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HomeMy WebLinkAbout05458 - DESERT AIDS PROJECT INC CDBG SUBRECIPIENT AGR Page 1 of 1 Kathie Hart From: Dale Cook Sent: April 03, 2009 1111 PM To: Kathie Hart Subject: RE: A5458 -Desert AIDS - FY 07-08 CDBG C Yes, completed, and can be closed. I'll share a list with you. From: Kathie Hart Sent: Friday, April 03, 2009 10:14 AM To: Dale Cook Subject: A5458 - Desert AIDS - FY 07-08 CDBG OK to close? Kathie Hart, CMC Chief Deputy City Clerk City of Palm Springs 3200 E. Tahquitz Canyon way Palm Springs, CA 92262 S' (760)323-8206 1 F-S (760)322-8332 LJ Kathie.Hart@Palm5pringsCA.gov 04/03/09 SUBRECIPIENT AGREEMENT // THIS AGREEMENT (herein "Agreement), is made and entered into this - ay o 2001 by and between the CITY OF PALM SPRINGS, (herein "City), a municipal cor�ati d charter city, and the Desert AIDS Project. Inc. , (herein "Provider"), WHEREAS, the City has entered into various funding agreements with the United States Department of Housing and Urban Development ("HUD"), which agreements provide funds ("CDBG Funds") to the City under the Federal Housing and Community Development Act of 1974 (42 U.S.C. Section 5301 et sec.), as amended from time to time (the "Act"), and the regulations promulgated thereunder(24 C.F.R. Section 570 et sea. ("Regulations"); and WHEREAS, the Act provides that the City may grant the CDBG Funds to nonprofit organizations for certain purposes allowed under the Act; and WHEREAS, the Provider is a nonprofit organization which operates a program which is eligible for a grant of CDBG funds and the City desires to assist in the operation of the program by granting CDBG Funds to the Provider to pay for all or a portion of those costs incurred in operating the program permitted by the Act and the Regulations on terms and conditions more particularly set forth herein; NOW, THEREFORE, the parties hereto agree as follows, 1.0 SERVICES OF PROVIDER. 1.1 Scope of Services. Provider agrees to provide to City all of the services specified and detailed in its application for funding and Exhibit A, and to conduct all programs specified therein in a manner to reflect credit upon the City and Provider. Provider represents and warrants to City that it is able to provide, and will use funds granted by the City to provide the services represented in the Providers application for funding. City provided funds shall be used only for those purposes specified in such application. 1.2 Compliance with Law. All services rendered hereunder shall be provided in accordance with all ordinances, resolutions, statutes, rules, and regulations of the City and any Federal, State or local governmental agency of competent jurisdiction. 1.3 Reports. No later than ten (10) days prior to any payment date specified in Section 2.2, within ten (10) days following the termination of this Agreement, and at such other times as the Contract Officer shall request, Provider shall give the Contract Officer a written report describing the services provided during the period of time since the last report and accounting for the specific expenditures of contract funds hereunder, if applicable. At the times and in the manner required by law, the Provider shall provide to the City, the Department of Housing and Urban Development, the Comptroller General of the United States, any other individual or entity, and/or their duly authorized representatives, any and all reports and information required for compliance with the Act and the Regulations. 1.4 Financial Reporting, Any Provider receiving or due to receive or due to receiver$20,000.00 or more from the City during the 2007—2008 Fiscal Year shall provide to City a financial statement prepared by a recognized accounting firm approved by or satisfactory to City's Finance Director completed within the most recent twelve (12) months showing the Provider's financial records to be kept in accordance with generally accepted accounting standards. The report shall include a general ledger balance sheet which identifies revenue sources and expenses in sufficient detail to demonstrate contract compliance and be balanced to bank statements. Any organization receiving or due to receive less than $20,000.00 in the current fiscal year from the City shall provide a copy of the organization's most recent charitable trust report to the Attorney General, or other financial information satisfactory to City's Finance Director. The financial information provided for in this paragraph shall be furnished not later than January 315t of the current fiscal year. GRIGMAL BD AJC/wR AGRZED ELN T 2.0 COMPENSATION. 