Girls Scouts of San Gorgonio Council-2019-372019-37
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INDEPENDENT CONTRACTOR AGREEMENT
FOR FISCAL YEAR 2019-2020
THIS AGREEMENT is made and entered into as of this 29th day of October 2019, by
and between the City of Grand Terrace, a municipal corporation (hereinafter "City")
and Girls Scouts of San Gorgonio Council (hereinafter "GSSGC"), a California non-
profit Corporation.
RECITALS
WHEREAS, City participates in the federally funded Community Development BI(
Grant (CDBG) program as a cooperative city in the County Consortium, and recei)
annual CDBG funding through the County of San Bernardino, hereinafter referred to
County.
WHEREAS, GSSGC to provide the Classroom to Career (C2C) Program. Sucl'
program will include: job skill training through work site tours/activities and college visits
The program will be provided at various work sites and colleges.
WHEREAS, GSSGC desires to participate in the CDBG program and represents to C
that it is qualified by reason of experience, preparation, organization, staffing, a
facilities to provide the Classroom to Career Program.
WHEREAS, On April 16, 2019, the County Board of Supervisors approved the 201
2020 Consolidated Plan update and 2019-20, Action Plan; and, as part of that pl;
allocated THREE THOUSAND FIVE AND HUNDRED DOLLARS ($3,500.00) in CDE
funds to the City of Grand Terrace for GSSGC to provide job skill training, work s
tours/activities and college visits.
WHEREAS, on October 29, 2019, the City agreed to accept, but has not yet received
Community Development Block Grant funding from the County of San Bernardino
("County") in the amount of THREE THOUSAND FIVE AND HUNDRED DOLLAR;
($3,500.00) for the purpose of contracting with GSSGC for the time period of July 1
2019 to June 30, 2020 and for the provision of a "Classroom to Career Program", it
accordance with Exhibit "A", Scope of Services, incorporated herein.
WHEREAS, GSSGC will complete performance of the services described in Exhibit "A"
Scope of Services, which is incorporated herein by this Agreement, for the time perioc
of July 1, 2019 to June 30, 2020.
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WHEREAS, in order for the City to receive reimbursement in the amount of THREI
THOUSAND FIVE AND HUNDRED DOLLARS ($3,500.00) of CDBG funds, a
described above, from the County of San Bernardino, the County requires City to subm
an Agreement between the City and GSSGC to the County.
WHEREAS, the parties enter into this agreement to allow City to comply with
County's CDBG funding requirements.
NOW THEREFORE, in consideration of the mutual promises contained herein, the C
of Grand Terrace and GSSGC hereby agree as follows:
AGREEMENT
Section 1: Services.
A. City and GSSGC mutually agree that payment of GSSGC for performanc
of the services more specifically described in Exhibit "A", Scope 1
Services, incorporated herein by this reference, ("Services") shall be in &
maximum amount of THREE THOUSAND AND FIVE HUNDRE
DOLLARS ($3,500.00) in Community Development Block Grant ("CDBG
funds reimbursed to the City from the County related to the services
described by Exhibit "A", Scope of Services, incorporated herein.
B. City hereby agrees to reimburse GSSGC, in a maximum amount
THREE THOUSAND AND FIVE HUNDRED DOLLARS ($3,500.00),
staffing costs, mileage, equipment, rent, audit expense, consult
services, and other related office supplies necessary for GSSGC
administer the "Classroom to Career Program", in accordance with Exh
"A", Scope of Services, incorporated herein.
C. Prior to City's reimbursement to GSSGC, GSSGC shall deliver receipts foi
all eligible expenditures to the City. Expenditure reports shall bE
documented with "audit ready" supportive evidence of each expenditurE
and proof of payment. Reimbursements shall be limited to the tota
approved, properly documented expenditures. All reimbursemen
requests must be submitted no later than 30 days after the expiration o
this Agreement. Requests received after said 30-day period shall bE
considered non -compliant and not eligible for reimbursement under the
terms of this Agreement_ GSSGC shall submit a final request foi
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reimbursement for the program year no later than July 31, 2020.
balance remaining on this project after that date will be reprogrammed
D. GSSGC shall further submit to the City a completed County of Sal
Bemardino Department of Economic and Community Developmen
Monthly Program Progress and Direct Benefit Report and a complete(
Beneficiary Qualification Statement, attached herein as Exhibit B reflectinc
program activity for the term wherein Services were performed.
Section 2. Independent Contractor. It is the express intention an(
understanding of the parties hereto that GSSGC will act as an independen
contractor and not an employee or agent of City. Nothing in this Agreement sha
be interpreted or construed as creating or establishing a relationship of employe
or employee between GSSGC and City. Both parties acknowledge that GSSG(
is not an employee for State tax, Federal tax, or any other purpose.
Section 3. Term. The term of this Agreement shall be one (1) year starti
July 1, 2019 and ending June 30, 2020.
Section 4. Termination. City shall have the right to terminate this Agreement
with or without cause, upon twenty (20) days of prior written notice to GSSGC
City shall have no liability for any claims or damages resulting to GSSGC as
result of any exercise by City of its right to terminate this Agreement.
