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IN
STATE OF CALIFORNIA
DEPARTMENT OF FORESTRY AND FIRE PROTECTION
SERVICE ORDER
CAL FIRE-93 Page 1 of 2(Rev.10/46)
CONTRACT REGISTRATION NUMBER
eP1029463
1. AGENCY DOCUMENTIINtIQICE NUMBER
2. CONTRACTOR{Name and Address} 3 O.Ul :B 4�
:31P-O.E; 4. VENDORCODENO. 5. BILLINGCODE PAGE df PAGE
City of Redlands Municipal Airport 9.798.7668 086504 00 013866 1 OF 1
35 Cajon St Suite 222 U. ADMINISTRATIVE UNIT FOR PAYMENT
Redlands, CA 92373 CAL FIRE - BDU
3800 North Sierra Way
EIN/SSN; 95-6000766 S/B ❑ M/B ❑ DVBE San Bernardino, CA 92405
171
7.
® CAL FIRE-20 or CAL FIRE-501 (2/46)
CONTRACTOR CERTIFICATION CLAUSES
SIGNED
8. CONTRACTOR agrees to provide the STATE with the following services:
CAL FIRE rented the City of Redlands Municipal Airport facility in San Bernardino County from Sunday, 8/30
through Saturday, 9/5 for use as an air base. The cost of the heli-base was $250.00 per acre used per day.
CAL FIRE used the following number of acres:
8/30 & 8/31 - 7 acres x $250.00 per acre per day = $1,750.00 per day x 2 days = $3,500.00
9/1, 9/2 & 9/3 - 10 acres x $250.00 per acre per day = $2,500.00 per day x 3 days = $7,500.00
9/4 & 9/5 - 6 acres x $250.00 per acre per day = $1,500.00 per day x 2 days = $3,000.00
Sub Totals --- $3,500.00 + $7,500.00 + $3,000.00
Grand Total = $14,000.00
*All utilities will be paid by the City of Redlands Municipal Airport.
9. WAS CALCARD USED FOR THIS PURCHASE? ❑ YES ® NO
NOTE: Contract release for and in consideration of receipt of payment in the amount shown on tine 13. contractor 10. Total Amount Due(this Page)
hereby releases the State from any and all claims arising under this agreement except as reserved below(item 14) $14,000:00
11. Sates Tax
12. Gross Amount Due
15. REMARKS No damage/No claim 13. Deductions
14. Net Amount Due
16. INDICATE STATE PURPOSE Hell-base for GOING FIRE $14 nnn 00
F/Y INDEX# OBJECT# PCA# AMOUNT# ORDER# REQUEST#
09 3500 343 00900 $14,000.00 CABDUO09598
17. CONTRA SIGNATU PRINT NAME AND TITLE
DATE
Jon Harrison, Mayor 9/15/09
18, RECEIV G FFICER' ' N TURE PRINT NAME AND TITLE
DATE
David Irian, Procurement Unit Leader 9/9/09
19. PURCHASE AUTHORIZED By (Signature) TITLE
..PHONE
Pete Peisch, FSC 909.881.6900
A'TTFS'T:
Lorrle Poyze-x C try Clerk
STATE OF CALIFORNIA
DEPARTMENT mrFORESTRY AND FIRE PROTECTION
AGREEMENT FOR EMERGENCY USE C}F FACILITIES
CAL Fms-95(Rav1/93)
CAL FIRE FILE NO.
(Sacramento Use Only)
INCIDENT NUMBER: CABDU 089598
INCIDENT NAME: Oak Glen U|
LESSOR NAME: _City
AGREEMENT FOR EMERGENCY USE OF FACILITIES
Pursuant to common-law and statutory authority, in the State of California has the authority, inanemergency
situation such as a fire, to contract for the use of property on emergency basis when such property is requiredby emergency personnel in connection with the protectionof|ihm and property from destruction by fin— Rose v'SCota (1g42) 19Co|.3d718. see also McKay Jewelers, Inc. v. Bowman 1S ( o|-2d5R5; Cf. Govt. 204.)
The owner ofthe property described hen*in, or the duly appointed representative, agrees to furnish facilitiesdesnribedhereintothe San Bernardino Unit ofthe California Department
nfForestry and Fire Protection for use as a heli-base.
