HomeMy WebLinkAboutMINUTES - 02061996 - C58 i 1
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TO: BOARD OF SUPERVISORS Con raY
,c o
Qin
FROM: JOAN V. SPARKS, DIRECTOR
Costa
COMMUNITY SERVICES DEPARTMENT �- r
County
DATE: January 16, 1996 y'
SUBJECT: APPROVAL OF 1996 STANDARD AGREEMENT#39-806-1 WITH THE STATE DEPARTMENT
OF COMMUNITY SERVICES AND DEVELOPMENT FOR LOW INCOME HOME ENERGY
ASSISTANCE AND ENERGY CRISIS INTERVENTION PROGRAM SERVICES
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
APPROVE and AUTHORIZE the Community Services Director or her designee to execute and
submit to the State, on behalf of the County, the 1996 State Standard Agreement#96B-8003 (County
Contract Number 39-806-1) with the State Department of Community Services and Development in
the amount of $168,364 for the period from January 1, 1996 through December 31, 1996 for
continuation of Low Income Home Energy Assistance (LIHEAP) and Energy Crisis Intervention
Program (ECIP) services.
II. FINANCIAL IMPACT:
This Contract is Federally funded through the State Department of Community Services and
Development. Funding from this agreement for the period from January 1, 1996, through June 30,
1996, is reflected in the Community Services Department's FY 1995-96 budget. Funding for the
period from July 1, 1996, through December 31, 1996, will be reflected in the Department's
FY 1996-97 budget. No County funding is required.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
The budget negotiations in Washington, D.C. are still in progress and the LIHEAP/ECIP program
is currently being operated under a continuing resolution. This agreement represents a 32%
reduction from last year's funding and will be amended to add funds should Congress determine a
greater amount of funding for the final appropriation for the 1996 program. This agreement will
continue program services to eligible county residents.
This contract will be reviewed and approved as to form by County Counsel prior to submission to
the State.
CONTINUED ON ATTACHMENT: YES SIGNATURE.
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOR COMMITTEE
APPROVE OTHER
SIGNATURE (S):
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS(ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
CQ'VTACT: Joan Sparks, 313-7350
CC: CAO ATTESTED W
CSD PHIL BATCHELOR,CLER F THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
DG
BY ,DEPUTY
M082 (10/B8)
T Y
INCOMING FUNDS
NARRATIVE STATEMENT FORMAT
1. PROJECT/PROGRAM TITLE. LIHEAP/ECIP Weatherization Assistance, Home
Energy Assistance, and Energy Crisis Intervention Program.
2. FUNDING AGENCY. State Department of Community Services and Development.
(Department of Economic Opportunity in 1995)
3. SUBMITTAL STATUS. This agreement continues a current program.
4. PROPOSED TERM. January 1, 1996 through December 31, 1996.
5. CURRENT FUNDING. $168,364 of federal funding through the State Department of
Community Services and Development. This amount represents a percentage of last year's
funding. Budget negotiations in Washington, D.C. are still in progress and the program
is currently being operated under a continuing resolution. The agreement may be amended
to add funds once Congress determines the final appropriation for the 1996 program.
6. FUTURE FUNDING. This has been a long-range program for which funding is expected
to continue. The amount of future funding is dependent upon Congressional action.
7. BUDGET SUMMARY. A budget is being prepared to cover the amount of funding under
this agreement. A revised budget will be prepared when the total amount of 1996 funding
is determined.
8. STAFFING REQUIREMENTS. Darnell Turner will be responsible for administration
of this project.
9. PROGRAM NEED. The LIHEAP Program is needed to provide for energy efficient
measures and savings to low-income residents of our County. Contra Costa County
participation in this program is part of a national objective established by the federal
government to ensure that low-income communities would be able to achieve energy
savings on utility bills and gain some knowledge of how to use their utilities more
efficiently. All clients served by this program must meet the federal poverty income
guidelines as indicated by the program regulations.
10. RELATIONSHIP TO OTHER PROGRAMS. The LIHEAP Program in this County
interfaces with various County, city, and community-based organizations to prevent the
duplication of services and efforts. The Housing/Energy Program Manager has established
linkages with various agencies in our County and conducts community needs assessments
to maintain a level of contact and resources referrals.
The Community Services Department, Housing and Energy Division currently collaborates
with the cities of Concord, Antioch, Richmond and the County's Housing Authority in the
sharing of information and referral.
1
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11. PROJECT GOALS. The goal of this program is to provide energy savings measures to
low-income communities which result in reduced energy costs under the Low Income
Home Energy Assistance Program and assistance in payment of utility bills for low-income
clients under the Energy Crisis Intervention Program.
12. STATED OBJECTIVES. The objectives of this program are:
a. To provide energy savings measures to the low-income communities which result in
reduced energy costs.
b. - To provides utility bill assistance payment to low-income clients to reduce high energy
costs.
c. To educate low-income residents on how to achieve cost reductions as it relates to
energy efficiency in the home.
All clients served by this program must meet the federal poverty income guidelines as
indicated by the program regulations. Once the service has been completed, we have meet
the objective in addressing the energy deficiencies of the clients energy concerns and
awareness.
13. ACTIVITY SUMMARY. This program is operated by the Community Services
Department Housing and Energy Division staff and management. The Housing and
Energy Division is responsible for the administration of the LIHEAP Program and the
reporting of all program activities.
14. EVALUATION METHOD(S). Darnell Turner, Program Manager for the Housing and
Energy Division will be responsible for LIHEAP Program administration. The evaluation
tools used in determining our outcomes is measured by the number of homes served and
indicated in our work plan as listed in our contract. Once a home has been serviced by
our crews, the Assessor is assigned to check for all work performed and completed. All
work performed by our staff will be reviewed by the Program Manager for accuracy and
compliance.
15. CHANGES,COMPARED TO PRIOR YEAR (if any). Currently, the Housing and
Energy Division will liquidate some vehicles due to program funding cutbacks and cost.
Secondly,.we are in the process of seeking new funding sources.
16. POTENTIAL CONTROVERSIAL ISSUES. None.
2
STATE'OF CALIFONNIA
STANDARD AGREEMENT- AnoRNEYGE RAL 0TRAGI61BER NOTHE .
STD.2(REV.5-91) b YS tS U U i
1St January 96 XPgYFti$,F�[�Rgt,EMPLOYER IDENTIFICATION NUMBER
THIS AGREEMENT,made and entered into this day of ' 19-,
b UU 1111 UU``��
in the State of California,by and between State of California,through its duly elected or appointed,qualified and acting
TITLE OF OFFICER ACTING FOR STATE AGENCY
Deputy Director, Admin. Dept of Community Services and Development
hereafter called the State,and
CONTRACTOR'S NAME
Contra Costa County(Community Services Department) f,-39-806-1
,hereafter called the Contractor.
WITNESSETH: That the Contractor for and in consideration of the covenants,conditions,agreements,and stipulations of the State hereinafter expressed,
does hereby agree to furnish to the State services and materials as follows: (Set forth service to be rendered by Contractor,amount to be paid Contractor,
time for performance or completion,and attach plans and specifications,if any.)
WHEREAS, pursuant to Title 42 of the United States Code (USC) Section 8621 et Seq. (the Low Income Home
Energy Assistance Act of 1981, as amended, hereafter referred to as LIHEAP) and Government Code Section
16367.5 et seq., the Parties hereto agree to provide Weatherization assistance, Home Energy Assistance Program
(HEAP) assistance and Energy Crisis Intervention Program (ECIP) assistance to eligible participats residing
within the service area described in Exhibit C.
1. Consideration
The total consideration payable by the State to Contractor under this agreement shall not exceed
$168,364.00, allocated as follows:
A. $ 125,212.00 for LIHEAP/Weatherization assistance as set forth in Exhibit D.
B. $ 43,152.00 for LIHEAP/Assurance 16 activities as set forth in Exhibit E.
C. $ .00 for LIHEAP/HEAP: Wood, Propane and Oil assistance as set forth in Exhibit F..
D. $ .00 reserved for LIHEAP/ECIP administrative expenses, if ECIP services are provided
between January 1,1996 and March 15, 1996. If these administrative funds are not used within this
aforementioned time frame, they shall be used beginning March 16, 1996 for HEAP intake and other
related HEAP administrative expenses, as set forth in Exhibit G.
CONTINUED ON SHEETS,EACH BEARING NAME OF CONTRACTOR AND CONTRACT NUMBER.
The provisions on the reverse side hereof constitute a part of this agreement.
IN WITNESS WHEREOF,this agreement has been executed by the parties hereto,upon the date first above written.
STATE OF CALIFORNIA CONTRACTOR
AGENCY CONTRACTOR(If other than an individual,state whether a corporation,partnership,etc.)
Dept of Community Services and Development Contra Costa C o . (C o m m u n i t y Services Dept )
BY(AUTHORIZED SIGNATURE) BY(AUTHORIZED SIGNATURE)
P_ D
PRINTED NAME OF PERSON SIGNING PRINTED NAMJNanTVVOF URSONSIIGNIN
Carmen. Ochoa OEPS ,
director
TITLE ADDRESS 1220 Mor-elln Alrenutz., suite 101
Deputy Director, Administration Martinez, CA 94553
AMOUNT ENCUMBERED BY THIS PROGRAM/CATEGORY(CODE AND TITLE) FUND TITLE Department of General Services
DOCUMENT --------'- I}------ Use Only
$ 168 , 364 .0 0 (OPTIONAL USE)
PRIOR AMOUNT ENCUMBERED FOR SEE ATTACHED FUNDING DETAIL PAGE
THIS CONTRACT 'he�t�t ��cM�urt�aw
Q+ 0 ITEM CSTATUTE FISCAL YEAR iY
D ------------------ ---- ---`-- for ex mption have been torn-
TOTAL AMOUNT ENCUMBERED TO l� �jth, dnd this docunw It is
DATE OBJECT OF EXPENDITURE(CODE AND TITLE) p
$ 168, 364 . 00 -------------------------------- exempt from the DepadurAmA .o#
I hereby certify upon my own personal knowledge that budgeted funds T.B.A.NO. B.R.NO. C."Wal Services'approveL
are available for the period and purpose of the expenditure stated above. i -1 .
SIGNATURE OF ACCOUNTING OFFICER DATE
D
❑ CONTRACTOR STATE AGENCY DEPT,OF GEN.SER. El CONTROLLER 0
STAT�(1,;:
ST.AANDARD AGREEMENT
S-1c, 2 REV, 5-91) %7;FVERSD
1. The Contractor agrees to indemnify,defend and save harm less the State,its officers,agents and employees
from any and all claims and losses accruing or resulting to any and all contractors, subcontractors,
materialmen,laborers and any other person,firm or corporation furnishing or supplying work services,
material,,,or supplies in connectionwith the performance ofthis e' d ontract,and from any anall claims and
losses accruing or resulting 0 any person,firm or corporation who may be injured or damaged by the
Contractor in the performance of this contract.
Z. The Contractor,and the agents and employees of Contractor,in the performance of the a,
greement,shall
act in an independent capacity and not as officers or employees or agents ol'State of California.
3. The State may terminate this agreement and be relieved of the payment of any consideration to Contractor
should Contractor fail to perform the covenants herein contained at the time and in the manner herein
provided. In the event of such termination the State may pro&ed with the work in any manner deemed
proper by the State. The cost to the State shall be deducted from any sum due the Contractor under this
a-reement.and the balance, if any,shall be paid the Contractor upon demand.
4. Without the ,vritten consent of the State,this agreement is not assignable by Contractor either in whole
or in part.
5. Time is ofthe essence in this agreement.
6- No alteration or variation of the terrw,of this contract shall lie valid unless made in writing and signed
tht parties heret.0,and no oral understanding or agreement not incorporated herein,shall be bindirtg on
an,y of the parties hereto.