Section 5. Compliance with Laws and Regulations. GSSGC shall comp
with all applicable federal, state and local laws, regulations and ordinances. E
executing this Agreement, GSSGC hereby certifies that it will adhere to ar
comply with the following as they may be applicable to a subrecipient of fun(
granted pursuant to the Housing and Community Development Act of 1974,
amended (the "Act"):
A. The Housing and Community Development Act of 1974, as amended, a
the regulations issued thereto;
B. Section 3 of the Housing and Urban Development Act of 1968,
amended;
C. Executive Order 11246, as amended by Executive Orders 11375 a
12086, and implementing regulations at 41 CFR Chapter 60;
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D. Executive Order 11063, as amended by Executive Order 12259,
implementing regulations at 24 CFR Part 107;
E. Section 504 of the Rehabilitation Act of 1973 (PL 93-112), as amended,
and implementing regulations;
F. The Age Discrimination Act of 1975 (PL 94-135), as amended. a
implementing regulations;
G. The relocation requirements of Title II and the acquisition requirements
Title III of the Uniform Relocation Assistance and Real Prope
Acquisitions Policies Act of 1970, and the implementing regulations at
CFR Part 42;
H. The labor standard requirements as set forth in 24 CFR Part 570,
K and I -IUD regulations issued to implement such requirements;
I. Executive Order 11988 relating to the evaluation of flood hazards a
Executive Order 11288 relating to the prevention, control and abatem(
of water pollution;
J. The flood insurance purchase requirements of Section 102(a) of the FI
Disaster Protection Act of 1973 (PL 93-234);
K. The regulations, policies, guidelines and requirements of 24 CFR Part 8
"Common Rule," OMB Circular Nos. A-87, A-21, A-110, A-122 and A-13
as they relate to the acceptance and use of federal funds under th
federally -assigned program;
L. Title VI of the Civil Rights Act of 1964 (PL 88-352) and i
regulations issued at 24 CFR Part I;
M. Title VIII of the Civil Rights Act of 1968 (PL-90-284) as amended; and
N. The lead based paint requirements of 24 CFR Part 35 issued pursuant
the Lead -based Paint Poisoning Prevention Act (42 USC 4801, et seq.);
O. Uniform Administration Requirements pursuant to 24 CFR 570.502.
P. The GSSGC shall carry out its activity pursuant to this Agreement
compliance with all federal laws and regulations described in Subpart K
Title 24 of the Code of Federal Regulations, except that:
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1. GSSGC does not assume the City's or County's environmental
responsibilities described at §570.604; and
2. GSSGC does not assume the City's or County's responsibility
initiating the review process under the provisions of 24 CFR 1
52.
Q. All Uniform Administrative Requirements pursuant to 24 CFR 570.502.
Section 6. Federal Requirements. GSSGC shall comply with the provision:
of the Act and any amendments thereto and the federal regulations anc
guidelines now or hereafter enacted pursuant to the Act. More particularly
GSSGC is to comply with those regulations found in 24 CFR 570, Part 84 anc
Part 85. GSSGC is to comply with OMB Circular Nos. A-110, A-87. A-122, and A.
133 as applicable, as they relate to the acceptance and use of federal fund;
under this Agreement.
Section 7. Program Income. GSSGC, who is a subrecipient as defined
Section 570.500 (c), shall not retain any program income as defined in Sect
570.500 of Title 24 of the Federal Code of Regulations.
Section 8. Insurance. Without limiting or diminishing GSSGC 's obligations
defend, indemnify, or hold the City harmless, GSSGC shall procure and maint,,
or cause to be maintained, at its sole cost and expense, the following insuran
coverage's during the term of the Agreement.
A. Workers' Compensation:
If GSSGC has employees as defined by the State of California, GSS
shall maintain statutory Workers' Compensation Insurance (Coverage A)
prescribed by the laws of the State of California. Policy shall include Employ
Liability (Coverage B) including Occupational Disease with limits not less t
$1,000,000 per person per accident. The policy shall be endorsed to w<
subrogation in favor of THE CITY OF GRAND TERRACE.
B. Commercial General Liability:
Commercial General Liability insurance coverage, including but not limitec
to, premises liability, contractual liability, products and completed operation;
liability, personal and advertising injury, and cross liability coverage, coverinc
claims which may arise from or out of GSSGC's performance of its obligatior
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hereunder. Policy shall name the CITY OF GRAND TERRACE, its Agencies
Districts, Special Districts, and Department, their respective directors, officers
employees, elected or appointed officials, agents or representatives as Additiona
Insureds. Policy's limit of liability shall not be less than $1,000,000 pe
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) time;
the occurrence limit.
C. Vehicle Liability:
If vehicles or mobile equipment are used in the performance of th
obligations under this Agreement, then GSSGC shall maintain liability insuranc
for all owned, non -owned or hired vehicles so use in any amount not less tha
$1,000,000 per occurrence combined single limit. If such insurance contains
general aggregate limit, it shall apply separately to this agreement or be no les
than two (2) times the occurrence limit. Policy shall name the CITY OF GRANT
TERRACE, its Agencies, Districts, Special Districts, and Departments, the
respective directors, officers, employees, elected or appointed officials, agents c
representatives as Additional Insureds.
D. General Insurance Provisions — All Lines:
1. Any insurance carrier providing insurance coverage hereunder shal
be admitted to the State of California and have a A M BEST ratinc
of not less than A: VIII (A:S) unless such requirements are waived
in writing, by the City Attorney. If the City Attorney waives r
requirement for a particular insurer such waiver is only valid for tha
specific insurer and only for one policy term.
2. GSSGC shall cause GSSGC's insurance carrier(s) to furnish the
City with either 1) a properly executed original Certificate(s) o
Insurance and certified original copies of Endorsements effectinc
coverage as required herein, and 2) if requested to do so orally o
in writing by the City, provide original Certified copies of policies
including all Endorsements and all attachments thereto, showinc
such insurance is in full force and effect. Further, said Certificate(s
and policies of insurance shall contain the covenant of the
insurance carriers(s) that thirty (30) days written notice shall bE
given to the City prior to any material modification, cancellation
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expiration or reduction in coverage of such insurance. In the even
of a material modification, cancellation, expiration, or reduction it
coverage, this Agreement shall terminate forthwith, unless the City
receives, prior to such effective date, another properly execute(
original Certificate of Insurance and original copies o
endorsements or certified original policies, including al
endorsements and attachments thereto evidencing coverage's se
forth herein and the insurance required herein is in full force anc
effect. GSSGC shall not commence operations until the City ha, -
been furnished original Certificate(s) of Insurance and certitiec
original copies of endorsements and if requested, certified origina
policies of insurance including all endorsements and any and al
other attachments as required in this Section. An individua
authorized by the insurance carrier to do so on its behalf shall sign
the original endorsements for each policy and the Certificate o
Insurance.