1. DESCRIPTION OFFACILITIES:
CAL FIRE rented the City of Redlands Municipal Airport facility in San Bernardino County from Sunday, 8/30
through Saturd9/5 for
CAL FIRE used the following be of
8/30 & 8/31 7 acres x$250.00 per acre Der day = $1,750.00 per day x 2 days = $3,50000
9/1 9/2 & 9/3 10
9/4Q8/5 O acres x$250.00 per acre per day = $1,500.00 per day x 2 days = $3,00000
Sub To
Grand Total
2. RATE: For each 24-hour day, or portion of a 24-hour day, the State will pay the sum of$ The
Shall include all charges for maintenance and supplies provided to the State as stipulated in Item#4.
3' TERM: This agreement shall commence on . and shall end onorbefore
(may bedefined bydabe or fth ------
. duration aernargenoy) �
4' MAINTENANCE: (a) Owner shall furnish. at Owners eo/a cost and expanse during the benn of this contractthe
following utilities and supplies tothe area leased or rented by the State: '
All utilities will
5. SERVICE: Owner shall provide the state with the name, address and the telephone number ofanagency or
person convenient tothe State asalocal source of service (e.g.. oxvner. grounds maneger etc )vvithregards to
�
Own� snesponoibi|idesunder this lease/rental agreement `ebarepairs, rnginhynanom and
'se--ioingofthe
prerniseaand any oraUrelated mquipnnant. fixtures, and appudenances. oranother person aa'identified below:
N/\K8E ToddHoua|eTELEPHONE NUMBER 909,583.1953
-
STATE opCALIFORNIA
DEPARTMENT orFORESTRY AND FIRE PROTECTION
AGREEMENT FOR EMERGENCY USE QF FACILITIES
CAL pms-9s(Re,1/93)(reverse)
h CONDITION REPORT: A joint physical survey and inspection report of the facilities shall be made as of the
i
effective date of this Agreement, reflecting the then existing conditions, and will be signed on behalf of the
�
parties tothis Agreement. A similar joint physical survey and inspection of the facilities shall be made as of the
date of expiration of this Agreement, reflecting the then existing conditions, and will be signed on behalf of the
parties to this Agreement.
7. LOSS, DAMAGE OR DESTRUCTION: The State will assume liability for the (oss, damaQa, or destruction of
facilities or equipment furnished under this Agreement provided that no reimbursement will be made from loss,
damage, ordestruction when due to(1) ordinary wear and tear, (2) the fault ornegligence ofthe Owner or
Owner's agent(a). or(3) circumstances beyond the control ofthe State.
The State shall restore Owner's land, structures, and equipment to the condition they were in immediately prior
to the period of government occupancy; restoration shall be performed to the extent reasonably practical.
If the premises are not restored to the Owner's satisfaction, claims for reasonable costs incurred by the Owner
in restoring the facility to their prior condition, all other claims shall be submitted to the Board of Control.
8. HOLD HARMLESS: Tothe extent that both parties tothis agreement agree tohold each other harmless
against any and all claims for injury to the person or damage to the property arising from the uses herein
stated, except where such injury or damage is proximately caused by the negligent or willful acts of the other,
its semonto, agents, or employees.
9, SUBROGATION WAIVED: To the extent authorized by any fire and extended coverage insurance policy
issued to Owner on the lease/rental premises, Owner hereby waives the subrogation rights of the insurer, and
releases the State from liability for any loss or damages by that insurance,
rNER DEPARTMENT OF FORESTRY AND FIRE
P TECTION
BY:
� BY:
TITLE: ., orTITLE: Procurement ULeader
DATE:� 9/15/09 DATE: 9/9/09
NAME: `" NAME: CA Irotection
STREET ADDRESS: 35
�' STREET ADDRESS: 3800 North Sierra vv-qv
Redlands, CA 92373
San Bernardino, CA 92405
TELEPHONE: AU9,798,7OG8ext 1 TELEPHCXVE� 8098816
900
TELEPHONE (Night) 909,5831953TELEPHONE: (Night) 55g706.8806
f
STATE OF CALIFORNIA
Department of Forestry and Fire Protection
CAL FIRE 20(Rev.01109)
Contractor Certification Clauses for Services
CAL EIRE 20(Rev.01109)
I, the official named below, CERTIFY UNDER PENALTY 4F PERJURY that I am duly
authorized to legally bind the prospective Contractor to the clause(s) listed below. This
certification is made under the laws of the State of California.
