HomeMy WebLinkAboutC2005-416 - 8/30/2005 - ApprovedT~TLE OF CONTRACT:
CONTRACT NO.'
CYD
P. O. Box g277
Tmeeem: (3el) 8803484
FAX: (381) 880-38B4
417 $. LJppm' 131~L%_~
TMel0ho~e: (3~1) 882-1741
FAX: (381) 8t12-1427
~ Tlnnl im:l ~ (AILJ'.,~i.~t C)
Cl:M'%.,41lon Rlglding Dab- .~,d. (Atl ~.,J.'d E)
C-_: Ifflc,~Uon Reg. di,,g Fe, derM ~ (A"
Subcont~lc~or ~ to Iblde by d tonTm ~ ~ ipeclfkK~ hMlifl,
irdbnTm~ pnwkled to t~e C3ty Il t~ Ind corrmc~ ~ iII m~p~c~l m U'm bM~ c~ Itl Ib~_ #11'i~8,
above.
F-i~d-"inbi~-'-,llahMa~iah,._a:~inl ]:Ilium
Al-rEST. a~~c3vM~
&' M('A
200~116 :c' ~(~ .~: w/ /)£ ,Z~z,,,' ..._._ ~. ~- '"~'~'
M2OIL~2gS ;,
?~415 COMMUNFIN' YOUTH DKV~IOPM~qT PROGRAM
TABI.E OF CONTENTS
('o~traet Ceve~ ~
Sl~tem~mt ~' Wm'k (Att~hme~t A } ................................................... 1
Bm~et llfo,~-~e-, Form~ (Atl--k t B-I) ........................................... 9
R~imbm~eme~t Requeat Form (Al~-ek, ,~t B-l)
~ Narrative (Alt--'- t !1-3) ....
Ntam/ard Terma am/(~,~ie'-~- {A~t~ ~ t C)
I
2.
4.
6
7.
8.
9.
~0
II
12
14
15
16
I?
Ill
19
21
24
25
26
~ Am~o, ity 20
ludqae~k~ Cc~u,,am 20
Financi,,I Li~ 21
Chanl~a and Amendme~s 23
A__~tmti~ R~quir~ments 24
Recoil Keeping/Reporting Requiremem~ 24
PublMty 26
Monitoring and A~,mtmt 26
Year 2000 Cc,,,q~tim-~ce 28
Taxe~ 29
Preventiee ofContlictin8 Imere~s 30
Fraud md Aha~ Prevention 31
Indeumiticafioa 31
Sectm-i~n Involvemem Proifibited 32
Polilkal Activity/Lobbyin8 32
Non-Ducrimine~o~ e~d F_.qu~ Opportune. 32
Health and Safety Steldm-d~ 34
~ 34
Elebennem ~nd Smpemion 36
Notice and A~i~lance ~ Palem ~d ~ lufi'inseme~ 36
27
2O
{0
.1 I
32
:13
.t4
Di~cloam'e of Confidential Information
Co.,,.unical ions
~ StandarcL~ of P~'fom~nc~
E.t~e A&reement
Continl~nt on Fundin8
Train~ Q~lificmions
Termination
Fo~-c~ M~re
~nh:~nfl'actm' A~urnneu w~t~ C. trttfleatio~ (Atmt'knent D)
Cerflfiem~ ~ Debarm~ (A--eh,-ent E)
Cerdr~t~ ~ F~dera~ ~ (Att~k~mt fl
37
37
38
38
38
38
39
4O
AIl'tekmeot A
$TAT~Mi~NT OF WORK
Nubc~traeter YM¢A of Corpus Chri~
Pr~zram Name' Youth l.,e~c~'~p
I ',;ERVI('E$ TO BE PROVIDED
a~ PrOliT-mn~-TheYMCA'sYouthLmdenbip~'s~istobeip
te~mal~'~ become responsible cifizem and flm~re leaders. Youth Lem:h~lbip is a tminin~
t~.~ 14-17 .vea~ ofas;e
Studemts fiom feeder echools (M~ddle and E3emenlmT} to Carroll ITlgh School will be pm't of
the YMCA Youth Le~ Program in that Cm, oil l-rdgh School students will beo0~e
will be developed while workin& with younger studentt Each Caa,cdl ~ Schocd
plmmed by the Youth Advisory Cotmni~ee (YAC) amurin~ th~ studentm have fun, sociaib~ in
ther tim,re
'l'he activities component focus~ on social activities, fidd tript special events and smvice
learrdng pmjeo~ which will give enc~ studem the oppomm~ to put into practice the YMCA
~tudents ~11 ~ receKe ulirdng m: work ethics, preparing forj~ intn~ew~ tt 0c- 'i-sTrata
the employer and co-umrkers; proper work attire; writing resumes; tad career
o0porltmhies
Students will also panicipa~ in State and DM, ~ competitions This is · sev~n megtth
process where students prepare to compete in a ~ UIL ~ in the areas c~
qualif}' at tile diatrict level in order to comp~__e nt the Stnte ~, The Stnt~
cotnpe~don is a tlu~ day evertt where studm~ ~ ~ ~' ~ ~ ~
govemmmtnl p, ocess at the State Capi~ in Austin. Texas.
Additiormlly. tl~ YAC v~ll del~e two youth lo ~rve on t~ Com~mmi~ Youth
l)~lopm~m Stewing Cmmnitt~e Youth will a~end m~l ~ in ~...~ml ~
'1 ~e YAC will also be active in plmmin8 and participa~n& in cotmmnity service ~ to
bene~ the 78415 community They will provi~ v, orkshops for 78415 youth st a Yes,th
Numm~t s~'fich would bnng in imerested youth outside of the YAC. The YAC wffl IX'ovide
expe~taliom of the prot~ r~n I.a~lv they will address the i~ues ofju~ile crime exl
c~ .hOld. the Pro~. nYSell/ice it o ireh ~1~ th~ in11KI Oil juwmile crim~):
demoma'ate improved leada'slip ddlls ~,,.,~h their pm'tid~ in Youth ,nd Govemmmt
I)iM.,ict andStmecompetitior, s. A~_-: ,,.,df. tool' stsff, sdiooico~nselornmlsdfwrittm
e~ation. 50% of m~lmt~ will co,,q~ete tam job i~__~views. Assesammt tool: Job
In order to re~uce juven~e crhn~ ead~ hiSh school stu&ent will be paired with an ndu~ mento~
~ I~ wtll I~ a p~itiv~ rot~ m~ld ~nd a friend to li~t~n ~nd mdvime. Tl~-y' villi dmx~nstrml~
~he i,,q~,~lc~ ot'l:~i~ ·ptrt of makin8 tJ~ir co,,.,tun~ty a better
d~ L)lgundHo~n-sofprovili~~: StudmtsmtheYMCAYouthLe~leflbip~w~
rneet every day ax Carroll H~sh School fi'oat 11.45 AM - 1:30 PM (pn~mm orimlatio~
ume; cotaqict numasarent u'BininB, firr~ ~ mmtor=' ~ etc.). Studm~ will ~o
mee~ onoe o~ t~4ce per week after school for YMCA Youth mxl Goverflmmt ~
o,a~iunity projects, socials and special evenu to take place o~ weekendt Sm~er prosram
take ptnce at Ca.oil HiBh Schoo~ if approved by the Principal. lfCa. utl ~ ~ i~
m~ ~ ~~ ~ m th~ YMCA
f, Uow grvic~ will be awib~hie to youth ~d/of fnrm'li~ without trnqlllgllllk~: Youth
I.asder.~ip PrOLalm's home base is Canoll High School Trtr, sportation, if'needed will be
arr~sed by the Y^C C,~:lin~mr ~hro~S~ ~ tr, mporm~.