3. If, during the term of this Agreement or any extension thereof, there
is a material change in the scope of services; or, there is a materia
change in the equipment to be used in the performance of the
scope of work which will add additional exposures (such as the use
of) aircraft, watercraft, cranes, etc.); or, the term of this Agreement
including any extensions thereof, exceeds five (5) years the City
reserves the right to adjust the types of insurance required unde
this Agreement and the monetary limits of liability for the insurance
coverage's currently required herein, if; in the City Attorney':
reasonable judgment, the amount or type of insurance carried b)
the sponsor has become inadequate.
4. GSSGC shall pass down the insurance obligations contain
herein to all tiers of subcontractors working under this Agreement.
5. The insurance requirements contained in this Agreement may b
met with a program(s) of self-insurance acceptable to the City.
6. GSSGC agrees to notify City of any claim by a third party of an)
incident or event that may give rise to claim arising from the
performance of this Agreement.
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Section 9. HUD Indemnity. GSSGC shall defend, indemnify, and hok
harmless the County of San Bernardino and City against any liability, claims
losses, demands, and actions incurred by the County of San Bernardino and Cit7
as a result of the determination by HUD or its successor that activities
undertaken by GSSGC under the program(s) fail to comply with any laws
regulations or policies applicable thereto or that any funds billed by an(
disbursed to GSSGC under this Contract were improperly expended
Notwithstanding the late execution of this Agreement, this indemnity shall survivf
and extend beyond the term or termination of this Agreement.
Section 10. Indemnity. GSSGC shall defend, indemnify, and hold harmle:
the County of San Bernardino and the City, its elected officials, officer
employees and agents from and against any and all actions, damages, losse
causes of action and liability imposed or claimed relating to the injury or death
any person or damage to any property, including attorney's fees, costs, and othl
legal expenses, arising directly or indirectly from any act or omission of GSSG
in performing services hereunder. Notwithstanding the late execution of th
Agreement, this indemnity shall survive and extend beyond the term i
termination of this Agreement.
Section 11. Prohibition Against Conflicts of Interest.
A. GSSGC and its assigns, employees, agents, consultants, officers ar
elected and appointed officials shall become familiar with and shall comp
with the CDBG regulations prohibiting conflicts of interest contained in 2
CFR 570.611, by this reference incorporated herein.
B. GSSGC understands and agrees that no waiver or exception can bf
granted to the prohibition against conflict of interest except upon writtel
approval HUD pursuant to 24 CFR 570.611(d). Any request by GSSGC fo
any exception shall first be reviewed by CITY to determine whether sucl
request is appropriate for submission to HUD.
C. Prior to any funding under this Agreement, GSSGC shall provide CIT
with a list of all employees, agents, consultants, officers and elected ar
appointed officials who are in a position to participate in a decision-makir
process, exercise any functions or responsibilities, or gain insic
information with respect to the CDBG activities funded under th
Agreement. GSSGC shall also promptly disclose to CITY any potenti
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conflict, including even the appearance of conflict that may arise
respect to the CDBG activities funded under this agreement.
D. Any violation of this section shall be deemed a material breach of thi
Agreement, and the Agreement shall be ground for immediate terminatio
by the City.
Section 12. Religious Activities. Under federal regulations, CDBG assistanCE
may not be used for inherently religious activities or provided to primarily
religious entities for any activities including secular activities. GSSGC shal
adhere to the restrictions set forth in 24 CFR 570.2000), by this reference i;
incorporated herein.
Section 13. Lobbying. GSSGC certifies to the best of it knowledge and belief,
that:
A. No federally appropriated funds have been paid or will be paid, by or or
behalf of the undersigned, to any person for influencing or attempting tc
influence an officer or employee of any agency, a member of Congress
an officer or employee of Congress, or an employee of a member o
Congress in connection with the awarding of any federal contract, the
making of any federal grant, the making of any federal loan, the enterinc
into of any cooperative agreement, and the extension, continuation
renewal, amendment, or modification of any federal contract, grant, loan
or cooperative agreement.
B. If any funds other than federally appropriated funds have been paid or wil
be paid to any person for influencing or attempting to influence an office
to employee of any agency, a member of Congress, an officer o
employee of Congress, or an employee of a member of Congress it
connection with this federal contract, grant, loan, or cooperativk
agreement, the undersigned shall complete and submit Standard Form
LLL, "Disclosure Form to Report Lobbying," in accordance with i
instructions.
C. The undersigned shall require that the language of this certification b
included in the award document for all subawards at all tier (includin
subcontracts, subgrants, and contracts under grants, loans, an
cooperative agreements) and that all subrecipients shall certify an
disclose accordingly. This certification is a material representation of fai
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upon which reliance was placed when this transaction was made
entered into.
Section 14. Entire Agreement/Modification. This Agreement represents
entire Agreement of the parties hereto as to the matters contained herein.
modification of this Agreement will be effective only if it is in writing and signed
the parties hereto.
Section 15. Assignment. This Agreement shall not be assigned without
prior written consent of City. Any assignment, or attempted assignment, with
such prior consent, shall be null and void and, at the option of City, result in
immediate termination of this Agreement.
Section 16. Aftorney's Fees and Governing Law. In the event any action is
commenced to enforce or interpret the terms or conditions of the Agreement th(
prevailing party shall, in addition to any costs or other relief, be entitled to recove
its reasonable attorney's fees. This Agreement and any dispute arising hereunde
shall be governed by and interpreted in accordance with the laws of the State o
California. This Agreement shall be construed as a whole according to its fai
language and common meaning to achieve the objectives and purposed of th(
parties hereto, and the rule of construction to the effect that ambiguities are to N
resolved against the drafting party shall not be employed in interpreting thi;
Agreement, all parties having been represented by counsel in the negotiation an(
preparation hereof.
Section 17. Jurisdiction and Venue. Any action at law or in equity arisinc
under this Agreement or brought by a party hereto for the purpose of enforcing
construing or determining the validity of any provision of this Agreement shall be
filed in a court of competent jurisdiction in the County of San Bernardino, State o
California, and the parties hereto waive all provisions of law providing for the
filing, removal or change of venue to any other court or jurisdiction.
