HomeMy WebLinkAbout04469 - RIVERSIDE COUNTY SOCIAL SERVICE HUMAN RIGHTS COMMISSION TOLERANCE TRAINING MO7044 Riverside Co Public Social Svc
Tolerance—Building Training
AGREEMENT #4469
M07044, 4-3-02
,,Riverside County Department of Public Social services
Contracts Administration Unit
10281 Kidd Street
Riverside, CA 92503
PROFESSIONAL SERVICES
CONTRACT: DC 1013-02 02/02
CONTRACTOR: City of Palm Springs
CONTRACT TERM: through June 30, 2002
MAXIMUM REIMBURSABLE
AMOUNT $10,000
WHEREAS, the Department of Public Social Services-Department of Community Action, hereinafter referred
to as DPSS-DCA, desires to provide Tolerance-Building Training Sessions;
WHEREAS, the City of Palm Springs has a Human Rights Commission which is qualified to provide
Tolerance-Building Training Sessions;
WHEREAS, the City of Palm Springs delegates responsibility for the provision of these services to the City of
Palm Springs Human Rights Commission;
WHEREAS, DPSS-DCA desires the Palm Springs Human Rights Commission, hereinafter referred to as
the Contractor, to perform these services in accordance with the TERMS and CONDITIONS (T&C)
attached hereto and incorporated herein by this reference The T&C specify the responsibilities of
DPSS-DCA and the Contractor,
NOW THEREFORE, DPSS-DCA and the Contractor do hereby covenant and agree that the Contractor
shall provide said services in return for monetary compensation, all in accordance with the terms and
conditions contained herein, of this Agreement.
Authorized Signature tor-P`ur(Eh sing: Autho ' ed Signa ure for on cto .i
Atte t:
Printe�1Name of Per on ig-et me or Person Signing:
David H. Read
Title:
RIVERSIDE 'BOUNTY - DPS
Dill
Cit Manager
Address: ISIN(i Address:
2sag vu�$ gte � IIl KIDD ST. 3200 Tahquitz Canyon Way
Riverside 6 - Palm S rin s, CA 9226
Date Signed: Date Signed:
/ 9
Reviewed as to Form by City Attorney:
FORM APPROVED
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0 DC 1013-02 01/02
CITY OF PALM SPRINGS
PROFESSIONAL SERVICES AGREEMENT
TERMS AND CONDITIONS
Page 2 of 12
• 0 DC 1013-0201/02
Table of Contents
IABBREVIATIONS..... . .......... . . . ............ . ............ ................. . .................... .............. ..................4
II. DPSS-DCA RESPONSIBILITIES - . ............... . ................................. ................... ....................... . 4
III CONTRACTOR RESPONSIBILITIES ..... ...... ............ . ................. ...................................................4
IV. FISCAL PROVISIONS. .............. ................................. .................................... .............. . . .. ..........4
A. MAXIMUM AMOUNT ...... . ... ..................................................................... .................. .... .........4
BLINE ITEM BUDGET—. . . ..... .. . . ... ........ .. .......... . . ............... . . .............. .... ..................5
C. MODIFICATION OF TERMS...... ............. . . ................ ................. ............. . . . .............. . . . ..5
D. METHOD, TIME, AND SCHEDULE/CONDITION OF PAYMENTS................ .. ................. ........5
E. FINANCIAL RESOURCES........................ .................................. . ..................................... . .....6
F. RECORDS, INSPECTIONS, AND AUDITS............... . .................................... .................. ........6
G. SUPPLANTATION . ............................. ................. . . ................ .................. ................. . . ........6
H. DISALLOWANCE........... ... ................ .............. ................. .......................................................7
V. GENERAL PROVISIONS ...................... ..................... ........................................................ ..............7
A. EFFECTIVE PERIOD.. . ........... . ............... .. . ................ .. ..................... ............... . ................7
B. CONFLICT OF INTEREST........ . . ............ . . ................ .. . ................ .. ................. .. .............7
C. NOTICES.................. ............ . . ................. . .............. . ..................................... ........................7
D. CONFIDENTIALITY ....... . . ............ . . . ............................................................ .............. . .... ...7
E. CHILD ABUSE REPORTING................... .................................... .................. . .............. .. . . ...7
F. NON-DISCRIMINATION ASSURANCE . ............... . ................... ....................... ..................... .8
G. HOLD HARMLESS/INDEMNIFICATION .. ................ . ................. . . ................. . .............. .... .8
H. INSURANCE ........ . . .......... . . . ............... ..................................... . . ................... .....................8
