HomeMy WebLinkAboutContracts & Agreements_52-1999_CCv0001.pdf REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISOR
OF SAN BERNARDINO COUNTY, CALIFORNIA S
AND RECORD OF ACTION
June 29, 1999
FROM: THOMAS R. LAURIN, DIRECTOR
DEPARTMENT OF ECONOMIC AND COMMUNITY DEVELOPMENT
SUBJECT: COOPERATION AGREEMENTS WITH CITIES AND RESOLUTIONS FOR
METROPOLITAN CITY/URBAN COUNTY JOINT RECIPIENT REQUEST FOR
PARTICIPATION IN THE CDBG PROGRAM,
2002-03 FY 2000-01 THROUGH
RECOMMENDATION:
(1) Approve Fiscal Year 2000-01 through 2002-03 Cooperation Agreements between the
County and the following cities for participation in the Community Development Block Grant
program:
CITY
Adelanto AGREEMENT NO.
Barstow 99-474
Big Bear Lake 99-475
Chino Hills 99-476
Colton 99-477
Grand Terrace 99-478
Highland 99-479
Loma Linda 99-480
Montclair 99-481
Needles 99-482
Redlands 99-483
Twentynine Palms 99-484
Yucaipa 99-485
Town of Yucca Valley 99-486
99-487
(2) Adopt Resolution for Joint Recipient Request with the Cities of Chino Hills and Redlands.
RESOLUTION NO. 99-149 &99-150
BACKGROUND INFORMATION: Under the Community Development Block Grant (CDBG)
program, counties with populations over 200,000 qualify as Urban Counties and receive annual
entitlement grants based upon the demographics of their unincorporated area and the area of any
participating cities. San Bernardino County has participated in the CDBG program as an Urban
County since 1975, and as a result, has received over 191 million dollars in CDBG funds. At this
time, the County must requalify to participate in the CDBG program for the next three-year period.
cc: w/resolution Record of Action of the Board of Supervisors
ECD — Laurin
ECD — D. Larsen w/agree. APPROVED B3ARD OF SLIPERNiORS
Contractors w/agree. c/o ECD COUNTY 'SAN 9ERNARDINO
Auditor w/agree.
SBD w/agree. MOTION AYE ArE
ONt?` MOVE
PSG 3
5
File w/agree. EA E PRQAT, CLQ
BY
Rev 07/97 rdm DATED: J e 29, 1999
ITEM 061
y
COOPERATION AGREEMENTS WITH CiTIES AND RESOLUTION FOR METROPOLITAN
CITY/URBAN COUNTY JOINT RECIPIENT REQUEST FOR PARTICIPATION IN THE CDBG
PROGRAM, FY 2000-01 THROUGH 2002-03
June 29, 1999
Page 2 of 2
Board of Supervisors' approval of the Cooperation Agreements with
participating
resolutions for joint recipient requests is required by HUD to requalify the County and its
cities. The requalification period is fiscal years 2000-01 through 2002-03. g
CDBG regulations permit cities with a population less than 50,000 to participate under a County's
CDBG program. By participating, the cities' demographics increase the County's CDBG grant. The
funding received for these cities is then earmarked for those cities through a Cooperation Agreement
with the County. To participate under the County's program, cities must enter into three-year
Cooperation Agreements. All of the County's cities of this type have requested to participate. These
cities include Adelanfo, Barstow, Big Bear Lake Colton, Grand Terrace, Highland, Loma Linda,
Montclair, Needles, Twentynine Palms, Yucaipa and Town of Yucca Valley.
Cities with populations in excess of 50,000 are recognized by HUD as Metropolitan Cities and may
seek direct CDBG funding from HUD. Metropolitan Cities may also request to be included as a part
of the County's CDBG program under a joint recipient application. When this occurs, the County's
grant is also increased to include the amount authorized for the Metropolitan Cities. CDBG
regulations require the County to serve as the sole agency responsible for the planning and
implementation of the CDBG program. Each Metropolitan City must enter a Cooperation Agreement
with the County for the three-year period of the County's qualification. The Cities of Chino Hills and
Redlands have Metropolitan City status and have requested to be included with the County.
