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ORANGE COUNTY YOUTH COMMISSION (4) - 2011
City of Santa Ana T e Clerk of the Council AGREEMENT TERMINATION FORM i COTC Office Use Only Please complete this form when the attached agreement and all amendments (if any) are no longer in effect. Return form to the Clerk of the Council Office (M-30). The agreement with 0 4 WM/1 COfl 'V1 l.J 1� No. ' -- - - ed on qi [" /( ` and final payment has been made. (List all amendments. Use space bkc0mp1et low if needed.) Department: 0V Phone/Ext.: X vI Signature: qS\ Date: t� ` b Revised 04-12-10 ON HLE R 14E. 'RC CEEB A-2010-120-01 UNCIL T F AMENDMENT TO AGREEMENT UNDER '`1 ^ THE WORKFORCE INVESTMENT ACT THIS AMENDMENT, made and entered into this I' day of February, 2011, by and between the Orange County Youth Commission ("Contractor") and the City of Santa Ana, a charter city and municipal corporation duly organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The City and Contractor entered into that certain Agreement Under the Workforce Investment Act effective July 1, 2010 (Agreement #A-2010-120), hereinafter referred to as "said Agreement". B. The parties hereto now desire to revised the Budget attached to said Agreement. Relevant exhibits affected by these changes will also be amended. WHEREFORE, in consideration of the mutual and respective covenants and promises hereinafter contained and made, and subject to all of the terms and conditions of said Agreement as hereby amended, the parties hereto do hereby agree as follows: 1. Exhibit F to said Agreement is hereby replaced with the amended Exhibit F, attached hereto and incorporated herein by reference. The amount of City's Obligation remains as stated in said Agreement. 2. Except as hereinabove modified, the terms and conditions of said Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment to said Agreement the date and year first above written. ATTEST: Maria D. Huizar Clerk of the Council APPROVED AS TO FORM: Joseph Strake Interim City Attorney r BY: (M f ?- Lisa E. Storck Assistant City Attorney CITY OF SANTA ANA, a municipal corporation of the State of California "CITY" By: David N. Ream City Manager "CONTRACTOR" Orange County Youth Commission BY: ..Q ° l /i Name: K to Gunn diva Title: Executive Director Orange County Youth Commission Santa Ana Boxing Club P. 0. Box 1756 IJ ?I MAR 291011 D February 1, 2011 Julie Castro-Cardenas Workforce Specialist III Santa Ana Youth Council Workforce Investment Board 1000 E. Santa Ana Blvd., Suite 200 Santa Ana, CA 92701 Dear Julie, Santa Ana, CA.92702 Phone: (714) 542-7610 Fax: (714) 542-7610 I am requesting that we be able to revise our Budget for 2010-11. We have a lot of left over funds due to not being able to rent the bar next door to the Boxing Club. We need to increase the Workman's Comp Insurance by $2,377.00 because the costs were much higher than we predicted. The WIA employees are the only ones currently being covered by Workman's Comp. I have opted out of Workman's Comp which Lydia said is acceptable. We would like to increase the Office Expenses by $300 and the Staff Travel and Mileage by $400. And Anthony's Health Insurance is increasing in April by an extra $104 ($26 per month). Enclosed is a copy of the revised budget and the changed narrative. If this is acceptable to you then would you please let Lydia know about it so she can go forward in processing our February invoice? Thank You for your help. The Very Best to You, Ka Gunn edina L Executive Director "Making A Difference" by linking caring mentors with inner city youth through after school activities BUDGET FORM 2010-2011 Administrative Program Total WIA Match/In Kind OC Youth Commission No more than 10% allowed. Personnel Salaries* 1.Project Manager (.25 FTE) 10,400 41,600 10,400 31,200. 10 hours per week 2.Sports Club Director/ Case 41,600 41,600 Manager (1.0 FTE) 3. Case Manager's Assistant 11,700 11,700 (.63 FTE) 25 hours a week 4. Tutor (.63 FTE) 25 hr. a wk. 19,500 19,500 5. Trainer (.38 FTE) 15 hr a wk 7,800 7,800 6. Gym Manager (.5 FTE) 6,000 6,000 7. Mentoring Director (.5 FTE) 15,600 15,600 20 hours a week Benefits* 1.Medical and Vision ($303 3,740 3,740 per month) 2. Workman's Comp and 6,557 5,849. 708 Liability Insurance Use separate sheet if necessary. Total Personnel 10,400 152,993 122,189 33,285. Operating Expenses Rent or user fee* 18,000 In Kind rent 14,400. 9,119. 