cla~nx~m at designated program lime Students will always be supervi~d by YAC
oordinator when participati~ in ~ seuions or ~tivities outside ofCamdi l'fisb
Field trip tnmsportafion will be secured tl-u-oush Corpus Christi lnd~ Sdaool
(CCISD) or local bus ~-rvice. When travdin8 by bus, so~ents will be mpervised by
Y^C Coordirmtor. I-'ver~,.' precaution will be taken to amtre the safety of all stuSmtn.
hi
to.be I,,,'ved ~ the IXOipm ~ Ctnoll ~ School studmts ~ 14-17
year~ of nge plus youth who r~ide m' al'tend a sc, hool in the 784 i 5 ZIP code who would h~e
3'1~ nuwiw of youth ava/or ~mily nmnber$ to be set,d: approxitnatdy 25 studmts for the
contm.-t period of Septembes I. 2005 Februa~.' 28. 2006 Total for F'mcal Year 2005-2006:
approx]rr~ely SO stude~.
Continued service to the youth who attend CmTOI! ~ Scahool. Services emended to 78415
youth who ma3' not ~ttend Carroll High School but who would like to participate in the Youth
k ~ ~ of'how serv~e programs will be n,it,,rnlb~ diverne: The YMCA YAC
('oocdirsator will market ~ to all Carroll High School studem. ~ ia akey
ctmq~nent in nil YMCA prognt~. The YAC Coc.-ditmor will make every effort to ChlW in
a diverse group of studeflts and scb~,~e dincussio~ o~ the importm~ of ~ and
lolertnce in all individuals.
trliiljl~. A'VFACHMEN'TS OF JOB DESCRIPTIONS INCLUDED - R____~:n. fitment of staff
and volunteers is dore by public mmotaxam~m$ fHeip Warned Ads) ;.'... ottSb the Io~al
nesvspaper (Corpus Christi Caller Times); YMCA announcenne~ to currem YMCA stn~ ami
posting job openinl~ al TAMU-CC s:nd Del Mar College.
~,~az~ung ofstaffand volum__~rs_ involves: ~~ application required;
Mirfirm,ra of three (3) reference checks documented; Crininal Back~ Chedg Require
F~m Aid and CPR, and Interview laroceat Trai~in~ ofstaffand vohmtee~ involve~ C~afid
Atnae Prevention; Charact~ Devdopmem; YMCA Group Work; ~ cd'youth
age~ 14 - ] 7. T~ policie~ and Supervi..,ion tr~ and politiet
'1 he YMCA Conumu.;t.~ Developmem Director. ChO' Nickle~om has been empk~j~d wi,h tim
YMCA of Corpu~ Christi for 13 .vea~ Prior to his eml~oyme~ with ttm YMCA he ta~ in
~he Corpus Christi lndependem S~ ~ for ten (10) y~:art Mr. Nickteson ~tl~
Y MCA's ltish School Youth md Gov~nmem 12 y~ar~ ~o taxi h~ I~n diroctly r~paam3~
tbr the success th~ program ha~ achieved. His audems (tho~ in the Youth and
P,o~gam ) cmdh' him wilh bein~ a good role modd. teachin8 anti ck, uc-
i,~:r~al~l thor co~d~ ~nd enco~rl~ thl~ to ~ ~ vilion of ~ Mi'.
( arp~ Chri~i in Iq~l. R__~c~nv_ ed the "l,ivir~ the Dream" award by Kill TV C in 1996; md
Eduction Dir~or for him church
CLIENT REGISTRATION AND TRACKING SERVICES
a, A ( 'o~em bbrm mu~t be explained to evm-y individuM pm'6cil~Ja~ in en~ry CYD Pro,mm.
'l'h~s form attlmdzc~ participafio~ in CYD Program md ~ the F'm:al Aa~m,
Youth ~t Pro~'.,~, m ~ t~ infomm~ p, oVided by t~ ~ ~
{'2
~vic~s) ~ m mont]~ ba~ T~ Monthly Participam ~,mma y Sleet n~tlt be a~mttted
Ill DOCUMENTATION OF SERVICES
~ofal]~FrovidedtoeachC~u,a~tyYouth~~_ f' 'na~t
~ ~~ m
Ail of tl~ ~Mcea li~ted on m Mom~hl~ ~ ~ ~ m-~ I~
document~.
I\ BILLING REQLq]~MENTS
ATTN: CYD Project Coordingtor
C~y. ofCorpua Chri~i
P O. Box 9277
Corpu~ Chrili, Texas 78469-9277
I he momhly billing will cormm oflhe following ~:
~ InfommJo~ S~nmmry and ~ Request.
Copie~ ofinvoiee~___ and bills.
R~3isl~fion/Consem Fo, ,,~ (to include ~ccurate and complete infommkm prier to
tO tl~ Fi~] Ag~t)
,- .-~y. Ch~ng~ of I~%tmmmn to pan~ipants rc~mratiorffcommt form
Subctmln~'tor will ~ to the following ~ ~
EXPENDITURES THROUGH MONT#i.¥ BILIANG DUE DATE
.~ptember 30, 2005
~ { ~ct,d~er; i, 2005
~-.
i 'xo~es~ix~ 30, 2005.
i I:ebrmry 2~,
October 5, 2005
November 5. 2005
December 5, 20O5
Jalmn~ 5, 2006
Februa~/5, 2006
\ FXPENDITURE SCHEDULE
14.0%
20O5
~8
YMCA of Corpus Ch~J
76415 CYD, RFP 2005-06
JOB DESCRIPTION
Position: Youth Leadership_Pro, ram Coordinator Employee Name:
(also called YAC Coordinator) Hire Date:
Ru~ervi$or:
YMCA Mia~ion: "To put Christian principles into practice through programs that build a
healthy spirit, mind and body for all.'
