California Department of Education EED-3704
Early Education Division CFA FY 2025-26
Fiscal Year 2025-26 Continued Funding Application
DUE DATE: 5:00p.m. November 1, 2024
Contractors holding a current California State Preschool Program (CSPP) contract, and if applicable a Prekindergarten and Family Literacy Support (CPKS) contract, who wish to be considered for continued funding for fiscal year (FY) 2025-26 must complete this application for continued funding. The FY 2025-26 CFA Overview and Instructions may be accessed on the California Department of Education (CDE) CFA web page located at https://www.cde.ca.gov/sp/cd/ci/cfa2526.asp. Contractors are strongly encouraged to review the CFA Overview and Instructions before and after completion of the CFA and associated documents to confirm that the application and forms submitted for their agency have been completed in accordance with all applicable instructions.
Current contractors who apply for and are approved for continued funding do not need to sign a contract with the CDE to provide CSPP and CPKS services for FY 2025-26. Contracts will be automatically renewed in accordance with all applicable federal and state laws and Contract Terms and Conditions (CT&Cs). By signing this CFA, the contractor is indicating that it wishes to automatically renew its contracts) for FY 2025-26 and accepts all of the terms and conditions of the 2025-26 CSPP contract, and if applicable the 2025-26 CPKS contract, which will be provided to the contractor no later than June 1, 2025.
Upon receipt of this CFA, the CDE will review the application and may contact your agency seeking additional information. If the CFA is returned to the CDE in a timely manner but is not fully and accurately completed, funding for FY 2025-26 may be delayed.
Please also note that contractors have no vested right to a subsequent contract. Completion of this CFA does not guarantee a renewal of funding. If the CDE determines your agency will not be renewed for a subsequent contract year, you will be notified in writing no later than April 7, 2025, pursuant to the California Code of Regulations, Title 5 (5 CCR) Section 17828.
Contractors that wish to reject the terms of the FY 2025-26 CSPP and/or CPKS contract must provide the CDE with a written notice that the terms of the contracts) are rejected by sending an email to [email protected] on or before June 30, 2025. The email should come from the Executive Director/Superintendent of the contracting entity or their authorized representative and state that the terms of the FY 2025-26 CSPP and, as applicable, the CPKS contract are rejected. Contractors providing such notice to the CDE of the rejection of the terms of the contract will not have contracts) in effect for FY 2025-26. Contractors cannot reject their CSPP contract and still receive funding under a CPKS contract as CPKS funding is tied to having a CSPP contract. If no notice is sent to the CDE, the contract will be automatically renewed, and no further action will be required from the contractor.
If a contractor wishes to terminate the contract for any reason during the FY 2025-26 contract term, the contractor shall notify the CDE of its intent to terminate the contract at least 90 calendar days in advance of contract termination and shall follow 5 CCR 17795.
If you have any questions regarding the CFA, please contact the CFA team by sending an email to [email protected].
California Department of Education EED-3704
Early Education Division CFA FY 2025-26
Section I - Contractor Information
City of Emeryville
Contractor Legal Name:
Contractor "Doing Business As" (DBA): Emeryville Child Development Center Headquartered County: Alameda
Vendor Number: 2178
Executive Director Name: Rebecca Sermeno
Executive Director Telephone Number: 510-458-7813
Executive Director Email Address: [email protected] Legal Business Address: 1333 Park Ave
City: Emeryville
Zip Code: 94608
Mailing Address: 1220 53rd st
City: Emeryville
Zip Code: 94608
Contact Name: Desiree Garland
Contact Title: Center Manager
Contact Telephone Number: 510-596-4367
Contact Email Address: [email protected]
California Department of Education EED-3704
Early Education Division CFA FY 2025-26
Contractor Name Vendor #
City of Emeryville 2178
Section II, Part 1 - Contract and Program Type
Check all applicable boxes indicating the programs the contractor intends to continue to administer for FY 2025-26. The contractor agrees to continue implementation of these programs with funds provided by the CDE.