18,000 for Boxing Club Utilities 1,400 700 700 Phones Internet fees 750 750 Parking fees Security Maintenance Insurance Equipment rental fees* copier 1,380 1380 Vehicle lease* Office expenses 700 700 (consumables) Accounting Services Legal services Auditing services Indirect costs* Staff training 1,200 1,200 Staff travel/mileage 2,460 1230. 1230. Participant Wages* Youth Representative 300 300 Support services* 4,000 3,000 1,000 Participant Incentives* 2,000 2,000 1,000 Other (list)* Total Operating Expenses 31,260 19,639. 22,450 GRAND TOTAL 184,253 141,828 55,735. (Total Personnel + Total Operating Expenses) OCYC Santa Ana Boxing Club 2010-2011 Budget Narrative SALARIES: PROJECT MANAGER: Kate Gunn Medina As Project Director Kate Gunn Medina will spend 10 hours, in a regular 40-hour week, managing all aspects of the grant contract including recruitment, assessments, budget, policy guidelines. Project Manager is responsible for approving expenditures of WIA funds. 12 months of effort: $20.00 per hour x 10 hours x 52 weeks =$10,400. ($41,600 for a 40 hour work week) @ .25 FTE x $41,600= $10,400. SPORTS CLUB DIRECTOR/ CASE MANAGER Anthony Serrano Anthony, as Mentor/Coach will spend about 40 hours a week working with WIA youth. As mentor, Anthony, will assist the youth to acquire necessary character traits that will help them excel in school by using the sport of boxing. He will counsel and direct youth to make and achieve short and long term academic and job/career goals. As coach, Anthony will provide youth with boxing skills to cause them to know the experience of winning a losing graciously, taking advantage of opportunities, avoiding negatives and keeping fit. Anthony will also act as Case Manager managing case files and reports. Case Manager will motivate and coordinate services and information to prepare participants for post secondary educational opportunities, provide linkages between academic and occupational learning, and/or preparation for unsubsidized employment/training opportunities, as appropriate through an academic tutoring and employment mentoring program. 12 months of effort: $20.00 per hour X 40 hrs x 52 weeks =$41,600. ($41,600.00 annual salary) @ 1.00 FTE x $41,600 = $41,600.00 CASE MANAGER ASSISTANT : Tony Ortiz The Case Manager Assistant will aid the Case Manager in collecting paperwork from Tutors and Mentors that need to be in clients files. He will be responsible for doing fact finding and information gathering for job recruitment and school placement and in assisting the Case Manager. 12 month of effort: $9.00 x 25 hrs x 52 wks=$11,700.00 .63 FTE TUTOR: To be Named Tutor will spend 25 hours a week preparing curriculum, managing the volunteer tutors and teaching/tutoring youth to enable them to increase TABE scores and maintain or raise GPA to 3.0. As needed we will find assistant tutors for special academic needs. 12 months of effort $15.00 hr. x 25hrs.x 52 week= $19,500 .63 FTE Exhibit F TRAINER: Gaulua Taleni (Lou) Lou will be responsible to get the youth ready to go into the ring. Helping them learn the art of boxing and helping them to understand the importance of discipline. He will report to Anthony Serrano his progress with the clients training. 12 months of effort @ $10.00 hr. x 15 hrs x 52 weeks = $7,800 .38 FTE GYM MANAGER: John Ramirez John is responsible for checking the clients into the gym, making sure they have all their equipment for boxing and tutoring. He will also be assisting Tony in making phone calls to clients and following up. 12 months of effort @ $500 per month = $6,000 .5 FTE MENTORING DIRECTOR: To be Named This person will be responsible for meeting with Anthony Serrano once a week to match up clients with business mentors to help the clients in their career choices. This person will arrange for guest speakers to come into the Boxing Club and inspire the youth to stay in school and to reach for their goals. 12 months of effort @ $15.00 hr x 20 hrs x 52 weeks = $15,600. BENEFITS: MEDICAL This includes health insurance benefits for Anthony Serrano. The insurance cost differs among employees dependent on age of employee. This is broken down according to percent of time each person is giving to the WIA project Anthony Serrano: $303.00 per month x 8 = $ 2,424 and $329 per month for 4 Months= $1316.00. Totaling $3,740.00 WORKMAN'S COMPENSATION INSURANCE Our Workman's Comp Insurance has gone lower because we have fewer people working for the OCYC. If this budget is approved and we need to hire more people it will be higher. We are asking for $5,849 of the current bill of $6,557.00. As of Nov. 2010 the only people that are on