB
Circulars 1-102 and A-llO, SUBRECIPIENT agrees that no officer, employee, agent or assignee of
CITY having direct or indirect control of any CDBG monies granted to the CITY, inclusive of the
subject CDBG FUNDS, shall serve as an officer of SUBRECIPIENT. Further, any conflict or
potential conflict of interest of any officer of SUB RECIPIENT 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 SUBRECIPIENT to CITY regarding any
changes or modifications to its board of directors and list of officers.
V. SPECIAL CERTIFICATION FOR RELIGIOUS ENTITIES
If SUBRECIPIENT is a religious entity, SUBRECIPIENT hereby agrees that in connection
with the provision of the services SUBRECIPIENT shall provide with CDBG funds, in accordance
with 24 CFR 570.200(j):
A. SUBRECIPlENT shall not discriminate against any employee or applicant for
employment on the basis of religion and shall not limit employment or give preference in
employment to persons on the basis of religion.
B. SUB RECIPIENT shall not discriminate against any person applying for the services
SUB RECIPIENT agrees to provide under the terms of this Agreement on the basis of religion and
shall not limit such services or give preference to applicants for such services on the basis of
religion.
C. SUBRECIPIENT shall NOT provide religious instruction or counseling, conduct
any religious worship or services, or engage in any religious proselytizing, or exert any religious
influence in the provision of the services in said program. The parties agree that this covenant is
intended to and shall be construed for the limited purpose of assuring compliance with respect to the
use of CITY funds by SUBRECIPIENT with applicable constitutional limitations respecting the
establishment of religion as set forth in the establishment clause under the First Amendment of the
United States Constitution and Article I, Section 4 of the California Constitution, and is not in any
marmer intended to restrict other activities of SUB RECIPIENT.
D. Where the services to be provided under said program are rendered on property
owned by the primarily religious entity SUBRECIPIENT, CDBG funds may also be used for minor
repairs to such property which are directly related to the cost of rendering the services under said
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program, where the cost constitutes in dollar terms only an incidental portion of the CDBG
expenditure for rendering the services under said program.
VI. PROHIBITION OF NEPOTISM
SUBRECIPIENT agrees not to hire or permit the hiring of any person to fill a position
funded through this Agreement if a member of that person's immediate family is employed in an
administrative capacity by SUBRECIPIENT. 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.
VII. NOTICES
Notices to the parties shall, unless otherwise requested in writing, be sent by U.S. Mail,
postage prepaid, and addressed as follows:
TO CITY:
City of Santa Ana
Community Development Agency (M-25)
20 Civic Center Plaza
P.O. Box 1988
Santa Ana, California 92702-1988
TO SUBRECIPIENT:
Derald Sidler
Executive Director
Boys and Girls Club of Santa Ana
1615 E. 17th Street, Ste150
Santa Ana, CA 92705
VIII. ASSIGNABILITY
None of the duties of, or work to be performed by, SUBRECIPIENT under this Agreement
shall be subcontracted or assigned to any agency, consultant, or person without the prior written
consent of CITY. SUBRECIPlENT must submit all subcontracts and other agreements that relate
to this Agreement to CITY. No subcontract or assignment shall terminate or alter the legal
obligations of SUBRECIPIENT pursuant to this Agreement.
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IX. HOLD HARMLESS
SUBRECIPIENT shall indemnify, defend and save harmless CITY, its officers, employees,
agents, representatives and volunteers from and against any and all damages to or for loss of use of
property and for injuries to or death of any person or persons, including property and employees or
agents of CITY, and shall defend, indemnify and save harmless CITY, its officers, employees,
agents, representatives and volunteers from and against any and all claims, demands, suits, actions
or proceedings of any kind or nature, including, but not by way of limitation, workers compensation
claims and including attorney fees and reasonable expenses for litigation or settlement, resulting
from or arising out of the negligent or wrongful acts, errors or omissions of SUBRECIPIENT, its
officers, directors, employees, agents, subcontractors and suppliers arising out of
SUBRECIPIENT's performance of this Agreement.
