13.4 p. 359 of 384
Attachment E-1
Monthly Activity Report
City of Gilroy, SCYTF (NSU) - FY24-FY27
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ San Ysidro RESIDENT LEADER/NSU AND SCYTF CHARTER FOR
COLLABORATION
Sustainability Plan:
Goals for Growing Number of Resident Leader Particpation:
13.4 p. 360 of 384
Attachment E-1
Monthly Activity Report
City of Gilroy, SCYTF (NSU) - FY24-FY27
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ San Ysidro Resident Leader
Community Action Plan Report
Completed by: Month: Year:
Program Purpose/Vision Statement:ꢀꢀSupport the leadership development of leaders in Valley Palms to develop communityͲled solutions to address community safety through:
1. Building the base and offering leadership/professional development opportunities
2. Veteran VPU leaders/promotores will be assigned as mentors for new leaders to support their growth, participation and collective action.
3. Develop a strong root cause analysis to reinforce collective vision.
4. Build partnership across the community.ꢀꢀVP promotores will identify key partners in moving their vision forward.
5. VPU leaders at the decision making about issues, programs and resources impacting their community.
6. CoͲop exploration.
Vision: Please state VPU's vision below:
Goal
Objective (Please describe furthe
will accomplish the goal listed above)
How will you collect
data on this goal?
Person/Agency
Strategy/Task Description: Assigned: Start Date: End Date: Status:
13.4 p. 361 of 384
Attachment E-1
Monthly Activity Report
City of Gilroy, SCYTF (NSU) - FY24-FY27
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ San Ysidro Resident Leader
Community Action Plan Report
Goal
Objective (Please describe further how you
will accomplish the goal listed above)
How will you collect
data on this goal?
Person/Agency
Strategy/Task Description: Assigned: Start Date: End Date: Status:
Goal
Objective (Please describe further how y
will accomplish the goal listed above)
How will you collect
data on this goal?
Person/Agency
Strategy/Task Description: Assigned: Start Date: End Date: Status:
13.4 p. 362 of 384
Attachment E-1
Monthly Activity Report
City of Gilroy, SCYTF (NSU) - FY24-FY27
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ San Ysidro Resident Leader
Community Action Plan Report
Goal
Objective (Please describe further how you
will accomplish the goal listed above)
How will you collect
data on this goal?
Person/Agency
Strategy/Task Description: Assigned: Start End Date: Status:
13.4 p. 363 of 384
Attachment E-1
Monthly Activity Report
City of Gilroy, SCYTF (NSU) - FY24-FY27
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ SYNV/ City of Gilroy
Food Distribution Report
Completed by: Month:
Food Distributions in Partnership with Second Harvest
Date/Time of Distribution
Number of Individuals Served
Number of Households Served
Estimated lbs. of food distributed
# of Volunteers
Additional Resources Provided during distriubution:
Daily N tional Progra (if applicable)
Days/Times of L ch Program (example: MondayꢀͲꢀFriday, 11:00 AMꢀͲꢀ12:30 PM) Number of Individuals Se
Number o ouseholds Served
# of Volunt
Additional Resources Provided during lunch program:
13.4 p. 364 of 384
13.4 p. 365 of 384
13.4 p. 366 of 384
13.4 p. 367 of 384
Attachment G-1
Budget and Rates of Pay
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ City of Gilroy, SCYTF (NSU) - FY24-FY27
FY24ꢀͲꢀFY27 City of Gilroy Budget Neighborhood Safey Unit (NSU) Deliverable Description Backup Documentation Required for Anticipated Completion Frequency Number of allowable units
per year
Price per unit FY24 FY25 FY26 FY27
Reimbursement Date
1aꢀͲꢀ1b; 2aꢀͲꢀ 1a. Maintain and support growth of resident advisory group in East 1. Paycheck Stub/Timecards/ ADP Ongoing Monthly N/A Varies, but pay may $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ56,819 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ56,819 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ56,819 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ56,819 2c, 4dꢀͲꢀ4e Gilroy: Community Resource Specialist and/or Recreation Specialist, Recreation Leader (IͲIII), Office Assistant (IͲIII), Property Pay Roll Report range from: $4,508Ͳ
$5,630 per month
& Evidence Tech, Youth Task Force Interns, or any other positions 2. Resident Advisory group meeting that support the SCYTF. sign in sheets.
1b. Submission of Annual Community Action Plan: ProͲsocial and Community Action Plan (See other support activities reimbusred under line 3a must be clearly attachment ___ for template) stated in the San Ysidro Nueva Vida Community Action Plan. 10/30/2023
(initial), Revised version
due: 04/30/2024
2x p/year (Qtr2 and 2
Qtr 4)
2a. Maintain the SCYTF East Gilroy Subcommittee, which also serves as the NSU Implementation Team. This subcommittee/team and the updated monthly workplan shall meet monthly. The East Gilroy SCYTF subcommittee/NSU Implementation Team should consist of NSU staff, SCYTF partners (at least 2 CBOs), and 1 City of Gilroy staff, and 1 East Gilroy resident.