I. LICENSES AND PERMITS.............. ... . ........ . .. . ............... . ................ . .. ................. .. . ....10
J. INDEPENDENT CAPACITY....... .................. . . ............................................. ................. ........10
K. SUBCONTRACT FOR SERVICES....... ................ . . ................. . . ............... ......................10
L. ASSIGNMENT ... .......... ................. .. ................. . .................. .. ............ .. ................. . ... .10
M. REPORTING . ......... .. . ............... . .......... . . . ................. .. .. ............. . . .................. . .. ....10
N. COMPLIANCE WITH RULES, REGULATIONS, REQUIREMENTS, AND DIRECTIVES..........11
ODISPUTES....... . .............. . . . ........... . . ................. . . ................. ..........................................11
PSANCTIONS......... ............ . . .......... . . . .............. . ................. .. . . ............ . .. ....................11
Q. TERMINATION..... . ............ . . . ............. . . .............. . ...................... ................... ..................11
R. GOVERNING LAW.. . ........... . ............ . . . ............. ... ............... . . ................ .. ................11
S. ENTIRE AGREEMENT. ................ ............................................................... ................. . .. ....12
LIST OF EXHIBITS
Exhibit A— Line Item Budget
Exhibit B— Contractor Payment Request DPSS 2076A
Exhibit C —Contractor Expenditure Report DPSS 2076E
Exhibit D — Instructions for Forms DPSS 2076A and 2076B
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• 0 DC 1013-02 01/02
CONTRACT TERMS AND CONDITIONS
I. ABBREVIATIONS
A. "DPSS-DCA" refers to the County of Riverside and its Department of Public Social Services-Department
of Community Action, which has administrative responsibility for this Agreement.
B "SB 551" refers to Senate Bill 551, signed by the Governor of California on September 25, 2001, which
funds this Agreement.
II. DPSS-DCA RESPONSIBILITIES
DPSS-DCA will:
A. Assign staff to act as liaison between the Contractor and DPSS-DCA.
B. Monitor the performance of the Contractor in meeting the terms, conditions, and services in this
Agreement DPSS-DCA, at its sole discretion, may monitor the performance of the Contractor through
any combination of the following methods: periodic on-site visits, annual inspections, evaluations, and
Contractor self-monitoring.
III CONTRACTOR RESPONSIBILITIES
The Contractor shall:
A. Assign staff to act as liaison to DPSS-DCA.
B. Assign a decision-maker representing the Contractor to attend the Riverside County September 11'h
Committee meetings.
C. Utilize the Program Outline approved by the Riverside County September 11'h Committee.
D. Provide the following at one (1) Tolerance-Building Training Session to be held in the East County no
later than May 31, 2002:
1. Tolerance-building topics in East Riverside County incorporating the pre-approved plan with
presentations by diverse faith-based and community-based organizations educating residents in
cultural differences.
2. Information for the community on mental health and other resources available to alleviate or reduce
the impacts.
3 Multi-language materials, i e. handouts, to reach the diverse community
E. Provide incentives such as meals, transportation, and child care to encourage attendance at the
Tolerance-Building Training Sessions.
F. Provide a summary report as outlined in Section V.N.
IV. FISCAL PROVISIONS
A. MAXIMUM AMOUNT
Total payment under this Agreement shall not exceed $10,000.
Page 4 of 12
0 • DC 1013-02 01/02
B. LINE ITEM BUDGET
The line item budget is outlined in Exhibit A, attached hereto and incorporated herein by this reference.
C. MODIFICATION OF TERMS
1. Changes may be made to individual line items in the budget, Section IV.B, provided the Contractor
adequately documents the need for change and all of the following requirements are met.
a. Adjustments to the budget cannot bring any line item to less than twenty percent (20%) of the
original budgeted amount,
b. The total amount of the Agreement does not change;
c. The Contractor must submit a written request to DPSS-DCA for all program/budget
modification(s) and submit justification for the requested change(s), and identify the item(s) to be
reduced or increased;
d. DPSS-DCA shall approve/deny such change(s) in writing prior to implementation;
e. All modification requests must be submitted to DPSS-DCA;
f. DPSS-DCA reserves the right to deny requests for reimbursement, or any request for
reimbursement in excess of any budget line item; and
g. Any such changes not meeting the above conditions must be made by Agreement amendment,
signed by all parties.
2. Requests to move the date of the Tolerance-Building Training Sessions beyond the deadline
outlined in Section III.D, may be requested in writing to the Executive Director of DPSS-DCA.