X. INSURANCE
A. In accordance with the provisions of Section 3300 of the Labor Code, if
SUBRECIPIENT has any employees it is required to be insured against liability for worker's
compensation or to undertake self-insurance. Prior to commencing performance of this
Agreement, SUBRECIPlENT agrees to obtain and maintain employer's liability insurance with
limits not less than $1,000,000 per accident. If SUBRECIPIENT has no employees, nor
workers' compensation coverage, it must execute a Declaration available from the CITY, and
update as is necessary.
B. SUBRECIPIENT shall undertake self-insurance, or shall obtain, at its sole cost, a
policy or policies of commercial general liability insurance, or equivalent form, with a combined
single limit of not less than $1,000,000 per occurrence.
Such insurance shall: (I) name the City of Santa Ana, its officers, agents,
representatives, employees and volunteers as additional insured's; (2) be primary with respect to
insurance or self-insurance programs maintained by the CITY; (3) contain standard separation of
insured's provisions; and (4) give to CITY prompt and timely notice of claim made or suit
instituted arising out of SUB RECIPIENT's operations hereunder.
SUBRECIPlENT shall: (a) prior to exercising any right under this Agreement,
furnish properly executed certificates of insurance and additional insured endorsement to the
CITY which shall clearly evidence all coverages required above; (b) provide that such insurance
shall not be materially changed or terminated except on 30 days prior written notice to the CITY;
(c) maintain such insurance for the period covered by this Agreement; and (d) replace such
certificates for policies expiring prior to the expiration of this Agreement.
XI. REVERSION OF ASSETS
A. Upon the expiration of this Agreement, SUBRECIPlENT 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 ofCDBG funds. [24 CFR 570.503(b)(8).]
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B. Any real property under SUB RECIPIENT's control that was acquired or improved
in whole or in part with CDBG funds in excess of $25,000.00 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; or
2. If not used in accordance with subparagraph A above, SUBRECIPIENT
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 non-CDBG funds for acquisition of, or improvement
to, the property. Such payment is program income to CITY.
C. Subject to the obligations set forth herein, title to equipment acquired under the
terms of this Agreement will vest upon acquisition in SUBRECIPIENT. When said equipment
which has been acquired in accordance with this Agreement and all applicable regulations is no
longer needed for said program, disposition of said equipment will be made as follows:
I. Items of equipment with a current per unit fair market value of less than
$5,000.00 may be retained, sold or otherwise disposed of with no further obligation to CITY.
2. Items of equipment with a current fair market per unit value of $5,000.00 or
more may be retained or sold and CITY shall have the right to an amount calculated by multiplying
the current market value or proceeds from the sale by CITY's share of federal funds used to acquire
the equipment, in accordance with 24 CFR 85.32(e)(2).
D. SUBRECIPIENT 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 SUBRECIPIENT'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
SUB RECIPIENT on behalf of CITY, in furtherance of the activities hereunder or thereof.
SUBRECIPIENT's obligations and responsibilities set forth in this paragraph "XL
REVERSION OF ASSETS," and in paragraph "XII. 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.
12
5105
XII. TERMINATION
A. This Agreement may be terminated on thirty (30) days' written notice by either
party. In the event of such termination, SUBRECIPlENT shall only be entitled to reimbursement
for approved expenses incurred to the effective date of termination.
B. This Agreement may be suspended or terminated by CITY upon five (5) days'
written notice for violation by SUBRECIPlENT of Federal Laws governing the use of Community
Development Block Grant Funds. In the event of such suspension or termination, SUBRECIPIENT
shall only be entitled to reimbursement for approved expenses incurred up to the effective date of
suspension or termination.
C. Pursuant to 24 CFR 85.43, in the event SUBRECIPIENT defaults by failing to fulfill
all or any of its obligations hereunder, CITY may declare a default and termination of this
Agreement by written notice to SUBRECIPlENT, 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.
D. The grant of funds under this Agreement may be terminated for convenience in
accordance with 24 CFR 85.44.
E. The grant of funds under this Agreement may be terminated due to the non-
performance of SUBRECIPlENT 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.
F. In the event this Agreement is terminated as set forth in subparagraphs XILA.
through XILE., inclusive, SUB RECIPIENT agrees to immediately return to CITY upon CITY's
demand and prior to any adjudication of SUBRECIPIENT's rights, any and all funds not used, and
to comply with paragraph "XI. REVERSION OF ASSETS" of this Agreement.
