HomeMy WebLinkAboutSANTA ANA WORK CENTER / WORKFORCE INVESTMENT BOARD 13 - 2011
ARM N•1011.041
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CER17EICA'f10N Aasisfauf Ci(y Rtlorney
I, the offmial named below, CERPIPY UNDER PBNALTP OF PERJURY (fiat I am duly
authorised to legally bind thaprospaclive ?enlYaClof to the clause(s) listed below'fhis
cerlifioanon is made cadet hhe laws of me Slateof California,
I. STATEMENT; Contractor has, unless aaempted, complied with
fhenoudiscrimination program requirements. (Gov. Carla §12990 (a•? and CCR,11'tle 2,
SecUou 6103) (Notapplica6leto public aunties.)
2, DRUG?FREE WORKPIAC&REpUIREMENTS? CoutracWr will comply wifU the ??
requinments of the D[ug•Pree WorkplaoeAG of 1990 and will provide a dmg•hee
warkplaceby?kingihefollowiugaafians:
a, Publiahastetemanfnafifyingamploy?tsp?afurdawfulmanufaetu<a,diskibuPtoo,
disperlsadon, possession arose of a congrolled substance isprohihited and specifying
aGions l4 betaken against employees foe violations,
b, Establishafhug•ErezAwuen¢ssProgramtoiuformemployeesahouk
1) the dangers of dmg abuse in the workplace;
2) the person's or orgeuisalion'a policy of maintaining a dmg•liee workplace;
3)anyauailahlecouuseling,rehabilitanonandemployeeassistanceprograms;and,
4) penalties that maybermposed upon employees for dmg abuse violanous.
a Eery employee who works ou the proposed Agreement will:
CONTRACTOR CERTIFICATION CLAUSES
1) receive a ropy ofthe company's dmg•&ee workplace policystatement; end,
2) agree to abide by the terms of the company's s(afement as a condhion of employment
on the Ap{eement.
Failure to comply with these requirements mayresull in suspension of peyrnants wrier
EheAgraementortermNationoffheAgreementorbofhendContta?ormaybeineligihle
for award of any future State agreements if the department defemrines that any of the
followiughas o?urnd, the Conuactorhas madefalse cerEificanon, orviolatedfhe
certification by failing to carry out the requirements as noted above, (Gov, Code§8360et
seq,),
3, NATIONAL LABOR RELATIONS BOARD CERTIFICATIONS Contractor certifies
that no more than one (1) final unappealable findibg of contempt of court by a Federal
cod has been issued against Contractor within the immediately preceding two-year
period because of Contractor's failure to comply with an order of a Federal court, which
orders Contractor to comply with an order of the National Labor Relations Board. (Pub,
Contract Code §10296) (Not applicable to public entities.)
4, CONTRACTS FOR LEGAL SERVICES $60 000 OR MORE PRO BONO
RE IIIREMENT;Contractorherebycertifiiesthatcontracto? contractor requirements of Section 6012 of the Business and Professions Code
2003, , eHertive January I,
,
Contractor agrees to make a good fath effort to provide amiralnumnumber of hours of
pro bono legal services during each year of the contacr equal to the lessor of 30
multiplied by the number of full time anomeys in the fun's offices in the Stare, wit the
number Of hours prorated on an actual day basis for any Contract period of less than a full
year or 10% of its contract with the State,
Failure to make a good faith effort may be cause for non renewal of a stare contract far
legal sauces, end may be taken info acoowt when deterrnining the award of future
Contracts withtheSratr Porlegal services,
6. BXPATRTATE? Cpl Condarlor hereby declares Iflet it is not an
ezpatriale corporation or subsidiary of an expatriate corpomticn within the moaning of
Public Contract Code Section 10286 and 10286. f, and is eligibleto Confracf with the
State of California,
6, SWBATFREE CODE OF CONDUCT;
a, All COntraG0r9 contracting far theprocuremenr or laandaring of apparel, garments of
