HomeMy WebLinkAboutSTATE DEPARTMENT OF REHABILITATION (3) -2012 .'.r>. City of Santa Ana
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x, �, Clerk of the Council
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'"'.` AGREEMENT TERMINATION FORM
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Please complete this form when the attached agreement and all •
amendments (if any) are no longer in effect.
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Note: If your agreement is grant related, please ensure that all grant retention requirements
have been satisfied prior to signing the termination form.
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Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
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The agreement with %, Dr= 1�,E- /96'/G/),T / /of
No. 7- — 2 0/ 2 - /2 Li: was completed on 1 _Fv/2_0,c c and final payment has been made.
(List all amendments'. Use ace below if needed.) /
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Date: 1 9 //
Revised:01-07-16
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A-2012-124
Memorandum of Understanding
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For
STATE DEPARTMENT OF
REHABILITATION
Memorandum of Understanding (MOU)
Pursuant to the
Workforce Investment Act of 1998 (WIA)
1. PARTIES: The parties to this Memorandum of Understanding (MOU) are the Mayor
and City Council of the City of Santa Ana, the Santa Ana Workforce Investment Board
(WIB), and several agencies (having signed Attachment "A", "One-Stop Partner
Commitment" and, if physically located at the One-Stop location, Attachment "B",
"Resource Sharing Agreement" and Attachment "C", "Memorandum of Operation" if
applicable functioning as "One-Stop Partners" within the Santa Ana One-Stop System
(hereinafter referred to as the Santa Ana W/O/R/K Center).
2. PURPOSE: The Santa Ana W/O/R/K Center, through its central location at the Santa
Ana Regional Transportation Center, 1000 E. Santa Ana Blvd., and its satellite facilities,
shall provide and/or coordinate workforce investment services to individuals, providing
them with the necessary skills to participate in building a world-class workforce in Santa
Ana.
Services and referrals provided at the Santa Ana W/O/R/K Center may include, but are
not limited to, the following:
• Eligibility determination
• Outreach, intake and orientation to services available
• Initial assessment of skills, aptitudes, abilities and supportive services
• Job search and placement assistance, career counseling
• Provision of employment data and labor market information
• Provision of performance information
• Employment referral
• Provision of support and follow-up services
• Identification of skills required to be competitive in the local labor market
• Filing for Unemployment Insurance claims
• Access to CaIJOBS for Labor Exchange services
• Help in establishing eligibility for CalWORKS and financial aid
• Occupational skills training
• On-the-job training
• Workplace learning with classroom training
• Skills upgrading and retraining
• Entrepreneurial training
• Job readiness training
• Adult education and literacy
• Services for persons with disabilities
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• Serve mature workers by operating as a specialized recruitment arm for One-Stop
Partners working collaboratively to connect mature workers to employers with labor
shortages
• Customized training for employment with specific employer
• Employer services, including: job listing; job matching; candidate screening and
testing; outplacement services; job analysis; and, information on available tax credits,
business development planning and labor market trends.
3. DURATION:
(a) This MOU shall become effective July 1, 2012 and terminate June 30, 2015. This
MOU will remain in effect until (i) terminated by the repeal of the Workforce
Investment Act or otherwise by action of law, or (ii) with respect to the One-Stop
Partner, the date on which such One-Stop partner withdraws from the MOU pursuant
to Section 3 (c) hereof. Should any One-Stop Partner withdraw, this MOU shall
remain in effect with respect to other remaining One-Stop Partners.
(b) This MOU is of no force or effect until signed by authorized representatives of the
participating agencies, and approved by the Chief Local Elected Official or his/her
designee. The MOU, once signed, becomes part of the local WIA Plan.
(c) Any party may withdraw from this MOU by giving written notice of intent to
withdraw at least 30 calendar days in advance of the effective withdrawal date. If
agreed to by all parties, the timeframes for notice may be reduced or extended. Notice
of withdrawal shall be given to the WIB at the address listed in the signed attachments
of this MOU, and to the contact person so listed, considering any information updates
received by the parties pursuant to Section 1. Courtesy notification shall be made to
all parties of this MOU in a timely manner.
4. MODIFICATION AND ASSIGNMENT: This MOU may be modified at any time by
written agreement of the parties. Assignment of responsibilities under this MOU by any
of the parties shall be effective upon written notice to the WIB. Any assignee shall also
commit in writing to the terms of this MOU.
5. ONE-STOP SYSTEM DESCRIPTION: The one-stop system description in the local
WIA plan, including modifications thereto, is incorporated into this MOU by reference.
6. CROSS REFERRALS: The One-Stop Partners will adopt common intake/cross referral
arrangements, which include, by reference, those listed in the local WIA plan, including
modifications thereto. The methods and/or resources utilized may include some or all of
the following: cross-training of staff, in-house staff, electronic case management
systems, co-enrollments, appointments, e-mail and phone call.
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7. CONFIDENTIALITY:
The WIB agrees that when any individual applies for or receives services from and the
partner agency through the One-Stop Center, all information regarding such application
for or receipt of services shall be confidential information subject to the provisions of 34
CFR 361.38.