Agenda, meeting notes, sign in sheet Ongoing Monthly N/A 2b. Develop and submit the East Gilroy SCYTF Technical Team subcommittee/NSU Implementation Team Charter/Work plan
East Gilroy SCYTF Technical Team
subcommittee/NSU Implementation (initial charter/ Work plan) Team Charter/Action Plan
10/30/2023 Annual N/A
2c. Develop a formal agreement, or charter between resident leaders, the SCYTF and NSU.
East Gilroy SCYTF Technical Team
subcommittee/NSU Implementation
Team
Byꢀꢀ12/30/2023 Annual N/A
4d. Increase food security and maintain nutritional programming Summary of children and families N/A at San Ysidro Park by partnering with Second Harvest Food Bank served and/or Gilroy Unified School District to implement monthly food distribution program at San Ysidro Park, Assist the San Ysidro Ongoing Monthly
Nueva Vida in developing partnership agreement, logistic coordination, and day of distribution activities.
4e. Support residentͲled emergency response efforts Summary of individuals served Ongoing Monthly Monthly
Monthly
N/A
N/A Benefits Paycheck Stub/Timecards/ ADP Pay Ongoing
Roll Report
Monthly Group Classes NSU
Enrollment forms, and/or sign in
sheets. Provide monthly participant
N/A 10% ofꢀƐĂůĂƌŝĞƐꢀƉĞƌꢀ
ŝŶǀŽŝĐĞ
$ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ5,681 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ5,681 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ5,681 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ20,350 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ20,350 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ20,350 $ 5,681
3aꢀͲꢀ3a.1 Provide proͲsocial activities that promote health, wellbeing, education, and communtiy building.
Funds must be approved and vetted through the San Ysidro By June 2024 Varies $1,695.83/month $ 20,350
resident leadership group. ProͲsocial activities must be identified list, resident activity log, and details in the Communtiy Violence Prevention Plan. of activities in Quarterly Narrative Report
3a. 1ꢀͲꢀProvide support and logistic planning for communityͲwide events that include, but are not limited to, National Night Out and Party in the
Park.
13.4 p. 368 of 384
Attachment G-1
Budget and Rates of Pay
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ City of Gilroy, SCYTF (NSU) - FY24-FY27
FY24ꢀͲꢀFY27 City of Gilroy Budget Neighborhood Safey Unit (NSU) Deliverable Description Backup Documentation Required for Anticipated Completion Frequency Number of allowable units
per year
Price per unit FY24 FY25 FY26 FY27
Reimbursement Date
3b Individual proͲsocial activities for atͲrisk youth identified by the NSU Probation Community Worker.
Provide signͲin sheets, quarterly
participant list and details of
activities in Quarterly Narrative
Report, NSU Enrollment Form
By June 2024 Monthly Varies Q2:$2,736 Q3:$2,736 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ8,208 Q4:$2,736
$
$
8,208
600
$
$
8,208
600
$
$
8,208
4a Community calendar Ongoing Monthly 12 $50/month
$50/month
$
$
600
600
600
Develop and Submit Monthly
Community Event/Classes Calendar
by the 15th day of each month for the
upcoming month.
4b
4c
Agenda, meeting notes, sign in
sheets
Ongoing
Ongoing
Monthly Varies
Varies
$ 600 $ 600 $
$
600
Monthly community meeting with a core group of resident leaders (youth and/or adults) of East Gilroy
Support the training and implementation of Restorative Justice Leadership and/or PromotoraͲbased initiatives in schools and other settings that support East Gilroy residents
1.Comprehensive RestoraƟve
Justice Practices Program Proposal
and/or Leadership Development/
Promotor Initiative Proposal
Quarterly Q1: $11,323
Q2: $11,323
Q3: $11,323
Q4: $11,323
$ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ45,292 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ45,292 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ45,292 45,292
2. Participant list and details of event
in Quarterly Narrative Report.
4f NSU will host a community champion celebration to commorate Flyer and details of event in Ongoing biͲannual N/A $ $
ꢀϱ00 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ1,000 $
$
1,000
4,000
$
$
1,000
4,000
$
$
1,000
4,000
the work of the residents and leaders of East Gilroy. Funds may also be used for a leadership retreat, the Community Safety Survey, or general supplies to support programming including transportation to and from events.
Quarterly Narrative Report, and list
of participants.
Media ProjectꢀͲꢀWebsite design and/or documentary for Gilroy United and/or SCYTF
ꢀϮ,000 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ4,000
Total $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ142,550 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ142,550 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ142,550 $ꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀꢀ142,550
13.4 p. 369 of 384
Attachment H-1
Quarterly Invoice
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ City of Gilroy, SCYTF (NSU) - FY24-FY27
INVOICE
BILL TO: Department of Probation
County of Santa Clara
840 Guadalupe Pkwy
REMITTANCE: City of Gilroy
ADDRESS: ADDRESS: 7351 Rosanna Street
San Jose, CA 95110 Gilroy, CA 95020
Attn: Fiscal Division
PO #: 4400008316 Invoice #:
Date of Submission:
Start Date End Date
Contract Period:
Invoice Period:
Final Invoice (circle one): Yes No
No
% of Period Elapsed #DIV/0!
