HomeMy WebLinkAboutContracts & Agreements_126-2017 AGREEMENT FOR PROFESSIONAL SERVICES
This agreement for the provision of services associated with the provision of sales, use
and transaction tax audit and information ("Agreement") is made and entered in this June 20,
2017 ("Effective Date"), by and between the City of Redlands, a municipal corporation ("City)"
and Hmderliter, De Llamas and Associates ("Consultant"). City and Consultant are sometimes
individually referred to herein as a"Party" and, together, as the "Parties "
RECITALS
WHEREAS, sales, use and transaction tax revenues can be increased through a system of
continuous monitoring, identification and correction of allocation errors, and
WHEREAS, an effective program of sales and use tax management will improve
identification of economic opportunities, provide for more accurate sales and use tax forecasting,
assist in related revenue collections, and
WHEREAS, City desires the combination of data entry, report preparation and analysis
necessary to effectively manage its sales and use tax base, recover revenues erroneously
allocated to other jurisdictions and allocation pool, and maximize its financial and economic
planning, and
NOW, THEREFORE, in consideration of the mutual promises contained herein, City and
Consultant agree as follows
ARTICLE 1 —ENGAGEMENT OF CONSULTANT
1 1 City hereby engages Consultant to provide sales, use and transaction tax audit and
information services for City's Management Services / Finance Department (the
"Services")
12 The Services shall be performed by Consultant in a professional manner, and Consultant
represents that it has the skill and the professional expertise necessary to provide the
Services to City at a level of competency presently maintained by other practicing
professional consultants in the Industry providing like and similar types of Services
ARTICLE 2— SERVICES OF CONSULTANT
21 The Services that Consultant shall perform are more particularly described In Exhibit
"A," entitled "Scope of Services," which is attached hereto and incorporated herein by
reference
22 Consultant shall comply with applicable federal, state and local laws and regulations in
the performance of this Agreement including, but not limited to State prevailing wage
laws
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ARTICLE 3 --RESPONSIBILITIES OF CITY
3 1 City shall make available to Consultant information in its possession that may assist
Consultant in performing the Services
32 City designates Danielle Garcia, Management Services / Finance Director, as City's
representative with respect to performance of the Services, and such person shall have the
authority to transmit instructions, receive information, interpret and define City's policies
and decisions with respect to performance of the Services
ARTICLE 4—PERFORMANCE OF SERVICES
41 The term of this Agreement shall be for a period of three (3) years commencing as of the
Effective Date and shall end on June 19, 2020, unless terminated earlier as provided
herein (the "Initial Term") City shall further have the option to extend the Initial Term of
this Agreement for two additional one-year terms (the "Renewal Terms") on the same
terms and conditions hereof by providing written notice to Consultant not less than ten
(10) days prior to any Renewal Term
42 If Consultant's Services include deliverable electronic visual presentation materials, such
materials shall be delivered in a form, and made available to the City, consistent with
City Council adopted policy for the same. It shall be the obligation of Consultant to
obtain a copy of such policy from Clay Staff
ARTICLE 5 —PAYMENTS TO CONSULTANT
5.1 The total compensation during the Initial Term for Consultant's performance of the
Services shall not exceed the amount Twenty Three Thousand Four Hundred dollars
($23,400), invoiced monthly in the amount of Six Hundred and Fifty dollars ($650)
Consultant's invoices shall include a brief description of the Services performed, the
dates the Services were performed, the number of hours spent and by whom, and a
description of reimbursable expenses related to the project City shall pay Consultant no
later than thirty (30) days after receipt and approval by City of Consultant's invoice
52 Contractor shall be further paid fifteen percent (15%) of all new sales, transactions, and/or
use tax revenue received by City as a result of audit and recovery work performed by
consultant (hereafter referred to as "Audit Fees"), including any reimbursement from the
Sales and Use Tax Compensation Fund as outlined in Section 97 68 of the Revenue and
Taxation Code New sales, transactions and/or use tax revenue shall not include any
amounts determined by City or Consultant to be increment attributable to causes other
than Consultant's work pursuant to this agreement In the event that Consultant is
