HomeMy WebLinkAbout04268 - MIZELL SENIOR CENTER CDBG SUBRECIPIENT F ?ALAI S City of Palm Springs
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'0 - Community Redevelopment Agency
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MEMORANDUM
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Date: August 14, 2003
To: Barbara White, Assistant City Clerk
From: John Raymond, Director of Community& Economic Develo
Subject: Closing/termination of expired contracts
Yesterday I sent over a long list of expired contracts that had been reviewed by Dale Cook, the
Community Development Administrator,with instructions to close the ones indicated. These
were mostly CDBG contracts that have expired, the services provided, and the funds paid out.
The purpose of this memo is to inform you that I reviewed the list and concur with the
recommendation to close those indicated. Please keep a copy of this memo in the file of each of
the idelitfied closed contracts.
Page: 5
Report: Expired Contracts: Oldest Date= / / and XREF=COMMUNITY&ECONOMIC DEV-Summary July 24, 2003
Contract umber Description Approval Date Expiration Date Closed Date
A415 CDBG 1999-2000 Subrecipient Agreement 10/29/1999 11/01/2000 P 9 0
Contractor:Foundation For The Retarded Insurance Status: Certificate and Policies are OK
��
XREF: COMMUNITY& ECONOMIC DEVELOPMENT
Service: In File
A4162 99-00 Subrecipient Agr 10/29/1999 11/01/2000
Contractor:P.S. Unified School District Insurance Status: Certificate and Policies are OKAY
XREF: COMMUNITY& ECONOMIC DEVELOPMENT
Service: In File
A
A4165 CDBG 1999-2000 Subrecipient Agreement 12/01/1999 12/01/2000 i
Contractor :CV Small Business Development Insurance Status:A policy has Expired.
XREF: COMMUNITY& ECONOMIC DEVELOPMENT
Service: In File
A417 CDBG 1999-2000 Subrecipient Agreement 12/03/1999 12/01/2000 -c�� r`J�
Contractor:Catholic Charities Insurance Status: Certificate and Policies are OK �p/� �y
XREF: COMMUNITY& ECONOMIC DEVELOPMENT Pee
Service: In File
A418 CDBG 1999-2000 Subrecipient Agreement 01/12/2000 01/01/2001 �zz
Contractor :P.S. Economic Development Corp. Insurance Status: Certificate and Policies are OK
XREF: COMMUNITY& ECONOMIC DEVELOPMENT
Service: In File1 ��
*480" t a kwilIO " QW6666 i
Insurance Status: Certificate and Policies are OK
XREF: COMMUNITY& ECONOMIC DEVELOPMENT
A4268 Cdbg 2000-01, Subrecipient Agr, Replace Carpet 04/05/2000 04/01/2001 ,-
Contractor :Mizell Senior Center Insurance Status:A policy will expire soon.
XREF: COMMUNITY& ECONOMIC DEVELOPMENT
Service: In File �� 3
�} Mizell Senior Center
Subrecipient Agr
AGREEMENT #4268
R19771, 4-5-00
SUBRECIPIENT AGREEMENT
� ,j)THIS AGRE ENS' herein "Agreement") , is made and entered into this
ay of , 2001, by and between the CITY OF PALM
SPRINGS, (herein "City) , a municipal corporation, and the Mizell Senior
Center , (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 seq. ) , as amended from time to time (the "Act") , and the
regulations promulgated thereunder (24 C.F.R. Section 570 et seq.
("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 CONTRACTOR.
1.1 Scope of Services . In compliance with all terms and
conditions of this Agreement, the Provider shall provide those services
specified in the "Scope of Services" attached hereto as Exhibit "A" and
incorporated herein by this reference. Provider warrants that all
services will be performed in a competent, professional and satisfactory
manner.
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 .
2 . 0 COMPENSATION.
2 . 1 Contract Sum. The City shall pay to the Provider on a
reimbursable basis for its services a sum not to exceed TWENTY THOUSAND
DOLLARS ($20,000 . 00) (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 Payroll 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 Provider's 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:
Mizell Senior Center
480 South Sunrise Way
Palm Springs, CA 92262-9918
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
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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 may be
required by the regulations of the Housing and Community Development
Act, but in no case for less than three 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 Economic Development
Division monthly 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 60;
(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 labor standard requirements as set forth in 24
CFR Part 570, Subpart K and HUD regulations issued
to implement and requirements;
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•
(j) The Program Income requirements as set forth in 24
C. F.R. 570.504 (c) and 570.503 (b) (8) ;
(k) 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;
(1) Executive Order 11988 relating to the evaluation
of flood hazards and Executive Order 11288
relating to the prevention, control and abatement
of water pollution;
(m) The flood insurance purchase requirements of
Section 102 (a) of the Flood Disaster Protection
Act of 1973 (P.L. 93-234) ;
(n) 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.
(o) Title VI of the Civil Rights Act of 1964 (P.L. 88-
352) and implementing regulations issued at 24 CFR
Part 1;
(p) Title VIII of the Civil Rights Act of 1968 (P.L.
90-284) as amended; and
(q) 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 et seq. ) ;
(r) 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.
(s) 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
4
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. )
(t) 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 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) .
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5.2 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, color, creed, religion, sex, marital status, physical or mental
disability, national origin, or ancestry 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, or ancestry.
6.2 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 party 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
Attn: City Manager
6
WITH COPY TO:
Burke, Williams & Sorensen, LLP
18301 Von Karman Avenue, Suite 1050
Irvine, CA 92612-1009
TO PROVIDER:
Mizell Senior Center
480 South Sunrise Way
Palm Springs, CA 92262-9918
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 this Agreement on
the date first above written.
CITY OF PALM SPRINGS, CALIFORNIA
Dated: C:, By:
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City Manager
ATTE
City Clerk '1�';i a,�Gti nth r., �n = r:
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APPROVED AS TO FORM:
Burke, Wil -iams & Sorensen, LLP (�
Ci Attorney
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(Corporations require two NOTARIZED signatures; one from each of the following:
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Secretary, Treasurer, Assistant Treasurer, or Chief Financial Officer. )
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OPTIONAL
Though the information below Is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document. 3i
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Description of Attached Document
` Title or Type of Document:
Document Date: Number of Pages: I
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CITY OF PALM SPRINGS
EXHIBIT A
Scope of Services
Proiect/Activity Title: Project Number:
Mizell Senior Center Flooring B-25-12
Name/Address of Provider:
Mizell Senior Center
480 S. Sunrise Way
Palm Springs, CA 92262-9916
PROJECT/ACTIVITY DESCRIPTION
Flooring improvements to the Mizell Senior Center in the worn areas of the
facility; such improvements are to include the removal of existing carpet and
replace/installation of new comparable carpet, which will match the existing
carpeted baseboard.
Estimated Number of City of PALM SPRINGS Persons/Households to be served 8,000.
CITY OF PALM SPRINGS
EXHIBIT B
Budget Summary
Proiect/Activity Title: Project Number:
Mizell Senior Center Flooring B-25-12
Name/Address of Provider:
Mizell Senior Center
480 S. Sunrise Way
Palm Springs, CA 92262-9916
BUDGET SUMMARY
COST CATEGORY CDBG SHARE OTHER TOTAL
SOURCES COST
1 Personnel $ $ $
2 Consultant/Contract Services $ $ $
3 Travel $ $ $
4 Space Rental $ $ $
5 Consumable Supplies $ $ $
6 Rental, Lease or Purchase of $ $ $
Equipment
7 Insurance $ $ $
8 Other $20,000 $ - 0 - $20,000
Carpet Contract
$20,000 $ - 0 - $20,000
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.
EXHIBIT B — Budget Summary
Page 2 of 2 Pages
DETAIL BUDGET
DESCRIPTION OF ACTIVITY/ CDBG OTHER TOTAL
PAY ITEMS SHARE ISOURCES1 COST
Materials $10,000 - 0 - $10,000
Labor $10,000 0 - $10,000
Total $20,000
Flooring Improvements are to be completed within the period of September 1
through December 31, 2001.
Progress payments, approved by the Subrecipient and the Subrecipient's
Construction Management Supervisor 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.
