COUNTY OF NEVADA

STATE OF CALIFORNIA
Nate Beason, 1 District Ed Scofield, 2nd District Terry Lamphier, 3rd District Wm. “Hank” Weston, 4th District (Vice Chair) Ted S. Owens, 5th District (Chair) ****** Donna Landi, Clerk of the Board Richard A. Haffey, County Executive Officer Alison Barratt-Green, County Counsel
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BOARD OF SUPERVISORS
950 Maidu Avenue Nevada City, CA 95959-8617 Phone: (530) 265-1480 Fax: (530) 265-9836 E-Mail: bdofsupervisors@co.nevada.ca.us Post Comments on this Agenda and View Live Web Streaming of Board Meetings: http://nevco.granicus.com/ViewPublisher.php?view_id=3

AGENDA
for a Special Meeting of the Board of Supervisors, Tuesday, September 18, 2012, at 9:00 a.m., in the Board Chambers, First Floor, Eric Rood Administrative Center, 950 Maidu Avenue, Nevada City, California
This meeting is being broadcast live on NCTV Channel 17, in the Western County and Truckee-Tahoe Community TV (TTCTV) Channel 24 Video Conferencing at 11:45 a.m. for Public Comment from the Board of Supervisors Chambers to the Truckee Town Council Front Conference Room, 2nd Floor 10183 Truckee Airport Road, Truckee, California
The Board of Supervisors welcomes you to its special meeting. Your interest is encouraged and appreciated. ANY MEMBER OF THE AUDIENCE DESIRING TO ADDRESS THE BOARD ON A MATTER ON THE AGENDA: Please approach the rostrum and, after receiving recognition from the Chair, give your name and comments or questions as all meetings are recorded. In order that all interested parties have an opportunity to speak, please limit your comments to the specific item under discussion. Time limitations are explained on the last page of the agenda. The meeting room is accessible to people with disabilities. Anyone requiring reasonable accommodation to participate in the meeting should contact the Clerk of the Board’s office by calling (530) 265-1480 at least four days prior to the meeting. TTY/Speech-to-Speech users may dial 7-1-1 for the California Relay Service. The agenda and all supporting documents are available for review during regular business hours at the Clerk of the Board office, 950 Maidu Avenue, 2nd Floor, Suite 200, Nevada City, California. The agenda and certain supporting documents may be obtained on the Clerk of the Board’s website at http://www.mynevadacounty.com/nc/bos/cob. Please note that the on-line agenda may not include all related or updated documents. Proposed actions and supporting documents are considered draft until acted upon by the Board. All items listed on the agenda may be acted upon by the Board of Supervisors. ************************************************************* 1

SPECIAL MEETING: 9:00 A.M. STANDING ORDERS: Call the meeting to order. Pledge of Allegiance. Corrections and/or deletions to agenda. CONSENT CALENDAR: These items are expected to be routine and noncontroversial. The Board of Supervisors will act upon them at one time without discussion. Any Board member, staff member or interested party may request that an item be removed from the consent calendar for discussion. Interim Director of Social Services: Katy Eckert 1. Resolution authorizing execution of Standard Contract 3-CM-CNV-NCS-12-13 with Prevent Child Abuse California pertaining to the provision of four AmeriCorps members to provide services related to child welfare improvement activities, in the maximum amount of $37,900, for the period September 17, 2012 through September 30, 2013. (Supporting Document) Planning Director: Brian Foss 2. Resolution approving Environmental Clearance for the Nevada County Noxious Weed Eradication Program, and authorizing the Agricultural Commissioner of the Nevada County Department of Agriculture to file a Notice of Exemption with the Nevada County Clerk’s office for the Nevada County Noxious Weed Program. (Agricultural Commissioner) (Supporting Document) Chief Information Officer: Stephen Monaghan 3. Resolution authorizing execution of an agreement with the City of Nevada City for management and marketing of Nevada County’s Nevada City Veterans’ Memorial Building located at 415 North Pine Street, Nevada City, for continued use of the facility for public recreational and cultural programs under a revenue sharing program with the County, under terms and conditions that preserve the availability of the facility for the ongoing regular use by United States Military Veterans’ Organizations, for the period July 1, 2012 through June 30, 2015. (Supporting Document) County Executive Officer: Richard Haffey 4. Appointment of Mr. Michael Ertola as the County’s Chief Probation Officer, effective September 17, 2012. (Supporting Document) Clerk of the Board: Donna Landi 5. Acceptance of Board of Supervisors minutes for September 11, 2012. PUBLIC COMMENT: 9:05 A.M. (Members of the public shall be allowed to address the board on items not appearing on the agenda that are of interest to the public and are within the subject matter jurisdiction of the Board.) SCHEDULED ITEMS: 9:10 A.M. 6. Certificate of Recognition of Mr. Tim Fike, former Nevada County Consolidated Fire District (NCCFD) Fire Chief, for his many years of service to the citizens of Nevada County. 2

(09/18/12)

7.

Nevada County Arts Annual Report. (Supporting Document) Resolution designating Nevada County Arts as Nevada County’s local partner in the California Arts Council’s State/Local Partnership Program, approving submittal of an application by Nevada County Arts to the California Arts Council’s State/Local Partnership Program, and authorizing Nevada County Arts to execute the 2012/13 California Arts Council Grant. (Supervisor Beason)

DEPARTMENT HEAD MATTERS: Director of Behavioral Health: Michael Heggarty 8. Resolution authorizing execution of contract with Turning Point Community Programs, Inc. pertaining to the provision of integrated health care services as part of the Healthy Outcomes Integration Team (HOIT), in the maximum amount of $198,835, for the period September 1, 2012 through June 30, 2013. (Supporting Document) Sheriff-Coroner: Keith Royal 9. Resolution Appointing Administrative Hearing Officers to Conduct Hearings Pursuant to Nevada County General Code Sections G-IV 5.1, et seq. (Supporting Document) County Executive Officer: Richard Haffey 10. Resolution authorizing execution of the Second Amendment to contract with Sierra National Construction (Res. 11-463) for runway rehabilitation, erosion and drainage improvement and engineering and construction project support at the Nevada County Airport, increasing the contract amount by an additional $226,9990.38 for a total contract amount of $1,494,603.55 to complete additional or revised deliverables as specified in Contract Change Order No. 2, and accepting the increased Federal Aviation Administration (FAA) approved grant request in the amount of $226,990, for a maximum amount totaling $2,478,814. (Airport Manager) (Supporting Document) 11. Resolution directing the Auditor-Controller to amend various Nevada County budgets through the Fourth Consolidated Budget Amendment for Fiscal Year 2011/12. (4/5 affirmative vote required.) (Supporting Document)

INDIVIDUAL BOARD MEMBER ITEMS: 12. Request for letter to the California Public Utilities Commission supporting Spiral Internet’s application to the California Advanced Services Fund for a local fiber-to-premise broadband project. (Supervisor Beason) (Supporting Document) *ANNOUNCEMENTS: Pursuant to Government Code Section 54954.2, Board members and County Executive Officer may make a brief announcement or brief report on his or her activities. Board members and County Executive Officer may also provide a reference to staff or other resources for factual information, request staff to report back to the Board at a subsequent meeting concerning any matter, or take action to direct staff to place a matter of business on a future agenda. ADJOURNMENT: *(The Board of Supervisors can discuss these items at any time during the meeting.) This agenda was posted on bulletin boards 24 hours in advance of the meeting at the following locations: 1. Eric Rood Administrative Center; outside Board office, outside Board Chambers, and outside main entrance. 2. Madelyn Helling Library. 3. Truckee Town Hall Posted: 9/13/12. (09/18/12) 3

NEVADA COUNTY

'
Jeffrey S. Brown, MPH, Agency Director

HEALTH &HUMAN SERVICES AGENCY
Department of Social Services
950 Maidu Ave., PO Box 1210 10075 Levon Ave.. Ste 207 Nevada City, CA 95959 Truckee, CA 96161

Msw

Katy Eckert Interim Director Department of Social Services Public Guardian
FAX (530) 265-9860 FAX (530) 582-7729

Telephone (530) 265-1340 Telephone (530) 582-7803

RECEIVE
August 30, 2012 Honorable Board of Supervisors Eric Rood Administrative Center 950 Maidu Avenue Nevada City, CA 95959 DATE OF MEETING: September 18, 2012 SUBJECT: Resolution authorizing execution of the renewal Contract with Prevent Child Abuse California(PCA CA)for four(4) AmeriCorps members to provide child welfare improvement activities in the maximum amount of$37,900 for the contract term of September 17, 201.2 through September 30, 2013. RECOMMENDATION: Approve the attached Resolution. FUNDING: Contract services are supported through Senate Bill(SB) 163 Program funds, which allows the County flexible use of State foster care dollars to provide eligible youth with familybased services. Under this Agreement, the County is agreeing to pay the cash match contribution of $9,475 which represents a combination ofnon-refundable fixed per-member costs and direct member costs for each of the four(4) assigned Americorps members for a total maximum obligation under this Agreement not to exceed $37,900 for the contract term. There are no county general fund dollars required in the Agreement. BACKGROUNll: Prevent Child Abuse California(PCA CA)represents a statewide consortium of Child Abuse Prevention Councils and other child abuse prevention and intervention organizations and plays an intermediary role, providing training and technical assistance on the Americorps policies and procedures. Prevent Child Abuse California's goal is to strengthen affiliated prevention organizations across the state by identifying and reinforcing best practices in organizational operations and by developing, implementing, and supporting imlovative prevention programs using research-based models. PCA CA receives federal grant dollars to operate the Americorp volunteer program and then subcontracts with agencies as part of comprehensive efforts to improve California's Child Welfare System, which includes employing the strategy and utilization of Americorps members.

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NEVADA CQUNTY BOARD SUPER~/IS~R~

County recruited AmeriCorps members will provide 1700 hours of services and will be assigned to local Family Resource Centers and one to Social Services' CPS division. The Americorps members will provide activities such as: one-on-one home visitation and case managed support -referred, initiate services to families referred by CPS,conununity based organizations and as self contact and begin to build relationships with the family, scheduling meetings, completing a preassessment utilizing the Family Development Tool(FDT), assessing families for areas of high risk to address for further support, support services related to crisis intervention, information and referrals, parenting skills/education, paxent support and social networking. The targeted outcomes for these services include: 150 Nevada County families will receive family support services, 75 families will receive 10 hours offamily support services, and 75 County families will receive information on health insurance, health care access, and health benefits programs. It is recommended that the Board approve the attached agreement as the services work to positively influence communities at a grassroots level through the members' contributions, and improve outcomes for child development and strengthening families. Under the guidance of local organizations serving families in their communities, AmeriCorps members work to strengthen the community by promoting resources and building community connections. Please contact me if any additional information is required. Respectfully submitted,

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Katy Eckert, Interim Director Department of Social Services

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RESOLUTION

No.

OF THE BOARD OF SUPERVISORS OF THE COUNTY OF NEVADA
RESOLUTION AUTHORIZING EXECUTION OF THE STANDARD CONTRACT WITH PREVENT CHILD ABUSE CALIFORNIA (PCA CA) WHEREAS,Prevent Child Abuse California(PCA CA)represents a statewide consortium of Child Abuse Prevention Councils and other child abuse prevention and intervention organizations; and WHEREAS,Prevent Child Abuse California's goal is to strengthen affiliated prevention organizations across the state by identifying and reinforcing best practices in organizational operations and by developing, implementing, and supporting innovative prevention programs using research-based models; and WHEREAS,PCA CA receives federal grant dollars to operate the AmeriCorps volunteer program and then subcontracts with agencies as part of comprehensive efforts to improve California's Child Welfare System, employing the strategy and utilization of AmeriCorps members. NOW THEREFORE BE IT HEREBY RESOLVED by the Board of Supervisors of the County of Nevada, State of California, that the Standard Contract dated the 17 day of September 2012, by and between the County and Prevent Child Abuse Prevention California pertaining to the provision of four(4) AmeriCorps members to provide services related to child welfare improvement activities, in the maximum amount of $37,900, for contract term of September 17, 2012 through September 30, 2013, be and hereby is approved, and that the Chair ofthe Board of Supervisors be and is hereby authorized to execute the Contract on behalf of the County of Nevada. Funds to be disbursed from account: 1589-50104-494-3101/521520.

Prevent Child Abuse California Standard Contract
1. Grant name: 2. This Contract is entered into between Prevent Child Abuse California and the Contractor named below:

Nevada County Department of Social Services — Chiid Protective Services Child Welfare S stem Im rovement 2012 through September 30, 2013 3. The Term of this Contract is: September 17, 4. The maximum amount of this Contract is: U to $37,900 for the term of the Contract
5. The parties agree to comply with the terms and conditions of the following exhibits which are by this reference made a art of this Contract: /13 2012 AmeriCorps Provisions, incorporated into this Standard Contract by reference and obtainable Exhibit A: / at: htt :! www.americor s. ov/for or anizations/mana e/index.as 45 CFR Chapter XXV, Sections 2520 — 2550, incorporated into this Standard Contract by reference and Exhibit B: / obtainable at: htt :/www.americor s. ov/ df/45CFR cha terXXV. df Terms and Conditions Exhibit C: Match Contribution Exhibit D: Exhibit E: Pro ram Sco e of Services Attachment E-1: Performance Measures Attachment E-2: Contractor Sco e of-Services Attachment E-3: AmeriCor s Disci line. Polic and Procedure Attachment E-4: Livin Allowance Schedule "CNCS")"Graphic Standards — a User's Guide", Corporation for National and Community Service( Exhibit F: incorporated into this Standard Contract by reference and obtainable at: / htt :/www.americor s. ov/ df/ ra hicstandards. df AmeriCor s Pro ram Assurances and Certifications Exhibit G:

6. Contract Number: 3-CM-CNV-NCS-12-13

7. Program Year: 2012/2013

CONTRACTOR: NEVADA COUNTY DEPARTMENT OF SOCIAL _ =i5 ~ ~~R~C~:~=fl1L PROi'E-C~'FVE=SEf~VfeE~ .

PREVENT CHILD ABUSE CALIFORNIA "PCA CA") ( __ __- -- --

Si nature

Date

Sheila Boxle ,President and CEO

Date

Ted S. Owens, Chair Board of Supervisors Print Name and Title Ste hanie Bie ler, Director Date

Fiscal Contact Name and Title Michelle Bodle Approved as to Content: De artment Head Si nature If A Approved as to For licable

ASO

~Z - -~ Print Name and Title ount Coun e

950 Maidu Avenue
Address

4700 Roseville Road, Suite 102
Address

Nevada City, CA 95959
Cit ,State, Zi

North Highlands, CA 95660
Cit ,State, Zi
Standard Contract Page i of56

Prevent Child Abuse California Standard Contract

Exhibit C Terms and Conditions

EXHIBIT C TERMS AND CONDITIONS Time Time is of the essence in all terms and conditions of this Contract.

Scope of Services CONTRACTOR shall provide services in the amount, type, and manner described in Attachment E-2, Contractor Scope of Services, which is attached hereto and incorporated herein. The Scope of Services is dependent upon CONTRACTOR'S full enrollment of the number of AmeriCorps member slots as listed in Exhibit D, Match Contribution, Section II. Cash Match Contribution, and Exhibit E, Program Scope of Services, Section II. Recruitment of AmeriCorps Members.
111. PCA CA'S Obligation Subject to Availability of Funds PCA CA'S obligation under this Contract is subject to the availability of authorized funds. PCA CA may terminate the Contract, or any part of the Contract work, without prejudice to any right or remedy of PCA CA, for lack of appropriation of funds. If expected or actual funding is withdrawn, reduced or limited in any way prior to the expiration date set forth in this Contract, or any subsequent Amendment, PCA CA may, upon written notice to CONTRACTOR: Terminate this Contract in whole or in part; or, A. B. Offer a contract amendment reflecting the reduced funding. Termination without Cause This Contract may be terminated by either party without cause upon thirty (30) A. calendar days written notice to the other party. If the Contract is terminated for non-appropriation: B. CONTRACTOR shall be released from any obligation to provide further 1. services pursuant to this Contract after the effective date of termination. Prior to termination of this Contract, CONTRACTOR will make 2. reasonable efforts to identify a new or existing contractor to host all of CONTRACTOR'S active AmeriCorps members and to assume the remaining cash match contribution for said AmeriCorps members. Furthermore, CONTRACTOR agrees to assist with the transition of any active AmeriCorps members to new service sites or programs. Termination for Cause PCA CA may terminate this Contract for cause upon giving ten (10) calendar days written notice to CONTRACTOR should CONTRACTOR materially fail to perform this Contract in the time and/or manner specified. Before such termination takes effect, however, CONTRACTOR shall have ten (10) calendar days to cure the failure to perform. In the event of such termination, PCA CA may proceed with the work in any manner deemed proper by PCA CA. If notice of termination for cause is given by PCA CA to CONTRACTOR and it is later determined that CONTRACTOR was not in default or the default was excusable, then the notice of termination shall be deemed to have been given without cause pursuant to paragraph (III.A) above.

IV.

V.

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Standard Contract Page 2of56

Prevent Child Abuse California Standard Contract

Exhibit C Terms and Conditions

VI.

Signature Authority The parties executing this Contract certify that they have the proper authority to bind their respective entities to all terms and conditions set forth in this Contract. Mutual Indemnification Each party shall indemnify, defend, protect, hold harmless, and release the other, their elected bodies, officers, agents, and employees, from and against any and all claims, losses, proceedings, damages, causes of action, liability, costs, or expense (including attorneys' fees and witness costs) arising from or in connection with, or caused by any negligent act or omission or willful misconduct of such indemnifying party. This indemnification obligation shall not be limited in any way by any limitation on the amount or type of damages or compensation payable to or for the indemnifying party under Workers' Compensation acts, disability benefit acts, or other employee benefit acts. Independent Contractor CONTRACTOR is an independent contractor and not an agent, officer or employee of PCA CA. The parties mutually understand that this Contract is by and between two independent contractors and is not intended to and shall not be construed to create the relationship of agent, servant, employee, partnership, joint venture or association. Conflict of Interest A. The parties warrant that their employees and/or their immediate families and/or Board of Directors and/or officers have no interest, including, but not limited to, other projects or independent contracts, and shall not acquire any interest, direct or indirect, including separate contracts for the work to be performed hereunder, which conflicts with the rendering of services under this Contract. The parties shall employ or retain no such person while rendering services under this Contract. Services rendered by either party's associates or employees shall not relieve the party from professional responsibility under this clause. B. The parties have an affirmative duty to disclose to each other in writing the names) of any persons) who have an actual, potential or apparent conflict of interest. Drug Free Workplace The parties warrant that they are knowledgeable of 45 C.F.R. Chapter XXV sections 2545.205 — 2545230, and 2545.610 — 2545.670, regarding a drug free workplace and shall abide by and implement its statutory requirements. Health and Safety Standards CONTRACTOR shall abide by all health and safety standards set forth by the AmeriCorps Provisions, sections AC IV G.3 and AC V.E. Nondiscrimination A. In rendering services under this Contract, both parties shall abide by the Nondiscrimination standards set forth by the AmeriCorps Provisions, section AC V F: 1-3 and shall not discriminate based on age, ancestry, color, gender, marital status, medical condition, national origin, physical or mental disability, race, religion, sexual orientation, or other protected status. B. Further, in fulfilling their duties and responsibilities under this Contract, the parties shall not discriminate against their employees, AmeriCorps members, or AmeriCorps applicants, which includes, but is not limited to, employment
~~ Standard Contract Page 3 of 56

VII.

VIII.

IX.

X.

XI.

XII.

Prevent Child Abuse California Standard Contract

Exhibit C Terms and Conditions

upgrading, demotion or transfer, recruitment or recruitment advertising, layoff or termination, rates of pay or other forms of compensation and selection for training, including apprenticeship. XIII. Insurance A. As the employer of record, PCA CA shall obtain Workers' Compensation insurance for CONTRACTOR'S AmeriCorps members. B. CONTRACTOR shall obtain and maintain in full force and effect during the performance of the work and for at least one (1) year following completion of the
yv~rk thQ tv~as ~f i~~i~~-~nr.P lis~PCi in Serti~n XIII,~ hPlpw,

C.

D.

All insurance shall be provided by insurance companies acceptable to PCA CA. 2. Insurance companies shall be rated by A.M. Best as "A:VII" or better. 3. CONTRACTOR'S Insurance shall be primary and non-contributory with PCA CA'S insurance. 4. Policies shall provide that they may not be canceled, changed, or not renewed without at least thirty (30) days written notice to PCA CA. Types of insurance: which includes 1. General Liability Insurance Comprehensive products/completed operations, independent contractors, contractual liability, and broad form property damage coverages with a combined single limit of not less than $1,000,000 per occurrence, and not less than $2,000,000 aggregate. CONTRACTOR shall furnish to PCA CA a separate endorsement a. evidencing PCA CA'S additional insured status on the policy. b. CONTRACTOR'S Comprehensive General Liability Insurance shall specifically state "Prevent Child Abuse California is named as additional insured under the above policy." 2. Automobile Liability Insurance for all owned, non-owned, and hired vehicles with a combined single limit of not less than $1,000,000 per occurrence. 3. Professional Liability Insurance or Errors and Omissions Insurance with a limit of not less than $1,000,000, if CONTRACTOR employs licensed clinicians or therapists, or provides counseling services in relation to this contract. If CONTRACTOR (or its subcontractor) does not employ licensed a. clinicians or therapists, and does not provide counseling services in relation to this Contract, CONTRACTOR may submit a statement to PCA CA in writing, and will be relieved of this requirement. b. Directors and Officers Insurance will not be accepted in lieu of Professional Liability Insurance or Errors and Omissions Insurance. The following Additional Insured Endorsements are acceptable: 1. "ISO"), or same wording on insurance Insurance Services Office ( company forms: a. Commercial General(CG)2010 Commercial General(CG)2037 b. c. Commercial General(CG)2011 Commercial General (CG)2026 d. 1.
Standard Contract Page 4 of 56

Prevent Child Abuse California Standard Contract

Exhibit C Terms and Conditions

E.

NIAC-E32 05 11, If CONTRACTOR is insured by the Nonprofit Insurance Alliance of California( "NIAC"). PI-GLD-HS (04/07), if CONTRACTOR is insured by Philadelphia 3. Insurance Companies. Submission of Documentation: 1. CONTRACTOR shall furnish any and all required Certificates of Insurance and separate Additional Insured Endorsements to PCA CA no less than ten (10) business days prior to the commencement of work hereunder. 2. CONTRACTOR shall continue to provide PCA CA with subsequent Certificates of Insurance and separate Additional Insured Endorsements evidencing uninterrupted compliance with these insurance requirements throughout the term of the Contract, and for one (1) year following termination or expiration of the Contract.

2.

XIV.

Travel A. Travel expenses and mileage reimbursements for activities associated with this Contract, whether borne by PCA CA or CONTRACTOR, shall be based on the policies and rates determined by the California Department of Personnel Administration( "DPA"). These policies and rates. are available online at: /www.dpa.ca.gov/person nel-policies/travel/employees.htm http:/ B. CONTRACTOR and PCA CA may use different reimbursement rates than those established by DPA, as long as the rates do not exceed the rates established by DPA. CONTRACTOR shall not reimburse its AmeriCorps members at a rate lower than C. a rate used to reimburse CONTRACTOR'S staff. D. CONTRACTOR must maintain appropriate backup documentation for all travel expenses incurred by staff or AmeriCorps members under this Contract. Ownership of AmeriCorps Training Curricula and Materials PCA CA shall retain any and all rights to AmeriCorps training curricula and materials developed for this program by PCA CA. PCA CA grants CONTRACTOR a perpetual, non-exclusive worldwide, royalty-free license to use said curricula or materials for use in this AmeriCorps project. If curricula or materials are to be used for other than this AmeriCorps project, CONTRACTOR must obtain written consent from PCA CA to use such curricula or materials. Audit/Review Requirements A. CONTRACTOR shall submit to PCA CA on an annual basis either; 1. "Audit'), or a financial and compliance audit( 2. "Review") as determined by Section XVI.B and a limited scope audit ( XVI.0 of this provision. B. An independent auditor must perform the Audit or Review. Audits shalt be conducted in accordance with the latest revision of the Government Auditing Standards as issued by the Comptroller of the United States and shall comply with Office of Management and Budget ( "OMB") Circular A-133 (States, Local Governments and not-for-profit agencies), if applicable. Reviews shalt be conducted in accordance with either American Institute of Certified Public "AICPA") generally accepted auditing standards ( "GAAS") or Accountants' ( "GAAP"). generally accepted accounting principles( C. The Audit/Review shall be performed on the basis of CONTRACTOR'S fiscal
Standard Contract Page 5 of56

XV.

XVI.

Prevent Child Abuse California Standard Contract

Exhibit C Terms and Conditions

D.

year. The reconciliation of cost report data shall also be based on CONTRACTOR'S fiscal year. If this Contract is terminated for any reason during the contract period, the independent AudiUReview shall cover the entire period of the Contract for which services were provided. CONTRACTOR must submit to PCA CA one (1) copy of the Audit/Review, as described in OMB Circular A-133, within: 1. Thirty (30) days after receipt of the auditor's report(s), or Six (6) months following expiration or termination of this Contract, 2. whichever is earlier.
Sh~iilc~ there he any eiPlay antic:inatPC_i; CONTRACTOR shall immediately notify

F.

F. G.

PCA CA in writing of the delay, and the anticipated submission date. CONTRACTOR shall send, or cause to be sent, the Audit/Review to PCA CA'S mailing address as listed on the Standard Contract. PCA CA shall examine the AudiUReview submitted by CONTRACTOR. Should PCA CA note any deficiencies in the Audit/Review, PCA CA shall notify CONTRACTOR. In this case, CONTRACTOR will be required to submit an action plan detailing how CONTRACTOR will address the deficiencies. CONTRACTOR shall correct all deficiencies within six (6) months of the date that the AudiUReview was received by CONTRACTOR from its independent auditor, as required by Federal regulations. CONTRACTOR shall provide evidence of the corrected deficiencies to PCA CA.

XVII. Unforeseen Circumstances The parties are not responsible for any delay caused by natural disaster, war, civil disturbance, labor dispute or other cause beyond the parties reasonable control, provided each party gives written notice to the other party of the cause of the delay within ten (10) calendar days of the start of the delay. XVIII. Notice A. Any notice necessary to the performance of this Contract shall be given in writing by personal delivery or by prepaid first-class mail with delivery confirmation, addressed as stated on the Standard Contract. B. If notice is given by personal delivery, notice is effective as of the date of personal delivery. If notice is given by mail, notice is effective as of the day following the date of mailing or the date of delivery reflected upon a return receipt, whichever occurs first. XIX. Nonrenewal CONTRACTOR acknowledges that there is no guarantee that PCA CA will renew CONTRACTOR'S services under a new contract following expiration or termination of this Contract. Changes and Amendments A. Any mutually agreed upon changes, including any increase or decrease in the amount of compensation, shall be effective when incorporated in written amendments to this Contract. B. The party desiring the revision shall request an amendment to the Contract in writing. Any adjustment to this Contract shall be effective only upon the parties' mutual execution of an amendment in writing. C. No verbal agreements or conversations prior to execution of this Contract or requested Amendment shall affect or modify any of the terms or conditions of this
/~~ ~, Standard Contract Page 6 of 56

XX.

Prevent Child Abuse California Standard Contract

Exhibit C Terms and Conditions

Contract unless reduced to writing according to the applicable provisions of this Contract. XXI. Choice of Law The parties have executed and delivered this Contract in the County of Sacramento, State of California. The laws of the State of California shall govern the validity, enforceability, or interpretation of this Contract. Sacramento County shall be the venue for any action or proceeding, in law or equity, that may be brought in connection with this Contract.

XXII. Health Insurance Portability and Accountability Act The parties warrant that they are knowledgeable of the Health Insurance Portability and "HIPAA") and its implementing regulations issued by the U.S. Accountability Act of 1996( Department of Health and Human Services in 45 C.F.R. Chapter XXV Parts 160, 162, and 164, regarding the protection of health information obtained, created, or exchanged as a result of this Contract and shall abide by and implement its statutory requirements. XXIII. Restrictions Governing Use of Corporation for National and Community Service ( "CNCS") Funds A. Supplantation. CNCS assistance may not be used to replace -State and local public funds that had been used to support programs of the type eligible to receive CNCS support. B. Religious use. CNCS assistance may not be used to provide religious instruction, conduct worship services, or engage in any form of proselytization. Political activity. CNCS assistance may not be used by program participants or C. staff to assist, promote, or deter union organizing; or finance, directly or indirectly, any activity designed to influence the outcome of a Federal, State, or local election to public office. D. Contracts or collective bargaining agreements. CNCS assistance may not be used to impair existing contracts for services or collective bargaining agreements. E. Nonduplication. CNCS assistance may not be used to duplicate an activity that is already available in the locality of a program. And, unless the requirements of paragraph (6) of this section are met, CNCS assistance will not be provided to a private nonprofit entity to conduct activities that are the same or substantially equivalent to activities provided by a State or local government agency in which such entity resides. F. Nondisplacement. 1. CONTRACTOR (or its subcontractor) may not displace an employee or position, including partial displacement such as reduction in hours, wages, or employment benefits, as a result of the use by such employer of a participant in a program receiving CNCS assistance. 2. CONTRACTOR (or its subcontractor) may not displace a volunteer by using a participant in a program receiving CNCS assistance. A service opportunity will not be created under this chapter that will 3. infringe in any manner on the promotional opportunity of an employed individual. 4. An AmeriCorps member in a program receiving CNCS assistance may not perform any services or duties or engage in activities that would otherwise be performed by an employee as part of the assigned duties of such employee.
Standard Contract Page 7of56

Prevent Child Abuse California Standard Contract

Exhibit C Terms and Conditions

5.

6.

7.

An AmeriCorps member in any program receiving assistance under 45 CFR Chapter XXV §2540.100 may not perform any services or duties, or engage in activities, that— Will supplant the hiring of employed workers; or a. Are services, duties, or activities with respect to which an b. individual has recall rights pursuant to a collective bargaining agreement or applicable personnel procedures. An AmeriCorps member in any program receiving assistance under 45 CFR Chapter XXV §2540.100 may not perform services or duties that have heen ~erfc~rmed by car were assigned t~ ~ny— Presently employed worker; a. b. Employee who recently resigned or was discharged; Employee who is subject to a reduction in force or who has recall c. rights pursuant to a collective bargaining agreement or applicable personnel procedures; d. Employee who is on leave (terminal, temporary, vacation, emergency, or sick); or e. Employee who is on strike or who is being locked out. CONTRACTOR (or its subcontractor) must, at minimum, conduct and document consultation with the appropriate local labor organization, if any, representing employees in the area where AmeriCorps members and unionized employees are engaged in the same or similar work as that proposed to be carried to ensure compliance with the nondisplacement requirements specified in section 12637 of the National and Community Service Trust Act.

XXIV. Waiver Any failure of a party to assert any right under this Contract shall not constitute a waiver or a termination of that right, under any provision of this Contract. XXV. Inspection and Examination Authorized representatives of PCA CA may inspect and/or examine A. CONTRACTOR'S performance, place of business, and/or records pertaining to this Contract. CONTRACTOR agrees to maintain such records for possible inspection/examination for a period of not less than seven (7) years following termination or expiration of this Contract. CONTRACTOR agrees to allow the auditors) access to such records during normal business hours and to allow interviews of any employees or volunteers who might reasonably have information related to such records. B. Authorized representatives of CONTRACTOR may inspect and/or examine PCA CA'S performance, place of business, and/or records pertaining to this Contract. PCA CA agrees to maintain such records for possible inspection/examination for a period of not less than seven (7) years following termination or expiration of this Contract, unless a longer period of records retention is stipulated. PCA CA agrees to allow the auditors) access to such records during normal business hours and to allow interviews of any employees or volunteers who might reasonably have information related to such records. The parties shall be subject to the inspection and examination of the following C. entities or their designees:

Standard Contract Page 8 of56

Prevent Child Abuse California Standard Contract

Exhibit C Terms and Conditions

1. 2. 3. 4. 5.

CNCS; CNCS Office of Inspector General; CaliforniaVolunteers; California State Auditor; and/or Any entity with a legal right to inspect or examine.

