HomeMy WebLinkAboutLATINO HEALTH ACCESS (2) - 1999
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AGREEMENT BETWEEN THE CITY OF SANTA ANA
AND
Latino Health Access
FOR USE OF EMPOWERMENT ZONE FUNDS
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This Agreement, made and entered into this / r-d day of
, 199L, by and between the City of Santa Ana, a charter city of
the ta of California ("CITY") and ("SUBRECIPIENT"), Latino Health Access.
WITNESSETH
Recitals:
1. CITY is the recipient of Empowerment Zone ("EZ") funds from the United
States Department of Housing and Urban Development ("HUD").
2. CITY desires to engage SUBRECIPIENT to provide the services described
in "Exhibit B," hereinafter referred to as "said program" and SUBRECIPIENT represents
that it is qualified and willing to operate said program.
WHEREFORE, for and in consideration of the respective and mutual
covenants hereinafter contained and made, and subject to all the terms and conditions
hereof, the parties hereby agree as follows:
I. SUBRECIPIENT'S OBLIGATIONS
A SUBRECIPIENT agrees to use all federal funds provided by CITY to
SUBRECIPIENT pursuant to this Agreement to operate said program, as set forth in
"Exhibit B," attached hereto and by this reference incorporated herein. SUBRECIPIENT'S
failure to perform as required may, in addition to other remedies set forth in this
Agreement, result in readjustment of the amount of funds CITY is otherwiFe obligated to
pay to SUBRECIPIENT under Paragraph II hereof. ,
B. SUBRECIPIENT agrees to obtain and maintain all required licenses,
registrations, accreditation and inspections from all agencies goveming its operations.
SUBRECIPIENT shall ensure that its staff shall also obtain and maintain all required
licenses, registrations, accreditation and inspections from all agencies governing
SUBRECIPIENT operations hereunder.
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C. 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
SUBRECIPIENT fail to have the required land entitlement and/or permits, thus violating
any local, state or federal rules and regulations relating thereto, SUBRECIPIENT shall
immediately make good-faith efforts to gain compliance with local, state or federal rules
and regulations following written notification of said violation(s) from the CITY or other
authorized citing agency. 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.
D, All funds received by SUBRECIPIENT from CITY pursuant to this
Agreement shall be separately accounted for apart from any other funds of
SUBRECIPIENT, or of any principal or member of SUBRECIPIENT.
SUBRECIPIENT agrees that if SUBRECIPIENT receives Three Hundred
Thousand Dollars ($300,000.00) or more in EZ funds under the terms of this Agreement,
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 1 of the year following the program year in which this Agreement is executed.
E. SUBRECIPIENT shall keep records of all funds received from CITY under
the terms and conditions of this Agreement in accordance with the procedures set forth in
the "Agreement Accounting and Administrative Handbook" of CITY, a copy of which shall
be provided to SUBRECIPIENT by CITY.
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 of low and
moderate income persons and households assisted in accordance with federal income
limits, number of female heads of households, and number of senior citizens assisted.
SUBRECIPIENT agrees to provide CITY with written cumulative (year-to-
date) reports of its activities on or before the 15th day of October, January, April and July
for the period beginning September 1, 1999 and through and including the previous three-
month reporting period setting forth the activities, program accomplishments, new program
information and year-to-date program statistics on expenditures, caseload and activities.
When appropriate, pictures should be included.
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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 are 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.
In the event SUBRECIPIENT does not make the above-referenced
documents available within the city of Santa Ana, California, SUBRECIPIENT 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.
F. All accounting records and evidence pertaining to all costs of
SUBRECIPIENT and all documents related to this Agreement shall be kept available at
SUBRECIPIENT's office or place of business for the duration of the Agreement and
thereafter for four (4) years after completion of an audit. 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 four
(4) years until resolution or disposition of such appeals, litigation, claims, or exceptions.
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.
H. SUBRECIPIENT 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 SUBRECIPIENT shall be reported
immediately to CITY.
I. Without prejudice to any other proVIsions of this Agreement,
SUBRECIPIENT 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.
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J. SUBRECIPIENT agrees that the performance of obligations hereunder are
rendered in its capacity as an independent contractor and that it is in no way an agency of
CITY.
K. SUBRECIPIENT agrees that if SUBRECIPIENT violates any of the terms
and conditions of this Agreement or any prior Agreement whereby EZ funds were received
by SUBRECIPIENT, or if SUBRECIPIENT reports inaccurately, or if on audit there is a
disallowance of certain expenditures, SUBRECIPIENT agrees to remedy the acts or
omissions causing the disallowance or repay CITY all amounts spent in violation thereof.