CITY OF PALM SPRINGS
EXHIBIT C
Insurance Inventory
Proiect/Activity Title: Project Number:
Mizell Senior Center Flooring B-25-12
Name/Address of Provider:
Mizell Senior Center
480 S. Sunrise Way
Palm Springs, CA 92262-9916
INSURANCE INVENTORY
LIABILITY INSURANCE POLICY
Name of Provider's Insurance Company Philadelphia Insurance Companies
Effective Dates of Policy 10/14/00 to 10/14/01
Claims Made Policy / / Per Occurrence Policy
Limits of Liability $2,000,000
Deductibles:
Per Occurrence
Annual Aggregate
Additional Insured Endorsement (Certificate Holder) X�es ❑ No
Original Certificate of Insurance Attached ❑Yes XINo
WORKER'S COMPENSATION POLICY
Name of Provider's Insurance Company State Compensation Insurance Fund
Effective Dates 08/06/01 to 08/06/02
Limits of Liability
Underlying Coverage Limits
Original Certificate of Insurance Attached XYes ❑ No
CITY OF PALM SPRINGS
EXHIBIT D
Beneficiary Qualification Statement
Prolect/Activity Title: Proiect Number:
Name/Address of Provider: Date:
BENEFICIARY QUALIFICATION STATEMENT
This statement must be completed and signed by each person or head of household(legal guardian)receiving benefits form the
described projectfactivity. 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,roomers,or borders cannot be included as household members.
2. Circle your combined gross annual income
NUMBER OF PERSONS IN YOUR HOUSEHOLD:
1 2 3 4 5 6 7 8
VERY LOW
INCOME
Below 50% $16.600 $18,950 $21,350 $23,700 $25,600 $27,500 $29,400 $31,300
LOW INCOME $26,550 $30,350 $34,150 $37,900 $40,950 $44,000 $47,000 $50,050
51 —80%
3. Do you identify yourself as:
❑ White ❑ Black ❑ Hispanic ❑ American Indian ❑ Asian ❑ Multi-ethnic
4. Please circle,ves or no if you are a female Head of Household? YES NO
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 an this form is for Community Development Bieck Grant(CDBG)prcgram purposes only and will be kept confidential.
CITY OF PALM SPRINGS
EXHIBIT E
Quarterly Program Progress Report
Proiect/Activity Title: Project Number:
Name/Address of Provider: Date:
PROGRAM PROGRESS REPORT For the Period Ending:
DIRECT BENEFIT REPORT
-Number of First-Time Program Beneficiaries Serviced#of Households #of Persons
0-50%below 51-80%below
-Number of First-Time Female Headed Households:
-Counts by Race/Ethnicity:
White, Not Hispanic Origin Black, not Hispanic Origin Hispanic
American Indian/Alaskan Native Asian Pacific Islander Multi-ethnic
Signed Title Date
CITY OF PALM SPRINGS
EXHIBIT F
Request for Reimbursement
Proiect/Activity Title: Project Number:
Name/Address of Provider: Date:
BENEFICIARY QUALIFICATION STATEMENT
Column 1 Column 2 Column 3 Column 4 Column 5
Total Grant Amount Current Prior Total Cumulative Grant Balance
Reimbursement Reimbursement Reimbursement
1 CERTIFY THAT, (a)the City of PALM SPRINGS, 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 Contract 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.
PREPARED BY: Phone: APPROVED BY: Date:
Name, Title Name, Title (must be an original signature)
City of PALM SPRINGS Use Only
Audited by: Examined by: Approved by:
A detailed breakdown of costs expended must be attached to each Request for
Reimbursement and verified by original signature.
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$2,000.00 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 journeyworkers;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 subrecipients and subcontractors.Failure to
fulfill these requirements shall subject the CITY,the PROVIDER and any of the PROVIDER'S subrecipients 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.0 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.
b. Notifications
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 its 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
GENERAL DECISION CA010036 09/02001 CA36 •
Date: September 21, 2001
General Decision Number CA010036
Superseded General Decision No. CA000036
State: California
Construction Type:
BUILDING
DREDGING
HEAVY
HIGHWAY
County(ies) :
RIVERSIDE
BUILDING CONSTRUCTION PROJECTS; DREDGING PROJECTS (does not
include hopper dredge work) ; HEAVY CONSTRUCTION PROJECTS (does
not include water well drilling) ; HIGHWAY CONSTRUCTION PROJECTS
Modification Number Publication Date
0 03/02/2001
1 03/09/2001
2 03/16/2001
3 03/23/2001
4 04/13/2001
5 06/01/2001
6 07/27/2001
7 08/10/2001
8 08/31/2001
9 09/21/2001
COUNTY(ies) :
RIVERSIDE
ASBE0005B 01/01/2000
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INSULATOR/ASBESTOS WORKER
Includes the application of all
insulating materials, protective
coverings, coatings, and finishings
to all types of mechanical systems 30.46 7.65
----------------------------------------------------------------
ASBE0208B 06/01/1996
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ASBESTOS REMOVAL WORKER/
HAZARDOUS MATERIAL HANDLER
Includes preparation, wetting,
stripping, removal, scrapping,
vacuuming, bagging and disposing
of all insulation materials from
mechanical systems, whether they
contain asbestos or not 19.70 4. 81
----------------------------------------------------------------
BOIL0092F 10/01/2000
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BOILERMAKER 30. 06 9.81
TUBE WELDER 31.56 9.81
----------------------------------------------------------------
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', BRCA0,004U 05/01/2001 • •
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BRICKLAYER; MARBLE SETTER 27. 02 7.20
MARBLE FINISHER 15.50 1.52
----------------------------------------------------------------
BRCA0018G 01/01/2001
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TILE SETTERS 22. 00 3.23
TILE FINISHERS 14. 00 3.23
----------------------------------------------------------------
BRCA0016K 12/01/2000
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TERRAZZO WORKER 26.78 5.34
TERRAZZO FINISHER 20.53 5.34
----------------------------------------------------------------
CARP0002B 07/01/2001
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DIVERS:
Diver, wet 486.08 per day 5.61
Diver, stand-by 243.04 per day 5. 61
Diver tender 235.04 per day 5.61
----------------------------------------------------------------
CARP0002Q 07/01/1999
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DRYWALL INSTALLERS:
Work on wood-framed apartment
buildings under 4 stories 19. 00 6.33
All other work 25.75 6.33
DRYWALL STOCKER/SCRAPPER 10.00 5.32
----------------------------------------------------------------
CARP0003E 07/01/1998
Rates Fringes
CARPENTERS:
Work on wood frame, tilt up or concrete block construction
including but not limited to: shopping centers, stores, office
buildings, fast food establishments, also including curb, gutter
and sidewalks where the total cost of the project does not exceed
seven and one-half million ($7,500, 000. 00) dollars.
CARPENTERS:
Carpenter, cabinet installer,
insulation installer, floor
worker and acoustical
installer 22.75 6.28
Shingler 22. 88 6.28
Roof loader of shingles 15.42 6.28
Saw filer 22.83 6.28
Table power saw operator 22.85 6.28
Pneumatic nailer or power
stapler 23.00 6.28
Fence builder 20.30 6.28
Millwright 23.25 6.28
Pile driver; Derrick barge;
Bridge or dock carpenter;
Cable splicer; Heavy framer;
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Rockslinger 22. 88 6.28
Head rockslinger 22. 98 6.28
Rock barge or scow 22.78 6.28
Scaffold builder 17. 00 6.28
All other work:
CARPENTERS:
Carpenter, cabinet installer,
insulation installer, floor
worker and acoustical
installer 24.75 6.28
Shingler 24. 88 6.28
Roof loader of shingles 17.42 6.28
Saw filer 24. 83 6.28
Table power saw operator 24. 85 6.28
Pneumatic nailer or power
stapler 25.00 6.28
Fence builder 22.30 6.28
Millwright 25.25 6.28
Pile driver; Derrick barge;
Bridge or dock carpenter;
Cable splicer; Heavy framer;
Rockslinger 24. 8E 6.28
Head rockslinger 24. 98 6.28
Rock barge or scow 24.73 6.28
Scaffold builder 19. 00 6.28
FOOTNOTE:
Work of forming in the construction of open cut sewers or storm
drains, on operations in which horizontal lagging is used in
conjunction with steel H-Beams driven or placed in pre-drilled
holes, for that portion of a lagged trench against which concrete
is poured, namely, as a substitute for back forms (which work is
performed by piledrivers) : $0.13 per hour additional.