XXVI. Grievance Procedure PCA CA has established and maintains a procedure for the filing and adjudication of grievances from AmeriCorps members, labor organizations, and other interested individuals concerning this program. If the grievance alleges fraud or criminal activity, it must immediately be brought to the attention of CNCS'inspector general. A. Alternative Dispute Resolution 1. The aggrieved party may seek resolution through alternative means of dispute resolution such as mediation or facilitation. Dispute resolution proceedings must be initiated within forty-five (45) calendar days from the date of the alleged occurrence. At the initial session of the dispute resolution proceedings, the party must be advised in writing of his or her right to file a grievance and right to arbitration. if the matter is resolved, and a written agreement is reached, the party will agree to forego filing a grievance in the matter under consideration. 2. If mediation, facilitation, or other dispute resolution processes are selected, the process must be aided by a neutral party who, with respect to an issue in controversy, functions specifically to aid the parties in resolving the matter through a mutually achieved and acceptable written agreement. The neutral party may not compel a resolution. Proceedings before the neutral party must be informal, and the rules of evidence will not apply. With the exception of a written and agreed upon dispute resolution agreement, the proceeding must be confidential. B. Grievance Procedure for Unresolved Complaints If the matter is not resolved within thirty (30) calendar days from the date the informal dispute resolution process began, the neutral party must again inform the aggrieving party of his or her right to file a formal grievance. In the event an aggrieving party fifes a grievance, the neutral party may not participate in the formal complaint process. In addition, no communication or proceedings of the informal dispute resolution process may be referred to or introduced into evidence at the grievance and arbitration hearing. Any decision by the neutral party is advisory and is not binding unless both parties agree. C. Time Limitations Except for a grievance that alleges fraud or criminal activity, a grievance must be made no later than one (1) year after the date of the alleged occurrence. If a hearing is held on a grievance, it must be conducted no later than thirty (30) calendar days after the filing of such grievance. A decision on any such grievance must be made no later than sixty (60) calendar days after the filing of the grievance. D. Arbitration 1. Arbitrator a. Joint selection by parties. If there is an adverse decision against the party who filed the grievance, or sixty (60) calendar days after the filing of a grievance no decision has been reached, the filing party may submit the grievance to binding arbitration before a
\~ Standard Contract Page 9 of 56

Prevent Child Abuse California Standard Contract

Exhibit C Terms and Conditions

2.

qualified arbitrator who is jointly selected and independent of the interested parties. Appointment by CNCS. If the parties cannot agree on an arbitrator b. within fifteen (15) calendar days after receiving a request from one of the grievance parties, CNCS' Chief Executive Officer will appoint an arbitrator from a list of qualified arbitrators. Time Limits a. Proceedings. An arbitration proceeding must be held no later than forty-five (45) calendar days after the request for arbitration, or, if
tag a~l,~itr~tr~r is ~~~nl!lt@~ ~~~ the Chl2f
FXpCiUtlVe

Offirar tha

E.

F.

G. H.

proceeding must occur no later than thirty (30) calendar days after the arbitrator's appointment. Decision. A decision must be made by the arbitrator no later than b. thirty (30) calendar days after the date the arbitration proceeding begins. 3. The cost. The cost of the arbitration proceeding must be divided evenly between the parties to the arbitration. If, however, a participant, labor organization, or other interested individual prevails under a binding arbitration proceeding, the State or local applicant that is a party to the grievance must pay. the total cost of the proceeding and the attorney's fees of the prevailing party. Suspension of placement If a grievance is filed regarding a proposed placement of a participant in a program that receives assistance under this chapter, such placement must not be made unless the placement is consistent with the resolution of the grievance. Remedies Remedies for a grievance filed under a procedure established by a recipient of CNCS assistance may include: 1. Prohibition of a placement of a participant; and 2. In grievance cases where there is a violation of nonduplication or nondisplacement requirements and the employer of the displaced employee is the recipient of CNCS assistance: a. Reinstatement of the employee to the position he or she held prior to the displacement; b. Payment of lost wages and benefits; c. Re-establishment of other relevant terms, conditions and privileges of employment; and Any other equitable relief that is necessary to correct any violation d. of the nonduplication or nondisplacement requirements or to make the displaced employee whole. Suspension or Termination of Assistance CNCS may suspend or terminate payments for assistance under this chapter. Effect of Noncompliance with Arbitration A suit to enforce arbitration awards may be brought in any Federal district court having jurisdiction over the parties without regard to the amount in controversy or the parties' citizenship.

XXVIi. Compliance with Laws The parties shall observe and comply with all applicable laws, regulations and ordinances including, but not limited to: Federal, State, and County laws, regulations and ordinances.
Standard Contract Page 10 of56

Prevent Child Abuse California Standard Contract

Exhibit C Terms and Conditions

XXVIII. Disallowed Costs A. In the event that CNCS funds are expended, or caused to be expended, that are not allowable under AmeriCorps regulations, such expenditures may be disallowed. In cases where CONTRACTOR may have incurred unallowable expenditures, PCA CA will conduct an investigation and notify CONTRACTOR of if CONTRACTOR (or its the results of such investigation in writing. subcontractor) is responsible for the unallowable expenditure without having previously obtained approval from PCA CA, CONTRACTOR will assume any and ail financial liability associated with any such findings, and promptly provide supporting documentation and reimbursement for the unallowable expended funds to PCA CA upon receipt of an invoice. B. Termination or expiration of this Contract shall not impede PCA CA'S right to recover funds related to disallowed costs from CONTRACTOR (or its subcontractor) on the basis of a later audit or other review. XXIX. Enforcement If CONTRACTOR (or its subcontractor) materially fails to comply with the terms and conditions of this Contract and its exhibits, including failure to recruit the contracted number of AmeriCorps members for enrollment in the program, or retain them, PCA CA may take one or more of the following actions, as appropriate in the circumstances: A. Wholly or partly suspend or terminate the current award. B. Reduce the number of contracted slots in future enrollment periods. C. Impose other remedies that may be legally available. XXX. Entire Contract This Contract, including any exhibits referenced, constitutes the entire agreement between the parties and there are no inducements, promises, terms, conditions or obligations made or entered into by PCA CA or CONTRACTOR other than those contained in the Contract.

\4,,y ~~,

Standard Contract Page 11 of56

Prevent Child Abuse California Standard Contract

Exhibit D Match Contribution

EXHIBIT D MATCH CONTRIBUTION Program and Member Costs A. During the term of this Contract, PCA CA will incur and pay expenses associated with the program, including costs associated with the AmeriCorps members selected by CONTRACTOR (or its subcontractor). CONTRACTOR (or its subcontractor) will make a cash match contribution, as B. outlined in Section II. Cash Match Contribution (below), to PCA CA. The cash match contribution will be applied against PCA CA'S expenditures for CONTRACTOR'S AmeriCorps members, and operation of the program. II. Cash Match Contribution A. The cash match contribution does not represent fee for service. B. The cash match contribution cannot be made from another federal grant unless authorized by statute and/or written approval by authorized federal agency "CNCS"), department staff, the Corporation for National and Community Service( from any other source including, but not limited and PCA CA, but it may be made to, local or state funds (excluding any pass through federal funds), foundation grants, fundraising events, contributions from community partners, service organizations, corporations, or individuals. C. The cash match contribution represents a combination of non-refundable fixed per-member costs and direct member costs. Non-refundable fixed per-member cost is the portion of the cash match that relates to overall program operation and management, including associated administrative costs. Direct member cost is the portion of the cash match contribution that includes, but is not limited to, AmeriCorps member living allowances and associated payroll taxes, including FICA and Workers' Compensation, member service gear, member recognition, national service criminal history checks, and the iemployee timekeeping system. D. By entering into this Contract, CONTRACTOR agrees to pay the cash match contribution for the number of AmeriCorps members shown in the table below: __ _ _.
17~v-nvur s~rnent,vrNs mGn~uGrs Total NonNon# of refundable Contracted refundable Fixed per- AmeriCorps Fixed perMember Member Members Cost Cost 4 $10,000 $2,500 Total Direct # of Direct perMember Contracted per-Member AmeriCorps Cost Cost Members 4 $6,975 $27,900 AmeriCorps 1700-Hour ' Member Cost= $37,900

900-Hour AmeriCorps Members Total NonNon# of refundable Contracted refundable Fixed per- AmeriCorps Fixed perMember Member Members Cost Cost 0 $0 $0 Total Direct # of Direct perMember Contracted per-Member AmeriCorps Cost Cost Members $0 $0 0 900-Hour AmeriCorps Member Cost= ~~ Total Cash Match. _ _. $37,900+ ___

t.

Exhibit D Page 12 of56

Prevent Child Abuse California Standard Contract

Exhibit D Match Contribution

III.

Implications of Failure to Recruit/Retain AmeriCorps Members A. The non-refundable fixed per-member cost portion of the cash match contribution is based on CONTRACTOR'S AmeriCorps contracted member slot allocation, and will not be pro-rated or refunded for any reason. B. Direct member costs associated with AmeriCorps member living allowances and associated taxes may be pro-rated and/or reimbursed if all of the following conditions have been met: 1. An AmeriCorps member has exited their term of service before their contracted end date, and 2. The program enrollment period has expired, and 3. CONTRACTOR has demonstrated that it has exhausted all reasonable possibilities for recruitment and cannot fill or replace a contracted AmeriCorps member position. C. The cash match contribution for refilled slots (those slots previously occupied by a member who leaves the program having completed less than 30% of their contracted hours and who is not eligible for an education award, and subsequently filled by another AmeriCorps member) will be processed as follows: 1. Non-refundable fixed per-member costs are attached to each slot, rather than each AmeriCorps member. If the non-refundable fixed per-member costs for the AmeriCorps member slots listed in this Contract have been paid by CONTRACTOR (or its subcontractor), no further invoices will be sent regarding non-refundable fixed per-member costs. 2. Direct member costs received by PCA CA in excess of actual costs incurred for the original AmeriCorps member shall be applied to the refilling AmeriCorps member. 3. Invoices will be submitted to CONTRACTOR (or its subcontractor) to recover the full direct member cost associated with the refilling AmeriCorps member. 4. Refilled slots may require additional funds and an amendment to this Contract. Invoicing A. CONTRACTOR agrees to pay PCA CA the total cash match contribution as listed in the table below:
Corresponding Months) First Invoice •September, 2012 • October, 2012 • No~mber, 2012 Second Invoice •December, 2012 • January, 2013• February, 2013 Third Invoice •March, 2013 • April, 2013 . May, 2013 Fourth Invoice •June, 2013 ... • July, 2013 ._.......__...... .................. . August, 2013 Invoice to be Sent Week of August 20, 2012 Last week of October, 2012 Last week of January, 2013 Last week of April, 2013 Payment due Amount Due to PCA CA $ 10,000.00 First week of October, 2012 $ 6,975.00 $ 16,975.00 Net 30 $ 6,975.00

IV.

Net 30

$ 6,975.00

Net 30

$ 6,975.00

Tota I:~ $ 37,900.00

Exhibit D Page 13 of56

Prevent Child Abuse California Standard Contract

Exhibit D Match Contribution

B.

C. D.

E. F.

The first invoice is comprised of the non-refundable fixed per-member cost as 'listed in Exhibit D, Section II.D and the anticipated direct cost for the first three (3) months of 4he term of this Contract. Invoices shall be deemed due and payable within the timeframes listed in the table above. Invoice amounts are based on 100% enrollment and retention of allocated slots. In the event of a member's early termination where the member slot cannot be refilled, PCA CA will credit or refund CONTRACTOR any direct member costs in excess of actual incurred direct member costs. Reconciliations will occur during the final month of the term of this Contract. Upon execution of this Contract, CONTRACTOR shall provide to PCA CA'S Chief Financial Officer the name, address, telephone number, and email address of the individual or department where invoices are to be submitted. A late fee of three percent (3%) of the invoiced amount will be charged to CONTRACTOR for payments received after the timeframes listed in the table above, unless the delinquency is a direct result of delays in PCA CA'S invoicing process.

V.

In-kind Match Contribution CONTRACTOR (or its subcontractor) must provide in-kind ..support in the form of training, supervision, access to equipment and materials, etc. In-kind support also includes site supervisor time directly supervising the member, donated goods for member activities and member's project-related transportation and training expenses.

Exhibit D Page 14 of56

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

EXHIBIT E PROGRAM SCOPE OF SERVICES Monitoring and Oversight PCA CA will ensure that CONTRACTOR collects and organizes performance A. data on an ongoing basis, tracks progress toward meeting the Performance Measures of the grant, incorporated in this Contract as Attachment E-1, Child Welfare System Improvement 2012-13 Performance Measures, and corrects performance deficiencies promptly. PCA CA is also responsible for managing the day-to-day operations of grant and subgrant supported activities. PCA CA will monitor such activities to ensure compliance with applicable Federal In requirements and that performance measures are being achieved. conjunction with requirements of the Corporation for National and Community "CV"), PCA CA develops and Service ( "CNCS") and CaliforniaVolunteers ( provides program administration materials that govern its AmeriCorps programs, such as the AmeriCorps Supervisor Program Manual and AmeriCorps Member Handbook. Materials are updated annually, and are distributed to contractors and Service Sites during PCA CA'S annual partner conference and/or throughout the year as needed. The materials are also made available to contractors online at: http:/capamericorps.weebly.com. / B. As a subgrantee, CONTRACTOR must follow and adhere to the various regulations that govern the AmeriCorps program, as well as this Contract. If CONTRACTOR places AmeriCorps members at Service Sites, CONTRACTOR is responsible for ensuring that Service Sites follow these regulations. Except in instances where the CONTRACTOR is the Service Site, CONTRACTOR must establish and maintain strong partnerships with Service Sites by clearly defining the roles and responsibilities of the Service Site. CONTRACTOR must also provide Service Sites with training regarding the AmeriCorps program including, but not limited to, terminology, requirements, allowable activities, prohibited activities and the coaching/AmeriCorps discipline process. CONTRACTOR will provide Service Sites with national service identification and signage for display. If CONTRACTOR subcontracts with another organization to either administer or C. host AmeriCorps members, the subcontract must incorporate 45 C.F.R. Chapter XXV §2520 — 2550, and the 2012/13 AmeriCorps Provisions. CONTRACTOR must provide a copy of the subcontract to PCA CA within fifteen (15) business days of execution. Any such subcontract shall not serve to release CONTRACTOR from any obligation under this Contract. CONTRACTOR (or its subcontractor) must disseminate programmatic D. information to Service Sites when requested to do so by PCA CA. PCA CA reserves the right to communicate directly with Service Sites and E. AmeriCorps members in situations that, in PCA CA'S sole discretion, require the immediate sharing of critical programmatic information, regulatory changes, known or suspected compliance issues, or opportunities for program improvement. PCA CA will conduct a minimum of one (1) compliance site visit during the term F. of this Contract. At a minimum during the site visit, PCA CA staff will: 1. Assess CONTRACTOR'S compliance with this Contract, as demonstrated by completion of the Program Compliance Summary; 2. Assess CONTRACTOR'S compliance with 45 C.F.R. Chapter XXV §2520 — 2550, and the 2012 /13 AmeriCorps Provisions;

Exhibit E Page 15 of56

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

3. 4. 5. 6. 7. 8.

Review the status of the Member File for each of CONTRACTOR'S AmeriCorps members; Validate original documents used by CONTRACTOR to report data toward performance measurement; Review program and/or fiscal documentation; Answer specific program questions; Meet and/or interview one (1) or more of CONTRACTOR'S current AmeriCorps members; and Observe one (1) or more of CONTRACTOR'S AmeriCorps members prcvi~ing ~srvics.

Recruitment and Eligibility of AmeriCorps Members CONTRACTOR (or its subcontractor) is required to recruit the number of A. contracted AmeriCorps members listed below, for enrollment in the program, and retain them for the duration of their contracted service commitment.
# of 900 Hour Members: 0 # of 1700 Hour Members: 4

B.

Pursuant to 45 C.F.R. Chapter XXV §2522.200, and requirements of CV and PCA CA, CONTRACTOR must follow the eligibility requirements for AmeriCorps applicants listed below. Department of Homeland Security Form I-9 cannot be used to verify an individual's citizenship status; therefore the I-9's list of supporting documentation is unacceptable, unless a specific document is also found in the list below: 1. Applicant must be at least eighteen (18) years of age at the commencement of service. 2. Applicant must have a high school diploma or its equivalent, or not have dropped out of elementary or secondary school to enroll as an AmeriCorps member and must agree to obtain a high school diploma or its equivalent prior to using a Segal AmeriCorps Education Award. If an applicant provides a written declaration under penalty of law that he or she meets these requirements, no additional documentation is required. Each AmeriCorps applicant must be a citizen, national, or lawful 3. permanent resident alien of the United States. 4. Primary documentation of status as a U.S. citizen or national. The following are acceptable forms of certifying status as a U.S. citizen or national: A birth certificate showing that the applicant was born in one of a. the 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa, or the Northern Mariana Islands; An unexpired United States passport; b. A report of birth abroad of a U.S. Citizen (FS-240) issued by the c. State Department; A certificate of birth-foreign service (FS-545) issued by the State d. Department; A certification of report of birth (DS-1350) issued by the State e. Department; A certificate of naturalization (Form N-550) issued by the f. Immigration and Naturalization Service; or

I

Exhibit E Page 16 of56

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

C.

D.

E. F. G.

A certificate of citizenship (Form N-560 or N-561) issued by the Immigration and Naturalization Service. Primary documentation of status as a lawful permanent resident alien of 5. the United States. The following are acceptable forms of certifying status as a lawful permanent resident alien of the Unites States: a. Permanent Resident Card, INS Form I-551; Alien Registration Receipt Card, INS Form I-551; b. c. A passport indicating that the INS has approved it as temporary evidence of lawful admission for permanent residence; or A Departure Record (INS Form I-94) indicating that the INS has d. approved it as temporary evidence of lawful admission for permanent residence. CONTRACTOR (or its subcontractor) agrees to actively seek potential AmeriCorps members from the community in which the program will be conducted. Further, CONTRACTOR (or its subcontractor) agrees to actively seek to include AmeriCorps members of different: 1. Races and ethnicities; 2. Socioeconomic backgrounds; 3. Educational levels; and 4. Genders. CONTRACTOR (or its subcontractor) must provide reasonable accommodation, including auxiliary aids and services (as defined in section 3(1) of the American Disabilities Act of 1990 (42 U.S.C. 12102(1)) based on the individualized need of an AmeriCorps member who is a qualified individual with a disability (as defined in section 101(8) of such Act(42 U.S.C. 12111(8)). CONTRACTOR (or its subcontractor) shall inquire and notify PCA CA if an AmeriCorps applicant is concurrently enrolled in another AmeriCorps program. CONTRACTOR (or its subcontractor) shall inquire and notify PCA CA if an AmeriCorps applicant has previously served in another AmeriCorps program. Notification of AmeriCorps Applicant Selection: 1. CONTRACTOR (or its subcontractor) shall not offer an AmeriCorps position to any AmeriCorps applicant until such time that PCA CA has reviewed and approved all requirements of the applicants eligibility to serve in the AmeriCorps program 2. CONTRACTOR (or its subcontractor) shall notify PCA CA regarding selection of AmeriCorps applicants by obtaining and submitting the following eligibility verification documents for review and approval to PCA CA by fax or email: A copy of the document used to verify whether each of a CONTRACTOR'S AmeriCorps applicants are a U.S. citizen or national (see II.B above); A copy of agovernment-issued photo ID for each AmeriCorps b. applicant to be used by PCA CA to conduct a National Service Criminal History Check (see Section III. National Service Criminal History Checks (45 C.F.R. Chapter XXV §2540.204); c. A completed Enrollment Notification Form for each AmeriCorps applicant, bearing the AmeriCorps applicant's authorization to conduct a National Service Criminal History Check (see Section III. National Service Criminal History Checks (45 C.F.R. Chapter XXV §2540.204); and

g.

c~~''

Exhibit E Page 17 of56

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

H.

I. J. K.

A copy of the AmeriCorps applicant's completed AmeriCorps Application and two (2) references, submitted either online or via hard copy. PCA CA shall verify the eligibility of each of CONTRACTOR'S AmeriCorps applicants, and shalt conduct a National Service Criminal History Check on each of CONTRACTOR'S AmeriCorps applicants, for each term of service. See Section III. National Service Criminal History Checks (45 C.F.R. Chapter XXV §2540.204). PCA CA shall notify CONTRACTOR as to whether or not each of CONTRACTOR'S AmeriCorps applicants have met the criteria to enroll in the PCA CA AmeriCorps program. CONTRACTOR must maintain copies of the documents used to verify each AmeriCorps applicants eligibility to serve in the AmeriCorps program in each AmeriCorps member's Member File (see Section VII. Member Files). CONTRACTOR (or its subcontractor) must recruit AmeriCorps applicants to replace/refill any position previously occupied by an AmeriCorps member during the term of this Contract, who: 1. Resigned or was released from service prior to their anticipated exit date from the program, and who 2. Completed less than thirty percent (30%) of their contracted service hours, provided that the individual is not eligible for, and does not receive, a pro-rated Segal AmeriCorps Education Award. d.

III.

National Service Criminal History Checks(45 C.F.R. Chapter XXV §2540.204) A. Ali AmeriCorps applicants, including those AmeriCorps applicants who have recently completed a term of service, must submit to a National Service Criminal History Check prior to being offered an AmeriCorps position: 1. The individual must consent to the National Service Criminal History Check in writing. 2. An individual who refuses to authorize a National Service Criminal History Check, or makes a false statement in connection with the check, may not serve in the AmeriCorps program. 3. An individual who is subject to a state sex offender registry is deemed unsuitable for the AmeriCorps program, but must be provided the opportunity to challenge the factual accuracy of any results obtained through the National Service Criminal History Check before action is taken to exclude the applicant from a position. National Service Criminal History Check consists of the following: B. The A National Sex Offender Public Registry check( "NOSPR," also known as 1. "NSOPW"); 2. A statewide criminal history repository check of the state of residency and the state where the individual will serve; and "FBI") criminal history 3. a fingerprint-based Federal Bureau of Investigation( repository check. Persons who have been convicted of any of the following crimes (felony or C. misdemeanor) may be disqualified from serving in the AmeriCorps program: 1. Child abuse or neglect. Sex crime conviction. 2. 3. Drug crime conviction. 4. Elder abuse or neglect.

Exn~b~r E Page 18 of56

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

D. E.

An applicant convicted of murder, as defined in Section 1111 of Title 18, United States Code, is deemed unsuitable for the AmeriCorps program. An AmeriCorps member convicted during their term of service of murder, as defined in Section 1111 of Title 18, United States Code, will be released for

cause.
F. In-State (California) AmeriCorps Applicant Process: 1. PCA CA shall provide CONTRACTOR with the appropriate forms to conduct a National Service Criminal History Check on each of CONTRACTOR'S selected AmeriCorps applicants. 2. If CONTRACTOR subcontracts with a Service Site that has the responsibility of recruiting AmeriCorps members, CONTRACTOR must provide the Service Site with the aforementioned forms. 3. PCA CA shall pay for the cost of the National Service Criminal History Check, excluding rolling fees, which shall be paid by CONTRACTOR. 4. CONTRACTOR shall reimburse each of its in-state AmeriCorps applicants for rolling fees incurred in relation to the National Service Criminal History Check, if paid for directly by the AmeriCorps applicant. Out-of-State AmeriCorps Applicant Process: 1. CONTRACTOR must notify PCA CA immediately if CONTRACTOR (or its subcontractor) has selected an out-of-state AmeriCorps applicant. 2. Upon receipt of notification from CONTRACTOR, PCA CA will initiate the National Service Criminal History Check with the State Repository of the AmeriCorps applicant's state of residency. a. If PCA CA has previously conducted National Service Criminal History Checks with the State Repository of the AmeriCorps applicant's state of residency, PCA CA will initiate the new National Service Criminal History Check within two (2) business days of receipt of CONTRACTOR'S notification. b. If PCA CA has not previously conducted National Service Criminal History Checks with the State Repository of the AmeriCorps applicant's state of residency, PCA CA will contact the State Repository within two (2) business days of receipt of CONTRACTOR'S notification in order to determine how to meet the State Repository's requirements to transmit criminal history information. c. As each State Repository may have its own requirements and/or process, delays in receipt of clearance information may be experienced. Concurrently, CONTRACTOR shall provide the out-of-state AmeriCorps 3. applicant with the appropriate forms or paperwork to facilitate a National Service Criminal History Check through the California "CA DOJ"). Department of Justice( 4. PCA CA shall pay for the cost of the National Service Criminal History Check, excluding rolling fees, which shall be paid by CONTRACTOR. 5. CONTRACTOR shall reimburse each of its out-of-state AmeriCorps applicants for any rolling fees incurred in relation to the National Service Criminal History Check, if paid for directly by the applicant. Monitoring and Notification: 1. PCA CA shall monitor the California Department of Justice secure mail server system each business day, until clearance information for CONTRACTOR'S AmeriCorps applicants has been received.
~-Exhibit E Page 19 of56

G.

H.

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

PCA CA will notify CONTRACTOR, or its designee, whether or not AmeriCorps applicants have met the criteria to proceed with enrollment in the program within two (2) business days of PCA CA'S knowledge that results have been received via the California Department of Justice secure website, the National Sex Offender Public Website, and the State Repository of the AmeriCorps applicant's state of residency (if applicable). Subsequent Arrest Notification: 1. PCA CA contracts with CA DOJ to receive Subsequent Arrest Notification 2.
~~r ma~-r~~?ers VvhQ ~rP actively ~PCVinn in its Ameri~c~Cns ~C4(~rams. In the

2. 3.

event that PCA CA receives such a notification regarding one of CONTRACTOR'S AmeriCorps members, PCA CA will notify CONTRACTOR (and its subcontractor, if applicable) within two (2) business days of its knowledge that results have been received via the CA DOJ secure website. Upon notification of an arrest or conviction, CONTRACTOR (or its subcontractor) must suspend the AmeriCorps member pending the outcome of any investigation conducted by PCA CA. Upon conviction of a crime, either PCA CA or CONTRACTOR may elect to terminate the AmeriCorps member; however, no AmeriCorps member's service will be terminated without approval from PCA CA.

IV.

Enrollment of AmeriCorps Members CONTRACTOR must initiate invitations to serve within the web-based My A. AmeriCorps system, and ensure that selected AmeriCorps applicants accept said invitations no less than five (5) business days prior to the commencement of each AmeriCorps applicant's term of service. B. Member Contracts: 1. PCA CA will provide CONTRACTOR with a Member Contract for each selected AmeriCorps applicant. CONTRACTOR must then ensure that each selected AmeriCorps applicant reads, signs, and dates their Member Contract prior to commencement of his/her term of service. 2. PCA CA will not generate an AmeriCorps member's Member Contract until all requirements of the AmeriCorps applicants eligibility to serve in the program have been reviewed and approved by PCA CA. CONTRACTOR (or its subcontractor) will submit the following enrollment C. documentation to PCA CA by fax or email on or before the commencement of each of CONTRACTOR'S AmeriCorps members'term of service: National Service Trust Enrollment form; 1. 2. Signature page of Member Contract; Form W-4; 3. 4. AmeriCorps Payroll Form; 5. Direct Deposit Form (if applicable); and AmeriCorps Benefits Form. 6. D. PCA CA will provide CONTRACTOR with Member Handbooks. Upon commencement of service, CONTRACTOR (or its subcontractor) must provide each AmeriCorps member with the 2012/13 Program Year AmeriCorps Member Handbook. E. PCA CA shall complete the AmeriCorps member enrollment in My AmeriCorps within thirty (30) calendar days of the commencement of each AmeriCorps member's term of service.
Exhibit E Page 20 of56

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

V.

AmeriCorps Member Benefits CONTRACTOR'S AmeriCorps members may be eligible for the benefits listed below. PCA CA will either directly administer the benefit, or provide information to the benefit administrator on behalf of each of CONTRACTOR'S AmeriCorps members. CONTRACTOR'S AmeriCorps members may not receive one or more of the above benefits during a period of suspension. A. Living Allowance: 1. PCA CA will pay a living allowance to each of CONTRACTOR'S AmeriCorps members, as determined by CONTRACTOR within the tier structure established by PCA CA. 2. Living allowance payments will be issued to each of CONTRACTOR'S AmeriCorps members upon receipt of an electronically submitted timesheet, certified by the AmeriCorps member and approved by the AmeriCorps member's Service Site Supervisor via the PCA CA AmeriCorps member online timekeeping system. 3. Living allowance payments will be made according to the dates listed on Attachment E-4, Living Allowance Schedule. 4. Living allowance incremental payments may be reduced in the following circumstances: a. Enrolling During a Pay Period. There are two (2) pay periods in any given month. The PCA CA AmeriCorps program typically schedules the enrollment of AmeriCorps members at the beginning of a given pay period to ensure that AmeriCorps members receive the total living allowance for the corresponding pay period. However, in certain circumstances it may be necessary to enroll an AmeriCorps member later in a pay period. In those circumstances, the living allowance will be prorated as follows: (1) First pay period of any month. The first pay period of any given month begins on the first (1ST) day of the month and ends on the fifteenth (15th) day of that month. If a member enrolls in the PCA CA AmeriCorps program on or after the eighth (8`h) day of the month, that member's living allowance will be prorated. (2) Second pay period of any month. The second pay period of any given month begins on the sixteenth (16t") day of the month and ends on the last day of that month. If a member enrolls in the PCA CA AmeriCorps program on or after the twenty-second (22~d) day of the month, that member's living allowance will be prorated. b. Exiting during a Pay Period. There are two (2) pay periods in any given month. The PCA CA AmeriCorps Program typically schedules the release of AmeriCorps members at the end of a given pay period to ensure that AmeriCorps members receive the total living allowance for the corresponding pay period. However, in certain circumstances it may be necessary to release an AmeriCorps member earlier in a pay period. In those circumstances, the living allowance will be prorated as follows: (1) First pay period of any month. The first pay period of any given month begins on the first (1ST) day of the month and
Exhibit E Page 21 of56

~~

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

(2)

ends on the fifteenth (15t") day of that month. If a member is released from the PCA CA AmeriCorps program on or before the eighth (8~h) day of the month', that member's living allowance will be prorated. Second pay period of any month. The second pay period of any given month begins on the sixteenth (16th) day of the month and ends on the last day of that month. If a member is released from the PCA CA AmeriCorps program on or before the twenty-second (22nd) day of the
mnntf~, that mPrtmt~~r'~ livinn allotn~anC? will hP r~rpr~tec~,

c.

The formula used to calculate the prorated living allowance amounts in the circumstances above is as follows: x number of days of service performed

Incremental payment Number of days in the pay period d.

Minimum number of hours required to receive a full living allowance incremental payment. Notwithstanding V.A.4.a. and b. above, unless a lower number is approved by PCA CA, AmeriCorps members must serve the following minimum number of hours in a given living allowance period to receive the full living allowance incremental payment for that period: (1) 1,700 hour AmeriCorps members must serve a minimum of eight (8) hours in the pay period. (2) 900 hour AmeriCorps members must serve a minimum of four (4) hours in the pay period.

B.

C.

PCA CA will pay FICA and administer Workers' Compensation benefits for CONTRACTOR'S AmeriCorps members. Health Care: 1. Per 45 C.F.R. Chapter XXV, §2522.250, PCA CA has identified a health care provider and offers a limited health care benefit plan to eligible AmeriCorps members. 2. CONTRACTOR (or its subcontractor) will assist its AmeriCorps members in determining eligibility and provide the opportunity to elect or decline the health care benefit. CONTRACTOR (or its subcontractor) will provide eligible AmeriCorps 3. members with enrollment materials and benefits information, as provided by PCA CA. CONTRACTOR must notify PCA CA of any changes to an AmeriCorps member's health care eligibility status (enrollment, suspension, termination) within two (2) business days following such change. 4. PCA CA shall process AmeriCorps member enrollment and/or termination information with its health care provider. Child Care: 1. Per 45 C.F.R. Chapter XXV, §2522.250, a child care subsidy is made available to AmeriCorps members who meet child care eligibility requirements and certify that they need the benefit in order to serve in the program. 5.

~`'~

Exhibit E Page 22 0156

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

D.