Written approval responses must be received by the Contractor prior to implementation.
D. METHOD, TIME, AND SCHEDULE/CONDITION OF PAYMENTS
1. DPSS-DCA will reimburse the Contractor for services provided in accordance with the terms and
conditions contained herein, in this Agreement.
2. The Contractor shall submit the Contractor Payment Request DPSS Form 2076A (Exhibit B) and
Contractor Expenditure Report Form 2076B (Exhibit C) by June 7, 2002, following the instructions
for completion on Instructions for Form 2076A and 2076B (Exhibit D) to request payment. Support
documentation such as payroll documents, receipts for expenditures, and sign-in sheets for
Tolerance-Building Training Sessions must accompany the 2076A. Exhibits B, C and D are
attached hereto and incorporated herein by these references. Invoices submitted after this date may
be disallowed. The Contractor may submit invoices more frequently than once a month, but in no
event later than June 7, 2002.
3. Upon written request by the Contractor, DPSS-DCA may issue an advance payment to the
Contractor in an amount not to exceed 25 percent of the available amount of this Agreement.
Advance payments will be recaptured from each billing at the rate of 25 percent to be withheld and
applied towards the advance. Outstanding advance payments will be recaptured in the final billing, if
applicable.
4 In the event this Agreement is amended to increase the consideration of this Agreement, a
subsequent advance payment not to exceed 25 percent of the increased amount may be authorized
upon written request by the Contractor
Page 5 of 12
0 DC 1013-02 01/02
5. Payments made on behalf of the Contractor to vendors or agencies other than the Contractor for
services supporting this pre-approved plan will be deducted from the Maximum Agreement Amount
as if paid to the Contractor directly.
6. Invoices and supporting documentation shall be submitted to:
Department of Public Social Services-
Department of Community Action
2038 Iowa Avenue, Suite B-102
Riverside, CA 92507
E. FINANCIAL RESOURCES
The Contractor warrants that during the term of this Agreement, the Contractor shall retain sufficient
financial resources necessary to perform all aspects of its obligations, as described under this
Agreement. Further, the Contractor warrants that there has been no adverse material change in the
Contractor, Parent, or Subsidiary business entities, resulting in negative impact to the financial condition
and circumstances of the Contractor since the date of the most recent financial statements.
F. RECORDS, INSPECTIONS, AND AUDITS
The Contractor shall maintain auditable books, records, documents, and other evidence pertaining to
costs and expenses in this Agreement. The Contractor shall maintain these records for three (3) years
after final payment has been made or until all pending county, state, and federal audits, if any, are
completed, whichever is later.
1. Any authorized representative of the County of Riverside, the State of California, and the federal
government shall have access to any books, documents, papers, electronic data, and other records,
which these representatives may determine to be pertinent to this Agreement, for the purpose of
performing an audit, evaluation, inspection, review, assessment, or examination. These
representatives are authorized to obtain excerpts, transcripts, and copies, as they deem necessary.
Further, these authorized representatives shall have the right at all reasonable times to inspect or
otherwise evaluate the work performed, or being performed, under this Agreement and the premises
in which it is being performed.
2 This access to records includes, but is not limited to, service delivery, referral, financial, and
administrative documents for three (3) years after final payment is made, or until all pending county,
state, and federal audits are completed, whichever is later.
3. Should the Contractor disagree with any audit conducted by DPSS-DCA, the Contractor shall have
the right to employ a licensed, Certified Public Accountant (CPA) to prepare and file with DPSS-DCA
a certified financial and compliance audit that is in compliance with generally-accepted government
accounting standards of related services provided during the term of this Agreement. The
Contractor shall not be reimbursed by DPSS-DCA for such an audit.
4. In the event the Contractor does not make available its books and financial records at the location
where they are normally maintained, the Contractor agrees to pay all necessary and reasonable
expenses, including legal fees, incurred by DPSS-DCA in conducting such an audit.
G. SUPPLANTATION
The Contractor shall not claim reimbursement or apply sums received for this Agreement with any other
source of revenue.
Page 6 of 12
DC 1013-02 01/02
H. DISALLOWANCE
In the event the Contractor receives payment for services under this Agreement which is later disallowed
for nonconformance with the terms and conditions herein by DPSS-DCA, the Contractor shall promptly
refund the disallowed amount to DPSS-DCA on request.
V. GENERAL PROVISIONS
A. EFFECTIVE PERIOD
This Agreement is effective from 7 through June 30, 2002.