Redlands has been a joint recipient applicant with the County for the past twelve years. The City of
Chino Hills was recently classified by HUD as a Metropolitan City, and is participating with the
County as a joint recipient for the first time.
The Cooperation Agreements listed in the recommendation, have been executed by each city.
These agreements establish the terms and provisions for cooperation with the County for purposes
of meeting requalification requirements. The agreements stipulate the County's authority to carry out
Community Development Block Grant activities and the County's responsibility for determining the
final disposition and distribution of all CDBG funds and program income. Under the agreements
each participating city is provided with a share of the County's annual CDBG allocation for eligible
city activities. The Joint Recipient Request Resolutions are required by HUD to permit the Cities of
Chino Hills and Redlands as Metropolitan cities, to participate with the County as joint recipients.
The deadline for submission of all documentation to HUD regarding the County's Urban County
status, including Cooperation Agreements, is July 16, 1999,
REVIEW BY OTHERS: The agreements and resolution have been approved by the City Councils of
the above listed Cooperating Cities, by Deputy County Counsel Michelle Blakemore on June 18,
1999, by Deputy County Counsel Michael Sachs on behalf of Risk Management on June 18, 1999
and by the Department of Economic and Community Development's Contract Compliance designee
David Larsen on June 21, 1999.
FINANCIAL IMPACT: Approval and execution of these agreements is required for the County to
receive an estimated twenty-five million dollars of Community Development Block Grant funds over
the next three years. This action will not affect the County General Fund.
SUPT=RViSORIAL DISTRICTS): All.
PRESENTER: Thomas R. Laurin, Director, 388-0808.
COUNTY OF SAN BERNARDINO
AND
CITY/TOWN OF REDLANDS
COUNTY RESOLUTION NO. 99-150
CITY/TOWN RESOLUTION NO. 5659
A JOINT RESOLUTION AUTHORIZING A REQUEST TO THE UNITED STATES DEPARTMENT OF
HOUSING AND URBAN DEVELOPMENT(HUD) FOR METROPOLITAN CITY/URBAN COUNTY
JOINT RECIPIENT STATUS
WHEREAS,Federal regulations require that San Bernardino County requalify every three years for
Urban County Status under the Community Development Block Grant(CDBG)Program; and,
WHEREAS, HUD has determined that the City/Town of Redlands has sufficient population to
qualify as a Metropolitan City; and,
WHEREAS, any Urban County and any Metropolitan City, located in whole or in part within that
0
County, can request HUD to approve inclusion of the Metropolitan City as a part of the Urban County for
purposes of planning and implementing a joint Community Development and Housing Assistance Program;
and,
WHEREAS, HUD will consider approving such a joint request only if submitted at the time the
County is seeking its three-year qualification as an Urban County; and,
WHEREAS, an approved joint request must remain effective for the period for which the County
qualifies as an Urban County.
NOW, THEREFORE, BE IT RESOLVED THAT:
1. The County of San Bernardino, an Urban County, and the City/Town of Redlands, a
Metropolitan City,join in a request to HUD for inclusion of this Metropolitan City as part
of this Urban County for the purposes of planning and implementing a joint Community
Development and Housing Assistance Program.
IT. This Joint Request will remain effective for Fiscal Years 2000-2001,2001-2002, and 2002-
2003.
III. This Joint Request shall accompany a duly executed cooperation agreement in a submission
by the County of its Urban County Qualification documentation to HUD.
