HomeMy WebLinkAboutCC Resolution 14361 (Pickleweed Preschool State Funding 2017)RESOLUTION NO. 14361
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
APPROVING A CONTRACT (CALIFORNIA STATE PRESCHOOL
PROGRAM -7280) WITH THE CALIFORNIA DEPARTMENT OF
EDUCATION TO PROVIDE FUNDING IN THE AMOUNT OF $1969122
FOR FISCAL YEAR 2017-2018 FOR CHILD DEVELOPMENT SERVICES,
AND AUTHORIZING THE CITY MANAGER TO EXECUTE THE
CONTRACT DOCUMENTS
THE CITY COUNCIL OF THE CITY OF SAN RAFAEL RESOLVES as follows:
WHEREAS, the City operates the Pickleweed Preschool at the Pickleweed Children's Center; and
WHEREAS, the State of California has awarded the City of San Rafael funds for subsidy of the
Pickleweed Preschool Program since 1997; and
WHEREAS, the City of San Rafael has been awarded a contract with the California Department of
Education for State Preschool Services in the amount of $196,122 for Fiscal Year 2017-2018.
NOW THEREFORE, the City Council of the City of San Rafael does hereby approve a Contract
(California State Preschool Program -7280) with the California Department of Education to provide
funding in the amount of $196,122 for Fiscal Year 2017-2018 for child development services, and
authorizes the City Manager to execute all required Contract documents.
I, ESTHER C. BEIRNE, Clerk of the City of San Rafael, hereby certify that the foregoing Resolution was
duly and regularly introduced and adopted at a regular meeting of the City Council of said City held on
Monday, the 17th day of July, 2017 by the following vote, to wit:
AYES: COUNCILMEMBERS: Bushey, Colin, Gamblin, McCullough & Mayor Phillips
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: None
A-- .a&4 -r
ESTHER C. BEIRNE, City Clerk
California Department of Education
FY 17-18
Page 8 of 13
CONTRACT CHECKLIST
Please note that every form is required.
Contractor Name y O ,/IIV7 A� fae / Contract # 6,5 V 2 72,,�?D
Place a check mark next to each item being returned.
❑ Checklist
❑ Two (2) signed (in blue ink) child care contracts with original signatures
• Did you include your printed name, title, and address?
• Is all of the contract language legible?
❑ Two (2) signed Contractor Certification Clauses (CCC -04/2017)
• Did you fill in ALL spaces including Federal ID Number?
❑ Two (2) signed California Civil Rights Laws Certifications (CO -005)
❑ Board resolution or minutes authorizing execution of contract and/or
authorizing delegation of authority (if applicable)
Mail all signed contracts and completed documents as soon as possible to:
Contracts, Purchasing, and Conference Services
California Department of Education
1430 N Street, Suite 1802
Sacramento, CA 95814-5901
California Department of Education
FY 17-18
Page 9 of 13
CCC -04/2017
CERTIFICATION
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly
authorized to legally bind the prospective Contractor to the clause(s) listed below. This
certification is made under the laws of the State of California.
Contractor/Bidder Firm Name (Printed)
C i f y Off' Jan RafQe l
By (Au orized Si re
Print d Na a and Title Pe on Signing
Federal ID Number
9y&yzy
T m 6ch U j Z Cil }l 1A4a h a Ale r-
Date Executed Executed in the County of
1A //
CONTRACTOR CERTIFICATION CLAUSES
1. STATEMENT OF COMPLIANCE,: Contractor has, unless exempted, complied with
the nondiscrimination program requirements. (Gov. Code § 12990 (a -f) and CCR, Title 2,
Section 8103) (Not applicable to public entities.)
2. DRUG-FREE WORKPLACE REOUIREMENTS: Contractor will comply
with the requirements of the Drug -Free Workplace Act of 1990 and will
provide a drug-free workplace by taking the following actions:
a. Publish a statement notifying employees that unlawful manufacture, distribution,
dispensation, possession or use of a controlled substance is prohibited and
specifying actions to be taken against employees for violations.
b. Establish a Drug -Free Awareness Program to inform employees about:
1) the dangers of drug abuse in the workplace;
2) the person's or organization's policy of maintaining a drug-free workplace;
3) any available counseling, rehabilitation and employee assistance programs; and,
4) penalties that may be imposed upon employees for drug abuse violations.
c. Every employee who works on the proposed Agreement will:
1) receive a copy of the company's drug-free workplace policy statement; and,
2) agree to abide by the terms of the company's statement as a condition of
employment on the Agreement.