Section 18. Program Reporting. GSSGC agrees to prepare and submi
financial, program progress, and other reports as required by HUD or the Count.
of San Bernardino and/or City accounts as are considered necessary by HUD o
the County of San Bernardino and/or City to assure proper accounting for a'
Contract funds. All GSSGC records, with the exception of confidential (lien
information, shall be made available to representatives of the County of Sal
Bernardino and/or City and the appropriate federal agencies. GSSGC is require(
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to submit data necessary to complete the Annual Grantee Performance Report it
accordance with HUD regulations in the format and at the time designated by the
Community Development Director or his/her designee. By the 30th of eaci
month, GSSGC shall submit a completed "Monthly Program Progress Report.
GSSGC shall also provide the Monthly Direct Benefit Report and Benefician
Qualification Statement information included as Exhibit "B", as necessary fo
completion of the Annual Grantee Performance Report.
Section 19. Applicability of Agreement. In consideration of the intent of th
parties to memorialize the parties understanding of the terms of their agreemen
all uses of the present tense shall be interpreted to apply to the term of th
Agreement. With the exceptions of Sections 9, 10, 11, and any other section c
this Agreement expressly stating otherwise, which obligations shall not terminat(
the terms and conditions of this Agreement shall only apply during the term c
this Agreement.
Section 20. Waiver. Failure by a party to insist upon the strict performance c
any of the provisions of this Agreement by the other party, or the failure by
party to exercise its rights upon the default of the other party, shall not constitute
a waiver of such party's right to insist and demand strict compliance by the othe
party with the terms of this Agreement thereafter.
Section 21. Severability. Each section and provision of this Agreement
severable from each other provision, and if any provision or part thereof
declared invalid, the remaining provisions shall nevertheless remain in full for
and effect.
Section 22. Counterparts. This Agreement may be signed by the differe
parties hereto in counterparts, each of which shall be an original but all of whit
together shall constitute one and the same agreement.
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112
CITY OF GRAND TERRACE
APPROVED AS TO FORM:
- z 24 — z
Adrian R. Guerra
City Attorney
ATTEST:
-14
Debra L. Thomas
City Clerk
Girl Scouts of San Gorgonio Council
Nancy 6erdue
Chief Financial & Operations Officer
� I�i/
Date
/ I le;� ///V
Date
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EXHIBIT A
GSSGC Programs
Scope of Work
Girl Scouts of San Gorgonio Council Classroom to Career (C2C) Program's purpose i
to engage and challenge girls in leadership skill building, while expanding their horizon
through exposure to science, technology, engineering and math (STEM); th
environment; life skills; and entrepreneurship. The C2C Program leads to a communit
of young women who are enthusiastic about their futures, knowledgeable about how t
achieve their goals, informed about careers in demand, and ready to engage the
communities. The C2C Program targets low-income girls from the City of Grand Terrac
and surrounding communities and girls of diverse backgrounds from ages 11-18. Gi
Scouts works with Title I schools and students who are eligible for Free/Reduced Pric
Meal Programs.
The Recreation, Education and Arts Program will administer a variety of class
afterschool programs, camps and workshops. Students will be taught by qualified
professional mentors. All instructors, staff, and volunteers go through instructor train
and background checks. Approximately 255 youth will have increased access to
music and recreational programs.
UNITS OF SERVICE:
By the end of each quarter, approximately 28 girls will have completed a minimum of E
off -campus experiences that promote their awareness of non-traditional STEM relatec
careers, through the Classroom to Career (C2C) Program. Each visit for each girl wil
constitute one unit of service, therefore by the end of the Program Year (fiscal yea
2019-2020) approximately 600 units of service are possible. 28 girls x 6 visit:
(minimum) x 4 quarters.
TIME OF PERFORMANCE:
July 1, 2019 through June 30, 2020
PROGRAM PARTICIPANT PERFORMANCE STANDARDS:
CDBG Activity: Youth Services
Measurable Outcome: Approximately 28 low/mod income youth will benefit frc
increased access to STEM facilities and activities. Services are limited to low -a
moderate -income households and require monthly documentation that at least 51 %
the households (status for youth) are low -to moderate -income.
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In addition to units of service, GSSGC will report unduplicated client counts (head o
household) on the Monthly Program Progress/Direct Benefit Report Part II of Exhibit 4.
OPERATIONS:
The Girl Scouts of San Gorgonio under contract with the City of Grand Terrace woulc
provide youth services targeted to low income girls to build confidence, character, an(
courage to take on jobs in the STEM (Science, Technology, Engineering, and Math
fields by improving their interest in these fields through work site tours, activities an(
college visits. Girl Scouts of San Gorgonio Council, "Campus", is located at 1751 Plun
Lane, Redlands, CA 93374. Phone number: 909-307-6555.
14
ATTACHMENT A- REQUEST TO INITIATE PROJECT/ACTIVITY
PROJECT/CASE NUMBER: GTER-19-2-05D/0166 DATE OF ORIGINAL ISSUE: 7/1/2019
CFDA No: 14.218 ORIGINAL: X REVISION No.:
TARGET AREA: City of Grand Terrace DATE OF REVISION:
WBSE CODE: 50.60.0166.09
Pursuant to the terms of the Delegate Agency Agreement between Community Development and Housing (CDH), and the City
of Grand Terrace, effective 7/1/2015, CDH hereby requests that the following project/activity be initiated. There will be no
changes in Project/Activity Title, Activity Budget (Attachment A) or in the Activity Description (Attachment B) without written
approval of the Director of Community Development and Housing/Supervising CDH Analyst.