21 Contract Sum. The City shall pay to the Provider on a reimbursable basis for its services a sum not to exceed ONE HUNDRED FIFTEEN THOUSAND DOLLARS ($115.000.001 (the "Contract Sum") in accordance with the Budget attached hereto in Exhibit B and incorporated herein by this reference; and as herein provided. The budget cost categories set out in Exhibit B are general guidelines and if mutually agreed by both parties, may be amended administratively by no more than 10%, without the requirement of a formal amendment to this Agreement, but in no event shall such adjustments increase the Contract Sum. The Provider shall submit to the City monthly statements on reimbursable expenditures pursuant to the attached Budget along with pertinent supporting documentation. The City shall promptly review the monthly expenditure statements and, upon approval, reimburse the Provider its authorized operating costs. 2.2 PaVroll Records. In cases where the contract sum will reimburse payroll expenses as part of operations, the Provider will establish a system of maintaining accurate payroll records which will track daily hours charged to the project by the Providers respective employees, as set forth in OMB Circular A-122 Attachment B.6. 2.3 Draw Downs. Failure by Provider to request reimbursement or encumbrance of at least 25% of the total grant by the end of each fiscal year quarter (September 30, December 30, March 31, and June 30) shall result in the immediate forfeiture of 25% of the total grant. 3.0 COORDINATION OF WORK, 3.1 Representative of Provider. The following principals of Providers are hereby designated as being the principals and representatives of Provider authorized to act in its behalf with respect to the work specified herein and make all decisions in connection therewith: David Brinkman. Executive Director Alexandra Christensen. Director of Administration Peter DeMartino, Public Policy Coordinator 3.2 Contract Officer. The Contract Officer shall be such person as may be designated by the chief administrative officer of City. 3.3 Prohibition Against Subcontracting or Assignment. Provider shall not contract with any other entity to perform in whole or in part the services required hereunder without the express written approval of the City. Neither this Agreement nor any interest herein may be assigned or transferred, voluntarily or by operation of law,without the prior written approval of the City. 3.4 Independent Contractor, Neither the City nor any of its employees shall have any control over the manner, mode or means by which Provider, its agents or employees, perform the services required herein, except as otherwise set forth herein. Provider shall perform all services required herein as an independent contractor of City and shall remain at all times as to City a wholly independent contractor with only such obligations as are consistent with that role. Provider shall not at any time or in any manner represent that it or any of its agents or employees are agents or employees of City. 4.0 COMPLIANCE.WITH FEDERAL REGULATIONS. 4.1 The Provider shall maintain records of its operations and financial activities in accordance with the requirements of the Housing and Community Development Act and the regulations promulgated thereunder, which records shall be open to inspection and audit by the authorized representatives of the City, the Department of Housing and Urban Development and the Comptroller General during regular working hours. Said records shall be maintained for such time as - 2- may be required by the regulations of the Housing and Community Development Act, but in no case for less than five years after the close of the program. 4.2 The Provider certifies it shall adhere to and comply with the following as they may be applicable: (a) Submit to City through its Community and Economic Development Department semi-annual reports on program status; (b) Section 109 of the Housing and Community Development Act of 1974, as amended and the regulations issued pursuant thereto; (c) Section 3 of the Housing and Urban Development Act of 1968, as amended; (d) Executive Order 11246, as amended by Executive Orders 11375 and 12086, and implementing regulations at 41 CFR Chapter 50, (e) Executive Order 11063, as amended by Executive Order 12259, and implementing regulations at 24 CFR Part 107; (f) Section 504 of the Rehabilitation Act of 1973 (P.L. 93-112), as amended, and implementing regulations; (g) The Age Discrimination Act of 1975 (P.L. 94-135, as amended, and implementing regulations; (h) The relocation requirements of Title II and the acquisition requirements of Title III of the Uniform Relocation Assistance and Real Property Acquisition at 24 CFR Part 42, (i) The restrictions prohibiting use of funds for the benefit of a religious organization or activity as set forth in 24 CFR 570.200 Q); (j) The labor standard requirements as set forth in 24 CFR Part 570, Subpart K and HUD regulations issued to implement and requirements; (k) The Program Income requirements as set forth in 24 C.F.R. 570.504(c) and 570.503(b)(8); (1) The Provider is to