CNCS contracts with athird-party company to administer the child care subsidy. PCA CA assumes no responsibility for acts of the administrator including, but not limited to, the following: a. Denials of applications; b. Delays in processing of applications; or c. Delays in payments made to child care providers. 3. CONTRACTOR (or its subcontractor) will assist its AmeriCorps members in determining eligibility and provide opportunity to elect or decline the child care benefit. 4. CONTRACTOR (or its subcontractor) will provide eligible AmeriCorps members with enrollment materials and benefits information and ensure that PCA CA receives the AmeriCorps member's child care enrollment information and application within ten (10) business days of completion. CONTRACTOR must notify PCA CA of any changes to an AmeriCorps member's child care eligibility status (enrollment, suspension, termination) within two (2) business days following such change. 5. PCA CA shal► process AmeriCorps member enrollment and/or termination information with CNCS'contracted child care administrator. Segal AmeriCorps Education Award: 1. PCA CA shall verify whether each of CONTRACTOR'S AmeriCorps members have successfully completed their term of service, including whether or not they served the required number of hours as listed in his/her Member Contract to earn the Segal AmeriCorps Education Award. 2. PCA CA shall record in the CNCS online database, eGrants, whether each of CONTRACTOR'S AmeriCorps members: a. Earned a full Segal AmeriCorps Education Award; b. Earned a parkial Segal AmeriCorps Education Award; or c. Earned no portion of a Segal AmeriCorps Education Award.

2.

VI.

AmeriCorps Member Orientation A. PCA CA will conduct an AmeriCorps orientation within the first thirty (30) calendar days of commencement of each of CONTRACTOR'S AmeriCorps members' term of service. CONTRACTOR will ensure that each of its PCA CA will maintain AmeriCorps members attend the orientation. documentation regarding AmeriCorps member orientation attendance. The PCA CA-delivered orientation includes the following topics: 1. History of national service with specific focus on AmeriCorps. 2. Expectations of AmeriCorps members. Program calendar covering project timeline including required national 3. days of service. 4. AmeriCorps member rights and responsibilities including: a. Code of conduct; b. Prohibited AmeriCorps activities; c. Requirements under the Drug-Free Workplace Act; Suspension and termination from service; d. e. Grievance procedures; Sexual harassment; f. g. Other non-discrimination issues; and h. AmeriCorps member performance evaluations. 5. AmeriCorps member benefits including: a. Timesheets and living allowance distribution;
(~~ Exhibit E Page 23 of56

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

B.

Health care; b. c. Child care; and Segal AmeriCorps Education Award. d. Training required to equip CONTRACTOR'S AmeriCorps members with 6. any basic knowledge and skills needed before and throughout service. Review of Training Calendar. 7. Review of Member Contract and Member Handbook. 8. AmeriCorps program Performance Measures. 9. Formal acknowledgement of AmeriCorps member's commitment through 10. a swearing-ir ~@C9!l?On;~ !t1CIJ~l!1~ th@ AC?1@!"ICnrrc nath. Training that will assist CONTRACTOR'S AmeriCorps members in their 11. transition from their AmeriCorps positions (Life after AmeriCorps). Completion of each of CONTRACTOR'S AmeriCorps member's Member 12. File. CONTRACTOR shall conduct an orientation for its AmeriCorps members within ten (10) business days of the commencement of each of CONTRACTOR'S AmeriCorps members' term of service. CONTRACTOR must utilize asign-in sheet to document AmeriCorps member attendance, and must submit the sign-in sheet to PCA CA within five (5) business days of the orientation. At a minimum, CONTRACTOR'S orientation must include the following topics: 1. Geographic/demographics of the community; Compelling community need being addressed; 2. 3. Targeted community; Program mission/goals; 4. 5. Partnership(s); 6. Expectations of AmeriCorps members; 7. Program calendar covering project timeline including: Community events; a. Holidays; b. Training; and c. d. Direct service hours to ensure successful completion of term of

8.
C.

service. Any training required providing members with basic knowledge and skills needed before beginning service.

D.

Except in instances where CONTRACTOR is also the Service Site, CONTRACTOR shall ensure that its Service Sites conduct an orientation within thirty (30) business days of the commencement of each of CONTRACTOR'S AmeriCorps members' term of service. The Service Site must utilize asign-in sheet to document AmeriCorps member attendance, and must submit the sign-in sheet to CONTRACTOR, who in turn must submit the sign-in sheet to PCA CA within five (5) business days of the orientation. At a minimum, the Service Site orientation must include the following topics: 1. Site supervision; 2. Expectations of AmeriCorps members at the Service Site; Communication channels; 3. 4. AmeriCorps member responsibilities to the site; and Review of safety plans and emergency procedures, including Continuity 5. "COOP"). of Operations Plan( If CONTRACTOR is the Service Site, topics VI.C.1.-5. must be included in CONTRACTOR'S AmeriCorps orientation.

~~t°°~

~

Exhibit E Page 24 of56

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

VII.

Member Files A. PCA CA will provide CONTRACTOR with the documents and forms necessary to create Member Files, which will be completed by each AmeriCorps member on or before the commencement of each of CONTRACTOR'S AmeriCorps members'term of service. B. The Member File will be the repository of all AmeriCorps member documentation, including, but not limited to, the following: 1. AmeriCorps Application and two (2) references; 2. National Service Trust Enrollment form; 3. Citizenship documentation; 4. Emergency Notification Form; National Service Criminal History Check documentation; 5. 6. Publicity Release; 7. Declaration of High School Education; Member Contract; 8. 9. Timesheets; Form W-4; 10. 11. AmeriCorps Benefits Form; 12. Performance Evaluations; National Service Trust Exit Form; 13. 14. Member Discipline documentation (if applicable); 15. Compelling Personal Circumstance Documentation (if applicable); 16. Change of Status documentation (if applicable); 17. Child Abuse and Neglect Reporting Agreement; 18. Workers' Compensation Policy &Procedure; 19. Member Handbook Receipt; 20. Copies of AmeriCorps Member Orientation sign-in sheets; 21. Personal Vehicle Use Policy; and 22. AmeriCorps payroll information. C. CONTRACTOR (or its subcontractor) will send, or cause to be sent, the original Member File to PCA CA within ten (10) calendar days of each AmeriCorps member's commencement of service. CONTRACTOR will maintain a copy of the Member File including copies of all documentation subsequent to each AmeriCorps member's enrollment, and will continue to send, or cause to be sent, all original subsequent documentation to PCA CA. initial Performance Assessment of AmeriCorps Member A. An Initial Performance Assessment of the skill level of each of CONTRACTOR'S AmeriCorps members must be conducted within the first fifteen (15) business days of each of CONTRACTOR'S AmeriCorps member's term of service. B. CONTRACTOR must submit the initial Performance Assessment to PCA CA within ten (10) calendar days of completion. Supervision and Support of AmeriCorps Members A. CONTRACTOR (or its subcontractor) must ensure that each AmeriCorps member has sufficient opportunity to complete the required number of hours to qualify for apost-service Segal AmeriCorps Education Award. B. CONTRACTOR (or its subcontractor) must provide AmeriCorps members with adequate supervision by qualified supervisors. At a minimum, each AmeriCorps

VIII.

IX.

~'7 U

Exhibit E Page 25 of56

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

member must receive one (1) hour of supervision each week during their term of service. X. Online AmeriCorps Member Timekeeping A. PCA CA will create user accounts for CONTRACTOR'S (or its subcontractor's) designated staff, CONTRACTOR'S AmeriCorps members, and Service Site Supervisors to access the PCA CA AmeriCorps member online timekeeping system. B. CONTRACTOR'S AmeriCorps members may only record hours spent in
3~rrp~~?r{ g?Cvjr? 3rtj\~j~j?S ?!"!~ #!'3lnl!~~~. ~=Q~~f~~~~Q~'S /~~nPrirnr~nc

C.

D.

E. F.

G.

members shall not record hours spent in fundraising, as the program does not include an approved fundraising performance measure. CONTRACTOR shall ensure that each of CONTRACTOR'S AmeriCorps members create a timesheet for each living allowance period, which shall be updated on a daily basis after hours spent in service or training have been accrued. CONTRACTOR shall ensure that each of CONTRACTOR'S AmeriCorps members electronically submit certified timesheets to their Service Site Supervisor by the dates listed on the Living Allowance Schedule, incorporated herein as Attachment E-4, 2012-13 AmeriCorps Member Living Allowance Schedule. Service Site Supervisors shall review AmeriCorps member timesheet entries for accuracy and completion. Service Site Supervisors shall approve AmeriCorps member timesheets, when the hours recorded can be verified as being true, correct, and allowable by the approval dates listed in the Living Allowance Schedule, incorporated into this Contract as Attachment E-4, 2012-13 AmeriCorps Member Living Allowance Schedule. Service Site Supervisors must designate another individual to review and approve AmeriCorps member timesheets if the Service Site Supervisor will be unable to meet an approval deadline. Failure to meet an approval deadline will result in delayed payment of living allowances to AmeriCorps members. Timesheet Discrepancies: 1. Service Site Supervisors shall reject AmeriCorps member timesheets, when the hours recorded are discrepant. 2. Service Site Supervisors shall attempt to resolve any and all discrepancies by the approval dates listed in the Living Allowance Schedule, incorporated into this Contract as Attachment E-4, 2012-13 AmeriCorps Member Living Allowance Schedule. In the event that the discrepancy cannot be resolved by the approval deadline for the period in question, and there are other verifiable hours recorded on the AmeriCorps member's timesheet, CONTRACTOR'S (or its subcontractor's) designated staff shall approve the timesheet by the approval date. Additionally, a manual timesheet must be created for documentation purposes, with the disputed hours identified; the manual timesheet shall be used to facilitate the resolution process.

XI.

Training and Member Development A. PCA CA will develop mandated core training curricula and provide training to CONTRACTOR'S AmeriCorps members. PCA CA-delivered training topics include the following: 1. Child Development and Parent-Child Interaction;
Exhibit E Page 26 of56 ~~

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

B.

C.

D.

2. Cultural Awareness; Social-Emotional and Cognitive Development; and 3. 4. Early Literacy/Family Literacy Fundamentals. CONTRACTOR will ensure that each of its AmeriCorps members are registered to attend the trainings online at: http: /www.thecapcenter.org/login, no less than / two (2) weeks prior to the course delivery date. Notwithstanding the above, PCA CA deve►ops and provides Leader's Guides for CONTRACTOR (or its subcontractor) to use in facilitating other AmeriCorps member mandated trainings. CONTRACTOR-facilitated training topics include the following: 1. Mandated Child Abuse Reporter Training; 2. School Readiness; 3. Community Development; 4. Professional Boundaries and Confidentiality; 5. Active Citizens; 6. Life after AmeriCorps; and 7. Ongoing Professional Development CONTRACTOR shall ensure that its AmeriCorps members spend an aggregate total of no more than twenty percent (20%) of all allocated member hours in training and member development.

XII.

Data Collection and Reporting PCA CA is responsible for collecting data in connection with the Program A. Performance Measures set forth in and incorporated into this Contract as Attachment E-1, Child Welfare System Improvement 2012-13 Performance Measures. B. CONTRACTOR (or its subcontractor) is responsible for reporting to PCA CA on a monthly basis data collected through services CONTRACTOR (or its subcontractor) provides under this Contract, and is responsible for meeting the targets as listed in Attachment E-1, Child Welfare System Improvement 2012-13 Performance Measures. CONTRACTOR will coordinate data collection across all of its service sites and C. submit, or cause to be submitted, said data to PCA CA by the tenth (10th) business day following the month in which the data was collected, or alternative timeframe based on PCA CA reporting requirements, whichever is sooner. D. PCA CA will aggregate the data submissions from all contractors participating in the AmeriCorps program, and will subsequently incorporate said data into reports for the funders, CNCS and/or CV. E. CONTRACTOR is required to maintain the original documentation for any and all program data and provide access to PCA CA upon request for a minimum of seven (7) years following termination or expiration of this Contract. AmeriCorps Member Performance Evaluations Pursuant to 45 C.F.R. Chapter XXV §2522.220(c), CONTRACTOR is responsible for conducting aMid-term and an End-of-term Performance Evaluation on each of CONTRACTOR'S AmeriCorps members. A. Mid-term Performance Evaluation. 1. CONTRACTOR must submit each AmeriCorps member's Mid-term Performance Evaluation to PCA CA within five (5) calendar days of completion.

XIII.

4

Exhibit E Page 27 of56

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

B.

C. D. E. F.

A Mid-term Performance Evaluation is not required for an AmeriCorps member whose term of service ends prior to the mid-point of their contracted service period. A Mid-term Performance Evaluation will not substitute for an End-of-term 3. Performance Evaluation. End-of-term Performance Evaluation. 1. An End-of-term Performance Evaluation is required for each of CONTRACTOR'S AmeriCorps members, regardless of when their term of service is completed, or whether the AmeriCorps member has: Successfully cnm~letecl the rQq~iire~J n~~mber cif hours making the ~. AmeriCorps member eligible for a Segal AmeriCorps Education Award; b. Been released from service for compelling personal circumstances, making them eligible for apro-rated Segal AmeriCorps Education Award; or c. Been released from service for cause, making them ineligible to receive a Segal AmeriCorps Education Award. 2. CONTRACTOR (or its subcontractor) shall determine whether each of its AmeriCorps members' service was satisfactory, which will assess whether each member: a. Has satisfactorily completed assignments, tasks, or projects, or, for those members released from service early, whether the member made a satisfactory effort to complete those assignments, tasks, or projects that the member could reasonably have addressed in the time the member served; and b. Has met any other criteria which had been clearly communicated both orally and in writing at the beginning of the term of service. CONTRACTOR (or its subcontractor) must submit the End-of-term Performance Evaluation to PCA CA within five (5) calendar days of completion. PCA CA shall review and certify the number of service hours completed by each of CONTRACTOR'S AmeriCorps members. Sections B. and D. of this provision, in combination, shall be used to determine whether each of CONTRACTOR'S AmeriCorps members have successfully completed their term of service. Per 45 C.F.R. Chapter XXV § 2522.220(b), an AmeriCorps member will only be eligible to serve a subsequent term of service if they have received a satisfactory performance evaluation for any previous term of service.

2.

XIV.

AmeriCorps Member Exit A. CONTRACTOR (or its subcontractor) will monitor and ensure that AmeriCorps members who successfully complete their term of service initiate the exit process in My AmeriCorps on their last day of service. B. If an AmeriCorps member does not successfully complete their term of service, CONTRACTOR will notify PCA CA immediately upon CONTRACTOR'S knowledge of the member ending service. PCA CA will then initiate the exit process in My AmeriCorps within two (2) business of receipt of notification from CONTRACTOR. C. CONTRACTOR will submit the following AmeriCorps member exit information to PCA CA for inclusion in the Member File within five (5) business days of each AmeriCorps member's last day of service: 1. National Service Trust Exit Form;
Exhibit E Page 28 of56

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

2. 3. 4. 5. 6. D.

E.

End-of-Term Performance Evaluation; Health Care Termination Form (if applicable); AmeriCorps Success Story; AmeriCorps Member Satisfaction Survey; and Approval of all completed AmeriCorps member timesheets in the PCA CA AmeriCorps member online timekeeping system. Notwithstanding the.above, in the case of service abandonment, CONTRACTOR will submit the following documentation to PCA CA for inclusion in the Member File within five (5) business days of the AmeriCorps member's formal abandonment of service: 1. National Service Trust Exit Form, marked to indicate the member did not successfully complete their term of service, and that the member was not available for signature; and 2. An End-of-Term Performance Evaluation, marked to indicate that CONTRACTOR'S AmeriCorps member was not available for signature. PCA CA will review the submitted exit documentation, and complete the AmeriCorps member exit in My AmeriCorps within twenty-five (25) calendar days of the AmeriCorps member ending service.

XV.

Special Events A. CONTRACTOR (or its subcontractor) must ensure that its AmeriCorps members participate in the following events: 1. Make a Difference Day. 2. Martin Luther King Day of Service. 3. AmeriCorps Week, 2013. 4. Member Graduation Ceremony. B. CONTRACTOR (or its subcontractor) is strongly encouraged to facilitate attendance of its AmeriCorps members in the following National Days of Service: 1. September 11 t" Day of Service. 2. Service Nation Day of Action. 3. National Family Volunteer Day. 4. Cesar Chavez Day of Service and Learning. 5. National Volunteer Week April 2013. 6. National Youth Service Day. AmeriCorps Identity A. CONTRACTOR (or its subcontractor) must use the AmeriCorps name and logo on all service gear and public materials, such as stationery, application forms, recruitment brochures, orientation materials, member curricula, signs, banners, press releases and publications created by AmeriCorps members in accordance with CNCS' "Graphic Standards — a User's Guide," incorporated herein by reference as Exhibit F. B. CONTRACTOR (or its subcontractor) will ensure that each of its AmeriCorps members wear the AmeriCorps logo or service uniform/gear and be clearly identified as AmeriCorps members while accruing hours for serving or participating in member development. PCA CA will provide CONTRACTOR (or its subcontractor) with the following C. member gear, upon enrollment of each AmeriCorps member in My AmeriCorps: 1. One (1) t-shirt; 2. One (1) polo shirt; 3. One (1) sweatshirt; and
Exhibit E Page 29 of 56

XVI.

Prevent Child Abuse California Standard Contract

Exhibit E Program Scope of Services

D.

4. Two (2) cloisonne pins, bearing the AmeriCorps logo. Additional member gear may be purchased at CONTRACTOR'S expense.

XVII. eGrants/My AmeriCorps Web Based Reporting A. CONTRACTOR will provide PCA CA with a list of eGrants/My AmeriCorps users. Any additions or deletions must be communicated in writing to PCA CA. B. PCA CA will assign user roles and approve CONTRACTOR'S access to the eGrants/My AmeriCorps system.

3

Exhibit E Page 30 of56

Prevent Child Abuse California Standard Contract Attachment E-1 Performance Measures

ATTACHMENT E-1 CHILD WELFARE SYSTEM IMPROVMENT 2012-13 PERFORMANCE MEASURES

The following information represents the Performance Measures that were submitted and approved by CaliforniaVolunteers and the Corporation for National and Community Service for the 2012/13 program year. As such, they reflect the statewide aggregate outputs and outcomes for the program. CONTRACTOR is responsible for meeting the individual outputs and outcomes, when listed as a subset of the aggregate values.

PRIMARY PERFORMANCE MEASURE TITLE: PREVENT CHILD ABUSE &NEGLECT

Child Welfare System ( "CWS") services are largely triggered by failure: failure to protect a child, failure to support a family to nurture its children,

failure to act until a sufficient threshold of harm and/or risk to the safety of a child is reached, failure to provide a permanent home for a child. The shortcomings of the state's CWS became apparent in 2000 when a federal review indicated that California was below national standards in almost every area of child welfare. The majority of the CWSI targeted counties exceed the California average in key indicators pertinent to child abuse and neglect: reports to CWS,substantiated cases, recurrence of allegations and foster care. Improvements are needed in two areas. First, nearly one-third of families reported to CWS and who receive no services no open case, are re-reported within a year and enter the system. Second, the 70,000 children in California in foster care face multiple placements with different foster families and a challenging future. The CWSI program addresses both problems by providing prevention services to families reported to CWS and mentoring for children in foster

care.
Intermediate Outcome: Families will increase protective factors. Families will not enter/re-enter the Child Welfare S stem.

s ~`

Output:

• •

Families will receive family support services. Families will receive information on health insurance, health care access, and health benefits ro rams.

Attachment E-1 Page 3i of56

Prevent Child Abuse California Standard Contract Attachment E-1 Performance Measures

• Members will provide one-on-one home visitation and case managed support services to families referred by ~WS, CBO's and self. • Members will initiate contact and begin to build relationships with the family, scheduling meetings either at the family's home or FRC. • Members will complete apre-assessment utilizing the Family Development Tool ( "FDT"), assessing families for risk areas to address for further support. Support services can be delivered through a home visit, Family Resource Center( "FRC"), or at CBO's individually or in group activities. • Members will provide services in the following areas: crisis intervention, information &referrals, parenting skills/education, parent support, and social networking. • Home visits are designed to be approximately 60 minutes in length and will be provided once a week or bi-weekly depending on the level of family need and progress. Home visits can be more frequent during short periods of high need or risk preseni:ed by the families. • Members will carry on average a caseload of 22 families. The core participant families will receive approximately 10 hours of service. • Once a member provides the core participant dosage of 10+ hours, the FDT post assessment will be administered. • Non-core participants will receive 3 hours of service, which include: intake, assessment, and closure. For every hour of service there will be approximately 2 hours of time for preparation for the visit, travel, data entry, and case notes.

Attachment E-1 Page 32 of56

Prevent Child Abuse California Standard Contract Attachment E-1 Performance Measures

• Service Activity Form to collect data on the number of families who • Family Development Tool to collect data on a family's protective receive family support services. factors in 5 key child abuse and neglect areas. • Service Activity Form to collect data on the number of referrals provided for health insurance, health care access, and health Completed by AmeriCorps members and Supervisors. benefits programs. Frequency: A minimum of two times per family, once at initiation of Completed by AmeriCorps Members. service (pre-data collection) and once at the end of service (post Frequency: Submitted once a month. data collection). • CWSI Recidivism tool to collect data on the number of families entering/re-entering the Child Welfare System. Completed by: County Child Welfare Department and/or CWSI Partners.

Statewide Output Targets Contractor Output Targets 150 Nevada County families will receive family support services. 75 Nevada County families will receive 10 hours of family support services. 75 Nevada families will receive information on health insurance, health care access, and health benefits programs.

1,300 families will receive family support services. 500 families will receive 10 hours of family support services.

Statewide Intermediate Outcome Targets 50% of core families (250 of 500) who were pre-assessed as vulnerable for child abuse &neglect increase by one level in one or more protective factors. 60% of families (300 of 500) receiving 10 hours of services who were preassessed as vulnerable for child abuse and neglect will not enter/reenterthe Child Welfare System.

500 families will receive information on health insurance, health care access, and health benefits programs.

Contractor Intermediate Outcome Targets 38 Nevada County core families who were preassessed as vulnerable for child abuse &neglect increase by one level in one or more protective factors. 45 Nevada County families receiving 10 hours of services who were pre-assessed as vulnerable for child abuse and neglect will not enter/re-enter the Child Welfare stem.

Attachment E-1 Page 33 of56

Prevent Child Abuse California Standard Contract

Attachment E-1 Performance Measures

PERFORMANCE MEASURE TITLE: MEMBER DEVELOPMENT

Members deserve to be appropriately trained to perform the services assigned, to increase both professional skills and community development

skills, and to enhance their esprit de corps experience. Outcome: Members increase knowledge & skills, gain insight into the community, and experience the power of national service. y

Expected Result

Output: Members receive the training to provide quality service to the community and develop skills to perform their service activities.

Member Activities to Achieve Expected . esult

• Orientation: 8 hours delivered by PCA CA and partner sites.(PCA CA/AmeriCorps Orientation — 4 hours; Community Resources — 4 hours) • Ongoing hours: including other site specific trainings (related to member position); supervision/coaching; team meetings; Professional development, delivered by partner sites and local community partnerships. • PCA CA Core: Professional Boundaries &Confidentiality (3 hours), Conflict Resolution (6 hours), Child Development &Parent-Child Interaction (6 hours), Cultural Awareness(6 hours), Active Citizens (6 hours), Life after AmeriCorps (3 hours), 2 Day Mandated Child Abuse Reporter Training (12 hours) delivered by PCA CA &partner sites. • Required: Nurturing Parenting (8 hours), Volunteer Recruitment(4 hours), CWSI Basics Training (30 hours) or CASA Training (30 hours), and delivered by PCA CA &partner sites. • Other: Service Site Orientation (32 hours), Required of first terms member only, provided by partner sites. Member Performance Evaluation to collect data on member skill increases. Administered by Member Supervisor Frequency: 3x per year «= ,:~ Statewide Outcome Targets 90%(38 of 42) of members will increase skills by 10%. Contractor Output Targets 4 rriember(s) will increase skills by 10°%.

Measurement Tools

iEmployee timesheets to collect data on # of members and # of hours.

Statewide Output Targets 4 1700-hour members will participate in 1,360 training hours.

Contractor Output Targets

42 members will participate in 10,662 training hours.

Attachment E-i Page 34 of56

Prevent Child Abuse California Standard Contract

Attachment E-2 Contractor Scope of Services

ATTACHMENT E-2 CONTRACTOR SCOPE OF SERVICES
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Time Frame • Adherence to regulations: ongoing • Subcontract requirements: as needed

Description • As a subgrantee, CONTRACTOR must follow and adhere to the various regulations that govern the AmeriCorps ,program, as well as this Contract. If CONTRACTOR places AmeriCorps members at Service Sites, CONTRACTOR is responsible for ensuring that Service Sites agencies follow these regulations. Except in instances where the CONTRACTOR is the Service Site, CONTRACTOR must establish and maintain strong partnerships with Service Sites by clearly defining the roles and responsibilities of the Service Site. CONTRACTOR must also provide Service Sites with training regarding the AmeriCorps program, including, but not limited to: terminology, requirements, allowable activities, prohibited activities and the coaching/AmeriCorps discipline process. CONTRACTOR will provide Service Sites with national service identification and signage for display. • If CONTRACTOR subcontracts with another organization to either administer or host AmeriCorps members, the subcontract must incorporate 45 C.F.R. Chapter XXV §2520 — 2550, and the 2012/13 AmeriCorps Provisions. CONTRACTOR must provide a copy of the subcontract to PCA CA within fifteen (15) business days of execution. Any such subcontract shall not serve to release CONTRACTOR from any obligation under this Contract. • CONTRACTOR (or its subcontractor) must disseminate programmatic information to Service Sites when requested to do sob PCA CA. ; ~ Recruitment of AmeriGorps MembersTime Frame Description • Prior to an AmeriCorps •CONTRACTOR (or its subcontractor) is required to recruit the number of contracted AmeriCorps members listed member's below, for enrollment in the program, and retain them for the duration of their contracted service commitment. commencement of service 900 Hour Members: 0 1700 Hour Members: 4

• Pursuant to 45 C.F.R. Chapter XXV § 2522.200, and requirements of CV and PCA CA, CONTRACTOR must follow the eligibility requirements for AmeriCorps applicants listed below. Department of Homeland Security Form I-9 cannot be used to verify an individual's citizenship status; therefore the I-9's list of supporting documentation is unacceptable, unless a specific document is also found in the list below: • Applicant must be at least eighteen (18) years of age at the commencement of service. •Applicant must have a high school diploma or its equivalent, or not have dropped out of elementary or secondary school to enroll as an AmeriCorps member and must agree to obtain a high school diploma or its equivalent prior to using a Segal AmeriCorps Education Award. If an applicant provides a written declaration under penalty of law that he or she meets these requirements, no additional documentation is required.
Attachment E-2 Page 35 of56

(~ ~~ ~

Prevent Child Abuse California Standard Contract

Attachment E-2 Contractor Scope of Services

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• Each AmeriCorps applicant must be a citizen, national, or lawful permanent resident alien of the United States. • Primary documentation of status as a U.S. citizen or national. The following are acceptable forms of certifying status as a U.S. citizen or national: • A birth certificate showing that the applicant was born in one of the 50 states, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin islands, American Samoa, or the Northern Mariana Islands; • An unexpired United States passport; • A report of birth abroad of a U.S. Citizen (FS-240) issued by the State Department; • A certificate of birth-foreign service (FS-545) issued by the State Department; • A certification of report of birth (DS-1350) issued by the State Department; • A certificate of naturalization (Form N-550) issued by the Immigration and Naturalization Service; or • A certificate of citizenship (Form N-560 or N-561) issued by the Immigration and Naturalization Service. • Primary documentation of status as a lawful permanent resident alien of the United States. The following are acceptable forms of certifying status as a lawful permanent resident alien of the United States: • Permanent Resident Card, INS Form I-551; • Alien Registration Receipt Card, INS Form I-551; • A passport indicating that the INS has approved it as temporary evidence of lawful admission for permanent residence; or • A Departure Record (INS Form I-94) indicating that the INS has approved it as temporary evidence of lawful admission for permanent residence. • CONTRACTOR (or its subcontractor) agrees to actively seek potential AmeriCorps members from the community in which the program will be conducted. Further, CONTRACTOR agrees to actively seek to include AmeriCorps members of different: • Races and ethnicities; • Socioeconomic backgrounds; • Educational levels; and • Genders. • CONTRACTOR (or its subcontractor) must provide reasonable accommodation, including auxiliary aids and services (as defined in section 3(1) of the American Disabilities Act of 1990 (42 U.S.C. 12102(1)) based on the individualized need of an AmeriCorps member who is a qualified individual with a disability (as defined in section 101(8) of such Act(42 U.S.C. 12111(8)). • CONTRACTOR (or its subcontractor) shall inquire and notify PCA CA if an AmeriCorps applicant is concurrently enrolled in another AmeriCorps program. •CONTRACTOR (or its subcontractor) shall inquire and notify PCA CA if an AmeriCorps applicant has previously served in another AmeriCorps program.
Attachment E-2 Page 36 of56

Prevent Child Abuse California Standard Contract Attachment E-2 Contractor Scope of Services

National Criminal.

• •

ServiceTime Frame Initial check: Prior to commencement of service for each of CONTRACTOR'S AmeriCorps members Subsequent Arrest "SAN"): Notification( Ongoing

Notification of AmeriCorps Applicant Selection: CONTRACTOR (or its subcontractor) shall not offer an AmeriCorps position to any AmeriCorps applicant until such time that PCA CA has reviewed and approved all requirements of the applicants eligibility to serve in the AmeriCorps program. CONTRACTOR (or its subcontractor) shall notify PCA CA regarding selection of AmeriCorps applicants by obtaining and submitting the following eligibility verification documents for review and approval to PCA CA by fax or email: A copy of the document used to verify whether each of CONTRACTOR'S AmeriCorps applicants are a U.S. citizen or national; A copy of agovernment-issued photo ID for each AmeriCorps applicant to be used by PCA CA to conduct a National Service Criminal History Check; A completed Enrollment Notification Form for each AmeriCorps applicant, bearing the AmeriCorps applicant's authorization to conduct a National Service Criminal History Check; and A copy of the AmeriCorps applicant's completed AmeriCorps Application and two (2) references, submitted either online or via hard copy. CONTRACTOR must maintain copies of the documents used to verify each AmeriCorps applicants eligibility to serve in the AmeriCorps program in each AmeriCorps member's Member File. CONTRACTOR (or its subcontractor) must recruit AmeriCorps applicants to replace/refill any position previously occupied by an AmeriCorps member during the term of this Contract, who: Resigned or was released from service prior to their anticipated exit date from the program, and who Completed less than thirty percent (30%) of their contracted service hours, provided that the individual is not eli ibie for, and does not receive, a ro-rated Se al AmeriCor s Education Award. History Checks. Description In-State (California) AmeriCorps Applicant Process: If CONTRACTOR subcontracts with a Service Site that has the responsibility of recruiting AmeriCorps members, CONTRACTOR must provide the Service Site with the appropriate forms to conduct National Service Criminal History Checks (forms are provided to CONTRACTOR by PCA CA). •CONTRACTOR shall reimburse each of its in-state AmeriCorps applicants for rolling fees incurred in relation to the National Service Criminal History Check, if paid for directly by the AmeriCorps applicant. •Out-of-State AmeriCorps Applicant Process: •CONTRACTOR must notify PCA CA immediately if CONTRACTOR (or its subcontractor) has selected an out-ofstate AmeriCorps applicant. CONTRACTOR shall provide the out-of-state AmeriCorps applicant with the appropriate forms or paperwork to facilitate a National Service Criminal Histor Check throu h the California De artment of Justice "CA DOJ"
.

Attachment E-2 Page 37 of56

Prevent Child Abuse California Standard Contract

Attachment E-2 Contractor Scope of Services

• CONTRACTOR shall reimburse each of its out-of-state AmeriCorps applicants for any rolling fees incurred in relation to the National Service Criminal History Check, if paid for directly by the applicant. • Subsequent Arrest Notification: • Upon notification of an arrest or conviction, CONTRACTOR (or its subcontractor) must suspend the AmeriCorps member pending the outcome of any investigation conducted by PCA CA. • Upon conviction of a crime, either PCA CA or CONTRACTOR may elect to terminate the AmeriCorps member; however, no AmeriCor s member's service will be terminated without a royal from PCA CA. ~nrotlment of AmeriCorps Members Time Frame Description • Enrollment: 9/3/12 •CONTRACTOR must initiate invitations to serve within the web-based My AmeriCorps system, and ensure that selected AmeriCorps applicants accept said invitations no less than five (5) business days prior to the commencement of each AmeriCorps applicants term of service. • PCA CA will provide CONTRACTOR with a Member Contract for each selected AmeriCorps applicant. CONTRACTOR must then ensure that each selected AmeriCorps applicant reads, signs, and dates their Member Contract prior to commencement of his/her term of service. • CONTRACTOR (or its subcontractor) will submit the following enrollment documentation to PCA CA by fax or email on or before the commencement of each of CONTRACTOR'S AmeriCorps members' term of service: • National Service Trust Enrollment Form; • Signature page of Member Contract; • Form W-4; • AmeriCorps Payroll Form; • Direct Deposit Form (if applicable); and • AmeriCorps Benefits Form. • Upon commencement of service, CONTRACTOR (or its subcontractor) must provide each AmeriCorps member with the 2012/13 Pro ram Year AmeriCor s Member Handbook.