corresponding accessories, or the procurement of equipmenp materials, or supplies, other
llranprocurementrelatedto apubGcworksconkacr, dcolareunderpenahyofperjmy Thar
nC apparel, garments or cortesponding accessories, equipment, materials, or supplies
furnished tothe sfatepursuanttothe contract have been laundered orproduced in whole
or in part by sweatshop labor, forced labor, convict labor, indentured labor under penal
sanction, abusiveforms of r,Mld labor or exploitation of ohildcen N sweatshop labor, or
with Gee benefit of sweatshop labor, forced labor, convict labor, indentured labor Coder
penal sanction, abusive fomss of eM(d labor or exploitation of children in sweatshop
labor. The contractorfurtherdeclareswderpenal(yofpegury?ettheyadherefothe
Sweatfine Code of Conduct as set forth on the Caifomia Depa?ent of Indushial
Relations websire located at wwww dyCa eov, and Public Contrecf Code Sion 6108
b, The contractor agrees to cooperate fully in providing reasonable arcess to be
cantmctor'srecords, doCUmenis,agents oremployees, orpremises if reasaneblyrequired
byaufhori2edoffialalsaffheconireCdngagency,(heDeparhnentoflnduaGialRCladons,
orlhel)eparlment ofJusGceto de(emtinelhe conkaotor'scompliance withlhe
requiremenlswderparagraph(a),
January 1, 2007, the contractor oedifies that contractor is in compliance with Public
7. DOMESTIC PAPWPPq%
The following laws apply In persons or entities doing business with the State of
Contract Code section 10295.3
DOING BUSINESS WITH THE STATE OF CALIFORNIA
California
I.CONFLICT?P?T Contractor needs to be aware of the following
provisions
regar(lingnunantor formersfa employees, If Contractor has any guesdonson the
status of any person rendering services or involved with the Agreement, the awarding
agency must be contacted immediately for clarificat
Currant State Employees (Pub. Contract Code §10410)
I). No officer or employee shall engage in any employment, aNivhy ar enterprisefiom
which the officer or employeereceives oompensadon or has a financial interest and
which is sponsored or funded by any state agency, uulesslhe employmenk activi(y or
enteapdse is requimd as a oon?ticn of regular sfataemploymeot,
2). No offiner or employee shall contract on his or her awn behalf as an independent
contractor with any state agency to provide goads ar services,
FonnerSateEmployees(Pub.ContractCode§T0411);
1). Forthe two-yearpericd fiom fhedate hear she le$state employment, nc formersate
officer or employee may enter into a contract in which he or she engageA in any of the
negoliaGons, hansactiens, planrting, arrangements or any pad of thedecisiommak?g
process releusnt to tVe contract while employed in any capacity by aQy state agency.
2), For the twelve•monfh period from the dale be or she I¢R sate employment, no former
slate offirzr or employeemay enter into a contrarA with any state agency if he or she was
employed by !hat stela agency inapoGGymakingpositioninihe same general subject
area astheproposedcontractwi[hin?e 12•mon[hperiodpnor(ohisorherleavingstate
service,
If Contrarxorviolates anyprovisionsofe6ovepamgraphs, such action by Contractor sha(I
render ais Agreementvoid. (Puh. Contract Code§10920)
Members of boards and commissions me a»emp[ &am [his section if they do not rerziva
paymentotherfhanpaymenlofeechmeeliug offheboard or ooounission, paymenffor
preparatory Wneendpaymenl forperdiem (Pub. Contract Code§!0430 (e))
2. LABOR CODDWORKERS' COMPENSATION: Contractor needs to be aware of the
provisions which require every employer to be insured against liability for Worker's
Compensation or to undertake stlP.lnsurancein accordance with the provisions, and
