HomeMy WebLinkAboutDEPARTMENT OF INDUSTRIAL RELATIONS - 1992-11-02ej
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REQUEST FAR vlTY COUNCIL ACTION
Date November
o� er 2, 1992
Submitted to: Honorable Mayor and City Council
Submitted by: Michael T. Ubu uaga, CiL•y AdlninisttaL
Preparediy: Robert J. Franz, Deputy City Administ
Sebject, Resolution accepting grant funding
Consistent with Council Policy? j,�{1 Yes [ ] Nevi Policy or Exception
Statement of Issue, Recommendation, Analysis, Funding source, Alternative Actions, Attachirents:
"S C'iii Ezi nt OL Issue:
The City of Huntington Beach has recently been awarded grant funding by tha
Stage of California Department of Industrial Relations in th& amount of
$16390.00 for an employer safety gaining program.
Racommendation:
Adopt the attached resolution approving the execution of the routraet
with the State of California.
The rStf:,ta of California Department of Industrial Relations has requested
a Resoluto:� by the City Counci-l. i:i wr._ch the funding is accepted and
contract-u: 1 authority is provided.
„y..N The funding will allow for a Safety Leadership Trainin; Program in which
twenty administrators, managers, crew leaders and lead workers will be
r» i= instructod in the techniques of injury/illness control. These services
,4i<< will be provided by an outside contractor.
N
Funding Source:
Not applicable
►'# ter,:?+`'sr��: Alternative Action z
Do not accep4 the grant funding k},'
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Attachments: r ;'
r�: %,•" ,'}LL''iiMllS i Grant application
4.`,r_,.I, Pcoposed Rnsolution y
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August 24, 1992
Please note:
!
Vl�e are enclosing one complete contract. -with Exhibits A through F
at%ached, ., and 5 copies.,of 'the contract without the'' exhibits. This is
to :make the package thinner to save on• postage And handling, since
all the exhibits are the same for all copies of the contract. . Please
sign all six front copies of the contract and Exhibit F of copy one,
and reUurn them to us as soon as possible. We shall &WA send you a
complete copy when the contract is fully signed.
i3arbar*'phy
Staff Sorvices Manager i
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HAMERA
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STANDARlY AGREEMENT— AFM'RONEDRYTHE . AMrra ❑ orxrw�c
ATTOFW EY SERA, 42912026 ❑ STATE AGENCY
❑ DEPT. CF OM. SEFL
CO g( E�TMe) FOOM' -6666 7a-3. Q❑ CONTAaAM
ms AcaMMMENT, mad• and entered irtto this 14th drte of August , 1992 D
I., th ,, State of G&ftrnia. by
and between State of w forme, thmigh Its duly elected or appr+inted, ❑
-SEv1Ti�d and adirp r_--
ttn�a�a eMfa+eTAII
ytaff Spx vices Manager I rt�n� of Istdust:rial Relations , hereafter called the State, and ;
Hun in n Beach . hereafter called the Contractor.
Cityof
WITNESSET'H: 7hl�t the Contractor for and In coneideratbn of the covenants, conditions, agre•rnents, and etlpulit na of the State
hereinafter ex
n +wfurnistStatsservices endat� follows:
�ar—WarW.IWJawwwN►a oe
A. c.rvd G0A rt� iia., ner ormed:
/
1. Contractor agrees to conduct an occupational safety and health
training,'arid education program in conformity with the specifications
and exhibits listed below:
Exhibit: it - Department of Industrial Relations Request for Proposal
and Application for an Occupational Safety and Health
• TrLining and Education Grant (1992)
Exh;,bit ii - Contractor's Complete Proposal (ffarrative and Cost)
Exhibits A and B are attached and incoporated herein by this
referer_c(B.
Pr=• '�bre, an the.even• Bids hmet cce�ftt c pert of thin sg(ewnont
IN Wffl'It; 8 WHEREOF. thte 14:"msnt has bean •x•eurd by the p Lrks hersto, upon the dab fi nt above wrfitsn.
