HomeMy WebLinkAbout8.1 Workforce Housing Reward Grant
CITY CLERK
File # D~~[Q1-~ 50
X,;"?o-2C
AGENDA STATEMENT
CITY COUNCIL MEETING DATE: October 17, 2006
SUBJECT:
Approval of a Resolution to enter into a Standard Agreement with
the State of California to secure a Workforce Housing Reward Grant
from the Department of Housing and Community Development.
Report Prepared by: Jeri Ram, Community Development Director
ATTACHMENTS:
1) Resolution authorizing execution of a Standard Agreement
with the State of California to secure the awarded Workforce
Housing Reward Grant funds and authorizing the City
Manager to execute the Standard Agreement on behalf of the
City of Dublin
2) State of California Standard Agreement for the City of Dublin
to utilize the funds awarded through the Workforce Housing
Reward Grant Program
RECOMMENDATION: ~1)
~~ 2)
Receive Staff Report; and
Adopt Resolution authorizing execution of a State of
California Standard Agreement for use of the previously
awarded Workforce Housing Reward Grant funds and
authorizing the City Manager to execute the Agreement on
behalf of the City of Dublin.
FINANCIAL STATEMENT:
Executing a State of California Standard Agreement will allow for
the City of Dublin to utilize the $363,955 awarded through the State
Workforce Housing Reward Grant Program.
DESCRIPTION:
In May 2005 the State of California issued a Notice of Funding Availability (NOFA) for a Workforce
Housing Rewards Grant Program that was available to cities that: 1) have a certified Housing Element; 2)
have turned in the required Compliance Report for 2005; and, 3) have provided very low- and low-income
housing in their communities.
COPY TO: In House Distribution
Page 1 of 2 0.1
ITEM NO. ~
K:\Housing Grants\ Workforce Housing Reward Grant 05\ WFHRP 2004\CCSR WHRP State Contract 06Finall 0-17-06.doc
C;~
The City of Dublin has met the conditions required by the Grant and was awarded $363,955.00 from the
State Department of Housing and Community Development. This money is earmarked for use in the
construction of a new Community Center at Shannon Park.
The State Department of Housing and Community Development is requiring execution of a Standard
Agreement to secure the awarded Workforce Housing Grant funds. The attached Resolution authorizes
the City of Dublin to enter into the Agreement and authorizes the City Manager to execute the Agreement
as the authorized City representative identified in the City's Grant Application.
RECOMMENDATION:
Staff recommends that the City Council: 1) Receive Staff Report; and 2) Adopt Resolution authorizing
execution of a State of California Standard Agreement and authorizing the City Manager to execute the
Agreement on behalf of the City of Dublin.
Page 2 of2
RESOLUTION NO. XX - 06
A RESOLUTION OF THE CITY COUNCIL
OF THE CITY OF DUBLIN
********************************************
AUTHORIZING THE EXECUTION OF A STANDARD AGREEMENT TO SECURE A
WORKFORCE HOUSING REWARD GRANT FROM THE STATE OF CALIFORNIA,
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AND AUTHORIZING
THE CITY MANAGER AND/OR HIS DESIGNEE TO EXECUTE IN THE NAME OF THE CITY
OF DUBLIN THE STANDARD AGREEMENT AND RELATED DOCUMENTS
WHEREAS, funding for the Workforce Housing Reward Grant has been made available pursuant
to the Housing and Emergency Shelter Trust Fund of 2002 (Proposition 46); and
WHEREAS, City has submitted an application in response to the Application Package released
December 2005 by the Department for the Workforce Housing Reward Grant; and
WHEREAS, the City of Dublin has received notification that upon signature of the Standard
Contract, the City will receive grant funds in the amount of$363,955.00.
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City authorizes
execution of a Standard Agreement with the State of California, Housing and Community Development
Department for participation in the Workforce Housing Rewards Grant and will use the funds for
allowable capital assets as identified in Exhibit A of the Agreement. The application in full is
incorporated as part of the Agreement and any and all activities funded, information provided, and
timelines represented in the application are enforceable through the Agreement. The City hereby agrees to
use the funds for eligible capital assets in the manner presented in the application as approved by the
Department and in accordance with the NOF A and Program Guidelines and Application Package for
participation in the Workforce Housing Reward Grant Program; and
BE IT FURTHER RESOLVED that the City Council of the City authorizes the City Manager
and/or his designee to execute in the name of the City of Dublin the Standard Agreement of the State of
California, Housing and Community Development Department Program.