PASSED AND ADOPTED this 29th day of June, 1999,by the following vote:
AYES: SUPERVISORS: Davis, Hausberger, Aguiar, Eaves,Mikels
NOES: SUPERVISORS: None
ABSENT: SUPERVISORS: None
k.vuivi i yr 3tuv nzruN29LAc.u1NU ACLZ!)ULU11UN NU. "1"1 -0U
CITY/TOWN RESOLUTION NO. 5659
A JOINT RESOLUTION AUTHORIZING A REQUEST TO THE UNITED STATES DEPARTMENT OF
HOUSING AND URBAN DEVELOPMENT(HUD) FOR METROPOLITAN CITY/URBAN COUNTY
JOINT RECIPIENT STATUS
Page 2 of 2
STATE OF CALIFORNIA )
)ss
COUNTY OF SAN BERNARDINO )
I, EARLENE SPROAT,Clerk of the Board of Supervisors of the County of San Bernardino, State of
California, hereby certify the foregoing to be a full,true and correct copy of the record of the action taken by
said Board of Supervisors,by vote of the members present,as the same appears in the Official Minutes of said
Board at its meeting of June 24, 1999. NO
EARLENE SPROAT
Cler a Boy_rd�,� �a isors
By:
APPROVED AS TO FORM:
ALAN K. MARKS
County Counsel
By:
pu
Dated:
PASSED AND ADOPTED THIS 1st day of June , 1999, by the following vote:
AYES: COUNCILMEN: Banda, Gilbreath, George, Freedman; Mayor Cunningham
NOES: COUNCILMEN: None
ABSENT: COUNCILMEN: None
CITY/TOWN OF REDLANDS
Wifl—iarntE. Cunning m, Ma r
ATTEST:
CITY CLERK
By --_�7"
rrie Po r
AGMT5/99RESOLU.MER
5/1 Lt99/AO/bjj
FOR COUNTY USE ONLY
E X New Vendor Code Dep. Contract Number
M Change
X Cancel SC A
County Department Dept. Orgn. Contractor's License No.
Economic and Community Development ECD PROD
County Department Contract Representative Ph. Ext. Amount of Contract
THOMAS R.LAURIN 80808 N/A
County of San Bernardino Fund I Dept, Organization Appr. 0 ./Rev Source Activity GRC/PROJ/JOB Number
FAS SBA I ECD PROD 200 2bjO0 5 1
Commodity Code Estimated Payment Total by Fiscal Year
CONTRACT TRANSMITTAL FY Amount I/D FY Amount I/D
Project Name
2000-01 through 2002-03 N/A N/A
City-County Cooperation
Agreement
CONTRACTOR City of Redlands
Birth Date N/A Federal ID No. or Social Security No. N/A
Contractor's Representative Mr. Gary Luebbers, City Manager
Address P.O. Box 3005, Redlands, CA 92373 Phone (909) 789-7510
Nature of Contract: (Briefly describe the general terms of the contract)
The County of San Bernardino is in the process of qualifying for the next three years (Fiscal Years 2000-
2001, 2001-2002, 2002-2003) of Community Development Block Grant (CDBG) entitlement funding as an
Urban County. The attached Cooperation Agreement is required by the,U.S. Department of Housing and
Urban Development (HUD) in order to include the City of Redlands as a participant in the County's CDBG
program. It allows the City population statistics to be used by HUD to calculate the County grant amount
for each of the next three years. The Cooperation Agreement utilizes language which has been
prescribed by HUD. Once entered, the Cooperation Agreement will remain in effect for the full three year
period.
(Attach this transmittal to all contracts not prepared on the "Standard Contract"form.)
Approved as to Legal Form Reviewed as to Affirmative Action Reviewed for Processing
County Counsel Agency Administrator/CAO
Date Date Date
JOINT RECIPIENT COOPERATION AGREEMENT FOR
COMMUNITY DEVELOPMENT BLOCK GRANT FUNDS
FOR FISCAL YEARS 2000-2001,2001-2002,2002-2003
This Agreement is made and entered into tJUN 2 9 1999 day of 1999, by and
between the County of San Bernardino,of the State of California, hereinafter referred to as "COUNTY", and the
City of Redlands,a City within COUNTY, hereinafter referred to as "CITY".