7Tae, cnsidvraflon to be paid Contractor, as provided herein, shall he in c(-)nqwnsatjt)n For all ()I'
''ontractor's expenses incurred in the performance bereor, melena travel and per diem, unless
Whf"T'Wiise expressly So provided,
91 61014
Dept of Community Services and Development Contract No. 96B-800.3
FUNDING DETAIL
AMOUNT ENCUMBERD BY THIS PROGRAM/CATEGORY (CODE AND TITLE) FUND TITLE
DOCUMENT
20 . 10 LIHEAP/WX F.T.F
125, 212 . 00
(OPTIONAL USE)
PRIOR AMOUNT ENCUMBERED
FOR THIS CONTRACT I ndex2 6 0 0 PCA5 5 210 FC# 93 .568 LHWXLA WP96
0 ITEM CHAPTER STATUTE FISCAL YEAR
4700-101-890 303 1995 95/96
TOTAL AMOUNT ENCUMBERED
TO DATE OBJECT OF EXPENDITURE (CODE AND TITLE)
125, 212 .00 702 - GRANTS/SUBVENTIONS
AMOUNT ENCUMBERD BY THIS PROGRAM/CATEGORY (CODE AND TITLE) FUND TITLE
DOCUMENT
20 . 30 LIHEAP/ASSURANCE 16 F.T.F
43 , 152 . 00
(OPTIONAL USE)
PRIOR AMOUNT ENCUMBERED
FOR THIS CONTRACT Index2600 PCAS5230 FC# 93 .568 LHECLA WP96
0 ITEM CHAPTER STATUTE FISCAL YEAR
4700-101-890 303 1995 95/96
TOTAL AMOUNT ENCUMBERED
TO DATE _ OBJECT OF EXPENDITURE (CODE AND TITLE)
43, 152 . 00 702 - GRANTS/SUBVENTIONS
AMOUNT ENCUMBERD BY THIS PROGRAM/CATEGORY (CODE AND TITLE) FUND TITLE
DOCUMENT
20 .40 LIHEAP/HEAP/WPO F.T.F
.00
(OPTIONAL USE)
PRIOR CONTRACT UNT ENCUMBERED
FOR THISIS CONIndex2800 PCA55241 FC# 93 .568 HEAPLA WP96
0 ITEM CHAPTER STATUTE FISCAL YEAR
TOTAL AMOUNT ENCUMBERED 4700-101-890 303 1995 95/96
TO DATE OBJECT OF EXPENDITURE (CODE AND TITLE)
00 702 - GRANTS/SUBVENTIONS
AMOUNT ENCUMBERD BY THIS PROGRAM/CATEGORY (CODE AND TITLE) FUND TITLE
DOCUMENT
20 .40 ECIP/RESERVE/HEAP F.T.F
. 00
(OPTIONAL USE)
PRIOR AMOUNT ENCUMBERED
FOR THIS CONTRACT Index2800 PCA55242 FC# 93 .568 HEAPLA WP96
0 ITEM CHAPTER STATUTE FISCAL YEAR
4700-101-890 303 1995 95/96
TOTAL AMOUNT ENCUMBERED
TO DATE OBJECT OF EXPENDITURE (CODE AND TITLE)
. 00 702 - GRAN'T'S/SUBVENTIONS
(96 LIHEAP) FF
E. The consideration to be paid Contractor, as provided herein, shall be in compensation
for all Contractor's reasonable expenses incurred in the performance of Assurance
16/BEAP/ECIP services, including travel and per diem unless otherwise expressly so
provided, and in exchange for Contractor's unit performance of weatherization
measures as specified in Section 33.D. of This Agreement.
F. The total amount budgeted for Administrative Costs shall not exceed the limits
described in Section 31. Adherence to Section 24.D, purchase of equipment, is
required, and is not altered by the provisions of this Section. Expenditures in excess
of the budget total shall not be reimbursed by the State.
2. HEAP: Electric and Gas Allocation
The amounts allocated to the HEAP electric and gas program and the estimated number of
households to be served are as listed below. These funds shall not be made a part of the
total consideration for This Agreement, but shall be for Contractor's use as described in
Section 30.A.3.b. and Section 32, Special Provisions - Assurance 16 Activities.
Coun1y Allocation Estimated Number of Households
Contra Costa $ 571,437 4,335
Total $ 571,437 Total 4,335
3. Term
The term of This Agreement shall be from.January 1, 1996 through December 31, 1996.
4. Indemnification
Contractor agrees to indemnify, defend, and save harmless the State, its officers, agents,
and employees from any and all claims and losses accruing or resulting to any and all
contractors, subcontractors, materialmen, laborers, and any other person, firm, or
2
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(96 LII-IEAP) FF
corporation furnishing or supplying work, services, materials, or supplies in connection
with the performance of This Agreement, and from any and all claims and losses accruing
or resulting to any person, firm, or corporation who may be injured or damaged by the
Contractor in the performance of This Agreement.
5. Independent Contractor
Contractor and its agents and employees, in the performance of This Agreement, shall act
in an independent capacity and not as officers, employees, or agents of the State.
6. Suspension and Termination
A. Suspension
1. If Contractor or Subcontractor has failed to comply with the performance-based
terms of This Agreement, the State may, upon reasonable notice to Contractor
or Subcontractor, suspend This Agreement in whole or in part. In the case of
fraud or gross negligence, suspension without prior notice by the State is
permissible.
2. The notice of suspension shall state the reasons for the suspension, corrective
action required of Contractor to comply with the terms of This Agreement, and
the effective date of the suspension.
3. A suspension shall remain in effect until Contractor has taken corrective action
satisfactory to the State or has provided evidence satisfactory to the State that
such corrective action will be taken.
4. New obligations incurred by Contractor under This Agreement during the
suspension period will not be allowed unless expressly authorized by the State
in the notice of suspension or in a written authorization document.
B. Termination
1. The State may terminate This Agreement and be relieved of the payment of any
consideration to Contractor should Contractor fail to perform the covenants
contained herein at the time and in the manner provided herein. In the event of
termination, the State may proceed to perform the covenants contained herein in
any manner deemed proper by the State. The State retains lien rights on all
funds advanced.
2. Contractor may terminate This Agreement at any time prior to its date of
expiration upon thirty (30) calendar days notice to the other party. Such notice
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(96 LMEAP) FF
shall be delivered to the other party in writing, stating the reason for
termination and'the effective date thereof.
3. Upon termination of This Agreement, the State, unless expressly granted in
writing, shall not pay Contractor for any obligations incurred after the effective
date of such termination.
7. Assignment
Without the written consent of the State, This Agreement is not assignable by Contractor
either in whole or in part.
8. Subcontracts
A. Prior'to the provision of subcontracted services, Contractor shall provide board
resolutions, stating compliance with all the terms and conditions of This Agreement,
from all of Contractor's subcontracted nonprofit and local governmental agencies
who shall perform services in the regionalized area described in Exhibit C.
B. For all other types of subcontracting, Contractor shall provide to the State within
sixty (60) calendar days of execution, the name of the entity, address, telephone
_ number, contact person, contract.amount, and program description of each
subcontractor to This Agreement.
C. Contractor shall assure that subcontractor(s) comply with all terms and conditions of
This Agreement.
D. Contractor shall immediately notify all of its subcontractor(s) in writing in the event
the State suspends or terminates This Agreement.
E. Contractor is the responsible party, without recourse to the State, regarding the
settlement and satisfaction of all contractual and administrative issues arising out of
subcontracts entered into in support of This Agreement, including but not limited to
disputes, claims, or other matters of a contractual nature as well as civil liability
arising out of negligence or intentional misconduct of subcontractor(s).
9. Time
Time is of the essence in the performance of This Agreement.
4
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(96 LIBEAP) FF
10. Amendment - Modification
A. No alteration or variation of the terms of This Agreement shall be valid unless made
in writing in the form of an amendment - modification and signed by the Parties.
Exceptions to this requirement are line item changes to the contract budget which do
not affect the maximum amount payable under the contract or the work to be
performed, and the exceptions provided for in Section 16, Provisions for
Federally-Funded Grants.
1. Request for Amendment, Energy CSD Form 509 (Rev. 6/93), is provided to
submit changes to budget, goal, and priority plan exhibits which are attached to
This Agreement.
2. Said requests shall be submitted no later than forty-five (45) calendar days prior
to the expiration date of This Agreement.
3. Contractor will advise the State when proposed changes to the contract also
affect the Program Budget.
B. No oral understanding or agreement not incorporated herein shall be binding on any
of the Parties.
C. Contractor shall not revise weatherization goals solely for the purpose of meeting the
performance-based requirements set forth in Section 30.A.
D. CSD shall not approve a term extension solely for the purpose of meeting
weatherization goals.
11. Enforceable Agreement
This Agreement shall become a valid, enforceable agreement only after it is signed by
authorized agents of the parties.
12. Equitable Treatment
Contractor shall assure that owners and renters receive equitable treatment under this
program.
13. Compliance With Rules and Regulations
Activities of Contractor with respect to This Agreement shall be conducted in accordance
with pertinent Federal and State rules and regulations, including relevant Office of
Management and Budget (OMB) Circulars and amendments thereto.
5
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(96 LIHEAP) FF
14. Record Keeping Responsibilities
A. All records maintained by Contractor shall meet the OMB requirements contained in
the following Circulars: Common Rule, Subpart C, ("Uniform Administrative
Requirements for Grants and Cooperative Agreements to State and Local
Governments") or A-110, Subpart C, Nonprofit Organizations,.whichever is
applicable.
B. Contractor shall maintain all records pertaining to This Agreement for a minimum
period of three years after submission of the final report. However, Contractor shall
maintain all such records until resolution of all audit findings is completed.
C. Contractor shall make appropriate books, documents, papers, and records available to
the Federal government, the State, or any of their duly authorized representatives
including representatives of the entity selected by CSD to perform inspections, for
examination, copying, or mechanical reproduction, on or off the premises of the
appropriate entity upon a reasonable request therefore.
D. Contractor shall maintain a separate file for each applicant certified as eligible to
receive assistance. Said files shall include at least the following documentation:
_ 1. 1996 Home Energy Assistance Intake Form (for HEAP and Wx) -OR-
1996 Home Energy Assistance Intake Form (for HEAP, Reduced Rate Program
(RRP) and Wx, as applicable.
2. Utility/energy bill (Wx, HEAP and ECIP)
3. Energy Dwelling Unit Assessment(Wx only)
4. Copies of source documents supporting eligibility (Wx, HEAP and ECIP)
5. Building Check and Job Order Sheet (Wx only)
6. Client Intake/Needs Assessment(ECIP only)
E. Contractor shall maintain a client intake/needs assessment form(s) for
Weatherization, HEAP and ECIP, and appropriate supporting documentation,
including appeal documents for Weatherization, HEAP: Wood/Propane/Oil, and
ECIP, for each applicant who is not certified as being eligible to receive assistance.
F. Contractor assures that employee and applicant records shall be maintained in a
confidential manner to assure compliance with the Information Practices Act of 1977,
as amended, and the Federal Privacy Act of 1974, as amended.
6
(96 LMEAP) FF
1.5. Insurance and Fidelity Bond
A. General Requirements
1. Third-Party Insurance
a. By execution of This Agreement, Contractor agrees that the below
required insurance policies and bond shall be in effect at all times during
the term of This Agreement.
b. Contractor shall provide the State with written notice at least thirty (30)
calendar days prior to cancellation or reduction of insurance coverage to
an amount less than that required in This Agreement.
C. In the event said-insurance coverage expires at any time or times during
the term of This Agreement, Contractor agrees to provide, at least thirty
(30) calendar days prior to said expiration date, a new Certificate of
Insurance evidencing insurance coverage as provided for herein for not
less than the remainder of the term of This Agreement.
d. In the event Contractor fails to keep in effect at all times insurance and
bond coverage as herein provided, the State may suspend This Agreement.
e. The State shall be named as additional insured on all certificates of
insurance,except workers' compensation and fidelity bond, required under
This Agreement.
2. Self-Insurance
When Contractor is a self-insured governmental entity, the State, upon
satisfactory proof, will waive the appropriate insurance requirements upon
written certification. This certification shall be signed by an appropriate county
or city risk manager and contain assurance of the adequacy of the governmental
entity's ability to cover any potential losses under This Agreement and shall
specify which areas Contractor will self-insure. Should Contractor utilize a
subcontractor(s) to provide services under This Agreement, Contractor shall
indemnify and hold the State harmless against any liability incurred by that
subcontractor(s).
7
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(96 LMEAP) FF
B. Workers' Compensation Insurance
1. Contractor shall have and maintain, for the term of This Agreement, workers'
compensation insurance issued by an insurance carrier licensed to underwrite
workers' compensation insurance in the State of California.
2. Unless a current copy is on file with CSD Contractor shall submit either an
applicable Certificate of Insurance (ACORD 25) or a Certificate of Consent to
Self-Insure issued by the Director of the Department of Industrial Relations to
the State as evidence of compliance with the workers' compensation insurance
requirement prior to issuance of an initial cash advance.
C. Fidelity Bond
1. Contractor shall maintaim a fidelity bond in the minimum amount of eight
percent(8%) of the total amount of consideration set forth under This
Agreement.
2. Contractor shall submit an applicable Certificate of Insurance (ACORD 25) to
the State as evidence of compliance with the fidelity bond requirement prior to
issuance of an initial cash advance.
D. Public Liability Insurance
1. Contractor shall have and maintain for the term of This Agreement general
liability and property damage insurance for a combined single limit of not less
than $500,000 per occurrence.
2. Unless a current copy is on file with CSD, Contractor shall submit an applicable
Certificate of Insurance (ACORD 25), naming CSD as an additional insured, to
the State as evidence of compliance with public liability insurance requirements
prior to issuance of an initial cash advance.
E. Vehicle Insurance
I. Contractor shall have and maintain for the term of This Agreement vehicle
insurance in the amount of$500,000 for each person and each accident for
bodily injury and in the amount of$500,000 for each person and each accident
for property damage.
2. When employees use their own vehicles to perform duties within the scope of
their employment, Contractor shall have and maintain for the term of This
Agreement non-owned and hired-auto liability insurance in the amount of
8
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(96 LMEAP) FF
$500,000 for each person and each accident for bodily injury, and $500,000 for
each person and each accident for property damage. (Driving to and from work
is not within the scope of employment.)
