HomeMy WebLinkAboutSANTA ANA UNIFIED SCHOOL DISTRICT (SAUSD) (3) City of Santa Ana
Clerk of the Council
AGREEMENT TERMINATION FORM
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amendments (if any) are no longer in effect.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 (gl,P 034) j,1/ ca .1-1 .11,0�
No. .C - was completed on e-°/ O !f 5 and final payment has been made.
(List all amendments. Use space below if needed.)
Department: Cb i
Phone/Ext.: t ,1
Signature: .
Date: CPI I Z i,lLar V
Revised 08-23-10
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N -2014 -108
MEMORANDUM OF UNDERSTANDING
Santa Ana Work Center, City of Santa Ana and Santa Ana Unified School District
This Memorandum of Understanding ( "MOU ") is entered into between the City of Santa
Ana by and through its WORK Center ( "Provider ") and the Santa Ana Unified School District
( "District ") to memorialize the terms under which Provider will deliver services to District
students at schools or other facilities within the District.
1. Term. This MOU is effective for a one -year period beginning January 29, 2014 and will
terminate June 30, 2015 Either party may terminate this MOU at any time with 30 days'
written notice of termination to the other party.
2. Services. The services to be rendered by Provider ( "Services ") are described in the Scope
of Work attached to this MOU and incorporated by this reference as though fully set
forth. Provider will render the Services to students who are enrolled in District schools or
programs ( "Students "), who have requested and been given permission to receive the
Services, on dates and at times to be mutually agreed upon by Provider and District.
Qualifications. Provider represents that the individuals and teams, as applicable,
providing the Services are qualified to do so.
a.. All personnel assigned by Provider to deliver Services hereunder shall be
appropriately licensed, credentialed, certified, or otherwise experienced or trained
to provide such Services to public school students in the State of California.
b. Provider will furnish to the District the names of the individuals and, upon
request, copies of their certifications or licenses if applicable.
C. Provider shall ensure that all employees or contractors who will have contact with
Students have been cleared through a fingerprinting process or submitted to a
volunteer clearance.
4. Applications and Permissions. Provider will furnish the District and /or school
administration, as appropriate, with a sufficient number of applications, consent forms, or
similar paperwork for Students and Students' parents or guardians to complete as
necessary to authorize the provision of Services.
District's Obliyations. The District will facilitate delivery of the Services by:
a. Making announcements, as appropriate, to Students and their parents and
guardians sufficiently in advance of the service delivery date to allow for
reasonable arrangements so the maximum number of Students can receive the
services.
b. Distributing Provider's printed applications, consent forms, or similar paperwork,
and HIPAA Notice of Privacy Practices at appropriate times. Students' parents or
guardians will be instructed to return completed paperwork in a manner that
005382.01007
10910282.1
protects the confidentiality of the Students' protected health information, as
applicable.
C. Collecting completed applications, consent forms, or similar paperwork from
Students in advance of the date(s) on which the Services are to be delivered, and
delivering the completed paperwork to Provider as far in advance of the service
delivery date(s) as reasonably possible. District or school personnel will deliver
paperwork to Provider in a manner that protects the confidentiality of this
information.
d. Allotting usable space in the District school or facility on the service delivery
date(s) that is sufficient for Provider to furnish the Services in an appropriately
private and secure setting.
e. Assisting as needed in the transport of Students seeking Provider's Services to
and from their classroom and the delivery location.
f. Cooperating with Provider's management and staff to accomplish the objectives
of this MOU.
6. Discretion. The District reserves the right to refuse entry to its schools or facilities by
any agent of the Provider who, in the sole discretion of the District, poses any risk to
Students, staff, or property of the District.
7. Payment. The Services are to be delivered to Students in SAUSD at no charge to the
District other than incidental administrative costs associated with the District's
obligations under this MOU. The District will riot pay Provider for its Services
8. Insurance. Provider will secure and maintain a Commercial General Liability Policy
(including coverage for contractual liability) with limits of not less than $1,000,000 per
occurrence or claim. Provider will secure and maintain Malpractice Errors and Omissions
Policy with limits of $1,000,000 per claim and $3,000,000 aggregate, or provide proof of
self - insurance. Provider will secure and maintain Business Automobile Liability
Insurance for automobiles owned, leased or hired by Provider with a combined single
limit of not less than $1,000,000 per occurrence. Provider will deliver a copy of such
insurance policies to District upon request. Provider will further provide all required
worker's compensation insurance for its employees, if any. All of the insurance policies
described in this paragraph will be maintained at Provider's expense. The District shall
be listed as an additional named insured on all of the policies described in this paragraph.