WHEREAS,the Housing and Community Development Act of 1974,as amended(Public Law 93-383),
hereinafter called"ACT",provides that Community Development Block Grant,hereinafter referred to as "CDBG",
funds may be used for the support of activities that provide decent housing and suitable living environments and
expanded economic opportunities principally for persons of low and moderate income; and,
WHEREAS,CDBG regulations require counties to re-qualify as an Urban County under the CDBG program
every three years;and,
WHEREAS,the execution of this Agreement is necessary to include CITY as participating unit of general
government under COUNTY's Urban County CDBG program.
NOW THEREFORE, in consideration of the mutual covenants herein set forth and the mutual benefits to
be derived therefrom,the parties agree as follows:
1. GENERAL
This Agreement gives COUNTY authority to undertake or assist in undertaking activities for Fiscal Years
2000-2001, 2001-2002, and 2002-2003, which will be funded from the CDBG program, the HOME
Investment Partnership Program,and from any program income generated from the expenditure of such
funds. COUNTY and CITY agree to cooperate to undertake,or assist in undertaking,community renewal
and lower income housing assistance activities,specifically urban renewal and publicly assisted housing.
By executing this Agreement,CITY understands that it may not apply for grants under the Small Cities or
State CDBG Programs from appropriations for fiscal years during the term of this Agreement, and CITY
may not participate in a HOME consortium other than COUNTY HOME program regardless of whether
COUNTY receives a HOME formula allocation.
2. TERM
The term of this Agreement shall be for not less than the COUNTY CDBG Urban County qualification
period for fiscal year 2000-2001, commencing on July 1, 2000, and extending through fiscal year 2002-
2003, which ends on June 30, 2003, unless an earlier date of termination is fixed by the Department of
Housing and Urban Development,hereinafter called HUD,pursuant to ACT. This Agreement shall remain
in effect until all CDBG(and HOME,where applicable)funds covered under the terms of this Agreement,
and any income generated from the expenditure of such funds,are expended,and the funded activities are
completed. This Agreement may not be terminated by the parties herein covenanted for any circumstance
or reason during the term of this Agreement.
3. PREPARATION OF APPLICATION
COUNTY,by and through its Department of Economic and Community Development subject to approval
of COUNTY Board of Supervisors,shall be responsible for preparing and submittinglto HUD all necessary
applications for the CDBG entitlement grant under ACT. This duty shall include the preparation and
processing of COUNTY Housing,Community and Economic Development Needs Identification Report,
Citizen Participation Plans,the County Consolidated Plan,and other CDBG related programs which-satisfy
the application requirements of ACT and its regulations.
4. COMPLIANCE WITH FINAL PROGRAMS AND PLANS
COUNTY and CITY shall comply in all respects with final Community Development plans and programs
and the Consolidated Plan which are developed through mutual cooperation pursuant to the application
requirements of ACT and its regulations and approved by HUD.
5. COMPLIANCE WITH ACT AND REGULATIONS
COUNTY and CITY shall comply with all applicable requirements of ACT and its regulations,in utilizing
basic grant funds under ACT, and shall take all actions necessary to assure compliance with COUNTY
certifications required by Section 104(b)of Title I of ACT. COUNTY and CITY will comply with the
provisions of the National Environmental Policy Act of 1969,Title VI of the Civil Rights Act of 1964,Title
VIII of the Civil Rights Act of 1968, Executive Order 11988, Section 109 of Title I of ACT, the Fair
Housing Act, and other applicable federal laws. CITY agrees that CDBG funding for activities in or in
support of CITY are prohibited if CITY does not affirmatively further fair housing within its own
jurisdiction or impedes COUNTY actions to comply with its fair housing certification.
