HHAP-5 AGREEMENT FLOOD BAKERSFIELD MINISTRIES, INC. Page 1 AGREEMENT NO. ___________________
FLOOD BAKERSFIELD MINISTRIES, INC.
HOMELESS HOUSING ASSISTANCE AND PREVENTION
ROUND 5 GRANT AGREEMENT FOR
STREET OUTREACH
This INDEPENDENT CONTRACTOR’S AGREEMENT (“Agreement”) is made and entered into on _______________________, by and between the CITY OF BAKERSFIELD, a municipal corporation (referred to herein as “CITY”), and FLOOD BAKERSFIELD MINISTRIES, INC a California Non -Profit Public Benefit Corporation authorized to do business in California (referred to herein as “CONTRACTOR”).
R E C I T A L S
WHEREAS, in July 2019, the Governor of California and Legislature approved Assembly Bill 83, which provided funding to local governments under the Homeless Housing Assistance and Prevention Program (HHAP funding or funds ); and
WHEREAS, in July 2023, the Governor of California and Legislature approved Assembly Bill 129, which provided additional funding to local governments under the HHAP Round 5 Program (HHAP-5); and
WHEREAS, CONTRACTOR has requested assistance to maintain street outreach services in CITY; and
WHEREAS, CONTRACTOR represents that CONTRACTOR is experienced, well qualified and a specialist in the field of homelessness and street outreach.
NOW, THEREFORE, incorporating the foregoing recitals herein, CITY and CONTRACTOR mutually agree as follows:
1. SCOPE OF WORK . In exchange for the Compensation (defined below), CONTRACTOR shall provide two (2) street outreach teams to deliver assistance and facilitate connections to emergency shelters, housing vouchers, homeless services, and other community resources for citizens experiencing homelessness within CITY. The full scope of the HHAP funding, including Eligible Uses and Project Outcomes , are set forth in Schedule A attached hereto and incorporated by reference herein. The Scope of Work shall include all items and procedures necessary to properly complete the task CONTRACTOR has been hired to perform, whether specifically included in the Scope of Work or not.
2. COMPENSATION/PAYMENT PROCEDURE . Subject to the conditions of this section, CITY will pay CONTRACTOR as follows for performing the Scope of Work (“Compensation”):
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(1) CITY agrees to pay the first twenty -five percent (25%) of total compensation, not to exceed SEVENTY -FIVE THOUSAND DOLLARS ($75,000) to CONTRACTOR, upon execution of this Agreement by all parties.
(2) CONTRACTOR shall properly document Funds spent to clearly show items, tasks, or services for which CONTRACTOR utilized Funds on an itemized invoice, as described in Exhibit “A” attached hereto and incorporated by reference herein, for work completed in accordance with the Scope of Work.
(3) Upon approval and receipt by CITY of itemized invoice(s) from CONTRACTOR of Funds showing items, tasks, or services for which CONTRACTOR utilized at least $50,000 of the first installment of compensation Funds, CONTRACTOR shall be eligible for
reimbursement of Funds up to another TWO HUNDRED TWENTY -FIVE THOUSAND DOLLARS ($225,000).
(4) Reimbursement(s) of these Funds (the second installment of $225,000) will be paid after receipt of an itemized invoice(s), as described in Exhibit “A” attached hereto and incorporated by reference herein, for work completed and approved by CITY in accordan ce with the terms of this Agreement.
(5) CONTRACTOR will not receive any reimbursement of Funds after the first $50,000 without satisfactory documentation as explained above.
CITY shall review all itemized documentation for completeness and accuracy and may dispute any expenditures until explained to CITY’s satisfaction.
The Compensation set forth above will be the total amount paid to CONTRACTOR for performing the Scope of Work and includes, but is not limited to, all out -of-pocket costs and taxes. CITY will pay CONTRACTOR within thirty (30) days after CONTRACTOR submits an itemized invoice for the portions of the Scope of Work completed and that invoice is approved by CITY. CITY will pay no other compensation to CONTRACTOR. In no case will CITY compensate CONTRACTOR more than THREE HUNDRED THOUSAND DOLLARS ($300,000) for performing the Scope of Work.