PROJECT/ACTIVITY TITLE: Grand Terrace: Classroom to Career - Girl Scouts
ACTIVITY LOCATION: 1751 Plum Lane, Redlands, CA 92374
TOTAL PROJECT FUNDING:
$3,500
CITY CDBG ALLOCATION RELEASED:
$3,500
CITY CDBG FUNDS PROJECTED TO BE EXPENDED AS OF 6/30/2019:
$0
BALANCE OF FUNDS AVAILABLE:
$3,500
DATE OF RELEASE OF FUNDS: 7/1/2019
SCHEDULE OF CDBG ALLOCATION:
Year 1-40 Year 41 Year 42 Year 43 Year 44 Year 45
Year 46 TOTAL OF
B19UC060503
(75-2015) (2015-16) (2016-17) (2017-18) (2018-19) (2019-20)
(2020-21) 46 YEARS
_so, To-- --70— $3,500
— 3,500
MAINTENANCE AND OPERATION BUDGET/AGREEMENT: City of Grand Terrace
OTHER PERTINENT INFORMATION: City certifies all requests for reimbursement from CDH contain proof of payment, all
supporting documentation for costs incurred and a Monthly Program Progress Report.
ACCEPTANCE OF REQUEST TO INITIATE PROJECT/ACTIVITY
I hereby acknowledge the receipt of the Request to Initiate the above Project/Activity and agree to implement the activity
described in Attachment B (Project/Activity Description) in accordance with the above Allocation and Balance of Funds
Available subject to necessary approvals of the Board of Supervisors. The proposed budget for this project is as follows:
CONSULTANT SERVICES:
$0
CONTRACT SERVICES:
$0
PERSONNEL EXPENSES:
$3,500
CONSUMABLE SUPPLIES: $0
SPACE RENT: $0
RENT/LEASE OR PURCHASE OF
EQUIPMENT: $0
OTHER: $0
TOTAL CITY CDBG ALLOCATION AVAILABLE: $3,500
IMPLEMENTING CITY: CITY OF GRAND TERRACE
SIGNATURE:
COUNTY OF SAN BERNARDINO
Gary Hallen, rector of Community Development and Housing/
j,%ryan An erso , Supervising Community Development and Housing Analyst
DATE: / 0
TITLE:
DATE
ATTACHMENT B - PROJECT/ACTIVITY DESCRIPTION
PROJECT/CASE NUMBER: GTER-19-2-05D/0166 DATE OF ORIGINAL ISSUE: 7/1/2019
CFDA No.: 14.218 ORIGINAL: X REVISION No.:
TARGET AREA : City of Grand Terrace DATE OF REVISION:
PROJECT/ACTIVITYTITLE: Grand Terrace: Classroom to Career- Girl Scouts
ACTIVITY LOCATION: 1751 Plum Lane, Redlands, CA 92374
TIME OF PERFORMANCE: July 1, 2019 through June 30, 2020
SUSPENSION AND DEBARMENT: By entering this Contract, the City of Grand Terrace certifies that the Girl Scouts of San Gorgonio Council herein
after referred to as, "GSSGC", including its principals, is not suspended or debarred from participating in federally funded contracts and sub -
awards. The City may research the agency's status online at the System for Award Management (SAM) website
ACTIVITY DESCRIPTION: The City of Grand Terrace will contract with GSSGC to provide the Classroom to Career (C2C) Program. Such program will
Include: job skill training through work site tours/activities and college visits. The program will be provided at various work sites and colleges. San
Bernardino County Department of Community Development and Housing, herein after referred to as CDH, will reimburse the City of Grand Terrace
in the amount not to exceed the "CDBG Allocation Released" on the Attachment A for the services necessary to implement this program. Federal,
state, county and city rules and regulations will apply.
The GSSGC shall sign a contract with the City of Grand Terrace addressing the scope of service and the terms and conditions. The contract shall
remain in effect during the period that the services are provided for which CDBG funds will be requested for reimbursement. The contract with
GSSGC shall comply with requirements listed in 24 CFR 570.503 including: Agreements with Subrecipients; Statement of Work; Records and
Reports; Program Income; Uniform Administrative Requirements; Other Program Requirements; Conditions for Religious Organizations;
Suspension and Termination; Reversion of Assets; and Exhibits 3(a) & 3(b) 1 of 2 and 2 of 2.
In addition, GSSGC shall comply with all applicable regulations listed In the City -County Delegate Agency Agreement, No.14.406, Attachment C,
Section IV. City shall maintain monthly program reports and records on the services provided. CDBG funds cannot be used for entertainment,
gifts or fund-raising activities. Reimbursement expenditures must be appropriately documented. City shall comply with conflict of interest
provisions and shall not exclude any person from funded programs on the grounds of race, sex, creed, color, religion or national origin.
CDBG funds cannot be used to replace other local or state monies to fund essential services typically offered by the City. The City shall certify the
eligible use of CDBG funds on Certification of CDBG Funded New or Expanded Service, Exhibit 5. This program is available to low- and moderate -
income persons and requires documentation that at least 51% of the persons served are from income qualifying households. In order to
document that 51% of the persons served are from income qualifying households, a Beneficiary Qualification Statement, Exhibit 3(a), must be
completed for each person that participates in the program. A Spanish version of the Beneficiary Qualification Statement, Exhibit 3(b), can be
completed for Spanish speakers who prefer it, however, the County cannot guarantee the accuracy of the translation and CDH cannot be held
responsible for any errors. The Beneficiary Qualification Statement will then be used to complete and submit the Monthly Program
Progress/Direct Benefit Report, Exhibit 4, to CDH. The Monthly Program Progress/Direct Benefit Reports must be submitted to CDH for each
month that CDBG reimbursement is requested. It is anticipated that a monthly average of approximately 28 persons will participate in the C2C
Program. A "Unit of Service" is defined as each person attending an outreach and/or program activity, in a given month. The number of clients
times the total number of program activities per month will reflect the total units of service which results in the measureable outcome. The
measurable outcome will be recorded on Part I: Monthly Program Progress Report, Exhibit 4, and the number of unduplicated first-time clients
(persons) who participated in the program during the fiscal year will be recorded on Part II: Direct Benefit Report, Exhibit 4.