Character Development: All YMCA staff wdl incorporate the values of cadng, respect,
t~onP, sty and responsibility in everyday performance.
General Function: Development, implementation and evaluation of: the YMCA's Youth
I ~.adership Program.
Education/Experience: College degree in related field of job responsibilities and/or
expedenc, e in the above listed areas. Certifications: First Aid, CPR
Qualifications: Management experience in: human resources; program budget;
p~ogram development; and group work with teens.
Key Result Areas:
1 Program planning and development:
a. Monitors program participation and submits timely reports.
b. Complies with all YMCA policies.
c. Assures quality controls at all levels of program.
d. Provides program evaluation for all areas of responsibilities.
e. Provides a safe environment and transportation for students in program.
f. Attends scheduled YAC and Steering Committee meetings.
g. Attends and participates in the Annual Planning Workshop and fl3e annual
community meeting.
h. Attend one to two statewide meetings in Austin per year.
i. Takes a representative group of the Youth Advisory Committcc to the annual
summer Teen Summat
2 Public
Relations/Marketing:
Develops and ~mplements effective marketing for program areas of
responsibility.
Maintains and nurtures relationships with students, community groups, lay
leaders, school administrators, volunteers and other public enti'des.
Submits marketing info..ation on a timely basis.
Complies with all YMCA National Guidelines and Mission of Community Youth
Development Program.
YMCA of Corpus Christi
78415 CYD, RFP 200.5-0(i
lumRn Resources:
Recruits, trains and evaluates all program volunteers.
Provides appropriate recognition for program voluntccrs.
~ inar, ce:
a Develops annual budget for areas of responsibilities.
b Manages budget within approved limits.
c. Insures compliance wffh YMCA's financial practices.
· ~;hared responsibilities.
a. Communicates with CYD Stccring Committee, the YMCA CEO and YMCA
Department heads to assure accurate communications.
b. Completes and submits reports as required by the Community Youth
Development Program.
c. Submits timely and appropriate information required for YMCA national
reports.
b ()bher areas of responsibilities may be added as deemed necessary by the YMCA
President/CEO to accomplish the Mission of the YMCA and further enhance the
YM(,':.A's Youth Leadership Program
I .,nderstand the responsibilities as outlined in my job description and agree to uphold
the mission and policies of the YMCA whether in effect now or in the future.
F ~np~oyc:: Signature Date
Supervisor Signature Date
20
YMCA of Corpus
78415 CYD, RFP 2005-06
JOB DESCRIPTION
Position: Youth Leadership Proqram Volunteer Employee Name:
Supervisor: Youth Leadershil3 Pro(lmm Coordinator Hire Date:
f. also called the YAC Coordinator) ._ _
YMCA Mission: "To put Christian principles into practice through programs that build a
~eafthy spirit, mind and body for all."
Character Development: All YMCA Staff and Volunteers will incorporate the values of
,:ar~ng, respect, honesty and responsibility in everyday performance.
General Function: · Volunteer Mentor to Students
· Recruit other adult Voluntccr Mentors
· A.~sist in pairing High School Student Mentors with Elementary Students
· Assist in the training of all Mentors
· ,Assist Youth Leadership Program Coordinator in all aspects of the Leademhip
Program.
EducalJon/Experience: College degree in related field of job responsibilities and/or
g~oup work with teens.
Qualifications: Work experience in youth program development and group work with
teens.
Key Result Areas:
1 Communications
a. Implements effective marketing and recruiting of students for participation in
the Youth Leadership Program.
b. Maintains and nurtures relationships with students and school administrators
c. tmplements effective communication with parents of students in program.
Shared responsibilities:
a. Compiles statistical reports of all students involved in Youth Leadership
Program.
b. Implements recognition program for school administrators and parents.
YMCA of Corpus ChdsU
78415 CYD, RFP 2005-06
~ Other areas of responsibilities may be added as deemed necessary by the YMCA
President/CEO or Youth Leadership Coordinator to accomplish the Mission of the
YMCA and the Mission of the Community Youth Development Program.
, understand the responsibilities as outlined in my job description and agree to uphold
The qaission and policies of the YMCA whether in effect now or in the future.
V~)-Iu~;[~'er sig~a-t~'r~ ...... [')ate Supervisor Signature Date
JOB DESCRIPTION
YMCA of Corpus Christi
78415 CYD, RFP 2005-06
Position: Adult Volunteer Mentor
Supervisor: _Y_o_uth Leadershil~ Coordinator__
(also called YAC Coordinator)
Volunteer Name:
Hire Date:
YMCA Mission: "To put Christian principles into practice through programs that build a
healff~y spirit, mind and body for all"
Character Development: All YMCA Staff and Voluntccrs will incorporate the values of
r-.ar~ng, respect, honesty and responsibility in everyday perfo.~ance.
Requirement: Criminal Background Check
General Function: To mentor High School Student.
Qualifications/Education/Experience: Knowledge and experience in developmental
Ileeds of a High School Student.
Training required: · Being a caring and effective Mentor
· Child Abuse Prevention
Agree to: · Spend quality time with student mentee each wcck.
· Attend scheduled Mentor meetings.
· Attend planned functions involving Mentors and Mentees.
· Report any issues/problems directly to the Youth Leadership Coordinator in a
timely manner,
I understand the responsibilities as outlined in my job description and agmc to uphold
the mission and policies of the YMCA whether in effect now or in the future.
V.;.,l~r~teer Mentor Signature ' 'Date--
Supervisor Signature
Date
A'FFACHMENT B-!
YMCA o('Corlma Clarlmi
Comraet Period: Sept. I, 2005 - Feb.
.~mmary ~
Ca~ Match ~O.ee
l~-kt~d ~ $17,.~4.~
ATI'ACH MENT
YMCA of Cra'ires ~
Coatract Period: ~ I, 2005 - Feb. 28, 2006
(la)Personnel-Salaries
FY~
A
P&~tion o~ T'nle
YAC Comdinmo~
B C D E F
Numbo' of Avm~e Full Percem of Number of Cost
I 3.276.88 75% 6 14,746.00
TOTAL gAI..Ail~S
14,746.00
A~I'TACHMENT B-!