responsible for an increase in the tax reported by businesses already properly making tax
payments to the City, it shall be the Contractor's responsibility to separate and support the
incremental amount attributable to its efforts prior to the application of the Audit Fee Said
Audit bees will apply to state fund transfers received for back quarter reallocations and
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monies received in the first eight consecutive reporting quarters following completion of
the audit by Consultant and confirmation of corrections by the State Board of
Equalization Consultant shall provide City with an itemized quarterly invoice showing all
formula calculations and amount due for Audit Fees
53 Any notice or other communication required, or which may be given, pursuant to this
Agreement, shall be in writing Any such notice shall be deemed delivered (i) on the date
of delivery in person, (ii) five (5) days after deposit in first class registered mail, with
return receipt requested, (iii) on the actual delivery date if deposited with an overnight
courier, or (iv) on the date sent by facsimile, if confirmed with a copy sent
contemporaneously by first class, certified, registered or express mail, in each case
properly posted and fully prepaid to the appropriate address set forth below, of such other
address as a Party may provide notice in accordance with this section
C.� Consultant
Danielle Garcia, Director Andy Nickerson, President
Management Services/Finance Department Hinderliter, De Llamas & Associates
City of Redlands 1340 Valley Vista Drive, Suite 200
35 Cajon Street, Suite 222 Diamond Bar, CA 91765
PO Box 3005 (mailing)
Redlands, CA 92373
Such addresses may be changed by notice to the other Party given in the same manner as
provided above
ARTICLE 6—INSURANCE AND INDEMNIFICATION
61 Insurance required by this Agreement shall be maintained by Consultant for the duration
of its performance of the Services Consultant shall not perform any Services unless and
until the required insurance listed below is obtained by Consultant Consultant shall
provide City with certificates of insurance and endorsements evidencing such insurance
prior to commencement of the Services Insurance policies shall include a provision
prohibiting cancellation or modification of the policy except upon thirty (30) days prior
written notice to City
62 Workers' Compensation and Employer's Liability insurance in the amount that meets
statutory requirements with an insurance carrier acceptable to City, or certification to
City that Consultant is self-insured or exempt from the workers' compensation laws of
the State of California Consultant shall provide City with Exhibit "B," entitled
"Workers' Compensation Insurance Certification," which is attached hereto and
incorporated herein by this reference prior to performance of the Services
63 Consultant shall secure and maintain comprehensive general liability insurance with
carriers acceptable to City Minimum coverage of One Million Dollars ($1,000,000) per
occurrence and Two Million Dollars ($2,000,000) aggregate for public liability, property
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damage and personal injury Is required City shall be named as an additional Insured and
such insurance shall be primary and non-contributing to any insurance or self-insurance
maintained by City
64 Consultant shall secure and maintain professional liability insurance throughout the term
of this Agreement In the amount of One Million Dollars ($1,000,000) per claim made
65 Consultant shall secure and maintain business auto liability coverage, with minimum
limits of One Million Dollars ($1,000,000) per occurrence, combined single limit bodily
injury liability and property damage liability This coverage shall include all Consultant
owned vehicles used in connection with Consultant's provision of the Services, hired and
non-owned vehicles, and employee nonownership vehicles City shall be named as an
additional insured and such insurance shall be primary and non-contributing to any
insurance or self insurance maintained by City
66 Consultant shall defend, Indemnify and hold harmless City and its elected officials,
employees and agents from and against any and all claims, losses or liability, including
attorneys' fees, arising from injury or death to persons or damage to property occasioned
by any negligent act or omission by, or the willful misconduct of, Consultant, or its
officers, employees and agents in performing the Services
ARTICLE 7--CONFIDENTIALY & CONFLICTS OF INTEREST
71 Consultant covenants and represents that it does not have any investment or interest in
any real property that may be the subject of this Agreement or any other source of
income, interest in real property or Investment that would be affected in any manner or
degree by the performance of Consultant's Services Consultant further covenants and