6. CITY'S WARRANTY OF ADHERENCE TO COUNTY'S CHILD SUPPORT COMPLIANCE
PROGRAM
CITY acknowledges that COUNTY has established a goal of ensuring that all individuals who benefit
financially from COUNTY through contract are in compliance with their court-ordered child, family and
spousal support obligations in order to mitigate the economic burden otherwise imposed upon COUNTY
and its taxpayers. As required by COUNTY'S Child Support Compliance Program(County Code Section
110.0101 et seq.)And without limiting CITY's duty under this contract to comply with all applicable
provisions of law,CITY warrants that it is now in compliance and shall during the term of this contract
maintain compliance with employment and wage reporting requirements as required by the Federal Social
Security Act of(42 USC Section 653a)and California Unemployment Insurance Code Section 1088.5,and
shall implement all lawfully served Wage and Earnings Withholding Orders or District Attorney Notices
of Wage and Earnings Assignment for Child or Spousal Support pursuant to Code of Civil Procedure
Section 706.031 and Family Code Section 5246(b), Contractor hereby certifies that it has submitted to the
County a completed Principal Owner Information (POI) Form, Exhibit I of 2) and Child Support
Compliance Program Certification (CSCP Certification,Exhibit 2 of 2).
TERMINATION FOR BREACH OF WARRANTY TO MAINTAIN COMPLIANCE WITH COUNTY,S
CHILD SUPPORT COMPLIANCE PROGRAM
Failure of CITY to maintain compliance with the requirements set forth in the preceding paragraph shall
constitute a default by CITY under this contract. With out limiting the rights and remedies available to
COUNTY under law or under any other provision of this contract,failure to cure such default within ninety
(90)days of notice by the San Bernardino County District Attorney shall be grounds upon which the County
Board of Supervisors may terminate this contract.
T POLICIES
CITY has adopted and is enforcing a policy prohibiting the use of excessive force by law enforcement
agencies within its jurisdiction against any individuals engaged in non-violent civil rights demonstrations;
and a policy of enforcing applicable state and local laws against physically barring entrance to or exit from
a facility or location which is the subject of such non-violent civil rights demonstrations within jurisdictions.
8. INDEMNIFICATION
CITY agrees to indemnify, defend and hold harmless COUNTY and its authorized officers, employees,
agents and volunteers from any and all claims,actions,losses,damages,and/or liability arising from CITY
acts, errors or omissions and for any costs or expenses incurred by COUNTY on account of any claim
therefore,except where such indemnification is prohibited by law. CITY shall promptly notify COUNTY
in writing of the occurrence of any such claims, actions, losses, damages, and/or liability.
In addition to the above,CITY shall indemnify and hold harmless COUNTY against any liability,claims,
losses,demands,and actions incurred by COUNTY as a result of the determination by HUD or its successor
that activities under-taken by CITY under the program(s) fail to comply with any laws, regulations or
policies applicable thereto or that any funds billed by and disbursed to CITY under this Agreement were
improperly expended.
COUNTY shall, at its own cost and expense, defend, indemnify, and hold CITY, its officers, agents,
volunteers and employees,harmless from and against any loss,liability,claim,or damage that may arise or
arise from any negligent act or omission by COUNTY, its officers, agents and employees.
9. INSURANCE REQUIREMENTS
Without in any way affecting the indemnity herein provided and in addition thereto,CITY shall secure and
maintain throughout the Contract the following types of insurance with limits as shown:
• Workers'Compensation-A program of Worker's Compensation insurance or a State-approved Self
Insurance Program in an amount and form to meet all applicable requirements of the Labor Code
ofthe State of California,including Employees Liability with$250,000 limits,covering all persons
providing services on behalf of CITY and all risks to such persons under this Contract.
• Comprehensive General and Automobile Liability Insurance-This coverage to include contractual
coverage and automobile liability coverage for owned,hired,and non-owned vehicles. The policy
shall have combined single limits for bodily injury and property damage of not less than one million
dollars($1,000,000).