3. TERM. Unless terminated sooner, as set forth herein, this Agreement shall terminate on December 31, 2026.
4. TERMINATION. Either party may terminate t his Agreement after giving the other party written notice, as provided herein, ten (10) days before the termination is effective.
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4.1 All Funds received by CONTRACTOR that are not properly itemized and approved by CITY shall be returned and are due and payable from CONTRACTOR to CITY immediately.
5. ACCOUNTING RECORDS . CONTRACTOR shall maintain accurate accounting records and other written documentation pertaining to all costs incurred in performance of this Agreement. Such records and documentation shall be kept at CONTRACTOR's office during the term of this Agreement, and for a period of three (3) years from the date of the final payment hereunder, and made available to CITY representatives upon request at any time during regular business hours.
6. ASSIGNMENT. Neither this Agreement nor any rights, interests, duties, liabilities, obligations or responsibilities arising out of, concerning or related in any way to this Agreement (including, but not limited to, accounts, actions, causes of action, claims, damages, demands, liabilities, losses, obligations, or reckonings of any kind or nature whatsoever, for compensatory or exemplary and punitive damages, or declaratory, equitable or injunctive relief, whether based on contract, equity, tort or other theories of recovery provided for by the common or statutory law) may be assigned or transferred by any party. Any such assignment is prohibited, and shall be unenforceable and otherwise null and void without the need for further action by the non-assigning party or parties.
7. AUDITS AND INSPECTIONS . All CONTRACTOR records with respect to any matters covered by this Agreement shall be made available to CITY, its designee or the Federal Government, at any time during normal business hours, as often as CITY deems necessary, to audit, examine, and make excerpts or transcripts of all relevant data. Any deficiencies noted in audit reports must be fully cleared by CONTRACTOR within thirty (30) days of receipt. Failure of CONTRACTOR to comply with the above audit requirements will constitute a violation of this Agreement and may result in the withholding of future payments. CONTRACTOR hereby agrees to have an annual audit conducted at CITY’s request.
8. BINDING EFFECT. The rights and obligations of this Agreement shall inure to the benefit of, and be binding upon, the parties to the Agreement and their heirs, administrators, executors, personal representatives, successors and assigns.
9. CLOSE-OUT. CONTRACTOR's obligation to CITY shall not end until all close - out requirements are completed. Activities during this close-out period shall include, but are not limited to, making final payments, disposing of program assets (including the return of all unu sed materials, equipment, unspent cash advances, program income balances, and accounts receivable to CITY), and determining the custodianship of records.
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10. COMPLIANCE WITH ALL LAWS . CONTRACTOR shall, at CONTRACTOR ’s sole cost, comply with all of the requirements of municipal, state, and federal authorities now in force, or which may hereafter be in force, pertaining to this Agreement, and shall faithfully observe in all activities relating to or growing out of this Agreement all municipal ordinances and state and federal statutes, rules or regulations, and permitting requirements now in force or which may hereafter be in force including, without limitation, obtaining a City of Bakersfield business tax certificate (Bakersfield Municipal Code Chapter 5.02) where required.
11. CORPORATE AUTHORITY. Each individual signing this Agreement on behalf of entities represent s and warrant s that they are, respectively, duly authorized to sign on behalf of the entities and to bind the entities fully to each and all of the obligations set forth in this Agreement.
12. COUNTERPARTS. This Agreement may be executed in any number of counterparts, each of which shall be considered as an original and be effective as such.
13. DIRECTION. CONTRACTOR retains the right to control or direct the manner in which the services described herein are performed.
14. EQUIPMENT. CONTRACTOR will supply all equipment, tools, materials and supplies necessary to perform the services under this Agreement.