represents that in the performance of its duties hereunder, no person having any such
interest shall perform any Services under this Agreement
72 Section 7056 of the State of California Revenue and Taxation Code specifically limits the
disclosure of confidential taxpayer Information contained in the records of the State
Board of Equalization This section specifies the conditions under which a city may
authorize persons other than city officers and employees to examine State Sales and Use
Tax records. The following conditions specified in Section 7056 (b) (1) of the State of
California Revenue and Taxation Code are hereby made part of this agreement
A Consultant is authorized by this Agreement to examine sales, use or transactions and
use tax records of the Board of Equalization provided to City pursuant to contract
under the Bradley-Burns Uniform Sales and Use Tax Law
B Consultant is required to disclose Information contained in, of derived from, those
sales, transactions or use tax records only to an officer or employee of City who is
authorized by resolution to examine the information
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C During the term of this Agreement, Consultant is prohibited from performing
consulting services for a retailers, as defined in California Revenue & Taxation Code
Section 6015
D Consultant is prohibited from retaining the information contained in, or derived from
those sales or transactions and use tax records, after this Agreement has expired
Information obtained by examination of Board of Equalization records shall be used
only for purposes related to collection of local sales and use tax or for other
governmental functions of City as set forth by resolution adopted pursuant to Section
7056 (b) of the Revenue and Taxation Code The resolution shall designate
Consultants as a person, authorized to examine sales and use tax records and certify
that this Agreement meets the requirements set forth above and in Section 7056 (b)
(1) of the Revenue and Taxation Code
73 Consultant hereby provides a license to City to use Consultant's software The software
shall only be used by City City shall not sublet, duplicate, modify, decompile, reverse
engineer, disassemble, or attempt to derive the source code of the software The license
granted hereunder shall not imply ownership by City of said software, rights of City to
sell said software, or rights to use said software for the benefits of others This license is
not transferrable Upon termination, the software license shall expire, all copies of the
software shall be removed from City's computers and network, and all digital copies
deleted or otherwise destroyed
74 Contractor acknowledges that the account data generated by City during the course of
City operations is the property of the City At the termination of this Agreement, City
data will be made available to City in a format acceptable to both City and Consultant
75 As used herein, the term "proprietary information" means any information which relates
to Consultant's computer or data processing programs, data processing applications,
routines, subroutines, techniques or systems, or business processes City shall hold in
confidence and shall not disclose to any other part or any Consultant proprietary
information in connection with this Agreement, or otherwise learned or obtained by City
in connection with this Agreement The obligations imposed by this paragraph shall
survive any expiration or termination of this Agreement The provisions of this Article 7
shall not apply to any information that is public information
76 Consultant agrees it is not a designated employee within the meaning of the Political
Reform Act because Consultant
A Does not make a governmental decision whether to
(i) approve a rate, rule or regulation, or adopt or enforce a City law,
(ii) issue, deny, suspend or revoke any City permit, license, application,
certification, approval, order or similar authorization or entitlement;
(iii) authorize the City to enter into, modify or renew a contract,
(iv) grant City approval to a contract that requires City approval and to which
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City is a parry, or to the specifications for such a contract,
(v) grant City approval to a plan, design.,report, study or similar item,
(vi) adopt or grant City approval of, policies, standards or guidelines for City
or for any subdivision thereof
B Does not serve in a staff capacity with City and in that capacity, participate in
making a governmental decision or otherwise perform the same or substantially
the same duties for City that would otherwise be performed by an individual
holding a position specified in City's Conflict of Interest Code under Government
Code section 87302
77 In the event City determines that Consultant must disclose its financial interests,