IContractor/Firm Name (Printed)
I Federal ID Number
City of Redlands Municipal Airport 95-6000766
i
By(Authoriz Signa e) ATTE ,.
i
Printe ame and Title of Person Signing µ�Lorrie 'Poyzer, C' —jerk, City of Redlan s
Jon Harrison, Mayor
FDateExecutedcuted in the County of
9 _
San Bernardino
1.STATEMENT OF COMPLIANCE:Contractor has,unless 3.NATIONAL LABOR RELATIONS BOARD CERTIFICATION:
exempted,complied with the nondiscrimination program Contractor certifies that no more than one(1)final unappealable
requirements.(Gov.Code§12990(a-f)and CCR,Title 2,Section finding of contempt of court by a Federal court has been issued
8103)(Not applicable to public entities.) against Contractor within the immediately preceding two-year
2.DRUG-FREE WORKPLACE REQUIREMENTS:Contractor will period because of Contractor's failure to comply with an order of a
comply with the requirements of the Drug-Free Workplace Act of Federal court,which orders Contractor to comply with an order of
1990 and will provide a drug-free workplace by taking the the National Labor Relations Board.(Pub.Contract Code§10296)
following actions: (Not applicable to public entities.)
a.Publish a statement notifying employees that unlawful 4.CONTRACTS FOR LEGAL SERVICES$50_000 OR MORE
manufacture,distribution,dispensation,possession or use of a PRO BONO REQUIREMENT:Contractor hereby certifies that
controlled substance is prohibited and specifying actions to be contractor will comply with the requirements of Section 6072 of
taken against employees for violations. the Business and Professions Code,effective January 1,2001
b.Establish a Drug-Free Awareness Program to inform Contractor agrees to make a good faith effort to provide a
employees about: minimum number of hours of pro Bono legal services during each
1)the dangers of drug abuse in the workplace; year of the contract equal to the lessor of 30 multiplied by the
2)the person's or organization's policy of maintaining a drug-free number of full time attorneys in the firm's offices in the State,with
workplace; the number of hours prorated on an actual day basis for any
3)any available counseling,rehabilitation and employee contract period of less than a full year or 10%of its contract with
assistance programs;and, the State.
4)penalties that may be imposed upon employees for drug abuse Failure to make a good faith effort may be cause for non-renewal
violations. of a state contract for legal services,and may be taken into
c.Every employee who works on the proposed Agreement will: account when determining the award of future contracts with the
1)receive a copy of the company's drug-free workplace policy State for legal services,
statement;and, 5.EXPATRIATE CORPORATIONS: Contractor hereby declares
2)agree to abide by the terms of the company's statement as a that it is not an expatriate corporation or subsidiary of an
condition of employment on the Agreement, expatriate corporation within the meaning of Public Contract Code
Failure to comply with these requirements may result in Section 10286 and 10286.1,and is eligible to contract with the
suspension of payments under the Agreement or termination of State of California.