PASSED, APPROVED AND ADOPTED this 17 th day of October, 2006 by the following votes:
AYES:
NOES:
ABSENT:
ABSTAIN:
Mayor
ATTEST:
City Clerk
K:\Housing Grants\Workforce Housing Reward Grant 05\ WFHRP 2004\CCReso AuthorizIng CM on docs 1 0-17 -06.doc
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Attachment 1
STATE OF CALIFORNIA
STANDARD AGREEMENT
STD 213 (Rev 06/03)
~ l1'b It.\-
AGREEMENT NUMBER
05-WFH-102
REGISTRATION NUMBER
N/A
1. This Agreement is entered into between the State Agency and the Contractor named below:
STATE AGENCY'S NAME
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
CONTRACTOR'S NAME
City of Dublin
2. The term of this
Agreement is:
3. The maximum amount
of this Agreement is:
4. The parties agree to comply with the terms and conditions of the following exhibits which are by this reference made a
part of the Agreement.
Upon HCD Approval
through
June 30, 2009
$ 363,955.00
Exhibit A - Authority, Purpose and Scope of Work 2 page( s)
Exhibit B - Budget Detail and Payment Provisions 2 page( s)
Exhibit C - HCD General Terms and Conditions 2 page(s)
Exhibit D - State of California General Terms and Conditions 6 page( s)
Exhibit E - Special Terms and Conditions N/A page( s)
Exhibit F - Additional Provisions N/A page( s)
TOTAL NUMBER OF PAGES ATTACHED: 12 pages
IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto.
CONTRACTOR California Department of General
Services Use Only
CONTRACTOR'S NAME (if other than an individual, state whether a corporation, partnership, etc.)
City of Dublin
BY (Authorized Signature) DATE SIGNED(Do not type)
~
PRINTED NAME AND TITLE OF PERSON SIGNING .
ADDRESS
100 Civic Plaza
Dublin, CA 94568
STATE OF CALIFORNIA
AGENCY NAME
Department of Housing and Community Development
BY (Authorized Signature) DATE SIGNED(Do not type)
P'\
PRINTED NAME AND TITLE OF PERSON SIGNING
Susan J. Phillips, Manager, Budgets and Contracts Branch [8] Exempt from: Department of
General Services
ADDRESS Approval
1800 Third Street, Room 350, Sacramento, CA 95814
Attachment 2
City of Dublin
05-WFH-102
Page 1 of 2
EXHIBIT A
Authority, Purpose and Scope of Work
1. Authority
Pursuant to Chapter 3.8 of Part 2 of Division 31 of the Health and Safety Code,
commencing with Section 50550, as added by Section 2 of Chapter 482 of the
Statutes of 2002, the State has established the Workforce Housing Reward
Program (the "Program"). This Agreement is entered into under the authority of,
and in furtherance of the purposes of, the Program as set forth in Health and
Safety Code Section 50550. Pursuant to Health and Safety Code Section
50550.1, known as the Workforce Housing Reward Program, the State has
issued a Notice of Funding Availability and Guidelines (NOFA) governing the
Program.
2. Purpose
In accordance with the authority cited above, the Contractor has applied to the
State for financial assistance in the form of a Grant from the Program (the
"Grant"). The State has agreed to make the Grant, as a financial incentive based
on the issuance of building permits, for housing units affordable to very low and
low-income households by the Contractor pursuant to the terms of the NOFA.
Based on the representations made in the Contractor's Application, which is
hereby incorporated as if set forth in full, the State shall provide a Grant in the
amount shown below for the purpose of paying for the capital improvement(s).
The State and the Contractor have agreed to enter into this Agreement in
accordance with the terms and conditions herein, subject to all the provisions of
the applicable statutes, the NOFA, and further subject to the State laws and
requirements governing State contracts.