Contractor affirms to comply With such provisions before commencing the performance
of the work of this Agreement. (Labor Code Section 3100)
3. AMERICANS WITH DISABILITIES ACT Contractor assures the State that it
complies with the Americans With Disabilities Act (ADA) of 1990, which prohibits
discrimination or to basis of disability, as well as all applicable regulations and
guidelines issued pursuant to the ADA. (42U.S.C.12101 et sea )
4. CONTRACTOR NANrGE; An amendment is required to change the
Contractor's name as listed on this Agreement. Upon receipt of legal dooumenfaton of
thename change lheSmtewill process tteamendment . PaymeNofinvoirzspreseukd
with anewname cannot bepaidprior to approval of said amendment
S. CORPORATE QUALIFICATIONS TO DO BUSMESS IN CALIFORNIA ,
a. When agreements are to be performed in the stela by corporations, the contracting
agencies will be verifying Brat the contractor is currently qualified to do business in
b. "Doing business" is defined in R&TC Section 23101 as actvely engaging in any
hansaotion for the purpose of ftnanoial or pecuniary gain or profit. Although (here are
somesfatufory exceptions Io fanalion,rarely will a corporatecontractarperforming
withinthe slatenot besubjectto Ihefrenchisetax,
c. Bofhdomesfic and foreign corpamtions (fhoseincarporaled outsideef California) musC
fie N goad standing in order to be qualified fa do business in CafifomiaAgenGeswill
determine whether a corporation is in goad standing by calling Che Ofticeof the Secretary
of Stak6.RESOLUTION: A ceunty, city, distrieA or other local public body mustprovide the
SCafewithacopyoferesoluton,order,motion,orordinanceof[helocslgovemingbody
which by law has authority to enter into an agreemenh euf6ori7dng execution of the
agreement.
7. AIR OR WATER POLLUTION VIOLATION: Under Cho S(a(e laws, the Contactor
shall notbe: (1) invioladon ofany orderorresolution no! subject to reviewpromulga?d
by the State Air Resources Board or en air pollution control dishict; (2) subjeG Co cease
and desist order not subject W review issued pursuant m Section 13301 of the Wafer
Cotleforvielationofwastedischargerequirementsordischsrgeprohibitiops;or(3)
finally deterrrdned Co be in violation of provisicns of Federal law relating m air or water
pollution.
California in Order to ensure that all obligations due to fheszle are fulfilled.
g. PAYEE DATA RECORD FORM STD. 204: This farm must be compleCed by all
contractors lhaC are not another stela agency or other govemmenml entity,
p, CGp/??et
N•2011.041
9ATEOF oROroRaw Dao?atl
STANDARD AGREEMENT Z4
sTO,smlRrvoM ???6 ?p?f Dlsk esRem^?RUMRaR ftn1B21i8
Condramfur'sCopy 011 RswsTRnnoaeumsaA
1. This agreement is an read in to hetweeo the State Agencg and the Canfraatv named below.
CA Workforce Investment Board
cormwcroasrwx[
CltycfSanlaAnaWorkCenter
2, TBetermofthls
Rgreementls: Rprll1,2g11trough June30,2011,orupon floalapproval
3, The maximum amouni $5,00C.00
of lhlsagreemantls: Five ThcusandDollars and No Cents
4, The padles agree to wmply with the terms and rondltlons of the following eshlhlls which are by th(s reference made a
pad of the AgreemenE
VAIDOEV SHAW
1 Page
BAhibIIA Scope ofWerk 1 page
Eahlglf6 Budgel0efailand PaymentPmvlsioos GTC610
EahlhitC' General Terms and Condldons 9 page
Exhlbltp SpecialTerms End 0ondltlons
Eah1611B SupplemeotelTermsendCandifeosForConfracls0singARRRWAtls 2 Pages
ptPSST;
APPAOVAD AS TO FOAM MARIRD HUIlRR?
CLERK Of THE COUNCIL
LISR E. SiOECN
Items shown y???yf?? ????re6y incoMoratatl 6ytelarooce antlmadepedof fhisAgreameof as If afleoh¢tl he21o.
ihes¢ tlacumaolsoen 6s vlawede(rwru+.olsdga,aagou/Standard%20langoag¢IdeNaldhlm
IN WITNESS WHEREOF, Ihls Agreement hee 6eeo eaecufed 6y the patlies hereto.