Contract Type (select all that apply)
V CSPP
Does the CSPP operate a Family Childcare Home Education Network? •Yes
ENO
Does the CSPP operate any sites on Tribal reservations or Tribal Trust Lands? •Yes
~ NO
If yes, please indicate the name(s) of the Tribe(s) and each Tribal affiliated site:
Program Type (select all that apply)
Full-Day/Full-Year •Part-Day/Part-Year
Full-Day/Part-Year Part-Day/Full-Year
REQUIRED DOCUMENT: A completed program calendar (EED 9730) form is required. If the contractor operates both a full-day and a part-day program, a separate program calendar (EED 9730) must be submitted for each.
California Department of Education EED-3704
Early Education Division CFA FY 2025-26
Contractor Name Vendor #
City of Emeryville 2178
Section II, Part I| - Projected Enrollment
Insert the number of subsidized children your agency expects to enroll with the CSPP contract for each county services are provided, as applicable.
How many counties does your agency operate in? 1
1. County Name: Alameda
Number of Children to be Enrolled in Part-Day CSPP in the County: 0 Number of Children to be Enrolled in Full-Day CSPP in the County: 16 Total Number of Children to be Enrolled in the County: 16
2. County Name:
Number of Children to be Enrolled in Part-Day CSPP in the County:
Number of Children to be Enrolled in Full-Day CSPP in the County:
Total Number of Children to be Enrolled in the County: 0
3. County Name:
Number of Children to be Enrolled in Part-Day CSPP in the County:
Number of Children to be Enrolled in Full-Day CSPP in the County:
Total Number of Children to be Enrolled in the County: 0 Total Number of CSPP Children to be Enrolled: 16
California Department of Education EED-3704
Early Education Division CFA FY 2025-26
Contractor Name Vendor #
City of Emeryville 2178
Section III - Contractor's Officers and Board of Directors Information Does the contractor have a board of directors? ~ Yes No If no, please explain the entity type and the
governance structure, including the number of
owners and partnerships.
List all officers and board members/governing individuals (i.e., owner, director, etc.).
Attach additional sheets as necessary.
Telephone Mailing
Name Title Email Address
Number Address
Courtney Welch Mayor (510) 596-4376 1333 Park Ave [email protected] Emeryville Ca 94608
David Moura Vice Mayor (510)596-4376 1333 Park Ave david.mourra @emeryv Emeryville Ca 94608 ille.org
John Bauters Council Member (510) 596-4367 1333 Park Ave [email protected] Emeryville Ca 94608 g
Kalimah Priforce Council Member (510) 596-4367 1333 Park Ave Emeryvild Ca 84608 [email protected] Sukhdeep Kaur Council Member (510)596-4367 1333 Park Ave sukhdeep.kaur@emer Emeryville Ca 94608 yville.org
Have any of the listed officers, board members, owners or other governing individuals ever served as an officer, board member, owner, or governing individual with an agency that received state or federal funding and which agency funding was terminated or involuntarily non-renewed, or the agency was debarred from funding for any period of time? Yes V NO
If yes, list on a separate page the officers), board member(s), owners) or other governing individual(s) to which this applies and include the former agency(ies) with which the individual(s) was/were previously affiliated and the circumstances leading to the termination, involuntary non-renewal or debarment.
California Department of Education EED-3704
Early Education Division CFA FY 2025-26
Contractor Name Vendor #
City of Emeryville 2178
Section IV - Program Narrative
A. Please select the box below if the contractor does not have program or minimum days of operation (MDO) changes.
V No changes
B. If the contractor does have program and/or MDO changes, please select the type(s) of change(s) and complete the Program Narrative Change (EED-3704A).
_Program change MDO change
NOTE: Making changes to the MDO does not change the contract Maximum Reimbursable Amount (MRA).
REQUIRED DOCUMENT: Contractors requesting program and/or MDO changes must also submit a completed Program Narrative Change (EED-3704A).
Section V - Subcontract Certification
For purposes of this CFA, subcontractor refers to an agency, other than lead contracted agency, who provides CSPP services in accordance with the provisions contained in the California Code of Regulations, Title 5(5 CCR) and the Contract Terms and Conditions (CT&C) through an agreement with the lead contracted agency.