15. EXECUTION. This Agreement is effective upon the date first written above and is the product of negotiation and all parties are equally responsible for authorship of this Agreement. Section 1654 of the California Civil Code shall not apply to the interpretation of this Agreement.
16. EXHIBITS. In the event of a conflict between the terms, conditions or specifications set forth in this Agreement and those in exhibits attached hereto, the terms, conditions, or specifications set forth in this Agreement shall prevail. All exhibits to which referen ce is made in this Agreement are deemed incorporated in this Agreement, whether or not actually attached.
17. FURTHER ASSURANCES. Each party shall execute and deliver such papers, documents, and instruments, and perform such acts as are necessary or appropriate, to implement the terms of this Agreement and the intent of the parties to this Agreement.
18. GOVERNING LAW. The laws of the State of California will govern the validity of this Agreement and its interpretation and performance. Any litigation arising in any way from this Agreement shall be brought in Kern County, California.
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19. INCLUDED DOCUMENTS. Any bid documents, including, without limitation, special provisions and standard specifications and any Request for Proposals, Request for Qualifications and responses thereto relating to this Agreement are incorporated by reference as though fully set forth herein.
20. INDEMNITY. CONTRACTOR shall indemnify, defend, and hold harmless CITY and CITY’s officers, agents and employees against any and all liability, claims, actions, causes of action or demands whatsoever against them, or any of them, before administrative or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by CONTRACTOR or CONTRACTOR’s employees, agents, independent contractors, companies, or subcontractors in the performance of, or in any way arising from, the terms and provisions of this Agreement whether or not caused in part by a party indemnified hereunder, except for CITY’s sole active negligence or willful misconduct.
21. INDEPENDENT CONTRACTOR . This Agreement calls for CONTRACTOR’s performance of the Scope of Work as an independent contractor.
CONTRACTOR is not an agent or employee of CITY for any purpose and is not entitled to any of the benefits provided by CITY to its employees. This Agreement shall not be construed as forming a partnership or any other association with CONTRACTOR other than that of an independent contractor.
22. INSURANCE.
22.1 Types and Limits of Insurance . In addition to any other insurance or security required under this Agreement, CONTRACTOR must procure and maintain, for the duration of this Agreement, the types and limits of insurance below ("Basic Insurance Requirements").
22.1.1 Automobile liability insurance , providing coverage for owned, non -owned, and hired autos on an occurrence
basis for bodily injury, including death, of one or more persons, property damage , and personal injury, with limits of not less than $1,000,000 per occurrence.
22.1.2 Commercial general liability insurance , unless otherwise approved by CITY’s Risk Manager, providing coverage on
an occurrence basis for bodily injury, including death, of one or more persons, property damage , and personal
injury, with limits of not less than $1,000,000 per occurrence.
The policy must:
22.1.2.1 Provide contractual liability coverage for the terms of this Agreement;
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22.1.2.2 Provide products and completed operations
coverage;
22.1.2.3 Provide premises, operations, and mobile
equipment coverage; and
22.1.2.4 Contain an additional insured endorsement in
favor of CITY and its mayor, council, officers,
agents, employees, and designated volunteers.
22.1.3 Workers' compensation insurance with limits of not less than $1,000,000 per occurrence . I n accordance with the
provisions of Labor Code Section 3700, every contractor will be required to secure the payment of compensation to his employees. Pursuant to Labor Code Section 1861,
CONTRACTOR must submit to CITY the following
certification before beginning any work on the
Improvements:
I am aware of the provisions of Section 3700 of the
Labor Code which require every employer to be
insured against liability for worker’s compensation or
to undertake self -insurance in accordance with the
provisions of that code, and I will comply with such
provisions before commencing the performance of
the work of this contract.
By executing this Agreement, CONTRACTOR is submitting the certification required above.
The policy must contain a waiver of subrogation in favor of CITY and its mayor, council, officers, agents, employees, and designated volunteers.