carry out each activity in compliance with all Federal laws and regulations described in 24 C.F.R. 570, Subpart K, except that the Provider does not assume the City's environmental responsibilities described at 24 C.F.R. 570.604; nor does the Provider assume the City's responsibility for initiating the review process under the provisions of 24 C.F.R. Part 52; (m) Executive Order 11988 relating to the evaluation of flood hazards and Executive Order 11288 relating to the prevention, control and abatement of water pollution; (n) The flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234); -3- • • (o) The regulations, policies, guidelines and requirements of 24 CFR 570; the "Common Rule", 24 CFR Part 85 and subpart J; OMB Circular Nos. A-102, Revised, A-87, A-110 and A-122 as they relate to the acceptance and use of federal funds under the federally- assisted program; (p) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) and implementing regulations issued at 24 CFR Part 1; (q) Title VIII of the Civil Rights Act of 1968 (P.L. 90-284) as amended; (r) The lead-based paint requirements of 24 CFR Part 35 issued pursuant to the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4801 at seq.); (s) Maintain property inventory system to numerically identify HUD purchased property and document its acquisition date as is set forth in OMB Circular A-110 Attachment N Property Management Standard 6d; and (t) Reversion of asset. Upon the Expiration of the agreement, the subrecipient shall transfer to the City any CDBG funds on hand at the time of expiration and any accounts receivable attributable to the use of CDBG funds. Additionally, any real property under the subrecipient's control that was acquired or improved in whole or in part with CDBG funds (including CDBG funds provided to the subrecipient in the form of a loan) in excess of$25,000 is either: (i) Used to meet one of the national objectives in Section 570.208 (formerly Section 570.901) until five years after expiration of the agreement, or for such longer period of time as determined to be appropriate by the City; or (ii) Not used in accordance with paragraph (s)(i) above, in which event the subrecipient shall pay to the City an amount equal to the current market value of the property less any portion of the value attributable to expenditures of non-CDBG funds for the acquisition of, or improvement to, the property. The payment is program income to the City. (No payment is required after the period of time specified in paragraph (s) of this section.) (u) Such other City, County, State, or Federal laws, rules, and regulations, executive orders or similar requirements which might be applicable. 4.3 The City shall have the right to periodically monitor the program operations of the Provider under this Agreement. 5.0 INSURANCE AND INDEMNIFICATION. 5.1 Insurance. The Provider shall procure and maintain, at its cost, and submit concurrently with its execution of this Agreement, public liability and property damage insurance against claims for injuries against persons or damages to property resulting from Provider's acts or omissions arising out of or related to Provider's performance under this Agreement. Provider shall also carry Workers' Compensation Insurance in accordance with State Workers' Compensation laws. Such insurance shall be kept in effect during the term of this Agreement and shall not be cancelable without thirty (30) days' prior written notice of the proposed cancellation to City. A certificate evidencing the -4- foregoing and naming the City as an additional insured shall be delivered to and approved by the City prior to commencement of the services hereunder. The procuring of such insurance or the delivery of policies or certificates evidencing the same shall not be construed as a limitation of Provider's obligation to indemnify the City, its officers, or employees. The amount of insurance required hereunder shall be as required by the Contract Officer not exceeding Five Hundred Thousand Dollars ($500,000). 52 Indemnification. The Provider shall defend, indemnify and hold harmless the City, its officers and employees, from and against any and all actions, suits, proceedings, claims, demands, losses, costs, and expenses, including legal costs and attorneys' fees, for injury to or death of person(s), for damage to property (including property owned by the City) arising out of or related to Contractor's performance under this Agreement, except for such loss as may be caused by City's own negligence or that of its officers or employees. 6.0 DISCRIMINATION, TERMINATION, AND ENFORCEMENT. 