XIII. LIMITATION OF FUNDS
The United States of America, through HUD, may in the future place programmatic or fiscal
limitations on the use of CDBG funds which limitations are not presently anticipated. Accordingly,
CITY reserves the right to revise this Agreement in order to take account of actions affecting HUD
program funding. In the event of funding reduction, CITY may, in its sole and absolute discretion,
13
5105
reduce the budget of this Agreement as a whole or as to costs category, may limit the rate of
SUBRECIPIENT's authority to commit and spend funds, or may restrict SUB RECIPIENT's use of
both its uncommitted and its unspent funds. Where HUD has directed or requested CITY to
implement a reduction in funding, in whole or as to a cost category, with respect to funding for this
Agreement, CITY's City Manager or delegate is authorized to act for CITY in implementing and
effecting such a reduction and in revising, modifying, or amending the Agreement for such
purposes. If such a reduction in funding occurs, SUBRECIPIENT shall be permitted to de-scope
accordingly. Where CITY has reasonable grounds to question SUB RECIPIENT's fiscal
accountability, financial soundness, or compliance with this Agreement, CITY may suspend the
operation of this Agreement for up to sixty (60) days upon five (5) days written notice to
SUBRECIPIENT of its intention to so act, pending an audit or other resolution of such questions.
In no event, however, shall any revisions made by CITY affect expenditures and legally binding
commitments made by SUBRECIPlENT before it received notice of such revision, provided that
such amounts have been committed in good faith and are otherwise allowable and that such
commitments are consistent with HUD cash withdrawal guidelines.
XIV. EXCLUSIVITY AND AMENDMENT OF AGREEMENT
This Agreement supersedes any and all other agreements, either oral or in writing, between
the parties hereto with respect to the use of CITY's CDBG funds by SUBRECIPIENT and contains
all the covenants and agreements between the parties with respect to such employment in any
manner whatsoever. Each party to this Agreement acknowledges that no representations,
inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone
acting on behalf of any party, which are not embodied herein, and that no other agreement or
amendment hereto shall be effective unless executed in writing and signed by both CITY and
SUBRECIPIENT.
XV. LAWS GOVERNING THIS AGREEMENT
This Agreement shall be governed by and construed in accordance with the laws of the State
of California, and all applicable federal laws and regulations.
XVI. VALIDITY
The invalidity in whole or in part of any provision of this Agreement shall not void or affect
the validity of any other provision of this Agreement.
XVII. MISCELLANEOUS PROVISIONS
a. Each undersigned represents and warrants that its signature herein below has the power,
authority and right to bind their respective parties to each of the terms of this Agreement, and shall
14
5105
.
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 and Attachments referenced herein and attached hereto shall be
incorporated as if fully set forth in the body of this Agreement.
c. No delay or omission by either party hereto to exercise any right or power accruing
upon any noncompliance or default by the other party with respect to any of the terms of this
Agreement shall impair any such right or power or be construed to be a waiver thereof. A
waiver by either of the parties hereto of any of the covenants, conditions, or agreements to be
performed by the other shall not be construed to be a waiver of any succeeding breach thereof
or of any other covenant, condition or agreement herein contained.
15
5105
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the last date and
year written below.
ATTEST:
/~ -.
.C---~e:./?'~ e"t-/
PATRICIAE. HEALY
Clerk of the Council
CITY OF SANTA ANA
t2At2~
DAVID N. REAM
City Manager
APPROVED AS TO FORM:
JOSEPH W. FLETCHER
City Attorney
/9t,:.. c ~
By: LISA E. STORCK
Assistant City Attorney
SUBRECIPIENT:
DATE:
'7bl~
Davi
Board Preslden
95-1893417
16
.
City of Santa Ana
Community Development Block Grant
Scope of Work
Name of Organization- Boys & Girls Club of Santa Ana
Name of Funded Program- Summer Youth Outreach Program
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 12-month contract period.
500PERSONS
II. Number of only unduplicated Santa Ana residents to be served by the funded program, named above,
during the 12-month contract period.
500PERSONS
Program and Funding Description
III. Description of Work -In the space below, describe the program to be funded during the 12-month
contract period.