3. Unless a current copy is on file with CSD, Contractor shall submit an applicable
Certificate of Insurance (ACORD 25), designating CSD as an additional
insured, to the State as evidence of compliance with said vehicle insurance
requirements prior to issuance of an initial cash advance.
16. Provisions for Federally Funded Grants
A. It is mutually understood that This Agreement may have been written before
ascertaining the availability of Congressional appropriation of funds, for the mutual
benefit of both Parties, in order to avoid program and fiscal delays which would
occur if This Agreement were executed after that determination was made.
B. This Agreement is valid and enforceable only if sufficient funds are made available
to the State by the United States Government for the purposes of This Program. In
addition, This Agreement is subject to any additional restrictions, limitations, or
conditions enacted by the Congress or any statute enacted by the Congress which may
affect the provisions, terms, or funding of This Agreement in any manner.
C. It is mutually agreed that if the Congress does not appropriate sufficient funds for
This Program, This Agreement shall be amended to reflect any reduction in funds.
D. The State has the option to void This Agreement under the thirty-day (30)
cancellation clause or to amend This Agreement to reflect any reduction of funds.
17. Limitation on Use of Funds
Contractor shall assure that funds received under This Agreement shall not be used for the
purchase or improvement of land or for the purchase, construction, or permanent
improvement of any building or other facility other than low-income weatherization or
energy-related home repairs.
18. Right to Monitor_ Audit_ and Investigate
A. Any duly-authorized representative of the Federal or State government, which
includes but is not limited to the Bureau of State Audits, and the entity selected by
CSD to perform inspections, shall have the right to monitor and audit Contractor and
all subcontractors providing services under This Agreement through on-site
inspections, audits, and other applicable means the State determines necessary.
9
(96 LIHEAP) FF
1. Unless Contractor assumes the task of arranging inspection visits with the
selected weatherization clients, Contractor shall provide the use of a telephone
to the inspector.
2. Contractor is not required to accompany the inspector on client inspection
visits, to provide transportation, or to provide equipment to the inspector unless
Contractor desires to do so., The inspector, however, will permit Contractor
personnel to participate in client visits.
B. Any duly-authorized representative of the Federal or State government shall have the
right to undertake investigations in accordance with Public Law 97-35, as amended.
C. All agreements entered into by Contractor with audit firms for purposes of
conducting independent audits under This Agreement shall contain a clause
permitting any duly-authorized representative of the Federal or State government
access to the working papers of said audit firm(s).
19. Contractor's National Labor Relations Board Certification
Contractor hereby certifies under penalty of perjury that no more than one final
unappealable finding of contempt of court, by a Federal Court, has been issued against
_ Contractor within the immediately preceding two-year period because of Contractor's
j failure to comply with an order of a Federal Court which orders Contractor to comply with
an order of the National Labor Relations Board.
20. Nondiscrimination Compliance
A. Contractor hereby certifies compliance with the following:
1. Federal Executive Order 11246, as amended by Executive Order 11375,
relating to equal employment opportunity.
2. Title VI and Title VII of the Civil Rights Act of 1964, as amended.
3. Rehabilitation Act of 1973, as amended.
4. Vietnam Era Veterans Readjustment Assistance Act of 1972, as amended.
5. Title 41, Code of Federal Regulations (CFR), Chapter 60, Office of Federal
Contract Compliance Programs;Equal Employment Opportunity, Department
of Labor.
6. Public Law 101.336, Americans with Disabilities Act of 1990.
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1 1.
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B. Contractor agrees to abide with and shall include the nondiscrimination and
compliance provisions of the following clause in all subcontracts to perform work
under This Agreement:
"During the performance of this contract, Contractor and its subcontractors shall not
unlawfully discriminate, harass or allow harassment, against any employee or
applicant for employment because of sex, race, color, ancestry, religious creed,
national origin, physical disability (including HIV and AIDS), mental disability,
medical condition (cancer), age (over 40), marital status, and denial of family care
leave. Contractors and subcontractors shall insure that the evaluation and treatment
of their employees and applicants for employment are free from such discrimination
and harassment. Contractor and subcontractors shall comply with the provisions of
the Fair Employment and Housing Act(Government Code, Section 12900 et seq.)
and the applicable regulations promulgated thereunder(California Code of
Regulations, Title 2, Section 7285.0 et seq.). The applicable regulations of the Fair
Employment and Housing Commission implementing Government Code, Section
12990 (a-f), set forth in Chapter 5 of Division 4 of Title 2 of the California Code of
Regulations are incorporated into this contract by reference and made a part hereof as
if set forth in full. Contractor and its subcontractors shall give written notice of their
obligations under this clause to labor organizations with which they have a collective
bargaining or other agreement."
C. Contractor's signature affixed hereon shall constitute a certification that to the best of
its ability and knowledge will, unless exempted, comply with the nondiscrimination
program requirements set forth in this Section.
D. Contractor shall cause the ECIP/HEAP Home Energy Supplier Assurance, CSD
Form 416 (New 8/93), or Contractor's equivalent, to be completed by each
nonregulated utility company, e.g. propane suppliers, wood suppliers, etc., providing
services to clients of This Agreement.
21. Affirmative Action Compliance
A. Each Contractor or Subcontractor who has fifty (50) or more employees and has an
agreement of fifty thousand dollars ($50,000) or more, shall be required to develop a
written Affirmative Action Compliance Program.
B. The written program shall follow the guidelines set forth in Title 41 CFR Section
60-1.40, Sections 60-2.10 through 60-2.32, Sections 60-250.1 through 60-250.33,
and Sections 60-741.4 through 60-741.32.
C. Each Contractor or subcontractor with less than fifty (50) employees shall comply
with Section 202 of Part II of Executive Order 11246, as amended by Executive
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Order 11375. Contractor shall ensure that subcontractors falling within the scope of
this provision shall comply in full with the requirements thereof.
22. Fair Hearing Process for Alleged Violation of the Civil Rights Act Against Contractor
A. In the event of any violation or alleged violation of Title VI of the Civil Rights Act of
1964, as amended, Contractor has the right to request a fair hearing in response to
such violation or alleged violation within thirty (30) calendar days from the date of
such action.
B. The State shall conduct such fair hearing in accordance with Title 45, Code of
Federal Regulations (CFR) Section 81.1, et seq.
23. Fair Hearing Process for Applicants for Denial of Benefits by Contractor
Contractor shall inform, at the time of intake, all applicants of their right to appeal all
claims for assistance that are denied or are not acted upon with reasonable promptness.
A. Weatherization. HEAP: Wood_ Propane and Oil. and ECIP
1. Contractor shall conduct a structured, fair, and impartial meeting within five(5)
working days of the initial request for appeal and shall make a good faith effort
to resolve the applicant's complaint(s) at the local level. Contractor shall make
a written finding which sets forth the case of both parties and the decision of
Contractor.
2. If the appeal is not resolved to the satisfaction of the applicant at the local level,
Contractor shall inform the applicant that an appeal.to the State may be
requested as part of the Fair Hearing process and shall provide the applicant
with an appropriate form.
3. If the applicant decides to appeal to the State, applicant shall submit a written
appeal request to be received by the State within ten (10) working days from the
date of Contractor's final decision. Upon request from CSD Contractor shall
provide all supportive documentation to be received by the State within five(5)
working days.
B. HEAP- Electric and Gas
CSD shall review all claims from applicants who are determined ineligible for
benefits or who have submitted written notice that there has been an unreasonable
delay in processing their application.
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24. Contractor Assurances and Certification
A. Contractor certifies that it possesses legal authority to apply to the State for LIHEAP
funds and assures compliance with the purposes as forth in 42 USC 8621 et seq.,
as amended.
B. Contractor assures that its governing body has adopted and passed a resolution
specific to This Agreement, which shall be forwarded to the State and which
includes, at a minimum, the following provisions:
1. Authorization for the submittal to the State of This Agreement, including all
exhibits and assurances contained herein; and
2. The name and signature of the chairperson of the board; the date signed by the
chairperson; and if applicable, the date the resolution was ratified by the board
of directors; and
3. Authorization to and identification of the person certified as the official
representative of the governing board to sign and enter into This Agreement;
and
4. Identification of the contract number and program; and
S. Authorization to and identification of the person certified as the official
representative of the governing board to enter into-and accept any subsequent
amendments to This Agreement and revisions to exhibits, along with a
statement specifying whether the governing board intends to delegate authority
for amendments which alter Section 1, Consideration, and Section 3, Term, of
This Agreement; and
6. A statement which stipulates whether the governing board intends to.delegate
authority for changes to Exhibits K, L, and M, Priority Plans for
Weatherization, HEAP, and ECIP, respectively.
7. A statement, if subcontracting LIHBAP Weatherization or HEAP services with
a nonprofit or local governmental entity, that identifies the name of the
subcontracted entity, the type of LIHEAP services to be provided by that entity,
and.the service area where subcontracted activities shall occur.
C. Contractor assures that it shall exercise due care in the use, maintenance, protection,
and preservation of State-owned property in Contractor's possession or any other
property purchased by Contractor with State funds. Such care shall include, but is
not limited to, the following:
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1. Maintaining insurance coverage against loss or damage to such property.
2. Ensuring that the legal ownership of any motor vehicle or trailer is in the name
of the Contractor.
D. Contractor acknowledges that this is a performance based contract as stated in
Section 30.A. and assures that all supplies, materials, equipment, or services
purchased with funds provided by This Agreement shall be used solely for the
activities allowed under This Agreement, unless a fair market value for such use is
charged to the benefiting program and credited to This Agreement.
1. Contractor shall adhere to its established policy and procedures regarding the
purchase or lease of equipment having an aggregate cost of five-thousand
dollars ($5,000) or more. Policy and procedures will be in conformance with
OMB requirements contained in the following Circulars: Common Rule,
Subpart C, or A-110 and approved by the Board of Directors.
2. Include the type and cost of equipment or material to be purchased or leased on
the appropriate line item of the budget(s). If the purchase or lease of equipment
is not included in the execution of This Agreement, CSD Form 558, Request for
Purchase/Lease of Equipment must be submitted to CSD for approval.
3- Notwithstanding adherence to OMB requirements contained in the following
Circulars Common Rule, Subpart C, or A-110, or prior approval from a Board
of Directors to procure, prior approval for the purchase or lease of motor
vehicles and trailers must be obtained from CSD by submitting CSD Form 558
in each instance.
E. Contractor assures that it shall be in compliance with Federal and State Occupational
Safety and Health Statutes, the California Safe Drinking Water and Toxic
Enforcement Act of 1986, and Workers' Compensation laws.
F. Contractor assures that it shall conduct outreach activities and provide assistance to
low-income households in meeting their home energy costs, particularly those with
the lowest incomes that pay a high proportion of household income for home energy.
Contractor also assures that it shall conduct outreach activities designed to assure that
eligible households with elderly, disabled, children, and households with high energy
burdens and high home energy needs, are made aware of the assistance available
under This Agreement.
G. Contractor assures that it shall be in compliance with anti-discrimination provisions
of Section 102 of the Immigration Reform and Control Act of 1986 as well as
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requirements disqualifying certain legalized aliens from receiving benefits under This
Agreement for five (5) years from the date they were granted temporary resident
status, even if they have been provided status according to Section 245A (amnesty or
legalization) and 210A(replenishment workers)of the Immigration and Nationality
Act, as amended.
H. Federal Certification Regarding Debarment. Suspension. and Related Matters
Contractor hereby certifies to the best of its knowledge that it or any of its officers:
1. Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any Federal
department or agency;
2. Have not within a three=(3) year period preceding.This Agreement been
convicted of or had a civil judgment rendered against them for commission of
fraud or a criminal offense in connection with obtaining, attempting to obtain,
or performing a public(Federal, State, or local)transaction or contract under a
public transaction; violation of Federal or State antitrust statutes or commission
of embezzlement, theft, forgery, bribery, falsification or destruction of records,
making false statements, or receiving stolen property;
3. Are not presently indicted for or otherwise criminally- or civilly-charged by,a
governmental entity (Federal, State, or local)with commission of any of the
offenses enumerated in paragraph 2 of this certification; and
4. Have not within a three (3) year period preceding This Agreement had one or
more public (Federal, State, or local) transactions terminated for cause or
default.
I: Drug-Free Workplace Certification
Contractor certifies that a Drug Free Workplace Certification (Std. 21) is on file with
CSD. The terms and conditions of Std. 21 shall have the same force, meaning, effect,
and enforceability as if a certification were separately, specifically, and individually
provided for each grant between Contractor and CSD.
J. Contract Administration
Contractors shall administer This Agreement in accordance with OMB requirements
contained in the following Circulars: Common Rule, Subpart C, for public agencies;
A-110 for nonprofit organizations.
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K. Contractor Licensing
Contractors that are nonprofit organizations and are performing weatherization
activities under This Agreement, certify that they possess an active Class "B",
General Building Contractor license, issued by the Contractors State License Board.