0 Errors and Omissions Liability Insurance-Combined single limits of$1,000,000 for bodily injury
and property damage and$3,000,000 in the aggregate or
• Professional.Liability-Professional liability insurance with limits of at least$1,000,000 per claim
or occurrence.
Additional Named Insured- All policies, except for Workers' Compensation,Errors and Omissions and
Professional Liability policies,shall contain additional endorsements namingZ,COUNTY and its officers,
employees,agents,and volunteers as additional named insured with respect to liabilities arising out of the
performance of services hereunder.
Waiver.of.Subrogation Rights-Except for Errors and Omissions and Professional Liability, CITY shall
require the carriers of the above required coverage to waive all rights of subrogation against COUNTY, its
officers,employees, agents,volunteers, contractors and subcontractors.
Policies Primary and Non-Contributory-All policies required above are to be primary and non-contributory
with any insurance or self-insurance programs carried or administered by COUNTY.
10. PROOF OF COVERAGE
CITY shall immediately furnish certificates of insurance to the County Department of Economic and
Community Development,hereinafter referred to as "ECD",evidencing the insurance coverage, including
endorsements above required,prior to the commencement of performance of services hereunder,which shall
provide that such insurance shall not be terminated or expire without thirty(30)days written notice to ECD,
and CITY shall maintain such insurance from the time CITY commences performance of services hereunder
until the completion of such services. Within sixty(60)days of the commencement of this Contract,CITY
shall finmish certified copies of the policies and all endorsements. CITY shall complete and submit Contract
Exhibit I of 1, INSURANCE INVENTORY, along with the above required insurance documents.
11. INSURANCE REVIEW
The above insurance requirements are subject to periodic review by COUNTY. The COUNTY's Risk
Manager is authorized, but not required, to reduce or waive any of the above insurance requirements
whenever the Risk Manager determines that any of the above insurance is not available, is unreasonably
priced,or is not needed to protect the interests of COUNTY. In addition, if the Risk Manager determines
that heretofore unreasonably priced or unavailable types of insurance coverage or coverage limits become
reasonably priced or available, the Risk Manager is authorized, but not required, to change the above
insurance requirements, to require additional types of insurance coverage or higher coverage limits,
provided that any such change is reasonable in light of past claims against COUNTY,inflation,or any other
item reasonably related to the COUNTY's risk.
Any such reduction or waiver for the entire term of the Contract and any change requiring additional types
of insurance coverage or higher coverage limits must be made by amendment to this Contract. CITY agrees
to execute any such amendment within thirty(30)days of receipt.
12. DISPOSITION OF FUNDS
Unless prohibited by Federal Regulations, COUNTY and CITY agree that,to the extent possible, CDBG
funds will be allocated by COUNTY to CITY in an amount equivalent to 60 percent of the HUD identified
CITY entitlement for activities and/or projects prioritized by CITY to alleviate its identified community
development needs eligible under ACT. The balance will be used for County grant administration and
County housing and job creation programs available to CITY. COUNTY, by its Board of Supervisors,
shall be responsible for determining the final disposition and distribution of all funds received by COUNTY
under ACT, and for selecting the projects for which such funds shall be used. Both parties agree that
COUNTY has the authorization to redistribute such funds when said projects are not implemented in a
timely manner as defined by HUD.
13. DISPOSITION OF PROGRAM INCOME
CITY shall inform COUNTY regarding any income generated by the expenditure of CDBG funds received
by CITY. All said income shall promptly be paid to COUNTY or retained by CITY subject to
authorization by COUNTY for CITY use of said income for eligible activities in accordance with all CDBG
requirements as may then apply. COUNTY shall be responsible for monitoring and reporting to HUD on
the use of any such program income thereby requiring appropriate record keeping and reporting by CITY
as may be needed for this purpose. In the event of CDBG close-out or change in status of CITY under the
CDBG program,any program income that is on hand or received subsequent to the close-out or change in
status shall be paid to COUNTY. Any income generated from the disposition or transfer of real property
prior to any such close out or change of status shall be treated the same as program income. Any income
generated from the disposition or transfer of real property subsequent to any such close-out or change of
status shall promptly be paid to COUNTY.