STATE OF CALIFORNIA
X
CONTRACTOR
O A A
fXPAJ711� r
ion'J Jit of Huntington Beach
1 p
hny o
AM:AAIT b11 — By pFgX MM ICAJ EGG (CODE ANO TMJ4
TWOOMANNT DOSH 41023
$16,390.00 "
Index Code 9�0
�83SO-001-001
MMTF i K'
_ Ob eet Code: 568 1
:t=: epyes Trsrts�r/ wtAMfpgaoWW40 JDXe TiiITBLLXX CFLP=AW
A.:cf{BifMAIThiA►OPtfVlaXOFTIsE7I vo(naLsrAtwAww
er rlATUFM OF ACCO&WI to 1 C i
x)P
2000 Main Street
Huntington Beach CA 92648
Irund 222
A nr L
1992 92/93
DaWment of General Sslvi:#s
U-o Only , —
JltM I "LIC1' RlIC�-• 1 ..
pepertmmi ei Gcrarei S•r••c.,
APPRO ViwD
OEC 2 1992
ORIGINAL 50O 901 9Y
BY GARRW WIM
' Mgt. Cht�r
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e y afrom a agrees%and lossesdscaaft save
resu ng too u they � all �ntra�or�s Agents,
en�loyees from perry and
tracoprs, mair►rialmen� laborers and any other person or corporation famishing ors FVM OW
no
yroric, soorvices, materials or supplies in connectlan wideMe pfi� or corpance oration who y be >r�Jd
and is chime and lossss ace ruing a res .ling tp any per
or damaged by the Contractor in the performance of this contract.
2. The contractor, end the agents a demployees rrias Contractor,
ar emp�l� yperformance
ar aan hoof this
o e.
Mont, shall act in an indepnd cape
California.
g, grate may torminate this agreement tand be relieved of he covenants he en c•A rained t thrment of e time t0
Carr�ta should Contractor fail to perform with the work in any
Mww. herein provided. in the event of such termination the State may proceed
proceed
domed proper the State. The cost to the St is shall be deducted from any dem+andr
Contactor under this agr ement, and #* balance, if an , shall be pold t#re Contractor upon
41 WNW the wrttdan f*nsent of the State, this agreement is not assignable by Contractor either In
wh* or in palm.
S. 71me 11 of the essence in this agreement.
S. No.-*allon or variation of the terms of this aonhd shall be valid unless made In wri3ng and
Loy 6:3 pa.10t hereto, and no oral understanding or agreement not Incaporated herein, shall be
ding on any of the parties hereto.
7. The consideration to be paid Contractor, as provided herein, shall
trevel rnd pepan r diem, nr otherwise
Ccrrp�ctor's expenses incxrrred in the perfom►ance hereof, indudIn9
Y se *vided.
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M
. Department of Industrial Relations and Contxact429120?.6
City of Hun>cn Beach
. -2- � t
B. .- p 199
seCrnber 1, 1912 j�ja�t.�i:b.e ,
This contract becomes effective from through Septmtbn-39 149,
contingent upon approval of the Department of General Services or the Department of
Industrial Relations as required by State and Federal procedures and upon availability of
finds, unless terminated sooner by the State upon 30 days advanm written nr•tice.
C PAS
Awards will be given in two installments. 50% will be disbursed after initial grant
approval and execution of this contract with the Department of Industrial
Relations. The remaining 50% will be disbursed after submittal and approval of
the Stariiannual Project Evaluation Report (Form E - Exhibit C), due on.A 30,
2. Quarterly Financial Reports (Form F - Exhibit D) are due on 7;
DrtEes.w+-arl;-1 3; " , ' and . , 4993. 9 y
rithY �0,,993� Ruc&esr•zo�19�3 z4- Ivevem6t.•r %56
3. Pursuant to California Revenue and Taxation Code'Section 1880ii.1, independent
;onteactors inay be subject to 1% State income tax withholding.