The Summer Youth Oulreach Program will provide a day camp experience for youth oul of school for Ihe summer break. They will
have swimming lessons, tennis lessons, computer on-line safety classes, life skills activities that focus on prevention, health and
safely, and weekly field trips. For many children it will be the firsllime they've lravelled out ofSanla Ana.
I1 is our goal 10 provide a safe, educalional and fun environmenl for as many youth as possible. Lasl year over 568 youth
participaled, Ihis year we expecl over 600, with at leasl 100 new youlh participating. This is a conservalive eslimate considering Ihe
densely populaled area we are localed in.
Since 1957, we have been the only organization 10 operale in this community offering our programs for a nominal fee of $2 per
month, and "scholarships" 10 those who can'l afford the fee. Our staff is comprised of former members who have gone on to college
and come back to work in the community. Many live in Ihis community and are familiar with the families and youlh, providing a
positive role model for Ihe neighborhood children, and a sense of hope for Ihe furnre.
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.
The CDBG funds will be used 10 hire Iwo lennis instruclors for the tennis program. The Club in collaboralion with Ihe City of Santa
Ana, will ulilize Ihe pool, lifeguards and swim instruclors allhe Sanla Ana High School pool, for which we will be billed
approximalely $5,300. We will have 10 charter buses for approximately 4 field trips thai will provide experiences oulside of Orange
County. Our Earlybirds program requires part-lime employmenl experience, and we will be able 10 "hire" three Earlybirds to fill thai
requirement The purchase of supplies for the weekly activilies such as Compuler Lab, Arts & Crafts, Sports, Health & Safety, and
specialty evenls such as Splash into Summer and Weslem Days will come from CDBG funds. Partial salary and benefits for the
program manager who is responsible for the design and implementalion, and alllhe oulcome reporting will be billed to CDBG.
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 I - September 30
Quarter 2: October! - December 31
Quarter 3: January I - March 31
Quarter 4: April I - June 30
500Persons
_Persons
_Persons
_Persons
500T otal number of unduplicated 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 12-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
$29,000
$-
$-
$-
$29.000Total Grant (Must equal the Total Program Budget
indicated on Exhibit B.)
Exhibit A
Page 2 of2
.
CITY OF SANA ANA
Community Development Block Grant
Outcome Tracking
IMPO R T ANT: The City of Santa Ana is in the process of incorporating the new HUn 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 ihe list of aClivilies below selecllhe aclivily Ihal besl describes ihe purpose ofihe program ihat will be funded
in fiscal year 06-07 by Ihese grant funds. Two aclivities have mul1iple outcomes, Iherefore if "Senior Services" or "Y ouih Services" is
selecled, please selecllhe one outcome ihal besl describes ihe purpose of ihe funded program. ONLY if none of ihe aclivilies listed
adequalely describe ihe funded program, please selecl that lasl acliviiy "Low- and Moderale Income Services".
Fulfillment
Tracking HUD Objective to be fulfilled Hun Outcome to be fuUllled illustrated by
HUn Indicator
Suitable Creating Specific Outcome
Activity/Program Outcome Tracking Goal Living Decent Economic A vailability/ Affordability Sustainabilif) Indicator #
Housing Opportunitie Accessibility (Please see page 4
Environment of 4 for desc.)
Anti-CrimeServices Track the reduction in educe response time to
rcsponse time and the serious crimes in the City's
umber of criminal Low-and Moderate-Income
D apprehended as a result. rea hy al least 3 minutes
resulting in the apprehension X 2
fl,500 criminals that may X
thcrwiseescape.
.uS-yeargoaltobe
chicvedbyFY09/IO
air Housing Services Provide fair housing service I,Providefairhousing
andongotng analysis of ounseling.educationand
impediments to fair housing. forcement services to
D ,000 Santa Ana households. X X 2
.U5~yeargoaltobe
achieved by FY 09/l0
, Annually assess actions 10
liminate impediments to fai X X 2
ousing.
omelessnessPrevention Track assisted individuals 50% of assisted individuals
ho retained their housing or ndhouseholdswillretain
tilitiesforatleast6monlhs heir housing or utilities for 14
D fterassistancewas tleast6monlhsafter X X
provided, ssistance is provided.