the Workman's Comp Insurance are the people working for WIA. The Executive Director has opted out of Workman's Comp. RENT: Boxing Club Facility is donated as an in-kind contribution $1,200 a month ($14,400 a year). The adjacent business has become available for us to rent from the owner of the Boxing Club building. He is asking for $1,200 rent per month and we are asking WIA for $760.75 per month, which is 63%. For the first year of our lease we would leave the adjacent wall up and use this facility exclusively as a tutoring facility for WIA clients. The youth often will spend hours at the Exhibit F Boxing Club and this would be a good opportunity for them to spend more time studying in a quiet environment. Feeding them some food before they leave for home will give them the incentive to spend time getting the tutoring that they need. UTILITIES: The electricity bill runs about $120 per month. We are requesting $59 per month to pay for utilities. EQUIPMENT RENTAL: Copier Machine rental The copier has been moved into the Boxing Club and will be used by clients for projects and homework. The ink and toner will be paid for by OCYC. The rental is $115 per month X 12 months - $1,380.00 per year. OFFICE EXPENSES: WIA Clients need to make presentations and to do homework they need copy paper, folders, pens, pencils and other consumables. We are requesting $700 this year toward office supplies. STAFF TRAINING: We are requesting funds for two employees to attend the California Workforce Association Conference and two of our Clients to be able to attend. Cost for two staff members is $800 and cost for youth is $400, totaling $1,200. STAFF TRAVEL AND MILEAGE This mileage is used to pick up and take Young Adults to job interviews and classes for WIA requirements. Often the Young Adults do not have cars and the bus does not go everywhere they need to go. Total cost to OCYC : $2,460.00 We are requesting $1,230., which is 50% of the total gas that we consumed in 2009. PARTICIPANT WAGES:. Youth Council Stipend of $50 per meeting for a Client in the WIA Program. Totaling $300 per year. SUPPORT SERVICES: Supportive services will be provided. Clothes for job interviews and work, books, haircuts, school materials and bus passes for 20 Young Adults = $150 per client. We are requesting $3,000 for Support Services. PARTICIPANT INCENTIVES: Field trips, Sweat-shirts, pizza parties and gift cards to Target, Sears or Wal-Mart: rewards will be given to deserving clients who meet specified attendance, academic or employment goals. We are requesting $2,000 toward participant incentives. Exhibit F Old Workman's Comp. WORKMAN'S COMPENSATION INSURANCE Our Workman's Comp Insurance has gone lower because we have fewer people working for the OCYC. If this budget is approved and we need to hire more people it will be higher. We are asking for $2,778. of the current bill of $5,557.00 New request for Workman's Comp WORKMAN'S COMPENSATION INSURANCE Our Workman's Comp Insurance has gone lower because we have fewer people working for the OCYC. If this budget is approved and we need to hire more people it will be higher. We are asking for $5,849 of the current bill of $6,557.00. As of Nov. 2010 the only people that are on the Workman's Comp Insurance are the people working for WIA. The Executive Director has opted out of Workman's Comp. Old Office Expenses OFFICE EXPENSES: WIA Clients need to make presentations and to do homework they need copy paper, folders, pens, pencils and other consumables. We are requesting $400 this year toward office supplies. New Offices Expenses OFFICE EXPENSES: WIA Clients need to make presentations and to do homework they need copy paper, folders, pens, pencils and other consumables. We are requesting $700 this year toward office supplies. Old Staff Travel STAFF TRAVEL AND MILEAGE This mileage is used to pick up and take Young Adults to job interviews and classes for WIA requirements. Often the Young Adults do not have cars and the bus does not go everywhere they need to go. Total cost to OCYC : $1830.00 We are requesting $830 which is 45% of the total gas that we consumed in 2009. New Staff Travel STAFF TRAVEL AND MILEAGE This mileage is used to pick up and take Young Adults to job interviews and classes for WIA requirements. Often the Young Adults do not have cars and the bus does not go everywhere they need to go. Total cost to OCYC : $2,460.00 We are requesting $1,230., which is 50% of the total gas that we consumed in 2009. Exhibit F Medical Old Medical MEDICAL This