Attachment E-2 Page 38 of56

Prevent Child Abuse California Standard Contract Attachment E-2 Contractor Scope of Services

Amer.~CorpsMember,6enef~ts .° ~n~?#k ~ y-~~ ~'~,

f~: ~~ ~ 1~ is ~.~_,,,~, ~ x ~:-~.,~ 3 s

Time Frame • Upon an AmeriCorps member's commencement of service; ongoing

Description •Health Care: •CONTRACTOR (or its subcontractor) will assist its AmeriCorps members in determining eligibility and provide the opportunity to elect or decline the health care benefit. •CONTRACTOR (or its subcontractor) will provide eligible AmeriCorps members with enrollment materials and benefits information, as provided by PCA CA. CONTRACTOR must notify PCA CA of any changes to an AmeriCorps member's health care eligibility status (enrollment, suspension, termination) within two (2) business days following such change. • Child Care: • CONTRACTOR (or its subcontractor) will assist its AmeriCorps members in determining eligibility and provide opportunity to elect or decline the child care benefit. • CONTRACTOR (or its subcontractor) will provide eligible AmeriCorps members with enrollment materials and benefits information and ensure that PCA CA receives the AmeriCorps member's child care enrollment information and application within ten (10) business days of completion. CONTRACTOR must notify PCA CA of any changes to an AmeriCorps member's child care eligibility status (enrollment, suspension, termination) within two (2) business da s followin such chap e.

`1

✓6 ~..

Time Frame • Description •Contractor orientation: •CONTRACTOR shall conduct an orientation for its AmeriCorps members within ten (10) business days of the within ten commencement of each of CONTRACTOR'S AmeriCorps members'term of service. CONTRACTOR must utilize a (10) business days sign-in sheet to document AmeriCorps member attendance, and must submit the sign-in sheet to PCA CA within • Service Site Orientation: five (5) business days of the orientation. At a minimum, the orientation must include the following topics: within thirty (30) •Geographic/demographics of the community; business days •Compelling community need being addressed; • Targeted community; • Program mission/goals; • Partnership(s); • Expectations of AmeriCorps members; • Program calendar covering project timeline including: • Community events •Holidays • Training, and •Direct service hours to ensure successful completion of term of service c~ J ~~ • An trainin re uired rovidin members with an basic knowled e and skills needed before be innin service.
-2 Attachment E Page 39 of56

Prevent Child Abuse California Standard Contract Attachment E-2 Contractor Scope of Services

• Except in instances where CONTRACTOR is also the service site, CONTRACTOR shall ensure that its Service Sites conduct an orientation within thirty (30) business days of the commencement of each of CONTRACTOR'S AmeriCorps members'term of service. The Service Site must utilize asign-in sheet tc~ document AmeriCorps member attendance, and must submit the sign-in sheet to PCA CA within five (5) business days of the orientation. At a minimum, the orientation must include the following topics: • Site supervision; • Expectations of AmeriCorps members at the service site; • Communication channels; • AmeriCorps member responsibilities to the site; and • Review of safety plans and emergency procedures, including Continuity of Operations Plan( "COOP"). • If CONTRACTOR is the service site, the topics above must be included in CONTRACTOR'S AmeriCorps orientation.

Member Files Time Frame Description Completion of Member • PCA CA will provide CONTRACTOR with the documents and forms necessary to create Member Files, which will • File: on or before the be completed by each AmeriCorps member on or before the commencement of each of CONTRACTOR'S commencement of AmeriCorps members' term of service. each member's term of •CONTRACTOR (or its subcontractor) will send, or cause to be sent, the original member file to PCA CA within ten service (10) calendar days of each AmeriCorps member's commencement of service. CONTRACTOR will maintain a copy • Submission of Member of the Member File including copies of all documentation subsequent to the AmeriCorps members' enrollment, and File: within ten (10) will continue to send, or cause to be sent, all original subsequent documentation to PCA CA. calendar days of a member's enrollment • Submission of subsequent file documentation: as needed; on oin

~.~.
Attachment E-2 Page 40 of56

-~ l)~

Prevent Child Abuse California Standard Contract Attachment E-2 Contractor Scope of Services

Initial..Performance Assessment of AmeriCorps Member Time Frame Description • Within first fifteen • An Initial Performance Assessment of the skill level of each of CONTRACTOR'S AmeriCorps members must be business conducted within the first fifteen (15) business days of each of CONTRACTOR'S AmeriCorps members' term of (15) days of service service. • CONTRACTOR must submit the Initial Performance Assessment to PCA CA within ten (10) calendar days of com letion. Supervision and Support of AmeriCorps Members Time Frame Description • Ongoing •CONTRACTOR (or its subcontractor) must ensure that each AmeriCorps member has sufficient opportunity to complete the required number of hours to qualify for apost-service Segal AmeriCorps Education Award. • CONTRACTOR (or its subcontractor) must provide AmeriCorps members with adequate supervision by qualified supervisors. At a minimum, each AmeriCorps member must receive one (1) hour of supervision each week during their term of service. Online AmeriCorps Timekeeping Time Frame Description • Ongoing •CONTRACTOR'S AmeriCorps members may only record hours spent in approved service activities and trainings. CONTRACTOR'S AmeriCorps members may not record hours spent in fundraising, as the program does not include an approved fundraising performance measure. • CONTRACTOR shall ensure that each of CONTRACTOR'S AmeriCorps members create a timesheet for each living allowance period, which shall be updated on a daily basis after hours spent in service or training have been accrued. • CONTRACTOR shall ensure that each of CONTRACTOR'S AmeriCorps members electronically submit certified timesheets to their Service Site Supervisor by the dates listed on the Living Allowance Schedule, incorporated herein as Attachment E-4, 2012-13 AmeriCorps Member Living Allowance Schedule. • Service Site Supervisors shall review AmeriCorps member timesheet entries for accuracy and completion. • Service Site Supervisors shall approve AmeriCorps member timesheets, when the hours recorded can be verified as being true, correct, and allowable by the approval dates listed in the Living Allowance Schedule, incorporated into this Contract as Attachment E-4, 2012-13 AmeriCorps Member Living Allowance Schedule. Service Site Supervisors must designate another individual to review and approve AmeriCorps member timesheets if the Service Site Supervisor will be unable to meet an approval deadline. Failure to meet an approval deadline will result in ..,.~ delayed payment of living allowances to AmeriCorps members. _~.,, • Timesheet Discrepancies: •Service Site Supervisors shall reject AmeriCorps member timesheets, when the hours recorded are discrepant. • Service Site Su ervisors shall attem t to resolve an and all discre ancies b the a royal dates listed in the
-2 Attachment E Page 41 of56

Prevent Child Abuse California Standard Contract Attachment E-2 Contractor Scope of Services

Living Allowance Schedule, incorporated into this Contract as Attachment E-4, 2012-13 AmeriCorps Member Living Allowance Schedule. In the event that the discrepancy cannot be resolved by the approval deadline for the period in question, and there are other verifiable hours recorded on the AmeriCorps member's timesheet, CONTRACTOR'S (or its subcontractor's) designated staff shall approve the timesheet by the approval date. Additionally, a manual timesheet must be created for documentation purposes, with the disputed hours identified; the manual timesheet shall be used to facilitate the resolution rocess.

T~a~n~rtg/Ntemb~eF Devetoptn~t~~~

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Time Frame • Ongoing; as needed

Description •CONTRACTOR will ensure that each of its AmeriCorps members is registered to attend PCA CA'S core trainings online at: http: /www.thecapcenter.org/login, no less than two (2) weeks prior to the course delivery date. / • PCA CA develops and provides Leader's Guides for CONTRACTOR (or its subcontractor) to use in facilitating other AmeriCorps member mandated trainings. CONTRACTOR-facilitated training topics include the following: • Mandated Child Abuse Reporter Training; • School Readiness; • Community Development; • Professional Boundaries and Confidentiality; • Active Citizens; • Life after AmeriCorps; and • Ongoing Professional Development. • CONTRACTOR shall ensure that its AmeriCorps members spend an aggregate total of no more than twenty percent 20% of all allocated member hours in trainin and member develo ment. ° ~~~",~"4.~ ''' ~~.~ x.'~" ~',~',~ ~ r `' _~ ~ :. ~ =DataCollection and RePortm9i N`° ~'~~~ ~~.~ ~~-~- .r.... ... .~, .. ~..__ ...~.. _ ~ _, .. p_.,_ ._ ~-_. ~~°~~ , _ _ ~.. ~ .::.., .: ~. .. ...,, Time Frame Descri tion • Data Collection: •CONTRACTOR (or its subcontractor) is responsible for reporting to PCA CA on a. monthly basis data collected Ongoing through services CONTRACTOR (or its subcontractor) provides under this Contract, and is responsible for meeting the targets as listed in Attachment E-1, Child Welfare System Improvement 2012-13 Performance Measures. • Submission of Data: by •CONTRACTOR will coordinate data collection across all of its service sites and submit, or cause to be submitted, the fifth business day following the month in said data to PCA CA by the tenth (10th) business day following the month in which the data was collected, or which the data was alternative timeframe based on PCA CA reporting requirements, whichever is sooner. collected •CONTRACTOR (or its subcontractor) is required to maintain the original documentatian for any and all program data and provide access to PCA CA upon request for a minimum of seven (7) years following termination or expiration of this Contract.

~-~,, ~,~'

Attachment E-2 Page 42 of56

Prevent Child Abuse California Standard Contract Attachment E-2 Contractor Scope of Services

e ~CorpsrNtember~erfor~lai~c~tEvalu~o~is~ ~ ;:Y.~ °a > r~,~. „_~. - _ _ Time Frame Description • As needed •Pursuant to 45 C.F.R. Chapter XXV, §2522.2201, CONTRACTOR is responsible for conducting aMid-term and an End-of-term Performance Evaluation on each of CONTRACTOR'S AmeriCorps members. • Mid-term Performance Evaluation: • CONTRACTOR must submit each AmeriCorps member's Mid-term Performance Evaluation to PCA CA within five (5) calendar days of completion. • A Mid-term Performance Evaluation is not required for an AmeriCorps member whose term of service ends prior to the mid-point of their contracted service period. • A Mid-term Performance Evaluation will not substitute for an End-of-term Performance Evaluation. • End-of-term Performance Evaluation: • An End-of-term Performance Evaluation is required for each of CONTRACTOR'S AmeriCorps members, regardless of when their term of service is completed, or whether the AmeriCorps member has: • Successfully completed the required number of hours making the AmeriCorps member eligible for a Segai AmeriCorps Education Award; • Been released from service for compelling personal circumstances, making them eligible for apro-rated Segal AmeriCorps Education Award; or •Been released from service for cause, making them ineligible to receive a Segal AmeriCorps Education Award. • CONTRACTOR (or its subcontractor) shall determine whether each of its AmeriCorps members' service was satisfactory, which will assess whether each member: • Has satisfactorily completed assignments, tasks, or projects, or, for those members released from service early, whether the member made a satisfactory effort to complete those assignments, tasks, or projects that the member could reasonably have addressed in the time the member served; and • Has met any other criteria which had been clearly communicated both orally and in writing at the beginning of the term of service. • CONTRACTOR (or its subcontractor) must submit the End-of-term Performance Evaluation to PCA CA within five (5) calendar days of completion. • Per 45 C.F.R. Chapter XXV §2522.220(b), an AmeriCorps member will only be eligible to serve a subsequent term of service if they have received a satisfactory performance evaluation for any previous term of service. • CONTRACTOR must submit the End-of-term Performance Evaluation to PCA CA within five (5) calendar days of com letion.

Attachment E-2 Page 43 of56

Prevent Child Abuse California Standard Contract Attachment E-2 Contractor Scope of Services

'Member Exit Time Frame • Initiate exit process in My AmeriCorps: last day of member's service • Notification of members who do not successfully complete their term of service: immediately following knowledge •Submission of exit paperwork: within five (5) business days of each AmeriCorps member's last day of service

., ~.

Description •CONTRACTOR (or its subcontractor) will monitor and ensure that AmeriCorps members who successfully complete their term of service initiate the exit process in My AmeriCorps on their last day of service. • If an AmeriCorps member does not successfully complete their term of service, CONTRACTOR will notify PCA CA immediately upon CONTRACTOR'S knowledge of the member ending service. •CONTRACTOR will submit the following AmeriCorps member exit information to PCA CA for inclusion in the Member File within five (5) business days of each AmeriCorps member's last day of service: •National Service Trust Exit Form; •End-of-term Performance Evaluation; •Health Care Termination Form (if applicable); • AmeriCorps Success Story; .AmeriCorps Member Satisfaction Survey; and .Approval of all completed AmeriCorps member timesheets in the PCA CA AmeriCorps member online timekeeping system. .Notwithstanding the above, in the case of service abandonment, CONTRACTOR will submit the following documentation to PCA CA for inclusion in the Member File within five (5) business days of the AmeriCorps member's formal abandonment of service: • National Service Trust Exit form, marked to indicate the member did not successfully complete their term of service, and that the member was not available for signature; and • An End-of-term Performance Evaluation, marked to indicate that CONTRACTOR'S AmeriCorps member was not available for si nature.

Attachment E-2 Page 44 of56

Prevent Child Abuse California Standard Contract Attachment E-2 Contractor Scope of Services

Special Euea~ts Time Frame • As needed

Description •CONTRACTOR (or its subcontractor) must ensure that its AmeriCorps members participate in the following events: • Make a Difference Day • Martin Luther King Day of Service • AmeriCorps Week, 2013 • Member Graduation Ceremony • CONTRACTOR (or its subcontractor} is strongly encouraged to facilitate attendance of its AmeriCorps members in the following National Service Days: • September 11th Day of Service • Service Nation day of Action • National Family Volunteer Day • Cesar Chavez Day of Service and Learning • National Volunteer Week April 2013 • National Youth Service Da

Description •CONTRACTOR (or its subcontractor) must use the AmeriCorps name and logo on all service gear and public materials, such as stationery, application forms, recruitment brochures, orientation materials, member curricula, signs, banners, press releases and publications created by AmeriCorps members in accordance with CNCS' "Graphic Standards — a User's Guide," incorporated in this Contract by reference as Exhibit F. •CONTRACTOR (or its subcontractor) will ensure that each of its AmeriCorps members wear the AmeriCorps logo or service uniform/gear and be clearly identified as AmeriCorps members while accruing hours for serving or artici atin in member develo ment. ~~G1r~rits/My. Aitte~~Co~ps~tiV~ `[~~Ba'~s~e~'~e;~orting ... .r,, _... ....M. r ._ Time Frame Description • As needed •CONTRACTOR will provide PCA CA with a list of eGrants/My AmeriCorps users. Any additions or deletions must be communicated in writin to PCA CA.

AmeriCorps Identity Time Frame • Ongoing

-2 Attachment E Page 45 of56

Prevent Child Abuse California Standard Contract

Attachment E-3 Progressive Discipline Policy &Procedure

ATTACHMENT E-3 PROGRESSIVE DISCIPLINE POLICY & PROCEDl1RE In the unfortunate situation when coaching is not appropriate or adequate due to the severity or consistency of an AmeriCorps member's breach of program standards, discipline may be called for. Always contact your PCA CA Project Manager when faced with a discipline situation. The objectives for using discipline are to: • Establish requirements for behavior and performance; Ensure the policies and procedures set forth by this program and Service Sites are followed, including a uniform and fair level of consequences for failure to follow them; • Maintain communication between the AmeriCorps member, the Service Site Supervisor, Contractor, and PCA CA; • Create a "win-win" environment for both AmeriCorps member and Service Site Supervisor; • Establish timeframes for improvement of behavior and performance; and • Establish consequences for behavior and performance if there is no improvement and program standards are still not being met. The PCA CA AmeriCorps program may discipline members at will, through verbal warnings, written warnings, plans for action, or suspension without living allowance or credit for service hours missed. Service Site Supervisors may commence discipline procedures for violations of AmeriCorps Member Requirements, rules of the Service Site, or the AmeriCorps member's inability or unwillingness to follow through on Plans for Action. AmeriCorps members will be advised that if behaviors and/or performance do not improve to the degree of meeting the set standard, they are jeopardizing their position with the PCA CA AmeriCorps program. In addition, members are jeopardizing earning a Segal AmeriCorps Education Award. It is the goal of the PCA CA AmeriCorps program to provide clear communication with members so that each member can correct, and thereby improve, their behavior and/or performance. Verbal Warning A verbal warning may or may not be applicable in all situations. A verbal warning may be appropriate for afirst-time, minor infraction of a PCA CA AmeriCorps program policy or procedure. The procedure for the verbal warning is: • State the unacceptable behavior or situation referring to the Member Handbook. • State how the behavior or situation is to be corrected, and give a time frame for improvement. • Advise the member of the consequences if the behavior or situation is not corrected. • PCA CA recommends that the verbal warning be documented in writing by the Service Site Supervisor. Written Warning Notification If the behavior or situation becomes a pattern after at least the verbal warning, a written warning is appropriate for informing the member that this behavior/situation is unacceptable. PCA CA will be notified and involved if a member is at the disciplinary level of a written warning. Services Sites must use the Written Warning Notification Form. The written warning instructs the member that the behavior or situation must be corrected within a designated timeframe. The procedure for the written warning is: • Establish the seriousness of the behavior or situation.

Attachment E-3 Page 46 of56 ~~_t

Prevent Child Abuse California Standard Contract

Attachment E-3 Progressive Discipline Policy &Procedure

• Provide verbal and written communication directly to the member. • State the unacceptable behavior or situation referring to the Member Handbook. • State how the behavior or situation is to be corrected, and give a time frame for improvement. • Advise the member of the consequences if the behavior or situation is not corrected. • The AmeriCorps member must sign, date, and receive a copy of the Written Warning Notification. Suspension Depending on the nature of the situation, member suspension may be necessary. An individual may not receive a living allowance or other benefits during a period of suspension, if it covers the time span of an entire living allowance period. In all situations where suspension is likely to occur, the PCA CA AmeriCorps Project Manager will be notified. The procedure for suspension is: • Establish the seriousness of the behavior or situation. Based on severity, the Service Site Supervisor has the discretion to suspend the member from service until instruction has been obtained from PCA CA. • Contact your PCA CA Project Manager for instruction. • Provide verbal and written communication directly to the AmeriCorps member. • State the unacceptable behavior or situation, referring to the Member Handbook. • State how the behavior or situation is to be corrected, and give a time frame for improvement. • Advise the AmeriCorps member of the consequences if the behavior or situation is not corrected. • Initiate the suspension in the MyAmeriCorps system. Pre-Termination Notice When a behauior or situation has not been corrected, or when a single breach of program standards is sufficiently serious, the Service Site Supervisor, with the Contractor, will issue a Pre-Termination Notice to the member verbally and in writing. PCA CA AmeriCorps Project Managers will also be notified of the Pre-Termination Notice. The procedure for the Pre-Termination Notice is: • Describe the unacceptable behavior or situation; • Provide a time frame for results to be achieved in order for the member to continue as a member of the PCA CA AmeriCorps program; • Inform the member of the consequences if the member does not correct the behavior or situation (including termination from the PCA CA AmeriCorps program); • Sign and date the Pre-Termination Notice, obtain member signature and date, and give member a copy of the notice; and • If attempts to contact the AmeriCorps member are unsuccessful, then the Pre-Termination Notice will be sent certified mail/return receipt requested to the address on file for the AmeriCorps member. Termination Notice When a behavior or performance situation has not been corrected in accordance with the PreTermination Notice, a member may receive a Termination Notice. The procedure for the Termination Notice is: • Obtain prior approval for the termination. This approval must be granted by authorized personnel at PCA CA.

Attachment E-3 Page 47 of56

Prevent Child Abuse California Standard Contract

Attachment E-3 Progressive Discipline Policy &Procedure

• A Termination Notice must describe the unacceptable behavior or situation, the attempts to provide coaching and progressive discipline, and state that the consequence is termination from the PCA CA AmeriCorps program. • A meeting must be scheduled between the member, Service Site, and Contractor to review the Termination Notice and for ail parties to sign and receive a copy. • If attempts to contact the AmeriCorps member are unsuccessful, then the Termination Notice will be sent certified mail/return receipt requested to the address on file for the AmeriCorps member. • When the member has completed the termination paperwork, their final living allowance check, i. applicable, will be requested and forwarded to the member. The above Progressive Discipline procedure should be used with members for most disciplinary matters. If a member is violent, endangers other members, staff, or service recipients, falsifies documents, or intentionally violates a prohibited activity, they may be suspended and/or terminated for cause, depending on the nature and severity of the behavior. You should contact your PCA CA AmeriCorps Project Manager in all of these cases. Release from Service for Cause The AmeriCorps member may be suspended without pay until an investigation of the situation takes place and/or other discipline methods have been explored. Depending on the individual situation, the Service Site Supervisor may need to take appropriate measures, including immediate action for safety purposes. This may include suspending the member from the PCA CA AmeriCorps program for the unusual, grave, or dangerous situations listed below. AmeriCorps members cannot be terminated without approval from your PCA CA Project Manager. • Actual or suspected behavior that results in concern about the safety of a child or other people in the service setting; • Not following the directions or instructions communicated by the Service Site Supervisor or designated staff; • Verbal or written threats to anyone at the Service Site or while serving; • Fighting (physical or verbal) during service; • Falsification of employment and/or education information; • Falsification on any and all records and documents used in the PCA CA AmeriCorps program, including, but not limited to: program documentation, child care documents, enrollment verification documents, medical releases/records, criminal history, timesheets; • Use of abusive language; • Violation of safety rules; • Stealing/taking AmeriCorps or Service Site's property or property of another; • Breach of confidentiality; • Violation of rules of common decency, morality or gross insubordination; • Accusal or suspicion of child abuse; "DOJ"); • Receipt of Subsequent Arrest Notification from the Department of Justice( • Charged or convicted of a misdemeanor; or • Charged or convicted of a felony. AmeriCorps members released for cause will not earn any portion of the Segal AmeriCorps Education Award.

Attachment E-3 Page 48 of56

Prevent Child Abuse California Standard Contract

Attachment E-4 Living Allowance Schedule

2012 AmeriCorps Member Living Allowance Schedule -13
Pay Period: Member must Date Service Site submit timesheet Supervisor must b a rove timesheet b
09/18/12 10/02/12 10/17/12 11/02/12 11/16/12 12/04/12 12/18/12 01/03/13 01/17/13 -02/04/13 02/20/13 03/04/13 03/19/13 04/2/13 04/17/13 05/02/13 05/17/13 06/04/13 06/18/13 07/02/13 07/17/13 08/02/13 08/19/13 09/04/13 09/17/13 10/02/13 10/17/13 11/04/13 11/19/13 09/18/12 10/02/12 10/17!12 11/02/12 11/16/12 12/04/12 12/18/12 01/03/13 01/17/13 02/04/13 02/20/13 03/04/13 03/19/13 04/02/13 04/17/13 05/02/13 05/17/13 06/04/13 06/18/13 07/02/13 07/17/13 08/02/13 08/19/13 09/04/13 09/17/13 10/02/13 10/17/13 11/04/13 11/19/13

Pay Date:

9/01/12- 9/15/12 9/16/12- 9/30/12 10/01/12- 10/15/12 10/16/12- 10/31/12 11/01/12- 11/15/12 11/16/12-11/30/12 12/01/12- 12/15/12 12/16/12- 12/31/12 1/01/13- 1/15/13 1/16/13- 1/31/13 2/01/13-2/15/13 2/16/13- 2/29/13 3/01/13- 3/15/13 3/16/13- 3/31/13 4/01/13- 4/15/13 4/16/13- 4/30/13 5/01/13- 5/15/13 5/16/13-5/31/13 6/01/13- 6/15/13 6/16/13- 6/30/13 7/01/13- 7/15/13 7/16/13- 7/31/13 8/01 /13- 8/15/13 8/16/13- 8/31/13 9/01/13- 9/15/13 9/16/13- 9/30/13 10/01/13- 10/15/13 10/16/13- 10/31/13 11/01/13- 11/15/13

9/25/12 10/10/12 10/25/12 11/09/12 11/21/12 12/10/12 12/21/12 1/10/13 1/25/13 2/8/13 2/25/13 3/8/13 3/25/13 4/10/13 4/25/13 5/10/13 5/24/13 6/10/13 6/25/13 7/10/13 7/25/13 8/9/13 8/23/13 9/10/13 9/25/13 10/10/13 10/25/13 11/8/13 11/25/13

~~ Attachment E-4 Page 49 of56

Prevent Child Abuse California Standard Contract

Exhibit G Certifications and Assurances

EXHIBIT G CERTIFICATIONS AND ASSURANCES Please note that this exhibit is a flow-down from CaliforniaVolunteers. In this document, the term "Corporation" refers to the Corporation for National and Community Service, also known in this Contract as "CNCS." I. ASSURANCES As the duly authorized representative of the applicant, I certify, to the best of my h~ov~~edc~e a~~ ~clief, teat the applicant: A. Has the legal authority to apply for federal assistance, and the institutional, managerial, and financial capability (including funds sufficient to pay the nonfederal share of project costs) to ensure proper planning, management, and completion of the project described in this application. B. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the state, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. C. Will establish safeguards- to prohibit employees from using their position for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. D. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. E. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 47284763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 CFR 900, Subpart F). F. Will comply with all federal statutes relating to nondiscrimination. These include but are not limited to: 1. Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color, or national origin; 2. Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681-1683, and 1685-1686) which prohibits discrimination on the basis of sex; Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 3. 794), which prohibits discrimination on the basis of disability; 4. The Age Discrimination Act of 1975, as amended (42 U.S.C. 6101-6107), which prohibits discrimination on the basis of age; The Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as 5. amended, relating to nondiscrimination on the basis of drug abuse; The Comprehensive Alcohol Abuse and Alcoholism Prevention, 6. Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7. Sections 523 and 527 of the Public Health Service Act of 1912(42 U.S.C. 290dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; 8. Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing;
~~ ~ ~... Exhibit G Page 50 of56

Prevent Child Abuse California Standard Contract

Exhibit G Certifications and Assurances

G.

H.

I.

J.

K.

L.

M.

N.

Any other nondiscrimination provisions in the National and Community Service Act of 1990, as amended; and 10. The requirements of any other nondiscrimination statutes) which may apply to the application. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of federal participation in purchases. Will comply with the provisions of the Hatch Act (5 U.S.C. 1501-1508 and 73247328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.0 276a and 276a-77), the Copeland Act (40 U.S.0 276c and 18 U.S.C. 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. 327-333), regarding labor standards for Federally assisted construction sub-agreements. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires the recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. Will comply with environmental standards which may be prescribed pursuant to the following: 1. Institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; 2. Notification of violating facilities pursuant to EO 11738; 3. Protection of wetlands pursuant to EO 11990; 4. Evaluation of flood hazards in floodplains in accordance with EO 11988; 5. Assurance of project consistency with the approved state management program developed under the Coastal Zone Management Act of 1972(16 U.S.0 1451 et seq.); 6. Conformity of federal actions to State (Clean Air) Implementation Plans under Section 1760 of the Clean Air Act of 1955, as amended (42 U.S.C. 7401 et seq.); 7. Protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and 8. Protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93-205). Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.0 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974(16U.S.C. 469a-I et seq.). Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance.
Exhibit G Page 5i of56

9.

Prevent Child Abuse California Standard Contract

Exhibit G Certifications and Assurances

O.

P. Q. R. S.

T.

U.

V.

Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. §§ 4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984, as amended, and OMB Circular A133, Audits of States, Local Governments, and Non-Profit Organizations. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, application guidelines, and policies governing this program. Will comply with ail rules regarding prohibited activities, including those stated in applicable Notice, grant provisions, and program regulations, and will ensure that no assistance made available by the Corporation will be used to support any such prohibited activities. Will comply with the nondiscrimination provisions in the national service laws, which provide that an individual with responsibility for the operation of a project or program that receives assistance under the national service laws shall not discriminate against a participant in, or member of the staff of, such project or program on the basis of race, color, national origin, sex, age, political affiliation, disability, or on the basis of religion (except that the prohibition on religious discrimination does not apply to the employment of any staff member paid with non-Corporation funds or paid with Corporation funds but employed with the organization operating the project on the date the grant was awarded. Will comply with all other federal statutes relating to nondiscrimination, including any self-evaluation requirements. These include but are not limited to: 1. Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color, or national origin; 2. Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 3. 794), which prohibits discrimination on the basis of handicaps; 4. The Age Discrimination Act of 1975, as amended (42 U.S.C. 6101-6107), which prohibits discrimination on the basis of age; 5. The Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; 6. The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7. Sections 523 and 527 of the Public Health Service Act of 1912(42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; 8. Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; and The requirements of any other nondiscrimination statutes) which may 9. apply to the application. Will provide, in the design, recruitment, and operation of any AmeriCorps program, for broad-based input from — (1) the community served and potential
~~• Exhibit G Page 52 of56

Prevent Child Abuse California Standard Contract

Exhibit G Certifications and Assurances

W.

X.

Y.

Z.

AA.

AB.

AC.

AD.

AE.

AF. AG. AH.

AI.

participants in the program; and (2) community-based agencies with a demonstrated record of experience in providing services and local labor organizations representing employees of service sponsors, if these entities exist in the area to be served by the program. Will, prior to the placement of participants, consult with the appropriate local labor organization, if any, representing employees in the area who are engaged in the same or similar work as that proposed to be carried out by an AmeriCorps program, to ensure compliance with the non-displacement requirements specified in section 177 of the NCSA. Will, in the case of an AmeriCorps program that is not funded through a State, consult with and coordinate activities with the state commission for the state in which the program operates. Will ensure that any national service program carried out by the applicant using assistance provided under section 121 of the National and Community Service Act of 1990 and any national service program supported by a grant made by the applicant using such assistance will address unmet human, educational, environmental, or public safety needs through services that provide a direct benefit to the community in which the service is performed. Will comply with the non-duplication and non-displacement requirements set out in section 177 of the National and Community Service Act of 1990, and in the 45 C.F.R. Chapter XXV § 2540.100. Will comply with the grievance procedure requirements as set out in section 176(f) of the National and Community Service Act of 1990 and in 45 CFR Chapter XXV § 2540.230. Will provide participants in the national service program with the training, skills, and knowledge necessary for the projects that participants are called upon to perform. Will provide support services to participants, such as information regarding G.E.D. attainment and post-service employment, and, if appropriate, opportunities for participants to reflect on their service experiences. Will arrange for an independent evaluation of any national service program carried out using assistance provided to the applicant under section 121 of the National and Community Service Act of 1990 or, with the approval of CNCS, conduct an internal evaluation of the program. Will apply measurable performance goals and evaluation methods, which are to be used as part of such evaluation to determine the program's impact on communities and persons served by the program, on participants who take part in the projects, and in other such areas as required by CNCS. Will ensure the provision of a living allowance and other benefits to participants as required by the Corporation. If a state applicant, will ensure that the State sub-grants will be used to support national service programs that were selected by the State on a competitive basis. If a state applicant, will seek to ensure an equitable allocation within the State of assistance and approved national service positions, taking into consideration such factors as the locations of the programs, population density, and economic distress. If a state applicant, will ensure that not less than 60% of the assistance will be used to make grants to support national service programs other than those carried out by a State agency, unless the Corporation approves otherwise.

Exhibit G Page 53 of56

Prevent Child Abuse California Standard Contract

Exhibit G Certifications and Assurances

11.