Failure to comply with these requirements may result in suspension of payments under
the Agreement or termination of the Agreement or both and Contractor may be ineligible
for award of any future State agreements if the department determines that any of the
following has occurred: the Contractor has made false certification, or violated the
California Department of Education
FY 17-18
Page 10 of 13
certification by failing to carry out the requirements as noted above. (Gov. Code §8350 et
seq.)
3. NATIONAL LABOR RELATIONS BOARD CERTIFICATION: Contractor certifies that
no more than one (1) final unappealable finding of contempt of court by a Federal court has
been issued against Contractor within the immediately preceding two-year period because of
Contractor's failure to comply with an order of a Federal court, which orders Contractor to
comply with an order of the National Labor Relations Board. (Pub. Contract Code § 10296)
(Not applicable to public entities.)
4. CONTRACTS FOR LEGAL SERVICES $50,000 OR MORE- PRO BONO
REOUIREMENT: Contractor hereby certifies that contractor will comply with the
requirements of Section 6072 of the Business and Professions Code, effective January 1,
2003.
Contractor agrees to make a good faith effort to provide a minimum number of hours of pro
bono legal services during each year of the contract equal to the lessor of 30 multiplied by the
number of full time attorneys in the firm's offices in the State, with the number of hours
prorated on an actual day basis for any contract period of less than a full year or 10% of its
contract with the State.
Failure to make a good faith effort may be cause for non -renewal of a state contract for legal
services, and may be taken into account when determining the award of future contracts with
the State for legal services.
5. EXPATRIATE CORPORATIONS: Contractor hereby declares that it is not an
expatriate corporation or subsidiary of an expatriate corporation within the meaning of
Public Contract Code Section 10286 and 10286. 1, and is eligible to contract with the State
of California.
6. SWEATFREE CODE OF CONDUCT:
a. All Contractors contracting for the procurement or laundering of apparel, garments or
corresponding accessories, or the procurement of equipment, materials, or supplies, other than
procurement related to a public works contract, declare under penalty of perjury that no
apparel, garments or corresponding accessories, equipment, materials, or supplies furnished to
the state pursuant to the contract have been laundered or produced in whole or in part by
sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive
forms of child labor or exploitation of children in sweatshop labor, or with the benefit of
sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive
forms of child labor or exploitation of children in sweatshop labor. The contractor further
declares under penalty of perjury that they adhere to the Sweatfree Code of Conduct as set
forth on the California Department of Industrial Relations website located at www.dir.ca.sov,
and Public Contract Code Section 6108.
b. The contractor agrees to cooperate fully in providing reasonable access to the contractor's
records, documents, agents or employees, or premises if reasonably required by authorized
officials of the contracting agency, the Department of Industrial Relations, or the Department of
Justice to determine the contractor's compliance with the requirements under paragraph (a).
California Department of Education
FY 17-18
Page 11 of 13
7. DOMESTIC PARTNERS: For contracts over $100,000 executed or amended after
January 1, 2007, the contractor certifies that contractor is in compliance with Public
Contract Code section 10295.3.
8. GENDER IDENTITY: For contracts of $100,000 or more, Contractor certifies that Contractor
is in compliance with Public Contract Code section 10295.35.
DOING BUSINESS WITH THE STATE OF CALIFORNIA
The following laws apply to persons or entities doing business with the State of California.
1. CONFLICT OF INTEREST: Contractor needs to be aware of the following provisions
regarding current or former state employees. If Contractor has any questions on the status of
any person rendering services or involved with the Agreement, the awarding agency must be
contacted immediately for clarification.
Current State Employees (Pub. Contract Code §10410):
1). No officer or employee shall engage in any employment, activity or enterprise from which
the officer or employee receives compensation or has a financial interest and which is
sponsored or funded by any state agency, unless the employment, activity or enterprise is
required as a condition of regular state employment.