4. The Contractor is hereby notified that S-.cdon 6041 of the Federal Internal
Revenue Code and Section 16802 of the State Revenue and Taxation Code require
the State to report certain payments to individuals. No claims for payment shall
be pracessed by the State without this information The Contractor agrees to abide
by these conditions and i provide the information requested.
Federal Tax ID number of Social Security Number q5 " C—zkcx�) 72-3
`"- D. Special Provisions
1. Linda Kerrigan is designated the Departmental Project Coordinator.
The Contractor, by signing this contract, does swear under penalty of Perjury that
no more than one final unappealable finding of contempt of court by a. federal
' court has been issued against the Contractor within the immediately preceding
a two year period because of the contractor's failure to comply tirith an order of the
L federal court which orders the Contractco. to comply vrizh an order of the National
'X''.': Labor Relations Board. '
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Department of Industrial Relations and
City of Huntington Beach
,_3-
Contract #42912026
s. The State of California is exempt from Federal Excise Taxes, and no payment will
be made for any taxes levied on employees' wages. The State will pay for any State
of California or local sales or use taxes legally assessed on the serviced rendesed or
equipment or parts supplied pursuant to this agreement. All other taxes directly
or indirectly arising out of the Performance of this agreement shall be the
responsibility of the Contractor.
4. The State will not pay any finance, interest or late charges.
5. It Is understood that the award of this contract may be subject to approval by
appropriate State agencies.
6. The Contractor, by signing this contract, agrees to cooperate with State of
California and/or United States Department of Labor personnel with respect to
monitoring/auditing of costs and/or program activities.
7. The Contractor.. by signing this contract, agrees to provide the Department of
Industrial Relations two (2) complimentary copies of any and' all traixdng
materials and/or videos which are produced in conjunction with this contract no
later than six (6) months following completion of the l caject.
8. The Contractor, by signing this contract, agrees that training products to be
developed with grant funds will not du )licate existing training programs.
9. The attached Exhibit E c-titled "Special Provisions" and Exhibit F entitled "Deug-
Free Workplace Certification" are attached and incorporated herein by this
reference.
10. Contingent Budget Language:
a This contract is valid and enforceable only if sufrUent funds are made
available by the Budget Act of 1992, for the fiscal year 1952/93 and the
Budge: Act of 1993 for the fiscal year 1993194, for the purposes of this
program. In addition, this contract is subject to any additional
restrictions, limitations, or conditions enacted by the Legislature and
mi-aained in the Bud3et Bill or any statute enacted by the Legislature
wNch may affect the provisions, terms or funding of this contract in any
manner.
b. It is mutually agreed that if the Budget Acts of 1992 and 1993 do not
appropriate sufficient funds for the program, this conCract shall be
Invalid and have no liability !n pay any funds whatsoever to the
Contractor, or to fumish any other considerations under this contract and
the Contractor shall not be obligated to perform anv provisions of this
contract.
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Aj CITY OF HUNTINGTON BEACH
i effl. 2000 MAIN STREE`f' CALIFORNIA t12648
RISK MANAGEMENT DIVISIOPI
(7141536-5990
November 13, 1992
Department of Industrial Relations
..Contracts Unit
P•.O. , Sox 420603
San Francisco, CA 94142
Please find enclosed, six copies of standard agreement,
contract 4291- 2026.and two original copies of City
Council Resolution No. 6440.
If you have any questions or feel there are any eaficiencies
with these documents, please call me at (714) 5�6--5234.
Tha►,k you.
Dennis Coulter
Lie-bility/Safety Analyst
PROJECT DIRECTOR
><-�� � -Tae,
'IDRUC USE-
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dhilrleri b/ AdminietretWn
1Wetn+roe Mansgott+tont soetton
q!i Golden date Will Room 4242
f;We Rratwteea, CA •4162
Ci.,y of Huntington Beach
Attu: Dennis Coultcr., Safety and
Liability Analyst
200 Main Street
RuntLngton Beach, CA 92648
ADOWS RMY T(>
P.Q. Door 4MI
SM Frl-dsm CA 94I42-M
RE: Agreement N
1. Please have sit of the attached copie3 of the lVeenteat signs d and return all of them for (Whey
prooefiing. Conu*cts are not efts tnive until approved by the State i2+epartaaent of General Servicea,
at the Department of Industrial Relations as inquired by State procedums. Pcrronaarce array not
begin until the contract has been approved. When folly approved. the oti final copy will be sent to
you.