22.2 General Provisions Applying to All Insurance Types.
22.2.1 All policies required of CONTRACTOR must be written on a first-dollar coverage basis, or contain a deductible
provision. Subject to CITY’s advance approval,
CONTRACTOR may utilize a self -insured retention in any or all of the policies provided, but the policy or policies may not contain language, whether added by endorsement or
contained in the policy conditions, that prohibits
satisfaction of any self -insured provision or requirement by anyone other than the named insured or by any means
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22.2.2 All policies required of CONTRACTOR must be primary insurance as to CITY and its mayor, council, officers, agents, employees, or designated volunteers and any insurance or self-insurance maintained by CITY and its mayor, council, officers, agents, employees, and designated volunteers
must be excess of CONTRACTOR’s insurance and must not
contribute with it.
22.2.3 The insurance required above, e xcept for workers’ compensation insurance, must be placed with insurers with a Best’s rating as approved by CITY’s Risk Manager, but in no event less than A-:VII. Any deductibles, self -insured retentions, or insurance in lesser amounts, or lack of certain types of insurance otherwise required by this Agreement, or insurance rated below Best’s A-:VII, must be declared prior to execution of this Agreement and approv ed by CITY in writing.
22.2.4 The insurance required in this section must be maintained until the Scope of Work is satisfactorily completed as
evidenced by CITY’s written acceptance. All policies must provide that there will be continuing liability thereon, notwithstanding any recovery on any policy.
22.2.5 Full compensation for all premiums which CONTRACTOR is required to pay to satisfy the Basic Insurance Requirements shall be considered as included in the prices paid for the performance of the Scope of Work, and no additional
allowance will be made therefor or for additional premiums which may be required by extensions of the policies of
insurance.
22.2.6 It is further understood and agreed by CONTRACTOR that its liability to CITY will not in any way be limited to or affected by the amount of insurance obtained and carried by
CONTRACTOR in connection with this Agreement.
22.2.7 Unless otherwise approved by CITY, if any part of the Scope of Work is subcontracted, the Basic Insurance Requirements must be provided by, or on behalf of, all subcontractors even if CITY has approved lesser insurance requirements for CONTRACTOR, and all subcontractors must agree in writing to be bound by the provisions of this section.
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23. INTERPRETATION. Whenever the context so requires, the masculine gender includes the feminine and neuter, and the singular number includes the plural.
24. KEY PERSONNEL . At request of CITY, CONTRACTOR shall name all key personnel to be assigned to the work set forth herein. CITY reserves the right to approve key personnel, which approval shall not be unreasonably withheld. Once the key personnel are approved CONTRACTOR shall not change such personnel without the approval of CITY.
25. LICENSES. CONTRACTOR shall, at its sole cost and expense, keep in effect or obtain at all times during the term of this Agreement any licenses, permits and approvals which are legally required for CONTRACTOR to practice its profession and perform the Scope of Work . If CONTRACTOR is a corporation, at least one (1) officer or key employee shall hold the required licenses or professional degrees. If CONTRACTOR is a partnership, at least one (1) partner shall hold the required licensees or professional degrees.
26. MERGER AND MODIFICATION . This Agreement sets forth the entire agreement between the parties and supersedes all other oral or written representations. This Agreement may be modified only in a writing approved by the City Council and signed by all the parties hereto.
27. NO WAIVER OF DEFAULT. The failure of any party to enforce against another party any provision of this Agreement shall not constitute a waiver of that party's right to enforce such a provision at a later time and shall not serve to vary the terms of this Agreement.
28. NON-INTEREST. No CITY officer or employee shall hold any interest in this Agreement (California Government Code section 1090).