The parties agree to honor the confidentiality provisions as described in the local WIA
plan, including modifications thereto, and incorporated into this MOU by reference.
Exchanged information shall remain private and confidential in accordance with the most
restrictive confidentiality requirements of any of the parties collecting, receiving or
sharing information.
8. RESOURCE SHARING: The parties agree to share resources in accordance with the
attached Resource Sharing Agreement. It is expressly understood that this MOU does not
constitute a binding financial commitment, but rather an intent to commit specific
resources in the future as the parties' allocations and budgets are known and the one-stop
system evolves. The one-stop system is a work in progress and its costs and the partners'
resource contributions will not remain static from month to month or from year to year.
The Resource Sharing Agreement is meant to be reviewed yearly and may be modified as
needed by any partner as long as it is identified as a revision, and it is signed and dated by
the agency Administrator.
9. DISPUTES: The parties shall first attempt to resolve all disputes informally. Any party
may call a meeting of all parties to discuss and resolve disputes.
Should informal resolution efforts fail, the dispute shall be referred to the Chair of the
WIB, who shall place the dispute upon the agenda of its next regular or special meeting of
the Board's Executive Committee. The Executive Committee shall attempt to mediate
and resolve the dispute.
Finally, if the Executive Committee's resolution efforts fail, any party may file a
grievance in accordance with the State of California's WIA grievance procedures. The
parties agree to be bound by the final determination resulting from that procedure. All
costs associated with the grievance procedure shall be borne by the losing party.
10. SEVERABILITY: If any part of this MOU is found to be null and void, or is otherwise
stricken, the rest of this MOU shall remain in force.
11. JURISDICTION: Jurisdiction over any disputes under this MOU shall reside in Orange
County, California.
12. HOLD HARMLESS CLAUSE: Each party to this MOU agrees to indemnify and hold
harmless the other parties, their officers, agents, employees, and volunteers from and
against any and all loss or damage, and from any and all suits, actions and claims filed or
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brought by any person or persons arising out of acts or omissions of the party or its
officers, agents, employees in the performance of this MOU.
13. SIGNAGE & COMMUNICATION OF PARTICIPATION: The Santa Ana WORK
Center shall provide wall signage listing the names of current participating partners.
Where practical, the Santa Ana WORK Center will list partner agencies on forms and
marketing materials distributed to the public.
14. ACCESSIBILITY ASSURANCES AND CERTIFICATIONS: The parties agree to
abide by all applicable non-discrimination federal and state laws. The WIB and the One-
Stop partners will ensure that policies and procedures established by the WIB and the
One-Stop partners are in compliance with the Americans with Disabilities Act (ADA).
The Santa Ana WORK Center will assure its services and premises are accessible to
persons with disabilities under the requirements of the Americans with Disabilities Act.
15. INSURANCE: The One-Stop Partners agree that their current in force insurance or self-
insurance coverage programs shall apply to their operations performed under the
Workforce Investment Act and at the WORK Center, including commercial general
liability, property damage liability, business personal property, workers' compensation
and employee dishonesty/crime coverages. The City of Santa Ana shall be named as
additional insured for such insurance and the coverage shall be primary and non-
contributory with regard to the City.
16. AUTHORITY AND SIGNATURES: The individuals signing this MOU and its
attachments, which are incorporated herein by reference, have the authority to commit the
party they represent to the terms of this MOU, and do so commit by signing.
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THIS MEMORANDUM OF UNDERSTANDING is hereby signed and agreed to on the date
first written above.
AL
JUL 2 4 2012
20 Civic Center Plaza Santa Ana, CA 92701
Address
FOR THE CITY OF SANTA ANA
ATTEST:
.4h
Maria D. Huizar, Clerk the Council
Date
CITY F SANTA ANA
Pau waiters, interim City Manager
STATE DEPARTME OF HABILITATION (ONE-STOP PARTNER)
4Siature Date
June C. Kuehn, District Administrator
Name and Title
222 S Harbor Blvd. Ste 300, Anaheim, CA 92805
Address
Approved as to Form:
JOSEPH STRAKA, Interim -City Attorney
By:A
Lisa E. Storck, Assistant City Attorney
Miguel A Pulido Mayor City of Santa Ana
Name and Title
Attachment "A"
One-Stop Partner Commitment
1. PARTIES: The parties to this Memorandum of Understanding (MOU) are the Mayor
and City Council of the City of Santa Ana, the Santa Ana Workforce Investment Board
(WIB), the State Department of Rehabilitation and other agencies (identified in the "One-
Stop Partner Commitment", Attachments "A" and "B: to this MOU) functioning as "One-
Stop Partners" within the Santa Ana One-Stop System (hereinafter referred to as the
Santa Ana WORK Center).