includes health insurance benefits for Anthony Serrano. The insurance cost differs among employees dependent on age of employee. This is broken down according to percent of time each person is giving to the WIA project Anthony Serrano: $303.00 per month x 12 = $ 3,636.00 New Medical MEDICAL This includes health insurance benefits for Anthony Serrano. The insurance cost differs among employees dependent on age of employee. This is broken down according to percent of time each person is giving to the WIA project Anthony Serrano: $303.00 per month x 8 = $ 2,424 and $329 per month for 4 Months= $1316.00. Totaling $3,740.00 Exhibit F A /4y-i, C. ( AI -)?) AcoRO,. CERTIFICATE OF LIABILITY INSURA CE /Y DATE05/112/22/2011 11 PRODUCER (949) 218-0840 Global Program Managers & Ins, Srvos. , Inc. Post Office Box 7119 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIkS BELOW. Capistrano Beach CA 92624-7119 INSURERS AFFORDING COVERAGE NAIC INSURED INSURERk PHILADELPHIA INDEMNITY 18058 Orange County Youth Commission INSURER B: HARTFORD FIRE 19682 Post Office Box 1593 INSURER C: INSURER 0: ,Newport Beach CA 92659" INSURER E: 1:11VFWA94Fri THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD'L INSRE TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTIVE GA1EtMMMDNY) POLIO EXPIRATION DATEIMMIDDIYY) LIMITS A GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAIE T RENTED PREMIfFa aurr 1 100,000 CLAIMS MADE QOCCUR PBPK 625 235 10/20/2010 10/20/2011 MEOEXP one 1 5,000 PERSONAL 6 ADV INJURY 1 1,000,000 GENERAL AGGREGATE 1 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG / 2,000,000 }( POLICY JECT LOC A AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea aocideM) 1 1,000,000 X ALLOWNEDAUTOS SCHEWLEDAUTOS PBPK 625 235 10/20/2010 10/20/2011 BODILY INJURY (per person) X HIREDAUTOS BODILY INJURY X NON-UATJEDAUTOS (Per acddwa) PROPERTY DAMAGE (Per aodderA) GARAGE LIABILITY L APPROVED AS TO RM AUTO ONLY - EA ACCIDENT 4 ANY AUTO OTHERTHAN A AUTO ONLY: AGO EXCESS(UMBRELLALIABILITY 1 SA E STORCK 7 7 C E EACH 1 OCCUR ? CLAIMSMADE _ . As$lstant City Attor ey AGGREGATE 1 DEDUCTIBLE RETENTION $ 1 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 72 WNC L88953 10/20/2010 10/20/2011 X T YLI I ER ANY PROPRIETOR/PARTNERIEX£CUTIVE E.L. EACH ACCIDENT S 1,000,000 OFFICERIMEMBER EXCLUDED? Ir ea descabe u d E.L. DISEASE - EA EMPLOYE 1 1,000,000 q , n er SPECIAL PROVISIONS aolm NT DISEASE . POLICY LIMIT 1 1 , 000 , 0 00 OTHER DESCRIPTION OF OPERATIONSAOCATIONSNEHICLESIEXCLUSIONSADDEO BY ENDORSEMENTISPECULL PROVISIONS RE: ANNUAL FUNDING - SANTA ANA YOUTH COUNCIL - WORKFORCE INVESTMENT ACT CITY OF SANTA ANA AS ADDITIONAL INSURED PER ATTACHED ENDORSEMENT IN THE EVENT OS NON-PAYMENT OF PREMIUM, TEN (10) DAYS WRITTEN NOTICE WILL BE GIVEN PRIOR TO CANCELLATION. CITY OF SANTA ANA Santa! Ana Youth Council 1000 E. SANTA ANA BLVD., #200 SANTA ANA CA 92701- ACORD 25 (2001188) INS028(Dtoe).DI 6V,r0*ACORD CORPORATION 1888 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 70 THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Yeye 1 m IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing Insurer(s), authorized representative or producer, and the certificate holder, nor does It affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon. 'ro©R?' MPgpVSD AS __----- SA ? ORGY' LI Assistant C+tY pttorneY ernnn o+e rIMA40An? r4n INS026(oios).oi, Page 2of2 EXHIBIT B ADDITIONAL INSURED ENDORSEMENT Insurance Company Philadelphia Indemnity Insurance Company _ This endorsement modifies such insurance as is afforded by the provisions of Policy Number PHPK 625 235 relating to the following: 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; its officers, employees agents and volunteers are named as additional insureds ("additional insureds") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2, With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds - EXCEPT IN THE CASE OF THE CITY'S GROSS NEGLIGENCE OR WILLFUL MISCONDUCT. 3. This insurance applies separately to each insured against whom claim Is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be canceled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702. IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN (10) DAYS NOTICE WILL BE GIVEN. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective 10/20/2010 this endorsement form as a part of Policy# PHPK 625 235 Issued to Oranae Countv Youth Commissinn Countersigned by _ Named Insured Authorized Representative oNEp O, , "n RS ?Q FAY oRcr? C g, CAI PAID Psststaot 3? 3