3. Scope of Work
. Reconstruction of the Shannon Community Center
City of Dublin
05-WFH-102
Page 2 of 2
EXHIBIT A
Authority, Purpose and Scope of Work
4. Terms
No work performed prior to the effective date or after the termination or expiration
date of the contract is to be funded. The effective date of this Agreement is the
date upon which it is executed by the State after execution by the Contractor. All
projects must be identified and encumbered no later than June 30, 2007. All
funds must be requested from the Department no later than May 30, 2009. For
the purpose of this agreement, no funds will be disbursed which have a request
dated after May 30, 2009. It is the responsibility of the Contractor to monitor the
project and timeliness of draws within the specified dates.
5. Amount of Grant
The total amount of this Grant is $ 363,955.00.
City of DUblin
05-WFH-102
Page 1 of 2
EXHIBIT B
Budget Detail and Payment Provisions
1. Allowable Uses of Grant Funds
Grant funds shall only be used for projects approved by the State that involve the
construction, rehabilitation and/or acquisition of capital assets as defined by
Government Code, Section 16727(a) that benefit the community within the
Contractor's jurisdiction. Capital assets include tangible physical property with
an expected useful life of 15 years or more, equipment with an expected useful
life of two years or more, or major maintenance, reconstruction, demolition for
purposes of reconstruction and/or retrofitting work.
Incidental expenses shall not be paid by Grant funds unless they are directly
related to the construction or acquisition of an eligible capital asset. Such
expenses include costs associated with planning, engineering, construction
management, environmental impact reports, appraisals, site acquisitions or
necessary easements.
Grant funds shall not be expended for the administrative costs of persons directly
e01ployed by the Contractor or for other "soft" costs that are not directly related to
the construction or acquisition of capital assets.
2. Work to be Performed
Contractor shall take such actions, pay such expenses and do all things
necessary to complete the work specified in Exhibit A in accordance with the
schedule for completion set forth therein and within the terms and conditions of
this Agreement.
3. Fiscal Administration
A. Term: The effective date of this Agreement is the date upon which it is -
executed by the State after execution by the Contractor. All funds must be
encumbered by the Contractor by June 30, 2007. This Agreement shall
terminate no later than June 30, 2009, by which date the Contractor must
have expended all Grant funds.
B. The Contractor shall make any and all request(s) for disbursement no
earlier than 90 days from the anticipated need for the funds, using the
forms provided by the State. The forms are available at
http://www.hcd.ca.qov/fa/whrp. The Contractor shall expend the funds
within 90 days from the date of receipt from the State, or by June 30,
2009, whichever occurs earlier.
C. Failure to expend contract funds in a timely manner may affect future
funding under this Program.
City of Dublin
05-WFH-102
Page 2 of 2
EXHIBIT B
Budget Detail and Payment Provisions
D. A separate checking account for the Grant funds is not required.
However, the Contractor shall deposit Grant funds in an interest bearing
checking or savings account, or the State may require the Contractor to
deposit all Grant funds into a segregated account in an institution whose
deposits are insured by the federal or state government. All interest
earned from the deposit of Grant funds shall be used for allowable,
Program purposes and accounted for to the State. All funds not expended
within 90 days of receipt shall be returned to the State with accrued
interest.
E. The Contractor shall make a good faith effort to minimize the number of
disbursement requests to the State by anticipating and requesting in
advance the maximum amount of funds that can be expended within the
90 day time frame.
F. The Contractor shall inform the State within a reasonable amount of time
in the event that expenditures related to an authorized project(s) are less
than the total Grant award. The Contractor may expend the balance of
Grant funds on additional capital assets projects, upon written State
approval. Contractor shall provide the State with a letter of request that
describes the additional project(s) to be funded.
G. The Contractor shall immediately inform the State, no later than
September 1, 2008, if it is anticipated that the Contractor will not be able
to expend all Grant funds by June 30, 2009.
H. The Contractor is responsible for maintaining records which fully disclose
the activities funded by the Grant. Adequate documentation of each
transaction shall be maintained to permit the determination, through an
audit if requested by the State, of the accuracy of the records and the -
allowability of expenditures charged to Grant funds. If the allowability of
expenditure cannot be determined because records or documentation are
inadequate, the expenditure may be disallowed, and the State shall
determine the reimbursement method for the amount disallowed. The
State's determination of the allowability of any expense shall be final,
absent fraud, mistake or arbitrariness.
I. Any unexpended funds remaining at the end of the contract period or
termination date must be returned to the State with accrued interest.
Checks shall be made payable to the Department of Housing and
Community Development (HCD) and shall be mailed within thirty (30) days
of the contract termination or expiration date.