6.1 Covenant Against Discrimination. Provider covenants that, by and for itself, its heirs, executors, assigns, and all persons claiming under or through them that there shall be no discrimination against or segregation of any person or group of persons on account of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, pregnancy, marital status, age, sex, sexual orientation, or any other basis Protected Characteristic by applicable federal, state or local law in the performance of this Agreement. Provider shall take affirmative action to insure that applicants are employed and that employees are treated during employment without regard to their race, color, creed, religion, sex, marital status, physical or mental disability, national origin, ancestry or any other basis Protected Characteristic by applicable federal, state or local law. 62 Term. Unless earlier terminated in accordance with Section 6.3 of this Agreement, this Agreement shall continue in full force and effect until completion of the services, but not exceeding one (1) year from the date hereof. 6.3 Termination Prior to Expiration of Term. Either party may terminate this Agreement at any time, with or without cause, upon thirty (30) days' written notice to the other party. Upon receipt of the notice of termination the Provider shall immediately cease all services hereunder except as may be specifically approved by the Contract Officer. Provider shall be entitled to compensation for all services rendered prior to receipt of the notice of termination and City shall be entitled to reimbursement for any services which have been paid for but not rendered. 7.0 MISCELLANEOUS PROVISIONS. 7.1 Notice. Any notice, demand, request, document, consent, approval, or communication either parry desires or is required to give to the other party shall be in writing and either served personally or sent by prepaid, first-class mail to the address set forth below, or such other addresses as may from time to time be designated by mail. TO CITY: City of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs, CA 92262-6959 Attn: City Manager - 5 - WITH COPY TO: City of Palm Springs 3200 East Tahquitz Canyon Way Palm Springs, CA 92262-6959 Attn: City Attorney TO PROVIDER: Desert AIDS Project- DAP PO Box 2890, 1695 N Sunrise Way Palm Springs, CA 92263-2890 7.2 Amendment. This Agreement may be amended at any time by the mutual consent of the parties by an instrument in writing. IN WITNESS WHEREOF, the parties have executed and entered into this Agreement as of the date first written above. [ End--Signatures on Next Page] -6 - CITY OF PALM SPRINGS ;FC:Ier amB .�Z 3eZ4 D7 City Manager I APPROV S TO FORM: By: _ APPROUD BY CITY MINIM City Attorneyf mr6 PROVIDER: Check one: _Individual _Partnership v Corporation (Corporations require two notarized signatures: One signature must be from the Chairman of Board, President, or any Vice President. The second signature must be from the Secretary, Assistant Secretary, Treasurer, Assist nt Treasurer, or Chief Financial Officer). By; Notarized Signature of Chai f Board, Notarized Signature Secretary,Asst Secretary, President or any Vice President Treasurer,Asst Treasurer Chief Inancial Officer Name: Name: Curtis R. Ringness, Jr. Susan Unger Title: Vice President, D.A.P. Board Title: Seeretar , D.A.P. Board State of California s State ofr.a1ifn7ni_q County of Riverside ass County of $iversi da =ss on July 9 2007 before me, On July 9. 2007 before me, Alex:,ndrra r'nr;ci-,=ncon, personally appeared L_„y t,-n Chr;st-ggn ,personally appeared personal�wn persona n to me(or proved to me on the basis of satisfy fc ory evidence) to me(or proved to me on the basis of sat" factory evidence) to be the person whose name is/o subscribed to the to be the person(s) whose name(s) isla�subscribed to th within instrument and ackno led ed to me that helsie/�y withm instrument and ac nowled ed to me that f(•e/sheA y executed the sam in his/tyv�r/t Ir authorized capacity(ipd), executed the same in s/her/tlir authorized capacity i s), and that by his/ /tt it signature( ] on the instrument the and that by hA/herlthgfr signatureo on the instrument the/ person(¢), or the entity upon behalf of which the persons) person(, or the entity upon behalf of which the person(g') acted,executed the instrument, acted,executed the Instrument WITNESS my hand and official sea WITNESS my hand and official seal.. Notary —_ Notary " �/L Signature: l/ Signature �/I/�� Notary Seal: Notary Seal: ALEXANDRA CHRISTENSEN ALEXANDRA CNRISTENSEN COMM #1596364 _ COMM.