YMCA ~f Corlma ~
Broiler la~o~ - .... Form~
C(mtraet Period: Sept. I, 2~1~ - Feb. 28, 2~06
(! b)re~Nm~el- rriBle Be~e~O (r
Fr~mle B~ Bmod
$1.12~00
619.50
TOTAL W ~.lq'i~
A'~FACHMENT IJ-I
YMCA of Cm'lma Christi
Budlet Esbrmmhm Forms
CofllFact Perbd: Sept. I, 200fl-lreb. 28, 20~
(lc) Pm'sound - Travel
FY0~
YAC Commnmor ~ m mmpm &
memm~: l.aS0 mika x $0.40Atmde
~la~vide Mgm~? Dimk:t & ~talg
lo
A~rACHMENT
YMCA of Corpm C'lrbti
BIKIIJ~t Iaformatkm FmlS
Coatract Period: Sept. !, ~ - Fd). 28~ 2006
(2) MaSeriab amd ~apld~
Dmcripttm ~ lka~ for Cam
Tra~ ~
Cmmm~ty S~e r~m
11
A'I'FACHMENT I~1
YMCA of Cm-p~ Cllr4alJ
Bud~t ~aforma~a ~orms
Comract Period: ~ I~ ~J)0fl - Feb. 28, ~O~
(3) Rmt~, Le~e, or i~re~m~ ~f EquJpmmt
Metl~M
Total
A~I~FACHMENT
YMCA o~ Cm'lma
Bmt~t l~s~ma~iea Fm'ma
C~aU'act Period: Sept. I,
(4) Otlm- Corn
F'Y0~
Total
1~.o~
TOTAL OTI~R ~
13
YAC C ' '
TOTAL
O) - (2)
~ (1) YTD (2) ~FD Amm~
~ ~ ~ I' --m
14,746.00
I. l
~6.~0
513.00
619.~0
2.317.00
Bm Rmml i..q6~.O0
Vm~
Pom~
P ' '" Fern 1.~0.00
LoMtq(yo~, . *'*' ) ~o.oo
TOTAL
14
YMCA YAC ~ - $39,322.56/yee~'
$3.276.86/rno x 6 months = $19.661.28 x 75% = $14.746
TOTAL
10) ~ - Frlrrm Benetltll (F~~ ~)
FICA: 7.65% of 14,746 = $1,128
SUTA: 0.384% ~ 14,746 = 56.50
Wortmr's CompensatJon: 3.48% of 14,746 = 513
Retimmem' 4.2% of 14.746 = 619.50
TOTAL
1'%,.43rmel - Tr'wel (rnil,~,n-. food. I,n~'~l mileaue
Travel to ~1 High Schoo~ for
17 v~eka dlxing the acho(~ year
1680 milee X $0.405/per mile = 680.40
Out,-.ol'-tcw#n mile~oe
~ mileage ham.
YMCA YAC Coordinata' ~ Meeting~: $36x3 days
District and Stale YMCA ~ m San Anttmio
$36 X4 days = 144 X 3 (staff& voluntsem)
Dlstdct competition: 1 niu;,;. X I staff plus 2 ~
3 x $85 per night
One ~ comp~itlon: 3 nights X 3 ~alf/vok.mleem
TOTAL
$14,748
$ 2,317
$681
$108
$432
$255
$ 2,241
QUalifying a Di~lrict level go off to Stal~ ceflq:)efition.
manual and ~ materials (~ vidal, ee:...)
Comrm.mity Service Project ~
Community Service ProJect~: Painting over graffiti; beach clean up;
TOTAL
$65
$ 75
$ 75
$ 215
3. Rer~'. I Wale. or F~ rcha~ o~ I=n,,-'~merlt
No expermee l'mm
$0
4. Olher~
Telephone expemm:
· YMCA YAC Coordinator - pager $11.~ X 6 nx3ntf~ = 69
(75% oi' tcf~l co~t is requested for reim~
75% X 69 = 51.75)
· YMCA YAC Co~Inator cell phone
average $50 per mon~ X 6 mo. = :300
(YMCA requea~ 75% reimtxJmement 75% X 300)
$ 225
Bu~/Van Rerffai.
San Antanio- Di~'ict cornpetitJon: $95Q/bu~ + $150 bus drivm' room & board $1,1~
~in - ~ ~,~: ~I~ + $1~ ~ ~ ~ & ~ $ ~
V~ ~ ~~ ~ ~~: 4 ~ X ~7.~ $1~
~ V~ ~~ ~ (~. ~, ~...) 4 ~ $115
Registration
Dmlncl compel:itmn'
$60/pa' staff X 1 staff & 2 vokzlmem
$:a: er audert X 3e udent
$6G/per ~ X 1~ & 2 ~~
$720
$180
$ 72O
$180
Cnm~nal beckgrour~ ched~ (adutta & high achoo~ atuden~ mena:~)
$5/per I~mlq~nxmd Chec~ X 50
25O
L ~aic~lity ~
125
Stucl~t I~ for District: 9roomsX~roomXl night=
Studeat lodging for State: 9 rooms X $0/per room X 3 nights =
$36O
$0
TOTAL
TOTAL BUDGET:
$ 4,770
$ 5,9lN3
YMCA Youth Mernberlh,p for 50 H.S. Students
S25/per month X 6 mont~ X 50 StLK::lerltS = 7.~
Stuclent food while et Di~[dct & State Corrlpefiti~
D~atnct 36~udefltsX 6meeisXS6perrneal= 1,296
SLate: 36stuclefl~X 12 meals X SG per meal = 2,592
Ta~I Ill-Kind ~ $17.364
STANDARD TERM~ AND CON~
(Co~mmn~ Yo~I~ rlvile~.,.:d. ,~, . C~_~)
Pames. For the ~ ol'l~is document ttm Texas Department of Fmnily end
Protective Sewices will hereinafter be referred to a~ the D~amrtnmnt The City of
Corpue C~ will hemir'mlter be referred to as the Fi~.~I Agent. YMCA of Corptm
ChriMi will hereirmfter be referred to aa the ~Mx.(~, .,~,a:'. Th~ Comnu~ity Youth
Develol:mmnt Program will heminalter be referred to m CYD .~ u~., ,-
SECTION 1. ! F~Jn, AUI'HoI~rY
Sub.contractx:~ a~m.,me~ mY:l Ouarantoee that it paa e ew a e a the leglal lauthority to entre'
~nto this Contnact. to roa~ve the'E.a3d~ authodzed by U"tLe Cont~ m'K:l to i:)orForm the
s~gn~ng Ihi. Co,~bact on behalf of Subcontractor heret3y WmTan~ that he/abe ham been
and to valicly and legally bind tile Subcontractor to MI the terms, pe, Ftm~ncea, and
provmions herein eot forth.
o¢ inveebgMe the expendittxe of ft~Yla ~'ldm' b"tie contract many mJbccmtract
Subcontractor furlher agmea to ooopmate fully wilh the State Auditor'a ~ or ~
succeaaor, including providing all mcord~ mqueeted. ~ will ena~xe that
thie clause conoc..h'~ the autI'K3~ to audit fun~ received indirecay by ~ fb.~l~h.
tl'm3uoh Subcca3t~ct~ ~ the requiromen~ to ~ ia included in any
The SeRx::ontrect~ agreee to be in compt~ with .11 applicable Federal, State and
local ~, induding but r~ limited to, the following: 45 Code of Federal Regulations
~. 10 end 40 Texa~ Adminia~rative Code ('TAC') 732.240-256 as el:~ilcable and
regulatkx'm referenced in this Cc.~;,m:t, ~ regulaliom st'all cc.~bul in b'le follo,Mng
order of i:,~cecle,-x:e: 45 CFR Part 92. OMB Circular~ A-87. A-122, A-110, ~ 40 TAC
'32 240-256.