29. NOTICES. All notices relative to this Agreement shall be given in writing and shall be personally served or sent by certified or registered mail and be effective upon actual personal service or depositing in the United States mail. The parties shall be addressed a s follows, or at any other address designated by notice:
CITY: CITY OF BAKERSFIELD
CITY HALL
1600 Truxtun Avenue
Bakersfield, California 93301
CONTRACTOR: Executive Director
Flood Bakersfield Ministries, Inc.
1830 Truxtun Avenue, Suite 210
Bakersfield, California 93301
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30. RESOURCE ALLOCATION. All CITY obligations under the terms of this Agreement are subject to the appropriation and allocation of resources by the City Council.
30.1 Resource Allocation of Funds. CITY shall not be obligated to disburse or pay CONTRACTOR any funds until and after CITY receives funds from the appropriate governmental source(s). If CITY does not receive such funds, CITY, at its option, may terminate or suspend this Agreement without any liability to CONTRACTOR until CITY receives such funds. CONTRACTOR shall not be entitled to any damages from CITY if CITY refuses to disburse funds until CITY receives funds, even if CONTRACTOR has detrimentally relied upon this Agreement.
31. SB 854 COMPLIANCE . To the extent Labor Code Section 1771.1 applies to this Agreement, a contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, be subject to the requirements of Section 4104 of the Public Contract Code, or engage in the per formance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Labor Code Section 1725.5. It is not a violation of Labor Code Section 1771.1 for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Labor Code Section 1725.5 at the time the contract is awarded. The prime contractor is required to post job site notices in compliance with California Code of Regulations, Title 8, Section 16451. This project is subject to compliance monitoring and enforcement by the California Department of Industrial Relations.
32. STANDARD OF PERFORMANCE . The Scope of Work shall be performed in conformity with all legal requirements and industry standards observed by a specialist of CONTRACTOR’s profession in California.
33. STARTING WORK. CONTRACTOR shall not begin work until authorized to do so in writing by CITY. No work will be authorized before the date first written above.
34. TAX NUMBERS.
CONTRACTOR’s Federal Tax ID Number
CONTRACTOR is a corporation? Yes No
(Please check one.)
35. THIRD-PARTY CLAIMS. In the case of public works contracts, CITY will timely notify CONTRACTOR of third -party claims relating to this Agreement. CITY shall be allowed to recover from CONTRACTOR, and CONTRACTOR shall pay on demand, all costs of notification.
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36. TITLE TO DOCUMENTS . All documents, plans, and drawings, maps, photographs, and other papers, or copies thereof prepared by CONTRACTOR pursuant to the terms of this Agreement, shall, upon preparation, become CITY property.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed as of the date first written above.
"CITY" “CONTRACTOR”
CITY OF BAKERSFIELD FLOOD MINISTRIES, INC.
By:________________________________ By:_________________________________
KAREN GOH JIM WHEELER
Mayor Executive Director
APPROVED AS TO CONTENT:
ECONOMIC AND COMMUNITY
DEVELOPMENT DEPARTMENT
By:_______________________________
JENNIFER M. BYERS
Director
APPROVED AS TO FORM: COUNTERSIGNED:
(Deputy) City Attorney:_______________________ Finance Director: _____________________
VIRGINIA GENNARO RANDY MCKEEGAN
Insurance:____________
Attachment(s): Schedule “A”
Exhibit “A”
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SCHEDULE “A”
HOMELESS HOUSING ASSISTANCE AND PREVENTION
ROUND 5 (HHAP-5)
FLOOD BAKERSFIELD MINISTRIES, INC.
Purpose of Project
FLOOD MINISTRIES BAKERSFIELD, INC. (Flood Ministries) will provide HHAP-5 grant eligible services related to street outreach for individuals experiencing homelessness within the City of Bakersfield.
Description
Flood Ministries shall provide two street outreach teams for a period of one year to deliver assistance and facilitate connections to emergency shelters, housing vouchers, homeless services, and other community resources for individuals experiencing homelessness within the City of Bakersfield’s jurisdiction.