Program Deliverable(s) /
Written Report for the reporting
period Submitted (circle one): Yes
a b c
ACTUAL C
d e f
REMAINING
CONTRACT
BALANCE
(a-d)
% of FUNDS
PREVIOUSLY
REQUESTED
NTRACT
XPENSES TO
DATE
ACT
IOD
Budget
Expended
(d/a)
CATEGORIES BUDGET EXPENSE
1a - 1b; 2a - 2c, 4d - 4e - Personnel
Benefits
-
-
-
-
3a: Pro-Social Activites/San Ysidro
Nueva Vida
3b: Individual Pro-Social Activities
-
-
-
-
(S.P.A.R.K.)
4a:Community Calendar -
-
-
4b: Monthly Community Meetings -
4e: Restorative Justice
-
-
-
-
Leadership/Promotora Program
4f: Community Championship
/Community Safety Survey
4f.Media Project - -
Totals - -
-
- -
TOTAL EXPENDITURES
LESS PROGRAM INCOME
$
$ -
TOTAL EXPENDITURES BILLED $ -
I hereby certify under penalty of perjury that the amount billed above is true and correct in accordance with the contract.
Vendor / Contractor Authorized Signature:
Date:
Accounting Contact Person:
Phone Number:
Fax Number:
E-mail Address:
PROBATION DEPARTMENT STAFF USE ONLY
Invoice Amount: SAP DOC #
Adjustment:
Net Payment:
Explanation:
Input Date:
Name:
Approver:
Contract Monitor: Date:
13.4 p. 370 of 384
Attachment I
Section VI: Standard Provisions
City of Gilroy, SCYTF (NSU) - FY24-FY27
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ
COUNTY OF SANTA CLARA
SERVICE AGREEMENT
STANDARD PROVISIONS
Changes to the terms and conditions in this section require approval of County Counsel A. ENTIRE AGREEMENT
This Agreement and its Appendices (if any) constitutes the final, complete and exclusive statement of the terms of the agreement between the parties. It incorporates and supersedes all the agreements, covenants and understandings between the parties concerning the subject matter hereof, and all such agreements, covenants and understandings have been merged into this Agreement. No prior or contemporaneous agreement or understanding, verbal or otherwise, of the parties or their agents shall be valid or enforceable unless embodied in this Agreement.
B. AMENDMENTS
This agreement may only be amended by a written instrument signed by the Parties.
C. CONFLICTS OF INTEREST
Contractor shall comply, and require its subcontractors to comply, with all applicable (i) requirements governing avoidance of impermissible client conflicts; and (ii) federal, state and local conflict of interest laws and regulations including, without limitation, California Government Code section 1090 et. seq., the California Political Reform Act (California Government Code section 87100 et. seq.) and the regulations of the Fair Political Practices Commission concerning disclosure and disqualification (2 California Code of Regulations section 18700 et. seq.). Failure to do so constitutes a material breach of this Agreement and is grounds for immediate termination of this Agreement by the County.
In accepting this Agreement, Contractor covenants that it presently has no interest, and will not acquire any interest, direct or indirect, financial or otherwise, which would conflict in any manner or degree with the performance of this Agreement. Contractor further covenants that, in the performance of this Agreement, it will not employ any contractor or person having such an interest. Contractor, including but not limited to contractor’s employees and subcontractors, may be subject to the disclosure and disqualification provisions of the California Political Reform Act of 1974 (the “Act”), that (1) requires such persons to disclose economic interests that may foreseeably be materially affected by the work performed under this Agreement, and (2) prohibits such persons from making or participating in making decisions that will foreseeably financially affect such interests.
If the disclosure provisions of the Political Reform Act are applicable to any individual providing service under this Agreement, Contractor shall, upon execution of this Agreement, provide the County with the names, description of individual duties to be performed, and email addresses of all individuals, including but not limited to Contractor’s employees, agents and subcontractors, who could be substantively involved in “mak[ing] a governmental decision” or “serv[ing] in a staff capacity” and in that capacity participating in making governmental decisions or performing duties that would be performed by an individual in a designated position, (2 CCR 18700.3), as part of Contractor’s service to the County under this Agreement. Contractor shall immediately notify the County of the names and email addresses of any additional individuals later assigned to provide such service to the County under this Agreement in such a capacity. Contractor shall immediately notify the County of the names of individuals working in such a capacity who, during the course of the Agreement, end their service to the County.
If the disclosure provisions of the Political Reform Act are applicable to any individual providing service under this Agreement, Contractor shall ensure that all such individuals identified pursuant to this section understand that they are subject to the Act and shall conform to all requirements of the Act and other applicable laws and regulations, including but not limited to those listed in subpart (ii) of the first sentence of this Section VI.C including, as required, filing of Statements of Economic Interests within 30 days of commencing service pursuant to this Agreement, annually by April 1, and within 30 days of their termination of service pursuant to this Agreement.
D. GOVERNING LAW, VENUE
This Agreement has been executed and delivered in, and shall be construed and enforced in accordance with, the laws of the State of California. Proper venue for legal action regarding this Agreement shall be in the County of Santa Clara.
E. ASSIGNMENT
No assignment of this Agreement or of the rights and obligations hereunder shall be valid without the prior written consent of the other party.