----------------------------------------------------------------
CARP0003H 07/01/2001
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MODULAR FURNITURE INSTALLER 14.99 5. 805
LOW WALL MODULAR TECHNICIAN 18.22 5. 805
FULL WALL TECHNICIAN 21.47 5.805
----------------------------------------------------------------
ELECO011C 12/01/2000
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COMMUNICATIONS AND SYSTEMS WORK:
Installer 21.08 3% + 4.25
Technician 22. 93 3% + 4.25
SCOPE OF WORK:
Installation, testing, service and maintenance of systems
utilizing the transmission and/or transference of voice, sound,
vision and digital for commercial, educational, security and
entertainment purposes for the following: TV monitoring and
surveillance, background-foreground music, intercom and telephone
interconnect, inventory control systems, microwave transmission,
multi-media, multiplex, nurse call systems, radio page, school
intercom and sound, burglar alarms, fire alarm (see last
paragraph below) and low voltage master clock systems in
commercial buildings.
Communication Systems that transmit or receive information
and/or control systems that are intrinsic to the above listed
systems; inclusion or exclusion of terminations and testings of
conductors determined by their function; excluding all other data
systems or multiple systems which include control function or
http://frwebgate2.access.gpo.gov/cgi.../waisgate.egi?WAISdocID=11372615918+0+0+0&WAISaction=retriev 9/21/01
power supply; excluding installation of raceway systems, conduit
systeins, line voltage work, a0-nergy management systems.
Does not cover work performed at China Lake Naval Ordnance
Test Station.
Fire alarm work shall be performed at the current inside
wireman total cost package.
----------------------------------------------------------------
ELEC0440A 11/29/1999
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ELECTRICIANS:
Electrician 25. 43 3% + 9.11
Cable splicer 25. 93 30 + 9.11
Electrician, welding 25.73 3% + 9.11
ZONE PAY:
Zone A:
Zone A Free travel zone for all contractors performing work in
Zone A.
Zone B:
Any work performed in Zone (B) shall add $8.00 per hour to the
current wage scale. Zone (B) shall be the area from the eastern
perimeter of Zone (A) to a line which runs north and south
begininng at Little Morongo Canyon (San Bernardino/Riverside
County Line) , Southeast along the Coachella Tunnels, Colorado
River Aqueduct and Mecca Tunnels to Pinkham Wash the South to Box
Canyon Road, then southwest along Box Canyon Road to Highway 195
west onto 195 south to Highway 86 to Riverside/Imperial County
Line.
----------------------------------------------------------------
ELEC1245C 06/01/2000
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OUTSIDE UTILITY TRANSMISSION WORK:
Line worker; Cable splicer 31.26 4.5% + 7.35
Powder worker 29.70 4.5% + 7.46
Ground person 20.32 4.5% + 7.56
Equipment specialist (operates
crawler tractors, commercial
motor vehicles, backhoes,
trenchers, cranes (50 tons
and below) , and overhead and
underground distribution line
equipment) 26.57 4.5� + 7. 07
Line worker, welding 32. 82 4.5% + 7.53
SCOPE OF WORK:
All outside work on electrical transmission lines, switchyards
and substations, and outside work in electrical utility
distribution systems owned, maintained and operated by electrical
utility companies, municipalities, or governmental agencies.
----------------------------------------------------------------
* ELEV0018A 09/15/2001
Rates Fringes
ELEVATOR MECHANIC 33.695 7.455
FOOTNOTE:
Vacation Pay: 8% with 5 or more years of service, 6% for 6
months to 5 years service. Paid Holidays: New Years Day,
http://frwebgate2.access.gpo.gov/cgi.../waisgate.cgi?WAISdocID=11372615918+0+0+0&WAISaction=retriev 9/21/01
Memorial Day, Independence D Labor Day, Thanksgiving Day and
Friday after, and Christmas_
--------------------- - ---------------------------0
ENGI0012C 06/16/2001
Rates Fringes
POWER EQUIPMENT OPERATORS:
GROUP 1 27. 05 10.30
GROUP 2 27. 83 10.30
GROUP 3 28.12 10.30
GROUP 4 29.21 10.30
GROUP 5 29.43 10.30
GROUP 6 29.54 10.30
GROUP 8 29.83 10.30
GROUP 9 29.96 10.30
GROUP 10 29.76 10.30
GROUP 11 29. 83 10.30
GROUP 12 29.93 10.30
GROUP 13 29.96 10.30
GROUP 14 30.04 10.30
GROUP 15 30.16 10.30
GROUP 16 30.33 10.30
GROUP 17 30.43 10.30
GROUP 18 30.54 10.30
GROUP 19 30.66 10.30
GROUP 20 30.83 10.30
GROUP 21 30.93 10.30
GROUP 22 31.04 10.30
GROUP 23 31.16 10.30
GROUP 24 31.33 10.30
CRANES, PILEDRIVING & HOISTING EQUIPMENT:
GROUP 1 28.00 10.30
GROUP 2 28.78 10.30
GROUP 3 29.07 10.30
GROUP 4 29.21 10.30
GROUP 5 29.43 10.30
GROUP 6 29.54 10.30
GROUP 7 29.66 10.30
GROUP 8 29.83 10.30
GROUP 9 30.00 10.30
GROUP 10 31.00 10.30
GROUP 11 32.00 10.30
GROUP 12 33. 00 10.30
GROUP 13 34. 00 10.30
TUNNEL WORK:
GROUP 1 27.50 10.30
GROUP 2 28.28 10.30
GROUP 3 28.57 10.30
GROUP 4 28.71 10.30
GROUP 5 28.93 10.30
GROUP 6 29.04 10.30
GROUP 7 29.16 10.30
FOOTNOTES:
Workers required to suit up and work in a hazardous material
environment: $1.00 per hour additional.
Combination mixer and compressor operator on gunite work shall
be classified as a concrete mobile mixer operator.
POWER EQUIPMENT OPERATORS CLASSIFICATIONS
GROUP 1: Barge, brake, compressor operator, Ditch Witch, with
seat or similar type equipment, elevator operator - inside,
engineer oiler, generator operator, generator, pump or compressor
plant operator, pump operator, signal, switch
http://frwebgate2.access.gpo.gov/cgi.../waisgate.cgi?WAISdoclD=11372615918+0+0+0&WAISaction=retriev 9/21/01
GROUP 2: Asphalt-rubber plant operator (nurse tank operator) ,
'concrete mixer operator - ski4ftpe, conveyor operator, fire •
person, hydrostatic pump operAW, oiler crusher (asphalt or
concrete plant) , skiploader (wheel type up to 3/4 yd. without
attachment) , tar pot fire person, temporary heating plant
operator, trenching machine oiler
GROUP 3: Asphalt-rubber blend operator, equipment greaser (rack) ,
Ford Ferguson (with dragtype attachments) , helicopter radio
(ground) , stationary pipe wrapping and cleaning machine operator
GROUP 4: Asphalt plant fire person, backhoe operator (mini-max
or similar type) , boring machine operator, box or mixer (asphalt
or concrete) , chip spreading machine operator, concrete cleaning
decontamination machine operator, concrete pump operator (small
portable) , drilling machine operator, small auger types (Texoma
super economatic or similar types - Hughes 100 or 200 or similar
types - drilling depth of 30' maximum) , equipment greaser (grease
truck) , guard rail post driver operator, highline cableway
signal, hydra-hammer-aero stomper, power concrete curing machine
operator, power concrete saw operator, power-driven jumbo form
setter operator, power sweeper operator, roller operator
(compacting) , screed operator (asphalt or concrete) , trenching
machine operator (up to 6 ft. )
GROUP 5: Equipment greaser (grease truck/multi-shift)
GROUP 6: Asphalt plant engineer, batch plant operator, bit
sharpener, concrete joint machine operator (canal and similar
type) , concrete planer operator, deck engine operator, derrick
(oilfield type) , drilling machine operator, bucket or auger types
(Calweld 100 bucket or similar types - Watson 1000 auger or
similar types - Texoma 330, 500 or 600 auger or similar types -
drilling depth of 45' maximum) , drilling machine operator
(including water wells incidental to building, heavy or highway
construction) , hydrographic seeder machine operator (straw, pump
or seed) , Jackson track maintainer, or similar type, Kalamazoo
switch tamper, or similar type, machine tool operator, Maginnis
internal full slab vibrator, mechanical berm, curb or gutter
(concrete or asphalt) , mechanical finisher operator (concrete,
Clary-Johnson-Bidwell or similar) , pavement breaker operator
(truck mounted) , road oil mixing machine operator, roller
operator (asphalt or finish) , rubber-tired earth moving equipment
(single engine, up to and including 25 yds. struck) , self-
propelled tar pipelining machine operator, skiploader operator
(crawler and wheel type, over 3/4 yd. and up to and including 1-
1/2 yds. ) , slip form pump operator (power driven hydraulic
lifting device for concrete forms) , tractor operator - bulldozer,
tamper-scraper (single engine, up to 100 h.p. flywheel and
similar types, up to and including D-5 and similar types) , tugger
hoist operator (1 drum) , ultra high pressure waterjet cutting
tool system operator, vacuum blasting machine operator
GROUP 7: Asphalt or concrete spreading operator (tamping or
finishing) , asphalt paving machine operator (Barber Greene or
similar type) , asphalt-rubber distribution operator, backhoe
operator (up to and including 3/4 yd. ) , small Ford, Case or
similar, cast-in-place pipe laying machine operator, combination
mixer and compressor operator (gunite work) , compactor operator
(self-propelled) , concrete mixer operator (paving) , crushing
plant operator, drill doctor, drilling machine operator, bucket
or auger types (Calweld 150 bucket or similar types - Watson
1500, 2000 2500 auger or similar types - Texoma 700, 800 auger or
similar types - drilling depth of 60' maximum) , elevating grader
operator, grade checker, gradall operator, grouting machine
operator, heavy-duty repair person, heavy equipment robotics
operator, Kalamazoo balliste regulator or similar type, Kolman
belt loader and similar type, Le Tourneau blob compactor or
http://fiwebgate2.access.gpo.gov/cgi.../waisgate.cgi?WAISdocID=11372615918+0+0+0&WAISaction=retriev 9/21/01
similar type, loader operator Athey, Euclid, Sierra and similar
types') , pneumatic concrete pl g machine operator (Hackley-
Presswell or similar type) , p Crete gun operator, rotary dri
operator (excluding caisson type) , rubber-tired earth-moving
equipment operator (single engine, caterpillar, Euclid, Athey
Wagon and similar types with any and all attachments over 25 yds.