In addition to accepting the provisions contained in the MOU, the State Department of
Rehabilitation commits to the following:
• Intake
• Orientation
• Identify and referral of individuals receiving assistance or in need of rehabilitation
services
• Coordination of services and programs with those offered by the Department of
Rehabilitation through the One-Stop system
Full-time equivalents (FTEs) of Agency Staff Assigned to Santa Ana W/O/R/K Center:
1 FTE will be located at the WORK Center
Hours/days per week Agency Staff Assigned to Santa Ana WORK Center:
9am-4pm, Tuesday and Thursday
PERFORMANCE GOALS:
Customer Service
All on-site, One-Stop Partners shall commit to the following goals for the W/O/R/K Center:
1. To conform to a uniform policy of customer service;
2. To develop customer service principles all One-Stop Partners must implement;
3. To implement an on-going system for measuring customer service levels; and,
4. To participate in a task force empowered to oversee, measure and respond to customer
service data.
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Attachment "A", Page 2
Quantifiable Service Outcomes
The State Department of Rehabilitation will track the outcomes of the clients referred to the
WORK Center in order to evaluate the effectiveness of these collaborative efforts.
AUTHORITY AND SIGNATURES: The individuals signing this MOU and its
attachments which are incorporated therein have the authority to commit the party they
represent to the terms of this MOU, and do so commit by signing.
FOR THE State Department of Rehabilitation
(Legal Name of Partner Agency)
S' nature
Date
June C. Kuehn, District Administrator
Name and Title
222 S Harbor Blvd. Ste 300, Anaheim, CA 92805
Address
MOU Partner rev 2-12
CITY OF SANTA ANA WORKFORCE INVESTMENT BOARD
ONE STOP PARTNER MEMORANDUM OF UNDERSTANDING
SERVICES MATRIX FOR
STATE DEPARTMENT OF REHABILITATION
? Vocational Rehabilitation services to eligible individuals consistent with
Programs Represented Federal and State laws
? Intake
? Orientation
? Identification and referral on individuals receiving assistance or in need
Services Provided of rehabilitation services
? Coordination of services and program with those offered by the
Department of Rehabilitation through the One-Stop System
® Co-location of staff
Method of Service ® Co-location of services
Delivery ® Cross training of staff
? On-line
® In person
® By phone
Referral Method ® Referral form
? Online
® Customer Satisfaction
Contribution to One-Stop
System ® Provide coordination and services for Department of Rehabilitation
1 Criteria to be determined by the State of California and the Santa Ana Workforce Investment Board
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Attachment B
SANTA ANA ONE-STOP
PARTNERS MOU
RESOURCE SHARING
ATTACHMENT
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One Stop location - Santa Ana WORK Center
Name of Organization - State Department of Rehabilitation
Projected Budget Estimated Annual
Contribution Provided by
Staff costs
Resource Center Staff 23,361.60 State Dept. of
Rehabilitation
Workshop staff-Career Net
Workshop Staff - Orientation
Workshop Staff- IAW
Technical support (maintenance, troubleshooting, web,
page/software development)
Administrative staff (FTE)
Costs associated with staffing (including fingerprinting,
drug tests, training)
Total FTE'S 2/5 of a person
Total Associated Costs
23,361.60 State Dept. of
Rehabilitation
MISS,
Ca0tt or ^dM)uIId {,. E rowr j!,
SPptemoar 29, 201.1
STATE OF CALIFORNIA
PUBLIC LIABILITY AND VVORKERS' COMPENSATION INSURANCE
FISCAL YEAR JULY 1, 2011 1 JUNE 30, 2012
Vb'tr am It May Concern;
Th State ?-of California has elected to be self-insured for general liability exposures, (Gov, Cade
Section 9907 et. seq) Under- this form of insurance, the State and its employees (as defined in
Section 81 C).2 of the Government Code, are insured for any tort liability that may develop
through the carrying out of official State activities and operations, All general liability tort claims
against the State of California should be presented to the Victim Compensation and
Cov rnment Claims Beard, P.O. Bo 3035, Sacramento, CA 95812-3035, (Gov. Code section
9CX et. sect., Internet link: mvw vcgcb.ca,gov
!rr addition, the State of California has elected to be insured for its motor vehicle liability
exposures through a self-insurance program, administered by the Office of Risk and Insurance
Management, Under this program, the Office of Risk and Insurance Management administers
i"ibility<< claims arising out of the operation of motor vehicles. This self-insurance program and
the protection it affords applies to vehicles owned and leased by the State of California. All
rrlctor y ohicle liability tort claims ;against the State of California should be presented to the Office
oT Feist; anc Insurance Management, P,O, Box 989052 MS-403, West Sacramento, CA 95798-
9'l1-52' -"300) 900-3634,
Ttle.State Of California has a Master Agreement with the State Cor pensation Insurance Fund
regarding workers' compensation benefits for all state employees, as required by the Labor
Code.
Siltcereiy?,
y J. Dierks -=
A ?aS Risk Analyst
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161376-5425
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INssistant City
OFFICE Or RISK AND INSURANCE MANAGEMENT 15tofe of Cofiforntc4 I State Gvnsurn r sc rvlces Agen?_y
70 J ,d Street, 1xf Floor I I'Vest Scrcromento, CA 95605 j t 916.376,5302 r 916.376-527.5