14. DISPOSITION OF REAL PROPERTY
The provision of this section set forth the standards which shall apply to realro e
rty in whole or in part using CDBG funds that are within the control of CI
Ty. toaany�modifi mred or odification odr
change in the use of said real property from the use or ownership planned at the time of its acquisition or
improvements, CITY shall notify COUNTY and obtain authorization for said modification or change.
CITY shall reimburse COUNTY with non-CDBG funds in an amount equal to the current fair market value
(less any portion thereof attributable to expenditures of non-CDBG funds)of ro e
rty acquired or with CDBG funds that is sold or transferred for a use which does not qualify under CDBG egula icon d
15. EFFECTIVE DATES
This Agreement shall be effective for all purposes when this Agreement and like agreements have been
executed by COUNTY and CITY,properly submitted to HUD,the grantor,by the designated deadline,and
approved by HUD.
16. OTHER AGREEMENTS
Pursuant to federal regulations at 24 CFR 570.501(b),CITY is subject to the same requirements applicable
to subrecipients,including the requirement of a written agreement set forth in federal regulations at 24 CFR
570.503. COUNTY and CITY will enter into a further written agreement that contains these minimum
requirements. Prior to disbursing any CDBG funds to CITY, COUNTY, shall execute said written
agreement with CITY. Said agreement shall remain in effect during any period that CITY has control over
CDBG funds, including program income.
IN WITNESS WHEREOF,the parties have caused this Agreement to be executed as of the day and year
written above.
COUNTY OF SAN BERNARDINO CITY OF REDLANDS
B � +
y' By:11.
JON . MIKELS, Chairman,Board of Supervisors 4Wiam E. C ingha
JUN 2 9 1999 Title: Mayor
Dated: June 1, 1999
APPROVED AS TO FORM. THE TERMS AND ATTEST:
PROVISIONS OF THIS AGREEMENT ARE FULLY —�
AUTHORIZED UNDER STATE AND LOCAL LAW B� -
AND THIS AGREEMENT PROVIDES FULL LEGAL e Poyz r
AUTHORITY FOR COUNTY TO UNDERTAKE OR
ASSIST IN UNDERTAKING ESSENTIAL Title: City Clerk
COMMUNITY DEVELOPMENT AND HOUSING
ASSISTANCE ACTIVITIES, SPECIFICALLY
URBAN RENEWAL AND PUBLICLY ASSISTED Dated: June I, 1 qqq
HOUSING.
ALAN K. MARKS
County Counsel
By:
Deput Co C unset
SIGNED AND cERTIFI4YWT A COPY OF
THIS DOCUMENT HAS%E' DELIVERED TO
THE CHAIRMAN OF THf,# D
EARLENE SPROAr r A
Clerk of the Board of Su ?' isors
a County o Bim lino
By:
p -
AGMTS1 WOOPAGW/?�OAG AM
S/19/99/CE/bjj
EXHIBIT 1 OF 2
PRINCIPAL OWNER INFORMATION FORM
San Bernardino County Code Section 110.0101 et seq.contains the San Bernardino County Child Support Compliance Program. This
Program requires the County to provide certain information to the District Attorney concerning its employees and business licenses.
It ftirther requires that bidders or proposers for County contracts provide, directly to the District Attorney, information concerning
their"Principal Owners,' that is,those natural persons who own an interest of 10% or more in the Contractor. For each"Principal
Owner,"the information which must be provided to the District Attorney is: 1)the Principal Owner's name;2)his or her title,and;3)
whether or not the Contractor has made a payment of any sort to the Principal Owner.
IN ORDER TO COMPLY WITH THIS REQUIREMENT,COMPLETE THIS FORM AND MAIL OR FAX IT DIRECTLY
TO THE DISTRICT ATTORNEY AT THE ADDRESS OR FAX NUMBER SHOWN BELOW ON OR BEFORE THE DATE
YOU SUBMIT A BID OR PROPOSAL TO A COUNTY DEPARTMENT.