up to and including 50 cu. yds. struck) , rubber-tired earth-
moving equipment operator (multiple engine up to and including 25
yds. struck) , rubber-tired scraper operator (self-loading paddle
wheel type - John Deere, 1040 and similar single unit) , self-
propelled curb and gutter machine operator, skiploader operator
(crawler and wheel type over 1-1/2 yds. up to and including 6-1/2
yds. ) , soil remediation plant operator, surface heaters and
planer operator, tractor compressor drill combination operator,
tractor operator (any type larger than D-5 - 100 flywheel h.p.
and over, or similar - bulldozer, tamper, scraper and push
tractor single engine) , tractor operator (boom attachments) ,
traveling pipe wrapping, cleaning and bending
machine operator, trenching machine operator (over 6 ft. depth
capacity, manufacturer's rating) , ultra high pressure waterjet
cutting tool system mechanic
GROUP 8: Heavy-duty repair person (multi-shift)
GROUP 9: Drilling machine operator, bucket or auger types
(Calweld 200 B bucket or similar types - Watson 3000 or 5000
auger or similar types - Texoma 900 auger or similar types -
drilling depth of 105' maximum) , dual drum mixer, dynamic
compactor LDC350 (or similar types) , heavy-duty repair-welder
combination, monorail locomotive operator (diesel, gas or
electric) , motor patrol - blade operator (single engine) ,
multiple engine tractor operator (Euclid and similar type -
except Quad 9 cat. ) , rubber-tired earth-moving equipment operator
(single engine, over 50 yds. struck) , rubber-tired earth-moving
equipment operator (multiple engine, Euclid, caterpillar and
similar over 25 yds. and up to 50 yds. struck) , tower crane
repair person, tractor loader operator (crawler and wheel type
over 6-1/2 yds. ) , Woods mixer operator (and similar Pugmill
equipment)
GROUP 10: Heavy-duty repair-welder combination (multi-shift)
GROUP 11: Auto grader operator, automatic slip form operator,
drilling machine operator, bucket or auger types (Calweld, auger
200 CA or similar types - Watson, auger 6000 or similar types -
Hughes Super Duty, auger 200 or similar types - drilling depth of
175' maximum) , hoe ram or similar with compressor, mass excavator
operator, mechanical finishing machine operator, mobile form
traveler operator, motor patrol operator (multi-engine) , pipe
mobile machine operator, rubber-tired earth-moving equipment
operator (multiple engine, Euclid, Caterpillar and similar type,
over 50 cu. yds. struck) , rubber-tired self-loading scraper
operator (paddle-wheel-auger type self-loading - two (2) or more
units)
GROUP 12: Rubber-tired earth-moving equipment operator
operating equipment with push-pull system (single engine, up to
and including 25 yds. struck)
GROUP 13: Canal liner operator, canal trimmer operator, remote-
control earth-moving equipment operator (operating a second piece
of equipment: $1. 00 per hour additional) , wheel excavator
operator
GROUP 14: Rubber-tired earth-moving equipment operator,
operating equipment with push-pull system (single engine,
Caterpillar, Euclid, Athey Wagon and similar types with any and
http://frwebgate2.access.gpo.gov/cgi.../waisgate.cgi?WAISdocfD=11372615918+0+0+0&WAISaction=retriev 9/21/01
all attachments over 25 yds. and up to and including 50 yds.
'struck) , rubber-tired earth-mag equipment operator, operati�
equipment with push-pull system (multiple engine - up to and
including 25 yds. struck)
GROUP 15: Rubber-tired earth-moving equipment operator,
operating equipment with push-pull system (single engine, over 50
yds. struck) , rubber-tired earth-moving equipment operator,
operating equipment with push-pull system (multiple engine,
Euclid, Caterpillar and similar, over 25 yds. and up to 50 yds.
struck)
GROUP 16: Rubber-tired earth-moving equipment operator,
operating equipment with push-pull system (multiple engine,
Euclid, Caterpillar and similar, over 50 cu. yds. struck) , tandem
tractor operator (operating crawler type tractors in tandem -
Quad 9 and similar type)
GROUP 17: Rubber-tired earth-moving equipment operator,
operating in tandem (scrapers, belly dumps and similar types in
any combination, excluding compaction units - single engine, up
to and including 25 yds. struck)
GROUP 18: Rotex concrete belt operator (or similar types) ,
rubber-tired earth-moving equipment operator, operating in tandem
(scrapers, belly dumps and similar types in any combination,
excluding compaction units - single engine, Caterpillar, Euclid,
Athey Wagon and similar types with any and all attachments over
25 yds.and up to and including 50 cu. yds. struck) , rubber-tired
earth-moving equipment operator, operating in tandem (scrapers,
belly dumps and similar types in any combination, excluding
compaction units - multiple engine, up to and including 25 yds.
struck)
GROUP 19: Rubber-tired earth-moving equipment operator,
operating in tandem (scrapers, belly dumps and similar types in
any combination, excluding compaction units - single engine, over
50 yds. struck) , rubber-tired earth-moving equipment operator,
operating in tandem (scrapers, belly dumps, and similar types in
any combination, excluding compaction units - multiple engine,
Euclid, Caterpillar and similar, over 25 yds. and up to 50 yds.
struck)
GROUP 20: Rubber-tired earth-moving equipment operator,
operating in tandem (scrapers, belly dumps and similar types in
any combination, excluding compaction units - multiple engine,
Euclid, Caterpillar and similar type, over 50 cu. yds. struck)
GROUP 21: Rubber-tired earth-moving equipment operator,
operating equipment with the tandem push-pull system (single
engine, up to and including 25 yds. struck)
GROUP 22: Rubber-tired earth-moving equipment operator,
operating equipment with the tandem push-pull system (single
engine, Caterpillar, Euclid, Athey Wagon and similar types with
any and all attachments over 25 yds. and up to and including 50
yds. struck) , rubber-tired earth-moving equipment operator,
operating with the tandem push-pull system (multiple engine, up
to and including 25 yds. struck)
GROUP 23: Rubber-tired earth-moving equipment operator,
operating equipment with the tandem push-pull system (single
engine, over 50 yds. struck) , rubber-tired earth-moving equipment
operator, operating equipment with the tandem push-pull system
(multiple engine, Euclid, Caterpillar and similar, over 25 yds.