2. Please initial changes on all copies of the 85,oement on pt:ge(s) and return all copies -for
further processing.
3. Z. Please submit accessary information and certification to shove compliance with the requirements
of Exhibit _ f .. -
4. Atucbed for your records is one fully exscuted copy of the subject agreement. and coatirmed
copylcopies.
S. — f►ttxArd are copies of this agreement which have been si". d on behalf of the Deptrtatent
oI' fndustriat Relations. When fully approved. please return the *Jjinal approved copy and any
additionsi copies vot needed for your pnx=in6 to this office. Att.r: Caparuner:t of Industrial
Relations. Contracts Unit, Post Office Box 420603, San Francisco, CA 94142.
6, Z phase provide us with your employer identification number assigned by the Internal Revenue
Srervkx. (Ilse 3td 204 attached).
7. Z Inquiries cuncesaing the processing of this agreement should be referred to the Contracts Unit.
Phone ar(415) 703-SS20 or (4151 703.5620.
8. = Yrs.puries concerning the services to be performed under this agreement should be referred to:
9. If your company claims small business status. enter your vendor numher provided by
Depsnmert of General Servic z, Office of Small and Minority Business:
10. _ Please indicate sex and ethnicir.y of ownc, .hip of year conpMy:
11. Please return all copies of the signed agreements to: Department of Indaitrial
Relations, Contracts Unit, P. 0. Box 420603, San Francisco, CA 94I42.
r. f; 12_ Other. Please suiirdr a resoludtim bf 3uw mB tv-* aAhwi__g o" W—im of the Wit.
as ramAzrd by the state A&qiristrativre Mw=1 (.SO Smtkm 138.2. Ca" of SAM smTiLa aad
r-%Vlas of rmolutifom actrd'd_ Sincerely. r
,. Barbara ricue
eyanager
Staff SerI
4
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+
VENDOR flATA RECORD
(Requtrddjn•lleu of IRS W9 when doing business with t;re State of California)
STO.4M (ripr.sero
formatbncona t
Dent
pFpAAT11El1UOFFCE PURPOSE. tnnp rnrs
v*0 be used by State agencies to prepare Infor.
PLEASE s „A.,,�s--- � —" mation Returns (Form 1 A99) and ferwithhodng
RETURN or, paymertls to nonresident vendors.
To: — kxrY, sraT,E.zP cct¢ (See Privacy Statement tin reverse,)
_I BwNens cuu. "mE AA4 FW sty
..�"—�"'--•• ME YOU SL%XCr TO FtOOV& 2AtvV
STaEsi AOkf1EESi YIRTF14=WP
go@ i"w w'r Ime AS Fwm W-9
CRY, iLA IE /M� 75M' GOOF
El YEs ❑ ,��
.. �'t •M ��W Wu
INSTRUCTIONS. (1)..rhedk boy. indicating type nl� bu�sin ss entity and provide tax�iyer IduntHicatbn number.
(2),' Check box indicating resident or nonresident. (See reversa ;a•l'd�litlolril informatiwr).
(3�, Chock one or more VENDOR ACTIVITY boxes specifying vendor activity type.
>a ev 7 a + Y+c.>t:x' to ..rk..: .Yt i,:' i� Y><C.L� f 'E•?VENDCR ACiIMy Y?te aY it7Jh>rax:;
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^.!"!'.Ni�ii N,fia•-.r �.._ _. ...E �...r. ... ,va..ys�•-t..:i. .x>:^.0 7.}w-. ... ..,..... «...j lx� .,'.�.:ik.,...r.. .;.'.it3.' �� Chi 't> a .n•v wt«.'1 Y.`•.'?* Y :..: d.L.•C.
i.