Revision Date – ꢀꢁʹͲʹʹ Page ͳ of
13.4 p. 371 of 384
Attachment I
Section VI: Standard Provisions
City of Gilroy, SCYTF (NSU) - FY24-FY27
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ
COUNTY OF SANTA CLARA
SERVICE AGREEMENT
F. ASSIGNMENT OF CLAYTON ACT, CARTWRIGHT ACT CLAIMS
Contractor assigns to the County all rights, title, and interest in and to all causes of action it may have under Section 4 of the Clayton Act (15 U.S.C. Sec. 15) or under the Cartwright Act (Chapter 2 (commencing with Section 16700) of Part 2 of Division 7 of the Business and Professions Code), arising from purchases of goods, materials, or services by the Contractor for sale to the County pursuant to this Agreement.
G. WAIVER
No delay or failure to require performance of any provision of this Agreement shall constitute a waiver of that provision as to that or any other instance. Any waiver granted by a party shall be in writing and shall apply to the specific instance expressly stated.
H. COMPLIANCE WITH ALL LAWS, INCLUDING NONDISCRIMINATION, EQUAL OPPORTUNITY, AND WAGE THEFT
PREVENTION
(1) Compliance with All Laws. Contractor shall comply with all applicable Federal, State, and local laws, regulations, rules, and policies (collectively, “Laws”), including but not limited to the non-discrimination, equal opportunity, and wage and hour Laws referenced in the paragraphs below. (2) Compliance with Non-Discrimination and Equal Opportunity Laws: Contractor shall comply with all applicable Laws concerning nondiscrimination and equal opportunity in employment and contracting, including but not limited to the following: Santa Clara County’s policies for contractors on nondiscrimination and equal opportunity; Title VII of the Civil Rights Act of 1964 as amended; Americans with Disabilities Act of 1990; the Age Discrimination in Employment Act of 1967; the Rehabilitation Act of 1973 (Sections 503 and 504); the Equal Pay Act of 1963; California Fair Employment and Housing Act (Gov. Code § 12900 et seq.); California Labor Code sections 1101, 1102, and 1197.5; and the Genetic Information Nondiscrimination Act of 2008. In addition to the foregoing, Contractor shall not discriminate against any subcontractor, employee, or applicant for employment because of age, race, color, national origin, ancestry, religion, sex, gender identity, gender expression, sexual orientation, mental disability, physical disability, medical condition, political belief, organizational affiliation, or marital status in the recruitment, selection for training (including but not limited to apprenticeship), hiring, employment, assignment, promotion, layoff, rates of pay or other forms of compensation. Nor shall Contractor discriminate in the provision of services provided under this contract because of age, race, color, national origin, ancestry, religion, sex, gender identity, gender expression, sexual orientation, mental disability, physical disability, medical condition, political beliefs, organizational affiliations, or marital status. (3) Compliance with Wage and Hour Laws: Contractor shall comply with all applicable wage and hour Laws, which may include but are not limited to, the Federal Fair Labor Standards Act, the California Labor Code, and, if applicable, any local minimum wage, prevailing wage, or living wage Laws. (4) Definitions: For purposes of this Subsection H, the following definitions shall apply. A “Final Judgment” shall mean a judgment, decision, determination, or order (a) which is issued by a court of law, an investigatory government agency authorized by law to enforce an applicable Law, an arbiter, or arbitration panel and (b) for which all appeals have been exhausted or the time period to appeal has expired. For pay equity Laws, relevant investigatory government agencies include the federal Equal Employment Opportunity Commission, the California Division of Labor Standards Enforcement, and the California Department of Fair Employment and Housing. Violation of a pay equity Law shall mean unlawful discrimination in compensation on the basis of an individual’s sex, gender, gender identity, gender expression, sexual orientation, race, color, ethnicity, or national origin under Title VII of the Civil Rights Act of 1964 as amended, the Equal Pay Act of 1963, California Fair Employment and Housing Act, or California Labor Code section 1197.5, as applicable. For wage and hour Laws, relevant investigatory government agencies include the federal Department of Labor, the California Division of Labor Standards Enforcement, and the City of San Jose’s Office of Equality Assurance.
(5) Prior Judgments, Decisions or Orders against Contractor: By signing this Agreement, Contractor affirms that it has disclosed any final judgments that (A) were issued in the five years prior to executing this Agreement by a court, an investigatory government agency, arbiter, or arbitration panel and (B) found that Contractor violated an applicable wage and hour law or pay equity law. Contractor further affirms that it has satisfied and complied with – or has reached Agreement with the County regarding the manner in which it will satisfy – any such final judgments.
Revision Date – ꢀꢁʹͲʹʹ Page ʹ of
13.4 p. 372 of 384
Attachment I
Section VI: Standard Provisions
City of Gilroy, SCYTF (NSU) - FY24-FY27
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ
COUNTY OF SANTA CLARA
SERVICE AGREEMENT
(6) Violations of Wage and Hour Laws or Pay Equity Laws During Term of Contract: If at any time during the term of this Agreement, Contractor receives a Final Judgment rendered against it for violation of an applicable wage and hour Law or pay equity Law, then Contractor shall promptly satisfy and comply with any such Final Judgment.