Consultant shall complete and file a Fair Political Practices Commission Form 700,
Statement of Economic Interests, with the City Clerk's office pursuant to the written
instructions provided by the City Clerk
ARTICLE 8 --GENERAL CONSIDERATIONS
8 1 In the event any action is commenced to enforce or interpret any of the terms or
conditions of this Agreement the prevailing Parry shall, in addition to any costs and other
relief, be entitled to the recovery of its reasonable attorneys' fees, including fees for the
use of in-house counsel by a Party
82 Consultant shall not assign any of the Services, except with the prior written approval of
City and in strict compliance with the terms and conditions of this Agreement
83 Records, drawings, designs, cost estimates, electronic data files, databases and any other
documents developed by Consultant in connection with its performance of the Services,
and any copyright interest in such documents, shall become the property of City and shall
be delivered to City upon completion of the Services, or upon the request of City Any
reuse of such documents, and any use of incomplete documents, shall be at City's sole
risk
84 Consultant is for all purposes under this Agreement an independent contractor and shall
perform the Services as an independent contractor Neither City nor its agents shall have
control over the conduct of Consultant or Consultant's employees, except as herein set
forth Consultant shall supply all necessary tools and instrumentalities required to
perform the Services Assigned personnel employed by Consultant are for its account
only, and in no event shall Consultant or personnel retained by it be deemed to have been
employed by City or engaged by City for the account of, or on behalf of City Consultant
shall have no authority, express or implied, to act on behalf of City in any capacity
whatsoever as an agent, nor shall Consultant have any authority, express or implied, to
bind City to any obligation
8 S Unless earlier terminated as provided for below, this Agreement shall terminate upon
completion and acceptance of the Services by City This Agreement may be terminated
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by City, in its sole discretion, by providing not less than five (5) days prior written notice
to Consultant of City's intent to terminate If this Agreement is terminated by City, an
adjustment to Consultant's compensation shall be made, but (1) no amount shall be
allowed for anticipated profit or unperformed Services, and (2) any payment due
Consultant at the time of termination may be adjusted to the extent of any additional costs
to City occasioned by any default by Consultant Upon receipt of a termination notice,
Consultant shall immediately discontinue its provision of the Services and, within five (5)
days of the date of the termination notice, deliver or otherwise make available to City,
copies (in both hard copy and electronic form, where applicable) of project related data,
design calculations, drawings, specifications, reports, estimates, summaries and such
other information and materials as may have been accumulated by Consultant in
performing the Services Consultant shall be compensated on a pro-rata basis for Services
completed up to the date of termination
86 Consultant shall maintain books, ledgers, invoices, accounts and other records and
documents evidencing costs and expenses related to the Services for a period of three (3)
years, or for any longer period required by law, from the date of final payment to
Consultant pursuant to this Agreement Such books shall be available at reasonable times
for examination by City at the office of Consultant
87 This Agreement, including the Exhibits incorporated herein by reference, represents the
entire agreement and understanding between the Parties as to the matters contained
herein, and any prioi negotiations, written proposals or verbal agreements relating to such
matters are superseded by this Agreement Except as otherwise provided fol herein, any
amendment to this Agreement shall be in writing, approved by City and signed by City
and Consultant
8 8 This Agreement shall be governed by and construed in accordance with the laws of the
State of California
89 If one or more of the sentences, clauses, paragraphs of sections contained in this
Agreement is declared invalid, void or unenforceable by a court of competent
jurisdiction, the same shall be deemed severable from the remainder of this Agreement
and shall not affect, impair or invalidate the remaining sentences, clauses, paragraphs or
sections contained herein, unless to do so would deprive a Party of a material benefit of
its bargain under this Agreement
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IN WITNESS WHEREOF, duly authorized representatives of City and Consultant have signed
in confirmation of this Agreement