A. Please select the box below if the contractor does not have subcontractors.
No subcontractors
B. Please select the box below if the contractor does have subcontractors and intends to continue to operate using the subcontractors previously approved by EED.
Subcontractors
REQUIRED DOCUMENT: Contractors who subcontract CSPP services must also submit a completed Subcontract Certification Form (EED-3704B). -
California Department of Education EED-3704
Early Education Division
CFA FY 2025-26
Contractor Name Vendor #
City of Emeryville 2178
Section VI - Contractor Certification
Under penalty of perjury, I certify the following statements as true and correct to the best of my knowledge:
• have read and understand the staffing requirements for Program Director, Site Supervisor, and Teacher. All staff employed by the contractor for the provision of preschool services are fully qualified for their respective positions. The exception to this certification is a person employed as Program Director or Site Supervisor who possesses a current Staffing Qualifications Waiver approved by the Early Education Division. am authorized by the contractor's Board of Directors or other governing authority to execute this CFA, signifying their intent to automatically renew the current CSPP contract, and CPKS contract if applicable, for FY 2025-26, under new terms and conditions to be established by the CDE, unless rejected in writing prior to the effective date of the new contracts) on June 30, 2025.
On behalf of the contractor and its governing authority, I understand that some information requested in this CFA is intended for use by CDE auditors in connection with future audit work and performance reviews and may not be used, reviewed, or considered by the CDE until after the contract has expired, if ever. Therefore, the contractor further understands that the information (and any underlying transactions) disclosed by this CFA shall not be considered properly noticed to the CDE, nor approved, accepted, or authorized by the CDE, even if the contractor's request for continued funding by the CDE is subsequently approved.
• The governing board members or persons with governing authority have been trained in understanding conflict of interest requirements associated with their positions on the board and have reported all known conflicts of interest.
• As the signer of this CFA, I have supervisory authority over the CSPP and have knowledge of the information provided in this CFA. I am familiar with and will ensure that the contractor complies with all applicable program statutes and regulations in effect for FY 2025-26, including but not limited to:
• Subcontracting requirements, including competitive bidding, CDE approval, and audit requirements in 5 CCR. I certify that any contractual arrangements) with subcontractors are made in adherence to the required subcontract provisions contained in the California Education Code (EC), 5 CCR, and the CT&C. As the contractor, it is my responsibility to monitor the performance of the subcontractor to ensure services are provided appropriately through the entire contract term and that the contractor is ultimately responsible for the actions of any subcontractor.
Prohibitions on conflicts of interests, including (i) the assurances required to establish that transactions with officers, directors and other related party transactions are conducted at arm's length, and (ii) employment limitations stated in Education Code. • Cost reimbursement requirements, including reimbursable and non-reimbursable costs, documentation requirements, the provisions for determining the reimbursable amount
Docusign Envelope ID: 859CFD47-5723-4F0B-82F5-C8575522101B California Department of Education EED-3704
Early Education Division CFA FY 2025-26
Contractor Name Vendor #
City of Emeryville 2178
and other provisions in 5 CCR, and accounting and reporting requirements in 5 CCR. • Operational and programmatic requirements.
• Personnel requirements as stipulated in Education Code, 5 CCR, and the CT&C. • As the authorized representative of the CSPP contractor named in this application, I certify that:
• I have reviewed all information for my agency and, to the best of my knowledge, the information on the CDMIS website reflects accurate information for my agency as of the date this certification is signed.
I understand my obligation as a SPP contractor to ensure the accuracy of information in CDMIS on an ongoing basis and will update the information in CDMIS as needed throughout the contract period.
By signing this CFA, the contractor is indicating that it wishes to automatically renew the current contract for FY 2025-26 and, if approved, is willing to, and does accept, all terms and conditions of the CSPP contract, which will be provided to the contractor no later than June 1, 2025.