Sub~faautor the agent, m~'~nt, or ~ of ~-~ Fi~:ai Agent; employe~ of
Subcen~ are no~ employees of the Fiacal Agent; and Subcontract~ is ~
A.
Thru Core'act i. for Ihe flr.t six(8)
c~tion to ~ tot tt~ mm~ ~x
and race~ o~ Ste~ or Federal funds tha~ has bee~ ellocatecl to the Flacal Ager~
of Iflia Ca~c[
B
This Conffact Is at all times cer~nge~ upon the avmlability and rece~ of Sta~ or
C
paymer~ exceed ~ ~ ~ ~ m o~inally appraved In lf~
D
The Final Agent i8 no~ obiiga~d t~ pay ~au~3Hzad co~t~ o~ to pay mere l~an
the Sdx~~s allowable and actue#y incurred co~s c~s~tm~[ ~ Federal
and Stme ~.
Subcore~. c,o~ uxx~ be bilked m the .x~h ~ which U'~W v,~m ~
either o~ the pdmery billing vouch~ for that month or o~ a a~ billing, if
they are not paid in time to include b"~em oo the pdmmy voucher. Coats ehouid
Schedule as per ~ ^ of this CofYo'act. Failure to comply with this
requirement will result In a dMay in peyrmmt m'xJ will be subject to
concernlr~g cha~ and amendrner~ in this
G Funds under I~is ~ camo~ be earned prior to the first da~ nor after lfle last
day of the Contract Pedod.
H The Fiscal Agent ehall no~ be liable to Subcontractor for any charge~ under Ibis
Cc.,;,act which exceed IJ'm tolal funding amount specified.
Ail funds unearned or unexperKled In t~e performance of Ihis C~d~t shall be
retained by the DepamllenL
Fiscal Agent will make raeacme~e effor~ to proce~ all bill~ received In an
accurate and timely manna- but dom no~ warrant i..~e:ial~ i:ayment.
Retmtxa'sementa to Subca ea~lor will be paid by the Flacal Agent m ~
is received from the Departme~.
K
Fo~ i.msfers beMeen line items for any doli~ emo~L Lack o~ prior
approval in these irmtm'cee will be grouncla for ~ of Ihe item or
m involved;
For un~ rate ~ on/y:. The Subce~3eactor ~'mll ixovide the Final Ageat a
total bill each monlh Iff ttm fon~at ~bed by Ihe Fiacai Agent and ai'~ll acc~l~
as payment in full lt~e Contracted unit ,-~ reduced by an amount, equivalent to the
SECTION 4. ~ rl'y ~ FFPAyII~,J~
A
Fia3al Ager~ retain, the right to auapmxl financial a~iatance, in whole or in part.
to pro~ the Ir~egrity o~ fmd~ or to ermure proper opemfl(m of pro~a,~,
provided S~ ia given promp~ notice ~ the opporttz~/for a hearing
w~in ~hirb, (3O) days from such
B
unaultx)dzed. Subc~g~m=t~ sheJl provide the Fiscal Agent with a feasible plan
for repayment of disMIowed costs wt'd~ non-Federal ftzx~. Repayment of such
funds ~ the Fiscal Agent shall be in accordance with the Prompt Payment Act.
of dul:~icate paymerRn, the Fl~a} Agent may atso wt'dtNoM any earned fmd~ of
SECTION f,. CI4AN(3r-~ AND AMI=MnMI=MT'8
to Fiscal Agent wRhin ten (10) working days of change.
No change~ a' ammxtnen~ to ~s CorRmct d;~ll be rnade e3telX in wrtt/'ig and ~3md
by both pa,-aes herMo, mle~ mx:h change Is in the form of a written notice of
modification ~ directive i.~ by the ~ Agent a~ M~'lbad below.
A
automatically ~ ~ ~ ~ ~ ~ F~ or 8tare law~ or ~.
B
~le and allocable according to 45 CFR Part 92, OMB Circulam A-87, A--
122, A-110, 40TAC 732.240-256, and any olher applicable mgulationt
C
D
policy direc~iYM rna/no~ M~' the ten~ c~ I~-~ Contre¢l in order to rMieve lhe
E
Fiscal Agent o~ any obllgalJon to pay for performance rendered or costa incurred
by Subcorfl] e,,{or ~ to ~ ~ o~ aJch directive.
8ECTX)N 6. ACG(:NJNTIN(~ ~FMEN~
timely billing and maintaining financial recorcM mclulmcl to be katM Llxler lhta ~
8EC'FK~ 7. Fr-4Y~n lU:FPING~F~31~II~ Fr4'~U~I~FMFNT8
reviewing and c~ytng by the Flacal Agent. the Departnm~ the U.S. Depm b,.~)t
mlrdmLrfl offlve (5) yeara al'mr ffm mffnlrmtlon of the Cofllrsct PMk~ or for five
(5) years alter ltm end of lt~e Federal flacal year ~n which aervicee ~ ~ if
mx:l urffll all litigation, dairn~, or audit fln~rmga am reaolved. The cMe I~
co~idered re.oNed when a final order b imued in lYdgldJon, or a,ellttmn
date specified In the c~igirml ~ ~~ are crx'midemd to be eeperate
C
D
Failure to aubmit required reporta to the Fiacai Agent may m~lt In wtU,hol..~,'tg by
the Fia~al Agent of any paym~3~ olhenvi~e due until auc~ time a~ the
Subcontractor ~tmll a~bmit a ~eif-evaluation refx3rt wMJ~in 45 day~ followlng the
end of the Ccmtract Ped~cl. The ~lf-evaluafion mporl should acldre~ the
accornpll~ment~ of Ihe program/~, the effectivene~ of Ihe ~
Contract.
SECllON & ~
A
conditions of IJ'tim Contract, State of Texas polldee. Federal regulMiom and Fiscal
~ ~ of ~ Conl3'act ~ th~ ~ Youlh D~,ml0p:m,~3t Pt~ of
Oper~. A r~ ,5ubo~b~hall ~um~ full l]~)lllty for ~y
Subcontractor muat dlecioee to Fiecal Agent ~ and all k d~,.,aUon mgm'ding the
diapul~ relalJng to it= procurement.