#1596364 a97ffiN� NOTARY PUBLIC .CALIFORNIA a �= NOTARY PUBLIC a CALIFORNIA RIVERSIDE COUNTY RIVERSIDE COUNTY Commission Tres AUG 19,2009 Commission Ex res AUG 19,2009 bAP_5unrecipAgrmnt Jul07 - 7- CITY OF PALM SPRINGS EXHIBIT A Scope of Services Proiect/Activity Title. Protect Number. Desert AIDS Project/ 0003 Energy-Efficiency Retrofitting Name/Address of Provider. Desert AIDS Project- DAP PO Box 2890, 1695 N Sunrise Way Palm Springs, CA 92263-2890 Objectives/Activities The intent of this program is to provide the most comprehensive direct client services and advocacy to help people living with HIV/AIDS manage their disease, including a state-of-the-art medical center to a nutritionally balanced Food Depot, to case management, legal services, education, prevention, anonymous testing, wellness, dental, transportation, housing assistance and home health services. This will be accomplished through the continuation of the facility renovations to facilitate client services and expand the ability to accommodate the rapidly increasing client base by making energy-efficient upgrades. These upgrades will replace two existing 50 ton chillers with one new 150 ton chiller which will result in energy cost savings. This will be the first step in phasing out all rooftop AC units This includes measures promoting effective maintenance to increase the life and effectiveness of the system by 30%. DAP covers a 11,250 square mile radius of Palm Springs which this immense area is recognized as the fifth largest concentration of HIV/AIDS population in the United States, serving 2,253 clients Valley-side and 1,212 Palm Springs' clients. The Provider shall be responsible for the completion of the following objectives/activities in a manner acceptable and satisfactory to the City and consistent with the standards required as a condition of providing these CDBG funds. Objective 1: Assist the City by timely providing any additional information requested. TARGET DATE ACTIVITY#1 On-Going Make readily available any information relative to the successful implementation of the activity. Objective 2: Establish and maintain a programmatic and financial record keeping process. TARGET DATE ACTIVITY#1 On-Going Establish and maintain an efficient program process/procedure for proper record keeping. Set-up a filing system for CDBG files only Document and maintain all records related to this program in a stable and secure location Objective 3: Advertise, market and publicize the program to facilitate positive promotion for all parties (i e.. Provider. City, CDBG etc.). TARGET DATE ACTIVITY 91 On-Going Draft a promotional piece and submit to City for approval. Advertise in the Desert Sun. Submit final publication to City. Objective 4: Enroll and income qualify at least a total of one thousand two hundred twelve (1,212) very law income to moderate-income Palm Springs residents with improved access to the facility TARGET DATE ACTIVITY#1 On-Going Provide direct client services and advocacy to help Palm Springs residents living with HIV/AIDS manage their disease. Maintain records of names, addresses, demographics and service dates for all assistance. Objective 5: Maintain records for all CDBG activities related to this program. TARGET DATE ACTIVITY#1 On-Going Document and maintain all records related to this program, including those required, in accordance with HUD Regulations, in a stable and secure location ACTIVITY 92 On-Going Submit Semi-Annual reports— referenced Exhibit E. Objective 6: Managelmonitor program activities_ TARGET DATE ACTIVITY#1 On-Going Perform monitoring activities necessary to ensure that the program is being conducted in compliance with the CDBG policies, federal regulations, and local statues, including Davis-Bacon Act, Copeland Act, and Non-discrimination/ EEO requirements. Objective 7: Re lace two existing 50 ton chillers with one new 150 ton chiller which will result in energy cost savings. TARGET DATE ACTIVITY#1 On-Going Conduct program activities to improve availability/accessibility in accordance with an 'open competitive' procurement process as stipulated in the proposal and in consultation with the City. Objective 8: Provide an evaluation within fifteen (15) calendar des of the program completion or final reimbursement. TARGET DATE ACTIVITY#1 07/15/07 Provide an evaluation and final report on all programmatic and financial activities. General Administration Provide the management oversight and leadership to address specific operational tasks in meeting the established performance levels, as well as perform supportive activities (Le., clerical, monitoring, etc.) CITY OF PALM SPRINGS EXHIBIT B Budget Summary Project/Activity Titled Project Number Desert AIDS Project/ 0003 Energy-Efficiency Retrofitting Name/Address of Provider, Desert AIDS Project- DAP PO Box 2890, 1696 N Sunrise Way Palm Springs, CA 92263-2690 u BUDGET SUMMARY COST CATEGORY CDBG OTHER TOTAL SHARE SOURCES COST 1 Personnel - 0 - - 0 - - 0 - 2 Consultant/Contract Services 0 - - 0 - - 0 - 3 Travel - 0 - - 0 - - 0 - 4 Space Rental - 0 - - 0 - - 0 - 5 Consumable Supplies - 0 - - 0 - - 0 - 6 Rental, Lease or Purchase of $115,000. $14,376, $129,375. Equipment 7 Insurance - 0 - 8 Other - 0 - 11,500. - 0 - Design Fees $115,000. �$25,875. $140,875. TOTALS If costs are to be shared by other sources of funding, including CDBG funds from other jurisdictions, identify the source of funding, grantor/lending