the Agreement or both and Contractor may be ineligible for award 6.SWEATFREE CODE OF CONDUCT:
of any future State agreements if the department determines that a.All Contractors contracting for the procurement or laundering of
any of the following has occurred:the Contractor has made false apparel,garments or corresponding accessories,or the
certification,or violated the certification by failing to carry out the procurement of equipment,materials,or supplies,other than
requirements as noted above.(Gov.Code§8350 et seq.) procurement related to a public works contract,declare under
penalty of perjury that no apparel,garments or corresponding
accessories,equipment,materials,orsupplies furnished to the 3
.AMERICANS WITH DISABILITIES ACT:Contractor assures
state pursuant bthe contract have been laundered orproduced
i»who�mi»PaUbyuweu�hop|a���m*d/abor oonvkXlabor, "=om�u/^�u�»n�/eaw/mma8mohoanowi�hDimo�|iUeaA�
in�mtumdlabor under penal muncUon abuo|va�—aofohUk400a[19QO'wh��pmh/hi/odimuim�nadonvn(h�bmu/a�
|eb» mexp��Uono�ub��mn/o--`-hup|abo"mr���m dieaN|hy'uow«UmaaUapplicable n�u/�kma�dguid�ineo
benefit o�awpa�hup|aho �n�d-'--~ i |''~ '= em�mp»m�m(��aADA �2U.S.C,1%1O1���)
` uoo. labor,convict labor,indentured 4 � �
HANGE:An amendment is required
labor under penal sanction,abusive forms ofchild|mbo m o°'a
a«P���m»f«hUdnmioowoa�hop|abm Th* —contractor— ��hmr ''uu^��»n���mra»amaaa|iu�dcm�ieAgeaxenL
da«eesonder�mo|�ufpe�u����oyadho�" u�mm«*�o���o(d»�»me»�$kmo/ihnnomeohanguih*
Sw*»�o*C��u�Condm�eom��dbno�huCa/'m'mmo S��»N||pns�outhe amomdmenL Payment o/iovokes
Oepadm*n�u/}nduo�o|Ro�eUonmwebo)�|���d /'/m penem�dwi�unew name ca»n�bepa�phor�appmvo|nf
at said amandmant
wwwdir.ca.gov,and |icCont��C�eSe�unG1O8. 5 �
| QULLIFICATIONS TO DO BUSINESS IN
b.The contractor agrees mcooperate fully inproviding
reasonable access tothe contractor's records,documents,-�-'�
".When agreements are mo*performed inthe state b
y»remP|oye* .mpemioemi/nmoamnoblyequi""byau« muv» n»qmmtion» the contracting ciwill be
officials ofthe contracting agency,the Department o/Industrial contractorwcurrently qualified monbusiness in California
-
inRelaUnno,or\heDnpertmento/juoUooW"mdetermine the order to ensure that all obligations due to the state are fulfilled.
contractor's compliance with therequirementsund*pumQmph b."Doing business"iodefined inR&TCSection 231O1ooactively
(a). engaging inany transaction for the purpose nffinancial or: For contracts over$100.000 pecuniary gain orprofit, Although there are some statutory
executed mamended after January1,2007'the contractor exceptions to taxation,rarely will ucorporate contractor
certifies thgmmtmoto,ioi' oomp|ian^=vNthpoN|oCcmtract performing within the state not bosubject to the franchise tax,
Code section l0295.3. o.Both domestic and foreign corporations(those incorporated
outside of California)must be in good standing in order to be
DOING BUSINESS WITH THE STATE OF CALIFORNIA qualified tod»business i»Ca|ifornia� AgondoowiUde� eThe hd��nglaws apply�pemonsoronhUend�nAbusiness
wi�the�a�cfC�ibmie. *nane/a«o�mmUnniu�goode�undingbyoaUing�haO�oeof
1 the Secretary State.
ontractor needs to be aware of the following provisions regarding current or former state must provide the State with a copy of a resolution,order,motion,
n city,district,mother local public body
pollution,employees. If Contractor has any questions on the status of any or ordinance of the local governing body which by law has
person rendering services or involved with the Agreement,the authority to enter into an agreement,authorizing execution of the
awarding agency must be contacted immediately for clarification, agreement.
Current State Employees(Pub.Contract Code§10410): TAIRO WATER POLLUTION VIOLATIOW Under the State
1).No officer or employee shall engage in any employment, laws,the Contractor shall not be:(1)in violation of any order or
activity or enterprise from which the officer or employee receives resolution not subject to review promulgated by the State Air
compensation or has a financial interest and which is sponsored Resources Board or an air pollution control district;(2)subject to
or funded by any state agency,unless the employment,activity or cease and desist order not subject to review issued pursuant to
enterprise is required as a condition of regular state employment, Section 13301 of the Water Code for violation of waste discharge
2).No officer or employee shall contract on his or her own behalf requirements or discharge prohibitions;or(3)finally determined to
as an independent contractor with any state agency to provide be in violation of provisions of federal law relating to air or water
goods or services, ^
Former State Employees(Pub.Contract Code§10411):
E DATA RECORD FORM STD.204:This form must be
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