L. Pro-Children Act of 1994
Contractor must comply with Public Law 103-227, Part C - Environmental Tobacco
Smoke, also known as the Pro-Children Act of 1994 (Act). This Act requires that
smoking not be permitted in any portion of any indoor facility owned or leased or
contracted by an entity and used routinely or regularly for the provision of health,
day care, education, or library services to children under the age of 18, if the services
are funded by Federal programs either directly or through State and local
governments. Federal programs include grants, cooperative agreements, loans or
loan guarantees, and contracts. The law does not apply to children's services
provided in private residences, facilities funded solely by Medicare or Medicaid
funds, and portions of facilities used for inpatient drug and alcohol treatment.
Contractor further agrees that the above language will be included in any
subcontracts which contain provisions for children's services and that all
subcontractors shall certify compliance accordingly. .
M. Contractor shall assure, pursuant to Public Law 103-333, Section 507, to the extent
practicable, that all equipment and products purchased with funds made available
under This Agreement shall be American made.
25. Conflict of Interest
A. Contractor certifies that its employees and the officers of its governing body shall
avoid any actual or potential conflicts of interest, and that no officer or employee
who exercises any functions or responsibilities in connection with This Agreement
shall have any personal financial interest or benefit which either directly or indirectly
arises from This Agreement.
B. Contractor shall establish safeguards to prohibit its employees or its officers from
using their positions for a purpose which could result in private gain or which gives
the appearance of being motivated for private gain for themselves or others,
particularly those with whom they have family, business, or other ties.
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26. Political Activities
A. Contractor shall refrain from all political activities if such activities involve the use of
any funds which are the subject of This Agreement.
B. Contractor is prohibited from any activity which is designed to provide voters or
prospective voters with transportation to the polls or to provide similar assistance in
connection with an election if such activities involve the use of any funds which are
subject to This Agreement.
27. 'Lobbying Activities
A. Contractor shall refrain from all lobbying activities if such activities involve the use
of any funds which are the subject of This Agreement orany other funds, programs,
projects, or activities which flow from This Agreement.
B. If Contractor engages in lobbying activities, Contractor shall complete, sign and date
the Certification Regarding Lobbying/Disclosure of Lobbying Activities (Exhibit N),
required by the U.S. Department of Health and Human Services under 45 CFR
Part 93.
28. Severability of Provisions
Should a provision of This Agreement be held invalid by a court of competent jurisdiction,
the remaining provisions of This Agreement shall continue to be valid and enforceable.
29. Address for the State
All documents submitted by Contractor to the State pursuant to the terms of This
Agreement shall be made by deposit in the U.S. Mail, first class postage prepaid, or
delivered by a commercial carrier bearing a legibly dated receipt, and addressed as follows:
Department of Community Services and Development
Attention: PROGRAMS BRANCH
P.O. Box 780
Sacramento, CA 95812-0780
30. Programmatic Provisions
A. Performance-Based Requirements
In January of 1994, CSD established performance-based contracts. Attention to the
distribution of carryover funds, or other funds designed to enhance LII3EAP funds,
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(96 LIHEAP) FF
shall consider previous year(s)adequate achievement of fiscal and programmatic
performance. Adequate fiscal and programmatic performance will be the
achievement of ninety percent(90%) of the stated goals and expenditures as
submitted to CSD. Seventy percent (70%) of the aforementioned ninety percent
(90%) achievement shall have occurred prior to November 1 of each contract year.
1. Advance Payments
a. Upon written request by Contractor, the State may issue one advance
payment to Contractor in an amount not to exceed twenty-five percent
(25%) of the total amount of This Agreement as set forth in Section 1.
b. In the event This Agreement is amended to increase the consideration of
This Agreement, a subsequent advance payment not to exceed twenty-five
percent(25%) of the amount of the increase may be authorized by the
State, if Contractor requests such advance payment in writing. The need
for such additional advance payment shall be based upon a review of
Contractor's cash flow status as recorded on Contractor's current monthly
expenditure report.
C. Advance payments outstanding at the close of the ninth month of the
contract term will be offset against subsequent payments.
2. Subsequent Payments
a. Subsequent payments to Contractor are contingent upon receipt by the
State of the monthly expenditure and activity reports as required by
Section 3`0.C. of This Agreement.
b. Contractor shall be entitled to obtain a maximum reimbursement of
$2,000 per dwelling unit weatherized for applying the conservation
measures and activities described in Section 33.D. In the event the
Governor declares a State of Emergency or Local Emergency under
Article 13 or 14 of the Emergency Services Act, the maximum
reimbursement shall be $2,500 per dwelling unit.
C. In dwelling units in which the heating/cooling unit must be replaced,
Contractor may expend no more than $2,750. This limitation includes all
weatherization measures installed.
d. Contractor shall invoice the State for accrued ECIP expenditures as
required under Section 30.C.1. of This Agreement.
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3. HEAP Payments
a. Wood. Propane and Oil
Contractor shall invoice the State for accrued wood, propane and oil
expenditures as required under Section 30.C.1. of This Agreement.
b. Electric and Gas
1) Contractor shall project an estimated number of households to be
served under the HEAP electric and gas program. Said data shall
be entered on Exhibit J.
2) Payment for applicant's electric and/or gas energy bills shall be
made by C-SD directly to the utility company or in the form of
either a dual-party warrant, payable to the applicant and utility
company; or, in the case where the cost of energy is included in
applicant's rent, a single-party warrant shall be made, payable to
the applicant.
3) Contractor shall review and approve applications and shall batch
_ and submit to CSD on a weekly basis a copy of the client intake
form and a copy of the client's utility bill. CSD shall review for
completeness and advise Contractor if clarification is needed.
Monthly reports shall be provided by CSD to Contractor as
described in Section 30.C.2.
4) For the first fifty (50) applications approved by Contractor under
This Agreement, copies of all documentation (intake form, income
verification and utility bill) must be sent to CSD for quality control
purposes.
5) Expedites, such as California Alternate Rates for Energy (CARE)
applications for Pacific Power and Light, Sierra Pacific Power
Company and WP Natural Gas, should be submitted to CSD daily
or no less than twice weekly. "Fast track" handling should be
requested. Send a copy of the intake form and attachments, as
specified above, to: HEAP, P. O. Box 1947.
6) Contractor shall ensure the confidential handling of data provided
either by applicants or CSD regarding the CARE program.
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B. Contractor Activities
1. Coordination
Contractor shall refer all potentially eligible applicants, including HEAP
applicants, to the LIHEAP Weatherization program or to other energy or
conservation programs. Contractor shall coordinate its activities with other
Federal, State, or local energy conservation programs with the goal of
conserving energy, improving thermal efficiency, or defraying energy costs of
low-income households.
2. Contractor shall not divide the application of individual weatherization
measures between This Program and other weatherization programs unless the
maximum CSD rate for a measure has been applied.
3. Assurance 16: Client Education - Counseling
Contractor shall provide to all recipients of energy assistance under This
Agreement applicable energy conservation information and counseling which
shall include at least the following:
a. A description of the benefits which the client can expect to receive as a
result of the weatherization measures installed in the dwelling.
b. An explanation of the action of each measure in terms of preventing air
infiltration or the escape of heated or cooled air from the dwelling and
how to maximize the effect of such measures.
C. Written information which describes energy saving behavioral
adjustments which will decrease the energy consumption of the
household.
d. Resource information and referral and family and budget counseling in
order to assist clients in achieving self-sufficiency.
C. Reporting
1. Monthly Reports
a. Contractor shall ensure that monthly expenditure and activity reports
provided by CSD, or Contractor's equivalent, for Weatherization,
Assurance 16, and HEAP: Wood, Propane and Oil, are received by the
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State on or before the 15th calendar day of each month, irrespective of the
level of activity or amount of expenditure in the preceding month.
b. From January 1, 1996 through March 15, 1996 and following the
provision of ECIP services, Contractor shall ensure that an ECIP monthly
expenditure and activity report shall be received by the State on or before
the 15th calendar day of the month. After March 15, 1996, Contractor
shall ensure that a.monthly expenditure and activity report is received by
the State on or before the 15th calendar day of each month, irrespective of .
the level of activity or amount of expenditure in the preceding month.
2. HEAP: Electric and Gas Reports
CSD shall provide monthly reports to Contractor containing the following
information: 'a listing of applicant's paid for previous month, social security
number, address, county, cost of.energy, energy burden, benefit amount and
totals, and a goal status summary page by month and year-to-date.
`3. Close-out Report
Contractor shall submit, on the appropriate CSD Forms, a financial and
programmatic close-out report and return all unexpended funds to the State
within ninety (90) days after expiration of This Agreement. Final
reimbursement to Contractor, if owed, shall be contingent upon receipt of this
close-out by the State. Subsequent payments for subsequent LIFIEAP or other
CSD contracts may also be contingent upon receipt of the close-out of This
Agreement.
4. Review
a. The State shall review Contractor's monthly program operations reports
and evaluate Contractor's demonstrated ability to effectively utilize all
funds available under This Agreement.
b. An amendment to the total consideration of This Agreement may occur as
a result of the State's review of Contractor's program and fiscal operations.
D. Audit Reports
1. Funds provided under This Agreement shall be included in an audit conducted
in accordance with the provisions of OMB Circular A-133 for nonprofit
agencies, or OMB Circular A-128 for public agencies, standards promulgated
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by the American Institute of Certified Public Accountants (AICPA), and those
standards included in "Government Auditing Standards, 1994 Revision".
2. The financial and compliance audit shall contain the following supplementary
financial information:
a. A combining statement of revenue and expenditures for each contract
which presents, by budget line item, revenue and expenditures for the
contract or audit period.
b. A computation sheet for each contract used to calculate the Contractor's'
earnings for the contract or audit period, including measurable values, and
a schedule of administrative expenditures. The results of this calculation
will be used to determine:
1) The amount due Contractor;
2) The amount due CSD; or
3) Whether the Contractor has been paid in full
3. If the Contractor has used the same independent audit firm for more than five
(5) consecutive years, the Contractor must submit, to the CSD Audit Services
Unit, a written justification for using the same audit firm in excess of five (5)
years and request approval from the Audit Services Unit to continue using the
same audit firm.
4. Private, nonprofit contractors shall submit to CSD two (2) copies of the
required audit report within one hundred and eighty (180) calendar days of the
end of the Contractor's fiscal year. Upon written request by the Contractor's
CPA, which.includes an explanation of why the audit cannot be submitted
within one hundred and eighty (180) calendar days of the end of the
Contractor's fiscal year, an extension may be granted by CSD Audit Services
Unit for submittal of the audit report not to exceed an additional thirty (30)
calendar days from the original due date. The audit reports are to be submitted
to the following address:
Department of Community Services and Development
Audit Services Unit
700 North 10th Street, Room 258
Sacramento, CA 95814
Attention: Richard T Bueche
5. Local governmental entities shall submit to CSD two (2) copies of the required
audit report within thirty (30) calendar days after the completion of the audit,
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but no later than one (1) year after the end of the audit period. The audit
reports are to be submitted to the address stated in Section 4 above.
a. Local governmental agencies shall submit the required number of copies
of the audit report in accordance with the guidelines set by the Division of
Audits of the State Controller's Office. Said reports are to be submitted to
the following address:
State Controller
Division of Audits
300 Capitol Mall, Fifth Floor
Sacramento, CA 95814
6. Where services or funds under This Agreement are provided to, for, or by a
wholly-owned, or wholly-controlled subsidiary of Contractor, Contractor
hereby provides assurance that an audit shall be performed of this subsidiary
organization in accordance with Section 30.D. Said required audit report shall
be made available to the State upon request.
31. Budget Definitions
A. Cost Reporting
All costs shall be reported using a "modified accrual" or "accrual" method of
accounting.
B. Administrative Costs
1. Administrative Costs shall mean costs for client intake and auxiliary functions,
such as accounting, auditing, monitoring assistance, and like services necessary
to sustain the direct effort involved in administering a grant program or an
activity providing services to the grant program.
2. Local governments shall use OMB Circular A-87 (Cost Principles for State and
Local Governments) as a guide for determining administrative costs.
3. Private, nonprofit corporations shall use OMB Circular A-122 (Cost Principles
for Nonprofit Organizations) as a guide for determining administrative costs.
4. Reimbursement under this budget line item shall not exceed ten percent (10%)
of the cumulative allowable program expenditures for HEAP: wood, propane
and oil, Assurance 16 and ECIP, services and/or eight percent(8%) of the
cumulative allowable program expenditures for weatherization activities.
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C. Assurance 16 Costs
Reimbursement under these budget line items will be for costs associated with
Assurance 16 activities including needs assessment, client education and counseling,
and assistance with energy vendors.
D. Program Costs &eatherization OnW
Program Costs are all allowable costs other than Administrative Costs.
E. Proaam Costs (HEAP: Wood_ Propane and Oil Only)
Program costs are all allowable costs other than Administrative Costs.
F. Program Costs (ECIP Onlvl
1. Program Costs include those costs which are directly attributable to the
performance of This Agreement, and which are reasonable and necessary as
determined by the State, for the purpose of delivering services. Allowable costs
include costs for outreach.
_ 2. Direct Client Assistance costs include those expenditures made to energy
suppliers on behalf of eligible applicants or to purchase approved items which
were provided to eligible applicants (Section 34.F.). These service costs shall
comprise at least eighty percent(80%) of cumulative allowable total contract
expenditures.