Contractor shall inform the Office of the County Executive-Office of Countywide Contracting Management (OCCM) of any relevant Final Judgment against it within 30 days of the Final Judgment becoming final or of learning of the Final Judgment, whichever is later. Contractor shall also provide any documentary evidence of compliance with the Final Judgment within 5 days of satisfying the Final Judgment. Any notice required by this paragraph shall be addressed to the Office of the County Executive-OCCM at 70 W. Hedding Street, East Wing, 11th Floor, San José, CA 95110. Notice provisions in this paragraph are separate from any other notice provisions in this Agreement and, accordingly, only notice provided to the Office of the County Executive-OCCM satisfies the notice requirements in this paragraph.
(7) Access to Records Concerning Compliance with Pay Equity Laws: In addition to and notwithstanding any other provision of this Agreement concerning access to Contractor’s records, Contractor shall permit the County and/or its authorized representatives to audit and review records related to compliance with applicable pay equity Laws.
Upon the County’s request, Contractor shall provide the County with access to any and all facilities and records, including but not limited to financial and employee records, that are related to the purpose of this Subsection H, except where prohibited by federal or state laws, regulations or rules. County’s access to such records and facilities shall be permitted at any time during Contractor’s normal business hours upon no less than 10 business days’ advance notice.
(8) Pay Equity Notification: Contractor shall (1) at least once in the first year of this Agreement and annually thereafter, provide each of its employees working in California and each person applying to Contractor for a job in California (collectively, “Employees and Job Applicants”) with an electronic or paper copy of all applicable pay equity Laws or (2) throughout the term of this Agreement, continuously post an electronic copy of all applicable pay equity Laws in conspicuous places accessible to all of Contractor’s Employees and Job Applicants. (9) Material Breach: Failure to comply with any part of this Subsection H shall constitute a material breach of this Agreement. In the event of such a breach, the County may, in its discretion, exercise any or all remedies available under this Agreement and at law. County may, among other things, take any or all of the following actions:
(i) Suspend or terminate any or all parts of this Agreement. (ii) Withhold payment to Contractor until full satisfaction of a Final Judgment concerning violation of an applicable wage and hour Law or pay equity Law.
(iii) Offer Contractor an opportunity to cure the breach. (10) Subcontractors: Contractor shall impose all of the requirements set forth in this Subsection H on any subcontractors permitted to perform work under this Agreement. This includes ensuring that any subcontractor receiving a Final Judgment for violation of an applicable Law promptly satisfies and complies with such Final Judgment.
I. TERMINATION
✔ Standard Termination Language
The County may, by written notice to Contractor, terminate all or part of this Agreement at any time for the convenience of the County. The notice shall specify the effective date and the scope of the termination. In the event of termination, Contractor shall deliver to County all documents prepared pursuant to the Agreement, whether complete or incomplete.
Contractor may retain a copy for its records. Upon receipt of the documents, Contractor shall be compensated based on the completion of services provided, as solely and reasonably determined by County. -ORAlternate Termination Language Attached as Exhibit ______________, incorporated by this reference. (Requires County Counsel Approval)
J. BUDGET CONTINGENCY
This Agreement is contingent upon the appropriation of sufficient funding by the County for the services covered by this Agreement. If funding is reduced or deleted by the County for the services covered by this Agreement, the County has the option to either terminate this Agreement with no liability occurring to the County or to offer an amendment to this Agreement indicating the reduced amount.
Page ͵ ofꢀ Revision Date – ꢀꢁʹͲʹʹ
13.4 p. 373 of 384
Attachment I
Section VI: Standard Provisions
City of Gilroy, SCYTF (NSU) - FY24-FY27
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ
COUNTY OF SANTA CLARA
SERVICE AGREEMENT
K. COUNTY NO-SMOKING POLICY
Contractor and its employees, agents and subcontractors, shall comply with the County’s No-Smoking Policy, as set forth in the Board of Supervisors Policy Manual section 3.47 (as amended from time to time), which prohibits smoking: (1) at the Santa Clara Valley Medical Center Campus and all County-owned and operated health facilities, (2) within 30 feet surrounding County-owned buildings and leased buildings where the County is the sole occupant, and (3) in all County vehicles.
L. FOOD AND BEVERAGES STANDARDS
Except in the event of an emergency or medical necessity, the following nutritional standards shall apply to any foods and/or beverages purchased by Contractor with County funds for County-sponsored meetings or events.
If food is to be provided, healthier food options shall be offered. “Healthier food options” include (1) fruits, vegetables, whole grains, and low fat and low calorie foods; (2) minimally processed foods without added sugar and with low sodium; (3) foods prepared using healthy cooking techniques; and (4) foods with less than 0.5 grams of trans fat per serving. Whenever possible, Contractor shall (1) offer seasonal and local produce; (2) serve fruit instead of sugary, high calorie desserts; (3) attempt to accommodate special, dietary and cultural needs; and (4) post nutritional information and/or a list of ingredients for items served. If meals are to be provided, a vegetarian option shall be provided, and the Contractor should consider providing a vegan option.
If pre-packaged snack foods are provided, the items shall contain: (1) no more than 35% of calories from fat, unless the snack food items consist solely of nuts or seeds; (2) no more than 10% of calories from saturated fat; (3) zero trans-fat; (4) no more than 35% of total weight from sugar and caloric sweeteners, except for fruits and vegetables with no added sweeteners or fats; and (5) no more than 360 mg of sodium per serving.