mergencyShelter Track individuals who 50% of 12
lreceivedsupportservices individuals/houscholdsthat or
that were linked 10 one or re provided with emergency
D /more additional support shelter will tmnailion to X X
service and/or appropriate 'nterim housing (Le., 13
ousing. Itransitionalhousing).
ransitionalHousing rack homeless individuals % of homeless individuals
who participated in articipating in transitional 2
transitionalhousingprogmm ousing program will be X X
D thaI were placed in laced in permanent housing.
loennanenthousing.
upportivcServices Track individuals who 50''Ioofindividualslfamilies
lreceived support services lreceiving SUpporl services
that were linked to one or ill be linked to one or more 2
D Imoreaddilionalsupport dditionalsupportservice X X
serviceandlorappropriate ndlor appropriate housing.
ousing.
Exhibit A-I
Page I of4
.
Fulfillment
Trackino illustrated by
HUD Objective to be fulrdled HUD Outcomes to be fulfilled HUD Indicator
Suitable Creating Specific Outcome
Activity/Program Outcome Tracking Goal Living Decent Economic Availability! Affordability Sustainabilit Indicator #
Environment Housing Opportunitie Accessibility (Please see page 4
of4 fordcsc.)
Senior Services 1. Track llssisted senior 1. 80%ofassistcd senior
itizCllS thai remail1cd citizenswillremllin
D indcpcndcnlforalleasll independcnt for at least I X X 2
year after services were ear after services are
provided. ovidcd
2. Track seniors receiving 90% of seniors receiving
ferralsthatwerelinkedto ferrals will be linked to lhe
D the services sought. services sought X X 2
WIler-Occupied Numbcrofownersassisted hysiclll safety and comfort
ousingRehabilitation torchabilitatctheirprimary ill be improved for Low
sidence for the following nd Moderate income
ineomecategories: ouseholdsbyimproving
D -Extremely Low Income omes 10 a level thatmeels 9
-Very Low Income rcxceedsHUDhousing X X
-Moderate Tncome ualilystandards.
Special Needs Categories
-Large Families
rail Elderly Services Track frail elderly 0% of frail elderly
individuals lhat were linked .ndividuals will be linked to 2
D lhe services sought. he servieessoughl X X
isabledServiees Traek disables persons upport independent living
hose independent living for 90% of disabled persons 2
D as supported by City funds ssisted by Cily funds. X X
ervices for Mentally III raekindividualsassisted 100% of individuals assisted
ilhCityresourceslhatwere ilh City resources will be
D Jrovidedancnlrypoinlinlo rovided an entry point into
erogionalmentalhealth lheregional mental health X X 2
are system and linked to at are system and linked to at
least one addilional mental least one additional mental
ealth supportive serviee. ealth supportive serviee.
>ervicesforSubstance Track how many individuals 'rovideentryinlotbe
ddieted with substance addiction in gionalreeovery system for
were provided an entry into Sindividualswith
the regional recovery system ubstance addielion and link
D and linked to additional hem to additional serviecs. 2
servIces. X X
U-S-yeargoaltobe
chievedbyFY09/1O
outhServiees l. Track improvement in I. For education-based
jprc-tesl,POsl-teslscores. rograms,improvcprc-teSI 2
D OSI-leslscores by SO% X X
2. Tracknumbcrof . Provide opportunities for
D individuals exposed to the xposure to the fine arts. X X 2
fine arts
~ 3. Trackchildren/youth . 90% of children/youth
seekingreferralsthatwcre eeking referrals will be X X 2
linked 10 Ihe services sought. Iinkedtotheserviecssought
ow. and Modcrate- rack program participanlS 90"10 of program participants
ncomeServices jthatwere linked to services ill be linked to services
ought. sought. X X 2
D
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.
11 is our goal 10 provide a safe educational and fun environmenl for as many youlh as possible, hopefully exceeding lasl years number
of 568. We track daily allendance utilizing Kid Trax, a daily allendance and membership program developed for Boys & Girls Clubs of
America. Kid Trax is a internet database that is accessed with a local computer and scanner system. computer
Exhibit A-I
Page 3 of 4
.
Specific Outcome Indicators
2) Public service activities
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
.
.