2). No officer or employee shall contract on his or her own behalf as an independent
contractor with any state agency to provide goods or services.
Former State Employees (Pub. Contract Code §10411):
1). For the two-year period from the date he or she left state employment, no former state
officer or employee may enter into a contract in which he or she engaged in any of the
negotiations, transactions, planning, arrangements or any part of the decision-making process
relevant to the contract while employed in any capacity by any state agency.
2). For the twelve-month period from the date he or she left state employment, no former state
officer or employee may enter into a contract with any state agency if he or she was employed
by that state agency in a policy-making position in the same general subject area as the
proposed contract within the 12 -month period prior to his or her leaving state service.
If Contractor violates any provisions of above paragraphs, such action by Contractor shall
render this Agreement void. (Pub. Contract Code § 10420)
Members of boards and commissions are exempt from this section if they do not receive
payment other than payment of each meeting of the board or commission, payment for
preparatory time and payment for per diem. (Pub. Contract Code § 10430 (e))
2. LABOR CODE/WORKERS' COMPENSATION: Contractor needs to be aware of the
provisions which require every employer to be insured against liability for Worker's
Compensation or to undertake self-insurance in accordance with the provisions, and
Califomia Department of Education
FY 17-18
Page 12 of 13
Contractor affirms to comply with such provisions before commencing the performance of
the work of this Agreement. (Labor Code Section 3700)
3. AMERICANS WITH DISABILITIES ACT,: Contractor assures the State that it complies
with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on
the basis of disability, as well as all applicable regulations and guidelines issued pursuant to
the ADA. (42 U.S.C. 12101 et seq.)
4. CONTRACTOR NAME CHANGE: An amendment is required to change the
Contractor's name as listed on this Agreement. Upon receipt of legal documentation of the
name change the State will process the amendment. Payment of invoices presented with a
new name cannot be paid prior to approval of said amendment.
5. CORPORATE OUALIFICATIONS TO DO BUSINESS IN CALIFORNIA.:
a. When agreements are to be performed in the state by corporations, the contracting
agencies will be verifying that the contractor is currently qualified to do business in
California in order to ensure that all obligations due to the state are fulfilled.
b. "Doing business" is defined in R&TC Section 23101 as actively engaging in any
transaction for the purpose of financial or pecuniary gain or profit. Although there are
some statutory exceptions to taxation, rarely will a corporate contractor performing within
the state not be subject to the franchise tax.
c. Both domestic and foreign corporations (those incorporated outside of California) must be
in good standing in order to be qualified to do business in California. Agencies will determine
whether a corporation is in good standing by calling the Office of the Secretary of State.
6. RESOLUTION: A county, city, district, or other local public body must provide the State
with a copy of a resolution, order, motion, or ordinance of the local governing body which by
law has authority to enter into an agreement, authorizing execution of the agreement.
7. AIR OR WATER POLLUTION VIOLATION: Under the State laws, the Contractor shall
not be: (1) in violation of any order or resolution not subject to review promulgated by the
State Air Resources Board or an air pollution control district; (2) subject to cease and desist
order not subject to review issued pursuant to Section 13301 of the Water Code for violation
of waste discharge requirements or discharge prohibitions; or (3) finally determined to be in
violation of provisions of federal law relating to air or water pollution.
8. PAYEE DATA RECORD FORM STD. 204: This form must be completed by all
contractors that are not another state agency or other governmental entity.
California Department of Education
FY 17-18
Page 13 of 13
CO -005
CALIFORNIA CIVIL RIGHTS LAWS CERTIFICATION
Pursuant to Public Contract Code section 2010, if a bidder or proposer executes or renews a contract in the
amount of $100,000 or more on or after January 1, 2017, the bidder or proposer hereby certifies
compliance with the following:
1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts $100,000 or more, executed or renewed after
January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil
Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code); and
2. EMPLOYER DISCRIMINATORY POLICIES: For contracts $100,000 or more, executed or renewed after
January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by
the United States government, the Contractor certifies that such policies are not used in violation of the
Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section
12960 of the Government Code).
CERTIFICATION
I, the official named below, certify under penalty of perjury under the laws 'Federal ID Number
of the State of California that the foregoing is true and correct.