The total amount of HHAP-5 funds expended for costs associated with street outreach and related eligible uses shall not exceed THREE HUNDRED THOUSAND DOLLARS ($300,000).
Project Outcomes
CONTRACTOR will complete a minimum of 10 client placements per month at Brundage Lane Navigation Center, with the possibility of more placements pending bed availability, and will respond to a minimum of 20 calls for service per month from the City of Bakersfield’s Code Enforcement Unit Rapid Response Team, with the understanding that necessary calls for service may exceed the minimum. In total, over 360 individuals and families experiencing homelessness are expected to be served per year within the City of Bakersfield by this grant funding.
Limitations
CONTRACTOR shall not use HHAP program funding to supplant existing funds for homeless housing, assistance, or prevention.
Time Frame
All funds granted to Flood Ministries shall be completely expended by December 31, 2026.
Data Submission Requirements and Timeline
CONTRACTOR will report on the following, as well as any additional information the CITY deems appropriate or necessary:
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(1) An ongoing tracking of the specific uses and expenditures of any program funds broken out by eligible use stated in agreement, including current status of those funds.
(2) The number of homeless individuals served by the program funds in that year and a total number served in all years of the program, as well as the homeless population served.
Other Requirements
HMIS
CONTRACTOR will collect and evaluate data to be entered into the Housing Management Information System (HMIS). The data will be entered into a local HMIS using HUD’s standards for participation.
CONTRACTOR shall provide confirmation to CITY monthly that CONTRACTOR’s HMIS data are current and corrections requested by HMIS Lead have been submitted.
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EXHIBIT “A”
INVOICING AND BUDGET DETAIL
1. INVOICE PACKAGES.
1.1 No disbursement under this Agreement will be made except (a) after CONTRACTOR’s Executive Director and Financial Manager(s) attend a Contract Workshop conducted by CITY, and (b), upon receipt of an acceptable “Contractor Payment Request” duly executed by or on behalf of the CONTRACTOR. The CONTRACTOR must execute all Payment Request forms. A completed CONTRACTOR Payment
Request form must accompany all invoice packages. All invoice packages shall be submitted to CITY’s Community Development Department not to exceed one invoice package per month and in the minimum amount of $500.00 except for the final funding draw invoice. Each month’s Payment Request shall be for a one calendar month period of time such as July, August, September , etc. Except for the first Payment Request to be processed which may include all months beginning with the new fiscal year of July 1, 2025 and prior to the month ending for the date of the execution of the agreement.
The address for submittal is:
Economic & Community Development
City of Bakersfield
1600 Truxtun Avenue, 3rd Floor
Bakersfield, CA 93301
1.2 Payment of any invoice shall be made only after receipt of a complete, adequately supported, properly documented, and accurately addressed invoice. Invoices received by CITY that are not consistent with the approved format will be cause for an invoice to be disputed. In the event of an invoice dispute, CITY will notify CONTRACTOR by initiating an “Invoice Dispute Notification” form.
Payment will not be made until the dispute is resolved and a corrected invoice submitted. Failure to use the address exact ly as provided above may result in return of the invoice to CONTRACTOR.
Payment shall be deemed complete upon deposit of the payment, properly addressed, postage prepaid, in the United States mail. All invoices must be approved by City.
1.3 Notwithstanding any other provision of this Agreement, no disbursement shall be required at any time or in any manner which is in violation of or in conflict with federal or state laws, rules, or regulations.
1.4 CONTRACTOR shall provide proof of payment to CITY for each invoice submitted for payment under this Grant. If CONTRACTOR is not able to demonstrate proof of payment, CITY, at its discretion, may not issue a check.