32. Special Provisions - Assurance 16 Activities
A. Contractor shall use Assurance 16 administrative funds for HEAP intake and other
related HEAP administrative costs.
B. HEAP Applicant Eligibility
1. HEAP assistance shall be available only to the following households:
a. Households with incomes that do not exceed an amount equal to one
hundred thirty percent (130%) of the Federally-established poverty level.
Income verification must be for one month and current, within six (6)
weeks of the application intake date.
b. Appropriate documents shall be maintained in each applicant's file.
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2. No household shall be excluded from eligibility for services if the household
has an income which is less than one hundred ten percent (110%) of the
Federally-established poverty level, but Contractor may give priority to those
households with the highest home energy costs or needs in relation to household
income.
C. Assurance 16 Program Funds (Weatherization. HEAP and ECIP)
Assurance 16 program funds shall be used for such services that encourage and
enable households to reduce their home energy needs and thereby the need for energy
assistance, including needs assessments, client education and counseling, and
assistance with energy vendors..
1. Needs Assessment
Contractor shall conduct a needs assessment for each client that shall include
computing the energy burden of each applicant's household and prioritizing
households based on the highest energy burden taking into consideration
vulnerable populations. (Energy burden and vulnerable populations are as
defined in Exhibit B.) After energy burden has been determined for all clients,
Contractor shall prioritize eligible clients, when necessary, consistent with
approved priority plans.
2. Client Education - Counseling
Contractor shall conduct activities as described in Section 30.B.3.
3. Assistance with Energy Vendors
Contractor shall provide assistance in coordinating the payment of client's
energy/utility bill with the appropriate energy vendor or utility company.
Contractor may also perform other coordinative activities with energy
vendors/utility companies to provide a proactive, educational concept in serving
clients.
D. HEAP Payments to Wood_ Propane and Oil Vendors
1. Contractor shall make payments directly to energy vendors on behalf of clients
whose energy sources are wood, propane or oil.
2. Contractor shall notify applicants of the recipient households, in writing, when
payments are made directly to energy suppliers on their behalf.
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33. Special Provisions - Weatherization
A. Applicant Eligibility
1. Weatherization assistance services shall be available only to the following
households:
a. Households in which one or more individuals are receiving:
1) Aid to Families with Dependent Children (AFDC); or
2) Supplemental Security Income (SSI)/State Supplementary Program
(SSP) payments; or
3) Food Stamps;=or
4) Payments under Sections 415, 521, 541, or 542 of Title 38 of the
United States Code, or under Section 306 of the Veterans' and
Survivors' Pension Improvement Act of 1978; or
b. Households with incomes that do not exceed an amount equal to one
hundred fifty percent (150%) of the Federally-established poverty level.
Income verification must be for one month and current, within six (6)
weeks of the application intake date.
C. Appropriate documents shall be maintained in each applicant's file.
2. No household shall be excluded from eligibility for services if the household
has an income which is less than one hundred ten percent (110%) of the
Federally-established poverty level, but Contractor may give priority to those
households with the highest home energy costs or needs in relation to household
income.
3. The provision of weatherization services shall begin within one hundred twenty
(120) calendar days of eligibility certification, or the household shall be
recertified.
B. Service Priority
1. Contractor shall give first priority for weatherization services to those
households which have the lowest incomes that pay a high proportion of
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(96 LIHEAP) FF
household income for home energy. Energy burden and highest home energy
needs, taking into account family size, shall be the primary criterion for
prioritization.
2. Contractor shall factor into its first priority, eligible households with elderly,
disabled, and children.
3. Additional priorities shall be as set forth in Exhibit K.
C. Scope of Services
1. Outreach
Contractor may claim reimbursement for outreach as set forth in Section 33.D.
only once for each unit-weatherized whether under This Agreement or a
previous CSD agreement.
a. Unweatherized Dwellings
Reimbursement for outreach may be claimed by Contractor in accordance
with Section 33.D. for each eligible unit not previously weatherized.
Additionally, Contractor will be allowed to claim reimbursement when a
safety check of combustion appliances reveals safety hazards which
preclude tightening of the envelope.
b. Dwellings Weatherized with Nonfederal Funds
Reimbursement for outreach may be claimed by Contractor only if the
previous weatherization was performed by another service provider.
C. Dwellings Weatherized with Department of Energy (DOE) and LIHEAP
funds.
Reimbursement for outreach may be claimed by Contractor only once
when DOE and LIHEAP funds are used concurrently in the same unit.
2. Intake (Administrative Cost
a. Unweatherized Dwellings
Intake may be claimed by Contractor for each eligible household not
previously weatherized. Additionally, Contractor will be allowed to claim
27
(96 LIIEAP) FF
intake costs when a safety check of combustion appliances reveals safety
hazards which preclude tightening of the envelope.
b. Dwellings Weatherized with Nonfederal Funds
If the previous weatherization was performed under a nonfederal program,
the occupant eligibility must be certified;therefore, Contractor may claim
intake costs.
C. Dwellings Weatherized with LMEAP and DOE Funds
Intake may be claimed by Contractor only once when LMEAP and DOE
funds are used concurrently in the same unit.
3. Assessment of Dwelling
a. Contractor shall inspect the dwelling of each eligible applicant to
determine if the unit is structurally sound and not in need of extensive
repairs.
b. If the dwelling unit is not eligible because of the need for extensive repair,
the unit shall not be serviced, and the applicant should be referred to the
local Housing and Community Development Department, U.S. Farmers
Home Administration Housing Loan Program, or other similar
organizations or programs.
C. Documentation of ineligibility due to the need for extensive repairs shall
be recorded on the Energy Dwelling Unit Assessment, CSD Form 554, or
Contractor's equivalent.
d. If the applicant can obtain the necessary repairs to make the dwelling unit
eligible for weatherization services, weatherization activities may be
accomplished following the repair work.
e. If an unvented space heater is being utilized, envelope-tightening
measures shall not be applied unless venting is installed or the unit is
replaced.
f. Contractor shall conduct a preliminary combustion appliance safety check
on all dwelling units that are not all-electric units, and, where applicable,
perform a post-check of said dwelling, using the Combustion Appliance
Safety Inspection Form (RHA 1/1/96).
28
(96 LIIHEAP) FF
g. Reimbursement for weatherization activities as documented on the Energy
Dwelling Unit Assessment, CSD Form 554 (New 1/95), or Contractor's
equivalent, may be claimed for Contractor in accordance with Section
33.D. for each eligible household not previously weatherized.
Additionally, Contractor will be allowed to claim reimbursement when a
safety check of combustion appliances reveals safety hazards which
preclude tightening of the envelope.
h. Following a determination that no combustion by-product hazards exist, a
blower door test may be performed on each dwelling.
i. Blower door testing and resulting infiltration repairs, other than Caulking
and/or Weatherstripping, may result in attaining the lower limit of cubic
feet per minute infiltration, thereby precluding further tightening by
Caulking and/or Weatherstripping.
j. If the unit only qualified for Weatherization because of the apparent need
for Caulking and/or Weatherstripping, it now becomes ineligible.
However, Contractor may requalify the unit by substituting Optional
Measures (other than Furnace or Air Conditioning Filter Replacement and
Water Flow-Restricting Devices), as needed, for the now nonfeasible
Caulking and/or Weatherstripping measures.
4. Unweatherized DweIIings
a. A unit may qualify if a health or safety hazard is found to exist which
requires a combustion appliance to be repaired or replaced to correct; the
cost of which will preclude the installation of the required number of
mandatory measures.
If combustion appliances are not present, single family detached and other
single story dwellings which have not been previously weatherized under
a CSD or other program shall not be weatherized under This Agreement
unless:
o ceiling insulation plus two (2) additional mandatory measures are
installed, or
o in the event ceiling insulation is not feasible, at least four mandatory
measures are installed.
29
(96 LIHEAP) FF
b. Multistory, multi-unit complexes may qualify with the installation of
ceiling insulation and any two (2) other mandatory measures or, in the
event ceiling insulation is not feasible, at least three (3) mandatory
measures.
Installation of ceiling insulation may be counted as a ceiling insulation
measure for each unit within that building envelope. The charge shall be
prorated among all dwelling units.
Insulation of a common water heater shall qualify as a mandatory measure
for each unit served by the same water heater. However, reimbursement
may be claimed for only one water heater and the equivalent number of
standard-sized water heater blankets installed, and the cost shall be
prorated among all dwelling units.
C. Reimbursement for dwelling assessment may be claimed by Contractor in
accordance with.Section 33.D. for each eligible unit not previously
weatherized.
5. Previously Weatherized Dwellings
a. If a dwelling has been previously weatherized under a CSD or other
Federal program, Contractor may provide, within the dollar limits of This
Agreement, heretofore unapplied mandatory and optional measures.
b. If the previous weatherization was performed under a nonfederal program,
the dwelling and occupant eligibility must be recertified; therefore,
Contractor may claim reimbursement for assessment of dwelling and
charge for intake.
6. Dwellings Weatherized with LII-IEAP AND DOE Funds
Reimbursement for dwelling assessment may be claimed by Contractor only
once when LII1EAP and DOE funds are used concurrently in the same unit.
7. Installation Guidelines
a. Mandatory measures must be installed in priority order, and no measure
shall be excluded or skipped unless:
(1) a blower door test indicates that installation of the measure is not.
necessary, or
30
(96 LIHEAP) FF
(2) the dwelling already has that measure in place; or
(3) the measure cannot be properly installed; or
(4) the client refuses installation (client refusal is to be documented and
placed in file); or
(5) the maximum dollar limit is reached; or
(6) the measure is not needed or required.
Notations of exception(s) shall be included in the client file.
b. If the dollar limit has not been reached in installing feasible mandatory
measures, Contractor may install optional measures.
C. Measures shall be applied in accordance with the Energy Dwelling Unit
Assessment. Installation of those measures contained therein shall be
accomplished in conformance with the CSD Weatherization Installation
Standards (WIS) manual and the CSD Weatherization Program Policies
and Procedures manual, hereby incorporated by reference.
Standards contained in the Uniform Building Code and local city and
county codes shall take precedence over the CSD WIS manual if the code
requirement: (1) is not included in the manual or (2) is more stringent.
d. Upon the State's request, Contractor shall furnish proof that materials used
under this program conform to the requirements of Exhibit A, Materials
Standards, the CSD WIS manual and/or State, county, or local regulations
and were procured in conformance with OMB requirements contained in
the following Circulars: Common Rule, Section 36, or A-110,.
Attachment 0.
e. Any weatherization materials purchased with these grant funds and
remaining at the expiration of This Agreement shall be credited against
Contractor's weatherization materials expenditures under This Agreement
and charged to whatever other weatherization program Contractor may
have in effect. If Contractor has no other weatherization program in
effect, the State shall be contacted for disposition instructions.
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(96 LMEAP) FF
8. Quality Assurance
a. Contractor, or its designee, shall review all of the dwellings Contractor
has weatherized. A statement certifying all required measures were
installed per contract and CSD installation standards shall be noted on the
Building Check and Job Order Sheet, CSD Form 540 (New 1/95); signed
and dated by the reviewer. Contractor shall not report a dwelling as
weatherized nor request reimbursement prior to the above certification.
b. The State, or its designee, may perform an inspection of dwellings
weatherized under This Agreement. Contractor agrees to correct any
work deficiencies noted by the State or its designee. Contractor agrees to
take action and correct such deficiencies within twenty (20)working days
of written notification.
C. Contractor shall attempt to correct safety hazards resulting from
weatherization measure installation within twenty-four (24) hours and
shall completely resolve such hazards within five (5) working days of
written notification.
9. Client Education - Counseling(Assurance 16_Budget Cost)
a. Unweatherized Dwellings
Assurance 16 activities for client education and counseling shall be
conducted in accordance with Section 30.B.3., and costs for such may be
claimed for the occupants of each eligible unit not previously weatherized.
Additionally, Contractor will be allowed to claim Assurance 16 costs
when a safety check of combustion appliances reveals safety hazards
which preclude tightening of the envelope.
b. Dwellings Weatherized with Nonfederal Funds
Assurance 16 costs for client education shall not be claimed by Contractor
unless the dwelling was previously weatherized by nonfederal funds; i.e.
regulated or non-regulated utility companies, private sector funds, etc., or
by a weatherization service provider not associated with the provisions of
This Agreement. If such circumstances exist, client education shall be
conducted in accordance with Section 30.B.3. and Assurance 16 costs
claimed for the occupants of each eligible unit previously weatherized.
32
(96 LMEAP) FF
C. Dwellings Weatherized with LIHEAP and DOE Funds
Assurance 16 costs for client education may be claimed by Contractor
only once when LMEAP and DOE funds are used concurrently in the
same unit.
10. Selection of Units to be Weatherized
a. Multiple Unit Dwellings
Reimbursement with LMAP/Weatherization funds shall only be made
for units weatherized which are occupied by eligible households.
b. Contractor shall obtain written permission of the owner of a rental unit, or
his/her agent, prior to performing any weatherization services. Such
permission shall be recorded on the sample Service Agent
Agreement/Rental Units form or Contractor's equivalent.