ProposerlBidder Firm Name (Printed)
Jan Aa fac - �/z y
By ( uthonzzed 'ggatur )
Prin ed ame and Title of r n Signing
i
Date Executed Executed in the County and State of
-7 ZX [ A 4 /1 r 1'r7 `,'!aKwI4
N
a CALIFORNIA DEPARTMENT OF ED UCA TION
g 1430 NStreet
Sacramento, CA 95814-5901
pj-..
•,'f Ct 4Ut0,+
LOCAL AGREEMENT FOR CHILD DEVELOPMENT SERVICES
CONTRACTOR'S NAME: CITY OF SAN RAFAEL
F. Y. 17-18
DATE: July 01. 2017
CONTRACT NUMBER: CSPP-7280
PROGRAM TYPE: CALIFORNIA STATE
PRESCHOOL PROGRAM
PROJECT NUMBER: 21-2193-00-7
This Agreement is entered into between the State Agency and the Contractor named above. The Contractor agrees to comply
with the terms and conditions of the CURRENT APPLICATION; the GENERAL TERMS AND CONDITIONS (GTC 04/2017)*;
the STATE PRESCHOOL PROGRAM REQUIREMENTS*; and the FUNDING TERMS AND CONDITIONS (FT&C)*, which are
by this reference made a part of this Agreement. Where the GTC 04/2017 conflicts with either the Program Requirements or the
FT&C, the Program Requirements or the FT&C will prevail.
Funding of this Agreement is contingent upon appropriation and availability of sufficient funds. This Agreement may be
terminated immediately by the State if funds are not appropriated or available in amounts sufficient to fund the State's
obligations under this Agreement.
The period of performance for this Agreement is July 01, 2017 through June 30, 2018. For satisfactory performance of the
required services, the Contractor shall be reimbursed in accordance with the Determination of Reimbursable Amount Section of
the FT&C, at a rate not to exceed $40.45 per child per day of full-time enrollment and a Maximum Reimbursable Amount (MRA)
of $196,122.00.
SERVICE REQUIREMENTS
Minimum Child Days of Enrollment (CDE) Requirement 4,849.0
Minimum Days of Operation (MDO) Requirement 175
Any provision of this Agreement found to be in violation of Federal and State statute or regulation shall be invalid, but such a
finding shall not affect the remaining provisions of this Agreement.
Items shown with an Asterisk (*), are hereby incorporated by this reference and made part of this Agreement as if attached
hereto. These documents can be viewed at http://www.cde.ca.gov/fg/aa/cd/ftc20l7.asp.
�T�TE OF CALIFORNIA O TRACTOR
BYI( RE) \ BY ( l) ORIZED SI NATUR
PRINTED NAME OF ft4W A SIGNING PRI b ME AND TITLE OF RS SIGNING
VALARIE BLISS, J' chutz, Cit Mana4er, Citv of San Rafael
TITLE ADD It �
CONTRACT MANAGER 1400 Fifth Avenue, San Rafael , CA 94901
AMOUNT ENCUMBERED BY THIS PROGRAM/CATEGORY (CODE AND TITLE) FUND TITLE Department of General Services
DOCUMENT Child Development Programs General use any
$ 196,122 (OPTIONAL USE) 0656
PRIOR AMOUNT ENCUMBERED FOR 23038-2193
THIS CONTRACT ITEM 30.10.010. CHAPTER STATUTE FISCAL YEAR
$ 0 6100-196-0001 1 B/A 12017 12017-2018
TOTAL AMOUNT ENCUMBERED TO OBJECT OF EXPENDITURE (CODE AND TITLE)
DATE
$ 196,122 702 SACS: Res -6105 Rev -8590
I hereby certify upon my own personal knorledga that budgeted funds are available for the period and T.B.A. NO. I B.R. NO.
purpose of the expenditure staled above.
SIGNATURE OF ACCOUNTING OFFICER DRUG 17 2011
California Department of Education
FY 17-18
Page 9 of 13
CCC -04/2017
CERTIFICATION
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly
authorized to legally bind the prospective Contractor to the clause(s) listed below. This
certification is made under the laws of the State of California.