and up to 50 yds. struck)
http://frwebgate2.access.gpo.gov/cgi.../waisgate.cgi?WAISdocID=11372615918+0+0+0&WAISaction=retriev 9/21/01
GROUP- 24: Concrete pump opera - truck mounted, rubber-tired•
earth-moving equipment operat1W operating equipment with the
tandem push-pull system (multiple engine, Euclid, Caterpillar and
similar type, over 50 cu. yds. struck)
CRANES, PILEDRIVING AND HOISTING EQUIPMENT CLASSIFICATIONS
GROUP 1: Engineer oiler; Fork lift operator (includes loed, lull
or similar types)
GROUP 2: Truck crane oiler
GROUP 3: A-frame or winch truck operator; Ross carrier operator
(jobsite)
GROUP 4: Bridge-type unloader and turntable operator; Helicopter
hoist operator
GROUP 5: Stinger crane (Austin-Western or similar type) ; Tugger
hoist operator (1 drum)
GROUP 6: Bridge crane operator; Cretor crane operator; Hoist
operator (Chicago boom and similar type) ; Lift mobile operator;
Lift slab machine operator (Vagtborg and similar types) ; Material
hoist operator; Polar gantry crane operator; Shovel, backhoe,
dragline, clamshell operator (over 3/4 yd. and up to 5 cu. yds.
mrc) ; Tugger hoist operator
GROUP 7: Pedestal crane operator; Shovel, backhoe, dragline,
clamshell operator (over 5 cu. yds. mrc) ; Tower crane repair;
Tugger hoist operator (3 drum)
GROUP 8: Crane operator (up to and including 25 ton capacity) ;
Crawler transporter operator; Derrick barge operator (up to and
including 25 ton capacity) ; Hoist operator, stiff legs, Guy
derrick or similar type (up to and including 25 ton capacity) ;
Shovel, backhoe, dragline, clamshell operator (over 7 cu. yds.
mrc)
GROUP 9: Crane operator (over 25 tons and up to and including
50 tons mrc) ; Derrick barge operator (over 25 tons up to and
including 50 tons mrc) ; Highline cableway operator; Hoist
operator, stiff legs, Guy derrick or similar type (over 25 tons
up to and including 50 tons mrc) ; K-crane operator; Polar crane
operator
GROUP 10: Crane operator (over 50 tons and up to and including
100 tons mrc) ; Derrick barge operator (over 50 tons up to and
including 100 tons mrc) ; Hoist operator, stiff legs, Guy derrick
or similar type (over 50 tons up to and including 100 tons mrc) ,
Mobile tower crane operator (over 50 tons, up to and including
100 tons M.R.C. ) ; Tower crane operator and tower gantry
GROUP 11: Crane operator (over 100 tons and up to and including
200 tons mrc) ; Derrick barge operator (over 100 tons up to and
including 200 tons mrc) ; Hoist operator, stiff legs, Guy derrick
or similar type (over 100 tons up to and including 200 tons mrc) ;
Mobile tower crane operator (over 100 tons up to and including
200 tons mrc)
GROUP 12: Crane operator (over 200 tons up to and including 300
tons mrc) ; Derrick barge operator (over 200 tons up to and
including 300 tons mrc) ; Hoist operator, stiff legs, Guy derrick
or similar type (over 200 tons, up to and including 300 tons
mrc) ; Mobile tower crane operator (over 200 tons, up to and
including 300 tons mrc)
GROUP 13: Crane operator (over 300 tons) ; Derrick barge
http://frwebgate2.access.gpo.gov/cgi.../waisgate.cgi?WAISdocID=11372615918+0+0+0&WAISaction=retriev 9/21/01
operator (over 300 tons) ; Helicopter pilot; Hoist operator, stiff
' legs,' Guy derrick or similar (over 300 tons) ; Mobile towe�
crane operator (over 300 tons
TUNNEL CLASSIFICATIONS
GROUP 1: Skiploader (wheel type up to 3/4 yd. without attachment)
GROUP 2: Power-driven jumbo form setter operator
GROUP 3: Dinkey locomotive or motorperson (up to and including
10 tons)
GROUP 4: Bit sharpener; Equipment greaser (grease truck) ; Slip
form pump operator (power-driven hydraulic lifting device for
concrete forms) ; Tugger hoist operator (1 drum) ; Tunnel
locomotive operator (over 10 and up to and including 30 tons)
GROUP 5: Backhoe operator (up to and including 3/4 yd. ) ; Small
Ford, Case or similar; Drill doctor; Grouting machine operator;
Heading shield operator; Heavy-duty repairperson; Loader operator
(Athey, Euclid, Sierra and similar types) ; Mucking machine
operator (1/4 yd. , rubber-tired, rail or track type) ; Pneumatic
concrete placing machine operator (Hackley-Presswell or similar
type) ; Pneumatic heading shield (tunnel) ; Pumperete gun operator;
Tractor compressor drill combination operator; Tugger hoist
operator (2 drum) ; Tunnel locomotive operator (over 30 tons)
GROUP 6: Heavy-duty repair/welder combination
GROUP 7: Tunnel mole boring machine operator
----------------------------------------------------------------
ENGIO012D 08/01/1999
Rates Fringes
POWER EQUIPMENT OPERATORS:
DREDGING:
Lever person 31.85 10.35
Dozer operator 28.38 10.35
Welder; Deckmate 28.27 10.35
Winch operator (stern winch on
dredge) 27.72 10.35
Fire person - oiler; Leveehand;
Deckhand; Barge person 27.18 10.35
Barge mate 27.79 10.35
----------------------------------------------------------------
IRON0002E 07/01/2001
Rates Fringes
IRONWORKERS:
Fence erector 25.19 14.575
Ornamental, reinforcing and
structural 26. 08 14.573
FOOTNOTE:
Work at Chocolate Mountains Naval Reserve - Niland: $3. 00 per
hour additional.
----------------------------------------------------------------
* LAB00001B 07/01/2001
Rates Fringes
BRICK TENDER 20.41 9.26
FORK LIFT OPERATOR 20.71 9.26
----------------------------------------------------------------
LAB00002H 07/01/2001
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LABOF�ERS Rates Fringes
'
GROUP 1 19.46 9. 49 •
GROUP 2 19.96 9.49
GROUP 3 20.46 9.49
GROUP 4 21.91 9.49
GROUP 5 22.16 9.49
TUNNEL LABORERS:
GROUP 1 22.37 7.26
GROUP 2 22.64 7.26
GROUP 3 23.05 7.26
GROUP 4 23.64 7.26
GUNITE LABORERS:
GROUP 1 22.34 9.31
GROUP 2 21.39 9.31
GROUP 3 17. 85 9.31
HOUSEMOVERS (ONLY WHERE HOUSEMOVING IS INCIDENTAL TO A
CONSTRUCTION CONTRACT) :
Housemover 15.50 8.38
Yard maintenance person 15.25 8.38
FOOTNOTE:
GUNITE PREMIUM PAY:
Workers working from a Bosn'n's Chair or suspended from a
rope or cable shall receive 40 cents per hour above the
foregoing applicable classification rates.
Workers doing gunite and/or shotcrete work in a tunnel shall
receive 35 cents per hour above the foregoing applicable
classification rates, paid on a portal-to-portal basis.
Any work performed on, in or above any smoke stack, silo,
storage elevator or similar type of structure, when such
structure is in excess of 75'-0" above base level and which
work must be performed in whole or in part more than 75'-0"
above base level, that work performed above the 75'-0" level
shall be compensated for at 35 cents per hour above the
applicable classification wage rate.