The contractor may reject the FY 2025-26 contract by providing the CDE with a written notice of rejection no later than June 30, 2025. Contractors that wish to reject the terms of the FY 2025-26 contract must provide written notice that the terms of the contract are rejected by sending an email to [email protected] on or before June 30, 2025. The email should come from the Executive Director/Superintendent of the contracting entity or their authorized representative and state that the terms of thẹ FY 2025-26 CSPP contract, and CPKS contract if applicable, are rejected. Contractors providing such notice to the CDE of the rejection of the terms of the contracts) will not have a contracts) in effect for FY 2025-26. I understand that failure to timely reject the terms of the contract means that the contract may be automatically renewed for FY 2025-26 starting on July 1, 2025.
As the authorized representative of the contractor named in this application, I certify that I have reviewed all the information provided in this application, and in all accompanying forms, and I hereby attest that the information provided is true and correct to the best of my knowledge as of the date this certification is signed.
Printed Name of the Contractor's
Rebecca Sermeno
Authorized Representative:
Title of the Contractor's Authorized
Community Service Director
Representative:
- DocuSigned by:
Signature of the Contractor's
Authorized Representative: Rebecca Sermeno
-ED5C211499244CO...
Date of Signature:
09/30/2024
California Department of Education EED-3704
Early Education Division CFA FY 2025-26
Contractor Name Vendor #
City of Emeryville 2178
Section VII - Continued Funding Application Checklist
1. Is the contractor a public or non-public agency?
I he State Administrative Manual detines a public agency as any state agency, sany any gang not to a let no men contrade nonple-
agency.
v Public Agency Non-Public Agency
2. Is the contractor a community college or community college district in California? Yes
3. Is the contractor a local educational agency (LEA)?
Yes ~ No
Please review your CFA package carefully before submission. Check the boxes below to confirm that each CFA section is complete, and each applicable required attachment is included in the CFA package. Forms for attachment are located on the CDE CFA web page located at https://www.cde.ca.gov/sp/cd/ci/cfa2526.asp.
CFA Section Check Box
Section I - Contractor Information
Section II - Contract and Program Type
Section III - Contractor's Officers and Board of Directors Information Section IV - Program Narrative
Section V - Subcontract Certification
Section VI - Contractor Certification*
Section VII - CFA Checklist
All Sections must be included in the CFA package.
*Requires signature.
California Department of Education EED-3704
Early Education Division CFA FY 2025-26
Contractor Name Vendor #
City of Emeryville 2178
Check
Required Attachments Public Agency Non-Public Agency Box CSPP Program Calendar(s) Yes Yes
(EED 9730)
California Civil Rights Laws Yes
Yes
Certification (CO-005)
Contractor Certification
Yes Yes
Clauses (CCC)
Federal Certification (CO.8) Yes Yes
CDMIS Agency Information Yes Yes
Certification
State of California, Payee Data No Yes
Record (STD. 204)
Required only if
Payee Data Record payment address
No differs from mailing
Supplement (STD. 205)
address on STD. 204
Secretary of State certification No Yes •
or search results
Verification of LEA Name and
Address: Information page
printed from California School
Directory web page or LEAs only No
California Community College
Chancellor's web page, as
applicable
Program Narrative Change Required only if Required only if (EED 3704A) requesting changes requesting changes
Subcontract Certification Required only if Required only if (EED 3704B) subcontracting subcontracting
Authorizing board resolution, Yes As applicable
policy, or meeting minutes
Required only from
LEAs applying to be
Application for License exempt from licensure No
Exemption pursuant to Health &
Safety Code Section
1596.792(0).
California Department of Education EED-9730
Early Education Division 09/2024
California State Preschool Program Fiscal Year 2025-26 Program Calendar City Of Emeryville
Contractor Name: County: Alameda
Vendor Number: 2178 Contract Type: CSPP Program Type: Full-Day - Instructions: Check the box on each date your program will operate. Total days of operation will automatically calculate.
