Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutLR California State Preschool Contract____________________________________________________________________________________
FOR CITY CLERK ONLY
Council Meeting: July 20, 2020
Disposition: Resolution 14842
Agenda Item No: 4.f
Meeting Date: July 20, 2020
SAN RAFAEL CITY COUNCIL AGENDA REPORT
Department: Library and Recreation
Prepared by: Kelly Albrecht,
Senior Recreation Supervisor
City Manager Approval: ______________
TOPIC: CALIFORNIA STATE PRESCHOOL CONTRACT
SUBJECT: RESOLUTION APPROVING A CONTRACT (CALIFORNIA STATE PRESCHOOL
PROGRAM-0287) WITH THE CALIFORNIA DEPARTMENT OF EDUCATION TO
PROVIDE FUNDING IN THE AMOUNT OF $238,821 FOR FISCAL YEAR 2020-2021
FOR CHILD DEVELOPMENT SERVICES AND AUTHORIZING THE CITY MANAGER
TO EXECUTE THE CONTRACT DOCUMENTS
RECOMMENDATION:
Adopt a resolution approving a contract (California State Preschool Program-0287) with the California
Department of Education to provide funding in the amount of $238,821 for Fiscal Year 2020-2021 for
child development services and authorizing the City Manager to execute the contract documents.
BACKGROUND:
The California State Department of Education, State Preschool Program supports part-day education for
children four to five years of age. Funded programs are required to provide developmentally appropriate
educational, health, social, and nutritional services to eligible low-income families. Parent education and
participation along with strategies to transition the children of disadvantaged families into the public
school kindergarten program are required of the State funded programs.
Since 1998, Pickleweed Children’s Center, in the Canal neighborhood of San Rafael, has been the
recipient of California State Preschool Program funding. The funding substantially covers the cost of forty-
eight students’ preschool education during the academic school year.
In addition to the California State Preschool Program, the Pickleweed Children’s Center also provides an
additional preschool classroom funded by First Five Marin, serving twenty students.
ANALYSIS:
This contract provides no-cost preschool services for income eligible families. The children served by this
contract live in East San Rafael, where there is the greatest need for preschool services in San Rafael.
SAN RAFAEL CITY COUNCIL AGENDA REPORT / Page: 2
Students are accepted into the Preschool Program at the Pickleweed Children’s Center utilizing the
services of the Marin Child Care Council. The Council maintains an eligibility list for qualified low-income
families seeking preschool and child care placement. City staff reviews the eligibility list for current
families in San Rafael with age-appropriate students. Through personal contact, staff assists families in
the registration process.
FISCAL IMPACT:
The City is seeking grant funding from the California Department of Education in the amount of $238,821
for the Preschool Program at the Pickleweed Children’s Center. The preschool program’s estimated
budget for Fiscal Year 2020-21is as follows:
Program Budgeted Expenditures FY 2020-21: $406,370
Program Budgeted Revenues FY 2020-21:
California State Department of Education State Preschool Program 238,821
First 5 Marin 104,017
Community Development Block Grant (Federal) 21,500
Available Fund Balance 42,032
$406,370
OPTIONS:
The City Council has the following options to consider on this matter:
1. Adopt the resolution as proposed, approving the contract with the California State Department of
Education.
2. Do not adopt the resolution, resulting in the City declining the opportunity to submit a grant
application to the California State Department of Education.
RECOMMENDED ACTION:
Adopt a resolution approving a contract (California State Preschool Program-0287) with the California
Department of Education to provide funding in the amount of $238,821 for Fiscal Year 2020-2021 for
child development services and authorizing the City Manager to execute the contract documents.
ATTACHMENTS:
1. Resolution
2. California State Preschool Program-0287 Grant Application and Contract
RESOLUTION NO. 14842
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SAN RAFAEL
APPROVING A CONTRACT (CALIFORNIA STATE PRESCHOOL PROGRAM-0287)
WITH THE CALIFORNIA DEPARTMENT OF EDUCATION TO PROVIDE FUNDING IN
THE AMOUNT OF $238,821 FOR FISCAL YEAR 2020-2021 FOR CHILD
DEVELOPMENT SERVICES AND AUTHORIZING THE CITY MANAGER TO
EXECUTE THE CONTRACT DOCUMENTS
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
$238,821 for Fiscal Year 2020-2021.