LABORER CLASSIFICATIONS
GROUP 1: Cleaning and handling of panel forms; Concrete
screeding for rough strike-off; Concrete, water curing;
Demolition laborer, the cleaning of brick if performed by a
worker performing any other phase of demolition work, and the
cleaning of lumber; Fire watcher, limber, brush loader, piler and
debris handler; Flag person; Gas, oil and/or water pipeline
laborer; Laborer, asphalt-rubber material loader; Laborer,
general or construction; Laborer, general clean-up; Laborer,
landscaping; Laborer, jetting; Laborer, temporary water and air
lines; Material hose operator (walls, slabs, floors and decks) ;
Plugging, filling of shee bolt holes; Dry packing of concrete;
Railroad maintenance, repair track person and road beds;
Streetcar and railroad construction track laborers; Rigging and
signaling; Scaler; Slip form raiser; Slurry seal crew (mixer
operator, applicator operator, squeegee person, shuttle person,
top person) , filling of cracks by any method on any surface;
Tar and mortar; Tool crib or tool house laborer; Traffic control
by any method; Window cleaner; Wire mesh pulling - all concrete
pouring operations
GROUP 2: Asbestos abatement; Asphalt shoveler; Cement dumper
(on 1 yd. or larger mixer and handling bulk cement) ; Cesspool
digger and installer; Chucktender; Chute handler, pouring
concrete, the handling of the chute from readymix trucks, such as
walls, slabs, decks, floors, foundation, footings, curbs, gutters
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and sidewalks; Concrete curer, impervious membrane and form
`oiler; Cutting torch operator molition) ; Fine grader, highw�
and street paving, airport, r ys and similar type heavy
construction; Gas, oil and/or water pipeline wrapper - pot tender
and form person; Guinea chaser; Headerboard person - asphalt;
Laborer, packing rod steel and pans; Membrane vapor barrier
installer; Power broom sweeper (small) ; Riprap stonepaver,
placing stone or wet sacked concrete; Roto scraper and tiller;
Sandblaster (pot tender) ; Septic tank digger and installer
(lead) ; Tank scaler and cleaner; Tree climber, faller, chain saw
operator, Pittsburgh chipper and similar type brush shredder;
Underground laborer, including caisson bellower
GROUP 3: Buggymobile person; Concrete cutting torch; Concrete
pile cutter; Driller, jackhammer, 2-1/2 ft. drill steel or
longer; Dri-pak-it machine; Gas, oil and/or water pipeline
wrapper, 6-in. pipe and over, by any method, inside and out; High
scaler (including drilling of same) ; Hydro seeder and similar
type; Impact wrench multi-plate; Kettle person, pot person and
workers applying asphalt, lay-kold, creosote, lime caustic and
similar type materials ("applying" means applying, dipping,
brushing or handling of such materials for pipe wrapping
and waterproofing) ; Operator of pneumatic, gas, electric tools,
vibrating machine, pavement breaker, air blasting, come-alongs,
and similar mechanical tools not separately classified herein;
Pipelayer's backup person, coating, grouting, making of joints,
sealing, caulking, diapering and including rubber gasket joints,
pointing and any and all other services; Rock slinger; Rotary
scarifier or multiple head concrete chipping scarifier; Steel
headerboard and guideline setter; Tamper, Barko, Wacker and
similar type; Trenching machine, hand-propelled
GROUP 4: Asphalt raker, lute person, ironer, asphalt dump
person, and asphalt spreader boxes (all types) ; Concrete core
cutter (walls, floors or ceilings) , grinder or sander; Concrete
saw person, cutting walls or flat work, scoring old or new
concrete; Cribber, shorer, lagging, sheeting and trench bracing,
hand-guided lagging hammer; Head rock Slinger; Laborer, asphalt-
rubber distributor boot person; Laser beam in connection with
laborers' work; Oversize concrete vibrator operator, 70 lbs. and
over; Pipelayer performing all services in the laying and
installation of pipe from the point of receiving pipe in the
ditch until completion of operation, including any and all forms
of tubular material, whether pipe, metallic or non-metallic,
conduit and any other stationary type of tubular device used for
the conveying of any substance or element, whether water, sewage,
solid gas, air, or other product whatsoever and without regard to
the nature of material from which the tubular material is
fabricated; No-joint pipe and stripping of same; Prefabricated
manhole installer; Sandblaster (nozzle person) , water blasting,
Porta Shot-Blast; Welding in connection with laborers' work
GROUP 5: Blaster powder, all work of loading holes, placing and
blasting of all powder and explosives of whatever type,
regardless of method used for such loading and placing; Driller:
All power drills, excluding jackhammer, whether core, diamond,
wagon, track, multiple unit, and any and all other types of
mechanical drills without regard to the form of motive power;
Toxic waste removal
TUNNEL LABORER CLASSIFICATIONS
GROUP l: Batch plant laborer; Bull gang mucker, track person;
Changehouse person; Concrete crew, including rodder and spreader;
Dump person; Dump person (outside) ; Swamper (brake person and
switch person on tunnel work) ; Tunnel materials handling person
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' GROW- 2: Chucktender, cablet r; Loading and unloading •
agitator cars; Nipper; Pot ter, using mastic or other
materials (for example, but not by way of limitation, shotcrete,
etc. ) ; Vibrator person, jack hammer, pneumatic tools (except
driller)
GROUP 3: Blaster, driller, powder person; Chemical grout jet
person; Cherry picker person; Grout gun person; Grout mixer
person; Grout pump person; Jackleg miner; Jumbo person;
Kemper and other pneumatic concrete placer operator; Miner,
tunnel (hand or machine) ; Nozzle person; Operating of troweling
and/or grouting machines; Powder person (primer house) ; Primer
person; Sandblaster; Shotcrete person; Steel form raiser and
setter; Timber person, retimber person, wood or steel; Tunnel
Concrete finisher
GROUP 4: Diamond driller; Sandblaster; Shaft and raise work
GUNITE LABORER CLASSIFICATIONS
GROUP 1: Nozzle person and rod person
GROUP 2: Gun person
GROUP 3: Rebound person
----------------------------------------------------------------
LAB00783C 08/01/2001
Rates Fringes
PLASTERER TENDERS:
Plasterer tender 22.30 6. 63
Plaster clean-up laborer 19.75 6. 63
----------------------------------------------------------------
LABOO882A 01/01/2001
Rates Fringes
ASBESTOS REMOVAL LABORER 20.12 5.25
SCOPE OF WORK: includes site mobilization, initial site clean-up,
site preparation, removal of asbestos-containing material and
toxic waste (including lead abatement and any other toxic
materials) , encapsulation, enclosure and disposal of asbestos-
containing materials and toxic waste (including lead abatement
and any other toxic materials) by hand or with equipment or
machinery; scaffolding, fabrication of temporary wooden
barriers, and assembly of decontamination stations.
----------------------------------------------------------------
* LABO1184A 07/01/2001
Rates Fringes
LABORERS - STRIPING:
GROUP 1 20.24 7.97
GROUP 2 20.94 7.97
GROUP 3 23.01 7.97
GROUP 4 24.66 7.97
LABORERS - STRIPING CLASSIFICATIONS
GROUP 1: Protective coating, pavement sealing, including repair
and filling of cracks by any method on any surface in parking
lots, game courts and playgrounds; carstops; operation of all
related machinery and equipment; equipment repair technician
GROUP 2: Traffic surface abrasive blaster; pot tender - removal
of all traffic lines and markings by any method (sandblasting,
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wat,erblasting, grinding, etc. ) and preparation of surface for
''coatings. Traffic control pe controlling and directing
traffic through both conventio and moving lane closures;
operation of all related machinery and equipment
GROUP 3: Traffic delineating device applicator: Layout and
application of pavement markers, delineating signs, rumble and
traffic bars, adhesives, guide markers, other traffic delineating
devices including traffic control. This category includes all
traffic related surface preparation (sandblasting, waterblasting,
grinding) as part of the application process. Traffic protective
delineating system installer: removes, relocates, installs,
permanently affixed roadside and parking delineation barricades,
fencing, cable anchor, guard rail, reference signs, monument
markers; operation of all related machinery and equipment; power
broom sweeper
GROUP 4: Striper: layout and application of traffic stripes and
markings; hot thermo plastic; tape traffic stripes and markings,
including traffic control; operation of all related machinery and
equipment
----------------------------------------------------------------
PAIN0036A 07/01/2001
Rates Fringes
PAINTER (includes lead abatement) :
Work on service stations and
and car washes; Small new
commercial work (defined
as construction up to and
including 3 stories in
height, such as small
shopping centers, small
stores, small office
buildings and small food
establishments) ; Small
new industrial work
(defined as light metal
buildings, small warehouses,
small storage facilities and
tilt-up buildings) ; Repaint
work (defined as repaint of
any structure with the
exception of work involving
the aerospace industry,
breweries, commercial
recreational facilities,
hotels which operate
commercial establishments
as part of hotel service,
and sports facilities) ;
Tenant improvement work
(defined as tenant
improvement work not
included in conjunction with
the construction of the
building, and all repainting
of tenant improvement
projects 21.25 4. 63
All other work 24.52 4. 63
----------------------------------------------------------------
PAIN0036H 10/01/2000
Rates Fringes
DRYWALL FINISHERS 25.33 6. 88
----------------------------------------------------------------
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PAIRI247B 01/01/2001
Rates Fringes •
SOFT FLOOR LAYER 25.45 6.22-------------------------------------
PLAS0200D 08/06/1997
Rates Fringes
PLASTERER 24. 13 4.04
----------------------------------------------------------------
PLAS0500B 07/01/2001
Rates Fringes
CEMENT MASONS:
Work on projects where the total
permit value of the general and all
subcontracts is $12 million or less:
Cement Mason; curb and gutter
machine; Clary and
similar type of screed
operator (cement only) ;
grinding machine (all types) ;
Jackson vibratory, Texas
screed and similar type
screed operator; scoring
machine operator 20.47 9.45
Cement mason (magnesite,
magnesite - terrazzo and
mastic composition, epoxy,
urethanes and exotic
coatings, Dex-O-Tex) 20. 60 9.45
Cement mason, floating and
troweling machine operator 22.31 11.45
All other work:
Cement mason; curb and gutter
machine operator; Clary and
similar type of screed
operator (cement only) ;
grinding machine (all types) ;
Jackson vibratory, Texas
screed and similar type
screed operator; scoring
machine operator 22.31 11.45
Cement mason (magnesite,
magnesite - terrazzo and
mastic composition, epoxy,
urethanes and exotic
coatings, Dex-O-Tex) 22.43 11.45
Cement Mason - floating and
troweling machine operator 22.56 11.45
FOOTNOTE:
Work on a swinging stage, bosun chair, or suspended scaffold,
whether swinging or rigid, above or below ground: $0.25 per hour
additional.