>iro� stavK>:s��ty a.{w�.r:
❑ CORPORAT" ❑ rrs h �.}ah. ►.FTG w.T•«r.
Resident - Quaililed to d3 twsines� in CA i
❑ Permanent place of business to CA
❑ 1140iVIDUAUSo6EPROPHIETOR
AamWAAtrdw#*AVrF W
LJ f9pohIAF7WYEEGC>11PERSATIO1i=�
�--� ,p�`r� �n/,nriwAr>e�, taw+ierw. •1�!
low Swid5roW.1
1 I I 1
❑ MEorxsVW=srfa%1f+*+�r.
onaarr r.rc++act{ It Pr.
.
❑ Resident ❑ Non Resklent (See Reverse)
❑ .WTMSTrEameWIMMS"*9w VWW" 1
❑ PARTNERSHIP
❑ nExr
❑ WYALTES
❑ Resident ❑ Non Resident (Sea Reverse)
❑ FF=a ANo swARoa
❑ESTATE OR TRUST
❑ or►" OOP& t
f~ Fiar>r evv&rw A�1r fhaArMl ►+ *9
,� — t i 1 1 1 1 I
❑Resident (Estate) - Decedent was a CA rosidb:d at
the tirne of death
❑ Reslunt (Trust) - At least one trustee is a CA
rosi+.ient
❑ sEta M pb MC-,4 ,
M C0urw0 n-MjW.*3 .
L ! P&,W ft1 s1M, ivial l
❑S�ruE.vr�xJMt1Es
tFiwr�r Rude slrn .:v+.Mi+/I;
Lj Non Resident (See Reverse) 1
I hereby certify under penalty of pe..jury that the information provided on th►s document is true and corroct.
N rr!y residency status should chin a, I will 2romptly inform ypu - _
.usHrs>aso YFwa► aEraEs;xTA� rvE•s wwE ?rti. « r'.,q tTn�
3044TUE
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rtt MIC06K C=t Ftl STATE AOV1CfTFAMI MAXULL MCTCM 54MIS Xhod OW ltIT1At 3
L 1 TELEP►lo1E KXK%
� ' •YNOMRE50ChTWTTH�IO�
❑ STANDARD RATE
W1,M MTY4 iD ❑ WAIVED
❑ REDWED RATE ________
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STATE ADMINISTRATIVE MANUAL
CONTRACT'S
LW
NIMER OF COPIES
(Revised 12/50)
Contracts and interagency agreements must be transmitted in at least four (4) completed copies, all
of the copies bearing original signatures. After approval by the Department of General Services,
copies will be distributed as follows:
1. One copy with original signatures will be forwarded to the State Controller. (Not required for
contracts submitted bj District Agricultural Associations or where payment is not from funds
in the State Treasury.)
2. One copy with originid signatures will be retained by the Department of General aeiviod.
3. All other copies, including two with original signatures, will be returned to the submitting
agency.
AUTSORSZAT'ION OF AGREEMENTS 1266
(Revised 1?.19t))
1, y,Statutory Authority Authorized Signatures
Authority to sign contracts, interagency agreements, and the contract traus ittal is limited to
those officers who have either statutory suthority or have been duly authorized in writing by
the agency bead and whose names and position titles are on file with the Department of
general Services (General S-:. ices Form LO-33). ne contracting agency will t~saintain a
record for audit purposes of ''il officers who have born authorized to sign.
2. Eublic Entities
a• Decal Governmental Entitl
Where one of the contracting parties is a county, city, district or other local public body,
the contract shall be accompanied by a copy of the resolution, order, motion, or ordinance
of -the local governing body by law having authority to enter into the proposed coutract
approving an authorizing execution of the 9 greement exexcept in any isist owh m
performance by the local governmental entitywill be complete prior to at. Payment
by
the State-
b. State Boards and ^ mn-:ssions
Contracts in excess of $1,000 by State boards and comm:ssiors must be accompanied by
copies of the resolution, order, or tnotion approving and authorizing execution of the
agreement, unless by statute the executing officer :nay 3uth&iw the agreement.