CERTIFICATIONS Certification — Debarment, Suspension, and Other Responsibility Matters A. This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 34 CFR Part 85, Section 85.510, Participants'responsibilities. 1. As the duly authorized representative of the applicant, I certify, to the best of my knowledge and belief, that neither the applicant nor its principals: Is presently debarred, suspended, proposed for debarment, a. declared ineligible, or voluntarily excluded from covered transactions by any federal der~artment or agency; Has, within athree-year period preceding this application, been b. convicted of, or had an adverse civil judgment entered in connection with, fraud or other criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction or records, making false statements, or receiving stolen property; Is presently indicted for or otherwise criminally or civilly charged c. by a governmental entity (federal, state or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification, and Has not, within athree-year period preceding this application, had d. one or more public transactions (federal, state or local) terminated for cause or default. If you are unable to certify to any of the statements in this certification, 2. you must attach an explanation to this application. Certification —Drug-Free Workplace B. This certification is required by the regulations implementing the Drug-Free Workplace Act of 1988, 34 CFR Part 85, Subpart F. The regulations require certification by grantees, prior to award, that they will maintain adrug-free workplace. The certification set out below is a material representation of fact upon which reliance will be placed when the agency determines to award the grant. False certification or violation of the certification may be grounds for suspension of payments, suspension or termination of grants, or governmentwide suspension or debarment (see 34 CFR Part 85, Section 85.615 and 85.620). As the duly authorized representative of the grantee, I certify, to the best of my knowledge and belief that the grantee will provide adrug-free workplace by: Publishing a statement notifying employees that the- unlawful 1. manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; Establishing adrug-free awareness program to inform employees about2. The dangers of drug abuse in the workplace, a. b. The grantee's policy of maintaining adrug-free workplace. Any available drug counseling, rehabilitation, and employee c. assistance programs, and The penalties that may be imposed upon employees for drug d. abuse violations occurring in the workplace;
Exhibit G Page 54 of56 ,__.~

Prevent Child Abuse California Standard Contract

Exhibit G Certifications and Assurances

C.

D.

E.

Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a); Notifying the employee in the statement required by paragraph (a) that, 4. as a condition of employment under the grant, the employee will: Abide by the terms of the statement, and a. Notify the employer of any criminal drug statute conviction for a b. violation occurring in the workplace no later than five days after such conviction. Notifying us within ten days after receiving notice under subparagraph (d) 5. from an employee or otherwise receiving actual notice of such conviction; Taking one of the following actions, within 30 days of receiving notice 6. under subparagraph (d), with respect to any employee who is so convicteda. Taking appropriate personnel action against such an employee, up to and including termination; or Requiring such employee to participate satisfactorily in a drug b. abuse assistance or rehabilitation program approved for such purposes by a federal, state, or local health, law enforcement, or other appropriate agency. Making a good faith effort to continue to maintain adrug-free workplace 7. through implementation of paragraphs (a) through (f). Certification — Lobbying Activities As required by Section 1352, Title 31 of the U.S. Code, as the duly authorized representative of the applicant, I certify, to the best of my knowledge and belief, that: 1. No federal appropriated funds have been paid or will be paid, by or on behalf of the applicant, to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer of Congress in connection with the awarding of any federal contract, the making of any federal loan, the entering into of any cooperative agreement, or modification of any federal contract, grant, loan, or cooperative agreement; If any funds other than federal appropriated funds have been paid or will 2. be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the applicant will submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions; 3. The applicant will require that the language of this certification be included in the award documents for all subcontracts at atl tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements) and that all subrecipients will certify and disclose accordingly. Certification -Grant Review Process (State Commissions Only) certify that in conducting our review process, we have ensured compliance with the National and Community Service Act of 1990 as amended, CNCS' peer review requirements, and all state laws and conflict of interest rules. Erroneous Certification or Assurance 3.
Exhibit G Page 55 of56

Prevent Child Abuse California Standard Contract

Exhibit G Certifications and Assurances

F.

G.

H.

I.

J.

K.

L.

The assurances and certifications are material representations of fact upon which we rely in determining whether to enter into this transaction. If we later determine that you knowingly submitted an erroneous certification or assurance, in addition to other remedies available to the federal government, we may terminate this transaction for cause or default. Notice of Error in Certification or Assurance You must provide immediate written notice to us if at any time you learn that a certification or assurance was erroneous when submitted or has become erroneous because of changed circumstances. Definitions The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549. An applicant shall be considered a "prospective primary participant in a covered transaction" as defined in the rules implementing Executive Order 12549. You may contact us for assistance in obtaining a copy of those regulations. Assurance Requirement for Subgrant Agreements You agree by submitting this proposal that if we approve your application you shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by us. Assurance Inclusion in Subgrant Agreements You agree by submitting this proposal that you will obtain an assurance from prospective participants in all lower tier covered transactions and in all solicitations for lower tier covered transactions that the participants are not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction. Assurance of Subgrant Principals You may rely upon an assurance of a prospective participant in a lower-tier covered transaction that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless you know that the assurance is erroneous. You may decide the method and frequency by which you determine the eligibility of your principals. You may, but are not required to, check the List of Parties Excluded from Federal Procurement and Non-procurement Programs. Non-Assurance in Subgrant Agreements If you knowingly enter into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the federal government, we may terminate this transaction for cause or default. Prudent Person Standard Nothing contained in the aforementioned may be construed to require establishment of a system of records in order to render in good faith the assurances and certifications required. Your knowledge and information is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

Exhibit G Page 56 of56

J~~~ °h'~ ` ~` ~ 'r~~ ~~ ~.
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COUNTY OF NEVADA COMMUNITY DEVELOPMENT AGENCY PLANNING DEPARTMENT
950 Maidu Avenue, Suite 170 Nevada City, CA 95959-8617 (530)265-1222 FAX(530)265-9851 www.mynevadacounty.com/cda Brian Foss Planning Director

Steven L. Decamp Community Development Agency Director

August 30, 2012 THE HONORABLE BOARD OF SUPERVISORS ERIC ROOD ADMINISTRATIVE CENTER 950 MAIDU AVENUE NEVADA CITY, CA 95959-8600 DATE OF MEETING: September 18, 2012 SUBJECT: Environmental Clearance for the Nevada County Noxious Weed Program

RECOMMENDATION: Approve the attached Resolution. FUNDING: Funding for this program is included in the FY 2012/13 budget for the Department of Agriculture. The program is funded by the United States Forest Service and private forestry weed control grant and any other future grants obtained on behalf ofthe Nevada County Department of Agriculture's noxious weed program and has no impact on the General Fund. BACKGROUND: This program aims to eradicate and/or suppress A,B and C rated weeds throughout Eastern and Western Nevada County. Program is based on a systems approach, which includes education, prevention, physical or mechanical methods, biological control agents, herbicide methods, cultural methods and general land management practices including roadside mowing to -way. Infestations ofthese weeds are located in a variety of reduce plant volume in the right-of -ways, roadsides and environments including, but limited to riparian, subalpine, right-of neighborhoods. Program activities will include treatment of known infestations as well as surveys for new sites. Infestations will be treated primarily with herbicides, which will not cause unreasonable risks or adverse effects to humans or the environment. This program is a top priority for protecting Nevada County and the region's agricultural and environmental resources. The Nevada County Department of Agriculture has determined that the program falls under California Environmental Quality Act(CEQA)guidelines Section 15308 Environmental Review Ordinance 18.36.100, Class 8 consists of actions taken by regulatory agencies, as authorized by state or local ordinance, to assure the maintenance, restoration, enhancement, or protection ofthe environment where the regulatory process involves procedures for protection ofthe environment. This CEQA guideli-ne exempts this program from CEQA review. A Notice of Exemption has been prepared for the project and, upon approval by the Nevada County Board of Supervisors, will be filed with the Nevada County Clerk's Office. Respectfully Sub 'tted,

BRIAN FOSS,PLANNING DIRECTOR Attachment: Resolution

RESOLUTION NO.
OF THE BOARD OF SUPERVISORS OF THE COUNTY OF NEVADA
ENVIRONMENTAL CLEARANCE FOR THE NEVADA COUNTY NOXIOUS WEED ERADICATION PROGRAM WHEREAS,the survey, suppression and/or eradication of noxious weeds within Nevada County have been completed; and WHEREAS,The program's top priority is protecting Nevada County and the region's agricultural and environmental resources by promoting watershed restoration and protection by reducing the threat and impact of wildfires, improving water quality and availability, promoting native biodiversity, restoring and preserving working landscapes and enhancing and protecting recreational opportunities; and WHEREAS,The United States Forest Service and private forestry weed control grant and any other future grants obtained on behalf of the Nevada County Department of Agriculture's noxious weed program; and WHEREAS,This project is considered categorically exempt from the California Environmental Quality Act(CEQA)pursuant to Section 15308 of the CEQA Guidelines, because this noxious weed abatement program is an action taken by a regulatory agency (Office of the Nevada County Agricultural Commissioner)to assure the maintenance, restoration, enhancement or protection of the environment. NOW,THEREFORE,BE IT HEREBY RESOLVED that the Nevada County Board of Supervisors authorize the Agricultural Commissioner of the Nevada County Department of Agriculture to file a Notice of Exemption with the Nevada County Clerk's Office for the Nevada County Noxious Weed Program.

Information ar~d General Services Department
Facilities Management

NEVADA Cau~T~

10014 N. Bloomfield Road Nevada City CA 95959 7pg638 Fax~530265-

August 24, 2012

Honorable Board of Supervisors Eric Rood Administrative Center 950 Maidu Ave. Nevada City, CA 95959 DATE OF MEETING: September 18, 2012 SUBJECT: Resolution authorizing renewal of an Agreement with the City of Nevada City for management and marketing of the Nevada County Nevada City Veterans Building. RECOMMENDATION: Adopt the resolution. FUNDING: Revenue is budgeted to be received in the Facilities Management FY 12-13 budget. A budget amendment is not required and there is no impact on the General Fund. BACKGROUND: The Nevada City Veterans Building is owned by the County, is used by United States Military Veterans Organizations and is home to the Veterans of Foreign Wars (VFV~. Both the City of Nevada City and the County desire to protect on-going regular use by veterans and community groups of the facility while expanding recreational use and additional community use under active management by the City. In June of.2005, Resolution OS-240 approved an agreement with the City of Nevada City to manage and market the Veterans Building with a percentage of the profits paid to the County of Nevada on a quarterly basis. The agreement was renewed in 2009 through Resolution 09-279 and has been beneficial to both parties for the intentions outlined in the Agreement. The County would like to extend this Agreement for a period of three (3) years. Respectfully submitted, _ ~~ Stephen T. Monaghan ChiefInformation Officer

wvvw.MyNevadaCaunty.com

Governmental Excellence Through Innovative Technology

igs@co.nevadaca.us

RESOLUTION

No.

OF THE BOARD OF SUPERiiiSaR~ OF THE COUNTY OF NEVADA
RESOLUTION AUTHORIZING RENEWAL OF AN AGREEMENT WITH THE CITY OF NEVADA CITY FOR MANAGEMENT AND MARKETING OF THE NEVADA COUNTY NEVADA CITY VETERANS BUILDING WHEREAS, the County of Nevada owns the Nevada City Veterans Building located at 415 North .Pine Street, Nevada City, California( "Facility"); and, WHEREAS, the Facility is used by United States Military Veterans' Organizations for a few hours each week; and, WHEREAS,the County and the City of Nevada City "City") have previously entered into ( Agreements whereby the City manages the Facility and uses the Facility for the City's recreational and cultural programs under a revenue sharing program with the County; and, WHEREAS, the County and City desire to renew their arrangement for management and use of the Facility by the City for public recreational and cultural use under terms and conditions that preserve the availability of the Facility for the ongoing regular use by Veterans' Organizations. NOW, THEREFORE, BE IT HEREBY RESOLVED by the Board of Supervisors of the County of Nevada, State of California, that the Agreement between the County of Nevada and the City of Nevada City regarding the management and marketing of the County's Nevada City Veterans Building, for the period July 1, 2012 through June 30, 2015 is hereby approved, and that the Chair of the Board of Supervisors is hereby authorized to execute, on behalf of the County of Nevada, said Agreement on behalf of the County of Nevada. Revenues to be deposited into the Facilities Management budget 0101 10702 415 1000 430200.

AGREEMENT BETWEEN THE COUNTY OF NEVADA AND THE CITY OF NEVADA CITY PREAMBLE This Agreement is made between the County of Nevada (hereinafter "County") and the City of Nevada City (hereinafter "City"), effective July 1, 2012. WHEREAS, the Nevada City Veterans Memorial Building (hereinafter "the facility"), located at 4~ 5 "vasth P~~e Street, Nevada City, Ca~ifc~nia is awered by CCJ~~TY; and, WHEREAS, the facility is used by United States Military Veterans Organizations for a few hours each week; and, WHEREAS, the County and City (collectively, "the parties) have previously entered into Agreements whereby the City uses the facility for the City's recreational and cultural programs; and, WHEREAS, the parties desire to renew their arrangement for use of the facility by the City for public recreational and cultural use under terms and conditions that preserve the availability of the facility for the ongoing regular use by Veterans Organizations. NOW,THEREFORE, the parties agree to the following terms and conditions: Term: This agreement shall be effective from July 1, 2012 through June 30, 2015, at which time it may be renewed with or without amendments. 2. Management Services: The County grants to the City permission to manage the facility and to use it for City recreational programs and community use. This grant is in the nature of a revocable license under the terms and conditions of this Agreement. The City shall, under its management authority, schedule the facility for community use and/or activities by other public and private groups. The City management services shall include but not be limited to the following: the opening and closing of the facility, the promotion of its use, the scheduling of use, the regular inspection of the facility inside and out, and the accounting for all fee revenue received. 3. Priority of Use: The City's license is qualified by the following priorities of use: (1) the facility is home to the Veterans of Foreign Wars (VFW), and the VFW's historic use shall be first priority; (2) any County-sponsored use that is scheduled at least six months in advance shall be the second priority; (3) any City-sponsored or City-scheduled use shall be the third priority; (4) other community use shall be on a first-come, first-served basis; and, (5) use of the facility for Emergency Operations shall take priority over any other priority. 4. Rental Fees: Rental fees shall be approved and adopted from time to time by the Nevada City Council, after consulting with the County's Chief Information Officer. The

Agreement County of Nevada and City of Nevada City

13. Assignment: City may not sell, transfer, assign or subcontract all or any portion of its rights, interests in or obligations under this Agreement without the prior written consent of County. 14. Notices: All official contacts, remittances and notices shall be delivered or mailed to the parties as follows: For the COUNTY OF NEVADA: Tom Coburn facilities IVlanager 10014 North Bloomfield Road Nevada City, CA 95959 (530)265-1239 For the CITY OF NEVADA CITY: Dawn Zydonis Parks and Recreation Supervisor 317 Broad Street Nevada City, CA 95959 (530)265-2496 IN WITNESS WHEREOF, the COUNTY OF NEVADA and the CITY OF NEVADA CITY have executed this agreement on the day and year set forth below.

NEVADA CITY

COUNTY OF NEVADA:

Honorable Duane Strawser Mayor Dated:

Honorable Ted S. Owens Chairman, Board of Supervisors Dated:

Attest: Niel Locke City Clerk

Attest: Donna Landi Clerk of the Board

Approved as to form:

County Counsel

3

Agreement County of Nevada and City of Nevada City

Appendix A

1. County of Nevada expenses for maintenance of the Nevada City Veterans Building: Property Insurance Solid Waste Assessment ~Jrdinary Maintenance and Repairs (except landscaping) The amount of the County's fixed costs shall be up to $8,200 for the period July 1, 2012 through June 30, 2013 and shall increase annually thereafter by the amount of increase in the Consumer Price Index for the State of California, Urban Wage Earners and Clerical Workers.

2. City of Nevada City expenses for maintenance and operation of the Nevada City Veterans Building: Cost Cateaories Custodial Services (including landscaping) Facilities Management Promotion &Marketing Furnishings &Supplies Utilities (gas, electric, water, sewer) Solid waste collection, recycling and disposal Liability Insurance

$ 1,700 $21,000 $ 500 $ 460 $ 4,000 $ 1,400 $ 1,800

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COUNTY OF NEVADA
COUNTY EXECUTIVE OFFICE
Eric Rood Administrative Center 950 Maidu Avenue,Suite 220 Nevada City, CA 95959 (530)265-7040 Fax 265-9839 E-MAIL: ceo@co.nevada.ca.us

SEP'1 1 2012
NEVADA COl1NTY C30ARD SUPERVISORS

September 11, 2012 Honorable Board of Supervisors Eric Rood Administrative Center 950 Maidu Avenue Nevada City, CA 95959 DATE OF MEETING: September 18, 2012 SUBJECT: Approve appointment of Michael Ertola as the County's Chief Probation Officer effective September 17, 2012. RECOMMENDATION: Approve appointment. FUNDING: Funding for the appointment is contained in the current department budget. BACKGROUND: It is requested that the Boaxd of Supervisors approve the appointment of Michael Ertola as the County's Chief Probation Officer effective September 17, 2012. This is in accordance with Personnel Code section 11.5 which states that "in accordance with Welfare and Institutions Code section 271 and Penal Code section 1203.5, the Board of Supervisors in its sole discretion shall appoint the Chief Probation Officer." Mike received his Bachelor's degree from California State University, East Bay (formerly Hayward). He has completed the California State Board of Corrections Manager/Administrator program. Mike began his career in Probation in San Mateo County in 1988. He served as a Deputy Probation Officer with San Mateo County for 13 years, and was responsible for a variety of caseloads including domestic violence and adult drug court. Hired by Nevada County in 2001, Mike began as a Deputy Probation Officer assigned to a variety of programs before promoting to Probation Program Manager in 2006. Mike brings a collaborative orientation to leadership and problem-solving. He communicates with clients, the Courts, community partners and County staff while seeking the best approach to achieving positive outcomes. It is recommended that the Board approve the appointment of Michael Ertola as ChiefProbation Officer as Mike will be a great asset to the Department of Probation, including the Juvenile Hall. Respectfully submitted, G~'~~ Richard A. Haffey County Executive Officer

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COIJl~TTY OF NEVADA
STATE OF CALIFORNIA

Nathan H.Beason
Supervisor, 1St District
Email: nate.beason(c~coaievada.ca.us

BOARD OF SUPERVISORS

RECEf!!ED
September 4, 2012

SEP ~ 1. 2012
f~TY eoA~D s~~~RVisoR~ NEVADA ~QU

County of Nevada Board of Supervisors 950 Maidu Avenue Nevada City, CA 95959 DATE OF MEETING: September 18, 2012

SUBJECT: Resolution designating Nevada County Arts as Nevada County's local partner in the California Arts Council's State/Local Partnership Program. RECOMMENDATION: FUNDING: Not applicable BACKGROUND: In 2008 members ofan "Arts Collaborative Steering Committee" held a town hall meeting to solicit feedback for forming a new arts council in Nevada County. Through consensus building and collaboration a newly formed organization, the Arts Collaborative of Nevada County, was established. Priorities were developed which initiated 5 inaugural programs: 1) a website with comprehensive arts events calendar and artist registry; 2) advocacy with city and county governments, chambers of commerce, and other agencies; 3) a common box office for performing arts; 4) collaborate marketing and advertising; and 5) arts audience outreach and development. In 2009 the group's 501(c)(3) status was established and a mission statement created: The Arts Collaborative ofNevada Countyfacilitates collaborative efforts thatpromote and sustain the visual, literary and pe~fortning arts ofNevada County in order to advance the cultural, social and economic life ofour community. In addition, a purpose statement was created: Represents and advocatesfor the arts in Nevada County and acts us liaison to city, county and state gove~nnient, chambers ofcommerce and other regional organizations; securesfunding tofacilitate collaborative pNOjects of benefit to the aNtists and arts organizations ofNevada Cozenty; collubo~utes to increase audiences and support the arts ofNevada County; and educates and inspires the community about the economic and community value ofthe arts utilizing marketing and other communication tools. Approve the Attached Resolution.

950 Maidu Avenue, Suite 200, Nevada City CA 95959-8617 phone: 530.265.1480 ~ fax: 530. 265.9836 ~ toll free: 888.785.1480 ~ email: bdofsupervisors (~?co.nevada.ca.us website: http:/ /www.mynevadacounty.com/nc/bos
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Letter to Board of Supervisors Re: Nevada County Arts partnership Date of Meeting: September 18, 2012 Page 2 of2

The arts are essential in our rural county. They play an important role in enhancing the quality of life, which helps to recruit and retain businesses, provide income for a creative workforce, and are a cornerstone for tourism. Each year the County hosts an eclectic mix of art, film and musical events, presented by snore than 130 arts organizations and artists. In 2011 the organization changed its name to Nevada County Arts(NCArts)to help brand Nevada County as an arts-centric region. The attached Resolution will allow NCArts to accept a California Arts Council grant that would provide funds for general operating support. Therefore, I request your approval ofthe attached Resolution.

Nevada County Arts (NCAt•ts) Annual report to the Nevada County Board of Supervisors September 18, 2012
History and Background In 2008 members of an "Arts Collaborative Steering Committee" held a town hall meeting to solicit feedback for forming a new arts council In Nevada County. Through consensus building and collaboration a newly formed organization, the Arts Collaborative of Nevada County, was established. Priorities were developed which initiated five inaugural programs: 1) Development of a website with comprehensive arts events calendar and artist registry; 2) Advocacy with city and county governments, chambers of commerce, and other agencies; 3) Creation of a common box office for performing arts; 4) Coordination of collaborate marketing and advertising; and 5)Increased arts audience outreach and development.. In 2009 our 501(c)(3) status was established and a Mission Statement created: the Arts Collaborative of Nevada County facilitates collaborative efforts that promote and sustain the visual, literary and performing arts of Nevada County in order to advance the cultural, social and economic life of our community. In addition, a purpose statement was created: Represents and advocates for the arts in Nevada County and acts as liaison to city, county and state government, chambers of commerce and other regional organizations; secures funding to facilitate collaborative projects of benefit to the artists and arts organizations of Nevada County; collaborates to increase audiences and support the arts of Nevada County; and educates and inspires the community about the economic and community value of the arts utilizing marketing and other communication tools. The arts are essential in our rural county, playing an important role in enhancing the quality of life, which helps to recruit and retain businesses and provide income for a creative workforce, and are a cornerstone for tourism. Each year the County hosts an eclectic mix of art, film and musical events, presented by more than 130 arts organizations and hundreds of artists. In 2011 we changed our name to Nevada County Arts (NCArts)to help brand Nevada County as an arts-centric region; NCArts values partnerships with local government. In 2009 and 2010 we applied for and received funding from the Nevada County Board of Supervisors to help promote Nevada County as an arts tourist destination. In 2011 NCArts received its official designation as the county's leadership and coordinating agency on behalf of the county's arts organizations. NCArts has also created reciprocal memberships with the county's chambers of commerce and the Nevada County Economic Resource Council, and participates in their strategic planning meetings; NCArts has been a volunteer driven organization and the Board of Directors includes 12 active members who reflect the community's businesses, government, arts organizations and visual, performing and literary artists. Through collaborative efforts NCArts has served as the catalyst for and encouraged the performing arts community to share resources, such as a common box office, collaborative advertising and theatrical productions. Several workshops on the art of promotion and our coordination of art exhibits have helped provide visual artists with opportunities to promote, display and sell their work. To foster collaboration

and to share resources and ideas, NCArts also created 4 new sub-committees: Education, Literary, Performing and Visual Arts. Fund Development NCArts is an all-volunteer supported organization. To date in 2012 we have more than 100 members, including artists and arts organizations that provide partial funding for our programs. As a California Arts Council State-Local Partner we received a $10,000 grant for fund development and marketing, and expect to receive $12,000 in October to fund our first part-time Executive Director. This grant must be matched 1:1 so we will increase our efforts to raise support from the community in 2012-2013. Since our founding our budgets have remained on track and in the black. Strategic Plan (2011-2012) Nevada County Arts has developed a 2011-2012 Strategic Plan based on priorities as established through community feedback, interests and needs. In 2011we polled the community's interests through our Arts Convergence (April), surveys, e-newsletter and other social media. NCArts strategic planning process was built around priorities established through community feedback, interests and needs. The following programs implemented by NCArts reflects the priorities ofthe community: Collaborative Marketing &Communications: The website calendar and Facebook page are critical platforms in communicating events and concerts within and outside of the County; NCArts runs print ads and radio spot campaigns to drive traffic to the website events calendar and artist registry; NCArts has a Mobile Web App for viewing the events calendar; there are 750 E-newsletter subscribers, more than 1,000 Facebook fans, and an average of60 individuals and organizations that post events monthly on our arts even calendar; • Arts Information &Advocacy: NCArts writes a monthly Arts column for The Union, with an average daily readership of 30,000, and are in planning stages for a partnership with KVMR 89.5 & 105.1 FM, with a weekly listenership of more than 50,000, to host a weekly on-air program for and about the Arts. NCArts promotes artistic diversity through these programs in collaboration with our board's Education, Literary, Performing and Visual Arts' sub-committees. Our membership includes all of the county's performing arts organizations, an arts charter school, and the Neighborhood Center for the Arts, a center for adults with developmental disabilities. All of our events and activities are baxrier free to those with disabilities; NCArts impacts public policy about the arts primarily through the arts and cultural programs,local media and coordinated advocacy for the arts at the City, County and State level. Exhibitions &Studio Tours: In 2011 NCArts established a subscription to an online Artist's Registry that is designed to connect patrons, businesses and event coordinators directly with artists for potential commissions, exhibitions and sales, and is syndicated with more than 40 websites throughout California. In 2012 NCArts collaborated to create art exhibitions in conjunction with the 10th Wild &Scenic Film Festival, The Sierra Vintner's Wine Trail, Music in the Mountains' SummerFest,the North Columbia Schoolhouse's Storytelling Festival and The Nevada City Film Festival. NCArts is also coordinating the art for the Bear Yuba Land Trust's Silent Auction fundraiser in September and is co-presenting the annual Western Nevada County Open Studio Tour in October;

Arts Convergence &Educational Workshops: Annually NCArts holds an "Arts Convergence," providing a forum for artists, arts organizations, arts educators and community and business leaders to solicit ideas and to inform and provide advocacy for mutually beneficial arts programming. To serve our growing membership we have hosted a series of educational workshops on the "Art of Promotion — Marketing Your Art,""How to Digitize Your Art," and "Making the Most of your Open Studios and Art Tour experience; New Programs/Services In 2012 NCArts completed initiated the following new programs and activities: • Developed a survey ofliterary artists to solicit feedback to inform our 2012-13 Strategic Planning; • Developed ART OnSite, a large scale environmental art installation project in collaboration with local environmental organizations, schools and indigenous groups in Nevada County, to be installed in August 2013; in July 2012 the project received a $25,000 grant from the National Endowment for the Arts' Our Town Program, one of 80 such grants as part of apublic-private partnership program which invests in creative placemaking. The project and grant award are featured along with five other recipients on the NEA's website. • Increased the number of art exhibits we will coordinate in collaboration with existing events, festivals and concerts; • Develop an arts and cultural tourism marketing plan in collaboration with Nevada County, Nevada County Economic Resource Council, and the regions chambers of commerce; • Design and distribute a gallery and exhibition space guide; • Collaborate with performing arts organizations to create a Nevada County literaxy arts speaker series. • Host the all-day Arts Convergence, a forum for artists, arts organizations, arts educators and community and business leaders.

RESOLUTION

No.

C~1*~;1?1= ~l~ ~1~1~~~1~13~/~~~ ' ]~~~1~~:C~~~I~P►~'[~l~►`I_~~~ ~ ~1
RESOLUTION DESIGNATING NEVADA COUNTY ARTS AS NEVADA COUNTY'S LOCAL PARTNER IN THE CALIFORNIA ARTS COUNCIL'S STATE/LOCAL PARTNERSHIP PROGRAM WHEREAS, the California Arts Council(CAC) and the California State Legislature have established aState-Local Partnership program designed to foster the performing, visual and literary arts in California, encourage local cultural planning and decision malting, and to reach previously underserved constituents. To this end, the CAC provides funds to private non-profit organizations and municipal commissions that have been designated by local governments as partners in the promotion of the arts; and WHEREAS, Nevada County Arts, which has served as Nevada County's local partner since 2009, is requesting a resolution to continue as the County's local partner in the CAC State/Local Partnership Program and to be eligible to receive State CAC funding; and WHEREAS, the Board's designation does not imply commitment of County financial resources, NOW,THEREFORE,BE IT RESOLVED, that the Board of Supervisors of the County of Nevada hereby approves the application by Nevada County Arts to the California Arts Council and designates Nevada County Arts to execute the 2012-13 California Arts Council grant as approved by the California Arts Council.

NEV/~DA COUNTI~

HEALTH &HUMAN SERVICES
AV~~C I

Health & ~luman Seroric~s Agency Director Jeffrey S. Brown, MF'Fi, iVISVii Behavioral Health Director: Michael Fiaggarty, MFT Behavioral Fie~lth Medical Director: Aubrey Eubanks, M.ID.
TELEPHONE (530) 265-1437 FAX (530) 271-0257 TELEPHONE (530) 582-7803 FAX (530) 582-7729

BEHAVIORAL h1EAILTH DEPARTMENT
(Mental Health, Drug and Alcohol Program)

500 CIh~WN POIRIT CIRCLE, STE. 120 10075 LEVON AVE., STEL04

GRASS VALLEY TRUCKEE,

CALIFORNIA 95945 CALIFORNIA 96161

September 5,2012 Honorable Board of Supervisors Eric Rood Administrative Center 950 Maidu Avenue Nevada City, CA 95959 DATE OF MEETING: September 18, 2012 SUBJECT: Resolution authorizing execution ofthe contract with Turning Point Community Programs, Inc. for the provision of integrated health care services as part ofthe Healthy Outcomes Integration Team (HOIT)in the maximum amount of $198,835 for the period of September 1, 2012 through June 30, 2013. RECOMMENDATION: Approve the attached Resolution. FUNDING: Contract services will be supported by a combination of: federal grant funds made available to the department from the U.S. Department of Health and Human Services, Health Resources and Services Administration(HRSA), Mental Health Services Act(MHSA)funds, and Medi-cal reimbursement. The maximum amount of this contract shall not exceed $198,835 for the contract term. There are no county general fund dollars required in the Agreement. BACKGROUND: The vision of Nevada County Behavioral Health(NCBH)is to build and support healthy futures in which people with a serious mental illness(SMI)are able to achieve health, wellness, and recovery through the development ofintegrated health care services and identification of aperson-centered health care home. To achieve this vision, health care, mental health, and substance use treatment providers, community partners, consumers, and family members have formed a consortium to develop the Healthy Outcomes Integration Team (HOIT). Per Resolution No. 12-158, the Board approved the HRSA Award Agreement for the HOIT Project to help support the development ofthis coordinated team approach. Under this Agreement, Turning Point will help HOIT implement the IMPACT model, an evidence-based accepted model for delivery of integrated person-centered health care, to assist in the coordination of health services for clients. Turning Point will hire and supervise afull-time Registered Nurse and part-time Service Coordinators that will be members ofthe HOIT team, along with members of five(5) other organizations. The RN will coordinate primary care and mental health services for persons enrolled in the program. The Service Coordinators will link clients to the primary care services at Nevada County Behavioral Health

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Clinic and Federally Qualified Health Centers(FQHCs), as well as, assist individuals to access substance use services and other needed resources in the community. The RN and Service Coordinators will assist clients to develop a Wellness and Recovery Action Plan(WRAP)and an Integrated Health Care Plan(IHCP)to provide strategy for identifying key health outcomes for each client. Without integrated health services, persons with a serious mental illness are at high-risk for poor health outcomes. In 2006, the National Association of State Mental Health Program Directors(NASMHPD)issued a technical report, Morbidity and Mortality in People with Serious Mental Illness, which revealed that people with an SMI on average die 25 years earlier than people without an SMI. The lack of access to primary care services has been shown to impact early mortality rates for this SMI population. Persons with an SMI often have multiple health conditions. Data shows that the most common health issues for adults with an SMI may include obesity, hypertension, asthma, diabetes, and heart disease. Unhealthy practices such as inadequate physical activity, poor nutrition, smoking, substance use, and the long-term side effects of psychotropic medications can contribute to our clients' risks of developing these serious health conditions. These multiple health conditions often impact their mental illness and prevent them from achieving wellness and recovery. It is recommended that the Board approve the attached contract as the services provided by Turning Point will be an integral and essential component of the creation and success ofthe HOIT team and the development of a local integrated health care model. Please contact me if any additional information is required. Respectfully submitted, ~___. ichae J. eggarty, MFT Behavioral Health Director

MH /cs

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~~"`

RESOLUTION

No.