NOW THEREFORE BE IT RESOLVED, the City Council of the City of San
Rafael does hereby approve a Contract (California State Preschool Program-0287) with
the California Department of Education to provide funding in the amount of $238,821 for
Fiscal Year 2020-2021 for child development services and authorizes the City Manager
to execute the Contract documents.
I, Lindsay Lara, 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 the City of San Rafael held on Monday, the 20th day of July 2020 by the
following vote, to wit:
AYES: COUNCILMEMBERS: Bushey, Colin, Gamblin, McCullough & Mayor Phillips
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: None
_________
Lindsay Lara, City Clerk
California Department of Education
FY 20-21
Page 1 of 17
California Department of Education (CDE)
DIRECTIONS AND FORMS
FOR
CHILD CARE AND DEVELOPMENT CONTRACTS
Please read the entire document carefully. This document contains:
•Directions for Contract Execution (page 2)
•Issues that will Delay Contract Execution (page 3)
•Resolution/Signature Authority (page 4)
•Sample Resolution (page 5)
•Frequently Asked Questions (pages 6-7)
•Checklist (page 8)
•Contractor Certification Clauses (CCC-04-2017) (pages 9-12)
•California Civil Rights Laws Certification (CO-005) (page 13)
•Federal Certifications CO.8 (page 14-15)
•Contract (page 16-17)
California Department of Education
FY 20-21
Page 2 of 17
DIRECTIONS FOR CONTRACT EXECUTION
1.Review the Funding Terms and Conditions (FT&C), applicable Program
Requirements, and the General Terms and Conditions (GTC 04/2017). If you
are a State Agency or University, review the General Terms and Conditions
for Interagency Agreements (GIA 610).
All of the above can be found at the following link:
http://www.cde.ca.gov/fg/aa/cd/ftc2020.asp
2.Print two (2) copies of this document beginning with the CCC 04/2017
(pages 9-17), single-sided only. Do not alter documents in any way.
a.Confirm that the printed pages are legible. If the contract language
is cut off at the margin, follow the link below to correct the problem:
http://helpx.adobe.com/acrobat/kb/scale-or-resize-printed-pages.html
3.Have both copies of the contract and all required documents filled out
completely and signed by the authorized official.
•Sign documents in blue ink only, or via Adobe Acrobat digital
signature.
Contracts signed in black ink, stamped signatures, or copies will
NOT be accepted.
•Print name, title, and address where requested.
4.Public agencies only - Attach a copy of a resolution by the local governing
body authorizing the execution of each contract.
•Contracts will not be executed prior to board approval.
5.Email Adobe digitally signed contract and documents with certifying statement
to childdevelopmentcontracts@cde.ca.gov, or mail signed contract and all
completed documents as soon as possible to:
Contracts, Purchasing, and Conference Services
California Department of Education
1430 N Street, Suite 2213
Sacramento, CA 95814-5901
California Department of Education
FY 20-21
Page 3 of 17
ISSUES THAT DELAY CONTRACT EXECUTION
The following issues will delay contract execution and payment:
•Documents are unsigned, incomplete, or not returned.
•Contracts are mailed to the incorrect address.
•Contracts are e-mailed without a password protected Adobe Acrobat digital
signature and certifying statement.
•The contract is not signed with original signatures in blue ink.
•The contract was printed illegibly, double-sided, or formatting has been changed.
•The contract was printed with the left side cut-off and language missing.
•The individual signing the contracts does not have signature authority to enter
into contractual agreements with the CDE.
California Department of Education
FY 20-21
Page 4 of 17
RESOLUTION/SIGNATURE AUTHORITY
PUBLIC AGENCIES
According to the State Contracting Manual, Volume 1, when one of the contracting parties
is a county, city, district, or other local public body, the contract shall be accompanied by
one of the following documents from the local governing body authorizing execution of the
agreement:
Board resolution; or
Board minutes; or
Board policy
Please submit one resolution per contract type.
County Offices of Education
A resolution is not required IF the County Superintendent signs the contract. If anyone else
signs, signature authority is required.
If someone other than the County Superintendent signs the contract, signature authority is
required. This can be provided by a resolution or letter on letterhead signed by the County
Superintendent.