L. 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.
M. SUBRECIPIENT hereby certifies and agrees that it will not use funds
provided through this Agreement to pay for entertainment, meals or gifts.
N. SUBRECIPIENT certifies 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. SUBRECIPIENT shall sign a
certification to that effect in a form as set forth in "Exhibit C," attached hereto and by this
reference incorporated herein. 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 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.
O. SUBRECIPIENT agrees that except for the use of EZ funds to pay salaries
and other related administrative or personnel costs, no persons who exercise or have
exercised any function with respect to EZ 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
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from a EZ-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.
II. CITY'S OBLIGATIONS
A. Upon execution of this Agreement by SUBRECIPIENT, CITY shall pay to
SUBRECIPIENT from EZ funds, when, if and to the extent received from HUD, for CITY's
1999-00 EZ program year amounts expended by SUBRECIPIENT in carrying out said
program for fiscal year 1999-00 pursuant to this Agreement up to a maximum aggregate
payment of One Hundred Thousand Dollars ($100,000.00) in installments determined by
CITY. Payments shall be made to SUBRECIPIENT through the submission of periodic
invoices, 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 within the scope of this Agreement and that
SUBRECIPIENT is in compliance with the terms and conditions of this Agreement.
III. PROGRAM INCOME
A. For the purposes of this Article (III) "Program income," shall mean gross income
received by the SUBRECIPIENT directly generated from the use of EZ funds, except as
provided below in Paragraph III.C. When such income is generated by an activity that is
only partially assisted with EZ funds, the income shall be prorated to reflect the percentage
of EZ funds used.
B. Program income includes, but is not limited to the following:
1. Proceeds from the disposition by sale or long term lease of real
property purchase or improved with EZ funds;
2. Proceeds from the disposition of equipment purchased with EZ funds.
3. Gross income from the use or rental of real or personal property
acquired by the SUBRECIPIENT with EZ funds, less the costs
incidental to the generation of such income;
4. Gross income from the use or rental of real property owned by the
SUBRECIPIENT that was constructed or improved with EZ funds,
less the costs incidental to the generation of such income;
5. Payments of principal and interest on loans made using EZ funds;
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6. Proceeds from the sale of loans made with EZ funds;
7. Proceeds from the sale of obligations secured by loans made with EZ
funds;
8. Interest earned on funds held in a revolving fund account;
9. Funds collected through special assessments made against
properties owned and occupied by households not of low and moderate
income, where such assessments are used to recover all or part of the EZ
portion of a public improvement.
C. Program income does not include income on grant advances from the U.S.
Treasury. The following items of income earned on grant advances must be
remitted to HUD for transmittal to the U.S. Treasury.
1. Interest earned from the investment of the initial proceeds of a grant
advance by the U.S. Treasury;
2. Interest earned on loans or other forms of assistance provided with
EZ funds that are used for activities determined by HUD either to be
ineligible or to fail to meet a national objective or other federal criteria.
3. Interest earned on the investment of amounts reimbursed to the EZ
program account prior to the use of the reimbursed funds for eligible
purposes.
D. The receipt of program income (as defined in Paragraph iliA hereinabove)
by SUBRECIPIENT in the operation of said program shall be recorded by
SUBRECIPIENT and reported to CITY.
E. Program income received by SUB RECIPIENT shall be returned to CITY
unless otherwise provided for in this Agreement.
IV. NONDISCRIMINATION
SUBRECIPIENT agrees that no person on the ground of race, 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 EZ
funds.
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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 EZ funds:
A. SUBRECIPIENT 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. SUBRECIPIENT shall not discriminate against any person applying for the
services SUBRECIPIENT 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.
D. Where the services to be provided under said program are rendered on
property owned by the primarily religious entity SUBRECIPIENT, EZ funds may also be
used for minor repairs to such property which are directly related to the cost of rendering
the services under said program, where the cost constitutes in dollar terms only an
incidental portion of the EZ 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, step-parent and stepchild. The term "administrative capacity"
means having selection, hiring, supervisor or management responsibilities.
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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, Califomia 92702-1988
TO SUBRECIPIENT:
Latino Health Access
1717 North Broadway St.
Santa Ana, CA 92706-2605
VIII. ASSIGNABILITY
SUBRECIPIENT shall not assign nor transfer any interest in this Agreement,
whether by assignment or novation, without the prior written consent of CITY; provided,
however, that claims for money due or to become due SUBRECIPIENT from CITY under
this Agreement may be assigned to a bank, trust company or other financial institution, or
to a trustee in bankruptcy, without such approval. Notice of any such assignment or
transfer shall be promptly fumished to CITY.