TL 338
3 , tt xsr. fir+ t j
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�.r�xL iy :iti r S,
Mv
�•� r��. yt t � 1t s i l`
1207 DECEMBER 1990
047'
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ttf# tM�o11 �w1al�eNr � A�
ap OF me soon a
its
"M- PRO! .31991 Resolution Na. 91 _906
t2,q t LEW1% ftw do
044* ftk don MW44 ago No
ra.sftd IRINO A
1Alox at. 91 . !Rr Sonoma County Administration Center
Santa Ros.:, California
Dates A2ril 23, 1991 '
RE30LUijgN THE QFSNOM9^QA COUNTY to approve
application for a grant titled: Back Safety and Ergonomics, from the
State of California in the amount of $36, 405. 33.
WHEREAS, the State of California has designated grant funds
for'development and implaaten-:ntfon of trjury'pr ovention programs,
WHEREAS, Sono" County has many employee problemu related
to back and repetitive motion injuries,
-
WHEREAS, Employee Health of Community Hospital and Pisk
Management have developed a plan to help correct these healtt
problems,
WHEREAS, the County employees would be aided ty development
of such a program.
NOW, THEREFORE BE IT RESOLVED by the Board of Supervisors
of Sonoma County that the Chairman is directee to approve the grant
proposal to the State of California.
K SUPERVISORS:
N ICHOLAS HAREERSONa a SMITH aye ESPJSTIa e r a •e ,Y..• ;:, _�y� �_ —,1.._ �.._ •.ARPENTER �
} ABSTAIN: 0
AYES: �' • NOES: 0 ABSENTS _ �,
SO ORDERED.
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i
RESOLUTION NO.
ADOPTED BY THE SACR,AMEWO CITY COUNCIL
JAN 1 4 IM
ON DATE OF
A , REEOLUTICN APPROVING Tile LYECO'Txou 0r A
CONTRACT WITH THE STATE 011P CALITCRNXX
DEPARTXEST Or INDUSTRIAL RELATIONS .TO CONDUCT
All OCCUPATIONAL SAFETY AND HEALTH AND TMXNING
PRCGP.M A>FI'D ACCEPT GRANT FUNDING % >F $25, 000
B>6 ' IT RXS0,LVED' BY THE COUNCIL OF THE CITE' of oxcu im m.-
4
• (accept grant funding from the State of Call.forniaa
].. T1y
Department of Industrial Relations to conduct an
occupational safety and health training . and sr.fety
program as specified.
2. The City Manager, or his designcea, 'is hareby appointed as
the agent of the City of Sacramavfto to conduct all
negotiations, execute. and submit all klocuments, including
but not limited to applications, agreements, amendments,
payment requests and so on which may be necessary for th*
complation of the aforementioned project.
3. The City Budget Zor FY 1991-93 is hereby amended by
increasing the Operating Grand Fund in the amount of
$35,000 for the purpose stated in paragraph one, to
specifL'd below:
250••OGR-XXXX--3511 t$25, 000>
250-PGR-XXXX-=7 $25.000
ATTEST
1t'
Cr rY CLERY,#,,
MAYOR
S:ERV :FIED AS TRUE COPY
Ci
. C S'.:IY:.taSNTtt
FOR CRY CLERK USE ONLY
RE50LLMON NO.: ,
JAN 4 Z
DATE ADOPTED:
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STANDARr AGREEMENT— APP:Z')Vr--DBYTIiE CONTWT MNSLI'll C3 00INTMOTOR
NERA
0 STATE AGENCY
STATE OF WA'JF:C).-;-4;A ATTC444 EY G E L 42912n26
, SM. 2 (REV 7=) JQ 0 DEPT. Of: GEN. SEFL
Vrij�,,,
3
0 CONTWXLEA
L
THIS AGREEMEN7. made and ontemd into this 14 th dato of August 1992 [3
T." ,11 - __i I I 11 1.
lit the State o! CaFfornia, by and bawoon State of Caldornia, 1hrough fis duty clectod or appointed,
0
qualdied and WiiV.