B. CONFLICT OF INTEREST
The Contractor covenants that it presently has no interest, including, but not limited to, other projects or
independent agreements, and shall not acquire any such interest, direct or indirect, which are, or which
the Contractor believes to be, incompatible in any manner or degree with the performance of services
required to be performed under this Agreement. The Contractor further covenants that in the
performance of this agreement, no person having such interest shall be employed or retained by it under
this agreement.
The Contractor agrees to inform DPSS-DCA of all of the Contractor's interests, if any, which are or which
the Contractor believes to be incompatible with any interest with DPSS-DCA.
C. NOTICES
All notices, claims, correspondence, and/or statements authorized or required by this agreement shall be
addressed as follows.
DPSS-DCA: Department of Public Social Services-
Department of Community Action
2038 Iowa Avenue, Suite B-102
Riverside, CA 92507
(909) 955-4900
CONTRACTOR: City of Palm Springs
David H. Ready, City Manager
3200 Tahquitz Canyon Way
Palm Springs, CA 92263
All notices shall be deemed effective when they are made in writing, addressed as indicated above, and
deposited in the United States mail. Any notices, correspondence, reports and/or statements authorized
or required by this Professional Services Agreement, addressed in any other fashion will not be
acceptable.
D. CONFIDENTIALITY
The Contractor shall maintain the confidentiality of all information and records and comply with all other
statutory laws and regulations relating to privacy and confidentiality, subject only to any requirement for
disclosure under the Public Records Act.
E. CHILD ABUSE REPORTING
The Contractor shall establish a procedure acceptable to DPSS-DCA to ensure that all employees,
volunteers, consultants, subcontractors, or agents performing services under this Agreement report child
abuse or neglect to a child protective agency as defined in Penal Code, Section 11166.
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• • DC 1013-02 01/02
F NON-DISCRIMINATION ASSURANCE
The Contractor shall not discriminate in its recruiting, hiring, promoting, demoting, or terminating
practices on the basis of race, religious creed, color, national origin, ancestry, physical handicap,
medical condition, marital status, age or sex in the performance of this agreement, and to the extent they
shall apply, with the provisions of the California Fair Employment Practices Act (commencing with
Section 1410 of the Labor Code), and the Federal Civil Rights Act of 1964 (P. L. 88-352).
G. HOLD HARMLESS/INDEMNIFICATION
It is understood and agreed that the Contractor is an independent contractor and that no employer-
employee relationship exists between the parties hereto. The Contractor assumes exclusively the
responsibility for the Contractor's acts and the acts of the Contractor's employees, agents, or
subcontractors as they relate to services to be provided during the course and scope of this Agreement.
The Contractor hereby agrees to hold DPSS-DCA, all Agencies, Districts and Departments of the County
of Riverside, their respective Directors, Officers, Board of Supervisors, employees, elected and
appointed officials, agents and subcontractors, harmless from any and all claims that may be made
against DPSS-DCA based upon contention by any third party that an employer-employee relationship
exists by reason of this Agreement.
In addition, the Contractor shall indemnify and hold DPSS-DCA, all Agencies, Districts and Departments
of the County of Riverside, their respective Directors, Officers, Board of Supervisors, employees, elected
and appointed officials, agents and subcontractors, harmless from any liability whatsoever, based or
asserted upon services of the Contractor, its agents, employees, or subcontractors, arising out of or in
any way relating to this Agreement, for property damages, bodily injury, or death or any other element of
damage of any kind or nature whatsoever, and resulting from negligence or any acts, errors, or
omissions of the Contractor, its Directors, Officers, agents, employees, or subcontractors hereunder, and
the Contractor shall defend, at its sole expense, including but not limited to, attorney fees, DPSS-DCA,
all Agencies, Districts and Departments of the County of Riverside, their respective Directors, Officers,
Board of Supervisors, employees, elected and appointed officials, agents, and subcontractors in any
legal claim.