CITY OF REDLA S HINDERLITER,DE LLAMAS &ASSOCIATES
By By
Paul Barich, Mayor Pro Tempore Andy Nic erson, President
Attest
Xe Donaldson, City Clerk
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EXHIBIT "A"
TO PROFESSIONAL SERVICES AGREEMENT
BETWEEN CITY OF REDLANDS AND HINDERLITER, DE LLAMAS AND ASSOCIATES
Consultant shall perform the following services
A SALES TAX AND ECONOMIC ANALYSIS
1 Contractor shall maintain Its database that identifies the name, address and
quarterly allocations of all sales tax producers within the City of Redlands for the
most current and all quarters back to fiscal year 194-1985 This database will be
utilized to generate special reports to City on- mayor sales tax producers by rank
and category, sales tax activity by categories, business district areas, identification
of reporting aberrations, and per capita and outlet comparisons with regional and
statewide sales tax
B IDENTIFICATION OF ERRORS AND REVENUE MAXIMIZATION
OPPORTUNITIES
1 Field Surveys Field inventories of the City's business and industrial areas will be
conducted every 10-12 months to identify businesses located within the City that
appear to be under-reporting revenues or are not on the BOE allocation rolls
Specially trained field auditors, using the latest in mapping, GPS and digital
recording technology,will document not only the existence of sales tax producing
businesses but also any relevant factors such as size, presence of a large stock of
goods, will-call windows and any specific references to sales activity This
process identifies a wide range of registration errors including erroneous
consolidation of multiple outlets, misreporting of point of sale from an erroneous
location and delays in reporting new outlets
2 Tax Area Code (TAC) Review HdL will review every active account on the
BOE's allocation rolls reporting $50 or more in local tax to ensure proper TAC
assignment Government and private sector mapping and GIS databases are used
extensively in this process These programs are important because physical
canvassing will not reveal businesses with missing or incomplete signage, or
those that are home-based A complete TAC review will be performed at least
once every 9-12 months
3 Deviation Assessment HdL will apply proprietary queries and analyses to its
statewide allocation database to Identify all accounts for which there has been a
substantial change in allocation pattern HdL's database, unmatched In size,
comprises over 98 5% of all sales and use tax transactions in California and
allows for the most comprehensive audits in the state The deviation review will
be performed every three months and is far more sophisticated and thorough than
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a review of the BOE's published Quarterly Distribution Report The review will
be applied to direct allocations and to the county pools, and allows for a much
broader view and understanding of what has happened in any given quarter Well-
founded leads are quickly culled from this process, often without the need for
time-consuming manual reviews of taxpayer files. This allows for faster
processing and less time used for preparing submittals This in turn lowers
recovery fees by reducing the amount of prior quarter revenue requiring
redistribution
4 Use Tax Errors and Onnortunities HdL will analyze the use tax allocation pools
of the 58 counties and the state each quarter to identify instances where a taxpayer
may have misidentified a transaction as use tax rather than sales tax Further
specialized reviews and techniques will be employed to identify direct allocation
opportunities of local use tax State Board of Equalization Regulation 1802(d)
allows for direct allocation of local use tax on qualifying individual sales or
purchases over$500,000 Out-of-state and foreign-based companies in particular
often have large transactions that meet the criteria for direct allocation under this
section Under Regulation 1699 6, businesses and organizations (including local
government agencies)with aggregate purchases subject to use tax of least
$500,000 per year can apply for a Use Tax Direct Payment Permit, allowing for
direct allocation of the corresponding local share Finally, under a resolution
adopted by BOE in December 1994, a construction contractor who enters into a
contract equal to or greater than$5,000,000 may elect to obtain a sub-permit for
the job site resulting in a direct allocation of local use tax to the jurisdiction where
the jobsite is located
5 Regulation 1699 Evaluations BOE Regulation 1699 controls when and where a
permit should be issued to a given business location Wholesalers, contractors,
processors, manufacturers, and other non-retail businesses that do not normally
sell merchandise often conduct occasional sales, self-accrue use tax or are levied
deficiency assessments by the state HdL will use proprietary methods for finding