7MX0r-0Fn=AWM FOR *TAYE AGPiCY
..,q Staff Service. Manr I 4pa=tmezit of industrial.Relations
heriallar called Iffic j, and
j, , City of Hunt Bea
ch, ach hroreatter ca!, 'od the Contractor.
eWITNESSM: That the ContrLctor for and in consideration of the covenants, oatiditions, agreements, and stipulations of the Stala
cou ne, L"M &V WlMn"" at COMAW"4 rAd On ". $*AdU &V 6P?q:d*W"W. I &fty)
hereinafter ex essad does hereby agree to furnish to tho State cervices and materials. 3s follows:
PLd W
o:
1. Contractor agrees to conduct an occupational safety ard health
training and education program in conforr.ity with the %pecifications
and cxhibits listed below:
Exhibit A Department of Induscrial Relations Request for Proposal
and Application for an Occupational Safety and Health
A
Training and Education Grant (1992)
J
70
Exhibit B Contractor's Complete Propo' (Narrative and Cosc)
f
si.1 -
rlj- Exhil.-its A and B are attached and incoporated lierein by this
A reference.
UOO2- _QQMM(Q_0QAND 2hLLEWQLW_ a1M,
Pm provislow on the reV4-68 t,;do horeo, conittute a Pen 01 this a2"Amont.
44 IN VATHES!"MIERE07. Ovs egeument has peen exceutodbto parties hereto, upon the
date first above written.
STATE OF CALIFORNIA CONTnACTOR
CONTRACICIR HER THM M PrAT111.14. STAft V�WLA A C0FV*9ATK*".
Y
PARTNERZ41P.R,
oi ii Department of Industrial Relations City of Huntington Beach
X
X
W—R770 itJW (7 K KJNM3
PFORTEU NAMENJO IrT
narbara Murphy
to, 47.'rli 7M
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r v c es,
AUCUNTENCUUYIEKDRY
NIS DOCAWNT
sir.-390.00
ns Am(.XWT kNCtjUtjr-fjEU
FOR MS MiTMCT
'TO I _AL WURURNT
TO CA it
ty 1A 6 V, I
A
2000 Main Street
.-I�er_ I Illuntir.qt-on Beach CA 92648
TIOWU =7rGWiY (W-CIFE W) TITLE) FUND TITLE D"ttment of General Services
DOSH 41^23 lrand 222 WP=711111r, -- Use C%Ily
V Ail 1,
&A-4 1-1BLVGVT0F1A=,4.0 It
AVAILLAIMEM51 YhrPC);?o0AN0PuFLP=. ()F*1)f- ETAXr Ejo
A,
SIGNAIVIE OF 14=jrMNG oFrcE*n r DATE
A16/0
' V "1
ln6e:. Code 9100
8350-001-0011 11992 1 92/93
11 Objet= , Code: 568 10
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� �+ +t/4.`,�5��,^,'t'li:, 1t,Jtsi•�5%:: r' �' ,t� ' �tiz:' r f •,af r �� 'J' t�f�; Y r tr�'r �,�r�:r'ir.,,•���'t,��Y•r.tvl����' r! ri'�'�1{��.
•�;( .'/ {l,l.,.r ��y'r /Ttr,\ rt• !r "i,it 't� '•f. .A ,It .1'',11', 'r ,: tr{',.r+v i!t/t :. ,./.. ,r SJ,ytrl( + ,h•,
��f%��'rw1��l�tr'fJ Jr•. {i !: i tiir C J '*° 'r„t 4 11 .r./ii.J,tt .. ',.,r, .rift �1r�,^y•�r:1t1 ,�."•11,}r,��y ��(
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Departm%ant of Industrial Relations and Contract #42912026
C!,V of'Hwi8ngton Beach
-2-
B. Ter_rn
This contract beo:)mes effective from October 1, 1992 through September 30, 1993,
contingent upon approval of the Departinent of General Services or the Department of
Industrial Relations as required by State and Federal procedures and upon availability of
funds, unless terminated sooner by the State upon 30 days advance written notice.