agency, and cost category information. Other funding sources include private donations Progress payments, approved by the Subrecipient and based upon the percentage of completion of the work with a 10% retention, shall be paid by the 30th day of each month, provided that the payment application has been submitted to the City on or before the first working day of the month. The Subrecipient shall receive reimbursements in accordance with the aforementioned cost categories and line items. Services are to be performed over a twelve month period of July 1, 2007 through June 30, 2008 with funds allocated from 2007--08 Program Year CITY OF PALM SPRINGS EXHIBIT C Insurance Inventory Project/Activity Title Project Number; DesertAIDS Project! 0003 Energy-Efficiency Retrofitting Name/Address of Provider: Desert AIDS Project- DAP PO Box 2890, 1695 N Sunrise Way Palm Springs, CA 92263-2890 INSURANCE INVENTORY LIABILITY INSURANCE POLICY Name of Provider's Insurance Company American States Insurance Effective Dates of Policy 10/05/06 to 10/05/07 Claims Made Policy / Per Occurrence Policy ! /_ Limits of Liability $3,000,000 Deductibles Per Occurrence Annual Aggregate Additional Insured Endorsement (Certificate Holder) 0 Yes ❑ No Original Certificate of Insurance Attached ❑ Yes 0 No WORKER'S COMPENSATION POLICY Name of Provider's Insurance Company State Fund Effective Dates 02/09/07 to 02/09/08 Limits of Liability $1 M Per Occurrence Underlying Coverage Limits Original Certificate of Insurance Attached 0 Yes 0 No • i Client??: 1290 2DESEAI0 ACORD„ CERTIFICATE OF LIABILITY INSURANCE I DATEIMM'DONYJ 5125107 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Desert Empire Insurance ONLY AND CONFERS NO RIGHTS Ur"ON THE CERTIFICATE Services,inc, LIC 9 OF09643 HOLED .THIS CERTIF!CATE DOES NOT AMEND,EXTEND OR ALTRER THE COVERAGE AFFORDED E. HIE POLICIES BELOW, '177-564 County Club Drive Palm Desert,CA 92211 INSURERS AFFORDING COVERAGE NA[C INSURED ,NSuVER„ Arnencan States Insurance •�` gW Desert AIDS project Inc INSURERS Stete Fund 35076 P 0 I9ax 2890 wsuREac General insurance Co.of Amorfca 24732 ?aim Springs,CA 92263 IvsuR=-;O American.StaYe5 Insurance 19704 J COVERAGES I THE POLICIES OF INSURANCE LS T ED BELOW 4AV:BEEN ISSUED TO THE INSUAc NAIJ[p A50'JE pOR THE POLiC"PERIOD INDICATED NOT41 i HSTANOING I I MAY RP„-TAN dEN INS1JR OR ofF-O P DS CBFY.:TNryY[POLICIES IES OES RIUFD HEREIN 15 SU-3JEHC RTE TSGP cA LL-h E-,ERM5'..EX CCL USION 3A ATN,+pA ICAGY'N9DEI rI5ICSNUsE Oo F 5 11Cf "OL'CIEs /GSR-1GA7E Lnr's SHOWN fdA�HAVE 3-5N REDUCED EY PAID CLAUAS NSA•f4dtrL POLICY-Jr ifV1E POLCYE FIHAiION .� LH51`� T"PE OP LNSU'ANCL POLICY NUMBER DRTF nM DATF LII r(i IYYI LIMFr3 A GENERAL UAGILII, •q GH37gpgg10 10/OSIOG ITOlO5/Oi EACH x'c,,;yr.vr.� ::1.000.000 cANfArC Tc RUNi En I DovnI I.Gi:,L❑ENF'{AL�,A1l L„Y , 5z6e.atlQ x N C;IAI%IE1.IAD_ � XIUGOUH IMc'�:N''AM1A c'e pemm� 1510.ODD _ NERECNr nc,>,INJURY si.o0Q.000 m. Ga%-R ALAGGRELGAI=- 53,000.000 cen�AGGRecnrun,nr APr l=s PSR PPOOUCTS-COMPOP ADc I`3.000.000 POLIES P16a 7 LOCI _ I u AUTOMOMLE JA81Lr,-r IOTCG9688445 09/22/06 109/22/07 CGMDIN-sc 5lNOL[U%UT X Aw AL-c j ,cn„Wn.rr.1 s1,000,00Q� LL awW rd-cs amIlLY'NJURY 'sc!II-O.1L�C nLTGs Pn Pn.,w, �^� HIRML rdYOS I HG•m v\JCRI E hcv.o'ro EC AU-C; .__..-.�.. _..... ....� AL'�O '-.Y APIic C""y: OAfL1GE LkkltTf �TII' • -A ncGI:wF.nP !3 _ �AVY AL;r OTH-RTHAN 2AACC S Y _ I015U3428840 10(0I06 110/05/07 c oea��RF 1.000.00DA AG S r: GGGJH tt Otl0.000 u C=L•urrlF,lF � _ 5 _ In• �IBFrvnrltN• 51QROO I I �5 we 5-I,TJ- n i3 IwoRKDw;canmLNsrnDH AND I83411792007 02f09107 02109lOS X -my/IL•r.< � -i EMPLOVeRB Latealr i "u.�rcHAccic[Nr iSi,000,000 nNl'RGPRICTCFIrARTNEi]lC6FG_'L E W HEFA MEMDERExq WED' L;.-MFi,OV-F-Erc1,000,00g s ect'•,`PR VIEICN5 N�.. nclzs-<,P oucru:rl lsT,000,000 L` I`ONER Praf.Liab IHLP7730196E 10/tl5/06 110105107 S1,000,000 Occurrence ' I S3,000,000 Aggregate DES.:RIPIicN DF Or LRATlOHS f LDCATION314EHICLEs I EZCLL'SIONs ADDED 3"CHOCKS=_le=_NT!SPECIta pPovI510h3 RE:Entrance ADA Upgrede Renavatian(FY05/06)and Energy-Efficiency Retrofitrinc(FY07/08) Y Certificate holders named as additional insured CERTIFICA T z HOLDER CANCELLATION SHOULD ANY OFTHC n9OVE DESCRIBED POLICIES EE GANCRLLE0 BEFORE THE EXPIRATION h City of Palm Springs DATETPEREOF•TN[IS UING IN5URCRYJIL.ENOEAVORTG MAIL rJ� DAYSWR=& ATtn gales E Cook Community DeV NONCE To THE CERTIHCATE HOLDER NAMED To TIE LEFT GUTFASLURETODOSOSHALL 1 P D BOX 2743 IIMP05E NO OBLIGATION OR LIAMLITY OF ANT KI\a UPON THE INWPER.ITS AGFNTS Or Paim Springs,CA 92263-2743REPResEHr.rives. AIfrHOR12[a kik.CNTAi IVC ACORD 25(2001/06)1 of 2 ;S104717lN199915 2DNIE 0 ACORD CORPORATION 1988 POLICY NUMBER: 01-CH-313089-10 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ^ DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons Or Or anization s City of Palm Springs, its officers or