----------------------------------------------------------------
PLUM0016A 07/01/2001
Rates Fringes
PLUMBER & PIPEFITTER,
REFRIGERATRION & AIR CONDITIONING
FITTER 26.33 11.50
SEWER AND STORM DRAIN WORK 17. 83 10. 60
SERVICE and REPAIR 25.46 11.27
----------------------------------------------------------------
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PLUM0345A 07/01/2000
Rates Fringes
LANDSCAPE & IRRIGATION FITTER 20.23 11. 10
----------------------------------------------------------------
PLUM0364A 03/09/1998
Rates Fringes
REFRIGERATION & AIR CONDITIONING 24.98 6.34
----------------------------------------------------------------
ROOF0146A 09/01/1994
Rates Fringes
ROOFERS 18.78 8.25
----------------------------------------------------------------
SFCA0669B 04/01/2001
Rates Fringes
SPRINKLER FITTER (FIRE) 26.50 6. 00
----------------------------------------------------------------
SHEE0102B 02/01/2001
Rates Fringes
COMMERCIAL SHEET METAL WORKER:
Work on all commercial HVAC for
creature comfort and computers
clean rooms, architectural metals,
metal roofing and lagging, over
insulation 28.60 10.39
----------------------------------------------------------------
SHEE0102C 02/01/2001
Rates Fringes
INDUSTRIAL SPECIALTIES SHEET METAL WORKER:
Work on all air pollution control
systems, noise abatement panels,
blow pipe, air-veyor systems,
dust collecting, baghouses,
heating, air conditioning, and
ventilating (other than creature
comfort) and all other industrial
work, including metal insulated
ceilings 24.91 13.62
----------------------------------------------------------------
TF-AM0011E 07/01/1999
Rates Fringes
TRUCK DRIVERS:
GROUP 1 20.19 11. 89
GROUP 2 20.34 11. 89
GROUP 3 20.47 11. 89
GROUP 4 20. 66 11. 89
GROUP 5 20. 60 11. 89
GROUP 6 20.72 11. 89
GROUP 7 20. 97 11. 89
GROUP 8 21.22 11. 89
GROUP 9 21.42 11. 89
GROUP 10 21.72 11. 89
GROUP 11 22.22 11. 89
TRUCK DRIVER CLASSIFICATIONS
GROUP 1: Truck driver
GROUP 2: Driver of vehicle or combination of vehicles - 2
axles; Traffic control pilot car excluding moving heavy
equipment permit load; Truck-mounted broom
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GROUP 3: Driver of vehicle or combination of vehicles - 3
'axles"; Boot person; Cement ma distribution truck; Fuel truc
driver; Water truck - 2 axle;�p truck, less than 16 yds . wa
level; Erosion control driver
GROUP 4: Driver of transit mix truck, under 3 yds. ; Dumperete
truck, less than 6-1/2 yds. water level
GROUP 5: Water truck, 3 or more axles; Truck greaser and tire
person ($0.50 additional for tire person) ; Pipeline and utility
working truck driver, including winch truck and plastic fusion,
limited to pipeline and utility work; Slurry truck driver
GROUP 6: Transit mix truck, 3 yds. or more; Dumperete truck,
6-1/2 yds. water level and over; Vehicle or combination of
vehicles - 4 or more axle; Oil spreader truck; Dump truck, 16
yds. to 25 yds. water level
GROUP 7: A Frame, Swedish crane or similar; Forklift driver;
Ross carrier driver
GROUP 8: Dump truck, 25 yds. to 49 yds. water level; Truck
repair person; Water pull - single engine; Welder
GROUP 9: Truck repair person/welder; Low bed driver, 9 axles
or over
GROUP 10: Dump truck - 50 yds. or more water level; Water pull
- single engine with attachment
GROUP 11: Water pull - twin engine; Water pull - twin engine
with attachments; Winch truck driver - $1.25 additional when
operating winch or similar special attachments
----------------------------------------------------------------
WELDERS - Receive rate prescribed for craft performing operation
to which welding is incidental.
----------------------------------------------------
Unlisted classifications needed for work not included within
the scope of the classifications listed may be added after
award only as provided in the labor standards contract clauses
(29 CFR 5.5 (a) (1) (v) ) .
----------------------------------------------------------------
In the listing above, the "SU" designation means that rates
listed under that identifier do not reflect collectively
bargained wage and fringe benefit rates. Other designations
indicate unions whose rates have been determined to be
prevailing.
WAGE DETERMINATION APPEALS PROCESS
1. ) Has there been an initial decision in the matter? This can
be:
* an existing published wage determination
* a survey underlying a wage determination
* a Wage and Hour Division letter setting forth a
position on a wage determination matter
* a conformance (additional classification and rate)
ruling
On survey related matters, initial contact, including requests
for summaries of surveys, should be with the Wage and Hour
Regional Office for the area in which the survey was conducted
because those Regional Offices have responsibility for the
Davis-Bacon survey program. If the response from this initial
http://frwebgate2.access.gpo.gov/cgi.../waisgate.cgi?WAISdocID=11372615918+0+0+0&WAISaction=retriev 9/21/01
contact is not satisfactory, t the process described in 2. )
Wand 3". ) should be followed. •
With regard to any other matter not yet ripe for the formal
process described here, initial contact should be with the Branch
of Construction Wage Determinations. Write to:
Branch of Construction Wage Determinations
Wage and Hour Division
U. S. Department of Labor
200 Constitution Avenue, N. W.
Washington, D. C. 20210
2. ) If the answer to the question in 1. ) is yes, then an
interested party (those affected by the action) can request
review and reconsideration from the Wage and Hour Administrator
(See 29 CFR Part 1.8 and 29 CFR Part 7) . Write to:
Wage and Hour Administrator
U.S. Department of Labor
200 Constitution Avenue, N. W.
Washington, D. C. 20210
The request should be accompanied by a full statement of the
interested party's position and by any information (wage payment
data, project description, area practice material, etc. ) that the
requestor considers relevant to the issue.
3. ) If the decision of the Administrator is not favorable, an
interested party may appeal directly to the Administrative Review
Board (formerly the Wage Appeals Board) . Write to:
Administrative Review Board
U. S. Department of Labor
200 Constitution Avenue, N. W.
Washington, D. C. 20210
4. ) All decisions by the Administrative Review Board are final.
END OF GENERAL DECISION
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RIP .�ro I ..'� " ' s .'"' '"" ys�•iY}t.,�Y&s'3'f:.K��1;,tl�i',s�•,'�,: yam__
=.k:xi»ii�: 10/23 00 ..FnopucER We & Hough-L1C#0086542 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
P O BOX 1866 ONLY AD HOLDER,THIS OCERTFICATE DOE$ NOT AM EN
NFERS NO RIG UPON ENOT
ALTER THE COVERAGE AFFORDED BY THE POLICIES @FLOW.