CONTRACTOR Calllomle Oepatlmeotol0eeerel
Services Use Ooly
CltyofSatRna rkCenter
av raaA?a ?? ei ? oRTSaiaRao i?
David N, Ream, Clty Manager
pooasss
2D Cluic Center Plaza, Saofs Ana, CA 92702
STATE OF CALIFORNIA
AGENGf NAME
s CR Workforce Inuesfinent Board
eY @?m"? OPIE SIGNED I?r??Yw)
S' Ib' I Q Fxemp(perl
asinT o oTSaasoRSmRiRS DGSESempfiooLetterNo,S43
Daniel Patterson, Staff Services Manager ll
AooRESs
77712thSVeel,Suife200,Sacremeofo,CASSBt4
CWIBConVaolNoMi62113
CVVIBISanfaRnaWorklorce Investment Board
Page 1 of 1
EXHIBITA
(Standard {?greemenf?
SCOPE OF WORK
t. This Agreement entered into byandbatweenthe California WookfomeInvestment Board,
hereinafter referred to as Contractor, for the purpose of reimhunsing contractor staff time.
Contractor staff are to work with California State University Nodhritlge (CSUN) Dr. Richard
impart of'mtegrated services teaming lab innovation through a "matched pairs design°
which compares the experience of One Stops using the ISD model with similar One.Slops
not using the ISD model
The CSUN foam will choose a singleOna Stopfo? study and staff will need to assist in
gathering data on the following dimensions of p?agmm Impact to be measured in the
evaluation:
hereinafter referred 10 as CWIB,and the Santa An@ Workloice Invesirrani Boa[d,
Moore and his research team to gather information forfhesecond, summatlve phase of
he Integrated Services Delivery (ISD(Eualuai'mn This evaluation phase will measure fhe
llvered
CustomerSatlsfadionwithseruicesdellvered
Cost ofSen4cesdellveredusinglheRcffuityBasedCoslAmountingmethodology
Pedormanceasmeasuretlbyfaderalpedormancemeasures
Yourparfloipationcnd any Irlformetlon will ba treaietl as conidenflalOnlylhe CSUN
research team will be able to connect your dale with yoursite. The sfudywill not Identify
your local area, your One?Sfop or any Individual'many report or presentation.
The Coolmclarmay Invoice forfhe full amount of the canlmcf attar It has provided
necessary da(aloihe CSUN (cam ThaContractor must Invoice and fhefull amount mus!
be aapended by June 30, 2011 The CWIB contract atlminisfratarwill workcloselywith
fhe CSUN researchteam to ensure data have been provided
2, Theprojerhrep?esentativesiorthefermofihlsRgreemenfshallbe,
CWIB Contract Administrator,
Beverly Odom, Staff Services Managed
CAWofMome Investment Board
777 -12e Sfreef,#200
Sacramento, CA 95628
Email: Bevarly Odo??o mvih nagoy
Phone: (916) 3243043 '
CSUN Point of Contact:
Dr. Richard Mcore, PhD, Professor
Callfomia State UrlNersity Nodhridge
18111 No?dho(f Sl
Nahhtltlge, CR 913308232
Email' Richard Mocre(Ncsuo.etlu
Phone: (818) 611-2416
Volume and fypeof services de
Contractor Point of Contact.
Mr, David N. Ream, City Manager
City of SaotaAna
20 Civic Center Plaza (M?31(
Santa Ana, CA 92101
Phone: (114(6475200
CWIB Contract No, M152113
CWIBISaota AnaWoNforce Investment Boertl
Pagel of T
EXHIBIT B
(Standard Agraemenf?