IX. HOLD HARMLESS
SUBRECIPIENT shall indemnify 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 attomey
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.
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X. INSURANCE
A. SUBRECIPIENT shall furnish the CITY Clerk's Office with an insurance
certificate from its workers compensation insurance carrier certifying that it carries such
insurance as established and required under California law and that the policy shall not be
canceled nor the coverage reduced except upon thirty (30) days prior notice to CITY.
B. SUBRECIPIENT 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: (1) name the City of Santa Ana, its officers, agents,
representatives, employees and volunteers as additional insureds; (2) be primary with
respect to insurance or self-insurance programs maintained by the CITY; (3) contain
standard separation of insureds provisions; and (4) give to CITY prompt and timely
notice of claim made or suit instituted arising out of SUBRECIPIENTs operations
hereunder.
SUBRECIPIENT shall: (a) prior to exercising any right under this
Agreement, furnish properly executed certificates of insurance and additional insured
endorsement to the CITY, for approval by the City's City Attorney which shall clearly
evidence all coverage 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, SUBRECIPIENT shall transfer to
CITY any EZ funds on hand at the time of the expiration of this Agreement as well as any
accounts receivable attributable to the use of EZ funds.
B. Any real property under SUB RECIPIENT's control that was acquired or
improved in whole or in part with EZ 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 under federal law 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-EZ funds for
acquisition of, or improvement to, the property. Such payment is program income to CITY.
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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:
1. 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.
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,
EZ 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 SUBRECIPIENT on behalf of
CITY, in furtherance of the activities hereunder or thereof.
SUBRECIPIENT's obligations and responsibilities set forth in this paragraph
"XI. REVERSION OF ASSETS," and in paragraphs "XII. TERMINATION" and
"III. 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.
XII. TERMINATION
A. This Agreement may be terminated on thirty (30) days' written notice by
either party. In the event of such termination, SUBRECIPIENT shall only be entitled to
reimbursement for approved expenses incurred to the effective date of termination.
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B. This Agreement may be suspended or terminated by CITY upon five (5)
days' written notice for violation by SUBRECIPIENT of the terms and conditions of the this
agreement or applicable State or Federal requirements. 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. 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 SUBRECIPIENT, 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 by City to SUBRECIPIENT pursuant to this Agreement
may be terminated for convenience upon two weeks written notice to SUBRECIPIENT.
E. In the event this Agreement is terminated as set forth in subparagraphs
XII.A. through XII.D., inclusive, SUBRECIPIENT 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 EZ 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, 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 SUBRECIPIENT'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.
Where CITY has reasonable grounds to question SUBRECIPIENT's fiscal accountability,
financial soundness, or compliance with this Agreement, CITY may suspend the operation
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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 SUBRECIPIENT 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 ccnsistent 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 EZ 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 ccnstrued in accordance with the laws of
the State of California, and all applicable federal laws and regulations.
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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.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of
the last date and year written below.
CITY OF SANTA ANA,
A municipal corporation
DATED: /? -(1)-ff
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City Manager
ATTEST:
APPROVED AS TO FORM:
-IJiv(tc~~
ity ttomey
SUBRECIPIENT:
DATED:
IO.-z.-z .,\c"
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executive [Nectar
President
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., Latino Heal~Access
Program: Empowerment Zone
Budget Period
Start Date: May 1, 1999
End Date: February 29, 2000
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REVISED
October 19, 1999
GL#
$3,849,56
$6,061.73
$7,560.00
$15,300,00
$7,920,00
$9,831.95
$6,921.60
6010 Pro ram Director
6012 Program Coordinator (ClB)
6015 Clerical Support (ACl)
6016 Communit Health Worker (TC)
6016 Community Health Worker (JB)
6020 Registered Dietician
6020 Registered Dietician 2000
6301 Tele hone
6310 Office Su plies
6320 Educational Supplies
6360 Posta e and Delive
6370 Printing & Re roductions
6701 AwarenesslTrainin Ex enses
$2,000,00
$1,000,00
$800.00
$500.00
$2,830,00
$11,185.42
$7,920.00
$830.81
$249.19
$100,000.00
6023 Bookkee er
Benefits (IV)
6221 Accounting(ADP)
TOTAL
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PROGRAM STATEMENT
1. Describe in two or three sentences the services your organization will be providing with this
allocation.