D
the award and n'K:x'dttxfl~ of Contracts which contain accel:~ble ~andarde for
m'~Jrtng eccountabil~.
Subcontractor ahetl enaxe that lhe pedommrmea rerdemd ~ ~1 mJbccmtmc~
are reridered Bo aa to comply with all the teq,,.~ and provlaiorm o1' ~ln Co~buct as
if the Perft~mancel ~ were rerxlerad t~ Subcorfe,actor.
SECTX)N L ~BLICrl7
follc~ving:
C
SEC'nON 10. ,~A,
A
The Fiacal ~ ~11 provide a C~[l[JllJ i~[fo["m~] ~ for ~
i~ o~ e~ch pmtJcipant and wffi maintain e ~ ~ ~
for tho propor al~ lJrl]~ dhbtJlomill~ ~ h [d~ [[[d~ ] ilrld rl[llX[l~o doclJ/llfltl.
The Ftu:xal Agent ~11 provide I~chnicai a~.k~-Nco fotf~ to be ne,u:led U'ftxJgh
SECTION 11. ~NG AND ~I=NT
B
and r~mb~lem~3t t= the Final Agent a'~l tJ-~e Depedment ~ ~ ~ ~ In
~ c~ ~e ~m~ md ccmda~= o~ ~i~ Cm~ac~. The~~
will indude an malym of pregram cla~ ~ by I~ 8ulx~3nh~:a~ m m
the p~ f(a..~x:e of this Con~ract and the quality of sarvice~. 1~3nil~tng itIII
inctude revtew of results of criminal bec~ chect~ I~ allldevits mq~red
under thla Conlmct of ell Subco~aul~ em~ or vokmtaem In direct client
contact.
Do
E
F
peraist, Fiscal Agent may withhold fkzlds and move to terminate thi~ Co~
G AJI 64Jch corrective ~ shall remain open pending o:mpletJen end lauaqce
,m vvfild~en mateme~ ~ ctomxe by the Fiscal Age~ or Depmb.~d, aa applicable.
SECTION 12. pROP[=RTY
A
$~ must ecquim 8nd rnalrdaln property imaxm',~ for 8ny and
of thett, or auapectedlhett, within twenL'y4ml' (24) Ix,.n ol'dtacovery. ~
concen'~'q3 b"m loss. An Inve~flgB~on .hall be condkK:ted by the 8uL, co~ dh~or to
and the Depm b,~..'~l. ~ pmpmty missing, da,eged er dealroyed .hall be'
auUxxff~.
B
or labela afflxecI to the equipme~ 8rx~ to rnaintain a c~xrer~ ~ record of the
C
SECTIOH 13. ypAq ,~nn GOMPI
contractual requiremer~ herein ~mll use four-digit-year elemertt~. Subconbautor
8EC'T'I 14. TAXES
Section 1706, amending 8eclio~ EGO of the Revenue Ac~ of 1978, dealing with
issuance of Irf~-r~l Revenue Service Form W-2~ to c~mmo~ law &,~oioyaeL The
Eha,partmer~t arid pay to If'ie Flecal Age~ or [NN:le.b,ni~ eft (x)ltl, pel'm/tJel,
SECTION 1~. I)I~PtJ'TI~
must be Initiated by filing a ~ Irdormalion Form wflhln 365 de~ of the action
Progrmn ~ be in#ieted by filing a Grievarx:e Informiat~ Form wflhln 30 d~ya of tim
SECT1ON 're. INDa=PPNDKNTAUOIT
The Subcontractor agre~ to mJbmit an annual finar~cial and c~x~o~iance audit of
Subcontmclo~s fl~l year-end in acoordance with Itm Single ,N J01t requirements of
OMB Circular A-133 (Audits of StJ~, Local ~ and Non.-Pro~
Organizations).
A
B
Subconflzctor tx-tclemtmx~ and agrees that it shaft be fleble to the FItK=al Agent fox'
any cosl~ disallowed aa · result of said audit in accordance with the 'Liability for
C The Flacat Agent ~ ~ m tt~ right to corxtuct m ~
audK of all fmda received u~ler this ~ The audit nmy be performed by fl're
the Flacal Agent or the Department. Such audit will be conducted In accordance
conmlering Ihe rec=3,.,~ o~ disallow~l co~t~ mau~ng from a~ch fir~
audit_
E
to the proviNo~ of fl't~ ~ or applicab~ Saite R~.
8EC'T1C~ 17.
A
Every reaaonab~ ctxz~ ofm ~all be taken bythe 8ul.~onb~c~- to main'cab
the integrity o~ It~ expendll~e ol' public fmda and to avoid favoritism and
Clue~donab~ ~ i~ ~ TI'~ ~ ahdl be adminletm'~ In an
relating to ~le Contnact which effects his/her financial Inlera~.
C
Subcontractor who i~ also a friend ~ asecx:tate o~ a mernlx~r, officer, agent, or
public intere~ for Itm Fiscal Agent or the Depmtment to conduct buNneaa with
such person.
relmbl, a'm~ In whole or in part by the FIiical ,~Qent ~ b"te I~ Si. Jp~le(l,
SECTION t8. FRAUD AND ~ lqak'Vl:~
A
B
tefmineUon o~ this Contra~ fo~ cauae.
C
D
subcontractors, In the event of loss, damage, or destruction of any
property due to tJm negl~ misconduct, act or omlssJon of the
Subco, ,& ~ctur, b~e Subcord~acto~ shall Indenmlfy and pay furl cost of
Agent and Department. Such cost shell be due end payable by the
Subconfractor wtthln ten (10) calendar days after ~he date of receipt of
The StYe of Text, Deparlmenf, and FIscal Agent, and their resp~
hold t~e Subcom~ctor hanntess nor agree to Indemnify the
Subcordzactor and any provfsions to the conaqm/ are void.
SECTION 21. PO; rl'l~-'~' ACTMTY/, ~
CFR 93, dated Fet:m. mry 28, 19g0, cia'filed by Not~:xe in the Federal ~, Vol. 55,
No, 116, dated June 15, 1990, and cecllflecl at 31 Unlted Stat~ Ccxte ~) 1352, as
amended. ,~Jbcor~Va.~:~. si'mil comply wflh the cmtiflcation arxl diaciomxe rm:p. dmmm~
in Attachmm~t F to Ibis CordTact.