PRIVATE AGENCIES
Generally, the Executive Director, Owner, President, etc. are the authorized signers. If an
individual with a different title than above signs the contract, provide one of the following
indicating the signee has the authority to enter into and sign contractual agreements with
the CDE:
Letter on company letterhead;
Board Resolution; or
Board Minutes
California Department of Education
FY 20-21
Page 5 of 17
RESOLUTION
This resolution is adopted in order to certify the approval of the Governing Board to enter into
this transaction with the California Department of Education for the purpose of providing
child care and development services and to authorize the designated personnel to sign
contract documents for Fiscal Year 2020-2021.
═════════════════════════════════════════════════════════════════
RESOLUTION
BE IT RESOLVED that the Governing Board of
authorizes entering into local agreement number and
that the person/s who is/are listed below, is/are authorized to sign the transaction for the
Governing Board.
NAME TITLE SIGNATURE
PASSED AND ADOPTED THIS day of 2020, by the
Governing Board of
of County, in the State of California.
I, , Clerk of the Governing Board of
, of , County, in the
State of California, certify that the foregoing is a full, true and correct copy of a resolution
adopted by the said Board at a meeting thereof held at a
regular public place of meeting and the resolution is on file in the office of said Board.
(Clerk's signature) (Date)
California Department of Education
FY 20-21
Page 6 of 17
FREQUENTLY ASKED QUESTIONS
BOARD RESOLUTIONS/SIGNATURE AUTHORITY
Do I need to provide a resolution and signature authority for an original contract?
Public Agency
Yes, you need a resolution authorizing the contract. You also need to provide signature
authority for the person signing the contract, if someone other than the Superintendent
signs. See the sample provided on the previous page.
Private Agency
The CDE does not require a resolution from a private agency. However, if an employee
who is not the Executive Director, Owner, or President, etc. has signed the contract,
signature authority is required. This can be provided by a resolution or letter on
letterhead from the Executive Officer.
Do I need a resolution for an amendment?
If the resolution for the original contract specified the contract amount, a resolution
containing the amended contract amount is required.
In addition, signature authority will be required if the person signing the amendment was
not included as an authorized signer on the original resolution.
I work for a County Superintendent of Schools. Does my contract need a
resolution?
Because County Superintendents have the authority to enter into contracts without
board approval, a resolution is not required IF the County Superintendent signs the
contract.
If someone other than the County Superintendent signs the contract, signature authority
is required. This can be provided by a resolution or letter on letterhead signed by the
County Superintendent.
CONTRACT COPIES
Can we e-mail copies of the signed contract?
No. CDE can only accept contracts with original signatures at this time.
Why do I have to make two copies of the contract?
So that once the contract is executed, CDE can send you a signed original.
FEDERAL ID NUMBER
What is my Federal ID number?
An Employer Identification Number (EIN) is also known as a Federal Tax Identification
California Department of Education
FY 20-21
Page 7 of 17
Number, and is used to identify a business entity. Use this number to fill in the CCC-
4/2017 form.
PRINTING ERRORS
What is a misprint?
A misprint occurs when the contract is printed illegibly, double-sided, or a change has
been made to the formatting. Common examples are:
The text on the left margin of the contract has been cut off. Fix problem here:
http://helpx.adobe.com/acrobat/kb/scale-or-resize-printed-pages.html
Toner issues cause the print to be illegible.
The contract has been printed double-sided.
Space has been added or deleted.
If this occurs, and the contract is sent to CDE, you will receive an e-mail asking you to
re-print, re-sign and return a correctly printed contract. Contracts that have been altered
in any way are unacceptable.
CONTACT INFORMATION
When should I contact the Contracts Office?
If you have a question regarding the status of the contract or questions about any of
the attached documents, please contact your Child Care and Development Contract
Analyst listed here:
https://www.cde.ca.gov/fg/aa/cd/directory13.asp
For counties 01-29, contact Cindy Rodriguez at CiRodriguez@cde.ca.gov
For counties 30-58, contact Favio Flores at FFlores@cde.ca.gov
For questions regarding contract terms such as MDO, MRA, etc., contact the assigned
Fiscal Analyst or EESD Consultant listed here:
https://www.cde.ca.gov/fg/aa/cd/faad.asp
or
https://www.cde.ca.gov/sp/cd/ci/assignments.asp
Direct all contract correspondence to:
Contracts, Purchasing, and Conference Services
California Department of Education
1430 N Street, Suite 2213
Sacramento, CA 95814-5901
California Department of Education
FY 20-21
Page 8 of 17
CONTRACT CHECKLIST
Please note that every form is required.