The City of Grand Terrace understands that reimbursements received from the County for which no measurable outcome is achieved may
subsequently be required to be repaid by the City (using non-federal funds) to County. Measurable outcomes are defined as providing benefits
to low- to moderate -income individuals, families, organizations, and communities and are derived from the project or program. Examples
Include: construction completed resulting in improved access to services/public facilities/park & recreation/street Improvements, etc.
The City of Grand Terrace will submit a final request for reimbursement for the program year no later than July 15, 2020. Note: After July 31,
2020 any balance remaining in this project will be reprogrammed.
IMPLEMENTING CITY: CITY OF GRAND TERRACE
SIGNATURE:
COUNTY OF SAN BERNARDINO
Gary Hallen, a or of Community Development and Housing/
Bryan Anclgfrscr6, Supervising Community Development and Housing Analyst
DATE: j O.11 1/ U u
TITLE:
/Zl 0 � -
DATE
COUNTY OF SAN BERNARDINO COMMUNITY DEVELOPMENT AND HOUSING
Project/ Activity Title: PROJECTIMSr NUMBER:
Grand Terrace: Classroom to Career - Girl Scouts GTER-19-2-05D/0166
Name/Address of ContractAgency: Date of Issue:
Girl Scouts of San Gorgonio Council X Original: Beginning 7/1/2019
1751 Plum Lane, Redlands, CA 92374 Amendment No.:
PROJECT/ACTIVITY DESCRIPTION
JLKVILLS :
Girl Scouts of San Gorgonio Council Classroom to Career (C2C) Program's purpose is the engage and
challenge girls in leadership skill building, while expanding their horizons through exposure to science,
technology, engineering and math (STEM); the environment, life skills; and entrepreneurship. The C2C
Program leads to a community of young women who are enthusiastic about their futures, knowleadgeable
about how to achieve their goals, informed about careers in demand, and ready to engage their
communities. The C2C Program targets low-income girls from City of Grand Terrace and surrounding
communities and girls of diverse backgrounds from ages 11-18. Girl Scouts works with Title I schools and
students who are eligible for Free/ Reduced Price Meal Programs.
UNITS OF SERVICE:
By the end of each quarter, approximately 28 girls will have completed a minimum of 6 off -campus
experiences that promote their awareness of non-traditional STEM related careers, through the Classroom
to Career (C2C) Program. Each visit for each girl will constitute one unit of service, therefore by the end of
the Program Year (fiscal year 2019-2020) approximately 600 units of service are possible. 28 girls x 6 visits
(minimum) x 4 quarters.
TIME OF PERFORMANCE: July 1, 2019 through June 30, 2020
PROGRAM PARTICIPANT PERFORMANCE STANDARDS:
CDBG Activity: Youth Services targeted to low income girls to build confidence, character, and courage to
take on jobs in the STEM (Science, Technology, Engineering, and Math) fields by improving their interest in
these fields through work site tours, activities and college visits.
Measurable Outcome: Approximately 28 low/mod income youth will benefit from increased access to STEM
facilities and activities. Services are limited to low- and moderate -income households and require monthly
documentation that at least S1% of the households (status for youth) are low- to moderate -income.
In addition to units of service, GSSGC will report unduplicated client counts (head of household) on the
Monthly Program Progress/Direct Benefit Report Part II on Exhibit 4.
OPERATIONS:
The Girls Scouts of San Gorgonio under contract with the City of Grand Terrace would provide youth
services targeted to low income girls to build confidence, character, and courage to take on jobs in the
STEM (Science, Technology, Engineering, and Math) fields by improving their interest in these fields through
work site tours, activities and college visits. Girl Scouts of San Gorgonio Council, "Campus", is located at
1751 Plum Lane, Redlands, CA 93374. Phone number: 909-307-6555.
Exhibit 1 Page 1 of i
COUNTY OF SAN BERNARDINO COMMUNITY DEVELOPMENT AND HOUSING
Proiectl ActivityTitle: PROJEC17CASE
Grand Terrace: Classroom to Career - Girl Scouts GTER-19-2-05D/0166
Name/Address of Contract aency: Date of issue:
Girl Scouts of San Gorgonio Council X Original: Beginning 7/1/2019
1751 Plum Lane, Redlands, CA 92374 Amendment No.:
BUDGET SUMMARY
A. Budget Items
Projected Expenses
*Personnel
6,000
Consultant/Contract Services Auditing, Accounting or Payroll Services
Travel
Space Rent
Consumable Supplies
$1,500
Rental, Lease, or Purchase of Equipment
Insurance
Other (Utilities, Land -line Phones, Cellular Phones, Internet Service, Postal
Services, Security Clearances, Approved Subsidies/Scholarships,
Administrative and Indirect Costs)
$2,500
Total Budget:
$10,000
B. Sources of Funding
Amount of Revenue
1. Other: Girl Scouts of San Gorgonio Council
6,500
2.
3.
4.
5. CDBG Share
$3,500
Total Sources of Fun ing:1
$10,000
*Proiect Allocation: $3,500 (Allocated dollars can only be expended in the category with an asterisk (*)
listed under subsection A of Budget Summary above.)
Time of Performance: July 1, 2019 through June 30, 2020
Special Instructions or Restrictions:
For programs with multiple funding sources, administrative and indirect costs charged to this grant must be
determined using the City's approved Cost Allocation Plan.
The current standard Internal Revenue Service mileage allowance will be used for reimbursement of
authorized costs associated with vehicle operation under this contract.
City will submit a final request for reimbursement for the program year no later than July 31, 2020. After
July 31, 2020, any balance remaining in this project will be reprogrammed.
Exhibit 2 Page i of 1
COUNTY OF SAN BERNARDINO COMMUNITY DEVELOPMENT AND HOUSING
roiec c ivi Title: PROJE9yCASE
Grand Terrace: Classroom to Career - Girl Scouts GTER-19-2-OSD/0166
Name/Address of Contract -gencv: Date of Issue:
Girl Scouts of San Gorgonio Council X Original: Beginning 7/1/2019
1751 Plum Lane, Redlands, CA 92374 Amendment No.:
BENEFICIARY QUALIFICATION STATEMENT
This form has the purpose of providing information needed to qualify the use of federal Community Development Block
Grant (CDBG) funds for the project/activity described above. This statement must be completed and signed by the
person (or legal guardian of the person) requesting to receive benefits from the described project/activity. Only one
statement per person, per fiscal year is required (Fiscal Year begins July 1 and ends June 30).
