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PW Certification for Receipt of Funds; Budget Act of 2020CERTIFICATION FOR RECEIPT OF FUNDS PURSUANT TO PARAGRAPHS (2) OR (3) OF SUBDIVISION (d) OF CONTROL SECTION 11.90 OF THE BUDGET ACT OF 2020 I, James Schutz, am the chief executive or authorized designee of the City of San Rafael, and I certify that: 1. 1 have the authority on behalf of the City of San Rafael to request payment from the State of California ('State') pursuant to the applicable provisions of subdivision (d) of Control Section 11.90 of the Budget Act of 2020. 2. 1 understand the State will rely on this certification as a material representation in making a direct payment to the City of San Rafael, 3. The City of San Rafael 's proposed uses of the funds provided as direct payment under the applicable provisions of subdivision (d) of Control Section 11.90 of the Budget Act of 2020 will be used only for costs that: a. Are necessary expenditures incurred due to the public health emergency with respect to the Coronavirus Disease 2019 (COVID-19) b. Were not accounted for in the budget most recently approved as of March 27, 2020, for the City of San Rafael. C. Were incurred during the period that begins on March 1, 2020, and ends on December 30, 2020. 4. The City of San Rafael agrees to do all of the following as a condition of receipt of funds: a. Adhere to federal guidance and the state's stay-at-home requirements and other health requirements as directed in gubernatorial Executive Order N-33-20, any subsequent Executive Orders or statutes, and all California Department of Public Health orders, directives, and guidance in response to COVID-19 emergency. b. Use the funds in accordance with all applicable provisions of subdivision (d) of Control Section 11.90 of the Budget Act of 2020. C. Report on expenditures and summarize regional collaboration and non - duplication of efforts within the region by September 1, 2020, and return any funds that are unspent by October 30, 2020 (unless extended by the Department of Finance based on reported expenditures to date), and repay the state for any cost disallowed after federal review, d. Retain records to support reported COVID-19 eligible expenditures and participate in audits as outlined by the federal government and State. Sigr TitlE CERTIFICATION FOR RECEIPT OF FUNDS PURSUANT TO PARAGRAPHS (2) OR (3) OF SUBDIVISION (d) OF CONTROL SECTION 11.90 OF THE BUDGET ACT OF 2020 Date: 7--Z —14 7D The completed certification must be submitted by email to: CRFApplications@dof.ca.gov Certifications must be received by no later than 11:59 p.m. Pacific Daylight Time on July 10, 2020. Certifications received after that time may be disallowed. The subject line of the email shall only contain the name of the local government entity (Le. City of xxx or County of xxx). 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: Public Works Project Manager: Iman Kayani Extension: 3352 Contractor Name: League of California Cities Contractor's Contact: Nancy Hall Bennett Contact's Email: nbennett@cacities.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 licl: here to ❑ enter a Aute. b. Email contract (in Word) and attachments to City 7/1/2020 Attorney c/o Laraine.Gittens@cityofsanrafael.org NIKK 2 City Attorney a. Review, revise, and comment on draft agreement 7/2/2020 N LG and return to Project Manager 7/2/2020 N LG b. Confirm insurance requirements, create Job on (N/A) PINS, send PINS insurance notice to contractor 3 Department Director Approval of final agreement form to send to 7/2/2020 N NAH contractor 4 Project Manager Forward three (3) originals of final agreement to Click here t� NIKK (N/A) contractor for their signature enter ;i r+at. 5 Project Manager When necessary, contractor -sinned agreement N N/A agendized for City Council approval * *City Council approval required for Professional Services N IKK (N/A) Agreements and purchases of goods and services that exceed Or $75,000; and for Public Works Contracts that exceed $175,000 Click here to Date of City Council approval enter a date. PRINT CONTINUE ROUTING PROCESS WITH HARD COPY 6 Project Manager Forward signed original agreements to City 7/2/2020 IKK Attorney with printed copy of this routing form 7 City Attorney Review and approve hard copy of signed 7/2/2020 LG agreement 8 City Attorney Review and approve insurance in PINS, and bonds 7/2/2020 LG (N/A) (for Public Works Contracts) 9 City Manager/ Mayor Agreement executed by City Council authorized G official (� 10 City Clerk Attest signatures, retains original agreement and forwards copies to Project Manager %