OF THE BOARD OF SUPERVISORS OF THE COUNTY OF NEVADA
RESOLUTION AUTHORIZING EXECUTION OF THE PERSONAL SERVICES CONTRACT WITH TURNING POINT COMMUNITY PROGRAMS, INC. WHEREAS,the vision of Nevada County Behavioral Health is to build and support healthy futures in which people with a serious mental illness(SMI)are able to achieve health, wellness, and recovery through the development of integrated health care services and identification of aperson-centered health care home; and WHEREAS,to further achieve this vision, health care, mental health, and substance use treatment providers, community partners, consumers, and family members have formed a consortium to develop the Healthy Outcomes Integration Team (HOIT); and WHEREAS,under this Agreement, Turning Point will help HOIT implement the IMPACT model, an evidence-based accepted model of delivery of integrated personcentered health care, and will hire and supervise afull-tune Registered Nurse(RN)and part-tune Service Coordinators that will be members ofthe HOIT team, along with members of five (5) other organizations. NOW THEREFORE BE IT HEREBY RESOLVED by the Board of Supervisors of the County of Nevada, State of California, that the Personal Services Contract dated the 1St day of September 2012, by and between the County and Turning Point Community Programs, Inc. pertaining to the provision of integrated health care services as part of the Healthy Outcomes Integration Team (HOIT)for the term of September 1, 2012 through June 30, 2013 in the maximum amount of $198,835 be and hereby is approved, and that the Chair of the Board of Supervisors be and is hereby authorized to execute the Contract on behalf of the County of Nevada. Funds to be disbursed from account: 1589-401 10493-8301/521520.

PERSONAL SERVICES CONTRACT County of Nevada, California This Personal Services Contract is made between the COUNTY OF NEVADA (herein "County"), and ~1 TURNING PQli~T COMMUNITY PROGRAMS, IiVC. (herein "Contractor"), wherein County desires to retain a person or entity to provide the following services, materials and products generally described as follows: ( } §1 For the provision of integrated health care services as part of the Healthy Outcomes Integration Team (HOIT} SUMMARY OF MATERIAL TERMS §2} ( ( §3) ( §4) Maximum Contract Price: Contract Beginning Date: Liquidated Damages:

$ 198,835 09/01(2012 N!A

Contract Termination Date: 06/30/2013

INSURANCE POLICIES
Designate all required policies: ( §6) Commercial General Liability ( §7) Automobile Liability ($1,000,000) ($ 300,000) Personal Auto ($1,000,000) Business Rated ($1,000,Q00) Commercial Policy Req'd X ~~ X X X Not Req'd X X

( §8) ( §9)

Worker's Compensation Errors and Omissions ($1,000,000) LICENSES

Designate all required licenses: ( §14) AN licenses required to a~ertarm professional services contemplated under this Agreement. NOTICE & 1DENTIfiICATiON (§26) Contractor: County of Nevada: Turning Point Community Programs, Inc. 950 Maidu Avenue Nevada City, California 95959 3440 Viking Drive, Suite 114 Sacramento, California 95827 Contact Person: Michael Heggarty Contact Person: John Buck ( 530 )470-2784 ( 916)364-8395 e-mail: michael.heggarty@co.nevada.ca.us e-mail: johnbuck@tpcp,org Fund: 1589-40110-493-8301/521520
CorltraCtor is a: (check all that apply)

Other, Corporation: X Calif., Calif,, Other, Partnership: Person: Indiv,, Dba, EDD: Independent Contractor Worksheet Required. HIPAA: Schedule of Required Provisions (Exhibit D): ATTACHMENTS

LLC, LLP, Assn Yes X Yes

X Non-profit Limited Other X Na No Not Req'd

Req'd Designate all required attachments: X Exhibit A: Schedule of Services (Provided by Contractor) X Exhibit B: Schedule of Charges and Payments (Paid by County) X Exhibit C: Schedule of Changes (Additions, Deletions & Amendments) X Exhibit D: Schedule of HIPAA Provisions (Protected Health Information)

Turning Point MHSA PSK Page 1 of 6

Contractor approves this page

Terms each term of this Contract below specifically incorporates the information set forth in the Summary at page §) one (1) above as to each respective section( therein, as the case may be, Services Scape of Services: Contractor shall provide all of the services, materials and products (herein "Services") generally described in Exhibit "A", according to a performance schedu{e, if applicable, as set forth in said exhibit (herein "Performance Schedule") . If requested, Contractor agrees to serve as an expert witness for County in any third party action or proceeding arising out of this Contract. 1. Payment Charges and Payments: The charges (herein "Charges") for furnishing the aforesaid Services under this Contract are set forth in Exhibit "B", including, if applicable, hourly rates, unit pricing, and expense, mileage and cost limits. Said Charges shall be presented monthly by invoice, and shall be due within thirty (30) days of receipt unless payment is otherwise set forth in said Exhibit "B", and shall remain in effect for the entire term of this Contract, and any extension hereof. fn no event will the cost to County for Services to be provided under this Contract, including direct non-salary expenses, exceed the Maximum Contract Rrice set forth at §2, page one (1), above. 2. Time for Performance Contract Term: This Contract shah commence on the Contract Beginning date set forth at §3, page one (1), above, All Services required to be provided by this Contract shall be completed and ready for acceptance no later than the Contract Termination Date set forth at §3, page one (7), above.

3.

4.

Liquidated Damages: County and Contractor agree that damages to County due to delays in timely providing Services in accordance with the aforesaid Performance Schedule and Contract Termination Date are impractical and difficult to ascertain. Therefore, if §4 at page one (1) hereof shall indicate a daily amount as Liquidated Damages, County shall have the right to assess said daily sum, not as a penalty, but as and for damages to County due to delays in providing Services not in accordance with the said Performance Schedule, or later than the Contract Termination }. Date (herein "Delay" Liquidated Damages shall be offset against amounts owing to Contractor, including retention sums. To the extent that any Delay is a result of matters or circumstances wholly beyond the control of Contractor, County may excuse said Liquidated Damages; provided however, that County may condition such excuse upon Contractor having given prompt notice to County of such delay immediately by telephone and (hereafter by written explanation within a reasonable time. The time for Contractor's performance shall be extended by the period of delay, or such other period as County may elect.

Time of the Essence: Time is of the essence with respect to Contractor's performance under this Contract. Delay in meeting the time commitments contemplated herein will result in the assessment of liquidated damages, if indicated at §4 at page one (1), hereof, If Liquidated Damages are not so indicated, damages shall be as otherwise provided by law. 5. Insurance Commercial General Liability Insurance: (County Resolution No. 90674) If §6 at page one (1) hereof shall indicate a Commercial General Liability insurance policy is required, Contractor shall promptly provide proof of such insurance evidenced by a certificate of insurance with properly executed endorsements attached, which insurance shall include the following: (i} Broad form coverage for liability for death or bodily injury to a person or persons, and far property damage, combined single limit coverage, in the minimum amount indicated at said §6; An endorsement naming County as an additional insured under said policy, with (ii) respect to claims or suits arising from the Services provided or the relationships created under this Contract; (iii) A provision that said insurance shall be primary and other insurance maintained by the County of Nevada shall be excess only and not contributing with Contractor's insurance;

6.

Turning Point MHSA PSK Page 2 of 6

Contractor approves this page

(iv) A provision that said insurance shall provide for thirty (30) days written notice to County of any termination or change in coverage protection, or reduction in coverage limits (except ten (10) days notice for non-payment of premium). Automobile Liability Insurance: (County Resolution No. 90676) If §7 at page one (1) hereof shall require either a Business Rated or a Commercial Automobile Liability insurance policy, for each vehicle used including non-owned and hired automobiles, Contractor shall promptly provide proof of such insurance evidenced by a certificate of insurance with properly executed endorsements attached, which insurance shall include the following provisions: (i) Liability protection for death or bodily injury to a person or persons, property damage, and uninsured and underinsured coverage, combined single limit coverage, in the minimum amount indicated at said §7; (ii) An endorsement naming County as an additional insured under said policy, with respect to claims ar suits arising from the Services provided or the relationships created under this Contract; A provision that said insurance shall be primary and other insurance maintained (iii) by the County of Nevada shall be excess only and not contributing with Contractor's insurance; (iv) A provision that said insurance shall provide for thirty (30) days written notice to County of any termination or change in coverage protection, ar reduction in coverage limits (except ten (10) days notice for non-payment of premium). If §7 at page one (1) hereof shall require a Personal Auto policy, for each vehicle used including non-owned and hired automobiles, Contractor shall promptly provide proof of such insurance for a minimum of three hundred thousand dollars ($300,000), in combined single limits, and naming the County as additionaNy insured. 7. 8. Worker's Compensation; (County Resolution No. 90674) If §8 at page one (1) hereof shall indicate a Worker's Compensation insurance policy is required, Contractor shall maintain said policy as required by law, and shall promptly provide proof of such insurance evidenced by a certificate of insurance, or other documentation acceptable to County. Before commencing to utilize employees in providing Services under this Contract, Contractor warrants that it will comply with the provisions of the California Labor Gode, requiring Contractor to be insured for worker's compensation liability or to undertake a program of self-insurance therefor.

Errors and Omissions: If §9 at page one (1) hereof shall indicate Errors and Omissions insurance is required, Contractor shall maintain either 'a professional liability or errors & omissions policy in the minimum amount indicated, and shall promptly provide proof of such insurance evidenced by a certificate of insurance, or other documentation acceptable to County. Miscellaneous Insurance Provisions: (County Resolution No. 90675) All policies of insurance required by this Contract shall remain in full force and effect throughout the life of this Contract and shall be payable on a "per occurrence" basis unless County specifically consents to "claims made" coverage, If the County does consent to "claims made" coverage and if Contractor changes insurance carriers during the term of this Contract or any extensions hereof, then Contractor shall carry prior acts coverage. Insurance afforded by the additional insured endorsement shall apply as primary insurance, and other insurance maintained by County, its officers, agents and/or employees, shall be excess only and not contributing with insurance required or provided under this agreement. At all times, Contractor shall keep and maintain in full force and effect throughout the duration of this Contract, policies of insurance required by this Contract which policies shall be issued by companies with a Best's Rating of B+ or higher(B+, g++, A-, A, A+ ar A++}, or a Best's Financial Performance Rating (FPR} of 6 or higher (6, 7, 8 or 9) according to the current Bests Key Rating Guide, or shall be issued by companies approved by the County Risk Manager. In the event the Bests Rating or Bests FPR shall fall below the rating required by this paragraph, Contractor shall be required to forthwith secure alternate policies which comply with the rating required by this paragraph, or be in material breach of this Contract. Failure to provide and maintain the insurance policies (including Bests ratings), endorsements, or certificates of insurance required by this Contract shall constitute a material breach of this agreement (herein "Material Breach"); and, in addition to any other remedy available at law or otherwise, shall serve as a basis upon which County may elect to suspend payments hereunder, or terminate this Contract, or both. (See §13, ¶2, below, as these provisions additionally apply to subcontractors.) 10. Indemnity: Nothing herein shall be construed as a limitation of Contractor's liability, and Contractor shall indemnify, defend and hold harmless the County and its o~cers, officials, employees, agents and volunteers from any and all liabilities, claims, demands, damages, losses and expenses {including, without limitation, defense costs and attorney r, except o tr fees of litigation) which result from the negligent act, willful misconduct, or error or omission
Turning Point MHSA PSK Page 3 of 6
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9.

11.

Contractor approves this page

such loss or damage which was caused by the sole negligence or willful misconduct of County or its officers, officials, employees, agents and volunteers. Personal Services Contractor as Independent: In providing services herein, Contractor, and the agents and employees thereof, shall act in an independent capacity and as an independent contractor and not as agents or employees of County. 12. Assignment and Subcontracting: Except as specifically provided herein, the rights, responsibilities, duties and Services to be performed under this Contract are personal to the Contractor and may not be transferred, subcontracted, or assigned without the prior written consent of County, Contractor shall not substitute nor replace any personnel for those specifically named herein or in its proposal without the prior written consent of County. Contractor shall cause and require each transferee, subcontractor and assignee to comply with the insurance provisions set forth herein at §§B, 7, 8, 9 and 10, to the extent such insurance provisions are required of Contractor under this Contract. Failure of Contractor to so cause and require such compliance by each transferee, subcontractor and assignee shall constitute a Material Breach of this agreement, and, in addition to any other remedy available at law or otherwise, shall serve as a basis upon which County may elect to suspend payments hereunder, or terminate this Contract, or both. 13. Licensing and Permits: Contractor warrants (i) Contractor is qualified and competent to provide all Services under this contract; (ii) Contractor and all employees of Contractor hold all necessary and appropriate licenses therefor, including those licenses set forth at §14, page one (1) hereof; and, (iii) Contractor shall obtain, and remain in compliance with, ail permits necessary and appropriate to provide said Services. Contractor shall cause said licenses and permits to be maintained throughout the life of this Contract. Failure to do so shall constitute a Material Breach of this agreement, and, in addition to any other remedy available at law or otherwise, shall serve as a basis upon which County may elect to suspend payments hereunder, or terminate this Contract, or both. 14. Public Contracts Prevailing Wage and Apprentices: To the extent made applicable by law, performance of this contract shall be in conformity with the provisions of California Labor Code, t7ivision 2, Part 7, Chapter 1, commencing with Section 1720 relating to prevailing wages which must be paid to workers employed on a public work as defined in Labor Code §§ 1720, et seq.; and shall be in conformity with Title 8 of the California Code of Regulations §§ 200 et seq., relating to apprenticeship. Contractor shall comply with the provisions thereof at the commencement of Services to be provided herein, and thereafter during the term of this Contract. A breach of the requirements of this section shall be deemed a material breach of this contract A copy of the relevant prevailing wage as defined in Labor Code §1770 et seq. is on file with the Department of Transportation, County of Nevada, 950 Maidu Avenue, Nevada City, California 95959. Copies will be provided upon request. 15. Accessibility (County Resolution No. 00190): It is the policy of the County of Nevada that ail County services, programs, meetings, activities and facilities sha11 be accessible to all persons, and shall be in compliance with the provisions of the Americans With Disabilities Act and Title 24, California Code of Regulations. To the extent this Contract shall call for Contractor to provide County contracted services directly to the public, Contractor shall certify that said direct Services are and shall be accessible to all persons. 16. Nondiscriminatory Employment: In providing Services hereunder, Contractor sha(I not discriminate against any employee or applicant for employment because of race, color, religion, age, sex, national origin, political affiliation, ancestry, marital status or disability. This policy does not require the employment of unqualified persons. 17. Prior Nevada County Employment(County Resolution No. 03-353): Effective July 22, 2003, it is the policy of the County of Nevada that former members of the Board of Supervisors, a former CEO, or a former Purchasing Agent, for a period of twelve (12) months following the last day of employment, shall not enter into any relationship wherein that former employee or former Board member receives direct remuneration from a legal entity that, during the last twelve (12) months of said employment or Board member's service, entered into a contract with, or received a grant from the County of Nevada. Provided however, that this prohibition shall not apply to any employee that did not personally approve a contract with or grant to said legal entity during the last twelve (12) months of said employment, and shall not apply when the Board of Supervisors did not approve a contact with or grant to said legal entity during the last twelve (12) months of said Board member's service. A violation of this policy shall subject Contractor to all of the remedies enumerated in said r oluti nand as voiding io othervvise provided in law, which remedies shall include but not be limited to injunctive relief, n 18.
Turning Point MHSA PSK Page 4 of 6 Contractor approves this page

of this contract by County, a return of grant money, a cause of action for breach of contract, and entitlement to casts and reasonable attorney fees in any action based upon a breach of contract under this provision. Cast Disclosure: In accordance with Government Code Section 7550, should a written report be prepared under or required by the provisions of this Contract, Contractor agrees to state in a separate section of said report the numbers and dollar amounts of all contracts and subcontracts relating to the preparation of said report Default and Termination Termination: A Material Breach of this Contract pursuant to the terms hereof or otherwise, in addition to any other available at law or otherwise, shall serve as a basis upon which County may elect to immediately suspend remedy payments hereunder, or terminate this contract, or both, without notice. If Contractor fails to timely provide in any manner the services materials and products required under this Contract, or otherwise fails to promptly comply with the terms of this Contract, or violates any ordinance, regulation or other law which applies to +ts performance herein, County may terminate this Contract by giving five (5) days written notice to Contractor. Either party may terminate this Contract For any reason, or without cause, by giving thirty (30) calendar days wr(tten notice to the other, which notice shall be sent by registered mail in conformity with the notice provisions, below, In the event of termination not the fault of the Contractor, the Contractor shall be paid for services performed to the date of termination in accordance with the terms of this Contract, Contractor shall be excused for failure to perform services herein if such performance is prevented by acts of God, strikes, labor disputes or other forces aver which the Contractor has no control. County, upon giving sixty (60} calendar days written notice to Contractor, shall have the right to terminate its obligations under this Contract at the end of any fiscal year if the County or the State of California, as the case may be, does not appropriate funds sufficient to discharge County's obligations coming due under this contract. 20. Miscellaneous Books of Record and Audit Provision: Contractor shall maintain complete records relating to this Contract for a period of five (5) years from the completion of Se►vices hereunder. Said records shall include but not be limited to bids and all supporting documents, original entry books, canceled checks, receipts, invoices, payroll records including subsistence, travel and field expenses, together with a general ledger itemizing all debits and credits Contractor shall permit County to audit said records as well as such related records of any business entity controlled by Contractor. Said audit may be conducted on Contractor's premises or at a location designated by County, upon fifteen (15) days notice. Contractor shall promptly refund any moneys erroneously charged and shall be liable for the costs of audit if the audit establishes an over-charged of five percent (5%)or more of the Maximum Contract Price. 21. Intellectual Property: All original photographs, diagrams, plans, documents, information, reports, computer code and all recordable media together with all copyright interests thereto (herein "Intellectual Property"), which concern or relate to this Contract and which have been prepared by, for or submitted to Contractor, shall be the property of Gounty, and upon fifteen (15) days demand therefor, shall be promptly delivered to County without exception. Provided however, for personal purposes only and not for commercial, economic or any other purpose, Contractor may retain a copy of Contractor's work product hereunder. 22. Entire Agreement; This Contract represents the entire agreement of the parties, and no representations have been made or relied upon except as set forth herein. This Contract may be amended or modified only by written, fully executed agreement of the parties. 23. 24. Jurisdiction and Venue. This Contract shall be construed in accordance with the laws of the State of California and the parties hereto agree that venue shall be in Nevada County, California. 19.

25.

Compliance with Applicable Laws: The Contractor shall comply with any and all federal, state and local laws, codes, ordinances, rules and regulations which relate to, concern of affect the Services to be provided by this Contract.

Notices: This Contract shall be managed and administered on County's behalf by the department and the person set t 's D artment. forth at §26, page one (1) of this Contract, and all invoices shall be submitted to and approve essed as i In addition to personal service, all notices may be given to County and to Contractor by first cla Contractor approves this page Turning Point MHSA PSK Paga 5 of 6 Z$.

set forth at said §28 Said notices shall be deemed received the fifth (5th) day following the date of mailing ar the earlier date of personal service, as the case may be. 27. Authority; All individuals executing this Contract on behalf of Contractor represent and warrant that they are authorized to execute and deliver this Contract on behalf of Contractor.

IN WITNESS WHEREOF,the parties have executed this Contract effective on the Beginning Date, above.

CONTRAC
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COUNTY OF NEVADA: Honorable Ted S. Owens Chair, Board of Supe►visors Dated;

Name: Titie: Dated:

n uck hief Executiv O~ er ` ~ ~`'

Attest: Donna Landi Clerk of the Board of Supervisors

Turning Polnt MHSA PSK Page 8 of 6

Contractor approves this page

EXHIBIT ~~A" SCHEDULE ()F SER'~ICTS TURI~IING POINT COMMUNITY PROGRAMS,INC. Nevada County Behavioral Health hereinafter referred to as "County", and Turning Point Community Programs, Inc., hereinafter referred to as "Contractor", agree to enter into a specific contract for the provision of integrated health care services as part of the Healthy Outcomes Integration Team (HOIT). Proiect Overview The Nevada County Healthy Outcomes Integration Tenn (~IOIT)supports healthy futures in which adults ages 18 and older with a serious mental illness(SMI)are able to achieve health, wellness, and recovery through the development of aperson-centered health care home. The HOIT is a consortium of health care providers, community partners, individuals with an SMI,and family members. The consortium will work together to integrate services to help individuals take an active role in improving their health outcarnes. Each individual with an SMI who is served by HOIT will have access to a range of effective health services, supports, and resources to promote wellness, manage illnesses, and improve overall I~.ealth outcomes. Without integrated health services, persons with an SMI are at high-risk for poox health outcomes. In 2006, the National Association of State Mental Health Program Directors(NASMHPD)issued a technical repo~~t, Morbidity and Mortality in People with Serious Mental Illness, which revealed that people with an SMI on average ciie 25 years earlier than people without an SMI. The lack of access to primary care services has been shown to impact early mortality rates fax this SNII population. Persons with an SMI often have multiple health conditions. Data shows that the most common health issues for adu}ts with an SMI may include obeszty, hypertension, asthma, diabetes, and heart disease. Unhealthy practices such as inadequate physical activity, poor nutrition, smoking, substance use, and the long-term side effects of psychotrapic medications can contribute to our clients' risks of developing these serious health conditions. These multiple health conditions often impact their mental illness and prevent them from achieving wellness and recovery, These individuals would greatly benefit from a person-centered health care system that addresses their health care, mental health, and substance use issues by utilizing the IMPACT model, an Evidence-Based Practice(EBP), and by coordinating care across providers. HOIT will develop the capacity to deliver bi-directional, integrated health care services by collocating primary care services at the NCBH clinic, as well as co-locating behavioral health services, including psychiatric services, at the FQHCs to meet the needs of clients. In addition, HOIT will help link individuals and their families to needed services, including substance use services in the community. A number of key health outcomes will be collected and routinely reported to clients, staff, and providers to demonstrate improved health indicators. Six key organizations in the consortium are actively involved in implementing the I-~(aIT, with Nevada County Behavioral Health(NCBH)as the lead agency. Western Sierra Medical Clinic, a Federally Qualified Health Center(FQHC),end Sierra Family Medical Clinic, an FQHC Look-Alike, will deliver integrated health care services to adults with an SMI, in collaboration with NCBH and Turning Point. It is the goal pf HOIT to have health and behavioral health services co-located at each of these agencies. In addition, Community Recovery Resources(CoRR)and Common Goals, Inc. will offer substance use treatment services to HOIT clients who also have substance use disorders. Turning Foint will help HOIT implement the IMPACT model, an ABP,to assist in the coordination of a person-centered health care home and coordinated health services for clients. Turning Point will hi 1 ! ~ Turning Point HOIT EX Contractor approves this page ~r

and supervise afull-time (1.0 FTE) Registered Nurse(RN)and part-time Service Coordinators (1.5 IOIT team, along with members ofthe other eve organizations. These FTE)that make up part of the I staff will be stationed and work the majority of their time at the Behavioral Health clinic. The contractor shall incorporate community collaboration, cultural competence, client/family driven services, a focus on wellness, and integrated services under this Agreement. Clients Served: the ongoing caseload of qualified adults to be served under this agreement is between 5Q and 100. 1. CC3NT'RACTQR RESPONSIBILITIES: A. Staffing Plan, Qualifications, and Duties: 1. The Contractor will in collaboration with the County develop, screen, hire, train, schedule, and supervise the following staff: a. Registered Nurse (1.0 FTE): The RN will coordinate primary care and mental health services for persons enrolled in the program. One goal is co-locate FQ~-~Cs services by placing a primary care provider at the NCBII outpatient clinic at least two days per month, and by colocating behavioral health services at the FQHCs. The RN will coordinate services for clients seeing the primary care provider at NCBH; discuss health and mental health factors with the p~•imary care and mental health providers; and ensure that the client (and their family members, as feasible) is an active participant ire all aspects of the health care team. The nurse will also perform a variety of duties associated with improved health outcomes, including conducting physical and behavioral health assessments, administering drug screenings, collecting health indicators and outcomes, and educating clients on nutrition, exercise, and other healthy behaviors. b. Service Coordinators (1.5 FTE), which will be at least two and not more than three individuals: The part-time Service Coordinators (1.S FTE) being; employed by Turning Point will be persons with lived experience (mental health consumers} and/or family members. The Service Coordinators will link clients to the primary carp services at the NCBH clinic and PQHCs, as well as assist individuals to access substance use services and other resources in the community. The RN and Service Coordinators will assist clients to develop a WRAP and an Integrated Health Care Plan (IHCP), both promising practices, to provide a roadmap for identifying key health outcomes for each client. These activities will promote integrated, person-Centered care and help ensure that each client and their family members are actively involved in the treatment process and achieving healthy outcomes. 2. Staff shall meet Medi-Cal requirements for billing Medication Services; Rehabilitative Services and other Mental Health Service and bill Medi-Cal for services that meet Medi-Cal standards. 3. All staff hired by Contractor shall be employees of Contractor and shall not be acting in any capacity as employee of County, during time they are on duty as employee of Contractor. 4. It is not the intent of the County to direct or control the hiring of Contractor's employees; however, the parties acknowledge that from time to time a Contractor's employee may not provide services to the level or in the manner which is appropriate far the circumstances. In that event, County shall communicate any service or employee deficiencies to Contractor. County raserves the right to require Contractor to take appropriate action, including termination of any Contractor employee who does not provide services to the level of County's expectations. Turning Paint HOIT EX 2 f ~ Contractor approves this pag

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5. All services provided under this contract shall be documented in accordance with Short/Uoyle Medi-Cal and I~✓Ianaged Care. 6. The County may desire services to be performed which are relevant to this contract but have not been included in the scope of the services listed above and Contractor agrees to perform said services upon the written request of County. These additional services could include, ___ ___ _but_are_not limited to, any of the_following: V~lork_requested_by the County in connection with any other matter or any item of work not specified herein; work resulting from substantial changes ordered by the County in the nature or extent of the project, and serving as an expert witness for the County in any litigation or other proceedings involving the transition home. 7. Personnel employment and services under this contract shall be rendered without discrimination on the basis of race9 color, religion, national origin, sex, or ancestry and Contractor shall comply with all fair employment practice requirements of State and Federal law. The Contractor shall comply with the provision of Section 504 of the Rehabilitation Act of 1973, as amended, pertaining to the prohibition of discrimination against qualified handicapped persons in all federally assisted programs or activities, as detailed in regulations signed by the Secretary of Health and Human Services, effective June 2, 1977, and found in the Federal Register, Volume 42, No. 86, dated May 4, 1977. 8. All staff shall be trained and provide services, based on the evidence based practices --outlined in the HOIT Grant. 2. COUNTY RESPONSIBILITIES: The County shall: A. Provide direct oversight of HOIT Turning Point staff by the Program Manager, his/her designee, and the Adult Clinical Supervisor on a daily basis. Specifically, a central focus will be on meeting health outcomes using the ___ . ___ ____.__ __ ---_ -.____----- --~vicYeirc~d~i~se~l pra~ti~es_r~utiine~i-~-the HOIT-grarrt;~n~l coordination _of referrals and services related to the Individualized Health Care treatment plan that involves services from other HOIT agencies and other relevant organizations. B. In collaboration with the Contractor choose specific evidenced, based trainings described in the HOIT grant. 3. EVALUATION: With reasonable notice, the County shall do a Program Review, which shall include evaluation of: Cost effectiveness Program's ability to meet Individual client's treatment goals and objectives 1. Performance Measures A number of different key health indicators will be measured to help track health status improvement as a result of the HOIT services, and particularly ofthe Contractor staff. The selected indicators are consistent with the Federal Healthy People 2020 initiative and Performance measures will be collected for each client enrolled in the program Data will be collected at frequent intervals, beginning at the time of the initial assessments (i.e., health, mental health, substance use). Data will be collected at health care visits periodically throughout the project. This process will ensure that the client's symptoms and outcomes are reported at periodic Contractor approves this page Turning Point HOIT ~X ~~

_ _._. _

intervals to show progress over time. Demographic data will be collected, including number of clients served by age, race, ethnicity, and gender. TP Staff will also document the client's involvement in a Health Care Home and their development of WRAPs and IHCPs. Contractor staff will collect data on each individual's existing health conditions, to meet the _ _ _ requirements ,of the grant.For example,this may include collecting data on weight, height, BMI, blood _____ pressure, blood glucose, and lipid profile. The data will also include the individual's medication history, current medication usage and dosage, and exercise habits. 2. Medi-Cal Certification and Goals: Contractor shall maintain certification as an organizational provider of Medi-Cal specialty mental health
gPr~~~~P.g fnr all naw lr~r.~tin~g, (~'nntp~r.~r~p ~vi~l nffPr ~~g~lar l~niirc of r~pPp~tinn anal v~ill ~ff~r MPCIi-C~l

clients the same hours of operation as it offers to non-Medi-Cal clients. Medi-Cal Performance Measurement Goals: Contractor shall maintain productivity standards sufficient to generate revenue as specified in contract. Objective a: 80% of all clients being served as being Medi-Cal eligible. Objective b: Service Coordinators and RN will have at least an overall 40%productivity in this first year, given the time it takes to start up the program and train the staff. Objective c. Contractor shall have less than 5%denial rate for all billed and audited services. Objective d. Each Medi-Cal service provided must meet medical necessity guidelines and meet MediCal requirements as described by service and activity/procedure code. Objective e. Contractor shall -document and maintain all clients' records to coriip~ywith all Medi-Cal regulations. Other Performance Measurement Goals: By the end ofthe first year of HOIT: Objective a: At least 70% of open clients will have medication reconciliation, communicating what if any meds are being prescribed between the treatment providers.. Objective b: At least 50% of open clients will have an identified problem list shared with appropriate HOIT agencies Objective c: 100% of all open clients will have a primary care provider and sign a release of information for that provider with Behavioral Health. --- __ _ -_ 3. Documentation s Notes, and Integrated Health Care Plans—will be prepared and Assessment, Client Plan, Progress maintained in accord with County procedures as well as state and federal requirements and submitted by Contractor to County upon request. For services which must be authorized by County, Contractor shall submit Request for Authorization and other required documentation prior to rendering such services. County or County designee will review for authorization and communicate in writing or by E-mail the results within 5 calendar days to the provider, in accordance with applicable regulations. 4. Additional Contractor's Responsibilities: Maintain a system that provides required data in compliance with MHSA,HOIT Grant, and Medis Cal reporting requirements. Contractor shall attend HOIT Coordinating Meetings, MHSA Innovation Subcommittee Meeting s and MHSA Steering Committee Meetings. Comply and cooperate with County s for any data/ statistical information that related to services that are required to meet mandated reporting requirements, including reporting data for the federal grant. s Complete required reporting forms. s to eligible populations only Ensure that services are provided Maintain effective program planning s s maintain adherence to all billing standards, and submit monthly Maximize billable units of service, claims in a timely manner. Turning Point HOIT EX 4 Contractor approves this page

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s MHSA reporting requirements include the following: quarterly Progress Report shall be submitted, by service category, for each approved program and/or A service. The report shall include, but not be limited to the following: 1. The targeted number of individuals, clients, and families to be served in each reporting quarter. ..2. The total cumber of individuals, clients, and families_to be served in each reporting quarter. 3. The final Quarterly progress Report shall include the total number of unduplicated individuals, clients, and family units served by each program/service during the fiscal year. 4. The Quarterly Progress Report shall be submitted no later than 30 days following the end of each reporting quarter.
°TrP ("nntr~rtnr S~~1~ ?lac:

sbe designed to support the whole person can attain the highest level Holistic Approach- services will of resiliency. Grounded in the Community: Promoting community involvement, mutual support relationships and s increased self -reliance. The program services will promote collaboration with the support of consumer,family and service and support providers. Rehabilitation: promoting the ideals s of"at home" and "out of trouble: through personal responsibility and accountability. Wellness Focused: Pursuing recovery so participants can benefit from educational opportunities, s —~earn, participate in their communities, and achieve re-silience exemplified by personal qualities of optimism and hope. s competent and culturally responsive. Ensure services will be culturally As the department transitions to the Anasazi System for an Electronic Health Records System,the Contractor shall be required to use the Anasazi System functionality that is relevant to the scope of work ofthis contract, as requested by County. This may include the following Anasazi functionality: use of the Billing System, Doctors HomePage, E-Prescribing, Medication Notes, and other Electronic Health Record data collection necessary for the County to meet billing and quality assurance goals. The Contractor shall receive trainingas needed-to-be able to comply with this requirement.

Turning Point HOIT EX

Contractor approves this page

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EXHIBIT "B" SCHEDULE OF CHARGES AND PAYMENTS TURNING POINT COMMUNITY PROGRAMS,INC.