BUDGET DETAIL AND PAYMENT PROVISIONS
lovoicin
rovatoianlnvcice,the
A. Forsemisassatlsfastorifyrentleredand upon receiplandsop
CWIB agrees to compensate the Sanha Are Workforc? Investment Board a (oral sum nol
accordancewiih EahlbhA, Speclf'matloos and the chatl below
B. The lnvolce must reierenoe the CWiB Contrast Number M182113 and shall be submiiletl
upon satisfactory complatlon In iripllcaie In arrears to:
CatifomiaWorkforce tnuesimentBoard
Aitn', Beverly0dom
177121h Street, Buife2g0
Saoramenio, Cq 96814
to eaoeetl flue Thousand Dollars and No Cents l$6,00gg, for actual eapanditures'm
2. BudgetOonfmgenoyClause
It Is mutually understood between the paellas that fhls Rgreement may have been written
before asceelaining iha availabTify of oongressional andlegislaflua appropriation oifunds,
forthe mutual beneflf of both paellas, In ordario avoid program and (Iscal delayswhlch
would occur If ihaggreament were a»aeutedaBerfhat daterminat'mn was made.
This Rgreemenf Is valid and enforceable only d(1? suffmienifuntls are made available by
the Sfafe BudgefAci oifhe appropriate Siaie Flsoal Yeer?s) savored byfhls Agrsemenlfor
the purposes oifhis program; and (2) suffldenf funds are made available to the State by the
United Slates Government or by the State of Cal?orniaforfh,e Flsoal Year(s) covered by this
Agreement forthe purposes of this program. In addition, this Agreementis subjactfe any
addlGonal resiridloos, limitations orocntlldons esiabllshed by the United States Oovemmeof
andlorihe Bate of CalHomia, orany statute enacted by the Congress and Legislature,
which may affaoilhe provisions, terms orfundNg of the RgreemeM In coy manner.
CWIB hasthe aptloMo terminaleihe agreement underihe 3Pday{erminatlon clauseerlo
amend the Rgreement to retied any reduction of funds,
CWIB Cant?eot No. M1B2413
CWIBISaota Rea Wo?fomelovestmeoY Board
Page 1 of 1
EXHIBIT D
(Standard Agreement)
SPECIAL TERMS AND CONDITIONS
1. Seltlemenf of Dlsnuies
In ?ha event of a dispute between CWIB and the Coolractorover anv pan of this
RgreemenC, the dispute may be submitted to nonbind'mg arb'dration uponthe consent
of both CWIB and the Contractor An aledion for a?blfration pursuant to this provision
shall not precludeeither pally from pursuing any remedy far relief oihenviseavailable.
2. WorkforcelnuestmentAd
A. Canfracloragreesfoconformtooond'scriminaf'mnprouisionsoPlheWorkfome
Inves(ment Act VIA) and otharietlaral nontllscriminatlon requirement as
referenced in 29 CFR, Pad31
B, Confrea}oragreestoconformfothaprovisionsoftheWorkfomelnvesimentRcf
(WIA) and?he noniract requirements as referenced in29 CFR Pad 96, AppeodlaA
and 29 CFR, Pad 91,36(1)(1.13).
3 Te?minafioo
This Agreement may be terminated by CWIB by giving writlen notice to the Contractor
39tlayspdortoihee(fec1lvedatecfsuchiermination.
CWIR Contract N0. M1S2173
CWIBISaole Ana WorMome Investment Board
Exhibit E
Page 1 o12
SUPPLEMENTAL TERMS AND CONDITIONS FOR
CONTRACTS USING ARRA FUNDS
I. ARRAFUNDED 'PROJECT.Fundingfor iiconteclhasbeer Provided throughlheAm ¢riranRecov¢NandReloveslmeolAct
(ARM) of 2008, Pub L. III 6. RII coatraotors, including both prime and subcontractors, are subject to audit by approphsle
federal w Smoot California (State) entities, The Slate has the fight to cancel, larminale, or suspend the 0ooliact Many
cknacoiof sumantectm falls to comply wilh fire aporimg and operagonal moubstrents contaloed hemin
2. ENFORCEABILITY: COataNOTagmesthat If Contractct01one Of its subcoflu cfomfallstocomplywiiallappllcablefederal
and state requirements goveming the use of ARAfunds, Hire Slate may withhold or suspend, IPW oleofin part, funds
awarded usderthe program, or [scows[ misspent funds following an audit This provlslon is in addglon to all other remedies
available to the State under all app icade Slate and federal laws.