January 2026 Days of Operation 20
SUN MON WED THU FRI SAT WED THU
SUN MON TUE FRI SAT
N/A N/A 1 " 2 3 4 • 5 •
N/A N/A N/A N/A 1 2 3
6 • 7 8 10 11 K 112 10
7 0 8 9
13 • 14 15 K 16 17 18 D 19 • 11 16 17
12 M | 13 El 14 E 15 Й •
20 • 21 22 M 23 24 25 26 20 • 23 24
27 E NA N/A 21 E 22 Й
28 29 30 31
25 28 M | 29 E 30 31
August 2025 Days of Operation 19 Days of Operation 19
February 2026
SUN MON TUE WED THU FRI SAT
SUN MON TUE WED THU FRI SAT
N/A N/A N/A N/A N/A 2
2 3 4 5 7
• 4 5 6 7 8 9
8 10 11 12 13 14
10 L 11 12 13 14 15 16
15 16 17 18 19 20 21
17 18 19 20 21 22 23
22 23 24 25 26 27 28
24 25 26 27 28 29 30
31 N/A N/A N/A N/A N/A N/A March 2026 Days of Operation 22
SUN MON TUE WED THU FRI SAT
September 2025 Days of Operation 21
1 2 3 4 5 7
SUN MON TUE WED THU FRI SAT
8 9 10 11 12 13 14
N/A • 4 5 6
15 16 17 18 19 20 21
7 10 11 12 13
22 23 24 25 26 27 28
14 15 16 17 18 19 20
29 30 31 N/A N/A N/A N/A
21 • 22 23 24 25 26 27
28 29 30 N/A N/A N/A N/A April 2026 Days of Operation 22
SUN MON TUE WED THU FRI SAT
October 2025 Days of Operation 23
N/A N/A N/A 1 3 4
SUN MON TUE WED THU FRI SAT
5 6 7 8 10 1 1
N/A N/A N/A 3 4
12 • 13 14 15 16 17 18
5 6 7 10 11
19 20 21 22 23 24 25
12 • 13 14 15 16 17 18
24 25 26 • 27 • 28 • 29 • 30 D NA NA
19 20 21 22 23
26 27 28 29 30 31 N/A May 2026 Days of Operation 20
SUN MON TUE WED THU (FRI SAT
November 2025 Days of Operation 18
N/A N/A N/A N/A N/A 1 2
SUN MON TUE WED THU FRI SAT
3 4 5 E 7 8
N/A N/A N/A N/A N/A N/A 1
10 • 11 12 13 14 15 16
2 • 3 4 5 7 8
17 18 19 20 E 21 22 23
9 • 10 11 12 13 14 15
24 • 25 • 26 27 E 28 29 30
16 • 17 18 19 20 21 22 L
31 N/A N/A N/A N/A N/A N/A
23 • 24 25 26 27 28 29
30 N/A N/A N/A N/A N/A N/A June 2026 Days of Operation 21
SUN MON TUE WED THU FRI SAT
December 2025 Days of Operation 19
N/A 1 2 3 4 5 6
SUN MON TUE WED THU FRI SAT
7 8 10 11 12 13
N/A 1 2 3 4 5
14 15 16 17 18 19 • 20
7 • 8 9 10 11 12 13
21 22 23 24 25 26 27 •
14 • 15 16 17 18 19 20
28 • 29 30 N/A N/A N/A N/A
21 • 22 23 24 • 25 26 • 27
28 • 29 30 31 • N/A N/A N/A
Total Days of Operation: 246
EED Approval (For EED Use Only)
California Department of Education
Fiscal & Administrative Services Division
CO-005 (NEW 4/2020)
CALIFORNIA CIVIL RIGHTS LAWS CERTIFICATION
Pursuant to Public Contract Code section 2010, if a bidder or proposer executes or renews a contract in the amount of $100,000 or more on or after January 1, 2017, the bidder or proposer hereby certifies compliance with the following:
1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts $100,000 or more, executed or renewed atter January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section 51 of the Civil Code) and the Fair Employment and Housing Act (Section 12960 of the Government Code); and
2. EMPLOYER DISCRIMINATORY POLICIES: For contracts $100,000 or more, executed or renewed after January 1, 2017, if a Contractor has an internal policy against a sovereign nation or peoples recognized by the United States government, the Contractor certifies that such policies are not used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code) or the Fair Employment and Housing Act (Section 12960 of the Government Code).