C. Payment
1. Awards will be given in two installments. 50% wil: be disbursed after initial grant
approval and execution of this contract with the Deparonent of Industrial
Relations. The remaining ::0% will be disbursed after submittal and approval of
the Semiannual Project Evaluation Report (Form E - Exhibit C), due on April 30,
1993.
2. Quarterly F;nancial Reports (Form F - Exhibit D) dre due on December 31, 1992;
March 31, 1993; June 30, 1993 and September 30, 1993.
3. Pursuant to California Revenue and Taxation Code Section 18806.1, independent
contractors may be subject to 1% State income tax withholding.
-C.• W .7J : r.
i•'Cy y r t ., 1,1�` 'yl'jt(ttt Irl r r
the Federal Internal
t 4. The Contractor is hereby notified 10{r:..' . Section 6041 o
,J `r fffffTt �' ���gi; `• Revenue Code and Section 18802 u, !,ie State Revenue and Taxation Code require
• x 011,
t" the State to report certain payment: to individuals. No claims for payment shall
"`:''` be processed by the State without ',his information The Contractor agrees to abide
�+" ,,• 'Z''t`° �' b these conditions and to rovi,la the information requested.
AT Y P
' .14:' Federal Tax ID number of Sc'cial Security Number
Rift ' U. Special Provisions
t'
aar 1. Linda Kerrigan is designated the Departmental Project Coordinator.
2. The Conti actor, by signing this contract, does swear under penalty of perjury that
, " no more than one final unappet�lable Finding of contempt of court by a federal
A J;.•',
court has been .ssued against the Contractor within the immediately preceding
� 1 two year period because of the contractor's failure to comply with an order of the
federal court which orders the Contractor to comply with an order of the National
Labor Relations Board.
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Deparimtent of Industrial Relations and
City of'Huntington Beach
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Contact #42912026
3. The State of California is exempt from Federal Excise 'I axes, and no payment will
be made for any taxes levied on employees' wages. The State will pry for any State
of California or local sales or use taxes legally assessed on the serviced rendered or
equipment or parts supplied pursuant to this agreement. All other taxes directly
or indirectly arising out of the performance of this agreement shall be the
responsibility of the Contractor.
4. The State will not pay any finance, interest or late charges.
5. It is understood that the award of this contract may be subject to approval by
apprc,iriate State agencies.
6. e, Conti zctor, by signing this contract, agrees to cooperate with 5tase of
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Caliurnia and/or United States Department of Labor personnel with respect to
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monitoring/auditing of costs and/or program activities.
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7. The Contractor, b signing this contract, agrees to provide the Department of
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Industrial Relations two (2) complimentary copies of any and all training
materials and/or videos which are produced in conjunction with this contract no
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later than six 05) months following completion of the project.
8. The Contractor, by signing this contract, agrees that training products to be
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developed with grant funds will not duplicate existing training programs,
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9. The attached Exhibit E entitled `Special Provisions" and Exhibit F entitled "Drug-
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Free Workplace Certifica}ion" are attached and incorporated here'n by this
reference.
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10. Contingent Budget Language:
a. This contract is valid and enforceable only if sufficient funds are made
available by the Budget Act of 1992, for the fiscal year 1992193 and the
Budget Act of 1993 for the fiscal year 1993/94, for the purposes of this
program. In addition, this contract is subject to any additional
restrictions, limilations, or conditlons enacted by the Legislature and
contained in the Budget Bill or any statute enacted by the Legislature
which may affect the provisions, lernfs or funding of this contract In any
manner.
b. It is mutually agreed that if the Budget Acts of 1992 and 1993 do not
appropriate sufficient funds for the program, this contract shall be
invalid and have no liability to pay any funds whatsoever to the
Contractor, or to furnish any other considerations under this contract and
the Contractor shall not be obligated to perform any provisions of this
contract.
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