3, PROHIBITION ON USE OF ARRAFUNDS: CoRmcloragrees in accordance with RRRA,Sedion1D04,ihatnone of the funds
made available under this contract may be used for any casino or other gambling establuhmeot, aquarium, zoo, g01f course, or
swimming pools,
4. REQUIRED USE OF AMERICAN IRON ,STEEL AND OTHER MANUFACTURED GOODS: Coslreclo[agrees that is
acoordancewCm RRRR, 6¢ctlco 1W6, neiNe[ Contactor for has subcontractors will use ARRA funds for a proj¢ctlor the
coosl[uctioo, allaraboo, maNt¢oaoce, o[ repel[ of a public building or public work unless all of lhelron, steal and manufactured
gaols used in the project are produced in the United Stales or to s meoneroonalst¢otwllh United Steles ohlfgallosa under
lol¢roati0oal agreements, as futlhe[ degnad to Coda of Federal Regulations ?CFR)TVI¢ II, Patl 178, The Cootaclar unde[slands
WAOERRTEREQUIREMENTS:InacmrdaoaawllhARRR,6acllon1808,theCooVaclo[assuresthattandllssu6r¢clpi¢ots
shall fully camplywllh saidSeotlon and oclwllhsNOdlog any nine[ pmvl¢lonof lewaod la a manner cooslsteot ?Ih nine[
provl¢IaosoIARRR, all labare[a asd mi employed by0onta0la[s and subaontractors on protects funded directly by of
easlsted to whole or to pad by and throughNa federal govaroment pwsuant IaARRA shall b¢ paid wages at rates 141 ess than
Ihoaa p[evaillog on prof ¢cta ols oharecte[slmller to the localby as dale[mined by thsUoltad Stales Secretary of tabu[ to
ecwtoao?wiN Subchapter IV of Chapter 31 of TIVa 40, Uolled Stales Cod¢ (Davie-Bacon Act). It h uoderslood that lh9
Semateryof labor has the auNd?y and (uodloos set Ictlb In R¢o[gaolaa0on Plao Numbered 14 or19E0 (84 SI¢I.128T, 6
U.S.C. Rpp.) end Section 5145 of ilfle40, UNled Stales Code,
S INSPECTION DF RECOROSas exo[dance wlN RRRA Sections 002, 1614 aod1E16, Coohaol0[sp[e¢a that ltahall pertnltlh¢
Stale of Callfomla, the UoRed Steles Complmlle[ General orhls rep[esanfaflve o[Ihe appmpdate inspector G¢n¢ral appointed
under S¢ctlco 3 or BG o(Ih¢ Unl@d Stales lospeotor G¢oarel Rol of 1g70 0[ his rep[esaotadbe to, ?1) ¢aamine any records that
dlracgy p¢helo lo, and Inuoly¢ t[aosactloos[¢lal'mg lo, Ihlsroofact', and (2? lolemlew any oMceror employee of Contactor or
soy of Its suboooVedors regaNlrOlhe actlutl¢a Nodedwllh funds appmpriafed or olh¢rwis¢ made avallabla 6ylha ARRA,
Contrecto[ shall Include Ihis pronsico mall of the cootacto['s agreements with Its suhocsl[actam from whom the r?otractor
a?uires goods 0[semloas N Its ax¢bNlon of lira ARRRNndadwart7. WNISTLEBLOWERPROTECTION: '
[hat Ihis [equlramect may only be waived fly Om appl'mahle federal agency to limited situations as zeroth N ARRA, Seolloo 1806
old applicable federal regulations
Coot[actor agrees that both It sod Its su6cootractors shall complywtlh Sactfon 1653 of NaARRA,whloh pmhlbNs all non4ede[al
Ccotrecfors, locludlog the Stale, sod all mstrectorsof tfie Stela, from dlachargNg, dam011og orothernlse dlsodmioalhg against
an employee fordisol0sures 6ytha empNyeethat the employee reesaoehly believes a[¢ etdeoca oC (1J gross mismaoagemeof