SECTION 22. NON-D~CRJ~I~iA~ ANn ~ OPPORTUIm'rY
A
Title VI of the Civil Rights Act 1964 (Public I_aw 88-352), Sec~n 504 o~ the
Rehabilitation Act of 1973 (Public Law 93-112), The Amedcan~ wtth
Disabilities Act of 1990 (Public Law 101-336), and all amendments to each,
and all requlrement~ impoaed by Ihe regulatlorm ialued pu~m.~nt to these
73, oi' the Texas ,N:lmini~,~=Gve Code, as amended. These law~ provtde In part
that no persons In the United States shall, on the grounds of race, color,
funding or Otherwise be subjecl~d to discrimination;
2. Tex~ I-leallfl and Safety Code, Section 85.113, a~ amended, relating to
worlq:~ace and ~ guldellne~ reoan:m'Na AIDS and HIV);
Departrr~s right of acce~ to client case flle~ or olher In[om'ta~,3n relating to
clients sen~d u~ ~ ~ The Dep~ b,~ ~ sttall here an absolute
If w:mcific qualmcadorm me met forth in job dee(U'il:morm required by the
Depaftmerd., only ~ ~ U'N3 r'equYed quaiffk:alJon~ will be Emlgned to
fill fundioes unle~ a written wa;'ver i8 granb~ by the DepwUrmnt;
invoMng pubtlc Indecem~ umier I~ Tex~ Penal Code a~ amended, ~ an
o;Teme under Chapter 481 o~1~ Ta I-la~ a'xl Sa~ Co~. This
verification and dl~loaum will be required or' ail who ha~ ~ ~ ~
~ accel, and ~ell be eccompi~ ~ uae of (a) a ¢rim~el hl~:xy
beck, grou~ cf~eck a~ (b) a ~]ned declaralJon by each employee or
TDPRS;
AJI epplicabie standards, orclem, or regulations issued puraum~ to the Clean
Air Act, 42 USC 7401 et seq., aa amended, and the Federal Water Po~lution
Co~l Act, 33 USC 1251 et seq., as arrmrxJed;
the Dep~ or im h~to r'~eOlign wifl'm t:on (10) working clayl prk:)r to the
reasaigrtme~ upon I]le request of the Fiscal AQo~ or lhe Dop~ bl~,~ Ifthe
Fiscal Aoeflt end D~I~)~i hiram d ~ Ih~ Cotl~rll(d[ ~ ~ ~ Ix) a
11. Federal Finarx:ial Participel~:~n (FFP) requirements In accordance wilh TPJes
amended;
12. AJlow any of .~ubo~fa ectc~a employeee to teetffy in judicial proceedings and
administrative heerirtge, at the requeet of the Dapablg.~l. or Fia:al Agent; arid,
13. Mandaa3ry ~ taxi poticiea relating to energy efflclm'my which are
con~in~ in tl'm ~aa~ ~ ~ plan i~u~l
Energy Policy and Conaervation Act (Public Law 94-163), a~ amended.
8ul.,cofa actor ~etl eelddlah and rrmlr~in cr..,~--'nt procedtx~ to reeolve all
ctxnpMints ar~lng dlmclJy or indimctJy out of ~ Con-tact.
suc~ b~ tt~ Stst~ of T~xas. !~[x:~zfliractor st'~gl ma~e a p:zod fa~ ~3rt to
contract at least thiriy (30) i:mrce~t of the total value of all suix:o,i~ts and
hls~o~icell~ underutilized or disa~v~l businesses.
SECTION 2~. HFXl TH AND 8AFFTy 81'ANDxqrm
Health and safe~y standard~ Mtabll~hed Lmder Federal, State and local laws are
applicable to w~king condttior~ o~ participants in programs under this Contract.
respect to anY ~ in · program ~ ~'xler lt~ Contract who la engaged
SEc'noN 24. INmJRAN(~
may be ~ by the F/cai Age~ or the Depmb,~L
1. DiNx3nesty ~ ~ a c~,.,~'ctM crane pollcy or Ix.dne~ .ervic~
bonding, ~t a $10,000.00 rrak'fimtxn or up to the Contract arrxxz~ whichever ia
2. Commerc~l ~ Liability Coverage at a five I'.zx~-ed ti, xx.mm~ dollm-
($5(X),000) minh'mzn for each ~ limit and one miflim'~ dollars
($1,ooo,000) mtnlrm, ml aggre~ limit. The Fiscal Age~ afx:l De~
Automobile I~llty irmurance ~ ~ ~ ~ ~W i~ Subcontractor
uses an automobile, ~ owned, leaeecl, or non-owned In (~ its
performance under this Con~ i~ requirecl which shMI have a mlnirr, J.n
S~;~flff~:~a3r ~ Itl (n,~ktyl81, ~, ~ or Ob'let agen~ to
shall secure and maintain o~ file from all such pemone a self-cerlfflcation of
Subcontracl~r or a lhird party;, on-site medical and accident Instance shall be
required for ail non-work m~tfing ~ clasa~om training 8c~vitles for
taw& Pml:ic~ who are employees must be given co~e benMtt~
afforded by the employer to oU'ler emp~ of almilm' ~aandlr'~o in the
B
C The ~ ma~ waive all or pert of the~ in~4Jance recluirements at Its
disc~cic~l.
D
contained in 8eci~:)n 19 (IndoflmiflcMkm) of Uleee 8~carldard Temm and
Corxfltlom.
E
8ddre~ q3,ec~'ied in Ihi~ COfllTaCt Unle~ wah, ed by the Fiscal Agalt, the Fiscal
8ECT1ON ~. I:)EBARIIFI~ ANn ~
A
The Subcalbed~ stall a3mlply wtlh the FI)demi
AOent'l ~ of Ifde ConbIck e o&. afic. Mi(m beedng the foik:~ ~
A copy of this certtf'm~m md regul~rm ~hell be provided to ~ubcon'a'm~ by
Fmc~l Agent.
(Subcx3ntmc~ing) of these Standard Trams ~ Condffiorm.
SECTION 25. IqlOTICm AND A8818T~ I:~.A,APIqN~ PATI:qT AND COPYRIGHT
INFRJN~
A
to the Fiecal Agent m' Departrrleflt ~ ~ ~ The 8ulx, enb ..,tx3r wtll
in ally ~JIt Of' ~lrl~ ~ by the Si.d3cofltrscl)or.
S~ in writing of any claim, suit, or pe~ca~ ~' ~g m~l, ~the
~1 of Texa&
The ~¢~3nb'acm~ eoree~ to indude, and require k'mh. mk)n of, ti'da clauae tn
su~ at any tier for aupp~k~ ~ ~ ~ t~ exceed $15,(X)0.
did;In= re under the T~,,~ R,NIc In~'m~k:m Act.