employees Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Section II - Who Is An Insured is amended to in- clude as an additional insured the person(s)or organi- zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in park by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 ©ISO Properties, Inc.,2004 Page 'I of 1 ❑ ` • r CITY OF PALM SPRINGS EXHIBIT D Beneficiary Qualification Statement Prolect/ActivitV_Title: Project Number: Desert AIDS Project/ 0003 Energy-Efficiency Retrofitting Name/Address of Provider: Desert AIDS Project- DAP PO Box 2890, 1695 N Sunrise Way Palm Springs, CA 92253-2890 BENEFICIARY QUALIFICATION STATEMENT This statement must be completed and signed by each person or head of household (legal guardian) receiving benefits form the described pfoject/activity Please answer each Of the following questions. 1. How many persons are in your household? For this question a household is a group of related or unrelated persons occupying the same house with at least one member being the head of the household Renters,roamers,or borders cannot be Included as household members 2. Circle your combined gross annual income(Riverside-San Bernardino-Ontario,CA MSA-03170107) MEDIAN NUMBER OF PERSONS IN YOUR HOUSEHOLD: INCOME 1 2 3 4 5 6 7 8 LEVEL VERY LOW INCOME $20700 $2$,700 S26.650 $29,600 S31,950 $34350 $$6,700 S39,050 Below 50 LOWINCOME S33,150 $37.900 S42,600 S47,350 $51150 S54,950 S58,700 $62500 51 -80% MODERATE INCOME S49,700 S56,800 $63 900 $71,000 S76 700 $82 400 $88.000 S93,700 20% 3. What race/ethnicity do you identify yourself as; please note that this self-identification is voluntary in accordance with equal opportunity laws? ❑ White ❑ American Indian or Alaska Native AND White ❑ Black/African American ❑ Asian AND White ❑ Asian ❑ Black/African American AND White • American Indian or Alaskan Native ❑ American Indian/Alaska Native AND Black/African American ❑ Native Hawaiian or Other Pacific Islander ❑ Other. HISPANIC/LATINO ETHNICITY ❑ Yes ❑ No If yes, check one: d Mexican/Chicano ❑ Puerto Rican ❑ Cuban ❑ Other A. Are you female Head of Household? ❑ YES 0 NO S. Do you have a disability? 0 YES ❑ NO If YES please describe. ACKNOWLEDGEMENT AND DISCLAIMER 1 CERTIFY UNDER PENALTY OF PERJURY THAT INCOME AND HOUSHOLD STATEMENTS MADE ON THIS FORM ARE TRUE. NAME: DATE: ADDRESS: PHONE NO: SIGNATURE: The information you provide on lilts form is confidential and is only utilized for community Development Block Grant(CDBG) program purposes a Federally4undod program,governmental reporting purposes to monitor compliance CITY OF PALM SPRINGS EXHIBIT E Semi-Annual Program Progress Report Project/Activity Title: Proiect Number: Desert AIDS Project/ 0003 Energy-Efficiency Retrofitting Name/Address of Provider: Desert AIDS Project- DAP PO Box 2890, 1695 N Sunrise Way Palm Springs, CA 92263-2890 PROGRAM PROGRESS REPORT Period. DIRECT BENEFIT REPORT ♦ Number of First-Time Program Beneficiaries Serviced: #of Households #of Persons 0-50%below 51.800/abelow 120% below ♦ Number of First-Time Female Headed Households: ♦ Counts by Race/Ethnicity: White American Indian or Alaska Native AND White Black/African American Asian AND White_ Asian Black/African American AND White American Indian or Alaskan Native J American Indian/Alaska Native AND Black/African American Native Hawaiian or Other Pacific Islander _Other HISPANIC/LATINO ETHNICITY: Mexican/Chicano Puerto Rican Cuban Other ACCOMPLISHMENT NARRATIVE LEVERAGING RESOURCES NARRATIVE Signed Title Date CITY OF PALM SPRINGS EXHIBIT F Request for Reimbursement Proiect/Activity Title: Protect Number, Desert AIDS Project/ 0003 Energy-Efficiency Retrofitting Name/Address of Provider: Desert AIDS Project- DAP PO Box 2890, 1695 N Sunrise Way Palm Springs, CA 92263-2890 BENEFICIARY QUALIFICATION STATEMENT TA9,nt�' , current , Prior , Total Grant Description Reimbursement 'Reimbursement " YTD Balance Period Period(s) Reimbursement ,(overt under) Rental, Lease or Purchase of E ui ment 3115,000. TOTAL $115,000. � I CERTIFY THAT, (a) the City of PALM SPRING$, as grantee of the CDBG, has not previously been billed for the costs covered by this invoice, (b) funds have not been received From the Federal Government or expended for such costs under the terms of the Agreement or grant pursuant to FMC-74-4 & 24 CFR Part 58;(c) this agency is in full compliance with all applicable provisions under the terms of the Contractor grant; and (d) this agency is in full compliance with all applicable tax laws and hereby affix original signatures. PREPARED BY: APPROVED BY: Name, Title, Date Name, Title, Date City of PALM SPRINGS Use Only Audited by: Examined by: Approved by If necessary, additional sheet(s) must be attached detailing cost breakdowns, and verified by original signatures. CITY OF PALM SPRINGS EXHIBIT G Employment Restrictions 1 Labor Standards The PROVIDER agrees to comply with the