Contractor/Bidder Firm Name (Printed) Federal ID Number
Carl Rafael 9y&(X)C) Zy
By (AuKtorized SignatureA
and Title bfPerfon Signing
_Tm Schulz C11 y Meinaaer
Date Executed Executed in the County of
Marlt�
CONTRACTOR CERTIFICATION CLAUSES
1. STATEMENT OF COMPLIANCE: Contractor has, unless exempted, complied with
the nondiscrimination program requirements. (Gov. Code § 12990 (a -f) and CCR, Title 2,
Section 8103) (Not applicable to public entities.)
2. DRUG-FREE WORKPLACE REOUIREMENTS: Contractor will comply
with the requirements of the Drug -Free Workplace Act of 1990 and will
provide a drug-free workplace by taking the following actions:
a. Publish a statement notifying employees that unlawful manufacture, distribution,
dispensation, possession or use of a controlled substance is prohibited and
specifying actions to be taken against employees for violations.
b. Establish a Drug -Free Awareness Program to inform employees about:
1) the dangers of drug abuse in the workplace;
2) the person's or organization's policy of maintaining a drug-free workplace;
3) any available counseling, rehabilitation and employee assistance programs; and,
4) penalties that may be imposed upon employees for drug abuse violations.
c. Every employee who works on the proposed Agreement will:
1) receive a copy of the company's drug-free workplace policy statement; and,
2) agree to abide by the terms of the company's statement as a condition of
employment on the Agreement.
Failure to comply with these requirements may result in suspension of payments under
the Agreement or termination of the Agreement or both and Contractor may be ineligible
for award of any future State agreements if the department determines that any of the
following has occurred: the Contractor has made false certification, or violated the
California Department of Education
FY 17-18
Page 10 of 13
certification by failing to carry out the requirements as noted above. (Gov. Code §8350 et
seq.)
3. NATIONAL LABOR RELATIONS BOARD CERTIFICATION: Contractor certifies that
no more than one (1) final unappealable finding of contempt of court by a Federal court has
been issued against Contractor within the immediately preceding two-year period because of
Contractor's failure to comply with an order of a Federal court, which orders Contractor to
comply with an order of the National Labor Relations Board. (Pub. Contract Code § 10296)
(Not applicable to public entities.)
4. CONTRACTS FOR LEGAL SERVICES $50.000 OR MORE- PRO BONO
REOUIREMENT: Contractor hereby certifies that contractor will comply with the
requirements of Section 6072 of the Business and Professions Code, effective January 1,
2003.
Contractor agrees to make a good faith effort to provide a minimum number of hours of pro
bono legal services during each year of the contract equal to the lessor of 30 multiplied by the
number of full time attorneys in the firm's offices in the State, with the number of hours
prorated on an actual day basis for any contract period of less than a full year or 10% of its
contract with the State.
Failure to make a good faith effort may be cause for non -renewal of a state contract for legal
services, and may be taken into account when determining the award of future contracts with
the State for legal services.
5. EXPATRIATE CORPORATIONS: Contractor hereby declares that it is not an
expatriate corporation or subsidiary of an expatriate corporation within the meaning of
Public Contract Code Section 10286 and 10286. 1, and is eligible to contract with the State
of California.
6. SWEATFREE CODE OF CONDUCT:
a. All Contractors contracting for the procurement or laundering of apparel, garments or
corresponding accessories, or the procurement of equipment, materials, or supplies, other than
procurement related to a public works contract, declare under penalty of perjury that no
apparel, garments or corresponding accessories, equipment, materials, or supplies furnished to
the state pursuant to the contract have been laundered or produced in whole or in part by
sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive
forms of child labor or exploitation of children in sweatshop labor, or with the benefit of
sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive
forms of child labor or exploitation of children in sweatshop labor. The contractor further
declares under penalty of perjury that they adhere to the Sweatfree Code of Conduct as set
forth on the California Department of Industrial Relations website located at www.dir.ca.eov.
and Public Contract Code Section 6108.
b. The contractor agrees to cooperate fully in providing reasonable access to the contractor's
records, documents, agents or employees, or premises if reasonably required by authorized
officials of the contracting agency, the Department of Industrial Relations, or the Department of
Justice to determine the contractor's compliance with the requirements under paragraph (a).