Contractor name Contract # _____________
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 visible?
Two (2) signed Contractor Certification Clauses (CCC-4/2017)
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 2213
Sacramento, CA 95814-5901
Contractor Certification Clauses
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
By (Authorized Signature)
Printed Name and Title of Person Signing
Date Executed Executed in the County of
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 11102) (Not applicable to public entities.)
2.DRUG-FREE WORKPLACE REQUIREMENTS: 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
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
REQUIREMENT: 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.gov, 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).
7. DOMESTIC PARTNERS: For contracts of $100,000 or more, 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
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 QUALIFICATIONS 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
Fiscal & Administrative Services Division
CO-005 (NEW 4/2020)
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 of the State of
California that the foregoing is true and correct.
1. Proposer/Bidder Firm Name (Printed):
2. Federal ID Number:
3. By (Authorized Signature):
4. Printed Name and Title of Person Signing:
5. Date Executed:
6. Executed in the County and State of:
Page 1 of 1
Page 1 of 4
California Department of Education
Fiscal and Administrative Services Division
CO-007 (Rev. 04/2020)
FEDERAL CERTIFICATIONS
Certifications regarding lobbying, debarment, suspension and other
responsibility matters; and drug-free workplace requirements
Applicants should refer to the regulations cited below to determine the certification to
which they are required to attest. Applicants should also review the instructions for
certification included in the regulations before completing this form. Signature of this
form provides for compliance with certification requirements under 34 CFR Part 82
“New restrictions on Lobbying,” and 34 CFR Part 85, “Government-wide Debarment and
Suspension (Non procurement) and Government-wide requirements for Drug-Free
Workplace (Grants).” The Certifications shall be treated as a material representation of
fact upon which reliance will be placed when the Department of Education determines
to award the covered transaction, grant, or cooperative agreement.
1. LOBBYING
As required by Section 1352, Title 31 of the U.S. Code, and implemented at 34 CFR
Part 82, for persons entering into a grant or cooperative agreement over $100,000
as defined at 34 CFR Part 82, Section 82.105 and 82.110, the applicant certifies
that:
(a.)No federal appropriated funds have been paid or will be paid, by or on behalf of
the undersigned, to any person for influencing or attempting to influence an
officer or employee of any agency, a member of Congress in connection with the
making of any federal grant, the entering into of any cooperative agreement, and
the extension, continuation, renewal, amendment, or modification of any federal
grant or cooperative agreement;
(b.)If any funds other than federal appropriated funds have been or will be paid to
any person for influencing or attempting to influence an employee of Congress,
or any employee of a Member of Congress in connection with this Federal grant
or cooperative agreement, the undersigned shall complete and submit Standard
Form –LLL, “Disclosure Form to Report Lobbying,” in accordance with this
instruction;
(c.) The undersigned shall require the language of this certification be included in the
award documents for all subawards at all tiers (including subgrants, contracts
under grants cooperative agreements, and subcontracts) and that all
subrecipients shall certify and disclose accordingly.
Page 2 of 4
2. DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
As required by executive Order 12549, Debarment and Suspension, and other
responsibilities implemented at 34 CFR Part 85, for prospective participants in
primary or substantive control over a covered transactions, as defined at 34 CFR
Part 85, Sections 85.105 and 85.110-
A. The applicant certifies that it and its principals:
(a.)Are not presently debarred, suspended proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any federal
department or agency:
(b.)Have not within a three-year period preceding this application been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or
performing a public (federal, state, or local) transaction or contract under a
public transaction violation of federal or State antitrust statutes or commission
of embezzlement, theft, forgery, bribery, falsification or destruction of records,
making false statements, or receiving stolen property;
(c.) Have not within a three-year period proceeding this application had one or
more public transactions (federal, state, or local) terminated for cause or
default; and
B. Where the applicant is unable to certify to any of the statements in this
certification, he or she shall attach an explanation to this application.
3. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN
INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1998, and implemented at 34 CFR
Part 85, Subpart F, for grantees, as defined at 34 CFR Part 85, Section 85.605 and
85.610-
A. The applicant certifies that it will or will continue to provide a drug-free workplace
by:
(a.)Publishing a statement notifying employees that the unlawful manufacture,
distribution, dispensing, possession, or use of a controlled substance is
prohibited in the grantee’s workplace and specifying the actions that will be
taken against employees for violation of such prohibition.