Subject to tie satisfactory performance--of services required of Contractor pursuant io this contract, and to the terms and conditions as set forth, the County shall pay Contractor a maximum amount not to exceed $ 198,835 for the entire contract term. It is understood and agreed by and between the parties that said payment is for services provided herein and not for direct patient care which is to be billed by Nevada County Behavioral Health to the involved third party in accordance with the procedures, rules and regulations ofthe State of California, and the DEPARTMENT,andlor third payor. In the event oftermination or in the event ofnon-performance of this Contract for any reason, payment shall be prorated to the date of termination or non-performance, notwithstanding any other provision ofthis Contract. . The Contractor's reimbursement is based on the following staffing pattern and according to the following estimated budget:
Turning Point HOIT Contract Budget —10 months Prorated..._ _ —_ _ FTE Salaries &Benefits: 0.83 RN 1.25 Personal Service Coordinator III 0.42 Administrative Asst 2.50 Total salaries &benefits Local travel - mileage Cell phones Admin Costs Total

____

$ 72,932 62,969 17454 153,355 14,300 1,080 30,100 $ 198,835

The actual mix of services may differ depending on needs ofthe community. The rates and total maximum will apply regardless of the actual mix of contract budget. Contractor shall bill County monthly, and invoice shall include staff name and level of licensure if applicable, actual cost of salaries, benefits, mileage reimbursement, and cell phones, and allocated indirect administrative costs.. Contractor agrees to be responsible for the validity of all invoices. CONTINGENCY This contract maximum is contingent upon County's receipt of HOIT grant funding and Mental Health Services Act(MHSA)monies as anticipated. BILLING AND PAYMENT Contractor shall submit invoices by the 15th of each month following the month services were provided. Contractor shall designate on monthly invoice specific services being billed, number of hours and appropriate rate. Invoices are to be sent to the following address: Nevada County Behavioral Health Department Attn: Fiscal Unit 500 Crown Point Circle, Suite 120 Grass Valley, CA 95945 Turning Point HOIT EX 6 ~~ Contractor approves this page,

Contractor shall cooperate with the County process for submitting the unit of service data for direct client services the County Medi-Cal and other billing processes on the required timeline(s). Contractor shall ensure that authorizations are received for services; check and maintain client Medi-Cal and/or other eligibility process financial, registration and intake documents; upon County request, audit service and correcting service or billing errors, follow up on eligibility issues and other issues that may result in _ __ _ _.. _ .. - unbillable services. County shall review the invoice within fifteen(15) working days and notify the Contractor if an individual cost is in question° Contractor has the option of delaying the entire claim pending a resolution of any questioned cost. Payments of approved billing shall be made within thirty (30) days ofreceipt of a complete, correct, and approved billing.

Turning Point HOIT EX

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Contractor approves this page

EXHIBIT "C" SCHEpULE OF CHANGES (Personal Services Contract - Mental Health /Non-Profit) Where Exhibit "C" revises the language in the Personal Services Contract, the provisions of Exhibit C shall govern and supersede any inconsistent provisions. 1. Paragraph 20, Termination, is deleted in its entirety and replaced with the following; "Z0. Termination: A Material Breach of this Contract pursuant to the terms hereof or otherwise, in addition to any other remedy available at law, shall serve as a basis upon which County may elect to immediately suspend payments hereunder, or terminate this contract, or both without notice. If Contractor fails to timely provide in any manner the services, materials and products required under this Contract, ar otherwise fails to promptly comply with the terms of this Contract, or violates any ordinance, regulation or other law which applies to its performance herein, County may terminate this Contract by giving five (5) days written notice to Contractor. County, upon giving seven (7) calendar days written notice to Contractor, shall have the right to terminate its obligations under this Contract if the County, the Federal Government or the State of California, as the case may be, does not appropriate funds sufficient to discharge County's obligations coming due under this contract. Either party may terminate this Contract for any reason, or without cause, by giving thirty (30) calendar days written notice to the other, which notice shall be sent by registered mail in conformity with the notice provisions. In the event of termination not the fault of the Contractor, the Contractor shall be paid for services performed to the date of termination in accordance with the terms of this Contract. Contractor shall be excused for failure to pertorm services herein if such pertormance is prevented by acts of God, strikes, labor disputes or other forces over which the Contractor has no control. Any notice to be provided under this section may be given by the County Executive Officer or Designee or Agency Director." 2. Paragraph 20.A, Suspension, is hereby added to read: "20.A. Suspension: County, upon giving seven (7) calendar days written notice to Contractor, shall have the right to suspend this Contract, in whole or in part, for any time period as County deems necessary due to delays in federal, state or County appropriation of funds, lack of demand for services to be provided under this contract, or other good cause. Upon receipt of a nofice of suspension from County, Contractor shall immediately suspend or stop work as directed by County and shall not resume work until and unless County gives Contractor a written notice to resume work. In the event of a suspension not the fault of the Contractor, Contractor shall be paid for services performed to the date of the notice of suspension in accordance with the terms of this Contract. Suspension of work pursuant to this Paragraph shall not relieve the Contractor of other legal or contractual responsibilities under this Contract.
EX C HHSA Mental Health/Non-Profit Page 1 of 4 I ~~ Contractor approves this pag

Any notice to be provided under this section may be given by the County Executive Officer or Designee or Agency Director." NON-PROFIT PROVISIONS 3. Paragraphs 28 through 32 are hereby added to read as follows: "28. Non-Profit Status:

Contractor is registered as anon-profit corporation and possesses a "Letter of Good Standing" from the California Secretary of State, and further warrants and covenants that it will keep its non-profit status in good standing and effect during the term of this Contract. 29. Reporting Requirements:

Contractor shall submit a report to County no later than thirty (30) days after the aforesaid Contract Termination Date, which report shall identify the status of each service which was provided as described in Exhibit "A"(Schedule of Services), and detail all amounts expended as set forth in Exhibit "B"(Schedule of Charges and Payments), or otherwise. This report is subject to audit by the Nevada County Auditor/Controller. 30. No Undisclosed Benefits to Principals:

Contractor shall not cause, use nor allow any payments, funds or proceeds derived from this Contract to be used, either directly or indirectly, for salary, wages or benefits, for any of its officers, directors, or shareholders. Contractor shall not cause, use nor allow any payments, funds or proceeds derived from this Contract to be used, either directly or indirectly, for salary, wages or benefits for any of its agents, servants, or employees, except those expressly specified in said Exhibit "B". 37. Political Activities:

Contractor shall in no instance expend funds or use resources derived from this Contract on any political activities. 32. Supplemental Audit Provisions: a. Contractor shall provide the most recent copy of the Gontractor's reviewed or audited financial statements. Said financial statements shall be verified by an independent Certified Public Accountant. These financial statements together with the Certified Public Accountants verification are due to the Coufi~ty within thirty (30) days of execution of the Contract. If Contractor, however, has another County Contract currently in effect and has previously provided this information to the County, it is not necessary for Contractor to re-submit these statements and verification under this Agreement. b. Non-profit Contractors whose contract with the County have services that will be reimbursed, whether partially or in full, with Federal funds are also governed by OMB Circular A-133 and are required to have a single or program-specific audit conducted if the Contractor has expended $500,000 or more in Federal awards during their fiscal year. Any Contractor who is required to complete an annual A-133 Audit must submit a copy of their annual audit report and audit findings to County at the address listed in "Notices" §26 of the executed contract within the earlier of thirty (30) days after the Contractor's receipt of the auditor's report or nine (9) months following the end of the Contractor's fiscal year."
EX C HMSA Mental Health/Non-Profit Page 2 of 4 ~'~ ~ Contractor approves this pa

MENTAL HEALTH PROVISIONS 4. Paragraphs 33 through 34 are hereby added to read as follows: "33. Client/Patient Records:

HEALTH RECORDS: Where this contract is for services relating to the mental health or a. the medical needs ar condition of clients or patients, Contractor shall maintain adequate mental and/or medical health records of each individual client/patient which shall include a record of services provided by the various professional personnel in sufficient detail to make possible an evaluation of services, and which shall contain all necessary data as required by the Department of Behavioral Health and state or federal regulations, including but not limited to records of client/pati~rt interviews and progress notes. TREATMENT PLAN; Contractor shall also maintain a record of services provided, b. including the goals and objectives of any treatment plan and the progress toward achieving those goals and objectives. County shall be allowed to review all client/patient records) during site visits, or at any reasonable time. LOCATION /OWNERSHIP OF RECORDS; If Contractor works primarily in a County c. facility, records shall be kept in the County's facility. If Contractor works in another facility, the records may be maintained at that facility. If Contractor works in a school setting, original records shall be maintained at the Department of Behavioral Health, but Contractor may keep duplicate records at the school until termination of the Contract, at which time said duplicate records shall be returned to the Department of Behavioral Health. All records are the property of County. Upon demand by County, all original records shall be delivered to County within a reasonable time from the conclusion of this Contract. Contractor may keep copies at Contractor's expense. d. CONFIDENTIALITY: Such records and information shall be maintained in a manner and pursuant to procedures designed to protect the confidentiality of the client/patient records, in accordance with the provisions of Health and Safety code § 71812, et seq., and in conformity with all applicable legal requirements and recognized standards of professional practice. All client/patient records maintained by Contractor must be retained by Contractor for seven (7) years or one (1) year beyond the client/patienYs reaching the age of majority, whichever is later. REPORTS: Reports are not required on a regular basis. However, Contractor shall e. provide reports to County from time to time as necessary, and as reasonably requested by County. COPIES OF RECORDS: Upon termination of this Contract, Contractor agrees to f. cooperate with client/patients, County and subsequent providers with respect to the orderly and prompt transfer of client or patient records. This Contract does not preclude Contractor from assessing reasonable charges for the expense of transferring such records if appropriate. Said charges shall be twenty-five Cents ($0.25) per page, plus the cost of labor, not to exceed Sixteen Dollars ($16.00) per hour or pro rata fraction thereof, for actual time required to photocopy said records, 34. Financial, Statistical and Contract-Related Records:

a. BOOK AIVD RECORDS: Contractor shall maintain statistical records and submit reports as required by County on or before the fifth (5th) working day of each month. Contractor shall also maintain accounting and administrative books and records, program procedures and documentation relating to licensure and accreditation as they pertain to this Contract. All such financial, statistical and contract-related records shall be retained for five (5) years or until program review findings and/or audit findings are resolved, whichever is later. INSPECTION: Upon reasonable advance notice and during normal business hours or at b. such other times as may be agreed upon, Contractor shall make all of its books and records available for inspection, examination or copying, to County, or to the State Qepartment of Mental Health, the Federal
EX C HHSA Mental Health/Non-Profit Page 3 of 4 t~ i Contractor approves this pag

Department of Health and Human Services, the Controller General of the United States and to all other authorized federal and state agencies, or their duly authorized representatives AUDIT: Contractor shall permit the aforesaid agencies or their duly authorized c. representatives to audit all books, accounts or records relating to this Contract, and ali books, accounts or records of any business entities controlled by Contractor who participated in this Contract in any way. All such records shall be available for inspection by auditors designated by County or State, at reasonable times during normal business hours. Any audit may be conducted on Contractor's premises or, at County's option, Contractor shall provide all books and records within fifteen (15) days upon delivery of written notice from County. Contractor shall forthwith refund any moneys erroneously charged."

EX C HHSA Mental Health/Non-Profit

Page Q of A

7

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Contractor approves this pag

EXHIBIT "D" SCHEDULE OF HIPAA PROVISIONS If and to the extent, and sa long as, required by both the provisions of 42 U.S.C. § 1171, et seq., enacted as the Health Insurance Portability and Accountability Act of 1996 (MIPAA), and 45 U.S.C. Parts 160 — 164, enacted as the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH), and those regulations promulgated thereunder, including any subsequent amendments made thereto, Contractor does hereby assure County that Contractor will appropriately safeguard Protected Mealth Information made available to or obtained by Contractor. In implementation of such assurance and without limiting the obligation of Contractor otherwise set forth in this Agreement or imposed by applicable law, Contractor hereby agrees to comply with applicable requirements of law relating to Protected Health Information and with respect to any task or other activity Contractor performs an behalf of County, to the extent County would be required to comply with such requirements. The agreement of Contractor set forth in the two preceding sentences, and the additional provisions relating to permitted and required uses and disclosures thereof that shall from time to time be provided to Contractor by County in accordance with applicable law, constitutes a contract between County and Contractor establishing the permitted and required uses and disclosures of such Protected Health Information by Contractor. If one or both parties to this agreement are "Covered Entities" within the meaning of ~5 C.F,R. 160.103, the Covered Entity will comply with all requirements for Covered Entities in accordance with the rules and regulations promulgated under the HIPAA and HITECH Acts. In the event Contractor is determined to be a "Business Associate" within the meaning of 45 C.F.R. 160.103, then in amplification, and not in limitation, of the provisions of this Agreement, including this Section of this Agreement, Contractor agrees that Contractor shall; iVot use or further disclose such information other than as permitted or required by this Agreement. Contractor shall not, except as necessary for the proper management and administration of the Contractor to carry out the legal responsibilities of the Contractor far performance of Contractor's duties under this Agreement, and as applicable under law, use, reproduce, disclose, or provide to third parties, any confidential documents or information relating to the County or patients of the County without prior written consent or authorization of the County or of the patient. If Contractor uses such information for the purposes set forth above, it will only do so if the disclosure is required by law or Contractor obtains reasonable assurances from the person to whom the information is disclosed that it will be held confidentially and used or further disclosed only as required by law or for the purpose fat which Contractor disclosed it to the person. Contractor shall also ensure that the person notifies Contractor of any instances of breach of confidentiality such person is aware of. Contractor shall ensure that its personnel, employees, affiliates, and agents maintain the confidentiality of patient health information and business of the County. As a Business Associate of the County, as that term is used under the HIPAA and HITECH Acts, the contractor shall abide by the HIPP,A Privacy Rule and other Protected Health Information disclosure requirements of 45 CFR 164.504(e). 2. Not use or further disclose the information in a manner that would violate the requirements of applicable law. The County and Contractor acknowledge that Section 13404 of the HITECH Act creates a statutory obligation for Business Associates of Covered Entities to use and disclose Protected Health Information only if the use and disclosure is in compliance with the requirements of 45 C.F.R. 164.504(e), which establishes the standards and implementation specifications for Business Associate agreements, including the prohibition of Business Associates from using or disclosing Protected Health Information in a manner that is inconsistent with the HIPAA Privacy Rule and the privacy and security requirements of the HITECH Act. .
'~ ~ ,~ ; Contractor approves this page

EX D Exhibit "D" Page 1 of 2

3.

Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of such Protected Health Information that it creates, receives, maintains, transmits or destroys on behalf of County in a manner that is consistent with the standards required under the HIPAA and HITECH Acts; In the event that Contractor becomes aware of any use or disclosure of Protected Health Information that is not authorized by this Agreement, it will report that event to the County within twenty-four hours of becoming aware of the unauthorized use or disclosure; Ensure that any subcontractors or agents to whom Contractor provides Protected Health Information received from County agree to the same restrictions and conditions that apply to Contractor with respect to such information; Make available Protected Health Information in accordance to applicable law; The above requirements apply equally to all electronic records. Contractor shall not release any electronic information without complying with all above requirements; Contractor will maintain administrative, physical and technical safeguards that reasonably and appropriately protect the confidentiality, integrity and availability of Protected Health Information in a manner consistent with HIPAA and HITECH Act standards. Contractor will notify customer of any security incident of which it becomes aware, including breach of confidentiality, integrity or availability of Protected Health Information within twenty-four hours or immediately if notification is urgent, of its discovery of the breach, and will comply with all applicable breach notification requirements as provided under the HIPAA and HITECH Acts. Contractor shall take prompt corrective action to cure any breach or action pertaining to the unauthorized disclosure of Protected Health Information;

4.

5.

6. 7.

9.

Make Contractor's internal practices, books, and records relating to the use and disclosure of Protected Health Information received from County available to the Secretary of the United States Health and Muman Services for purposes of determining Contractor's compliance with applicable law (in all events Contractor shall immediately notify County of any such request, and shall provide County with copies of any such materials}; Incorporate any amendments or corrections to Protected Health Information when notified pursuant to applicable law. Contractor agrees that this Agreement may be amended from time to time by County if and to the extent required by the provision of 42 U.S,C. § 1171, et seq., enacted by HIPAA and regulations promulgated thereunder, in order to assure that this Agreement is consistent therewith; and Authorize termination of the Agreement by County if County determines that Contractor has violated a material provision of the HIPAA and/or HITECH Acts.

10.

11.

EX D Exhibit "D" Page 2 of 2 ~~

Contractor approves this page

NEVADA COUNTY BEHAVIORAL HEALTH DEPARTMENT DECLARATION OF ELIGIBILITY FOR PROSPECTIVE EMPLOYEES/CONTRACTORS

POLICY: ( The Nevada County Behavioral Health Department "BHD"} will not employ ox engage as contractors any Ineligible Person for any department or program receiving federal funds. An "Ineligible Person" is any individual or entity who:(a)is currently excluded, suspended, debarred or otherwise ineligible to participate in Federal health care programs or in Federal procurement or nan-procurement programs; or,(b) has been convicted of a criminal offence related to the provision of health care items or services, but has not yet been debarred, or otherwise declared ineligible. INSTRUCTIONS: As a prospective employee or contractor with the BHD,please complete the declaration under penalty of perjury below. If you are or the entity you represent is an Ineligible Person as defined above, please immediately notify the BHD Director.

DECLARATION I, ,,,'~ O''l. K ~ ~ K~kC' rn elf, or _~ (name)on behalf of

~7,v~ ~~~,~~ ~~~~ ~`L`~g orati~______on_partnership, LLC) ~~ ~ ~~

declare under penalty of perjury under the laws of the State of California that: I am not, or ,f.--the entity I represent is not an Ineligible Person as defined in the Policy recited above. If, while employed or engaged as a contractor by BHD,I (or the entity I represent) become an Ineligible Person, I will notify the BHD Director immediately.

~, ~ ~ ~'
~~ignature) ( ate)

BH Exclusion Screening BH

NE~fA~A GQI~NTI~` SHERIFF'S Q~FI~E

KEITH RQYAL /CORONER SHERIFF PUBLIC ADMINISTRATOR

September 13, 2012 Honorable Board of Supervisors Eric Rood Administrative Center
Ar..3Q ~,~w;CIL; ~~,~An~:g

Nevada City, CA 95959 DATE OF MEETING: September 18, 2012 SUBJECT: Resolution appointing Administrative Hearing Officers for Administrative Appeals under the County's Marijuana Cultivation Ordinance RECOMMENDATION: Approve the attached resolution FUNDING: Not applicable BACKGROUND: On May 8, 2012, the Board of Supervisors adopted Ordinance No. 2349 regulating the cultivation of marijuana in unincorporated areas of Nevada County. The Ordinance provides that the Sheriff or his designees may issue Notices to Abate marijuana gardens if it is determined that a violation of the Code has occurred. Persons who are issued a Notice to Abate have the right to file an administrative appeal, which is then heard by an Administrative Hearing Officer appointed by the Board of Supervisors. We have identified two individuals who are qualified and willing to serve as neutral and independent hearing officers for the purpose of hearing appeals under the County's Marijuana Cultivation Ordinance. Their specific credentials include the following: Victor Ferrera —Office of Emergency Services Program Manager; understands, interprets and applies local, state and federal rules, regulations and laws. Mike Sypnicki — Probation Department Program Manager, experience in local and State laws, oversees Court Services for Probation, makes sentencing recommendations to Superior Court. Hearing officers will be assigned to cases based on a rotation, availability and, in appropriate cases, areas of special expertise. The County Counsel's office provides training to all administrative hearing officers before they are assigned a case to them and provides an independent legal advisor to assist the hearing officers on an as needed basis. Res ectfully submitted, ~~~~ Keith Royal Nevada County Sheriff
ADMINISTRATION: 950 MAIDU AVENUE, NEVADA CITY, CA 95959 -(530)265-1471 AMMAL CQNTRQL, 14fi47 MGGOURTNEY ROAD, GRASS VALLEY,CA 95949(530j 273-2179 CQRRECTIONS: P.O. ROX 928, NEVADA GITY, CA 95959-Q828 — (530)265-1291 TRUCKEE: P.Q. B4X 899, TRUCKEE, CA 9616Q — (530)582-7838 sheriff(a3co.nevada.ca.us

RESOLUTION

No.

OF THE BOARD OF SUPERVISORS OF THE COUNTY OF NEVADA
APPOINTING ADMINISTRATIVE HEARING OFFICERS TO CONDUCT ADMINISTRATIVE HEARINGS PURSUANT TO NEVADA COUNTY GENERAL CODE SECTION G-IV 5.1, ET SEQ.

WHEREAS,on May 8, 2012, the Nevada County Board of Supervisors adopted Ordinance No. 2349 "Code")establishing regulations related to the cultivation of ( in unincorporated areas of Nevada County; and, marijuana WHEREAS,the Board has delegated the authority to conduct administrative hearings regarding potential violations of the Code to an administrative hearing officer be appointed by the Board; and, WHEREAS,the Board desires to appoint certain hearing officers and has identified several individuals who are well qualified and willing to serve in this capacity. NOW,THEREFORE,BE IT HEREBY RESOLVED,by the Nevada County Board of Supervisors that the following individuals are hereby appointed as Administrative Hearing Officers for the purpose of conducting any and all appeals pursuant to Nevada County General Code Sections G-IV 5.1, et seq. Victor Ferrera — Office of Emergency Services Mike Sypnicki — Probation Department,Program Manager

lb
COUNTY OF NEVADA NEVADA COUNTY AIRPORT
(530)273-3374 Mail: 950 Maidu Ave. Nevada City, CA 95959 August 31, 2012 Honorable Board of Supervisors Eric Rood Administrative Center 950 Maidu Avenue Nevada City,CA 95959 DATE OF MEETING: September 18, 2012 SUBJECT: Resolution authorizing a second amendment to the contract between the County of Nevada and Sierra National Construction executed on September 13, 2011 by Resolution 11-463 and amended on August 28, 2012 by Resolution 12-383. RECOMMENDATION: Approve Resolution FUNDING: Original Federal AIP Grant 3-06-0095-15 in the amount of $2,281,450 was increased to $2,351,824 by Contract Change Order #1 approved by RESO 12-383. BACKGROUND: A federal grant, AIP 3-06-0095-15, in the amount of $2,281,450 to fund runway rehabilitation, erosion and drainage improvements and engineering support was approved by Board Resolution 11-441 on August 30, 2011. Contracts for the work were awarded to Mead &Hunt Inc.($223,107.30), Knife River Construction ($991,318) and Sierra National Construction ($1,181,588) by Resolutions 11-461, 11-462 and 11-463, respectively on September 13, 2011. Resolution 12-383 approved Contract Change Order #1 with Sierra National Construction, increased their contract by $74,078 to $1,255,666 and approved an increase in the Federal grant to $2,351,824.. Note: FAA grants cover 95% of project costs so the total of the three contracts listed above exceeds the grant amount. The difference is called "sponsor match" and is the responsibility of the airport. Knife River completed all contract deliverables in May of 2012 and all invoices were paid in FY 11/12. The Mead &Hunt project management and engineering consulting contract on this project is a two year contract and $145,000 remains to be expended in FY 12/13. The Sierra National Construction contract deliverables included removal of cobble in the infield drainage areas, construction of a new drainage inlet and discharge pipe system in the infield and drainage ditches south ofthe taxiway, construction of high energy dissipaters on the SW corner and north side ofthe airport where water leaves airport property and erosion mitigation treatment of the infield and drainage ditches. During the execution of the contract Sierra National has had to revise both the quantities of material, associated costs and scope of work called for in the original bid and specifications document for both base bid and bid alternate #1 scope of work. The first of those revisions was reflected in Contract Change Order(CCO)#1 and approved by Resolution 12-383. CCO #1 increased the Sierra National Construction contract amount to Location: 13083 John Bauer Ave. Grass Valley, CA 95945

$1,255,666.30. The additional $74,078.30 contract amount will generate an additional $3704 sponsor match requirement that will be covered by the airport enterprise fund balance. In late July Sierra National began application of the erosion mitigation measures in the infield. Per the contract specification the measures included cultivation of the soil to a depth of 8-10 inches, application of a chemical soil binder called Permazene and rolling to create a hard packed surface on which water could sheet off the runway and taxiway into the drainage swales. Approximately 50,000 square feet of infield was treated. The result was not good. After application the treated area failed the compaction test and shrunk and cracked as the newly rolled soil dried. The engineers called "time out" to review the application process and the specified treatment. After consultation with a number of different erosion mitigation consultants a decision has been made to change to a hydro seeding erosion mitigation process. CCO # 2 reflects a compilation of credit for work specified in the contract but no longer to be done, additional costs associated with the new mitigation process, payment for the partial erosion mitigation work that was accomplished and adjustments for changes in bid versus actual material such as pipe, manholes, rip rap etc. The net result is an increase of $238,937.25 to the Sierra National Contract which will now total $ 1,494,603.55. This increase will also increase the airport's sponsor match burden by and additional $11,947 that will have to be covered by the airport enterprise fund balance. Attached to this cover letter is a draft Resolution requesting approval of the second amendment to the contract between the County and Sierra National Construction, the contract amendment, a letter dated September 7, 2012 from Mead &Hunt with an overview of the change order, an FAA approved copy of the change order and appropriate reference Resolutions. Change order #2 has been reviewed and endorsed by Mead &Hunt,Inc, the airports designated engineering consultant, the Federal Aviation Administration and the Nevada County Airport Commission.

Respectfully Submitted,

Richard A. Haffey County Executive Officer

Greg Marshall Airport Manager

RESOLUTION

No.

OF THE BOARD OF SUPERVISORS OF THE COUNTY OF NEVADA
RESOLUTION APPROVING A SECOND AMENDMENT TO THE CONTRACT BETWEEN THE COUNTY OF NEVADA AND SIERRA NATIONAL CONSTRUCTION AND AUTHORIZING THE CHAIR OF THE BOARD OF SUPERVISORS TO EXECUTE THE AMENDMENT WHEREAS,Resolution 11-441 authorized acceptance of a $2,281,450 Federal Aviation Administration(FAA)grant AIP 3-06-0095-15 for runway rehabilitation, erosion and drainage improvement and engineering and construction project support at Nevada County Airport; and WHEREAS,Resolution 11-463 approved a contract with Sierra National Construction in the amount of$1,181,588 to complete the contract tasks; and WHEREAS,Resolution 12-383 approved a first amendment to the contract with Sierra National Construction adding $74,078 to the contract amount and revising the contract deliverables as specified in Contract Change Order No.l; and WHEREAS,the process and results called for in the original contract specifications for the erosion mitigation have not yielded satisfactory results; and WHEREAS,the material, scope of work and erosion mitigation process called for in the original bid and specification document has changed resulting in Contract Change Order (CCO #2); and WHEREAS,the Federal Aviation Administration has reviewed and approved CCO No.2 and agreed to increase the grant amount by an additional $226,990.38(95% ofthe $238,937.25 contact increase); and WHEREAS,the parties desire to amend their agreement to increase the contract amount to $1,494,603.55 and to complete additional or revised deliverables as specified in CCO #2. NOW,THEREFORE,BE IT HEREBY RESOLVED by the Board of Supervisors of Nevada County that an amendment to the contract by and between the County of Nevada and Sierra National Construction be and hereby is approved in the form attached hereto as Exhibit A, and the Chair of the Board of Supervisors is hereby authorized to execute the amendment. NOW,THEREFORE,BE IT FURTHER RESOLVED that the Board of Supervisors accepts the increased FAA approved grant request in the amount of $226,990 for a maximum grant amount now totaling $2,578,814.

SECOND AMENDMENT TO CONTRACT BETWEEN COUNTY OF NEVADA AND SIERRA NATIONAL CONSTRUCTION

THIS AMENDMENT is executed and is effective as of the 18th day of September, 2012 by and between SIERRA NATIONAL CONSTRUCTION, INC. and COUNTY OF NEVADA. Said Amendment will amend the prior agreement between the parties entitled Standard Public Works Contract executed on September 13, 2011 by Resolution No. 11-463( "Contract") and amended August 28, 2012 by Resolution No. 12-383. WHEREAS,the contract deliverables have not been completed, the scope of work and specifications for certain processes and materials have changed (see attached Contract Change Order #2) requiring a contract amendment; and WHEREAS, the parties desire to amend their agreement; and WHEREAS,the maximum contract price is increased to $1,494,603.55. NOW,THEREFORE,the parties hereto agree as follows: 1 Add the following to paragraph 1. SCOPE OF WORK: In addition, Contractor shall do the work and provide the materials as described in attached Contract Change Order #2.

2. Add the following to paragraph 2. CONTRACT TIME: Pursuant to Bid and Specification Document Division IV, Section 1-1.8, an additional 30 working days are authorized to completed work as specified in Contract Change Orders #1 and #2. 3. Change paragraph 3. CONTRACT PRICE: to read one million, four hundred ninety four thousand, six hundred and three dollars and fifty five cents ($1,494,603.55). 4. That in all other respects the prior agreement of the parties shall remain in full force and effect except as amended herein.

APPROVED AS TO FORM: COUNTY COUNSEL

COUNTY OF NEVADA

TED OWENS Chair of the Board of Supervisors ATTEST: CONTRACTOR:

DONNA LANDI Clerk of the Board of Supervisors

Scot Root Sierra National Construction, Inc

Mead

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September 7, 2012

Mr. Greg Marshall Airport Manager Nevada County Airport 950 Maidu Avenue Nevada City, CA 95959 Project: Schedules A Airport Improvements AIP No. 3-06-0095-15 Contract Change Order #2

Subject:

Dear Mr. Marshall, Enclosed is Contract Change Order #2(CCO-2) for the Schedule A work at the Nevada County Airport. CCO-2 is a balancing change order and adjusts the payment for unit price bid items to reflect actual field measured quantities. These quantities may vary from the estimated quantities of the Engineer's Cost Estimate and are detailed on the enclosed document. CCO-2 results in an increase in project costs of $238,937.25. When this amount is added to the original Contract Price (including Contract Change Order No. 1) of $1,255,666.30, the resulting Revised Contract amount is $1,494,603.55. CCO-2 details the adjustments to each bid item. The net increase in project costs can be broadly summarized into three categories: 1. Storm Drain Network quantities: Quantities associated with the Storm Drain Network, including pipes of various sizes and manholes, are being adjusted for payment as part of CCO-2. The field measured quantities of these items match very well with those shown on the Plans; however, the quantities shown on the Plans were not accurately reflected on the Bid Schedule that was included in the Contract Documents because the Bid Schedule was not updated to reflect the final quantities shown on the Plans. As a result, these pay quantities need to be adjusted. The adjusted quantities reflect what is shown on the Plans and what has been installed in the field. The net increase in project cost due to this change is $67,260.50. Alternative to Permazyme Application: Permazyme or similar compound was recommended as an erosion control measure for this project. Research in both Nevada County and Humboldt County indicated that application of this material has been an effective erosion control method on numerous previous projects. However, at the time of application, the concentration of large rock in the subgrade on this project made application of Permazym difficult and the end result unsatisfactory. Large rock brought to the surface during the application process required separate
~r. X :114163-001114245.021TECHIconst admlSchedule AICCOICCO2 Cover letter.docx

2.

Mr. Greg Marshall September 7, 2012 Page2of2 handling for removal that was not anticipated in the Contractor's bid. Additionally, the resulting treated surface was not acceptable. The increase in cost for providing this additional effort, plus the less than satisfactory results, warranted addressing alternatives that would be less costly but still provide desired results. After comparing several options, a combination of hydro seeding and erosion control blanket application was selected as the best alternative. The cost of this alternative consists of finish grading existing infields, preparation for hydroseeding, and application of hydro seeding and erosion control blankets. 3. Miscellaneous costs: Some miscellaneous costs were encountered during this project that are also included in this CCO. These costs include: removal of cobble in the infield that was encountered during excavation; relocation of an existing grindings stockpile that extended into the work area; and additional costs for mobilization and project coordination due to extension of overall project duration resulting from CCO work, etc.

We recommend that the County request FAA funds to cover the additional costs of CCO-2 and process the Change Order as soon as possible. These additional costs are justified construction expenses due to unforeseen conditions and are eligible for funding under the AIP Grant. Feel free to contact me if you need any further information. Sincerely, MEAD &HUNT, INC.

Ajay Singh Project Engineer

Enclosure:

Contract Change Order No. 2

X :114163-001114245.021TECHIconst admlSchedule AICCOICCO2 Cover lettecdocx

Page 1 of 5 CONTRACT CHANGE ORDER NO. AIRPORT: PROJECT: LOCATION: NEVADA COUNTY AIRPORT AIRPORT IMPROVEMENTS GRASS VALLEY,CALIFORNIA DATE: 2 SEPTEMBER 7,2012
3-06-0095-15

AIP PROJECT NO.:

MEAD &HUNT NO.:

14163-114245

CONTRACTOR:

SIERRA NATIONAL CONSTRUCTION

The following modifications are made to the original contract amount approved on August 28, 2012. This Change Order provides su►nmary of revised quantities and associated costs for some of the project items.