CERTIFICATION
1, the official named below, certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
1. Proposer/Bidder Firm Name (Printed):
City of Emeryville DBA Emeryville Child Development Center
2. Federal ID Number:
94-6000-326
3. By (Authorized Signature):
4. Printed Name and Title of Person Signing:
Desiree Garland
5. Date Executed:
09/30/2024
6. Executed in the County and State of:
Alameda
Contractor Certification Clauses
CCC 04/2017
CERTIFICATION
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind the prospective Contractor to the clauses) listed below. This certification is made under the laws of the State of California.
Contractor/Bidder Firm Name (Printed) Federal ID Number Emeryville Child Development Center 2178
By (Authorized Signature)
Printed Name and Title of Person Signing
Desiree Garland
Date Executed Executed in the County of
09/30/2024 Alameda
CONTRACTOR CERTIFICATION CLAUSES
1. STATEMENT OF COMPLIANCE: Contractor has, unless exempted, complied with the nondiscrimination program requirements. (Gov. Code §12990 (a-f) and CCR, Title 2, Section 11102) (Not applicable to public entities.)
2. DRUG-FREE WORKPLACE REQUIREMENTS: Contractor will comply with the requirements of the Drug-Free Workplace Act of 1990 and will 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 person's or organization'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 Agreement will:
1) receive a copy of the company's drug-free workplace policy statement; and, 2) agree to abide by the terms of the company's statement as a condition of employment on the 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: the Contractor has made false certification, or violated the certification by failing to carry out the requirements as noted above. (Gov. Code §8350 et seq.)
3. NATIONAL LABOR RELATIONS BOARD CERTIFICATION: 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. (Pub. Contract Code §10296) (Not applicable to public entities.)
4. CONTRACTS FOR LEGAL SERVICES $50,000 OR MORE- PRO BONO REQUIREMENT: Contractor hereby certifies that Contractor will comply with the requirements of Section 6072 of the Business and Professions Code, effective January 1, 2003.
Contractor agrees to make a good faith effort to provide a minimum number of hours of pro bono legal services during each year of the contract equal to the lessor of 30 multiplied by the number of full time attorneys in the firm's offices in the State, with the number of hours prorated on an actual day basis for any contract period of less than a full year or 10% of its contract with the State.
Failure to make a good faith effort may be cause for non-renewal of a state contract for legal services, and may be taken into account when determining the award of future contracts with the State for legal services.
5. EXPATRIATE CORPORATIONS: Contractor hereby declares that it is not an expatriate corporation or subsidiary of an expatriate corporation within the meaning of Public Contract Code Section 10286 and 10286.1, and is eligible to contract with the State of California.
6. SWEATFREE CODE OF CONDUCT:
a. All Contractors contracting for the procurement or laundering of apparel, garments or corresponding accessories, or the procurement of equipment, materials, or supplies, other than procurement related to a public works contract, declare under penalty of perjury that no apparel, garments or corresponding accessories, equipment, materials, or supplies furnished to the state pursuant to the contract have been laundered or produced in whole or in part by sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor, or with the benefit of sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor.
The contractor further declares under penalty of perjury that they adhere to the Sweatfree Code of Conduct as set forth on the California Department of Industrial Relations website located at www.dir.ca.gov, and Public Contract Code Section 6108. b. The contractor agrees to cooperate fully in providing reasonable access to the contractor's records, documents, agents or employees, or premises if reasonably required by authorized officials of the contracting agency, the Department of Industrial Relations, or the Department of Justice to determine the contractor's compliance with the requirements under paragraph (a).
7. DOMESTIC PARTNERS: For contracts of $100,000 or more, Contractor certifies that Contractor is in compliance with Public Contract Code section 10295.3.
8. GENDER IDENTITY: For contracts of $100,000 or more, Contractor certifies that Contractor is in compliance with Public Contract Code section 10295.35.