C. Weatherization services shall be provided to a dwelling unit on a one-time
basis for the same occupant(s), except that Contractor may return to the
unit within the same calendar year under which the initial services were
provided and apply measures not applied during the initial services within
the total remaining expenditure limit. Reimbursement for outreach and
dwelling assessment shall not be claimed nor can the unit be claimed as
another completion. Client education may be claimed for reimbursement
under the Assurance 16 Budget. The only exception shall be when the
unit is damaged by a natural disaster such as a fire, earthquake, hurricane,
etc., and such damage is not covered by insurance.
d. Contractor shall not weatherize a dwelling unit which is designated for
acquisition or clearance by a Federal, State, or local program within
twelve (12) months from the date weatherization of the dwelling unit
would be scheduled to be completed.
D. Payment Guidelines
The State shall pay Contractor for each completed dwelling at the rates listed below
provided that Contractor does not request payment for the same activity/measure,
except for intake and dwelling asssessment, from any other source. Contractor may
claim credit only for allowable measures and activities performed under This
Agreement. In addition to the applicant eligibility criteria set forth in Section 33.A.,
each dwelling unit shall be assessed for eligibility.
33
(96 LIHEAP) FF
An Energy Dwelling Unit Assessment, CSD Form 554 (New 1/95), or contractor's
equivalent, and a Building Check and Job Order Sheet, CSD Form 540 (New 1/95)
shall be maintained for each dwelling which reimbursement is claimed.
ACTIVITIES PER DWELLING
Outreach $25
Nonblower-Door Assessment
Units with attics $50
Units without attics $35
Reimbursement for any or all of the outreach and dwelling assessment activities shall be
made only for dwelling units weatherized under the terms of This Agreement.
Initial General Heat Waste and Safety Assessment:
Safety Check of Combustion Appliances Pre-Test $45
Post-Test $35
Blower Door Test (optional) $60
Duct Leakage Test Pre-Test $35
Post-Test $25
Should the safety check of combustion appliances reveal safety hazards which preclude
envelope-tightening measures, and cannot be eliminated, Contractor will be allowed to
claim reimbursement for outreach,'safety check and for the installation of mandatory
measures identified by the footnotes listed at the end of this Section, 33.D.
For Example:
Outreach $ 25
Non-Blower Door Assessment $ 50
Safety Check of Combustion Appliances $ 45
Total $ 120
34
(96 LI1-1EAP) FF
MANDATORY MEASURES PER DWELLING
Priorities
1. Combustion Appliance Health or Safety
Hazard Repair or Replacement, per dwelling.
(Indicate on the Energy Dwelling Unit
Assessment, CSD Form 554, or Contractor's
equivalent, what Health or Safety conditions
are to be addressed).
Wood Fueled Space Heater . . . . . . . . . . . . . . . . . . . Max. $1,600.00
Vented Heating Source Replacement . . . . . . . . . . . Max. $2,750.00
Heating Source Repair = . . . . . . . Max. $1,000.00
Gas Range, Repair or Replacement . . . . . . . . . . . . . Max. $2,000.00
Gas Water Heater, Rep. or Replace . . . . . . . . . . . . . Max. $ 750.00
2. Carbon Monoxide Detector/Alarm . . . . . . . . . . . . . Max. $ 80.00
(Install only if operating carbon monoxide producing appliances. Limit of two detectors
per dwelling for a maximum of$160.00 per dwelling. If only one detector is installed, the
maximum reimbursement will be $90.00, including labor and materials. Display labor
and material costs on Earned Measures Report, CSD 557a.)
3. Glass Replacement, per dwelling Up to $750.00 *6
4. Duct and Register Repair/Replacement Up to$1,000.00 *1,6
5. Minor Envelope Repairs, per dwelling Up to $ 750.00 *a,b
(See Definition in Exhibit B)
6. Evaporative Cooler/Air Conditioner $55.65 °
Vent Cover, per cover
7. Attic Venting, per dwelling Up to $ 300.00 *s,z
8. Ceiling Insulation Ceiling 5 Kneewall s
R-11, per square foot $ .35 $ .45
R-19, per square foot $ .45 $ .50
R-30, per square foot $ .50 N.A.
R-38, per square foot $ .60 N.A.
35
(96 LIHEAP) FF
9. Water Flow Restrictors:
a. Low-Flow Showerhead, each $ 22.00 5
b. Hot Water Faucet Restrictor, each $ 6.75 5
10. Door Weatherstrip, per hinged entrance door $ 33.60 4.6
11. Water Heater Blanket, each $ 28.35 5
12. Water Heater Pipe Wrap,`per linear foot of pipe $ 1.70 5
13. Duct Wrap, per linear foot of duct $ 2.25 s
14. Switch and Outlet Gaskets, per dwelling $ 27.85 4,6
15. Caulking, per-dwelling Up to $ 65.00 *4,6
16. Other Weatherstrip, per linear foot $ 1.70 4
(Includes sliding glass doors and open-combustion appliance enclosure doors. Does not
_include weatherstrip applied to attic and crawl-space access hatches, evaporative cooler or
air conditioner covers. When insulation is not installed, applies to access hatches and
windows.)
OPTIONAL MEASURES PER DWELLING
Ceiling Fans, per dwelling Up to S150.00 *
Evaporative Cooler Repair, per cooler Up to $ 75.00 *5
Filter Replacement for A/C or Furnace Unit:
Filters Only $ 16.801
Filters Plus Filter Replacement Signal $ 22.00'
Floor Foundation Venting (Crawl. Space Venting) $315.00 *zs
Floor Insulation, over 36" clearance, p/sq.' $ .70 **5
Floor Insulation, under 36" clearance, p/sq.' $ .80 **5
Electric Water Heater Timer, per timer $ 94.50 5
36
(96 LIHEAP) FF
Setback Thermostat, per dwelling $133.35 5
Shadescreen, per square foot $ 2.80 5
Shutters, per square foot $ 5.005
Storm Windows, Operable, Vinyl, p/sq.' $ 5.00 4
Storm Windows, Operable, Polycarbonate, p/sq.' $ 5.504
Storm Windows, Operable, Glass, p/sq.' $ 7.25 4
Storm Windows, Fixed, p/sq.' $ 2.504
Tinted Film, p/sq.' $ 2.80 5
Wall Insulation, p/sq.' $ .90 5
Wood-Fueled Space Heaters, per dwelling Up to $ 1,600.00***1,7
Vented Heating Source Replacement, per dwelling Up to $ 2,750.00*** ,5
Heating Source Repair, per dwelling Up to $ 1,000.00***1,5
Air Conditioning Unit Repair, per dwelling Up to $ 1,000.00***1.3,5
Footnotes:
* Materials cost plus $35 per hour per person for labor.
** Crawl space height shall be documented on the Building Check and Job Order.Sheet.
*** Must be completed by a,licensed Contractor. Materials cost, plus labor.
Furnace/Wood-Fueled Space Heater/Boiler and vented space heater installations shall be
covered by a building permit.
' May be classified as mandatory if safety hazard exists. Reimbursement shall be based
upon the type of measure repaired or replaced as specified in the rate schedule under
Optional Measures.
Perform only when installing insulation.
Do not do if dwelling has operative evaporative cooler.
37
(96 LIHEAP) FF
' When using a blower door in conjunction with weatherizing a dwelling, these measures
are not to be applied if the infiltration is less than the Minimum Ventilation Requirement
or if the economic stop point for air sealing has been reached. (Refer to the Building
Shell/Blower Door Use sections of the CSD Weatherization Installation Standards.) Does
not apply to catastrophic leaks that are health and safety hazards (e.g. broken-out
window, severely damaged door, etc.)
5 If a combustion appliance safety hazard is found to exist, Contractor may apply the non-
envelope sealing Mandatory and Optional Measures identified by this note.
6 When applying infiltration-reducing measures in conjunction with blower door testing,
the crew hours set forth in the charts in Appendix A of the CSD Weatherization
Installation Standards manual maybe increased up to double the applicable amount for no
more than the first fifteen (15)units.
A wood fueled space heater may only be installed if it is to be,used to replace a fossil
fueled space heater, and/or damaged, and/or hazardous wood stove that cannot be
repaired.
E. Mileage
Contractor shall be credited $.53 per mile for one round trip for any one dwelling
weatherized. This credit is applicable only to those dwellings located outside a
forty (40) mile radius from Contractor's materials storage site. If more than one
dwelling is weatherized per trip, the mileage credit applies only to the dwelling
serviced which is farthest from Contractor's materials storage site, or headquarters if
the work is being performed by a subcontractor.
34. Special Provisions - ECIP
A. ECIP services shall be available during the period from January 1, 1996 to March
15, 1996 and shall be provided only in the event of a crisis, as defined in Exhibit B.
Upon Contractor's,request, CSD shall determine if a crisis situation exists in
Contractor's service area. This Agreement may be amended to provide ECIP funds
to Contractor in the event of a crisis.
B. Application
1. Contractor shall accept applications for assistance during regular working
hours.
38
(96 LIHEAP) FF
2. Contractor shall:
a. Accept applications for ECIP at sites that are geographically accessible
to all households in the area served by Contractor.
b. Provide to low-income individuals who are physically infirm the means:
1) To submit applications for ECIP without leaving their residences,
or
2) To travel to the sites at which applications are accepted by
Contractor.
C. Applicant Eligibility
1. ECIP assistance shall be available only to the following households:
a. Households with incomes that do not exceed an amount equal to one
hundred thirty percent(130%)of the Federally established poverty
level. Income verification must be for one month and current, within
six (6)weeks of the application intake date.
b. Appropriate documents shall be maintained in each applicant's file.
2. No household shall be excluded from eligibility for services if the household
has an income which is less than one hundred ten percent (110%) of the
Federally established poverty level, but Contractor may give priority to those
households with the highest home energy costs or needs in relation to
household income.
D. Service Priority
1. Contractor shall give first priority for ECIP services to those households
which have the lowest incomes that pay a high proportion of household
income for home energy. Energy burden and high home energy needs, taking
into account family size, shall be the primary criterion for prioritization.
2. Contractor shall factor into its first priority, eligible households with elderly,
disabled, and children.
3. Additional priorities shall be as set forth in Exhibit M.
39
(96 LH-IEAP) FF
E. Payment Guidelines
I. Eligible households may receive one (1) or more ECIP payments. Contractor
may establish a maximum benefit, and such maximum shall be consistently
applied.
2. Contractor must exercise due care to ensure that neither duplication of, nor .
overpayment of ECIP payments, occurs at any time during the term of This
Agreement.
3. Consistent with Section 2 above, Contractor shall complete the ECIPMEAP
Payment Request and Confirmation (Non-Regulated Utility Companies.Only),
CSD Form 415 (New 8/93) for Contractor's equivalent].
4. Payments may be made for a member of an eligible household who is not the
individual named on the energy bill provided the household member
completes a "Responsibility Statement Form" which is verified by Contractor.
5. Contractor shall require eligible households, whose utility costs are included
in their rent, to obtain a signed verification of responsibility from their
landlord or property manager. Such verification of responsibility shall
provide a division of cost factors included in the household's rent. Such,
division shall include the cost of utilities, water, garbage collection, and,other
rental costs paid in the applicant's rent. This documentation shall be
submitted to Contractor and included in the applicant's file.
6. Eligibility is met when the applicant has been determined to be ECIP
qualified. Once applicants meet the eligibility requirements and funds are
available, Contractor shall:
a. Not later than forty-eight(48) hours after a household applies for ECIP,
provide some form of assistance that will resolve the energy crisis;
b. Not later than eighteen (18) hours after a household applies for ECIP,
provide some form of assistance that will resolve the energy crisis if
such household is in a life-threatening situation.
7. Contractor shall notify the applicant of the recipient household, in writing,
when payments are made directly to an energy suppliers on their behalf.
40
(96 LH-[EAP) FF
8. Unless a different formal, or documented, agreement exists to the contrary,
Contractor shall forward payments on behalf of applicants to corresponding
energy supplier within sixty (60) calendar days from the date obligation was
incurred.
F. Contractor shall be reimbursed for funds expended in assisting clients including, but
not limited to the following:
1. Energy-utility payments;
2. Space heaters;
3. Firewood;
4. Emergency repairs to heating and cooling units
(must be performed by a licensed contractor);
5. Blankets;
6. Tents;
7. Generators; and
35. Forms
Masters of intake forms and reporting forms shall be provided by CSD to be duplicated
by Contractor for future use.
36. Exhibits
The following exhibits are attached to This Agreement and are hereby incorporated by
this reference:
A. Materials Standards, Which Are Not Included in the
CSD Weatherization Installation Standards Manual
B. Definitions
C. Service Area
D. 1996 LIHEAP Weatherization Budget
E. 1996 LII-1EAP Assurance 16 Budget
F. 1996 LIIIEAP Wood/Propane/Oil Budget (HEAP)
G. 1996 LIHEAP ECIP Budget
41.
