HomeMy WebLinkAboutPW 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
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