Please answer each of the following questions.
1. This question helps you determine the size of 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.
How many persons are in your household?
2. This question asks if you are from a low- and moderate -income household. For this question, a list of the EXTREMELY
LOW-INCOME, VERY LOW-INCOME and LOW-INCOME categories* are presented below. Please add up the combined
gross annual income of all persons in your household from all sources of income. In the blanks provided, write (yes) or
(no) if your combined gross annual income is equal to or less than the, EXTREMELY LOW-INCOME, VERY LOW-
INCOME, or LOW -INCOME -amount for the number of persons in your household.
YES/NO
EXTREMELY LOW-INCOME
VERY LOW-INCOME
LOW-INCOME
Number of Persons in Your Household
1
2
3 4
5
6
7
8
VERY LOW-INCOME
LIMIT ($)
25,150
28,750
32,350 35,900
38,800
41,650
44,550
47,400
EXTREMELY LOW-INCOME
LIMIT($)
15,100
17,250
21,330 25,750
30,170
34,590
39,010
43,430
LOW-INCOME LIMIT ($)
40,250
46,000
51,750 57,450
62,050
66,650
71,250
75,850
* Taken from FY 2019 income Limits Summary: https://www.huduser.Rov/portal/datasets/il/il2019/2019summarv..odn
Exhibit 3(a) Page 1 of 2
COUNTY OF SAN BERNARDINO COMMUNITY DEVELOPMENT AND HOUSING
rolecc ivi _ Title:
Grand Terrace: Classroom to Career - Girl Scouts GTER-19-2-05D/0166
Name/Address of Contract AgenF7 Date of Issue:
Girl Scouts of San Gorgonio Council X Original: Beginning 7/1/2019
1751 Plum Lane, Redlands, CA 92374 Amendment No.:
3. Please indicate how you identify yourself by checking only one of the following choices:
White
mispanic
Non -hispanic
Black/African American
a
American Indian/Alaskan Native
a
Asian
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native & White
a
Asian & White
a
Black/African American & White
a
American Indian/Alaskan Native & Black/African American
a
Balance/Other
a
4. Please check whether you belong to a Female Headed Household:
YES
=NO
S. Please describe the condition that would qualify you as being considered in one of the following
presumed low- and moderate -income categories: abused child, battered spouse, elderly person, homeless
person, disabled adult, illiterate person, or migrant farm worker:
(Description)
ACKNOWLEDGMENT AND DISCLAIMER
CERTIFY UNDER PENALTY OF PERJURY THAT INCOME AND HOUSEHOLD STATEMENTS
MADE ON THIS FORM ARE TRUE.
NAME:
ADDRESS:
SIGNATURE:
DATE:
CITY: ZIP:
PHONE:
The information you provide on this form is for Community Development Block Grant (CDBG) program
purposes only and will be kept confidential.
Exhibit 3(a) Page 2 of 2
COUNTY OF SAN BERNARDINO COMMUNITY DEVELOPMENT AND HOUSING
Proiectl ActivityTitle: PROJECT/CASE
Grand Terrace: Classroom to Career - Girl Scouts GTER-19-2-05D/0166
Name/Address of Contractoencv: Date of Issue:
Girl Scouts of San Gorgonio Council X Original: Beginning 7/1/2019
1751 Plum Lane, Redlands, CA 92374 Amendment No.:
ARACION DE LA CALIFICACION DEL BENEFICIARIO
Esta forma tiene el propbsito de proporcionar la informacion necesaria para calificar el use de los fondos
federales del bloque del desarrollo de la comunidad (CDBG) para el proyecto/actividad descrito arriba. Esta
declaracibn se debe Ilenar y firmar por la persona (o la tutela legal de la persona) que solicits para recibir
beneficios del proyecto/actividad descrito. Solamente una declaracibn por persona, por ano se requiere.
Conteste por favor a cada una de las preguntas siguientes.
1. Esta pregunta le ayuda a determinar el tamano de su casa. En esta pregunta un hogar es un grupo de
personas relacionadas o sin relacion que ocupan la misma casa por to menos con un miembro que es la
cabeza de la casa. Los inquilinos no se pueden incluir como miembros de la casa.
lCuantas personas viven en su casa?
2. Esta pregunta explica si usted es de un hogar de ingresos bajos y moderados. Para esta pregunta, la lista
de categorlas de INGRESOS-ESTREMADO BAJOS, INGRESO-BAJOS *se presenta abajo. Sume por favor para
arriba los ingresos brutos anuales combinados de todas las personas en su hogar y de todas las fuentes de
los ingresos. En el espacio en blanco, escriba (sl) o (no) si su ingreso anual grueso combinado es igual o
menos que la cantidad de INGRESOS-ESTREMADO BAJOS, INGRESOS-MUY BAJOS, INGRESO-BAJOS para el
numero de personas en su casa.