City of Dublin
05-WFH-102
Page 1 of 2
EXHIBIT C
HCD General Terms and Conditions
1. Report ReQuirements
During the term of the agreement, the Contractor shall submit the following
reports by the deadlines specified, or as otherwise required at the discretion of
the State.
A. The contractor shall submit bi-annual reports to the State 30 days after
June 30th and December 31st of each year during the term of the
agreement, for as long as the Contractor has not expended all Grant
funds. The bi-annual report shall contarn (1) the progress the Contractor
has made in completing the approved projects partially or wholly funded
by the Grant, including a description of the community benefit, (2) the
amount of Grant funds drawn down and expended to date by the
Contractor, and (3) a description of projects completed. The Contractor
should use the forms provided by the State. The forms are available at
http://www.hcd.ca.qov/fa/whrp .
B. Upon complete expenditure of the Grant funds, the Contractor shall submit
a Final Report in a manner satisfactory to the State. The Final Report
shall be submitted to the State within 60 days of the final Grant funds
being expended or by August 30, 2009, whichever date is sooner. The
final report shall contain (1) a description of the final capital assets
constructed or purchased with the Grant funds, and (2) the number of
certificates of occupancy issued in relation to the number of building
permits issued in program year. The Contractor shall use the forms
provided by the State. The forms are available at
http://www.hcd.ca.qov/fa/whrp.
2. State Coordinator
The coordinator of this Agreement for the State is the Program Manager for the
Workforce Housing Reward Grant Program, Division of Housing Policy
Development. Any notice, report, or other communication required by this
Agreement shall be mailed first class to the State Coordinator at the following
address:
Department of Housing and Community Development
Division of Housing Policy Development
1800 3rd Street, Room 430
P.O. Box 952053
Sacramento, California 94252-2053
Attention: WFH Program Manager
City of Dublin
05-WFH-102
Page 2 of 2
EXHIBIT C
HCD General Terms and Conditions
3. Audit/Retention and Inspection of Records
Contractor agrees that the State or its delegatee will have the right to review,
obtain, and copy all records pertaining to performance of this Agreement.
Contractor agrees to provide the State or its delegatee with any relevant
information requested and shall permit the State or its delegatee access to its
premises, upon reasonable notice, during normal business hours for the purpose
of interviewing employees and inspecting and copying such books, records,
accounts, and other material that may be relevant to a matter under investigation
for the purpose of determining compliance with Public Contract Code
section 10115 et seq., Government Code section 8546.7 and Title 2, California
Code of Regulations, section 1896.60 et seq. Contractor further agrees to
maintain such records for a period of three (3) years after final payment under
this Agreement. Contractor shall comply with the caveats and be aware of the
penalties for violations of fraud and for obstruction of investigation as set forth in
Public Contract Code section 10115.10.
4. Special Conditions
The State reserves the right to add any special conditions to this Agreement it
deems necessary to assure that the policy and goals of the Program are
achieved.
5. Prevailing Wages
A. Where funds provided through this Agreement are used for construction
work, or in support of construction work, Contractor shall ensure that the
requirements of Chapter I (commencing with Section 1720) of Part 7 of the
Labor Code (pertaining to the payment of prevailing wages and
administered by the California Department of Industrial Relations) are met.
B. For the purpose of this requirement "construction work" includes, but is not
limited to rehabilitation, alternation, demolition, installation or repair done
under contract and paid for, in whole or in part, through this Agreement.
All construction work shall be done through the use of a written contract,
with the properly licensed building contractor incorporating these
requirements (the "construction contractor"). Where the construction
contract will be between the Contractor and a licensed building contractor
the Contractor shall serve as the "awarding body" as that term is defined
in the Labor Code. Where the Contractor will provide funds to a third party
that will enter into the construction contract with a licensed building
contractor, the third party shall serve as the "awarding body". Prior to any
disbursement of funds, including but not limited to release of any final
retention payment, the State may require a certification from the awarding
body that prevailing wages have been or will be paid.
City of Dublin
05-WFH-102 U
Page 1 of 6
(Rev. 10/05)
EXHIBIT D
State of California
General Terms and Conditions
1. Approval
This Agreement is of no force and effect until signed by both parties.