SECTION 2e. COHMU~~
AIl noti~ end requem given to or made f~ the i:mfd~ n'x.~, except ~ otherwi,ee
epeca'led, be In writing ~ ~ or mailed lit the noUc~ eddl,..eaee a~ on the
Cover She,~ ~ thie CCrd:Tmt~ The Fxartk~ n'lay d'aan0e thek' rloti(~ ai,~k~, iaea Ul~)n flvo
upon ech.~ delivery or ~ the came with the U.S. Poatei Service, I:X'cq:~'ly
SGc~I'K)N 30. FNTIIqF AG,qFFIFNT
A
B
Subcontractor u~ end agrees ~ ~ ~ ~i~ ~ ~
Cover Shee{ of~is ~ are a part of thi. ~ and constlb.~ promleed
performm'~ce by Suix~,~-,,~.~' undm' fi'ds Contract.
SEGTIC~ 31. C~)NTIH43~NT C)fl FUNDJNG
This Ccxttm~ is at all time~ contingent upon the avaitability and receipt of Federal or
State fred= that b~e Fiacal Agent and ~ have Mkx:aed to tl~ Con[,,ct; an(JE
SECTION 3~ TI~JNFRrV]AI ~:IGATIOKS
C
required by the Fiscal Agent end Department may ~. bl'mKh of this
Conlract, grounds for ten'nination of this Contract byffie Fiscal Agent orlhe
D~3~rtment, and ,.i'~l of amounts to Fiscal Agent or Depa~
8ubcontraclDr, terminate all or any pert of I~e Contract. Ta'mlnatlon may be
exa'ci~cl in eddi'dort ~ ~ olher rights and remedies provided by law or urx:ler
actlorm, Including, but nc~ limited to:
2. to recoup ~ made to the Subco,-,~,~=tor or impoee ~ error
3. to suspead, place into abeya'x~ or rernove any contraca~ rights to Inctude,
but which are n(X limited to, withholding of payment, cessal~ of plac~,~t
C
ff Federal or 8tare lews or olher rer~,"~,.~ are amended er Judldally
interprel~ so that either party canrx:A ~ ~lt ~ ~ and ff the
D
Sheet.
F
the Subcontmct~s Iicer~e, certificate or permit has been revoked by any agency
listed in Article II of Itm Genial/~ Act passed by the 75th Leglslatu'e
The 8alx~oatrac~x' agrees to be finmlcially liable for undue delays or failures in
Conffacl pedormance exospl for any delay in or failure of performa-me of any
requirement caused by force majeure (i.e., those cau~e~ generally recognized uncler
shall aodand the period of perforrnance ~ the discretion oflhe ~ In lt~
· ~ ehall ird'on'n the Flecai A0ent end the Depaa b,~r"~[ In writ#lO or' proof or'
such force rnaja,ze within three (3) I:x..mlne~ days or otheneise waive thle ~ e~ ia
AJ:IBCiVlW~ D
SUBCONTRACTOR ASSURANCES
3. Ha8 no c~ dd3~ b"~t ¢Oued rem~ In I~=) or levy(s) p~lcsd on i:mymenta ~ by DFP'8 or Ihe C~
6. W~ give Ihe C~ty, DFPS, DHHS, the Sta~e o~ Tex~ o~ Fede~l Co.~b ~ler, m' olt~ legd gCM~mlng ~
7. Understandathatafa~a~to~Jbeten'dateanya[a~menlamadelnlhea~pE- lloawhentheC~orDFP8
9 Has ~ rem:)um~ avalab~ ta opm..~, for at le8~ twa (2) n'Gnffm while w~ far Ird~al r~mburmmaent
Witl su~rnlt a Se~ Evalua~n Report wlthln 45 day~ following the end =4 the conln~ ~
I,[¢,n~at~3n or dala relaMd to Ihe contract under
app~caUe perkx~ o~ t~
Penal Code aa amended o~ an offenae un~er I~e Texas ContriVed___ Substartce Act, ChBp~ 481. Te~B~ HeaJ~
and Safely Cod~ ~ polidee w~ Irmiude a process fo~ obtelning =tm~nal ba~ground ~ for empioyee~
16. Will obtain and fumlatt proof o~ bo~lng and Insurance coverage wlffdn fo~ty-eight (48)
cona'act or et ~uch oa'~r time aa may be specified by the City o~ DFPS.
17. Wlll c~mi~y wllb applicable f~erel and ~late law~. executive ordem, reguMlJons, and poiJclee ~lng It~
and Safety Code Section 85.113 relating t~ work place and conflden~llty guldellnea regan~ng AIDS and HIV
reprmmmUv~.
DHHS, or olh~' m3ncemed goverrrnent ager..cy ~.
Printed N.rne of Auli~xlzed Repre~entab've
*The folknvlng federal ~ are appacal~ but not an exduaive I~ting: Title VI CIvil Rlgh'm Act of 1964 (PL 88-352),
'l'Fde IX Education Ammxlme,'Ym of 1972 as amended (20 USC, SubeecUo~ 1881, e~ ~:1.), ~ 804 ol'lhe
Rehebilftation Act of 1973 aa ~ (29 USC, SecUon 794), Age Dlac~tmYmUo~ Act o~ lg75 aa amended (42
USC, Subsecflo~ 6101-6107), and the Drug ~ and Tr~at. mflt Act cfi 1972 a~ amer'ded (PL 92-25~ lt~
(PL 91-816), Public HeaJth Service Actc~ 1912 e. amended (42 USC, 290 dd-3 end 2~ ee-3); ~ of
~ment and Budg~ Circulars A-37, A-122; Code of Federal Reg~laUorm Title 45.
Certification Regarding Debarment, Suspension, Znellglblllty
and Voluntary Exclusion For Covered Contract.
78415 G'YO, FU=P 20~ - Fllgll t8
AMidlmMll F
Certfflcatfon Regarding Federal Lobbying
· wide nJie. '~W~ IMMtGUM~ on ~ M'h'/~g.' pubi.h.d In t~. FW I~gi.i~. Fei3nm~ 2& 1 ~ mqulm~ c.~llmlm .rd (kck~ k .~edl~
4rm~llX:al i'ld dMnll IIm~
CMred Awm and ~me~k - ~, grotto, md cxxq~ agme~ o~qr Ire $1_m_.__r~_ MM~ nlld (1),
d~k~m~m~ f rmqu~ ~.e M(Mmlon tm~ n~ 2 cenmnd~ cl~)
~( lhe ~dlnd~, Genllni~lk~, ~ ~ (x ~ of iny ~ldMli Cellk~l, DI~IL Io11~ M GDDpMilI~w
WM~ mbnc~ ~ plzl M~ln Iii Im-~.~ion ~ n~k or mlmd in~ 8ubnklon of l/.di:.lon k m pmfmlukk ~or mldno =
enlMIng In~ b bliacion knlx~ by 14c~on 13~ Ulle 3;, U.8. Co~ Any plmon tuba MI ID k ttm mqu~ MglI(~ M ~ ~
ia ecM penaty af nat tom lin $10~X) and nM mom lin $100,000 for elch lud~ tl~