of a contact reNVog fa ARRA(uods, ?l a gresawasta oIRRRR luods, j3) a substaotal aadsp¢cltc daoge[M public healfh or
safely ral¢led lotha Implemeotatlon or use of RRRAtund$(4) en abuse of eulhoNy related to implemeotaton or use oIARRA
foods; or (fi) a ulolellon of law, rule, ar regul¢Iloo related to an agency 0cotect (iooludiog thecompafitlon for or oegotlatloo of a
caotracl) awetoed 0[Isauad [staring toARRA Nods. Coolredo[ agrees that It sod Its subcootrectom shall pest online of the
[Ightsaodremadiasavallabletoemploy¢¢suederSectl0n1,?3ofmlaAVofOlviaiooAoflheRRRA
S. FALSECLRIMSACT:Conlrsaferag[aesNetbshellpromptlyootlfylheStafeeodshellrefarloeoapproptlalefaderellnspeclor
general any medlble evibeoce Net a prindpal, employee, eA¢st, subconfrectoror other pamon has r?mmltlad a false claim
wderth¢ false Clalme Rol or has rnmmtl¢d a orlmloal orONil violetloo of laws pertaining to fraud, noflldollolwesl, bribery,
greluty, or slmllsrmismoducl InvolvirORRRA4unds.
9. REPORTINGREOUIREMENTS:PursuaotlaSectioo1E12oftheARPR,loo[derforslateagenci¢srec¢ivlogARRRfuodslo
prepare Ih¢ [aquted reports, Contractor agrees to p[ovidelhe awarct'og sYete ag¢oeywllh the folloNog loformallon on a monthly
)gaad¢ry)bBato;
a, Tha total amount of ARRAfusds [ecslu¢d by Contractor during the Repodlog Petlod,
b, the amount ofARRA funds that we[¢ expended or ablfgatad during Iha Reporting Pedal,
ARRATamts and Conditions
g7ming
UWIBISapfe Ana Wohdorce lnvesfri Board
FahUll E
SUPPLEMENTAL TERMS AND CONDITIONS FOR Page 2of2
CONTRACTS USING ARRA FUNS
c. A delalleck of all protects or acllvkles rc*d'ARRA We were evendirg or ob[gated, including:
(ii.?AdasulpVanof lhepmJeolor aBrvily;
(illJAn evaluadooOf me complellopstatus of the pmJeelaraollvlly;eod
Qu,?Ae estlmale of lheoum6er of jobs created end for retained by the project or eoWlty',
d, For any oonifads equal to orgreater than $26,088;
(I) the name of bra antlly receivingNe moVaui',
M The name of the pmjecloradMlp, yf'd/
(li.)1he amount of the ooplreB;
MJ The NotlhAmedcaD Intlusiry ClassNrmllpn Syalem iNFICS) aotleor Celalag of FedBrat 8amaslioAssistance
(CFBA) Dumber,
(vlf? the looadon of the entity rer?ivlpg the an(raB;
(vIVJ The pdmeryloratloD of the opnGad, Ipdud'mg the oily, stale, congressional disldaf and DauDtr)r
IN.I the DUNS numher, or name end alp codefo[Ihe eotlry M1aatlquadera',
lad A unique Idenllper of the eotlty re?IvlDg the rootrect end iha pareniwttlry olCophaclor, should the enlRy he
owned 6y aoofheq and
(dJ the Demaa aodfolal opmpepeatlon of Ihepua moat hlgNy aompenasled oBioers of Na company dh reaeivad', 1)
B8%ormora pf l!s annual groasrevanuea ID fatla? awards', 41 $YSM or more ID aowel gross reveoae imm federal
awards eod,3) I(Ihe pu6ga doss pal haua access to IntormetloD ahoutiha oompeosaVoD olseoior ezaoulivesihrovgh
patlodlerepods pfatl upder seplUp 13?aJ or IS(d) of the SawriOes FxohangeAeiaf 1841 o[s?lan 8184 oflDlerpal
RwepuaCodao11B86,
RUhelrepsaotloptype?