requirements of the Secretary of Labor in accordance with the Davis-Bacon Act as amended, the provisions of Contract Work Hours and Safety Standards Act the Copeland "Anti-Kickback" Act (40 U.S C 276a-276a-5;40 USC 327 and 40 USC 276c) and all other applicable Federal, state and local laws and regulations pertaining to labor standards Insofar as those acts apply to the performance of this contract The PROVIDER shall agree to submit documentation provide by the CITY which demonstrates Compliance with hour and wage requirements of this part. The PROVIDER agrees that, all general Contractors or subcontractors engaged under contracts in excess of S2,000 00 for construction, renovation or repair work financed in whole or in part with assistance provided under this contract, shall comply with Federal requirements adopted by the CITY pertaining to such contracts and with the applicable requirements of the regulations of the Department of labor, under 29 CFR Parts 1 3 5 and 7 governing the payment of wages and ratio of apprentices and trainees to joumeyworkers; provided that if wage rates higher than those required under the regulations are imposed by state and local law, nothing hereunder is intended to relieve the PROVIDER of its obligation if any, to require payment of the higher Wage The PROVIDER shall cause or require to be Inserted in full, in all such contracts subject to such regulations,provisions meeting the requirements of this paragraph 2 "Section 3 Clause a. Compliance Compliance with the provisions of Section 3,the regulations set forth in 24 CFR 135 and all applicable rules and orders issued hereunder prior to the execution of this contract, shall be a condition of the Federal financial assistance provided under this Contract and binding upon the CITY, the PROVIDER and any of the PROVIDER'S subreciplents and subcontractors. Failure to fulfill these requirements shall subject the CITY, the PROVIDER and any of the PROVIDER'S subreciplents and subcontractors, their successors and assigns, to those sanctions specified by the Agreement through which Federal assistance is provided The PROVIDER certifies and agrees that no contractual or other disability exists which would prevent compliance with these requirements. The PROVIDER further agrees to comply with these Section 3" requirements and to include the following language in all subcontracts executed under this Agreement "The work to be performed under this contract is a project assisted under a program providing direct Federal financial assistance from HUD and is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S C 1701 Section 3 requires that to the greatest extent feasible opportunities for training and employment be given to low- and very low-income residents of the project area and contracts for work in connection with the project be awarded to business concerns that provide economic opportunities for low-and very low-income persons residing in the metropolitan area in which the project is located. The PROVIDER further agrees to ensure that opportunities for training and employment arising in connection with a housing rehabilitation (including reduction and abatement of lead-based paint hazards), housing construction, or other public construction project are given to low-and very low-income persons residing within the metropolitan area in which the CDBG- funded project is located;where feasible, priority should be given to low-and very low-income persons within the service area of the project or the neighborhood in which the project is located, and to low-and very low-income participants in other HUD programs; and award contracts for work undertaken in connection with a housing rehabilitation (including reduction and abatement of lead-based paint hazards), housing construction or other public Construction project are given to business concerns that provide economic opportunities for low- and very low-income persons residing within the metropolitan area in which the CDBG-funded project is located, where feasible, priority should be given to business concerns which provide economic opportunities to low-and very low-income residents within the service area or the neighborhood in which the project is located, and to low-and very low-income participants in other HUD programs. The PROVIDER certifies and agrees that no contractual or other legal incapacity exists which would prevent compliance with these requirements. In Nph"cations The PROVIDER agrees to send to each labor organization or representative of workers with which it has a collective bargaining agreement or other contract or understanding if any, a notice advising said labor organization or worker's representative of 4s commitments under this Section 3 clause and shall post copies of the notice in conspicuous places available to employees and applicants for employment or training