H INSURANCE
1. Without limiting or diminishing the Contractor's obligation to indemnify or hold the DPSS-DCA and
the County of Riverside harmless, Contractor shall procure and maintain or cause to be maintained,
at its sole cost and expense, the following insurance coverages during the term of this Agreement.
a. Workers' Compensation:
If Contractor has employees as defined by the State of California, Contractor shall maintain
Workers' Compensation Insurance (Coverage A) as prescribed by the laws of the State of
California Policy shall include Employers' Liability (Coverage B) including Occupational Disease
with limits not less than $1,000,000 per person per accident Policy shall be endorsed to waive
subrogation in favor of the DPSS-DCA and the County of Riverside; and, if applicable, to provide
a Borrowed Servant/Alternate Employer Endorsement.
b. Commercial General Liability:
Commercial General Liability insurance coverage, including but not limited to, premises liability,
contractual liability, completed operations, personal and advertising injury covering claims which
may arise from or out of Contractor's performance of its obligations hereunder. Policy shall name
DPSS-DCA, all Agencies, Districts, Special Districts, and Departments of the County of
Riverside, their respective directors, officers, Board of Supervisors, elected officials, employees,
elected or appointed officials, agents or representatives as Additional Insureds. Policy's limit of
Page 8 of 12
• 10 DC 1013-02 01/02
liability shall not be less than $1,000,000 per occurrence combined single limit. If such
insurance contains a general aggregate limit, it shall apply separately to this agreement or be no
less than two (2) times the occurrence limit.
c. Vehicle Liability:
If Contractor's vehicles or mobile equipment are used in the performance of the obligations
under this Agreement, Contractor shall maintain liability insurance for all owned, non-owned or
hired vehicles in an amount not less than $1,000,000 per occurrence combined single limit. If
such insurance contains a general aggregate limit, it shall apply separately to this agreement or
be no less than two (2) times the occurrence limit Policy shall name DPSS-DCA, all Agencies,
Districts, Special Districts, and Departments of the County of Riverside, their respective
directors, officers, Board of Supervisors, elected officials, employees, elected or appointed
officials, agents or representatives as Additional Insureds.
d. General Insurance Provisions -All lines:
i. Any insurance carrier providing insurance coverage hereunder shall be admitted to the State
of California and have an A.M. BEST rating of not less than an A: VIII (A: 8) unless such
requirements are waived, in writing, by the County Risk Manager. If the County's Risk
Manager waives a requirement for a particular insurer such waiver is only valid for that
specific insurer and only for one policy term.
ii. The Contractor's insurance carrier(s) must declare its insurance deductibles or self-insured
retentions. If such deductibles or self-insured retentions exceed $500,000 per occurrence
such deductibles and/or retentions shall have the prior written consent of the County Risk
Manager before the commencement of operations under this Agreement. Upon notification
of deductibles or self insured retentions which are deemed unacceptable to the DPSS-DCA,
at the election of the County's Risk Manager, Contractor's carriers shall either; 1) reduce or
eliminate such deductibles or self-insured retentions as respects this Agreement with the
DPSS-DCA, or 2) procure a bond which guarantees payment of losses and related
investigations, claims administration, defense costs and expenses.
iii. The Contractor shall cause their insurance carrier(s) to furnish the County of Riverside with
1) a properly executed original Certificate(s) of Insurance and certified original copies of
Endorsements effecting coverage as required herein; or, 2) if requested to do so orally or in
writing by the County Risk Manager, provide original Certified copies of policies including all
Endorsements and all attachments thereto, showing such insurance is in full force and
effect. Further, said Certificate(s) and policies of insurance shall contain the covenant of the
insurance carrier(s) shall provide no less than thirty (30) days written notice be given to the
County of Riverside prior to any material modification or cancellation of such insurance. In
the event of a material modification or cancellation of coverage, this Agreement shall
terminate forthwith, unless the County of Riverside receives, prior to such effective date,
another properly executed original Certificate of Insurance and original copies of
endorsements or certified original policies, including all endorsements and attachments
thereto evidencing coverages and the insurance required herein is in full force and effect.
Individual(s) authorized by the insurance carrier to do so on its behalf shall sign the original
endorsements for each policy and the Certificate of Insurance. Contractor shall not
commence operations until the County of Riverside has been furnished original
Certificate (s) of Insurance and certified original copies of endorsements or policies
of insurance including all endorsements and any and all other attachments as
required in this Section.
iv. It is understood and agreed by the parties hereto and the Contractor's insurance
company(s), that the Certificate(s) of Insurance and policies shall so covenant and shall be
Page 9 of 12
• 0 DC 1013-02 01/02
construed as primary insurance, and the DPSS-DCA's insurance and/or deductibles and/or
self-insured retentions or self-insured programs shall not be construed as contributory.
v. Contractor shall pass down the insurance obligations contained herein to all tiers of
subcontractors working under this Agreement.
vi If Contractor, as a consequence of this Agreement, arranges a subcontract with a company
properly licensed to transport individuals, Contractor shall require Vehicle Liability limits of
liability of at least $5,000,000 per occurrence combined single limit and require the
subcontractor to endorse their vehicle policy to include DPSS-DCA, all Agencies, Districts,
Special Districts, and Departments of the County of Riverside, their respective directors,
officers, Board of Supervisors, elected officials, employees, elected or appointed officials,
agents or representatives as Additional Insureds.