2. Amendment
No amendment or variation of the terms of this Agreement shall be valid unless made in
writing and signed by the parties. No oral understanding or Agreement not incorporated
in the Agreement is binding on any of the parties.
3. AssiQnment
This Agreement is not assignable by the Contractor, either in whole or in part, without
the consent of the State in the form of a formal written amendment.
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, suppliers, laborers and any other person. firm or 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. Disputes
Contractor shall continue with the responsibilities under this Agreement during any
dispute.
6. Termination for Cause
The State may terminate this Agreement and be relieved of any payments should the
Contractor fail to perform the requirements of this Agreement at the time and in the
manner herein provided. ! . -
7. Independent Contractor
Contractor, and the agents and employees of Contractor, in the performance of this
Agreement. shall act in an independent capacity and not as officers or employees or
agents of the State.
City of Dublin
05-WFH-102 - U
Page 2 of 6
(Rev. 10/05)
EXHIBIT 0
State of California
General Terms and Conditions
8. Non-Discrimination Clause
A. During the performance of this Agreement, 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. Contractor 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 12990 (a-f) et seq.) and the applicable regulations
promulgated thereunder (California Code of Regulations, Title 2, Section 7285 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 Agreement 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.
B. Contractor shall include the nondiscrimination and compliance provisions of this
clause in all subcontracts to perform work under the Agreement.
9. Timeliness
Time is of the essence in this Agreement.
10. Governina Law
This Agreement is governed by and shall be interpreted in accordance with the laws of .
the State of California.
11. Child Support Compliance Act
If this Agreement is in excess of $100,000, by executing this Agreement, Contractor
acknowledges and agrees to the following:
A. Contractor recognizes the importance of child and family support obligations and
shall fully comply with all applicable state and federal laws relating to child and
family support enforcement, including, but not limited to, disclosure of information
and compliance with earnings assignment orders, as provided in Chapter 8
(commencing with section 5200) of Part 5 of Division 9 of the Family Code; and
City of Dublin
05-WFH-102 .U
Page 3 of 6
(Rev. 10105)
EXHIBIT 0
State of California
General Terms and Conditions
B. Contractor, to the best of its knowledge is fully complying with the earnings
assignment orders of al/ employees and is providing the names of al/ new
employees to the New Hire Registry maintained by the California Employment
Development Department.
12. Severability
In the event that any provISion of this Agreement is unenforceable or held to be
unenforceable, then the parties agree that al/ other provisions of this Agreement have
force and effect and shall not be affected thereby.
13. DruQ-Free Workplace Requirements
Contractor shall comply with the requirements of the Drug-Free Workplace Act of 1990
(Government Code Section 8350 et seq.) and shall provide a drug-free workplace by
taking the following actions:
A. Publish a statement notifying employees that unlawful manufacture, distribution,
dispensation, possession, or use of a controlled substance is prohibited and
specifying actions to be taken against employees for violations.
B. Establish a Drug-Free Awareness Program to inform employees about (1) the
dangers of drug abuse in the workplace; (2) the Contractor's policy of maintaining
a drug-free workplace; (3) any available counseling, rehabilitation and employee
assistance programs; and (4) penalties that may be imposed upon employees for
drug abuse violations.
C. Every employee who works on the proposed contract will: (1) receive a copy of
the Contractor's drug-free workplace policy statement; and (2) agree to abide by .
the terms of the Contractor's statement as a condition of employment under this
agreement.
Failure to comply with these requirements may result in suspension of payments under
the Agreement or termination of the Agreement or both and Contractor may be ineligible
for award of any future State agreements if the department determines that any of the
following has occurred: (1) the Contractor has made false certification, or violated the
certification by failing to carry out the requirements as noted above. (Government Code
section 8350 et seq.)
City of Dublin
05-WFH-102 U
Page 4 of 6
(Rev. 10/05)
EXHIBIT D
State of California
General Terms and Conditions
DOING BUSINESS WITH THE STATE OF CALIFORNIA
The following laws apply to persons or entities doing business with the State of
California:
14. Conflict of Interest
Contractor needs to be aware of the following provisions regarding current or former
state employees. If Contractor has any questions on the status of any person rendering
services or involved with the Agreement, the awarding agency must be contacted
immediately for clarification.