(96 LIHEAP) FF
H. 1996 LIIFIEAP Schedule of Energy Program Goals/Expenditures (Weatherization
and ECIP)
I. 1996 LIHEAP/HEAP Wood/Propane/Oil; Projected Household Goals - Energy
Burden and Vulnerable Population
1 1996 LH-IEAP/HEAP Electric and Gas; Projected Household Goals - Energy
Burden and Vulnerable Population
K. Weatherization Priority Plan
L. HEAP Priority Plan: Electric/Gas/Wood/Propane/Oil
M. ECIP Priority Plan (Reserved for crisis use only.)
N. Certification Regarding Lobbying - Disclosure of Lobbying Activities
961iheap.tf.
42
(96 LII-1EAP) FF
E)dMIT A Page 1 of 1
MATERIALS STANDARDS
(WHICH ARE NOT INCLUDED IN THE CSD
WEATHERIZATION INSTALLATION STANDARDS MANUAL)
REPLACEMENT FURNACES AND BOILERS
Chimneys, fireplaces, vents, NFPA' 211 -1988
and solid fuel-burning apparatuses
Gas-fired furnaces NFPA' 54-1988/ANSI' and Z21.47-1987, Z21-47a
1988, Z21.47b-1989,Z223.1 1988
Oil-fired furnaces UL3727, August 27, 1991
Revision and NFPA 31-1987
Liquid petroleum gas storage NFPA' 58-1986
HEATING REPAIRS
Replacement Combustion Chamber Conformance to NFPA 31-1987 in Oil-Fired Furnace,
Boiler.
-------------------------------------
NFPA = National Fire Protection Association
ANSI = American National Standards Institute
UL = Underwriters Laboratory
(96 LIHEAP) FF
EXHIBIT B - DEFINITIONS Page 1 of 5
GENERAL DEFINITIONS
Authorized Agent The duly authorized representative of the Board of Directors of Contractor
and duly elected or appointed, qualified, and acting officer of the State. In
the case of Contractor, the State shall be in receipt of board resolution
affirming an agent's representative capacity to bind Contractor to the terms
of This Agreement.
Contractor The entity (partnership, corporation, agency, or association) designated on
page 1 of This Agreement.
CSD The Department of Community Services and Development, State of
California.
Parties The State of California and the Contractor.
Subcontractor An entity (partnership, corporation, agency, or association) that enters into
a subcontract with Contractor to fulfill a portion of the terms of This
Agreement.
Subcontracts Contracts entered into by and between Contractor and Subcontractor to
carry out a portion of the purposes of This Agreement.
The State The State of California, Department of Community Services and
Development.
This Agreement The complete contents of this contract entered into by and between the
State and Contractor, including all rights, duties, and obligations, whether
expressed or implied, required toward the legal performance of the terms
hereof.
This Program Weatherization, HEAP and ECIP services provided under 42 USC 8621, et
seq., as amended.
(96 LIHEAP) FF
APPLICANT DEFINITIONS Page 2 of 5
Native American Indian
Any individual who is a member or a descendant of a member of a North American tribe, band,
or other organized group of native people who are indigenous to the continental United States or
who otherwise have a special relationship with the United States through treaty, agreement, or
some other form of recognition, residing within the State. This includes any individual who
claims to be an Indian and who is regarded as such by the Indian community of which he or she
claims to be a part. This definition also includes Indians of Alaska.
Children
Members of a household who have not attained their nineteenth (19) birthday.
Dwelling Unit
A house, including a stationary mobile home, an apartment, a group of rooms, or a single room
occupied as separate living quarters.
Elderly
An individual 60 years of age or older.
Family Unit
All persons living together in a dwelling unit.
Disabled or Handicapped Person
Any individual who is: (1) a handicapped individual as defined in Section 7(6)of the
Rehabilitation Act of 1973, (2)under a disability as defined in Section 1614(a)(3)(A) or
223(d)(1) of the Social Security Act or in Section 102(7) of the Developmental Disabilities
Services and Facilities Construction Act; or(3) receiving benefits under Chapter 11 or 15 of
Title 3.8, USC.
Migrant Farmworker
A seasonal farmworker who performs or has performed farm work during the eligibility
determination period (any consecutive 12-month period within the 24-month period preceding
application for program benefits and/or services)which requires travel such that the worker is
unable to return to his/her domicile (permanent place of residence) within the same day.
. (96 LH-EAP) FF
Page 3 of 5
Seasonal Farmworker
A person who during the eligibility determination period (any 12-month period within the 24-
month period preceding application for program benefits and/or services)was employed at least
25 days in farm work or earned at least $400 in farm work; and who has been primarily
employed in farm work on a seasonal basis, without a constant year-round salary.
Separate Living Quarters
Living quarters in which the occupants do not live and eat with any other persons in the structure
and which have either: (1) direct access from the outside of the building or through a common
hall; or(2) complete kitchen facilities for the exclusive use of the occupants. The occupants
may be a single family, one person living alone, two or more families living together, or any
other group of related or unrelated persons who share living arrangements.
ENERGY CONSERVATION MEASURES AND ACTIVITY DEFINITIONS
Client Intake
The act of determining if a person seeking LMEAP services is eligible for such services.
Includes, but is not limited to, the process of completing an intake form and reviewing applicant
documentation in order to verify eligibility.
Client Needs Assessment
The act of acquiring any and all additional appropriate information regarding a person who is
seeking LIHEAP services AFTER eligibility has been established.
Crisis
Weather-related and/or supply shortage emergencies and other household energy-related
emergencies. A crisis can be caused by:
a. Natural disasters, such as earthquakes, fires, floods, and freezes, including natural
disasters that negatively impact the energy-related economic conditions of low-income
households; or
b. Geopolitical events, such as wars, terrorism, civil disturbances and embargoes, including
geopolitical events that negatively impact the energy-related economic conditions of low-
income households.
(96 LIHEAP) FF
Page 4of5
Dwelling Assessment
The process of performing an on-site review of the dwelling unit of an eligible applicant in order
to determine the labor and materials necessary to install energy conservation measures.
Energy Burden
The expenditures of the household for home energy divided by the income of the household.
Energy Conservation Measures
The measures as defined in the CSD Weatherization Installation Standards manual.
Evaporative Cooler Repairs
Repair or replacement of filter pads, water pumps, belts, motors, or other components which will
promote eff cient operation of the unit.
Filter Replacement
May be a one or a two-step measure. The one-step measure is to replace the air conditioning or
furnace filter with a washable filter. The two-step measure includes a filter replacement signal
in addition to the filters.
Heating/Air Conditioning Appliance Repairs
Cleaning of fuel nozzles and jets, replacement of thermocouples, freon, or other component
repairs or replacements necessary for safe and efficient operation. Must be accomplished by a
person licensed to perform such work.
Highest Home Energy Needs
The home energy requirements of a household determined by taking into account both the
energy burden of such household and the unique situation of such household that results from
having members of vulnerable populations, including very young children, individuals with
disabilities, and frail older individuals.
Minor Envelope Repairs
Those repairs necessary for the effective performance or preservation of weatherization materials
or to stop infiltration (general heat waste). Contractor shall maintain labor hours cost, materials
cost, and required building permits in client's file.
(96 LIHEAP) FF
Page 5 of 5
a. Patching holes in the building envelope which are too big to caulk. (Includes replacing
attic/crawl space access covers.)
b. Replacement of entrance doors and attendant hardware (except no deadbolts) into
conditioned areas. (If the original door had a deadbolt and it can be removed and placed on
the new door, then labor costs for this activity can be charged.)
c.. Repair, replacement, or installation of doors and windows including frames, thresholds,
door stops, minor roof repairs, and materials, such as paint, used to protect from the
weather the materials installed.
d. Modification or repair of entrance doors, including doorshoes, door locksets, heavy-duty
strike plate when standard size will not work, (no deadbolts), raindrips, automatic door
bottoms, etc.
e. Repair of range hood damper and fireplace chimney damper.
f. Knob-and-tube wiring Notice of Survey by Electrical Contractor and installation of simple
overcurrent protection per the Weatherization Program Policies and Procedures manual.
g. Blower-door-identified infiltration repairs and final testing.
Mobile Home
A manufactured home that is a permanent, full-time residential dwelling and is not used for
commercial purposes.
Vulnerable Populations
Very young children, individuals with disabilities, and frail older individuals.
Wood-Fueled Space Heaters
Wood-fueled stoves and fireplace inserts installed under this program must be Colorado or
Oregon-certified units. The recipient and landlord (if applicable) must agree that the stove will
remain in the residence where installed. Installation must conform with local fire and building
department regulations, must be installed by a person licensed to perform such work, or
Contractor must have in file written approval of such installation by a fire department or
building inspection.official. A building permit is required. A wood-fueled space heater shall
not be installed in a dwelling for which natural gas service is available nor to replace an existing,
safely-operating wood-fueled space.heater.
r
(96 LMEAP) FF
Page l of
EMMIT C
SERVICE AREA
Contractor shall provide services to eligible applicants residing within the area(s) described
below and/or on the attached pages if zip codes are designated.
County(ies) of:
k
state of California EXHIBIT D
DEpARTMENr OF COMMUNITY SERVICES AND DEVELOPMENT
CSD 538a(Rev. 1/96)
1996 LIHEAP WEArl UZATION BUDGET
Contractor Contract Number
:SECT1FON A A DMIYLSTRATIVE COSTS
La Salaries and Wages $
Lb Frirwe Benefits
2.a Facilities
2.b Utilities
2.c E ui ment TOTAL(specify below:
1. 3.
2.d Tele hone - Communications
2.e Travel
2.f Accounting
2.g Audit Costs
2.h Insurance - Bonding
2.i Office Su lies
2.' Miscellaneous TOTAL(specify below:
1. 3.
2.k Intake Eligibility Determination
SUBTOTAL SECTION A Cannot exceed 8% of Section C 1 8% $
SEC'L'ION B .1'ROGRAI4I COSTS.
3.a Outreach $
3.b Dwelling Assessment
3.c Equipment TOTAL(specify below:
1. 3.
3.d Weatherizauon Materials
3.e Labor
3.f Storage
3. Vehicular Insurance
3.h TraveI - Transportation
3.i Maintenance -Repair
3.1 Miscellaneous TOTAL(specifV below:
}>. F .
1. 3.
v:f: <r :,
2. 4.
SUBTOTAL SECTION B o less than 92% of Section C % $
SECTION. T3TAL'C()l "1'RA. `BUDGET
WEATHERIZATION BUDGET (Subtotal A + B = C, TOTAL BUDGET) $
CSD538A.%
State of California
DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT EXHIBIT E
CSD 537(NEW. 1/96)
1996 LMEAP ASSURANCE 16 BUDGET
Contractor Contract Number
La Salaries and Wages $
l.b Frinze Benefits
2.a Facilities
2.b Utilities
2.c Equipment TOTAL(spec fy below:)
1
3.
2
4.
2.d Telephone - Communications
2.e Travel
2.f Accountinc
2.g Audit Costs
2.h Insurance - Bonding
2.i Office Supplies
2.' Miscellaneous TOTAL (specify below:)
t. 3.
2. 4.
2.k Intake (EliObilitv Determination)
SUBTOTAL SECTION A (Cannot exceed 10% of Section C) ; % 1 $
3.a Coordination with Utility Companies $
3.b Client Needs Assessment(Energy Burden)
3.c Energy Conservation Education
3.d Budget Counseling
3.e Miscellaneous TOTAL(Specify below):
1. 3.
2.
4.
SUBTOTAL SECTION B (No less than 90% of Section C) ; % Is
TOTAL ASSURANCE 16 BUDGET (Section A + B = C) $
CSD537.96
State of California EXHIBIT F
DEPARTMENT of COMMUNITY SERVICES AND DEVELOPMENT
CSD 51 1W. (New 1/96)
1996 LIHEAP WOOD/PROPANE/OIL BUDGET
Contractor Contract Number
. .:.... . .......
C ' :
: » : `«. . . > > ' <`.: ... > ".> > :: S. ' ... ...
La Salaries and Wages $
Lb Fringe Benefits
2.a Facilities
2.b Utilities
2.c Equipment TOTAL (specify below:)
1
3.
2.
4
2.d Telephone- Communications
2.e Travel
21 Accounting
2.2 Audit Costs
2.h Insurance -Bonding
2.i Office Supplies
2.' Miscellaneous TOTAL(specify below:)
..........................................................
1. 3.
2 4.
2.k Intake (Eligibiliv Determination)
SUBTOTAL SECTION A (Cannot exceed 10% of Section C) ; % $
I3I*
3.a Wood Payments $
3.6 Propane Payments
3.c Oil-Pa ments
3.d Other (specify below:
1
3.
2. 4
%
SUBT.. ...O ...
TA....L SECTION B (No less than 90% of Section C) ; $
....
..
..........
.........
.. ................
............ .. ..
M. ......................................................
"T 'r .. .. ... . ..
...... ...
.............
........ . .......... .....
TOTAL WOOD/PROPANE/OIL BUDGET(Sec. A + B=C) $
CSDS I 1 W.96
t t
State of California EXHIBIT G
DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT
CSD 531C(NEW 1/96)
1996 LIHEAP ECIP BUDGET
Contractor Contract Number
La Salaries and Wages $
Lb Frinee Benefits
2.a Facilities .