I. LICENSES AND PERMITS
In accordance with the provisions of Chapter 9 of Division 3 of the Business and Professions Code
concerning the licensing of Contractors, all Contractors shall be licensed, if required, in accordance with
the laws of this State and any Contractor not so licensed is subject to the penalties imposed by such
Taws.
The Contractor warrants that it has all necessary permits, approvals, certificates, waivers, and
exemptions necessary for the provision of services hereunder and required by the laws and regulations
of the United States, State of California, the County of Riverside and all other appropriate governmental
agencies, and shall maintain these throughout the term of this agreement.
J. INDEPENDENT CAPACITY
Each party shall act in an independent capacity and not as an agent or employee of the other.
K. SUBCONTRACT FOR SERVICES
No agreement shall be made by the Contractor with any party to furnish any of the services herein
contained without the prior written approval of DPSS-DCA. This provision shall not require the approval
of agreements of employment between the Contractor and personnel assigned for services thereunder.
The Contractor shall insure that all subcontractors provide services that comply with all applicable
provisions of the California Welfare and Institutions Code, all applicable laws and regulations of the
United States and State of California, and all administrative regulations, rules and policies adopted
thereunder, as each and all may now exist or be hereinafter amended or changed.
L. ASSIGNMENT
The Contractor shall not assign any interest in this Agreement, and shall not transfer any interest in the
same, whether by assignment or novation, without the prior written consent of DPSS-DCA.
M. REPORTING
The Contractor shall submit a training session summary report by June 7, 2002 to:
DPSS-DCA
2038 Iowa Avenue, Suite B102
Riverside, CA 92507-3825
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• • DC 1013-02 01/02
The training session summary report shall include at a minimum the following information:
1 The nature of the services provided.
2. The total number of people attending the training.
3. The date, time, and location of the event.
4. The total cost of the event.
N COMPLIANCE WITH RULES, REGULATIONS, REQUIREMENTS, AND DIRECTIVES
The Contractor shall comply with all rules, regulations, requirements, and directives of the California
Department of Social Services, other applicable state agencies, and funding sources which impose
duties and regulations upon DPSS-DCA, which are equally applicable and made binding upon the
Contractor as though made with the Contractor directly.
O. DISPUTES
Except as otherwise provided in this Agreement, any dispute concerning a question of fact arising under
this Agreement, which is not disposed by Agreement, shall be disposed by DPSS-DCA which shall
furnish the decision in writing. The decision of DPSS-DCA shall be final and conclusive until determined
by a court of competent jurisdiction to have been unreasonable The Contractor shall proceed diligently
with the performance of the agreement pending DPSS-DCA' decision. Any additional performance
during this time period shall be compensated.
P. SANCTIONS
Failure by the Contractor to comply with, after notice and a reasonable time period to cure, any of the
provisions covenants, requirements, or conditions of this Agreement including, but not limited to,
reporting and evaluation requirements, shall be a material breach of this Agreement. In such event,
DPSS-DCA may immediately terminate this Agreement and may take other remedies available by law,
or otherwise specified in this Agreement. DPSS-DCA may also:
1 Discontinue reimbursement to the Contractor for, and during the period in which the Contractor is in
breach, the reimbursement of which the Contractor shall not be entitled to recover later; and/or
2. Withhold funds pending a cure of the breach; and/or
3 Offset against any monies billed by the Contractor but yet unpaid by DPSS-DCA. DPSS-DCA shall
give the Contractor notice of any action pursuant to this paragraph, the notice of which shall be
effective when given.
Q. TERMINATION
This Agreement may be terminated without cause by either party by giving ten (10) days written
notification to the other party. In the event of termination by either party, DPSS-DCA shall make
payment for all services performed up to the date that written notice was given in a prorated amount
R. GOVERNING LAW
This Agreement shall be interpreted according to the laws of the State of California. Jurisdiction and
venue shall be agreed upon in the appropriate courts in the County of Riverside, State of California.
Should action be brought to enforce or interpret the provisions of this Agreement, the prevailing party
shall be entitled to attorney's fees in addition to whatever other relief is granted.
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• • DC 1013-02 01/02
S ENTIRE AGREEMENT
This Agreement constitutes the entire Agreement between the parties hereto with respect to the subject
matter hereof, and all prior or contemporaneous Agreements of any kind or nature relating to the same
shall be deemed to be merged herein.