If beverages are to be provided, beverages that meet the County’s nutritional criteria are (1) water with no caloric sweeteners; (2) unsweetened coffee or tea, provided that sugar and sugar substitutes may be provided as condiments; (3) unsweetened, unflavored, reduced fat (either nonfat or 1% low fat) dairy milk; (4) plant-derived milk (e.g., soy milk, rice milk, and almond milk) with no more than 130 calories per 8 ounce serving; (5) 100% fruit or vegetable juice (limited to a maximum of 8 ounces per container); and (6) other low-calorie beverages (including tea and/or diet soda) that do not exceed 40 calories per 8 ounce serving. Sugar-sweetened beverages shall not be provided.
M. CONTRACTING PRINCIPLES
All entities that contract with the County to provide services where the contract value is $100,000 or more per budget unit per fiscal year and/or as otherwise directed by the Board, shall be fiscally responsible entities and shall treat their employees fairly. To ensure compliance with these contracting principles, all contractors shall: (1) comply with all applicable federal, state and local rules, regulations and laws; (2) maintain financial records, and make those records available upon request; (3) provide to the County copies of any financial audits that have been completed during the term of the contract; (4) upon the County’s request, provide the County reasonable access, through representatives of the Contractor, to facilities, financial and employee records that are related to the purpose of the contract, except where prohibited by federal or state laws, regulations or rules.
N. CALIFORNIA PUBLIC RECORDS ACT
The County is a public agency subject to the disclosure requirements of the California Public Records Act (“CPRA”). If Contractor’s proprietary information is contained in documents or information submitted to County, and Contractor claims that such information falls within one or more CPRA exemptions, Contractor must clearly mark such information “CONFIDENTIAL AND PROPRIETARY,” and identify the specific lines containing the information. In the event of a request for such information, the County will make best efforts to provide notice to Contractor prior to such disclosure.
If Contractor contends that any documents are exempt from the CPRA and wishes to prevent disclosure, it is required to obtain a protective order, injunctive relief or other appropriate remedy from a court of law in Santa Clara County before the County is required to respond to the CPRA request. If Contractor fails to obtain such remedy within the time the County is required to respond to the CPRA request, County may disclose the requested information.
Contractor further agrees that it shall defend, indemnify and hold County harmless against any claim, action or litigation (including but not limited to all judgments, costs, fees, and attorney’s fees) that may result from denial by County of a CPRA request for information arising from any representation, or any action (or inaction), by the Contractor.
Revision Date – ꢀꢁʹͲʹʹ Page Ͷ of
13.4 p. 374 of 384
Attachment I
Section VI: Standard Provisions
City of Gilroy, SCYTF (NSU) - FY24-FY27
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ
COUNTY OF SANTA CLARA
SERVICE AGREEMENT
O. THIRD PARTY BENEFICIARIES
This agreement does not, and is not intended to, confer any rights or remedies upon any person or entity other than the parties.
P. INTELLECTUAL PROPERTY RIGHTS
Ownership: County shall own all right, title and interest in and to the Deliverables. For purposes of this Agreement, the term “Deliverables” shall mean any documentation and deliverables created by Contractor during the performance of services that are identified in this Agreement. Contractor hereby assigns to the County all rights, title and interest in and to any and all intellectual property whether or not patentable or registrable under patent, copyright, trademark or similar statutes, made or conceived or reduced to practice or learned by Contractor, either alone or jointly with others, during the period of Contractor’s agreement with the County or result from the use of premises leased, owned or contracted for by the County.
Contractor acknowledges that all original works of authorship which are made by Contractor (either solely or jointly with others) within the scope of this Agreement and which are protectable by copyright are “works made for hire,” as that term is defined in the United States Copyright Act (17 U.S.C. Section 101), and shall belong solely to County.
Contractor agrees that the County will be the copyright owner in all copyrightable works of every kind and description created or delivered by Contractor, either solely or jointly with others, in connection with any agreement with the County.
Q. INTELLECTUAL PROPERTY INDEMNITY
Contractor represents and warrants for the benefit of the County and its users that, to its knowledge, as of the effective date of this Agreement, Contractor is the exclusive owner of all rights, title and interest in the Deliverables and/or services provided pursuant to this Agreement. Contractor shall defend, indemnify and hold the County harmless against any claim, action or litigation (including but not limited to all judgments, costs, fees, and reasonable attorney’s fees) by a third party alleging the Deliverables and/or services provided pursuant to this Agreement infringe upon any intellectual property rights of third parties. This indemnity and duty to defend is in addition to and does not supersede the requirements stated in VII of this agreement.