e, For spy aonlraals of lase Ihao $26,888 ar to lpolulduais, Ihs ipfo(matloo required above may6a repotlad in Iha aggregala end
requires the oetlNpllop oleo authorised oNmr of Copiraolarihet the IDfotmetloD oopteloed Ip the repotl fs axprale,
Any olM1erinformadon reasoneplyrapuaafed byPoe 513te olCalifornia.orraqulred6ys(afe ortetlerallaw orregule6'op,
Slepdard dohs elements and federal iosWdlansYprusa ID aomplylDg with repatllDg requiramanis under Sedlop 16t2 of the
ARRA, are pentllnp rwiew by the federal govemmenf, and were pu611shad ID the federal Reglatar on Aprii 1, 2888 p4 FR
140g4f,and are to ha provided oDIIDe at wurvFederelReootllng ppv.The eddtllopal requlremenfs will ha added to mla
mDhad(s),
Notes',
(v) The Program sovoel
NO An awardNla tleaorlpfive of Ifia purpose of each fundlpg acllon',
t. BApBhmenfa shell Work Wlth iher federal fYnding pelbera, A6 Wall ea Neh legal COapae, a ¢n9ara that eflyaddVOne
faderel ragalremanls assoBefed whh ARRA fundlDg are appmprleteN IDduded ID sallollallop and ocp(reottlooumaols,
2. Foraddltlooel refereaoa daperMents can revlawNe Elaplmnlo Cpde of federal Ragulallops, Tlde 2, 5ectlop 178,
IhlloIleohcopareessaouloofdNearhad'dn ech&tol W2Flpdealol)AwredTennslorpssls(anoeggresmenlsfha(
II1COde FOlldS UDdef fYlBAAiBIICaO RBGOVBry end RBIAVBaImBflfAGk O(1CRB?POGIIOLBW I'It?$, '
ARRA Tetms apd Condiflons
olm?no
Ca/ifornia Labor and Workforce Deve/opmentAgency
E? Employment ???•?? ???
Devpelopment ?"??
_ De artmen[ ? o.?
State o f Cal i f o r n i s
Edmund G Brown Jr.
Governor
April 7, 2011
Santa Ana Workforce Investment Board
P.O. Box 1988, M73
Santa Ana, CA 92702-1988
Attn: David N. Ream
SUBJECT: EDD AGREEMENT NUMBER M182173
In an effort to streamline the way the State of California conducts business, we have
standardized our contracting procedures and formats. You will note that in the format of the
Standard Agreement (STD 21 3), a copy of the General Terms and Conditions (GTC) is not
provided. The GTC are available on the Internet at vvww.dgs.ca.gov/contracts and may be
downloaded and printed for your files.
This Agreement cannot be considered binding on either party until approved by appropriate
authorized state agencies. No services should be provided prior to approval, as the State is not
obligated to make any payments on any agreement prior to final approval. For inquires
regarding this Agreement, please call Kathv Green at (916) 654-7239.
Complete the following items and return to the address below:
RETURN TO: Employment Development Department
Contract Services Group, MIC 62-C
800 Capitol Mall
Sacramento, CA 95814
Attn: Kathy Green
[? Standard Agreement (STD) 213. Enclosed are two (2) copies of the subject
Agreement (STD 213) with attached exhibits. Please have all copies signed by an
authorized officer of your Department and return the copies to this office for final
processing. You will be sent a fully executed copy upon final processing.
O Contractor Certification Clauses (CCC). Please read and sign attached CCC 307
Should you anticipate any problems submitting the above documents or have any other questions,
please contact me at (916) 654-7239.
Kathleen Green
Associate Contract Analyst
Enclosures
P.O. Box 826880 - Sacramento CA 94280-0001 www.edd.ca.gov