Page 12 of 12
• • EXHIBIT A
DC 1013-02 01/02
Budget for Community Dialogue Session
Number of Dialogues: 01
Estimated Attendees: 200
OPERATING EXPENSES BUDGET
Facility $ 1,770
Marketing & Printed Materials 3,810
Equipment Rental 750
Supplies 320
Attendee Incentives: 2,600
♦ Meals
♦ Transportation
♦ Childcare
Postage 250
Speakers 500
Total Operating Costs: $10,000
• • EXHIBIT B
DC 1013-02 01/02
CONTRACTOR PAYMENT REQUEST For DPSS Use Only
DPSS 2076A(6/89)
DPSS INVOICE NUMBER
TO: DPSS Chief Fiscal Officer
Riverside County
Department of Public Social Services DPSS VENDOR CODE
P O Box 7789
Riverside, California 92513
Attn: Management Reporting Unit DPSS EXPENDITURE ACCOUNT
Make Remittance Payable To:
Contractor _
Name
Program.
Address
Contract#.
City State Zip Code
Component
We are requesting payment in the amount of $ which represents the following:
Advance payment of$__ _for the period of ,20
Actual expenditures payment of S for the period of ,20_per
the attached expenditure report (Contractor's Fees-For-Services Report).
Scheduled payment of$ for the period of , 20
Performance payment of$__ _for the period of ,20_per the
attached monthly progress report.
Unit of Service payment of$ for the period of , 20_per the attached
documentation _Units x$ (Unit Cost)_$
Any questions regarding this request should be directed to:
Telephone No. _
For DPSS Use Only
Authorized Signature Reviewed By Date
Title Date Approved By Date
Authorized By Date
• EXHIBIT
DC 1013-02 01/02
COUNTY OF RIVERSIDE DEPARTMENT OF PUBLIC SOCIAL SERVICES
CONTRACTOR EXPENDITURE REPORT opss 207ea(REV siwl
CONTRACTOR:
ACTUAL EXPENDITURES FOR
CONTRACT# PROGRAM:
SERVICE COMPONENT
CURRENT CUMULATIVE
APPROVED EXPENDITURES EXPENDITURES UNEXPENDED
_ EXPENSE CATEGORY BUDE AMC UNTD BILLABLE COUNTY SHARE BUDGETED
PERSONNEL SERVICES
---
Benefits
OPERATING/EQUIPMENT EXPENSES
Facility
Marketing & Printed Materials
Equipment Rental
Attendee Incentives
Postage
Speakers
------- --- --
Utilities - _- — --- -- ------
Direct Client Costs --- ,
Indirect Costs
OTHER (Specify):-- -- - --- -- - ------ ------
-------- ----- — ---
TOTAL COUNTY SHARE ( %)
IN-KIND/CASH CONTRIBUTION
VOLUNTEERS ( hrs @ )
SPACE
I UTILITIES
CASH (itemized)
) I
OTHER (specify):
TOTAL IN-KIND/CASH ( %)
(funding level ❑ x
---------- -- ---
TOTAL PROGRAM EXPENDITURES
TOTAL PROGRAM COSTS (100%)
CLIENT FEES COLLECTED CURRENT MONTH YEAR TO DATE
X FOR DPSS USE ONLY
Prepared y ate e ep hone
I hereby certify under penalty of perjury that the
above amounts represent actual expenditures for the Reviewed By Date
program for
the month of , 20
Approved By Date
Authorized Signature Date
Authorized By Date
• • EXHIBIT D
DC 1013-02 01/02
Department of Public Social Services Forms
Instructions for Forms 2076A and Forms 2076B
Mailing Instructions: When completed, these FORM DPSS 2076B
forms summarize all of your claims for payment. CONTRACTOR EXPENDITURE REPORT
Your Claims Packet will include Form 2076A When completed, this form is attached to the
(Page 1), Form 2076B (page 2), if applicable, front of your invoices, behind form DPSS 2076A.
and invoices and payroll verification beneath
(required). If cover letter is included (not "Contractor"
required) attached to front of Claims Packet. Enter the name of the Contractor.
Mail Claims Packet to address shown on upper
left corner of Form 2076A, within 30 days of the "Actual Expenditures For"
end of the designated reimbursement period as Type or print the time period.
indicated on the DPSS forms. (Please type or
print on DPSS Forms.) "Contract Number"
Enter the Contract Number from the Agreement
FORM DPSS 2076A
CONTRACTOR PAYMENT REQUEST "Program"
Type or print the type of service.