2.b Utilities
2.c E ui ment TOTAL(specify below:)
I. 3. X.
2.
4
2.d Telephone - Communications
2.e Travel
2.f Accounting
2-g Audit Costs
2.h Insurance - Bonding
2.i Office Supplies
2.' Miscellaneous TOTAL(specify below:)
1. 3.
2 4
2.k Intake (Eligibility Determination)
SUBTOTAL SECTION A (Cannot exceed 10% of Section C) ; % $*
3.a Outreach $ 0
3.b Client Assistance (80% of C) 0
3.c Other (specify below:) 0
1.
3.
2. 4
SUBTOTAL SECTION B (No less than 90% of Section C) % Is 0
............
TOTAL BUDGET(A+ B=C) 11s
* Reserved for LIHEAPIECIP administrative expenses, if ECIP services are provided between January 1, 1996 and March 15, 1996.
If these administrative funds are not used within this aforementioned time frame, they shall be used beginning March 16, 1996 for
HEAP intake and other related HEAP administrative expenses, as set forth in the contract.
CSD537C.96
State of Califoa%a -
DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT
CSD-510(Rev.,1/96)
1996 LIHEAP SCHEDULE OF ENERGY PROGRAM GOALS/EXPENDITURES
Contractor Contract Number
Prepared by (Print Name/Title) Telephone Number
(
W
Report ............ WEATHERIZATION ECIP
Period Blower Door Units Total Dwellings All Expenditures All Households All Expenditures
January
Febmary
March
..
April
June ::>:::>;:<>:.;.;::..::::.::::::,.
JulV
Auust
Se member
October
November
December
T
TO AL
SINGLE MULTI MOBILE HOMES TOTAL
Duplex, Duplex, Apartment Apartment Owner Rental Owner Rental
Owner Rental Triplex Triplex Owner Rental
Owner Ren
HOUSEHOLDS TY3 BE ASSISTED WEATHEMATION
Jan Feb March April May June July Aug Sept Oct Nov Dec Total
Children under 3
Children 3 - 5
Children (b - 18)
Frail/Older 60+) .
Disabled
American Indian
MSFW
Other
TOTAL
HOIJ :HOLDSTORE ASSISTED
Jan Feb March April May June July Aug Sept Oct Nov Dec Total
Children under 3
Children 3 -
Children 6 - 1
... ........... .... ......... ..
X.
Disabled
American Indian
':�'i:ij:.::::: : :{ ::;:::':.+:;:: :`:::::::+�ivii'-:2;:�t4 : ::{.i:."::i:'
Other ::.
TOTAL
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(96 LIHEAP) FF
EXHIBIT K
WEATHERIZATION PRIORITY PLAN
(Board approval required)
Federal law requires that first priority of service be given to households which have the lowest
incomes that pay a high proportion of household income for home energy (energy burden). A
secondary priority shall be given to vulnerable populations: very young children, individuals
with disabilities, and frail older individuals.
After each household's energy burden is calculated and categorized using the priority groups
shown in the chart below, please indicate how the second priority (vulnerable populations) and
any other priorities will be determined. Consider such items as health and safety issues,
scheduling of units within close proximity=of each other, and HEAP recipients referred to the
Weatherization Program. Show any charts, point systems and/or mathematical calculations that
are used to determine priorities.
PRIORITY
GROUPS 1 2 3 4
ENERGY
BURDEN % 15.1% - OVER 10.1% - 15.0% 5.1% - 10.0% 0% - 5.0%
(96 LIHEAP) FF
EXHIBIT L
HEAP PRIORITY PLAN: ELECTRIC/GAS/WOOD/PROPANE/OIL
(Board approval required)
Federal law requires that first priority of service be given to households which have the lowest
incomes that pay a high proportion of household income for home energy (energy burden). A
secondary priority shall be given to vulnerable populations: very young children, individuals
with disabilities, and frail older individuals.
After each household's energy burden is calculated and categorized using the priority groups
shown in the chart below, please indicate how the second priority (vulnerable populations) and
any other priorities will be considered. (A sample priority plan in chart format was distributed at
the LIHEAP workshop and is referenced in the binder under the section labeled "Prioritization".
Contractor may use different or additional priorities and display in any format desired as long as
energy burden and vulnerable populations are considered.)
PRIORITY
GROUPS 1 2 3 4
ENERGY
BURDEN % 15.1% - OVER 10.1% - 15.0% 5.1% - 10.0% 0% - 5.0%
(96 LIHEAP) FF
EXHIBIT M
ECIP PRIORITY PLAN
(Board approval required)
Federal law requires that first priority of service be given to households which have the lowest
incomes that pay a high proportion of household income for home energy (energy burden). A
secondary priority shall be given to vulnerable populations: very young children, individuals
with disabilities, and frail older individuals.
After each household's energy burden is calculated and categorized using the priority groups
shown in the chart below, please indicate how the second priority (vulnerable populations) and
any other priorities will be considered. Show any charts, point systems and/or mathematical
.calculations that are used.
PRIORITY
GROUPS 1 Z 3 4
ENERGY
BURDEN % 15.1% - OVER 10.1% - 15.0% 5.1% - 10.0% 0% - 5.0%
USE OF THIS FORM IS RESERVED FOR A CRISIS
ONLY!
DO NOT COMPLETE AT THIS TIME.
EXHIBIT N
p y� DEPARTMENT OF HEALTH AND HUMAN SERVICES
s*
FAMILY SUPPORT ADMINISTRATION
Z
ui
- ti
le -9 PROGRAM:------------------------------------
tl_ C
a�0 • USA • 6�O`
PERIOD:
The undersigned certifies, to the best of his or her knowledge
and belief, that:
(1) No Federal appropriated funds have been paid or will be paid
by or on behalf of the undersigned, to any person for influencing
or attempting to influence an officer or employee of any agency,
a Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with the awarding
of any Federal contract, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan, or cooperative
agreement.
(2) If any funds other than Federal .appropriated funds have been
paid or will be paid to any person for influencing or attempting
to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a
Member of Congress in zonnection with this Federal contract,
grant, loan, or cooperative agreement, the undersigned shall
complete and submit Standard Form LLL,. ^Disclosure Form to Report
Lobbying, " in accordance with its instructions.
3) The undersigned shall require that the language of this
certification be included in the award document for subawards at ,
all tiers (including subcontracts, subgrants, and contracts
under grants, loans, and cooperative agreements) and that all
subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon
which reliance was placed when this transaction was made or
entered into. Submission of this certification is a prerequisite
for making or entering into this transaction imposed by Section
1352, Title 31, -U.S. Code. Any person who fails to file the
required certification shall be subject to a civil penalty of not
less than $10,000 and not more than $100,000 for each such
failure.
Signature Title
Agency / organization Date
DISCLOSURE OF LOBBYING ACTIMTES "°"° `byOA"
asaa.00+K.
Complete this form to disclose lobbying activities pursuant So 31 USX-1352
Let reverse for public burden discfosure.3
1. Type of Federal Action 2 Status of Fe&rat Action: 1 Report TTI
a. contract s' bky0ifesiapp60tfon t a. fwitiai Sing
L.1 b. grant b. 64tial award 0 b. twa&OW change
c. cooperate agreewtent c 1M
-award FaralerW Chartar 0"'r-
d. loanyear -- 'r1uMa
e. loan guarantee date o!List report
t. loan insurance
4._ Name and Address of Reporting Entity: 5. it Reporting Entity in No.4 is 5ubawardee.Enter Name
and Address of Primo.
O Prime O 5ubawardee
Tia
Con essional DistricL rT lo+own: cortgresaonal District.if brown.
i, Federal Dtpartmtrit/Agenry: 7. Federal Program Na�pfDescription
ICDA Number,if apprK-bfe:
L Federal Active Muasberif bsownz S. Awotd AmoMM,if bwwm
s
10. a. Name and Address of Lobbying Entityb. Individuals ped Services Services tirtdttdin6 address if
ld individual,last tatwte,last game.dryer dW f.0 ,
Ce.r.ywr+r» Sf-ttt M n.csia
112.
1. Arn unt of Parrent(check 0 that apply): 13. Type d Payanvit fche(*&N&X>�yr
s II acus! C planed Q =. retainer
O' b.one-tftne fee
Form of PsymeM khrd aft ifeti iPP O er
cowunwim
O a. cash0 .aotawngz"t ift
D er elefersed
O b. in-kind;specify: nature O •f• ather.spedfy.
value
14. firitf Description of Strikes Pedorased or to be Performed and DateW d Servie+ee imckWbV office.rfsf•ewepbyeel sL
or Merrtber(s).contacted.for Pajow irsdicated in tlemi11:
-Omd►C.nMxr~WWWKII W41—CA
•1S. C.=Uktuation Sbtet(s)SF411-A sttts+cited O Yes O Na
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.;, - :. .... .. ...-.W. S,...:•r,.., ;•. x.,': '�.:F..: 7.. :"r: rvr..,> Tei. fj{M��1'�rM'111•UL
INSTRUCTIONS FOR COMPLETION OF SF•LL.L,DISCLOSURE OF LOBBYING ACTTVMES
This disclosure form shall be completed by the reporting entity, whether subawsrdee or prime Federal recipient, at the
initiation or receipt of a covered Federal aetiM or a material lunge to a previous filing, pursuant to title 31 U.S.C.
section 1352.The filing of a form Is-required for each payment or agneemenrto make payment to any lobbying entity for
influencing or attempting to influence an officer or employee of any agency, &'Member of Congress, an officer or
employee of Congress,or an employee of a Member of Congress in connection with a covered Federal action. Use the
SF-LLL-A Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that
apply for both the initial filing and material lunge report.Refer to the implementing guidance published by the Office of
Management and Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the
outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the-appropriate classification of this report. If this is a foeowup report caused by a material change to the
information previously reported,enter the year and quarter in which the change.occurred.Inter the date of the last
previously submitted report by this reporting entity for this covered Federal action.
4. Enter the full name, address, city, state and rip code of the reporting entity. include Congressional District, if
known.Check the appropriate classification of the reporting entity that designates if it is,or expects to be,a prime
or subawud recipient. Identify the tier of the subawardee, e_g., the first subawaidee of the prime is the IU tier.
Subawards include but are not limited to subrontrarts,subgrants and contract awards under grants.
S. If the organization filing the report in Item 4 cher ki'Subawardee',then enter the full name,address.city,stat••.card
sip code of the prime Federal recipient,. t,argressional District,if known.
6. Enter the name of the Federal agency making tfw award or loan commitment. Include at least one organizatiu„al
. level below agency name,if known. For example, Department of Transportation,United Stites Coast Guard.
7. Enter the Federal program name or description for the coveted Federal action (item U. •If known, enter the full
Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements. loans, and loan
commitments.
E. Fater the most appropriate Federal identifying number available for the Federal action Identified in item 1 (e.g.,
Request for Proposal (RFP) number. Invitation for Bid (IFB) number, grant announcement number, the contract
grant or loan award number, the applicatuxVproposal control number assigned by the Federal agency. Include
prefixes,e.g.'RFP-OE-40.001
4. For a covered Federal action where there has been an award or loan commitment by the Federal agency.enter the
Federal amount of the award4cian commitment for the prime entity identified In item 4 or S.
10. (a)Enter the full name, address, city, state and sip code of the bbbying entity engaged by the reporting entity
identified In item 4 to influence the covered Federal action.
(b)Enter the full names of the individuals) performing services, and include full address if different from 10 (a).
Muer list Name,First Namer and Middle initial(MI).
11. tinter the amount of compentation paid or reasonably expected to be paid by the reporting entity Ctem U to the
lobbying entity(item 10). Indicate whedw the payment has been made(actual)or will be made(planned). Check
all boxes that apply. If this is a material change report.enter the cumulative amount of payment made or planned
to be made.
12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an k0drui contribution,
specify the nature and value of the in-kind payment;
13. Check the appropriate box(es). Check all boxes that apply. If other,specify nature.
14. Provide a specific and detailed description of the services that the lobbyist has performed, or wilt be expected to
perforn,and the date(s)of any services rendered.Include all preparatory and related activity,not fust time spent in
actual contact with Federal officials. Identify the federal official(s) or employee(s) contacted or the officer(s),
emptoyee(s),or Member(:)of Congress that were contacted
IS. Check whether or not a SF-UL-A Continuation Sheet(s)is attached
16. The certifying official shall sign and date the torn{print his/her none,tide,and telephone number.
Public reporting burden for dw caiiection of infoenadon is estimated to average 34 mirtues per resporw-indudim time for reviewing
k utructiom wardung'exacnt dau sourcm gathering and mainuining the daa needed and cc ipieting and m iewirrg the collection of
ir"instwL Send eonwrietru regarding dee burden esornaw or arty odw aspect of chis eolkedon of inforntselort,including suggesooru
for reducing this burden.to the Office of Management and Budget.fraperwork Reduction tricoe (034641046).Wastwsgtom D.C.2tlStll.
DISCLOSURE OF LOBBYING ACTIVES o yo.,w
CONTINUATION SHM
Repof"ErA r Page *9
s
OAOWW *d Mr UWAI
suowmd Fw"•{LLr►