Program Year 2006-2007
Final Budget
Organization Name
Program Name
Boys and Girls Club
Summer Prooram
Expenses Funded by
Cate 0 Santa Ana COBG
Administrative Staff
Salaries & Benefits
Program Staff Salaries &
Benefits
Contractual/Professional
Services: List below
Expenditures
Expenses Funded
b Other Sources
Total Program
Bud et
Total Organizational
Bud et
$
35,600
52,919
833,305
tennis, $ 3,400 $ 3,400 $
2 swimming $ 2,800 $ 2,800 $
3
Office Su lies $ 5,481 5,481 $
Rent $ 66,775 66,775
Communications
Utilities
Insurance
Other: List below
44,200
44,200
53,600
$
2 $
3 $
4 $
5 $
Total $ 29,000 $ 109,775 $ 138,775 $ 982,705
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 $ 29,000
S ecial Event Fundraisin $ 109,775
Total Funds for Program
Exhibit B
Page 1 of 1
$
138,775
.
2006-2007 Funded Personnel
.
Name of Organization:
Name of Program
Boys & Oirls Club of Santa Ana
Summer Youth Outreach Program
ADMINISTRATIYE STAFF
Position Title Annual Annual Total CDBO Funds % of time Of this time % of Total
Salary Benefits Compensation Requested for spent on percent of Compensation
this position funded time serving Eligible
nrolZram Santa Ana
$ - 0%
$ - 0%
$ . 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
Total Amount ReQuestec $ -
Must equal amount mdIcated on Exhblt B
PROGRAM STAFF
Position Title Ammal Annual Total CDBO Foods % of time Of this time % of Total
Salary Benefits Compensation Requested for spent on percent of Compensation
this position funded time serving Eligible
nrooram Santa Ana
Pro~ram ManalZer $ 36,960 $ 10,383 $ 47 343 $ 7,877 75% 100% 75%
tennis instructors (2) $ 2,880 $ 516 $ 3396 $ 3,396 100% 100% 100%
earlvbird (3) $ 5127 $ 918 $ 6,045 $ 6045 100% 100% 100%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
T olal Amoool Reauested $ 17318
Must equal amount indicated on Exhbit B
CONTRACTUAL/PROFESSIONAL SERYICES
Position Title Annual Annual Total CDBO Foods % of time Of this time % of Total
Contract Benefits Compensation Requested for spent on percent of Compensation
Amount this position funded time serving Eligible
nroO'ram Santa Ana
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
$ - 0%
Total Amount Reauested $ -
Must equal amount indicated on Exhbit 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 1 of!
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 of the
undersigned, to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with the awarding of any Federal
contract, the making of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal contact, grant, loan or cooperative
agreement.
(2) 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, 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.
Boys & Girls Club of Santa Ana
Grantee/Contactor Organization
Summer Youth Outreach Program
Program Title
W David Stauffer
Name of Certifying Officer
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. SUBRECIPIENT will comply with all Federal statutes applicable to projects funded
with community development funds, except that (a) SUBRECIPIENT does not assume
CITY'S environmental responsibilities described at 24 CFR 570.604; and (b)
SUBRECIPIENT does not assume CITY'S responsibility for initiating the review process
under Executive Order 12372.
EXHIBIT C
Page 2 of2
JUl 19 06 12:36p
Bo~s & Girls Club O~ Sant 714-565-1099
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OFF~ENB!." E;JtCLUDEtn 723-06 6/1/200. 6/1/2007 e.L OfH'A.se. '^ (MPLOYE ~ 1,000,000
~~tlIPr - I"..,~~ -POL,eVL_lt- - .000
0TttIIl p1riM:'t.O~. aad 1891517110 00/0112006 a%rne!7- \.1 ,s.~4_ - , .,000,000
c
Of':f'1.eertt An' nd //z..