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1.5 The invoice shall contain the following information:
1.5.1 The word “INVOICE” and a sequential invoice number should appear in a prominent location at the top of the page(s);
1.5.2 Printed name of the service provider or contractor, along with business address, including P.O. Box, City, State, and Zip Code and Telephone Number;
1.5.3 Printed name of CONTRACTOR, along with business address, including P.O. Box, City, State, and Zip Code and Telephone Number;
1.5.4 The date of the invoice along with the number of the Agreement upon which the invoice is based;
1.5.5 All subcontractor invoices must be listed on the invoice; a copy of the subcontractor invoice should be attached to the service provider/contractor’s invoice;
1.5.6 A brief description of the work performed, including dates of performance and the name or initials of the person performing the work;
1.5.7 The method of computing the amount due.d Invoices must be itemized based on the tasks specified in the Agreement;
1.5.8 The total amount due; this should be in a prominent location in the lower right -hand portion of the last page and clearly distinguished from other figures or computations appearing on the invoice; the total amount due shall include all costs incurred by th e CONTRACTOR under the terms of this
Agreement.
1.6 The following items will not be allowed:
1.6.1 Late fees, gambling debts, debts of Board Members, invoices for which no dollar amount due on payments shows on the invoice, submissions of payment requests which do not
balance, donations, Bingo game expenses , and expenses
related to raffles and any other game of chance.
1.6.2 Proof of payment must be provided with invoice and contractor payment request. Proof of payment may be a
copy of an issued or cancelled check or copy of credit card payment.
1.6.3 Identifying information about Corporation employees or volunteers other than employee or volunteer names.
Information such as Social Security numbers and addresses of employees or volunteers should not be included.
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payment through this grant or by volunteer hours. Matching dollars shall include totals and support documentation. Volunteer hours are currently matched and calculated at $10 .00 per hour donated. For Community Development Block Grant program matching is not required at this time.
1.8 Original signature and date (in ink) of Corporation or its authorized representative on the Corporation payment request.
1.9 Final invoice shall be clearly marked ‘FINAL INVOICE’ and be submitted along with supporting documentation within the time as designated within the terms of the agreement.
2. BUDGET CLAUSE.
The amount will not exceed the amount as stated in Section 3 of the Agreement.
If funding for any fiscal year is reduced or deleted by the HUD for purposes of the program, CITY shall have the option to either cancel this Agreement with no liability occurring to CITY or offer an Agreement amendment to CONTRACTOR to reflect the reduced amount. Updated budget information shall be provided at the request of City.
3. PAYMENT OF COSTS.
The CONTRACTOR agrees that it will provide for payment of its operating costs and that all costs connected with the facility will be paid by the CONTRACTOR on a timely basis.
4. AUDIT DISALLOWANCES.
The CONTRACTOR agrees it shall return any audit disallowances funding to CITY.
Read and Agreed By: ______________________________________ Executive Director
CONTRACTOR Name: ________________________________________
Date: _________________________________
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CONTRACTOR
PAYMENT REQUEST
Grant Funding: PSVS
Grant Agreement No.
Purchase Order No.
Payment No.
To: City of Bakersfield Attn: Economic & Community Development Address: 1600 Truxtun Avenue, Third Floor Bakersfield, CA 93301
From: CONTRACTOR _________________________ _________________________
Mailing Address: _________________________
Grant Agreement Award Amount: $200,000
Reimbursement Requested $____________________________
I have reviewed and certify the allowable costs associated with this payment request reimbursement submittal were paid for with available funding and any match requirements have been met. In addition, I certify that all financial obligations are met, and services are being provided to intended clients.
________________________________ _________________________ CONTRACTOR Representative Date
___________________________________
CONTRACTOR Representative Name (Printed)
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CONTRACTOR PAYMENT REQUEST
DISPUTE NOTIFICATION FORM
Name of CONTRACTOR:
_____________________________________________
Address of CONTRACTOR:
_____________________________________________
_____________________________________________
_____________________________________________
Date Payment Request Received: __________________________________
Date Payment Request Declined: ___________________________________
Reason for Decline/Dispute:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Reviewed By:_______________________________________________________
Title:______________________________________________________________
Dated:_____________________________________________________________
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