Sl/No
INGRESOS-ESTREMADO BAJOS
INGRESOS-MUY BAJOS
INGRESO-BAJOS
Numero de Personas en su Hogar
1 2 3 4 5 6 7 8
INGRESOS-ESTREMADO
BAJOS ($) 25,150 28,750 32,350 35,900 38,800 41,650 44,550 47,400
INGRESOS-MUY BAJOS ($) 15,100 17,250 21,330 25,750 30,170 34,590 39,010 43,430
INGRESO-BAJOS ($) 40,250 46,000 51,750 57,450 62,050 66,650 71,250 7
* Tomado de FY 2019 Resumen Umites de Ingresos: httDs://www.huduser-gov/portal/datasets/il/il2019/2019summary.odn
Exhibit 3(b) Page 1 of 2
COUNTY OF SAN BERNARDINO COMMUNITY DEVELOPMENT AND HOUSING
ro ec Activity Title: PROJEMCASE
Grand Terrace: Classroom to Career - Girl Scouts GTER-19-2-05D/0166
Name/Address of ContracTAgency: Date of Issue:
Girl Scouts of San Gorgonio Council X Original: Beginning 7/1/2019
1751 Plum Lane, Redlands, CA 92374 Amendment No.:
3. Indique por favor como se identifica usted, marcando solamente una de las opciones siguientes:
Hispano
No-Hispano
Blanco
Negro/Afro Americano
Indio Americano/Nativo de Alaska
Asidtico
a
Nativo Hawaiano/Otra Isla del Pacifico
a
Indio Americano/Nativo de Alaska & Blanco
Asiatico & Blanco
Negro/Afro Americano & Blanco
Indio Americano/Nativo de Alaska & Negro/Afro Americano
Balance/Otro
4. Marque por favor si usted pertenece a un hogar encabezado femenino:
=Sf
= No
5. Describa por favor la condicion que le calificaria como siendo considerado en una de las categorias de
presumidos ingresos bajos y moderados siguientes: nino abusado, esposo estropeado, persona mayor,
persona sin hogar, adulto incapacitado, persona analfabeta, o trabajador migratorio de granja:
(Description)
RECONOCIMIENTO Y NEGACON
CERTIFICO BAJO PENA DE PERJURIO QUE LAS DECLARACIONES HECHAS EN ESTA FORMA,
ACERCA DE LOS INGRESOS Y DE LAS CUENTAS DE LA CASA SON VERDADERAS.
NOMBRE:
DOMICILIO:
FIRMA:
FECHA
CIUDAD :
TELEFONO :
CODIGO :
La informac16n que usted proporciona en esta forma es para los propbsitos del programa de fondos del
bloque del desarrollo de la comunidad (CDBG) solamente y sera mantenida confidencial.
Exhibit 3(b) Page 2 of 2
COUNTY OF SAN BERNARDINO COMMUNITY DEVELOPMENT AND HOUSING
roiec ctivl Title: PROJECTICASE
Grand Terrace: Classroom to Career - GTER-19-2-05D/0166
Girl Scouts
ame ress of ContractAgency: Date of Issue:
Girl Scouts of San Gorgonio Council X Original: Beginning 7/1/2019
1751 Plum Lane, Redlands, CA 92374 Amendment No.:
or a ont o ,
PART 1: MONTHLY PROGRAM PROGRESS REPORT
A. Units of Service Provided and Description
In the space provided under each type of service listed below, summarize what your program has accomplished during
this month. Include location, number of persons served, services/benefits provided, and a description of the clients
served. Also report the actual number of "Units of Service" provided, as defined in the Project/Activity Description
(Exhibit 1 of the agreement). Attach additional pages if needed.
1. Work site tours and activities:
2. College Visits:
Count each girl once per tour and count each girl
once per activitiy.
Count each girl once per college visit.
B. Monthly Beneficiary Count (may Include individual persons or households previously counted during this
grant/program year) Total number of beneficiaries (clients/participants) served this month (1 category only):
Number of Persons ------ OR Number of Households
PART II: DIRECT BENEFIT REPORT
Direct Benefit Statistics (Unduplicated first-time client counts since start of contract: taken from Beneficiary
Qualification Statement forms)
Enter the number of first-time program beneficiaries directly assisted this month (one box)
Count only as: ❑ Individual Persons or �X Households (use head of household)
Extremely Low -Income: + Very Low -Income: + Low -Income:
= All Beneficiaries:
Non- Non -
Racial Identity Categories Hispanic Hispanic Hispanic Hispanic
(a) (b) (c) (d)
White American Indian/Alaskan Native & White
Black/African American Asian & White
American Indian/Alaskan Native Black/African American & White
Asian Amer. Indian/Alaskan Native & African Amer.
Native Hawaiian/Other Pacific Islander Balance/Other
Total of Racial Identity Categories: Add columns (a)+(b)+(c)+(d) from above. Match to "All Beneficiaries" total above:
Female Headed Households:
Signed:
Title:
Printed Name: Telephone No./Ext:
Date:
Exhibit 4 Page 1 of 1
COUNTY OF SAN BERNARDINO COMMUNITY DEVELOPMENT AND HOUSING
ro ec c ivi i e: R J E A E N M
Grand Terrace: Classroom to Career - Girl Scouts
GTER-19-2-05D/0166
Name/Address of Contract Agency: Date of issue:
Girl Scouts of San Gorgonio Council X Original: Beginning 7/1/2019
1751 Plum Lane, Redlands, CA 92374 Amendment No.:
The City of Grand Terrace certifies that the public service project described in these Attachments A & B and
associated Exhibits is either:
X� A New Public Service
A new public service is defined as a new service to your community which has not been previously
funded through city funds.
OR
An Expanded Service
An expanded public service is defined as a quantifiable increase in the level of an existing service
which has been provided by the grantee or another entity on its behalf through State or local
government funds in the 12 months preceding the CDBG contract year.
Describe the expansion of the public service:
This expanded public service will result in an increase of (# or % of persons, households
or other service units) above the level which has been previously provided by or on
behalf of the City of Grand Terrace.
OR
This expanded public service will increase the scope of the service by adding (describe
added or expanded activities) to a public service which has been previously provided by
or on behalf of the City of Grand Terrace.
The City of Grand Terrace certifies that the implementing organization:
M
M
SIGNATURE:
NAME:
Is a unit of local government (incorporated city, township, County department or district, community services
district, school district, etc.), or a private non-profit entity incorporated in the State of California with "active"
status; and,
Is conferred tax-exempt status by the Internal Revenue Service, pursuant to Section 501( c)(3) of the Internal
Revenue Code; and,
Is not suspended or debarred from participating in federally funded contracts and sub awards.
Is registered in the System for Awards Management (SAM).
G. A OLD DUFFEY TITLE: CITY MANAGER
DATE: lea
Exhibit 5 Page 1 of 1