companies that should be taking out permits so that those revenues are allocated
to the City
C RECOVERY OF MISALLOCATED REVENUE
1 Development of Correction Data Preliminary lead lists developed through any of
the aforementioned audit programs will be further culled using a variety of
programs and databases to reduce the need for taxpayer contact Companies
remaining in the audit database will then be contacted by a specialized audit unit
whose members are specifically selected and trained to interview tax preparers
and marketing, warehouse and management staff Taxpayer interviews will
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always be conducted in a business friendly, non-intrusive manner that emphasizes
cooperation and protection of confidentiality
2 Documentation Telephone contacts will often be accompanied by a written
follow-up questionnaire concerning business activities, a specific one-time
transaction or a written confirmation of our findings This documentation is
always filed with the petition to minimize BOE processing time Solid
documentation and follow-up lowers client fees By reducing the number of
quarters requiring retroactive adjustment and ensures faster recovery of
misallocated revenues
3 Citv Review To avoid potential conflicts with a City's in-house audit efforts,
HdL will prepare a list of misallocated or under-reporting businesses for City
officials to review and authorize prior to any invoicing This line item, account-
level approval process is an important step in eliminating any misunderstandings
or disagreements regarding what may be considered a valid audit"find "
4 Preparation and Submittal of Corrections Petitions will be prepared (BOE Form
549-5 or 549-L)that notify the BOE the existence and nature of the misallocation
All relevant and available supporting documentation is included Copies of all
transmittal forms and correspondence with the BOE and taxpayers are sent to City
staff
5 Continuous Follow-un HdL employs a full-time case manager whose
responsibility is to monitor and follow-up on case inventory An aging report will
be updated and reviewed on a monthly basis and the appropriate follow-up is
initiated on cases that are taking an inordinate amount of time to correct This
follow-up emphasizes partnership and cooperation with BOE Allocation Group
staff HdUs continuous efforts to check on the status of submittals are made to
ensure that corrections are being pursued Timely follow-up on cases reduces the
time it takes for the City to recover its revenue
6 Appeals HdL cases will be thoroughly researched, vetted and documented prior
to submittal This ensures the fastest possible processing times, and reduces the
numbei of cases that are initially disclaimed and must be further researched and
defended through a very lengthy BOE appeals process. Nearly all HdL cases are
resolved favorably at either the first or second levels of the BOE petition process
described in Regulation 1807 HdL has cultivated close working relationships
with the BOE Appeals Division and with each of the elected Board Members
When an appeal is required, HdL has the necessary expertise and access to
competently and aggressively represent client interests Having a large number of
cases on appeal may be presented by some vendors as evidence of a more
sophisticated and aggressive audit program It should be viewed, however, as an
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indication that inadequate supporting documentation tends to require more case
appeals and lead to otherwise unnecessary procedural delays
D MANAGEMENT SERVICES
I HdL Database Reports and TraininE HdL will maintain Redlands' detailed sales
tax data back to t989 and will provide City staff with unlimited access to its
quarterly updated web-based sales tax system to facilitate "in-house" analysis and
printing of reports The system allows City staff to search, print and export their
sales tax data for a variety of financial, management and planning functions The
City's archived quarterly sales tax reports can also be accessed through the online
sales tax application
HdUs geo-area feature supports use of address ranges, which ensures the
inclusion of all appropriate BOE registrations and also allows City staff to create
and modify geo-areas without a separate GIS system HdL will also support
interfacing with the City's GIS by including accurately geocoded latitude and
longitude for each business. This data can include all data fields including
historical allocation information and can be quickly exported by City staff on
demand using HdUs Sales Tax Web Application Additionally, City created
shape files can be used to define a Geo-area, which would identify related
businesses by latitude and Iongitude
Training on use of the software and ongoing upgrades will be provided at no
additional charge.