Palm Springs CA 92263 COMPANIES AFFORDINGCOVERAGE
(760) 325-2526 COMPANY
A Philadelphia InsureLnce Companies
Mizell Senior Center �"'B"""
480 S. Sunrise Way OOMPANY —
C
Palm Springs CA 92262 COMPANY �—
(1760) 323-5689 D
_ ;
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWD'HSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFPOR13ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
IXCLUMONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
-0 TYFE OF INSURANCE I FOIICV NUMOER DAM(UUjoUIYYI yEFFEcnVEPDATE IM6Up1OUCYZM�IVM LIMITS -
A GolERuusealTr GCNERALNSGRrGAYE s2, 000, 000
X COALLAERL)ALGFNERALUABEITY PHPG205211 10/14/00 10/14/Ol FRDaICT8.comP1OPAnG sl 00() 000
.la-AIN10 MAUE XCIoxuR PE QNAL&A INJURY $1, 000, 000
OWNCP'BSCJNTRACTOR'9 fBia7 EACH OCCURRENCE $1, 000 , 000
FIRE DAMAGE W2Lano En) S 100, 000
A AUTOMOBILE LIABILITYMEDENP(Anyonepi,,m) S 5 000
ANYNJIO PHPG205211 10/14/00 10/14/01 0MEANEOWNGII=UMr sl, 000, 000
ALL OWNEC AUTOS
x SCHp]lA.®AUTOG �LvNA `f I1R
X HIRMALH078 ..-
X NON-OWNED AUTOS BOpLY IN URy S
B'er mctdelA)
PROPERTY OAMAf G° S .—
GARAGE LIABILITY
AUTO ONLY GA00=NT A A0
ANY AUTO M'ERTHANAUTO ONLY: —
EACH ALY.9DENJ .S ....—..
E%CFSS LIABILITY ALIGRPGATE S
EACH OCCUR IENCE
S
OTHHE RT,MN UMBRELLA FORM
MBPEWAFORM AGGREGATE_ S _—
—
S
WOIUCERS COMPENSATION AND
ENPLOYEIIS•LIABILITY
THE PHOPW[l7p/
EACH ACCIOCNT S _
PARTNERWEA-C TAIr MICE DF..EASE-P000Y LIMIT I
OTHOFFER EkCL 013PA
OTHER 5E•EACH EMPLOY '—
ER EMPLOYEE S
I
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLE9rBPECIAL ITENB
OPERATIONS OF THE INSURED REGARDING COMMUNITY DEVELOPEMENT BLOCK GRANT
CITY OF%PALM SPRINGS IS ADDITIONAL INSURED PER ATTACHED ENDORSEMENT,
SHOULD ANY OF THE ABOVE DESCRIBED`P000IES IIE`CANCELLED BEFORE THE,Mp
7 F"IRAnON DATE THEREOF,'THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
CITY OF PALM SPRINGS bQtlr
F• O• BOX 2 743 GL7/` 3�DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL%VON NOTICE SHALL IMPWE NO OBLIGATION OR LLIBILITY
PALM SPRINGS, CA, 92263 OF ANY IVND UPON ME COMPA ITE AGENTS OR REPRESENTATIVE&
AVTHORI=D EPR NTA
N .<.{.<»Nnw{•{^!�{e.n`:iM.IH.W.x.,, ry • t3 v(..'vwnx.�. ...w...... .......
� �w>•efef YM'
POLICY NUMBER: • COMMERCIAL GENERAL LIABrLITY
TPIIS E-NDORSEMTNT CHANGES THE POLICY. READ IT CAREFULLY.
ADDITIONAL INSURED-MANAGERS OR LESSORS OF
PREMISES
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART'
SCHEDULE
1. Designation of Premises(Part Leased to You): MIZELL SENIOR CENTER
' 2. Name of Person or Organization(Additional Insured): CITY OF PALM SPRINGS
3. Additional Premium: INCLUDED
(if no entry appears above,the information required to complete this endorsement will be shown in the
Declarations as applicable to this endorsement.)
WHO IS AN INSURED (Section TJ) is amended to This insurance does not apply to:
include as an insured the person or organization shown
In the Schedule but only in respect to liability arising 1. Any "occurrence"which takes place
out of the ownership, maintenance or use of that part of after you cease to be a tenant in that
the premises leased to you and shown in the Schedule, premises.
and subject to the following additional exclusions:
2. Structural alterations,new construction
or demolition operations performed by
or on behalf of the person or organization
shown in the Schedule.
CG 20 11 11 85 Copyright,Insurance Service Office, Inc., 1984
STATE P.O. BOX 420807,SAN FRANCISCO,CA 94142-0807
COMPENSATION
I N S U R A N C E
FU N D .;CERTIFICATE-OF WORKERS'COMPENSATION INSURANCE :.
SEPTEMBER 11; -'2001 POLICY,NUMOER' . 065"19,23 - 01
GERTIFICATE EXPIRES:
(—
CITY OF PALM `SPRINGS
ATTN DALE COOK
r
P 0 BOX 2743
PALM SPRINGS CA •92263
L
This is to certify that we have issued a valid,Workers' Compensation insurance.policy in a form approved by the California
m toernamedbelowforthe policy enodIndicated -
-,. P Y _ ,.,. P YP -
Insurance Commissioner to the e
This policy s not subject to cancellation by the Fund except upon ten,days advance written notice to the employer.
i
•
1Ne will also give you TEN days',advance notice should this policy be cancelled,;prlorto its;normal,expiration.
�-Thi$certificate of'Insurance Is not an in's'u'rance policy and does,not amend,'eMend or alter the coverage afforded by the -
pollaes:Jisted hereib, Notwdfistanding any,"regwrement term'-or condition of any contract or other,document with ,
respect to;which tT(s eert flcate_of, Insurance may be'<issued'prmay pertafri, the insurance aff6food by,the policies '
described hereinissujb)echo,alhthetermsuexolu�ron �orldeonditionsofsuchpglloles
AUTHORIZED REPRESEIT IVL�, ':PRESLDENT
EMPLOYER'S LIABILI7,Y 11 MIT INCLUDINO;DEFENSE' COSTS. $1,000,000 PER OCCURRENCE.
EMPLOYER
SEA' 1 5 2001
PALM SPRINGS SENIOR 'CENTER (A NON-PIROFI°T,'CORP)
i DBA MIZELL SENIOR CENTER
480 S SUNRISE WAY
PALM SPRINGS CA 92262
L
THIS DOCUMENT HAS A BLUE PATTERNED :
ACORD� CERTIFICA'"I,�� OF LIABILITY INSURA,.' E 02/06i2003
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Weingarten & Hough ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4 g HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P O Box 1866 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
Palm S rin s CA ,92263-
INSURED INSURER A.PHILADFLPHIA INSURANCE .COMPANY,, -
Mizell Senior Center _ INSURER B: r,,�� k�, o,
480 S. Sunrise INSURER C
INSURER D Fa d V{?
/ r
Palm Springs CA 92262- 1 INSURER E.
COVERAGES G'
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHS m/; NY
REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICYNUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE MMIOD/1'Y DATE MMIDDfYY
A GENERAL LIABILITY PHPK032484 10/14/2002 10/14/2003 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 100,000
CLAIMS MADE � OCCUR / / / / MED EXP Any one person) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 1,000,000
POLICY PRO LOC
A AUTOMOBILE LIABILITY PHPK032484 10/14/2002 10/14/2003
COMBINED SINGLE LIMIT
ANY AUTO (Eaaccidmt) $ 1,000,000
ALL OWNED AUTOS / / / / BODILY INJURY
X SCHEDULED AUTOS (Per person) $
X HIREDAUTOS / / / / BODILY INJURY
X NON-OWNED AUTOS (Per accident) $
PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO / / / / OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS LIABILITY / / / / EACH OCCURRENCE $
OCCUR El CLAIMS MADE AGGREGATE $
S
DEDUCTIBLE
RETENTION $ $
WORKERS COMPENSATION AND / / / / Toav�IMTirs OER
EMPLOYERS'LIABILITY
El EACHACCIDENT $
EL DISEASE-EA EMPLOYEE $
EL DISEASE-POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
OPERATIONS OF THE INSURED FOR THE CERTIFICATE HOLDER REGARDING CDHG. CITY OF PALM SPRINGS IS NAMED AS AN ADDITIONAL
INSURED PER THE ATTACHED ENDORSEMENT.
CERTIFICATE HOLDER X I ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT
CITY OF PALM SPRINGS FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
P.O. BOX 2743 INSURER,ITS ENTS OR REPRESENTATIVES.
AUTHORI R PRESE ATIV
PALM SPRINGS CA 92263-
ACORD 25-S(7/97) ACORD CORPORATION 1988
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