(b.)Establishing an on-going drug-free awareness program to inform employees
about-
Page 3 of 4
(1.)The danger of drug abuse in the workplace;
(2.)The grantee’s policy of maintaining a drug-free workplace;
(3.)Any available drug counseling, rehabilitation, and employee assistance
programs; and
(4.)The penalties that may be imposed upon employees for drug abuse
violations occurring in the workplace;
(c.) Making it a requirement that each employee to be engaged in performance of
the grant be given a copy of the statement required by paragraph (a);
(d.)Notifying the employee in the statement required by paragraph (a) that as a
condition of employment under the grant, the employee will-
(1.)Abide by the terms of the statement; and
(2.)Notify the employer in writing of his or her conviction for a violation;
(e.)Notifying the agency, in writing, within 10 calendar days after receiving notice
under subparagraph (d) (2) from an employee or otherwise receiving actual
notice of such conviction. Employers of convicted employees must provide
notice, including position title, to: Director, Grants, and Contracts Service,
U.S. Department of Education 400 Maryland Avenue, S.W. (Room 3124, GSA
Regional Office Building No.3), Washington, DC 20202-4571. Notice shall
include the identification number(s) of each affected grant;
(f.) Taking one of the following actions, within 30 calendar days of receiving
notice under subparagraph (d) (2), with respect to any employee who is so
convicted:
(1.)Taking appropriate personnel action against such an employee, up to and
including termination, consistent with the requirements of the
Rehabilitation Act of 1973, as amended; or
(2.)Requiring such employee to participate satisfactorily in a drug abuse
assistance or rehabilitation program approved for such purposes by a
federal, state, or local health, law enforcement, or other appropriate
agency:
(g.)Making a good faith effort to continue to maintain a drug-free workplace
through implementation of paragraphs (a), (b), (c), (d), (e), and (f).
B. The grantee may insert in the space provided below the site(s) for the
performance of work done in connection with the specific grant:
Page 4 of 4
Place of Performance (Street address, city, county, state, zip code)
Address:
City:
State:
Zip Code:
Check if there are workplaces on file that are not identified here.
4. DRUG-FREE WORKPLACE (GRANTEES WHO ARE
INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and implemented at 34 CFR
Part 85, Subpart F, for grantees, as defined at 34 CFR Part 85, Sections 85.605 and
85.610
(a.)As a condition of the grant, I certify that I will not engage in the unlawful
manufacture, distribution, dispensing, possession, or use of a controlled
substance in conducting any activity with the grant, and
(b.)If convicted of a criminal drug offense resulting from a violation occurring during
the conduct of any grant activity, I will report the conviction, in writing, within 10
calendar days of the conviction, to: Director, Grants and Contracts Service, U.S.
Department of Education, 400 Maryland Avenue, S.W. (Room 3124, GSA
Regional Office Building No.3) Washington, DC 20202-4571. Notice shall include
the identification number(s) of each affected grant.
As the duly authorized representative of the applicant, I hereby certify that the
applicant will comply with the above certifications.
NAME OF APPLICANT:
CONTRACT #:
PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE:
SIGNATURE:
DATE:
CALIFORNIA DP,PAR7'A1EN7'0FEDUCATION
1430NStreet
s
F.Y. 20-a1
Sacramento, CA 95814-5901
DATE: July 01, 2020
LOCAL AGREEMENT FOR CHILD DEVELOPMENT SERVICES
CONTRACTOR'S NAME: CITY OF SAN RAFAEL
CONTRACT NUMBER: CSPP-0287
PROGRAM TYPE: CALIFORNIA STATE
PRESCHOOL PROGRAM
PROJECT NUMBER: 21.02193-00-0
This Agreement is entered into between the State Agency and the Contractor named above. The Contractor agrees to comply
with the CONTINUED FUNDING APPLICATION FY 20-21, 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 the 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, 2020 through June 30, 2021. 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 $49.85 per child day of full time enrollment and a Maximum Reimbursable Amount (MRA) of
$238,821.00.