Bid CCO-2 Item #. `Item # 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22' 23 24. 3 8 9 10 11 12 15 16 17 18 20 21 A-5 A-6 A-7 A-9 A-12 A-13

Description Delete Additional SWPPP Work Delete Soil Stabilization and Surface Treatment Trench Patch Paving -reduced quantity Controlled Low Strength Material(CLSM)reduced quantity 4-foot Manhole -increased quantity by 1 manhole 5-foot Manhole -increased quantity by 1 manhole. 12-Inch Storm Drain Pipe - reduced quantity 18-Inch Storm Drain Pipe - increased quantity 24-Inch Storm Drain Pipe -increased 30-Inch Storm Drain Pipe -increased quantity RSP Rip Rap -increased quantity RSP Fabric -increased quantity. Delete Soil Stabilization and Surface Treatment Trench Patch Paving -increased quantity. Controlled Low Strength Material(CLSM)decreased PCC Curb and Pan -reduced quantity 12-inch HDPE Storm Drain Pipe - increased quantity 18-inch HDPE Storm Drain Pipe - decreased quantity Hydro Seeding -added Erosion Control Blanket-added Compensation for Permazyme in WA-3 &4 pensation for Removing rocks from WACompensation for Removing Grinding stockpile Compensation for Removing Infield cobble

Unit LS SY SF CY EA EA LF LF LF LF TON SY SY SF CY SF LF LF ACRE SY SY T&E LS LS

Unit Price $25,000 $1.15 $3.60 $155.00 $ 7,800.00 $ 8,800.00 $55.00 $160.00 $68.00 $95.00 $37.00 $2.40 $1.15 $3.60 $155.00 $12.00 $60.00 $70.00 $3,650 $4.58 $1.15

Quantity -1 68,700 -249 -90 1 1 -404 427 3.5 45.50 83 1,060 10,500 850 50 9 6 1 20 16,300 19,161

Amount (-$?5,000) (-$79,005.00) (-$896.40) (- 13,950.00) $7,800.00 $8,800.00 (-$22,2?0.00) $68,320.00 $238.00 $4,322.50 $3,071.00 $2,544.00 ( l 2,075.00) -$ $3,060.00 ~ ~~'~~~'~~~ ( l 08.00) -$ $360.00 (-$70.00) $ 73,000.00 $ 74,600.00 $ 22,035.15 $ 36,500.00

~

$2,141.00 $13,890.00

1 1

$ 2,141.00 $ 13,890.00

114163-001114245.021TECMconstadmlScheduleAICCOWEVAIP-15SchACCO No 2dralt.revised.doc X:

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MEAD 8~ HUNTS ~I1C.

Page 2 of 5 25
2~

Additional compensation for field management
costs Preparation of Infield Areas for Erosion Control Treatment

T&E
LS $49,330.00 1

$ 30,000.00
$ 49,330.00 $238,937.25 $74,078.30 $1,494,603.55

This Change Order Previous Change Orders)Total Revised Contract Total Revised plan sheets affected by this change order: N/A

Recommended by: Ajay ►n Approved by: Mead &Hunt,Inc.) ~Y~ Greg Marshall(County of Nevada) Accepted by: Sierra National Construction Date

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Date

Date

APPROVED Subject to the availability of Federal funds and limitations of Grant Agreement Federal Aviation Administration SFO ADO 1000 Marina Boulevard, Suite 220 Brisbane, California 94005-1853 By: Date:

NOTE: Change Orders and Supplemental Agreements require FAA approval prior to construction, otherwise no Federal participation can be granted.

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MEAD 8 H U NT, I t1 C.

Page 3 of 5 AIP PROJECT NO.: AIRPORT: 3-06-0095-15 CHANGE ORDER NO LOCATION: Grass Valley, Califo►•nia

Nevada County Airport

Bid Schedule A Contract Pay Item Adjustment CCO #2 ITEM # 1.

JUSTIFICATION FOR CHANGE Base Bid Item 3: Additional SWPPP Work: This item was intended to provide for any additional effort required to maintain/ implement the SWPPP especially during a winter shut down. Such conditions did not arise; thus, the project will be credited an amount of$25,000.00 under CCO #2, Item #1. Base Bid Item 8: Soil Stabilization and Surface Treatment: This item was intended to stabilize and reduce the erosion potential of existing soils in the select airport infield affected by the project. A product called permazyme was selected for this purpose; however presence of large sized rocks 6-8 inches below the surface prevented proper application of this material. A credit of $79,005.00 will be made to the project for non-application ofthis product under CCO #2, Item #2. Costs for preparation ofsome ofthe infields, and restocking fees for permazyme material will be charged to the project under separate CCO#2 items. Base Bid Item 9: Trench Patch Paving: The in-place field verified quantity of this item is 2,151 SF or 249 SF less than the estimated quantity of 2,400 SF. This results in a credit of $896.40 that will be applied under CCO #2,Item #3. Base Bid Item 10: Controlled Low Strength Material(CLSM): The in-place field verified quantity ofthis item is 10 CY or 90 CY less than the estimated quantity of 100 CY. This results in a credit of $13,950.00 that will be applied under Item CCO #2, Item #4. Base Bid Item 11: 4-foot Manhole: The in-place field verified quantity ofthis item is 6 man holes or 1 man hole more than the estimated quantity of5. This results in an increase of $7,800.00 that will be charged under CCO #2, Item #5. Base Bid Item 12: 5-foot Manhole: The in-place field verified quantity ofthis item is 8 man holes or 1 man hole more than the estimated quantity of7. This results in an increase of $8,800.00 that will be charged under CCO #2, Item #6. Base Bid Item 15: 12-inch Storm Drain Pipe: The in-place field verified quantity of this item is 886 LF or 404 LF less than the estimated quantity of 1,290 LF. This results in a credit of $22,220.00 that will be applied under CCO #2, Item # 7. Base Bid Item 16: 18-inch Storm Drain Pipe: The in-place field verified quantity ofthis item is 687 LF or 427 LF more than the estimated quantity of260 LF. This results in an increase of $68,320.00 that will be charged under CCO #2, Item #8. Base Bid Item 17: 24-inch Storm Drain Pipe: The in-place field verified quantiTy ofthis item is 1,558.5 LF or 3.5 LF more than the estimated quantity of 1,555 LF. This results in an increase of $238.00 that will be charged under CCO #2, Item #9. Base Bid Item 18: 30-inch Storm Drain Pipe: The in-place field verified quantity of this item is 2,225.5 LF or 45.50 LF more than the estimated quantity of 2,180 LF. This results in an increase of $4,322.50 that will be charged under CCO #2, Item #10. Base Bid Item 20: RSP Rip Rap: The final field quantity of this item will not exceed 1,128 Tons or 83 Tons more than the estimated quantity of 1,045 Tons. This results in an increase of $3,071.00 that will be charged under CCO #2,Item #11.

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MEAD &HUNT, ~ h C.

Page 4 of5 12. Base Bid Item 21: RSP Fabric: The final field quantity of this item is estimated to be 2,150 SY or 1,060 SY more than the estimated quantity of 1,090 SY. This results in an increase of $2,544.00 that will be charged under CCO #2,Item #12. Bid Alt. #1, Item A-5: Soil Stabilization and Surface Treatment: This item was intended to stabilize and reduce the erosion potential of existing soils in the area. A product called permazyme was selected for this purpose; however presence of large sized rocks 6-8 inches below the surface prevented proper application ofthis material. A credit of$12,075.00 will be made to the project for non-application ofthis product under CCO #2, Item #13. Costs for preparation ofsome ofthe infields and restocking fees for permazyme material will be charged to the project under separate CCO#2 items. Bid Alt. #1, Item A-6: Trench Patch Paving: The in-place field verified quantity ofthis item is 2,850 SF or 850 SF more than the estimated quantity of 2,000 SF. This results in an increase of $3,060.00 that will be charged under CCO #2, Item #14. Bid Alt. #1, Item A-7: Controlled Low Strength Material (CLSIVI): None ofthe originally estimated 50 CY quantity was used in the field. This results in a credit of $7,750.00 that will be applied under CCO #2, Item #15. Bid Alt. #1,Item A-9: PCC Curb and Pan. The in-place field verified quantity ofthis item is 391 SF or 9 SF less than the estimated quantity of400 SF. This results in a credit of $108.00 that will be applied under CCO #2,Item #16. Bid Alt #1, Item A-12: 12-inch Storm Drain Pipe: The in-place field verified quantity ofthis item is 1,386 LF or 6 LF more than the estimated quantity of 1,380 LF. This results in an increase of $360.00 that will be charged under CCO #2, Item #17. Bid Alt. #1, Item A-13: 18-inch Storm Drain Pipe: The in-place field verified quantity ofthis item is 394 LF or 1 LF less than the estimated quantity of 395 LF. This results in a credit of $70.00 that will be applied under CCO #2,Item #18. Hydro Seeding —Hydro Seeding has been chosen as the best erosion control method in lieu ofthe permazyme application. This item will include hydro seed application during a nighttime airport closure. The cost ofthis work will be $3,650 per acre and 20 acres will be treated. This results in an increase to the contract total of$73,000 which will be charged under CCO #2, Item #19. Erosion Control Blanket(ECB)— ECB will be applied in addition to hydro seeding on steeper slopes. It is estimated that 16,300 SY of airport infield will receive this application. The cost ofthis work will be $4.58 per square yard; $74,600.00 for treating 16,300 SY and will be charged under CCO#2, Item #20. Compensation for Permazyme in WA-3 & WA-4 — Permazyme was applied in WA-3; however, because ofthe large volume of rock in the subgrade the final product did not meet specification requirements. In WA-4 the existing infield was prepared to receive permazyme but no permazyme was applied there. Contractor will be paid for this work at the unit price for soil stabilization and surface treatment, but they will also be required to prepare the infield for receiving hydro seeding and correct any grade deficiencies as part ofthis payment. The cost of this work will be T&E,not to exceed $22,035.15 and will be charged under CCO #2, Item #21. Compensation for removing rocks from WA-3&4 — Contractor encountered additional rocks in the WA-3 & 4 infields that were not anticipated at the start ofthis work. The cost ofthis work will be T&E, not to exceed $36,500.00 and will be charged under CCO #2, Item #22. Compensation for Removing Grinding stockpile — Contractor encountered a stockpile of grindings directly in conflict with the west discharge scour-hole. The stockpile had to be relocated to complete the work. The cost of this work is $2,141.00 and will be charged under CCO #2, Item 23.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

X 163-0011 142 5.021TECHIconst admlSchedule AICCOWEV AIP-15 Sch A CCO No 2dra/f.2vised.doc :114 4

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Page 5 of5 24. Compensation for Removing Infield Cobble — Contractor encountered buried cobble not anticipated in the infield drainage channels. This material needed to be removed for construction. The cost of this work is $13,890.00 and will be charged under CCO #2, Item #24 Additional compensation for field management costs —The County temporarily suspended work to allow processing of required Change Orders. Unanticipated costs were incurred as a result. The cost of this work will not exceed $30,000.00 and will be charged under CCO #2, Item #25. Preparation of Infield Areas for Erosion Control Treatment —The Contractor will prepare the infield areas to receive erosion control treatment. This item will include~finish grading the infield areas and preparation of all areas receiving hydro seeding and erosion control blanket. The cost ofthis work will not exceed $49,330.00and will be charged under CCO #2, Item #26.

25.

26.

Has this Change Order been discussed with FAA officials? Yes u No u When With Whom?

X:114163-001114245.021TECMconst admlSchedule AICCOWEV AlP-15 Sch A CCO No 2 draff.revised.doc

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MEAD &HUNT, ~ Il C.

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~E~G'~GD

COUNTY OF NEVADA
COUNTY EXECUTIVE OFFICE
Eric Rood Administrative Center 950 Maidu Avenue Nevada City, CA 95959 (530)265-7040 Fax 265-9839 E-MAIL: ceo@co.nevada.ca.us

SEP~ ~.1- 2012
NEVADA COUNTY BOARD SUPERVISOR

August 30, 2012
The Honorable Board of Supervisors Eric Rood Administrative Center 950 Maidu Avenue Nevada City, CA 95959 DATE OF MEETING: Sept 18, 2012

SUBJECT: Resolution to amend various Nevada County budgets through the fourth consolidated budget amendment for the 2011-12 Fiscal Year. RECOMMENDATION: Adopt the Resolution. FUNDING: BACKGROUND: Occasionally it becomes necessary to adjust the original adopted budget for new initiatives, newly identified grant or external funding or inaccurate budget estimates or unexpected costs. This proposed amendment is the fourth for this fiscal year. Summarized below is the activity in the General Fund contingency account during the 2011-12 fiscal year. Adopted Budget Previous actions Action requested of the Board of Supervisors at today's meeting: Anticipated Balance $ 150,000 $ (21,095) $ 0 $ 128,905

The individual adjustments are denoted on Attachment A. If you have questions or desire further details, we would be happy to provide them. Respectfully,

l~( 'cha d A. Ha County Executi

fficer

Joe Christoffel Deputy County Executive Officer/ Chief Fiscal Officer

RESOLUTION

No.

OF THE BOARD OF SUPERVISORS OF THE COUNTY OF NEVADA
RESOLUTION AMENDING VARIOUS NEVADA COUNTY BUDGETS THROUGH THE FOURTH CONSOLIDATED BUDGET AMENDMENT FOR THE 2011-12 FISCAL YEAR WHEREAS, the Board of Supervisors has determined that various County budgets require revision subsequent to the adoption of the fina12011-12 County budget, and WHEREAS,the revisions are enumerated in attachment A; and WHEREAS,the following funds, enumerated in attachment A, will be releasing fund balance: Fund 1141 1136 1157 1169 1480 1603 1641 3151 3154 Totals Fund Name Automated Warrant System Alcohol &Drug Recorder-Automation Attachment Assessment Fee Health &Welfare Local Trust Tobacco Education Program LEA Assistance Grant CSA 22 Impound Fund CSA 22 Expenditure Fund Net Change 1,730 895 9,280 1,830 430,411 9,642 6,500 133 506 460,927
$

WHEREAS,the following funds, enumerated in attachment A,are estimated as a result of this budget amendment to increase fund balance at year end: Fund 1168 1589 3152 3153 Totals Fund Name Civil Fee - AB709 Health &Human Services Agency CSA 22 Redemption Fund CSA 22 Svecial Reserve Fund Net Change 3,798 274,625 152 90 $ 278,665

NOW, THEREFORE, BE IT HEREBY RESOLVED that the Nevada County Board of Supervisors hereby directs the Auditor/Controller to amend certain departmental estimated revenues and expenses as enumerated in the attached listing and, appropriate fund balances outlined above.

COUNTY OF NEVADA FY 2011-12 BUDGET AMENDMENT REQUEST

Org Code Office2
M #k NY %p pk####

Item # Subservice

SBU Title

Fund No.

SBU

Accoun[ Code Current Budget Debits ta~.~,~ r&~u New Budget Description Credi[s re~~~~ iE,~u

GF Impact to Contingency

Impact on Budgeted Fund Balance

#Mp#

MpXi#

1

CSA 22 Imp Fund CSA 22 Redemp Fund CSA 22 Sp Reserve Fund 701 701 701 701 903 1,730 1,730 34,476 76,550 (1,730) Unanticipated rerirement 1,730 673,091 28,930 1000 29,138 550700 397 1,300 1,730 1,730 3,460 28,405 28,405 492 492 492 492 492 31,500 398,911 430,411 430,411 36,000 191 209 30,000 30,000 705 705 257,000 257,000 257,000 1000 1000 521520 451040 3,518,858 3,173,250 257,000 30,000 30,000 3,775,858 3,430 250 (30,000) 30 000 1101 3415 3102 1000 1000 474001 474001 474001 550701 550701 63,285 53,797 408,485 1,024,572 63,911 335,000 31,500 127,196 335,000 85,297 439,985 1,423,483 28,405 28,405 29,535 (397) (397) (1,730) Computer purchase for warsants division. ] 000 474000 26,921 397 27,318 397 1000 11,000 531100 397 11,397 (397) 1000 281 539500 506 787 (506) -

315] 3]52 3153

30103 30103 30103

701 701 701

1000 1000 1000

539500 539500 539500

264 152 90

264 152 90

-

-

264 Provide for Cost Plan changes to CSA 22 752 90

CSA 22 Exp Fund

3154

30103

CSA 22 Redemp Fund

3152

30103

CSA 22 Redemp Fund

3152

30103

CSA 22 Imp Fund Subtotal Item 1 151 151 151 1000 1000 1000 550700 474000 521480 671,361 27,200

3151

30103

2

Automated Warrant System Sheriff -Operations Sheriff-Operations Subtotal Item 2

1141 0101 0101

20201 20201 20201

1,730 (1,730) -

_

3 fill 272 1000 1000 510120 521520 6,071 104,955

County Counsel Other Sources &Uses Subtotal Item 3

0101 0101

10301 10206

(28,405) 28,405 -

_

Public Health Admin Maternal Child Health Maternal Chifd Health Health CCS Sales Tax Realignment Subtotal Item 4 202 201 1000 1000 521566 521554 6,000 221,209

4

1589 1589 1589 1480 1480

40101 40111 40111 40129 40121

63,911 Use of Sales Tax realignment pending receipt of receivables 335,000 31,500 (31,500) (398,911) (257,000) Increased Gate Fee Revenue and associated tonnage payments to Waste Management 257,000 Increased election costs offset by increased revenue Juvenile Hall Water Heater System replacement and facilities maintenance

Juvenile Hall Probation Subtotal Item 5

5

0101 0101

20310 20320

Solid Waste Solid Waste Subtotal Item 6

6

4117 4117

91001 91001

7

0101 0101 0101 0101 0101 22 000 22,000 809 65 874 154 156 4261 1000 510300 510300 234,176 88 464

10501 10501 10501 10501 10501

073 073 073 073 073

1000 1000 1000 1000 1000

443120 445090 446690 450142 522090

0 0 0 9,000 244 871

4,308 2,363 6,500 8,829 22,000

4,308 2,363 6,500 17,829 266,871

Elections Elections Elections Elections Elections Subtotal Item 7 531 536 536 1000 1000 1000 510120 521520 510400 4,689 9,300 47 093

4,308 2,363 6,500 8,829 (22,000) 5,498 9,365 46 219 874 874 14,835 (809) (65) 874 219,341 103 299

Adjust retirement benefit cost between SBU's Unanticipated leave payout

IGS Admin Geographic Information GeographicInformation Subtotal Item 8

8

0101 0101 0101

11003 11008 11008

9

0101 0101

20304 20704

Truckee Corrections MimalConVOI Subtotal Item 9

14 835 14,835

14,835

14,835 (14,835) -

-

.

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COUNTY OFNEVADA FY 2011-12 BUDGET AMENDMENT REQUEST

Org Code Account Code Current Budget New Budget Description Debits ta~rnu~ tax Credits Tx~~e iE y~,~,,~ GF Impact to Contingency xaaaa~ 521552 561012 521410 521520 522090 521553 4,000 700 4,942 4,500 23,784 235,477 160,014 22,900 22,900 22,900 22,900 1,902,844 0 53,938 62,218 116,156 53,938 64,768 62,218 59,970 42,051 42,051 55,768 58,420 114,188 4,410 760 1,770 977 7,917 555 8,472 492 492 492 492 492 492 492 492 0 1,300 41,000 44,700 5,000 0 92,000 24,300 1 19,000 844,700 70,000 144,528 41,640 56,487 7102 7101 7101 7101 7101 7101 7101 7102 520010 52]553 520010 510100 510300 510301 510400 510200 44,459 113,342 39,682 7,065 12,578 13,080 19,000 22,000 4,300 3,000 2,500 4,750 1.000 69,630 25,000 25,000 42,000 92,000 13,080 63,459 22,000 117,642 42,682 9,565 17,328 I.000 555 8,472 197,024 1,310 8,414 73,778 64,972 3,055 2,351 (4,410) (760) (1,770) (977) 7,917 (555) 555 134,850 (17,500) Increase in Communicable Disease communiTy response

Item" ana 492 492 492 492 492 492 9,642 0 0 0 9,642 22,900 (22,900) 163,000 (163,000) 4,251 700 7,942 36,627 1000 2601 2601 2601 2601 2601 153,358 (153,358) 251 0 3,000 32,127 9,642 Subservice xu:rn

SBU Title

Fund No.

SBU

Oflice2

Impact on Budgeted Fund Balance

xnan

ttaanu

Health &Wellness Health &Wellness Health &Wellness Health &Wellness Health &Wellness Health &Wellness Subtotal Item 30 152 153 1000 526] 522090 530800 258,377 137,114

30

1603 1589 1589 1589 1589 1589

40102 40102 40102 40102 40102 40102

(9,642) Use of Tobacco Education Program funds to reimburse current year expenses 9,642 (4,000) (700) (4,942) (4,500) (14,142) Unanticipated increase in pre-booking medical evaluations

Sheriff- Operations Medical- Non-contracted Subtotal Item 11 492 1000 530800 1,860,793

11

0101 0101

20201 20302

12 CMSP Subtotal Item 12 151 151 151 151 1000 1000 1000 1000 474000 550700 474000 550700 9,000 1,550

1589

40109

(42,051) Unanticipated invoice of CMSP Participation Fee (42,051) 53,938 Correcting budget between Fund's 1 168 & 1169 (55,768) 62,218 (58,420) 1,968 (13,080) based on (19,000) Federal fiscalyeaz (22,000) (4,300) (3,000) (2,500) (4,750) (1 0001 (69,630) 1,300 Increase in Federal Program allocations and associated expenditures 41,000 44,700 5,000 (25,000) (25,000) (42,000) Adjust Budget according to work level performed

SheriffAdmin/Ops Sheriff Admin/Ops SheriffAdmin/Ops SheriffAdmin/Ops Subtotal Item 13 301 301 301 301 301 301 301 1000 1000 1000 1000 1000 1000 1000 510100 510105 510120 510300 510100 522271 522271 192,614 550 6,644 72,801 72,889 2,500 2,906

13

1169 1169 1168 1168

20201 20201 20201 20201

Agriculture Services Agriculture Services Agriculture Services Agriculture Services Weightsand Measures Agiculture Services Weightsand Measures Subtotal Item 14

14

0101 0101 0101 0101 0101 0101 0101

20601 20601 20601 20601 20603 20601 20603

Emergency Preparedness Emergency Preparedness Emergency Preparedness Emergency Preparedness Emergency Preparedness Emergency Preparedness Emergency Preparedness Emer¢encv Prenazedness Subtotal Item 15 492 492 492 492 492 492 492 3102 3102 3401 3103 3102 3102 3401 440500 440510 446080 440500 510100 510200 510200 23,000 78,000 800,000 65,000 119,528 16,640 14,487

15

1589 1589 1589 1589 1589 1589 1589 1589

40107 40107 40107 40107 40107 40107 40107 40107

Maternal Child Health Maternal Child Health Maternal Child Health Maternal Child Health Maternal Child Health Maternal Child Health Maternal Child Health Subtotal Item 16

16

1589 1589 1589 1589 1589 1589 1589

40111 401 I 1 40111 4011] 40111 401 I1 40111

17 492 492 492 492 492 5104 5106 5107 5104 5107 510100 510100 510100 521553 521553

Public Health Nursing Public Health Nursing Public Health Nursing Public Health Nursing Public Health Nursing Subtotal Item 17

1589 1589 1589 1589 1589

40113 40113 40113 40113 40113

117,350 21,641 102,792 37,524 44,464

23,641 110,192 46,524 48,464

-

17,500 2,000 8,000 9,000 4,000 40,500

(2,000) (8,000) (9,000) (4,000) (40,500)

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COUNTY OF NEVADA FY 2011-12 BUDGET AMENDMENT REQUEST

Org Code Office2 xna 273 273 273 74,225 377 518 451,743 451,743 91,197 1,645,629 1,553 347,781 99,643 369,234 79,643 38,197 38,197 100 296,326 20,000 316,326 52,908 79 643 132,551 132,551 6,500 6,500 6,500 13,000 6,500 9 280 9,250 0 2,936 2,936 2,861 2,861 236 236 6,033 6,033 985 985 985 895 985 81,260 134 382 895 895 1,672,232 40,985 40,985 280,000 280,000 191,675 191,675 224,851 224 851 282,936 282,936 194,536 194,536 225,087 225 087 24,008 (74,508) 19,500 1,453 51,455 79,643 38,197 38,197 1000 1000 1000 442960 532200 550700 5,309,539 551,711 4 757 828 451,743 5,761,282 625,936 5,135,346 451,743 Unanticipated revenues and related transfers out (74,225) (377,518) aaaaaa Account Code Current Budget 1 Debits < tee New Budget Description Credits tR~~~ 1E~x GF Impact to Contingency Impact on Budgeted Fund Balance

Item # Subservice auxa

SBU Title

Fund No.

SBU

axsx

uudns

Public Safety Augmentation Public Safety Augmentation Public Safety Augmentation Subtotal Item 18 493 493 1000 1000 521520 521520 53,000 1,683,826

18

1468 1468 1468

20710 20710 20710

MHSA Admin MHSAAdult Subtotal Item 19

19

1512 1512

40103 40110

(38,197) Professional Services for Managed Caze encumbered in Admin SBU 38,197

20

Adult BH Magaed Care Adult BH Magaed Caze Adult BH Magaed Caze Adul[BH Magaed Care Adult BH Magaed Care Subtotal Item 20 323 323 323 1000 1000 1000 521552 561012 521470 17,508 (68,008) 13 000

1623 1623 1623 1623 1623

40110 40110 40110 40110 40110

493 493 493 493 493

1000 1000 1000 1000 1000

430100 440530 474001 550700 550701

1,453 Unanticipated revenues from Managed Caze and the associated e~cpenditures 51,455 79,643 (52,908) (79,643) (6,500) Closing Fund per GASB 6,500 (6,500) (6,500) (9,280) Unanticipated software costs (9,250) (2,936) Unanticipated realignment revenue and associated expenses 2,936 (2,861) 2,861 236 (236) 985 Unanticipated revenue and associated expenses (985) (895) Incr budget to do final tsfr offunds to close 1136 895 (182,262) _

_

Environmental Health Environmental Health Environmental Health Subtotal Item 21 072 1000 521475

21

164] 1123 1123

40108 40108 40108

22 Recorder-Automation Subtotal Item 22 201 201 201 201 201 201 1640 1640 1640 1640 1639 1639 550704 440131 550704 440131 440565 550704

1157

50701

Local Law EnfSvcs-Juv Jus Local I.aw EnfSvcs-Juv Jus Local Iaw EnfSvcs-Juv Prob Local Law EnfSvcs-Juv Prob Juv Justice YOBG Juv Justice YOBG Subtotal Item 23 153 153 1000 1000 441730 550700 40,000 40 000

23

1482 1482 1482 1482 1482 1482

20203 20203 20203 20203 20118 20118

Corzectional Training Sheriff Cortectional Training Sheriff Subtotal Item 24 493 493 895 1,854,494 1000 7831 550700 474000 80,365 133 4S7

24

1324 1324

20301 20301

Alcohol &Drug Alcohol &Drug Subtotal Item 25 GRAND TOTAL

25

1136 1589

40105 40105

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COUNTY OF NEVADA FY 2011-12 BUDGET AMENDMENT REQUEST

Org Code Sub1Rwrnue tE prnx

Item # Current Budget

SBU Title

Debits

Credits

Fund No.

SBU

Office2

Account Code

rx~~~~ ie>~ Contingency -

New Budget Budgeted Fund Balance

GF Impact to

Impact on

Description

xaaa check:
(182,262)

aanan 182,262

ana

service aaaa aanaan

Total offunds adding to fund balance: Total of funds releasing fund balance: Net: Total GF Contingency Impact: Total Net 278,665 (46Q927) Per Resolution (182:262) 0 Per Staff Memo and Resolution (l82~6^)

Estimated Ending Fund Balance

Fund 1141 1168 1169 1157 1480 ]136 1589 1603 1641 3151 3152 3153 3154 (182262)

Impact +/(1,730.00) 3,798.00 (1,830.00) (9,280.00) (430,411.00) (895.00) 274,625.00 (9,642.00) (6,500.00) (133.00) 752.00 90.00 (506.00)

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1~
COUNTY OF NEVADA
STATE OF CALIFORNIA

Nathan H. Be~s~nn
Supervisor, 1St District
Email: nate.beason~ctico.nevada.ca.us

BOARD OF SUPERVISORS

September 4, 2012 The Honorable Board of Supervisors County ofNevada 950 Maidu Avenue Nevada City CA 95959 DATE OF MEETING: September 18, 2012 SUBJECT: Letter to the California Public Utilities Commission supporting Spiral Internet's application to the California Advanced Services Fund for a local fiber-to-premise broadband project. RECOMMENDATION: Approve the letter. FUNDING: Not applicable BACKGROUND: Broadband (Internet access) has become a critical element to our local health care options, educational opportunities and economic vitality. It has become a large indicator to every community's economic and quality of life assessment. It is increasingly leveraged to provide more efficient and cost-effective public services and assist public safety personnel in serving and protecting our community. The County ofNevada has been actively supporting local broadband initiatives and efforts for over twelve years and in 2009 passed Resolution 09-106 affirming that support. Spiral Internet, a local Internet Service Provider (ISP) is applying for California Advanced Services Fund dollars from the California Public Utilities Commission to build out local fiber optic to the premise (home/business) broadband infrastructure. This is similar to the "Nevada County Connected" middle mile project that Economic Resource Council and Spiral Internet unsuccessfully sought ARRA stimulus funding for in 2009. Towards this goal, Spiral Internet has requested a letter ofsupport from the Board to accompany their application.

y submitted,

~~

eason Supervisor, District 1

950 Maidu Avenue, Suite 200, Nevada City CA 95959-8617 530.265.1480 ~ fax: 530.265,9836 ~ toll free: 888.785.1480 ~ email: bdofsupervisors~co.nevada.ca.us phone: website: http:/ /www.mynevadacounty.com/nc/bos
PRINTED ON RECYLED PAPER

1

COUNTY OF NEVADA
STATE OF CALIFORNIA

Nathan Beason, ls` District Ed Scofield, 2°`~ District Terry Lampluer, 3`d District Vice Chair Wm."Hank" Weston, 4"' District Chair Ted S. Owens, 5`'' District Donna Landi, Clerk of the Board

BOARD OF SUPERVISORS
September 18, 2012 California Advanced Services Fund California Public Utilities Commission 505 Van Ness Avenue San Francisco, California 94102-3298
Dear California Public Utilities Commission Staff and Commissioners:

At a special meeting on September 18, 2012, the Nevada County Board of Supervisors voted to support Spiral Internet's application for a local fiber-to-premise broadband project. Nevada County is one of eighteen counties in which the Central Valley Next-Generation Broadband Infrastructure Project — a middle-mile network — is being constructed as a result of American Recovery and Reinvestment Act plus matching California Advanced Services Fund (CASF) monies. Spiral Internet, a local Internet Service Provider, is fulfilling the promise. of extending this fiber optic middle-mile infrastructure with alast-mile 100% fiber optic Internet access project to connect "unserved" and "underserved" homes, community anchor institutions and small businesses. In establishing the definition of broadband connectivity as a minimum advertised speed of 6 Mbps download and 1.5 Mbps upload, the California Public Utilities Commission has paved the way for qualitatively faster Internet access in California's rural communities such as ours. The Board of Supervisors recognizes that broadband infrastructure construction is neither feasible nor sustainable in a rural and geographically diverse community without the support of State and/or Federal funding. The economic sustainability of our community is predicated on ubiquitous and faster Internet access connectivity as we move further into the 21st Century. In that light, we acknowledge the importance of, and overwhelmingly support the Spiral Internet "Fiber to the Home" project and its grant applications to the California Advanced Services Fund for both "unserved" and "underserved" areas. We applaud both the California Public Utilities Commission and Spiral Internet in their effort to bring significantly faster Internet access to our communities, both residential and business, in Nevada County, California. Sincerely,

Ted S. Owens Chair, Board of Supervisors

950 Maidu Avenue, Suite 200, Nevada City CA 95959-8617 phone: 530.265.1480 ~ fax: 530. 265.9836 ~ toll free: 888.785.1480 ~ email: bdofsupervisors (a~co.nevada.ca.us website: http://www.mvnevadacountv.com/nc/bos
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