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CS CA State Preschool Contract 2016-17 AmendedCALIFORNL4 DEPARTMENT OF EDUCATION 1430 NStreet Sacramento. CA 95814-5901 0 Amendment 01 LOCAL AGREEMENT FOR CHILD DEVELOPMENT SERVICES Budget Act/Rate Increase CONTRACTOR'S NAME: CITY OF SAN RAFAEL F.Y. 16-17 DATE: July 01. 2016 CONTRACT NUMBER: CSPP-6261 PROGRAM TYPE: CALIFORNIA STATE PRESCHOOL PROGRAM PROJECT NUMBER: 21-2193-00-6 This agreement with the State of California dated July 01, 2016 designated as number CSPP-6261 shall be amended in the following particulars but no others: The Maximum Reimbursable Amount (MRA) payable pursuant to the provisions of this agreement shall be amended by deleting reference to $186,540.00 and inserting $196,122.00 in place thereof. The Maximum Rate per child day of enrollment payable pursuant to the provisions of this agreement shall be amended by deleting reference to the Previous Rate of $38.53 and inserting the Blended Rate of $40.45 in place thereof. The Blended Rate is an average of the Previous Rate and the Previous Rate increased by ten percent. This increase represents the ten percent increase to the Standard Reimbursement Rate, which is effective January 1, 2017, pursuant to the Budget Act of 2016. SERVICE REQUIREMENTS The minimum Child Days of Enrollment (CDE) Requirement shall be amended by deleting reference to 4,841.0 and inserting 4,849.0 in place thereof. Minimum Days of Operation (MDO) Requirement shall be 175. (No change) EXCEPT AS AMENDED HEREIN all terms and conditions of the original agreement shall remain unchanged and in full force and effect. STATE OF CALIFORNIA BY (AUTHORIZED SIGNATURE) PRINTED NAME OF PERSON SIGNING Sueshil Chandra, Manager TITLE Contracts, Purchasing and Conference Services AMOUNT ENCUMBERED BY THIS PROGRAM/CATEGORY (CODE AND TITLE) DOCUMENT Child Development Programs $ 9,582 (OPTIONAL USE) 0656 PRIOR AMOUNT ENCUMBERED FOR 23038-2193 THIS CONTRACT $ 166,540 ITEM30.10.010. CHAPTER 6100-196-0001 23 CONTRACTOR EftAUTHORIZ SIGNAT PRINTED NAME AND TILE d SIGNING Jim�Schutz, City anager, City of San Rafael ADDRESS 1400 Fifth Avenue, San R .), CA 94.901 (FUND TITLE I Department of General Services General use only STATUTE FISCAL YEAR 2016 12016-2017 TOTAL AMOUNT ENCUMBERED TO OBJECT OF EXPENDITURE (CODE AND TITLE) DATE $ 196,122 702 SACS: Res -6105 Rev -8590 I hereby ceM upon my own personal Nnaledge that budgeted lunds ere avellaWs for the period and T -BA NO.I B.R. NO. purpose or the expenditure stated above. SIGNATURE OF ACCOUNTING 0FFlCER DATE CONTRACT ROUTING FORM INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below. TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER: Contracting Department: Community Services Project Manager: Kelly Albrecht Extension: 3386 Contractor Name: California Department of Education Contractor's Contact: Shellie Wallinder Contact's Email: -k hr ra to r ntpr tpx ❑ FPPC: Check if Contractor/Consultant must file Form 700 Step RESPONSIBLE DESCRIPTIONI COMPLETED REVIEWER DEPARTMENT DATE Check/Initial 1 Project Manager a. Email PINS Introductory Notice to Contractor 10/14/2016 ❑ %_10-N Ilk -it- L V b. Email contract (in Word) & attachments to City inter a date. Atty c/o Laraine.Gittens@cityofsanrafael.org ❑ 2 City Attorney a. Review, revise, and comment on draft agreement Flick here to and return to Project Manager ;anter a date. ❑ b. Confirm insurance requirements, create Job on Clicl: here to PINS, send PINS insurance notice to contractor enter a date. ❑ 3 Project Manager Forward three (3) originals of final agreement to Click here to ❑ contractor for their signature enter a date. 4 Project Manager When necessary, * contractor -signed agreement ❑ N/A agendized for Council approval *PSA > $20,000; or Purchase > $35,000; or Or ❑ Public Works Contract > $125,000 11/7/2016 k1t Date of Council approval PRINT CONTINUE ROUTING PROCESS WITH HARD COPY 5 Project Manager Forward signed original agreements to City Attorney with printed copy of this routing form 6 City Attorney Review and approve hard copy of signed %11212 agreement 7 City Attorney Review and approve insurance in PINS, and bonds (for Public Works Contracts) 8 City Manager/ Mayor Agreement executed by Council authorized official t�,Z7-i6 9 City Clerk Attest signatures, retains original agreement and forwards copies to Project Manager