DOING BUSINESS WITH THE STATE OF CALIFORNIA
The following laws apply to persons or entities doing business with the State of California.
1. 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.
Current State Employees (Pub. Contract Code §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.
Former State Employees (Pub. Contract Code §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.
If Contractor violates any provisions of above paragraphs, such action by Contractor shall render this Agreement void. (Pub. Contract Code §10420) 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. (Pub. Contract Code §10430 (e))
2. LABOR CODE/WORKERS' 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)
3. 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.)
4. 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. Payment of invoices presented with a new name cannot be paid prior to approval of said amendment.
5. CORPORATE QUALIFICATIONS TO DO BUSINESS IN CALIFORNIA:
a. When agreements are to be performed in the state by corporations, the contracting agencies will be verifying that the contractor is currently qualified to do business in California in order to ensure that all obligations due to the state are fulfilled. b. "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 of California) must be in good standing in order to be qualified to do business in California. Agencies will determine whether a corporation is in good standing by calling the Office of the Secretary of State.
6. RESOLUTION: A county, city, district, or other local public body must provide the State with a copy of a resolution, order, motion, or ordinance of the local governing body which by law has authority to enter into an agreement, authorizing execution of the agreement.
7. 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 provisions of federal law relating to air or water pollution.
8. PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity.
FEDERAL CERTIFICATIONS
CO.8 (REV. 06/20)
California Department of Education
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included in the regulations before completing this form. Signature on this form provides for compliance with certification requirements under 45 Code of Federal Regulations (CFR) Part 93, "New restrictions on Lobbying," and 45 CFR Part 76, "Government-wide Debarment and Suspension (Non procurement) and Government- wide requirements for Drug-Free Workplace (Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the Department of Education determines to award the covered transaction, grant, or cooperative agreement.
1. LOBBYING
As required by Section 1352, Title 31 of the U.S. Code, and implemented at 45 CFR Part 93, for persons entering into a grant or cooperative agreement over $100,000 as defined at 45 CFR Part 93, Sections
93.105 and 93.110, the applicant certifies that:
(a) 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 in connection with the making of any federal grant, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal grant or cooperative agreement:
(b) If any funds other than federal appropriated funds have been or will be paid to any person for influencing or attempting to influence an employee of Congress, or any employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with this instruction;
(c) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subgrants, contracts under grants and cooperative agreements, and subcontracts) and that all subrecipients shall certify and disclose accordingly.
2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS As required by executive Order 12549, Debarment and Suspension, and other responsibilities implemented at 45 CFR Part 76, for prospective participants in primary or a lower tier covered transactions, as defined at 45 CFR Part 76, Sections 76.105 and 76.110.
A. The applicant certifies that it and its principals:
(a) Are not presently debarred, suspended proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency:
(b) Have not within a three-year period preceding this application 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, 1 theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
(c) 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 (1)(b) of this certification; and
(d) Have not within a three-year period proceeding this application had one or more public transactions (federal, state, or local) terminated for cause or default; and B. Where the applicant is unable to certify any of the statements in this certification, he or she shall attach an explanation to this application.
3. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS) As required by the Drug-Free Workplace Act of 1988, and implemented at 45 CFR Part 76, Subpart F, for grantees, as defined at 45 CFR Part 76, Sections 76.605 and 76.610- A. The applicant certifies that it will or will continue to provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition. (b) Establishing an on-going drug-free awareness program to inform employees about- (1) The danger of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug-free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in performance of the grant be given a copy of the statement required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will -
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a violation; (e) Notifying the agency, in writing, within 10 calendar days after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to: Director, Grants, and Contracts Service, U.S.
Department of Education, 400 Maryland Avenue, S.W., (Room 3124, GSA Regional Office Building No. 3), Washington, DC 20202-4571. Notice shall include the identification numbers) of each affected grant; (f) Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted:
(1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a federal, state, or local health, law enforcement, or other appropriate agency:
(g) Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f).