Latino Health Access will continue its current work in the zip code 9270]. expanding its work in 9270] and
initiate expansion to the rest of the Empowerment Zone. Services will include,' immunizations, chronic disease
self-management programs, nutrition and fitness education,facilitating access to medica/ treatments. H]V
prevention, childhood injury prevention, tuberculosis prevention, linkages with other existing services, and
hosting community forums.
2. Provide the addresses) of where the services will be provided. If "Empowerment Zone-wide"
or "citywide" state "Empowerment Zone-wide" or "citywide", in addition to the main office
address. /7] 7 N. Broadway, Santa Ana, CA 9270/ Empowerment Zone-wide
3. Funding is available for nonprofit corporations or organizations that can provide the
following information and documentation:
a. Nonprofit Incorporation (if applicable): Date: June ]0. ]993
State: CA
b. Federal Tax Identification Number: 33-0562943
c. Date of Internal Revenue Service designation: May 5, /999
EXHffiIT B
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Certification Regarding Lobbying
Certification for Contracts. Grants. Loans. and Coooerative A~reements
The unders igned certifies. to the best of his or her knowledge and belief,' that:,:
(1) No Federal appropriated funds have been paid or will be paid, by or on
behalf of the undersigned, to any person for influencing or attempting to
influence an officer or employee of any agency, a Member of Congress, an officer
or eml'loyee of Congress, or an eml'loye of a Member of Congress in connection with
the awarding of any Federal contract, the making of any Fede'ral grant, the making
of any Federal loan, the entering into of any cooperative agreement, and the
extension. continuation, renewa1. amendment. or modi.fication of .a:o.y Federal
contract, grant. loan, or cooperati-ve 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 influenee an officer or
employee of any agency, a Kember of Congress, an offieer or employee of Congress,
or an employee of a Kember of Congress, in eonneetion with this Federal. eontract,
grant, loan, or eooperative agreement, the undersigned shall complete and submit
Standard Form-U.L, <<Disclosure Form to Report Lob~ying,<< in accor~e nth 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
subcontracts, 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 Wich reliance was
placed wen this transaction was made or entered into. Submission of tliis
certification is a prerequisite for m~ldng or entering into this transaction.
imposed by' section 135,2, title 31, U.S. Code. Any person wo 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. '
LAT\!'lO ~ACf1i .,\-~:::,
Grantee/Contractor Organization
&n(b~f'f\~r Zo"J-E
Program 'Title
~
Name
ying Officer
~E"-\ ~q-\-0
Signature
L 0
Dc'-\- Z 2. 100'1
Date
EXHIBIT C
..
-
-
SUBRECIPIENT warrants the following:
1. SUBRECIPIENT will comply with Public Law 88-352, title VI of the Civil Rights
Act of 1964 (42 U.S.C. $2000 et seq.) and implementing regulations 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.$$276a-276a-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 all Federal statutes applicable to projects funded with
community development funds, except that (a) SUBRICIPIENT does not assume
CITY's environmental responsibilities described at 24 CFR 570.604; and (b)
SUBRICIPIENT does not assume CITY's responsibility for initiating the review
process under Executive Order 12372.
EXHIBIT D
.~p-29-99 14:53 Rob~~t A. BlakemorQ
-
1
P.03
-'
.
AVCITIlj>NAL INSURED ENDORSEMENT
Insurance Company ?1I/t.A{)rcCI'Hilf 7.ovp;mMT
lhis endQrnmetl\ modlflts svc:n In'\,l(tJ'\CI llIll Is .norded by the proviso nt of POlicy
(# PIlIt;-/IIl! ,.~~ relaIInQ to the fOllOWing:
,1. The C!ty of Santa Ana, ao ClYlO C.-ne, Plafa. Santa M.. mi. 92701:
III emc:ers, ernptoyeu. .genll and repr_.lllt1l- I0I1l Nl'Md I' et:l .. II ".ureds
("~ IMUl'edI,) 'I'IIlh tegerd to \labiI1y II'Id cletens8 o! suits ar In\,} from trl8
~rrionc ~ UNI perlo/me<l by or on beh8lt of 1he named insured.
2-
or Oil b<<1d 01 ~ t\IImeCI ~o sUCh lnIul'$l'lC8 as Is af1crded by INS
end IS nee .dc:JIIWWI to Ol' ~l1Itlbuting ,.,i\h lilY a\J'ler in.uratlee car .
btnefl 011l'le tddllIoNllMlftdA.