9. Indemnification. Provider will defend, indemnify, and hold harmless the District and its
agents, contractors, employees, and governing board members, from and against all
claims, damages, losses, and expenses (including, but not limited to attorney's fees, costs,
and fees of other professional consultants) arising out of the negligent acts or omissions
of the Provider or its respective agents, contractors, or employees during or related in any
way to the offer or delivery of Services under this MOU, except to the extent arising from
the sole negligence or willful misconduct of the District.
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10. Compliance with Law and District Policy. The parties will adhere to all applicable
laws, regulations, and District policies in the performance of their respective
responsibilities under this MOU, including but not limited to HIPAA and laws and
regulations related to the confidentiality of Student records, which are incorporated
herein by this reference.
11. Responsibilities. This MOU describes the mutual agreements and obligations of the
District and the Provider for the sole purpose of rendering the Services to District
Students. It does not place any additional responsibilities on either party or imply any
transfer of responsibility from one to the other or sharing of statutory responsibilities.
12. No Third Party Beneficiaries. Nothing in this MOU, express or implied, is intended or
shall be construed to confer on any person or entity other than the parties hereto any
remedy or claim under or by reason of this MOU or any term, covenant, or condition
hereof, as a third party beneficiary or otherwise.
13. Independent Relationship. The parties acknowledge and agree that the relationship
created between the District and Provider is strictly that of an independent contractor
with respect to the Services described. Nothing contained in this MOU shall be
construed as creating any other type of relationship between the parties such as that of a
principal- agent, master - servant, or employer- employee between Provider and the District.
No party to this MOU nor any of its agents shall have any claim hereunder or otherwise
against the other party for payment of employment taxes, workers' compensation,
vacation, sick leave, retirement benefits, social security benefits, disability benefits,
unemployment insurance, or employee compensation or benefits of any kind.
14. Nondiscrimination. Neither the District nor the Provider shall discriminate on the basis
of race, religion, sex, sexual orientation, national origin, age or disability in employment
or in the delivery of Services hereunder.
15. Non - Assignment. Neither party shall assign, transfer or subcontract the rights, duties or
obligations called for under this MOU without the written consent of the other party.
16. Entire Agreement. This MOU constitutes the entire understanding between the parties
and supersedes all prior agreements, representations or understandings between the
parties relating to the subject matter hereof. It may be changed or modified only by a
supplemental written agreement between the parties.
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10910282.1
Scope of •
Responsible Partner Description of Services
• Shall provide workshops that relate to work
Carlos de la Riva
readiness, youth programs, and community
Economic Development Specialist IV
resources to students at Community Day High
Santa Ana WORK Center
School and other SAUSD schools as appropriate
i Shall evaluate and modify, if necessary, the
Santa Ana WORK Center
workshops, schedule, or services within 3 -6
1000 E. Santa Ana Blvd. Suite 200
months of the initial workshop
Santa Ana, CA 92701
. Shall ensure that all staff and partners working
at school sites during school hours and
activities occurring on school days receive
appropriate clearances per SAUSD procedures
and protocols
• Shall ensure confidentiality of records relating
to delivery of the services to District students
• Shall ensure the space provided by the District
for delivery of services is left in clean and
usable condition
Katy Castellanos, Principal, Alternative Education
• SAUSD will provide liaison between targeted
Heidi Cisneros, Executive Director, PSS
school sites and Santa Ana WORK Center to
Sonia Rodarte- Llamas, Director School Climate
facilitate communication and implementation
Pupil Support Services (PSS)
. Shall collaborate with Santa Ana WORK Center
Santa Ana Unified School District (SAUSD)
to schedule dates, locations and determine
targeted school sites services.
f Shall provide appropriate designated spaces
needed to provide services.
s Shall provide parking spaces for staff.
Shall ensure that the maximum number of
students requesting Santa Ana WORK Center
have the opportunity to receive services.
005382.01007
10910282.1
PROVIDER:
City of Santa Ana
Santa Ana WORK Center
1000 E. Santa Ana Blvd. Suite 200
Santa Ana, CA 92701
By:
Nancy Fong, AICP
Interim Executive Director ndi- 241f
Community Development Agency
Dated:
ATTEST:
Maria D. Huizar
Clerk of the Council
APPROVED AS TO FORM:
Sonia R. Carvalho, City Attorney
By:C 2 te<
Lisa Storck
Assistant City Attorney
005382.01007
10910282.1
DISTRICT:
Santa Ana Unified School District
1601 E. Chestnut Avenue
Santa Ana, CA 92701
By: Ao�
Stef nie P. PhillijV Ed.D.
Deputy Superintendent, Operations
Santa Ana Unified School District
Dated:
CITY OF SANTA ANA
David Cavazos
City Manager