A. Current State Employees (Public Contracts Code section 10410):
1. No officer or employee shall engage in any employment, activity or
enterprise from which the officer or employee receives compensation or
has a financial interest and which is sponsored or funded by any state
agency, unless the employment, activity or enterprise is required as a
condition of regular state employment.
2. No officer or employee shall contract on his or her own behalf as an
independent Contractor with any state agency to provide goods or
services.
B. Former State Employees (Public Contracts Code section 10411):
1. For the two-year period from the date he or she left state employment, no
former state officer or employee may enter into a contract in which he or
she engaged in any of the negotiations, transactions, planning,
arrangements or any part of the decision-making process relevant to the -
contract while employed in any capacity by any state agency.
2. For the twelve-month period from the date he or she left state
employment, no former state officer or employee may enter into a
contract with any state agency if he or she was employed by that state
agency in a policy-making position in the same general subject area as
the proposed contract within the 12-month period prior to his or her
leaving state service.
C. If Contractor violates any provisions of above paragraphs, such action by
Contractor shall render this Agreement void. (Public Contracts Code section
10420).
City of Dublin
05-WFH-102 "'V
Page 5 of 6
(Rev. 10/05)
EXHIBIT 0
State of California
General Terms and Conditions
D. Members of boards and commissions are exempt from this section if they do not
receive payment other than payment of each meeting of the board or
commission, payment for preparatory time and payment for per diem. (Public
Contracts Code section 10430 (e))
15. Labor CodelWorkers' Compensation
Contractor needs to be aware of the provisions which require every employer to be
insured against liability for Worker's Compensation or to undertake self-insurance in
accordance with the provisions, and Contractor affirms to comply with such provisions
before commencing the performance of the work of this Agreement. (Labor Code section
3700)
16. Americans With Disabilities Act
Contractor assures the State that it complies with the Americans with Disabilities Act
(ADA) of 1990, which prohibits discrimination on the basis of disability, as well as all
applicable regulations and guidelines issued pursuant to the ADA. (42 U.S.C. 12101 et
seq.)
17. Contractor Name Change
An amendment is required to change the Contractor's name as listed on this Agreement.
Upon receipt of legal documentation of the name change, the State will process the
amendment.
18. Corporate Qualifications to Do Business in California
A. If Contractor is a corporation, the State may verify that the Contractor is currently _
qualified to do business in California in order to ensure that all obligations due to
the State are fulfilled.
8. "Doing business" is defined in R&TC Section 23101 as actively engaging in any
transaction for the purpose of financial or pecuniary gain or profit. Although there
are some statutory exceptions to taxation, rarely will a corporate contractor
performing within the State not be subject to the franchise tax.
C. Both domestic and foreign corporations (those incorporated outside California)
must be in good standing in order to be qualified to do business in California. If
Contractor is a corporation, the State will determine whether Contractor is in
good standing by contacting the Office of the Secretary of State.
City of Dublin
05-WFH-102 U
Page 6 of 6
(Rev. 10105)
EXHIBIT D
State of California
General Terms and Conditions
19. Resolution
A county, city, or city and county must provide the State with a copy of a resolution of the
local governing body which by law has authority to enter into an agreement, authorizing
execution of the agreement.
20. Air or Water Pollution Violation
Under the State laws, the Contractor shall not be: (1) in violation of any order or
resolution not subject to review promulgated by the State Air Resources Board or an air
pollution control district; (2) subject to cease and desist order not subject to review
issued pursuant to Section 13301 of the Water Code for violation of waste discharge
requirements or discharge prohibitions; or (3) finally determined to be in violation of the
provisions of federal law relating to air or water pollution.
21. Payee Data Record Form Std. 204
This form must be completed by all contractors that are not another state agency or
other government entity.
22. National Labor Relations Board Certification
If Contractor is receiving federal funds under this Agreement, Contractor certifies that no
more than one (1) 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 failure to comply with an order of a Federal court, which orders
Contractor to comply with an order of the National Labor Relations Board. (Not
applicable to public entities.)
23. Domestic Partners
For contracts executed or amended after July 1, 2004, the contractor may elect to offer
domestic partner benefits to the contractor's employees in accordance with Public
Contract Code section 10295.3. However, the contractor cannot require an employee to
cover the costs of providing any benefits which have otherwise been provided to all
employees regardless of marital or domestic partner status.