3. lh\t inturlln08 applieS Mparataly to each insured against
made, or suit III b!oJght ell108pt with respect to ll1e compeny's I\mlts 01
lncIIuIIon of II'lY person or ~ It enll'\SLQd '"'" l'lOlllllec:t ttly
~ or ~ WOIoIld nav. as . ~ If not to Inc.'iuded.
4. WIlt\I.~to the ~ inlureds, #lIS /naulWlOtI sIW/I
or m&le1tally r~ In cxr.nge or 1lmits IllCePt Ilbr t\lrty (30) dIyI
MIft,gNen to the CIty or __ An" ~ Civic C'Mlt.er Pta2a, $ant& Ma.,
be~
noliCe has
. nia 9270'.
(C~pw.on or lIIelOllowlng, including coUl'lterl1tllat\li'e, ~ '~ult
encldi'welMnt .n.CUVI.)
Efteollve ?A-~ ;"'1 . Ws endorsemenl for .. I plrt 01
POIlcy;I ?ilP~118'jl/'8
Iss\leclto t.A'1IA/O flGn1f IICCBs5 _ .
Nlmec IMutltd '- /' ~
Count<<slgned by ~~.
2/ZB',d
fe-3S~d
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SS333~ Hl1~~ ONll~1 <sa.tt~.t"
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09'60 ob_t/Gll&0
'Sf'P- 29-99 14: 53
Robert A. Blakemore
1
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I..~:OR[J~ ..:eE;RlT~CAjg~f':;~~J.,.~~,i1!!!!!~~:!I'~s?A MATTER
.' ON~V AND CONFERS NO ~I1lMT$ UPON THE CEII'Tt~ICATE
B1akenooce " ASSOCIates Insuranc HOUlEII, THIS CERlIFICATE 0011 NOT AMEND, EnEND OR
P,O, Box 7737 ALTER THE COYE~A(jE A~~OllDED BY THE POUCIES BELOW,
San DIego CA 92167 ,,_,~OMP!'NlE9 AFFORDINQ COVEII~QE
DAft: cIAl,CO,FYV)
09 '23 '99
Of INfORM.nON
,
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!.a~ino Health Access
1717 N, Broadway
Santa Ana, CA 92706
COP.IPANY
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TI!i3 IS I{) Crllllr' THAT THE PO~ICIES or :I\SUlol.A1\:CI II~l~D Bf\ OW HAVE BEEN ISS'JED TO THE IN3UOlU1 NAMII') At\OVI I Olt I tlt- 1-()11CY r'fRl1lD
i'"laICATW I'WIWIII ISIAN')INto A~'f REQJIREME"lT, TERM OR G(.~l'lI:ION [)l- ,'"t.y CONTriA(;l OF! OTHER DOCUMSNT Wllil RlSPtCJ 10 WI IIG! I 1111$
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j 1((1 U~lli"'''''P: A"O CONDITIONS or 5UCII POI,IC\l3 lIMlf:s SI-lOW"-l fJ....V hA\'E BEEN REDUCED BY PAID CLAIM~
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-
BUSINESS CALENDAR
RESOLUTIONS
55.A. COMPENSATION PLANS FORMANAGEMENT, PROFESSIONAL AND
ADMINISTRATIVE CLASSIFICATIONS
Motion: Adopt resolution.
RESOLUTION 1999-042 - A resolution of the City Council of the City
Council of the City of Santa Ana to amend resolutions No. 91-066 and
96-095 to amend salary provisions for certain classes of employment
designated as Unrepresented Management, Professional and
Administrative - Personnel Services
MOTION: McGuigan
SECOND: Bist
AYES:
NOES:
Bist, Christy, Lutz, McGuigan, Pulido
Franklin
NON-VOTING: Moreno
ABSENT: None
55.B.
SANTA ANA EMPOWERMENT ZONE
B.1 FUNDING
Motion: 1. Approve funding for proposed projects and service providers.
Santa Ana W/O/RlK Center
Safe Schools Program
Hands Together: A Center for Children
Traffic Signal
Delhi Park and Community Center
After School Arts
Arts in Person
Latino Health Access
$100,000.00
150,000.00
250,000.00 /f-lfn-/;r7A
90,000.00
997,500.00
60,000.00
40,000.00 '18
100,000.00 /1-19'.'/"
2. Direct the City Attorney to prepare and the City Manager to
execute all necessary documents to access HUD funding and
enter into contracts with approved service providers .
Community Development Agency. AGMT 1999-127
CITY COUNCIL MINUTES
239
JULY 19, 1999