Quarterly sales tax reports will be provided on both a cash and adjusted basis
Cash reports reconcile to BOE payments and are necessary for any revenue
sharing agreements that the City might have in place The adjusted reports shift
payment aberrations (double-up payments, BOE audit adjustments, etc ) into the
quarter where the sales occurred to accurately show the City's true economic
trends The quarterly sales tax data will be presented in reports for major sales tax
producers by both rank and category, analysis of sales tax activity by category,
business or areas specified by the City
HdUs quarterly sales tax reports will include a listing of top sales tax producers
and comparisons with both regional and statewide trends Retailer information
will be provided in grouped form or in business by business detail Quarterly
information will also include tables that track year-to-date receipts and show
comparisons with past periods to measure progress toward achieving the City's
annual budgeted revenue amount HdL staff also prepares sales and use tax
projections for proposed development projects, responds to technical questions
relating to BOE processes and regulations, and monitors revenue sharing
agreements
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2 Budget Protections and Monitorzna HdL will deliver a comprehensive, detail-
oriented method for projecting and monitoring client sales and use tax revenues
that has proved to result in estimates that fall within I% of actual receipts two-
thirds of the time Initial and mid-year projections will be made by factoring out
payment aberrations that skew the base revenue and factoring in known changes
such as new or closed businesses HdL will also incorporate information from
over 90 economic sources as well as information gathered from client meetings to
develop economic factors to apply to individual retail business segments, the
results will be combined into a single estimate of anticipated revenue HdL will
further enhance its projections by contacting builders of large-scale development
projects to better time and estimate the value of potential use tax payments into its
estimates Five year forecasts will also be provided
3 Use Tax Maximization Proaram HdL's sales tax team will include a staff of
specialists who review new business startups that might present potential self-
assessed use tax opportunities, meets with contractors to advise on sub-permits
and reporting procedures and provides materials and advice on purchasing
companies and direct payment permits The firm will monitor major construction
projects to make sure that any use tax generated is properly allocated to the job
site's host jurisdiction
4 Leazslative Updates, HdL will prepare Legislative Updates for clients to keep
them informed on any changes that may impact local revenues The firm will also
provide Issue Updates which are similar in nature but deal with specific issues
such as Sales Tax Participation Agreements Each issue will be presented in detail
so that Agency staff is better equipped to handle questions on that topic from their
community leaders
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EXHIBIT "B"
WORKERS' COMPENSATION INSURANCE CERTIFICATION
Every employer, except the State, shall secure the payment of compensation in one or more of
the following ways
(a) By being insured against liability to pay compensation by one or more insurers
duly authorized to write compensation insurance in this State
(b) By securing from the Director of Industrial Relations, a certificate of consent to
self-insure, either as an individual employer, or as one employer in a group of
employers, which may be given upon furnishing proof satisfactory to the Director
of Industrial Relations of ability to self-insure and to pay any compensation that
may become due to his or her employees
CHECK ONE
✓ I am aware of the provisions of Section 3700 of the Labor Code which requires every
employer to be insured against liability for Workers' Compensation or to undertake self-
insurance in accordance with the provisions of that Code, and I will comply with such provisions
before commencing the performance of the work and activities required or permitted under this
Agreement. (Labor Code §186 1)
I affirm that at all times, in performing the work and activities required or permitted under
this Agreement, I shall not employ any person in any manner such that I become subject to the
workers' compensation laws of California However, at any time, if I employ any person such
that I become subject to the workers' compensation laws of California, immediately I shall
provide the City with a certificate of consent to self-insure, or a certification of workers'
compensation insurance
I certify under penalty of perjury under the laws of the State of California that the information
and representations made in this certificate are true and correct.
Hinderliter,De Llamas&Associates Date.
ByQQ:S-- - – —
Andy Nickerson, President
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