R. OWNERSHIP RIGHTS TO MATERIALS/RESTRICTIONS ON USE
All materials obtained, developed or prepared by Contractor in the course of performing services hereunder, including but not limited to videotapes, audio recordings, still photographs, ads or brochures, and the derivative works, patent, copyright, trademark, trade secret or other proprietary rights associated therewith (collectively “Deliverables”), shall be the sole and exclusive property of the County. To the extent Contractor owns or claims ownership rights to said Deliverables, Contractor hereby expressly assigns all said rights, title, and interest in and to the Deliverables to the County pursuant to the terms and conditions of this Agreement and at no additional cost. The County has the exclusive royalty-free irrevocable right to duplicate, publish or otherwise use for any purpose, all materials prepared under this Agreement. If Contractor wishes to use the materials prepared hereunder for any purpose including but not limited to promotional, educational or commercial purposes, the Contractor shall obtain prior written authorization from the County, which consent may be withheld by the County in its sole discretion.
Contractor acknowledges that all original works of authorship which are made by Contractor (solely or jointly with others) within the scope of this Agreement and which are protectable by copyright are “works made for hire,” as that term is defined in the United States Copyright Act (17 U.S.C., Section 101), and shall belong solely to County.
Contractor agrees that the County will be the copyright owner in all copyrightable works of every kind and description created or developed by Contractor, solely or jointly with others, in connection with any agreement with the County. If requested to, and at no further expense to the County, Contractor will execute in writing any acknowledgments or assignments of copyright ownership of such copyrightable works as may be appropriate for preservation of the worldwide ownership in the County and its nominees of such copyrights. This section shall apply to the extent not otherwise provided under this agreement.
Revision Date – ꢀꢁʹͲʹʹ Page ͷꢁof
13.4 p. 375 of 384
Attachment I
Section VI: Standard Provisions
City of Gilroy, SCYTF (NSU) - FY24-FY27
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ
COUNTY OF SANTA CLARA
SERVICE AGREEMENT
S. COUNTY DATA
(1) Definitions: “County Data” shall mean data and information received by Contractor from County. County Data includes any information or data that is transported across a County network, or that resides in a County-owned information system, or on a network or system under the control and management of a contractor for use by County. “County Confidential Information” shall include all material, non-public information (including material, non-public County Data) appearing in any form (including, without limitation, written, oral or displayed), that is disclosed, directly or indirectly, through any means of communication by County, its agents or employees, to Contractor, its agents or employees, or any of its affiliates or representatives. (2) Contractor shall not acquire any ownership interest in County Data (including County Confidential Information).
As between Contractor and County, all County Confidential Information and/or County Data shall remain the property of the County. Contractor shall not, without County’s written permission, use or disclose County Data (including County Confidential Information) other than in the performance of its obligations under this Agreement. (3) Contractor shall be responsible for establishing and maintaining an information security program that is designed to ensure the security and confidentiality of County Data, protect against any anticipated threats or hazards to the security or integrity of County Data, and protect against unauthorized access to or use of County Data that could result in substantial harm or inconvenience to County or any end users. Upon termination or expiration of this Agreement, Contractor shall seek and follow County’s direction regarding the proper disposition of County Data. (4) Contractor shall take appropriate action to address any incident of unauthorized access to County Data, including addressing and/or remedying the issue that resulted in such unauthorized access, and notifying County by phone or in writing within 24 hours of any incident of unauthorized access to County Data, or any other breach in Contractor’s security that materially affects County or end users. If the initial notification is by phone, Contractor shall provide a written notice within 5 days of the incident. Contractor shall be responsible for ensuring compliance by its officers, employees, agents, and subcontractors with the confidentiality, privacy, and information security requirements of this Agreement. Should County Confidential Information and/or legally protected County Data be divulged to unauthorized third parties, Contractor shall comply with all applicable federal and state laws and regulations, including but not limited to California Civil Code sections 1798.29 and 1798.82 at Contractor’s sole expense. Contractor shall not charge County for any expenses associated with Contractor’s compliance with these obligations. (5) Contractor shall defend, indemnify and hold County harmless against any claim, liability, loss, injury or damage arising out of, or in connection with, the unauthorized use, access, and/or disclosure of information by Contractor and/or its agents, employees or sub-contractors, excepting only loss, injury or damage caused by the sole negligence or willful misconduct of personnel employed by the County.
T. PAYMENT TERM [NOT APPLICABLE TO COMMUNITY BASED ORGANIZATIONS – Describe payment terms for CBO’s in Section V. (D) PAYMENT SCHEDULE]
The County’s standard payment term shall be Net Thirty (30), unless otherwise agreed to by the parties. Payment shall be due Net Thirty (30) days from the date of receipt and approval of correct and proper invoices. Payment is deemed to have been made on the date the County mails the warrant or initiates the electronic funds transfer.
U. CONTRACT EXECUTION
Unless otherwise prohibited by law or County policy, the parties agree that an electronic copy of a signed contract, or an electronically signed contract, has the same force and legal effect as a contract executed with an original ink signature. The term “electronic copy of a signed contract” refers to a transmission by facsimile, electronic mail, or other electronic means of a copy of an original signed contract in a portable document format. The term “electronically signed contract” means a contract that is executed by applying an electronic signature using technology approved by the County.