MAINTAIN DOCUMENTATION OF SUBMISSION.
In addition,bidders or proposers must certify to the soliciting County department that they are in fall compliance with the Program
requirements by submitting the Child Support Compliance Program Certification,along with the bid or proposal.
To: District Attorney Child Support Division FAX: (909)478-7470
Ombudsman Program
10417 Mountain View Avenue PHONE: (909)478-7300
Loma Linda,CA 92354-2030
Contractor Name as Shown on Bid or Proposal:
Contractor Address:
Contractor Phone: Fax:
County Department Receiving Bid or Proposal:
Type of Goods or Services to be Provided:
Contract or Purchase Order Number(if applicable):
Principal Owners: Please check appropriate box. If Box I is checked,no further information is required. Please sign and date the
form below.
I. 0 No natural person owns an interest of 10%or more in this Contractor.
11, L3 Required Principal Owner information is provided below. (Use a separate sheet,if necessary)
PAYMENT
NAME OF PRINCIPAL OWNER TITLE RECEIVED FROM
CONTRACTOR
YES NO
1.
2.
3.
I DECLARE,UNDER PENALTY OF PERJURY,THAT THE FOREGOING INFORMATION IS TRUE AND
CORRECT.
By: Date:
(Signature Of 0 PrinclPal Owner,an Officer,or Manager responsible for submission of the bid or proposal to the County).
Printed Name Tide 1 Position
EMIBIT 2 OF 2
SOLICITING DEPARTMENT:
ADDRESS:
CONTACT NAM&PHONE NO.:
CHILD SUPPORT COMPLIANCE PROGRAM CERTIFICATION
San Bernardino County Code Section 110.0101 et seq, contains the San Bernardino County Child Support
Compliance Program. This Program requires the County to provide certain information to the District Attorney
concerning its employees and business licenses. It further requires that bidders or proposers for County contracts
submit certifications of Program compliance to the soliciting County department, along with their bids or
proposals. (In an emergency procurement, as determined by the soliciting County department,these certifications
may be provided immediately following the procurement).
IN ORDER TO COMPLY WITH THIS REQUIREMENT, COMPLETE THIS FORM AND SUBIMT IT
DIRECTLY TO THE SOLICITING COUNTY DEPARTMENT, ALONG WITH YOUR BID OR
PROPOSAL- IN ADDITION, THE SOLICITING DEPARTMENT WILL PROVIDE A COPY TO THE
DISTRICT ATTORNEY AT THE ADDRESS OR FAX NUMBER SHOWN BELOW.
1,(print name) hereby certify that(contractor name as shown on bid or
proposal) - located
at(contractor's address)
is in compliance with San Bernardino County's Child Support Compliance Program and has met the following
requirements:
1. Submitted a completed Principal Owner Information Form to the District Attorney,Child Support Division;
2. Fully complied with employment and wage reporting requirements (42 USC Section 653a and California
Unemployment Insurance Code Section 1088.5), and will continue to comply with such reporting
requirements;
I Fully complied with all lawfully-served Wage and Earnings Withholding Orders or District Attorney Notices
of Wage and Earnings Assignment [Code of Civil Procedure Section 706.031 and Family Code Section
5246(b)],and will continue to comply with such Orders or Notices.
I declare,under penalty of perjury,that the foregoing is true and correct.
Executed this day of
(Month&Year)
at
(City/State) (Telephone Number)
By: -
(Slg=tur-*of a Principal Omer,an Officer,or Manager responsible for submission of the bid or proposal to the County).
Soliciting Dept Send
Copy to: District Attorney,Child Support Division FAX: (909)478-7470
Ombudsman Program
10417 Mountain View Avenue PHONE: (909)478-7300
Loma Linda,CA 92354-2030
"T,