2 .B. The grantee shall insert in the space provided below the site(s) for the performance of work done in connection with the specific grant:
Place of Performance (Street address, city, county, state, zip code) 1220 53rd st Emeryville Ca 94608
• Check if there are workplaces on file that are not identified here.
DRUG-FREE WORKPLACE (GRANTEES WHO ARE INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and implemented at 45 CFR Part 76, Subpart F, for grantees, as defined at 45 CFR Part 76, Sections 76.605 and 76.610- a. As a condition of the grant, I certify that I will not engage in the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance in conducting any activity with the grant, and b. If convicted of a criminal drug offense resulting from a violation occurring during the conduct of any grant activity, I will report the conviction, in writing, within 10 calendar days of the conviction, to: Director, Grants and contracts Service, U.S. department of Education, 400 Maryland Avenue, S.W. (Room 3124, GSA Regional Office Building No. 3) Washington, DC 20202-4571. Notice shall include the identification numbers(s) of each affected grant.
ENVIRONMENTAL TOBACCO SMOKE ACT
As required by the Pro-Children Act of 1994, (also known as Environmental Tobacco Smoke), and implemented at Public Law 103-277, Part C requires that:
The applicant certifies that smoking is not permitted in any portion of any indoor facility owned or leased or contracted and used routinely or regularly for the provision of health care services, day care, and education to children under the age of 18. Failure to comply with the provisions of this law may result in the imposition of a civil monetary penalty of up to $1,000 per day. (The law does not apply to children's services provided in private residence, facilities funded solely by Medicare or Medicaid funds, and portions of facilities used for in- patient drug and alcohol treatment.) As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications.
FISCAL YEAR 2025-26
CONTRACTOR NAME VENDOR ID NUMBER
Emeryville Child Developemnt Center
2178
PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE
Desiree Garland
SIGNATURE DATE
09/30/2024
3 Docusign Envelope ID: 859CFD47-5723-4F0B-82F5-C8575522101B 9/30/24, 3:06 PM Agency Information Certification
Child Development Division
Agency Information Certification
I certify, as the authorized representative of the agency listed below, I have reviewed all the information for and updates, additions, or deletions have been submitted as needed for information in all of the areas below:
Executive Director/Superintendent information
Program Director information
Sites and Licenses and/or Office information
Family Child Care Home summary information
To the best of my knowledge, the information on the CDMIS Web site reflects accurate information for as of the date this certification was signed. - DocuSigned by:
Rebecca Sermeno 09/30/2024
-ED5C211499244CO.
Program Director/Authorized Representative Signature Date Signed Rebecca Sermeno
Printed Name of Program Director/Authorized Representative Name of Agency User Generating Certification: Desiree Garland Date Generated: 9/30/2024
Assigned CDD Consultant: Cassandra Lewis
https://www4.cde.ca.gov/cdmis/agencyCertification.aspx 1/1 California Department of Education
(Fiscal Year 2025-26)
RESOLUTION AUTHORIZING CONTINUED FUNDING APPLICATION
This resolution is adopted to certify approval of the Governing Board to submit the Continued Funding Application (CFA) to the California Department of Education (CDE). If the CFA is approved by the CDE, the agency's current California State Preschool Program contract and Prekindergarten and Family Literacy Support contract, if applicable, will be automatically renewed for fiscal year (FY) 2025-26. This resolution further authorizes the designated representatives) below to sign the CFA and all related FY 2025-26 contract documents.
RESOLUTION
BE IT RESOLVED that the Governing Board of
authorizes that the person/s listed below, is/are authorized to sign the FY 2025-26 CFA and all related contract documents for the Governing Board.
NAME/S OF AUTHORIZED TITLE/S
REPRESENTATIVE/S
PASSED AND ADOPTED THIS_ _day of _(month year), by the
Governing Board of
of County, in the State of California.
1, - _ Clerk of the Governing Board of
_, of _County, in the
State of California, certify that the foregoing is a full, true and correct copy of a resolution adopted by the said Board at a meeting thereof held at a regular public place of meeting and the resolution is on file in the office of said Board. (Clerk's Signature) (Date)