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HomeMy WebLinkAboutORANGE COUNTY YOUTH COMMISSION (5) City of Santa Ana Clerk of the Council eySi AGREEMENT TERMINATION FORM D COTC Office Use Only Please complete this form when the attached agreement and all amendments (if any) are no longer in effect.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). Call 647-6520 if you have any questions. The agreement with ( 1Otfle OL/tr1 i 401m1 %o /cxt1I\ No. ,-1,OI D-,2- D9 was completed on 9/ 7)O I ( and final payment has been made. (List all amendments. Use space below if needed.) l� Department: Phone/Ext.: Signature: Date: Revised 08-23-10 y5UgN . = A-2010-120-02 W0RK MAY PR( CE-El", 1 -----! SECOND AMENDMENT TO AGREEMENT UNDER CL(=RK l THE WORKFORCE INVESTMENT ACT THIS SECOND AMENDMENT, made and entered into this Is' day of July, 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-2010-120-01), hereinafter referred to as "said Agreement". B. The parties revised the Budget attached to said Agreement by the Amendment dated July 1, 2011. C. The parties hereto now desire to further amend the Agreement by extending the Term and to revise 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. Section III. "Time Period of Agreement" shall be amended through September 30, 2011, in accordance with said term which states: "The term of this Agreement may be extended by a writing executed by the Executive Director and the City Attorney". 2. Exhibit F to said Agreement is hereby replaced with the amended Exhibit F (Budget), attached hereto and incorporated herein by reference. The amount of City's Obligation remains as stated in said Agreement. 3. 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 Second Amendment to said Agreement the date and year first above written. ATTEST: CITY OF SANTA ANA Y: Maria D. Huizar Paul Walters Clerk of the Council Interim City Manager APPROVED AS TO FORM: Joseph Straka Interim City Attorney "CONTRACTOR" Orange County Youth Commission BY:*9z.iC_ Lisa E. Storck Assistant City Attorney CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENChY -AIA 4, J BY: <???tt??/plc Name: Kde GUn00edina Title: Executive Director Nancy T. Edwatds, Interim EUcecutivp 9irector Orange County Youth Commission Santa Ana Boxing Club P.O. Box 1756 Santa Ana, CA.92702 Phone: (714) 542-7610 Fax: (714) 542-7610 June 22, 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, 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 would like to utilize the remaining funds for salaries, utilities and gas expenses. So that we can follow up the exited youth from our program Enclosed is a copy of the revised budget and the changed narrative. Thank You for your help. The Very Best to You, s c ? f,t.?' Y hrt n ? - GZ_ Kate,lg`unn e ma Executive Director ? -- 2CA -X20 -c? I "Making A Difference" by linking caring mentors with inner city youth through after school activities Exhibit F G) ID CD d r of Q y C d m a m O m N I'I O O 3'U 0 mm m 3m gct nmo M 0 a .. O 0 S 0 j ? n D c_ m ? N 0 O O 3 3 '-1 3 to z O Z c C1 m? w ? a °m 3 D am C a 3 m 0 Exhibit F N N N (p N a O W A L C W V O ? O _ ? N N I f J T O p O p O N A N d! A C w N N O ? m O O O a ? O O N Q 1 G O W O O O ? N N N N N fA N r A A W 3 ? ? 8 ? ((?? O pp ?{ O A pp QQ O yy A NN O mm O p H BUDGET FORM 2010-2011 Administrative Program Total WIA Match/In Kind 6-1-10 to 9-30-11 No more than 10% OC Youth Commission allowed. Personnel Salaries* 1.Project Manager (.25 FTE) 13,000 52,000 13,000 39,000 10 hours per week 2.Sports Club Director/ Case 52,000 52,000 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. 19,800 19,800 5. Trainer (.38 FTE) 15 hr a wk 7,800 7,800 6. Gym Manager (.5 FTE) 6,500 6,500 7. Mentoring Director (.5 FTE) 15,840 15,840 20 hours a week Benefits* 1.Medical and Vision ($303 4,619.90 4619.90 for 10 months $329 for 4 months and $373.90 for 1 month) 2. Workman's Comp and 6,557 4,028.20 2528.80 Liability Insurance Use separate sheet if necessary. Total Personnel 10,400 152,993 135,288.10 33,285. Operating Expenses Rent or user fee* 18,000 In Kind rent for Boxing Club Utilities 1750. 755.44 878 Phones Internet fees 750 750 Parking fees Security Maintenance Insurance Equipment rental fees* copier 1,737. 1,389.60 Vehicle lease* Office expenses 1200 621.94 (consumables) Accounting Services Legal services Auditing services Indirect costs* Staff training 500 298.19 Staff travel/mileage 2,460 1078.81 1229. Participant Wages* Youth Representative 100 100 Support services* 4,000 1,322.50 2412. Participant incentives* 2,000 963.42 1291. Other (list)* Total Operating Expenses 31,260 6,529.90 22,450 GRAND TOTAL Exhi! 184,253 141,818 55,735. OCYC Santa Ana Boxing Club 2010-2011 Budget Narrative July 1,2010 to September 30, 2011 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. 15 months of effort: $20.00 per hour x 10 hours x 65 weeks =$13,00.. ($52,000. for a 40 hour work week for 65 weeks) @ .25 FTE x $52,000= $13,000. 