0Ul;RP1)0N OF OHMTIOIlIIlLOCATlONINlMIClIaUCWItONSADIIGO BY DIDOAtlE""~~1!I -'-- ' L~ ~~";~i'.' (:; i ;;to(~:16edy
Cartiti.e.~e- noJ.4ol; U Add11t1~1 In811~ _'., '.J~ "'
j\ l",~.~L.F City Atlcxr-t1ey
Tha City of Santa. Ana
TI>co S_ts Ana Recleval_nt Ag"""'Y CDBG
P,O.Box 1989
Santa Ana, cA 92"102
<:ANC!I.I.AllON
SHOCIUJ MfT l;W' THe MOW ~8El) POUms BE l:at<<:&LLEO e;F'OAE. THE
1iXJ'1RA'I'IOM IMn: JN8IEOP. THE IS$IJIfG ..slMP, WIlL D4DeAVOl" TO MAIL
~ GAYS _T11!N..oDCI' ra THE CZltl'JF'lCAll' .HOlDe" tweo YO THe lDT, eUT
I=ALURE 10 DQ 10 &HM.L IMPOd ttO ODtJQAlION OR.........rrr OF' Alrrl'V KINO UJlOH n;e
ITS J3OR'RI!f'ItelIeHTA \lIE
,..,'t'NOIUZIIO~.
OFtPORATION '988
F"GilI1d:i
CERnFlCATE H~
ACOfW 25 (:iOO1iOllI
IN~Sttnoe,.ae ".
",,*flIO/1plOeSlllulicltR.In'.leoo)m~
EQ/ZQ 39\1d
3:HlJS1I33aI
6QSS-51Z-6l>6
95:11 900Z/6TJL0
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Jul IS 06 12:37p
Bo~s L Girls Club OF Sant 714-565-10SS
p.3
l
JuL ~9 06 09:B78
80B_ .. Qir-1.,!I Clu" 01" S~"t .,14...585-L099
p.2
EXHIBIT B
ADDrnoNAL INstlRllD ENDORSEMENT
FOR COMMllR.CIAL GENERAL ~lABlL1TY POLICY
InArance Company ~ V \l.etJ hfi U/(1J'1C~ f JJIVl fttl'LV
This endorsement modi1ies such illSWlUlce as is afforded by IIIe provisions of Policy
# !l6 tJ2C~1.8~ 'Z. 70 mating to the followiDs:
,
1. Tile- City ofSanla "- 20 Chic Cemer Plaza, Santa ADa, California 92701: ils
ollieen, cmpl;"'-. apntll, "olunteenl aXld repr_ati"es are named as addit!0lllI1 insured.
("addilioDa1 insureds") with reprd to Uability lIlId defense of suits arisiDg tiDm tbe operations
and uses Ila'fomled by or 00 \ldIaIf oflbe named insumi
2. Wi1k rcspoct to c\aims 1Iri.mr; 0lIl oftbo operatiollS and uses pedonned by or on
bobalf of I1H: named inswod. such ia_ u ill afforded by Ibis po1i<:y is priJ:nay and is not
additiooal to or coatrilMinS with...y olber insunInce carried by or for I1H: bcneJil ofllle
additiDllal insurods.
3. ThIs insuranc:e applies separately to caeh iI:lsurod agaiDsI: whom claim i. made or
suit is bnNgbI except wilh Iospec:I to lhe """'l'1IIly's limits of liability. tie iaclusioo of any
person or orv,,;'.~ as In insimld sha1I not ;dfeel 8fty right wIlic:h suoIl ponoil or organization
would 0_ IS a c~ if DOt so iIloJuded. .
4. With respoct 10 !he additional inSllreds, this insunDee sball nol be cancelled, or
malerially reduced in coverage Dr limits excepl after thiny (30) days written notK:c has been
given to <he City ofSalit& Ana, 20 Civic Cent", Plaza, s...ta Ana, California 92701.
I
(Campletion of !he foUowiag, including c:otmiersignal\lre, is roqu.ired 10 make this endolSCll1eol
- effeetive.)
~rr::t~b~~ 7-'7 . ~s~t fonnas apmt of
Issuldto ~~\J..b o{- 5M\.-\p. ~
Named Insured
~...." ~~.~
I A..~ Representative
"- Ii-
, 1"/ j,',) AS TO FORM
.~-- ___._~/~
,...,.... (:-.. f:,....,..__...
.' ."c..' :.\ ._,1_,1. ..J"",;..,dy
c:;,V /;J '-\"'J ".
Eg/Eg 39'lId
~lI.aa:I
6g99-9tl-6.6
9~:lt 9QQZ/61/LQ