California Department of Education
FY 17-18
Page 11 of 13
7. DOMESTIC PARTNERS: For contracts over $100,000 executed or amended after
January 1, 2007, the contractor certifies that contractor is in compliance with Public
Contract Code section 10295.3.
8. GENDER IDENTITY: For contracts of $100,000 or more, Contractor certifies that Contractor
is in compliance with Public Contract Code section 10295.35.
DOING BUSINESS WITH THE STATE OF CALIFORNIA
The following laws apply to persons or entities doing business with the State of California
1. CONFLICT OF INTEREST: Contractor needs to be aware of the following provisions
regarding current or former state employees. If Contractor has any questions on the status of
any person rendering services or involved with the Agreement, the awarding agency must be
contacted immediately for clarification.
Current State Employees (Pub. Contract Code § 10410):
1). No officer or employee shall engage in any employment, activity or enterprise from which
the officer or employee receives compensation or has a financial interest and which is
sponsored or funded by any state agency, unless the employment, activity or enterprise is
required as a condition of regular state employment.
2). No officer or employee shall contract on his or her own behalf as an independent
contractor with any state agency to provide goods or services.
Former State Employees (Pub. Contract Code §10411):
1). For the two-year period from the date he or she left state employment, no former state
officer or employee may enter into a contract in which he or she engaged in any of the
negotiations, transactions, planning, arrangements or any part of the decision-making process
relevant to the contract while employed in any capacity by any state agency.
2). For the twelve-month period from the date he or she left state employment, no former state
officer or employee may enter into a contract with any state agency if he or she was employed
by that state agency in a policy-making position in the same general subject area as the
proposed contract within the 12 -month period prior to his or her leaving state service.
If Contractor violates any provisions of above paragraphs, such action by Contractor shall
render this Agreement void. (Pub. Contract Code § 10420)
Members of boards and commissions are exempt from this section if they do not receive
payment other than payment of each meeting of the board or commission, payment for
preparatory time and payment for per diem. (Pub. Contract Code § 10430 (e))
2. LABOR CODE/WORKERS' COMPENSATION: Contractor needs to be aware of the
provisions which require every employer to be insured against liability for Worker's
Compensation or to undertake self-insurance in accordance with the provisions, and
California Department of Education
FY 17-18
Page 12 of 13
Contractor affirms to comply with such provisions before commencing the performance of
the work of this Agreement. (Labor Code Section 3700)
3. AMERICANS WITH DISABILITIES ACT: Contractor assures the State that it complies
with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on
the basis of disability, as well as all applicable regulations and guidelines issued pursuant to
the ADA. (42 U.S.C. 12101 et seq.)
4. CONTRACTOR NAME CHANGE: An amendment is required to change the
Contractor's name as listed on this Agreement. Upon receipt of legal documentation of the
name change the State will process the amendment. Payment of invoices presented with a
new name cannot be paid prior to approval of said amendment.
5. CORPORATE OUALIFICATIONS TO DO BUSINESS IN CALIFORNIA:
a. When agreements are to be performed in the state by corporations, the contracting
agencies will be verifying that the contractor is currently qualified to do business in
California in order to ensure that all obligations due to the state are fulfilled.
b. "Doing business" is defined in R&TC Section 23101 as actively engaging in any
transaction for the purpose of financial or pecuniary gain or profit. Although there are
some statutory exceptions to taxation, rarely will a corporate contractor performing within
the state not be subject to the franchise tax.
c. Both domestic and foreign corporations (those incorporated outside of California) must be
in good standing in order to be qualified to do business in California. Agencies will determine
whether a corporation is in good standing by calling the Office of the Secretary of State.
6. RESOLUTION: A county, city, district, or other local public body must provide the State
with a copy of a resolution, order, motion, or ordinance of the local governing body which by
law has authority to enter into an agreement, authorizing execution of the agreement.
7. AIR OR WATER POLLUTION VIOLATION: Under the State laws, the Contractor shall
not be: (1) in violation of any order or resolution not subject to review promulgated by the
State Air Resources Board or an air pollution control district; (2) subject to cease and desist
order not subject to review issued pursuant to Section 13301 of the Water Code for violation
of waste discharge requirements or discharge prohibitions; or (3) finally determined to be in
violation of provisions of federal law relating to air or water pollution.