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. 15 months of effort: $20.00 per hour X 40 hrs x 65 weeks =$52,000. ($52,000.00 annual salary) @ 1.00 FTE x $52,000 = $52,000.00 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: Sarah Hernandez 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 1320 hours for the year = $19,800 .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. 13 months of effort @ $500 per month $6,500 .5 FTE MENTORING DIRECTOR: Kacey Lacativo 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 1,056. for the year = $15,840. BENEFITS: 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 10 = $3,030.00and $329 per month for 4 Months= $1,316.00 and one month at $373.90 = Totaling $4,619.90 Workman's Comn 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 $4,028.20 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. Exhibit F UTILITIES: The electricity bill runs about $120 per month X 15 = $1,800 for the year We are requesting $755.44 to pay for utilities for thirteen months. 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 $115.80 per month X 15 months - $1,389.60for the 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 $621.94 this year toward office supplies. STAFF TRAINING: We are requesting $298.19 for Staff Training. 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 : $2,750.00 We are requesting $1,078.81. PARTICIPANT WAGES:. Youth Council Stipend of $50 per meeting for a Client in the WIA Program. Totaling $100 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 $1,322.50for 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 $835.17 toward participant incentives. Exhibit F AM. CERTIFICATE OF LIABIL ITY INSURA CE DATE ( IAMfDp1Y1/y1? PRODUCER (949) 218-0840 05/12/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Global Program Managers & Ina . Srvca. , Ina. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EX Post Office Box 7119 TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIkS BELOW. Capistrano Beach CA 92624-7119 INSURERS AFFORDING COVERAGE NAIC # INSURED IHSURERA: PHILADELPHIA INDEMNITY 18058 Orange County Youth Commission INSURER e: HAR'T'FORD FIRE 19682 Post Office Box 1593 INSURER C: IN RERO. ,Newport Beach CA 92659- AAVCOwAL'e INS RERE: .???? ?? .+? u.0Unnnlc LIJ ICU ou.uw rlAvt: utt:N ISSUtO 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 L DD'L TYPEOFINSURANCE POUCYNUMBER OLtCYE FECTIVE DATE (M PWp.C- EXP RATA N DATfi MW LIMITS A GENERAL LIABILITY E A H C OCCURRENCE ! 1,000,000 X COMMERCIAL GENERAL LIABILITY p ?? A A PREI(I 5S ;EMED 11 100,000 CLAIMS MADE 50 OCCUR PBPK 625 235 10/20/2010 10120/2011 MEOEXP one 4 5,000 1 000 00 PERSONAL a AOV INJURY , , 0 ! 000 000 2 GENERAL AGGREGATE , , 4 G£NLAGGREGATE LRIMpIIT? APPLIES PER PRODUCTS - COMPIOP AGO 1 2,000,000 X POLICY JECT LOC A AU TOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Es moddem) 1,000,000 X ALL OftEDAUTOS SCHEDULEOAUTOS PHPK 625 235 10/20/2010 10/20/2011 BODILY INJURY (PMP-) X X HREDAUTOS NON-OMEO AUTOS BODILY INJURY (Per aaldeN PROPERTY DAMAGE (Per e0dderd) ! GARAOELIABILITY APpR VED AS TO RM AUTO ONLY •EAACCIDENY ! ANY AUTO OTHERTHAN A AUTO ONLY: AGO $ EXCESSIUMBRELLALIABILITY ElSA E. SvTORCK EACH OCCURRENCE 11 OCCUR CLAIMS MADE Assistant City Attor ey AGGREGATE ! P DEDUCTIBLE RETENTION $ B WOPLFR COMIPPEE? NAND 72 WKC L88953 10/20/2010 10/20/2011 X T 1 ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERNEMBER EXCLUDED? E.LEACH ACCIDENT ! 1,000,000 11 ya,d*"bewW- E.L. DISEASE - EA EMPLOYE ! 1,000,000 SPECtAL PROVISIONIS Solon OTHER E.L. DISEASE • POUCY LIMIT ! 1 , 000 , 000 DESCRIPTION OF OPERATIONSAOCATIONSNEHICLESMXCLUSIONS ADOEO BY ENDORSEMENTISPECIAL PROVISIONS RE, ANNUAL rMDINO - BANTA ANA YOUTH COUNCIL - WORKFORCE INVESTMENT ACT CITY OF SANTA ANA AS ADDITIONAL INSURED PER ATTACHED RUDORSUMUT IN THE EVENT Or NON-PAYNzw or PREMIUM, TEN (10) DAYS WRITTEN NOTICE WILL BE GIVEN PRIOR TO CANCELLATION. SHOULD AMY 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 TO THE LEFT, BUT CITY OF SANTA ANA FAILURE TO DO SO SHALL IMPOSE NO OBLNIATIGH OR LIANUTY OF ANY KIND UPON THE Santa Ana Youth Council. INSURE ITS AO REP ENTATNES. 1000 E. SANTA ANA BLVD., #200 AUTHORIEDRE A SANTA ANA CA 92701- Robert ACORD 28 (2001108) Lle,904y #ACORD CORPORATION 1988 Q?,,; INS028(oimpt ELECTRONICLASFRFnRUC 1I _/o/.n.+n - rage 1 or2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(tes) 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 alter the coverage afforded by the policies listed thereon. AppRpVED ?? TO FORM LISA e. s?ORCK Assistant CttV Attorney ACORD 25 (2001106) PW" tnsu26(010s).01 Page 2 aa 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 Oranoe Countv Ymuth Cnmmiccfnn Countersigned by Named Insured /lr 0 L. 1 c#ooG ff .Co >P' Adthorized Representative ?,. D R5 ?Q ?O?sn Rip p?E 5aovkc 1-?'A ??1tY pttor psststarit 3`?