"Contractor"
Enter the name of the Contractor. "Service Component"
Leave blank
"Program"
Type or print the type of service. "Approved Budgeted Amount"
Current itemized budget amount as approved (or
"Contract Number" amended) in accordance with fiscal provisions
Enter the Contract Number from the Agreement. of executed contract. (INSERT AMOUNT OF
CONTRACT)
"Make Remittance Payable To:"
Type or print the name and address of the "Current Expenditures"
agency to which the check is to be submitted. Iternize expenditures for expenses paid out
during for the designated monthly reporting
"We are requesting ..." period
Fill in the total requested dollar amount. Do not
round up/down. Amount must equal amount in "Cumulative Expenditures"
"Actual expenditures..." Cumulative amount from previous report plus
current expenditures
"Line Item Payment"
Fill in the dollar amount (must equal amount in "Unexpected Budgeted Amount"
"We are requesting...") and the appropriate time Complete column as appropriate.
period In addition, complete form DPSS 2076B,
Contractor Expenditure Report. "In-Kind/Cash Contribution"
Leave entire section blank
"Any questions regarding . . ."
Fill in the name of the person to be contacted "Total Program Expenditures"
should any questions arise regarding your Self-explanatory.
request for payment.
"Client Fees Collected"
"Telephone No." Leave entire line blank.
Self-explanatory.
"Prepared by/Date I Telephone If"
"Authorized Signature" (Contractor's) Self-explanatory
Self-explanatory.
"I hereby certify . . "Enter all information
requested.
-n@cu•sinoN rva VENGDH CODE CN82577
PURCHASING REQUISITION pENCUM1IBER ❑DD NOT ENCUtdBEH ❑FT pox
COUNTY OF RIVERSIDE
VE DO 1 ADDRESS DATE BUDGET FY. ORDER TYPE TRANS. CODE TRANS. AGENCY
CITY OF PALM SPRINGS LINE
FUND AGENCY ORGANIZATION SUB ORG.APPR AGCT. ACTIVITY OBJECT JOB/PROJECT LINE AMOUNT
DAVID H.READY., CITY MANAGER
3200 TAHOUITZ CANYON WAY 110,19 5 0 722 2 2511 10,000.00
PALM SPRINGS, CA 92263
SHIP TO:
DCA-OTHER PROGRAMS
4060 COUNTY CIRCLE DRIVE
RIVERSIDE, CA 92553
INVOICE TO:
SUGGESTED VENDOR. VENDOR REMIT TO: VENDOR a
RIVERSIDE COUNTY DPSS TYPE + Nnderv,•.�niv,,.:..::.•, a
n.nri=nomss.+.o oi•�=�o:n�=<• o_xeo,r,r,„e
PO BOX 7789 — ds.+n- : ,.nna , e_a uwr's
RIVERSIDE, CA 92513 1n, """ "�`"P, � � R a�mm x
eren a sio �,•y<, _s one
on �� oe-.,mzn m,>„N T —o co•o •
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Dale Required User Name;Exi Rectl By/Dale F.O.B. Terms Deliver By Priced By/Approved R!F.O./R.F.P.Award#
Quantity Units a complete description,Including brand name,stock/catalog,size,color,Mfg.#,Special packaging and any nigher perinea[data(e.g, Unit
It..R Ordered Unns technical specifications,supplier quotations,plans or drawings,etc.)Indicate County award#it known. EsL Cps[ Price Extension
SENATE BILL(SB 551) 10,000.00
HUMAN RIGHTS COMMISSION FOR TOLERANCE BUILDING SESSIONS
FORM 11 #3.17 ATTACHED FOR FUNDING APPROVAL
FORM 11 #3.47 ATTACHED FOR BUDGET ADJUSTMENT
FSOA
•
❑ PersenalfPmfessional Sernce By signing below,I cifnify Ihal Ihis depanment has no other contract with this vendor for 1 ke so during I�XNC'5,77
I hereby certify upon my own personal knowledge that the ankles or materials hereon are necessary for use by the department,and for A H.0 SI6
NATURE(5)
the purpose indicated above and that there are sufficient funds In the budget of[his office or department approved for payment of same. - `P/_ O
REQUISITION REC'D. VENDOR (DO NOT TYPE BELOW THIS LINE) (For romchasino Depanmenl Use Only) Summary of 0 Phoney C- I us Prices
Inv.Terms Shp Terms
FORM#2 REV.6 en
NNISW511 FEM