Service Requirements
Minimum Child Days of Enrollment (CDE) Requirement 4,791.0
Minimum Days of Operation (MDO) Requirement 175
Any provision of this Agreement found to be in violation of Federal or 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 (*) can be viewed at https://www.cde.ca.gov/fg/aa/cd/ftc202O.asp
!TATE OF CALIFORNIA
CONTRACTOR
S tAUTriO ,D G iR )
BY in T RI2
SIGN UREI
PRINTED c St KING
PRI TED NAJAE AND TITLEP SON SIGNING
Jaymi Brown,
Ji hutz.
Ciq Manage-
TITLEContractManager
DR
ADESS
np RY
en a Q1 C 7Y9Vi
AMOUNT ENCUMBERED BY THIS
PROGRAM/CATEGORY (CODE AND TITLE)
FUND TITLE
Department of General Services
DOCUMENT
Child Development Programs
General
use only
$ 238,821
(OPTIONAL USE)
0656
PRIOR AMOUNT ENCUMBERED FOR
25451-2193
THIS CONTRACT
ITEM 10
30..020.001
6100-194-0001
CHAPTER
B/A
STATUTE
2020
FISCAL YEAR
2020-2021
$ 0
TOTAL AMOUNT ENCUMBERED TO
DATE
OBJECT OF EXPENDITURE (CODE AND TITLE)
$ 238,821
706 SACS: Res -0000
Rev -0000
I ncfeby Cal ify upon my own cc rsonaJ kno 4adge Inst ogetpd lUndS ye availaole far the Ac nod Aqtj
T.B A. NO,
B R. NO,
purpose of the expenditure staled above
SIGNATURE OF ACCOUNTING OFrICER
DATE
ZI f
20
1
CALIFORNIA DEPARTMENT OF EDUCATION
14.30 N Street
Sacramento. CA 95814-5901
Amendment 01
LOCAL AGREEMENT FOR CHILD DEVELOPMENT SERVICES
Add Pilot Language
CONTRACTOR'S NAME: CITY OF SAN RAFAEL
F. Y. 20-21
DATE: July 01, 2020
CONTRACT NUMBER: CSPP-0287
PROGRAM TYPE: CALIFORNIA STATE
PRESCHOOL PROGRAM
PROJECT NUMBER: 21-02193-00-0
This agreement with the State of California dated July 01, 2020 designated as number CSPP-0287 shall be amended in the
following particulars but no others:
The Contractor agrees to comply with the terms and conditions of the Marin County Local Individualized Subsidized Child Care
Plan (hereafter the "MARIN COUNTY PILOT PLAN") as specifically approved by letter from the California Department of
Education, dated July 26, 2019. The contract must meet the specifications of the STATE PRESCHOOL PROGRAM
REQUIREMENTS except where the MARIN COUNTY PILOT PLAN allows for exceptions.
The Maximum Reimbursable Amount (MRA) payable pursuant to the provisions of this agreement shall be $238,821.00. (No
change)
The Maximum Rate per child day of enrollment payable pursuant to the provisions of this agreement shall be $49.85. (No
change)
SERVICE REQUIREMENTS
The minimum Child Days of Enrollment (CDE) Requirement shall be 4,791.0. (No Change)
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.
S EJDF
CALIFORNIA
t, r---,
XONTR&CTOR
BY E+1U
BY t tia IZEn NATll
�L .
PRINTED,N VE OF 0' RSOX4 SIGNING
P TEDE AND TITLE OF P%101111GNING
Jay n.
1
na
er
TITLE
Contract Manager
ADDRESS
4 00 Fifth
Ave. - San
Rafael
. &A 249Q1
AMOUNT ENCUMBERED BY THIS
PROGRAM/CATEGORY (CODE AND TITLE)
FUND TITLE
Department of General Services
DOCUMENT
Child Development Programs
General
use only
$ 0
(OPTS AL USE)
0656
PRIOR AMOUNT ENCUMBERED FOR
25451-2193
THIS CONTRACT
ITEM 30.1 0.020.001
6100-194-0001
CHAPTER
B/A
STATUTE
12020 12020-2021
FISCA!. YEAR
$ 238,821
TOTAL AMOUNT ENCUMBERED TO
OBJECT OF EXPENDITURE (CODE AND TITLE)
DATE
$ 238,821
706 SACS: Res -0000
Rev -0000
I nereey certify upon my own per .W ino rdga t c' •untls avai as a fW c penpd and
TBA NO
8 R NO,
purpose of the expenditure slated above
SIGNATURE OF ACCOUNI ING OFFICER
DATE ly"12020