8. PAYEE DATA RECORD FORM STD. 204: This form must be completed by all
contractors that are not another state agency or other governmental entity.
California Department of Education
FY 17-18
Page 13 of 13
CO -005
CALIFORNIA CIVIL RIGHTS LAWS CERTIFICATION
Pursuant to Public Contract Code section 2010, if a bidder or proposer executes or renews a contract in the
amount of $100,000 or more on or after January 1, 2017, the bidder or proposer hereby certifies
compliance with the following:
1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts $100,000 or more, executed or renewed after
January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil
Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code); and
2. EMPLOYER DISCRIMINATORY POLICIES: For contracts $100,000 or more, executed or renewed after
January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by
the United States government, the Contractor certifies that such policies are not used in violation of the
Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section
12960 of the Government Code).
CERTIFICATION
I, the official named below, certify under penalty of perjury under the laws Federal ID Number
of the State of California that the foregoing is true and correct.
Proposer/Bidder Firm Name (Printed)
C) / y e j'--1 n Aa foie l
BY( uthorized ign�atur )
Prin ed ame and Title4ofn Signing
�m 56hU-�,7- . C / / V ",' j oaqcr
Date Executed � Executed in the County and State of
(�� A4ari
L%
RESOLUTION NO. 14361
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
APPROVING A CONTRACT (CALIFORNIA STATE PRESCHOOL
PROGRAM -7280) WITH THE CALIFORNIA DEPARTMENT OF
EDUCATION TO PROVIDE FUNDING IN THE AMOUNT OF $196,122
FOR FISCAL YEAR 2017-2018 FOR CHILD DEVELOPMENT SERVICES,
AND AUTHORIZING THE CITY MANAGER TO EXECUTE THE
CONTRACT DOCUMENTS
THE CITY COUNCIL OF THE CITY OF SAN RAFAEL RESOLVES as follows:
WHEREAS, the City operates the Pickleweed Preschool at the Pickleweed Children's Center; and
WHEREAS, the State of California has awarded the City of San Rafael funds for subsidy of the
Pickleweed Preschool Program since 1997; and
WHEREAS, the City of San Rafael has been awarded a contract with the California Department of
Education for State Preschool Services in the amount of $196,122 for Fiscal Year 2017-2018.
NOW THEREFORE, the City Council of the City of San Rafael does hereby approve a Contract
(California State Preschool Program -7280) with the California Department of Education to provide
funding in the amount of $196,122 for Fiscal Year 2017-2018 for child development services, and
authorizes the City Manager to execute all required Contract documents.
I, ESTHER C. BEIRNE, Clerk of the City of San Rafael, hereby certify that the foregoing Resolution was
duly and regularly introduced and adopted at a regular meeting of the City Council of said City held on
Monday, the 17th day of July, 2017 by the following vote, to wit:
AYES: COUNCILMEMBERS: Bushey, Colin, Gamblin, McCullough & Mayor Phillips
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: None
ESTHER C. BEIRNE, City Clerk
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 Service
Project Manager: Kelly Albrecht
Extension: 3386
Contractor Name: CSPP 7280
Contractor's Contact: Nancy De Armond
Contact's Email: kelly.albrecht@cityofsanrafael.org
❑ FPPC: Check if Contractor/Consultant must file Form 700
Step RESPONSIBLE DESCRIPTION COMPLETED REVIEWER
DEPARTMENT DATE Check/Initial
1 Project Manager a. Email PINS Introductory Notice to Contractor ❑
b. Email contract (in Word) & attachments to City
Atty c/o Laraine.Gittens@cityofsanrafael.org ❑
2 City Attorney a. Review, revise, and comment on draft agreementy/
and return to Project Manager .7AIM M
b. Confirm insurance requirements, create Job on 7/G �11 /v/k—
PINS, send PINS insurance notice to contractor
3 Project Manager Forward three (3) originals of final agreement to ❑
contractor for their signature
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
Date of Council approval 7�! 7/� 7
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 I H
agreement 7
7 City Attorney Review and approve insurance in PINS, and bonds
(for Public Works Contracts) %J
8 City Manager/ Mayor Agreement executed by Council authorized official —7461P
9 City Clerk Attest signatures, retains original agreement and
1 u
forwards copies to Project Manager