Revision Date –ꢀꢁʹͲʹʹ Page of
13.4 p. 376 of 384
Attachment I
Section VI: Standard Provisions
City of Gilroy, SCYTF (NSU) - FY24-FY27
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ
COUNTY OF SANTA CLARA
SERVICE AGREEMENT
V. LIVING WAGE (IF APPLICABLE)
Unless otherwise exempted or prohibited by law or County policy, where applicable, Contractors that contract with the County to provide Direct Services developed pursuant to a formal Request for Proposals process, as defined in County of Santa Clara Ordinance Code Division B36 (“Division B36”) and Board Policy section 5.5.5.5 (“Living Wage Policy”), and their subcontractors, where the contract value is $100,000 or more (“Direct Services Contract”), must comply with Division B36 and the Living Wage Policy and compensate their employees in accordance with Division B36 and the Living Wage Policy. Compliance and compensation for purposes of this provision includes, but is not limited to, components relating to fair compensation, earned sick leave, paid jury duty, fair workweek, worker retention, fair chance hiring, targeted hiring, local hiring, protection from retaliation, and labor peace. If Contractor and/or a subcontractor violates this provision, the Board of Supervisors or its designee may, at its sole discretion, take responsive actions including, but not limited to, the following:
(a) Suspend, modify, or terminate the Direct Services Contract. (b) Require the Contractor and/or Subcontractor to comply with an appropriate remediation plan developed by the County.
(c) Waive all or part of Division B36 or the Living Wage Policy.
This provision shall not be construed to limit an employee's rights to bring any legal action for violation of the employee's rights under Division B36 or any other applicable law. Further, this provision does not confer any rights upon any person or entity other than the Board of Supervisors or its designee to bring any action seeking the cancellation or suspension of a County contract. By entering into this contract, Contractor certifies that it is currently complying with Division B36 and the Living Wage Policy with respect to applicable contracts and warrants that it will continue to comply with Division B36 and the Living Wage Policy with respect to applicable contracts.
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13.4 p. 377 of 384
ꢀꢁꢂꢃꢄꢅꢆꢇꢈꢉꢇꢊꢋꢌꢁꢍꢋꢈꢎꢀꢏꢈꢐꢑꢒꢓꢔꢐꢕꢖꢗꢘꢀꢙꢀꢗꢒꢚꢀꢛꢗꢜꢉꢛꢓꢗꢕꢀꢝꢔꢖꢑꢜꢑꢒꢉꢖꢖ (;+,%,7 $
COVID-19 REQUIREMENTS
Contractor shall comply with all County requirements relating to COVID-19 for persons who routinely perform services for the County onsite and share airspace with or proximity to other people at a County facility as part of their services for the County (“County’s COVID-19 Requirements”), including but not limited to vaccination, as applicable and periodically updated, and available at https://procurement.sccgov.org/doing-business-county/contractor-vaccinations and incorporated herein by this reference.
If Contractor is providing in-person services to community members (“Direct Client Services”) under this Agreement, all references in the County’s COVID-19 Requirements and below referenced Certification to “onsite” and “County facility” shall be deemed to also refer to any indoor location where Direct Client Services are provided, including when services are provided at non-County facilities. Accordingly, such Contractors shall comply with the County’s COVID-19 Requirements when providing Direct Client Services indoor at any location. Any reporting pursuant to the Certification of Contractor’s personnel who are not fully vaccinated and up-to-date on boosters for which they are eligible and who are providing Direct Client Services at non-County facilities shall be to the COVID-19 Designee for the County department that manages this Agreement.
If applicable, Contractor shall complete the Contractor Certification of Compliance with COVID-19 Vaccine Requirements (“Certification”), attached hereto as Exhibit A-2 . Contractor shall comply with the requirements of this Section for the entire term of this Agreement.
Contractor shall comply with all reasonable requests by County for documentation demonstrating Contractor’s compliance with this Section. Failure by Contractor to comply with any of the requirements of this Section (including but not limited to vaccination and masking requirements and completion and submittal of the Certification) is a material breach of this Agreement, and the County may, in its sole discretion terminate this Agreement immediately or take other action as the County may determine to be appropriate.
13.4 p. 378 of 384
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CONTRACTOR CERTIFICATION OF COMPLIANCE WITH
COVID-19 VACCINE REQUIREMENTS
(Version Effective September 27, 2022)
Contractor Information:
Contractor name: Name of Contractor representative:
ꢙꢉ "ꢋꢍꢚꢋꢛꢉꢕꢎꢍ" ꢈꢉꢊꢊ"ꢋꢌꢍꢎꢏꢉꢐ
Contractor phone number: Contractor email address:
ꢀꢄꢃꢗꢃꢀꢘꢗꢄꢂꢆꢄ ꢈꢉꢊꢊ"ꢑꢌꢍꢎꢏꢉꢐꢒꢓꢉꢑꢔꢉꢕꢎꢍ"ꢑꢓꢖꢑ!ꢐ
Contractor Certification. On behalf of Contractor, I hereby certify that:
1. Contractor has reviewed and is in compliance with all current County requirements regarding COVID-19 vaccination applicable to contractor’s personnel working at County facilities, including but not limited to the requirements in the County’s memorandum regarding COVID19 Vaccine Requirement for County Personnel (“County Vaccine Policy”), the County’s memorandum regarding Application of COVID-19 Vaccination Requirement to County Contractors, Interns, and Volunteers, all current State and County Health Officer orders, and any other County requirements. These memoranda and current County policies are accessible at <https://procurement.sccgov.org/doing-business-county/contractor-vaccinations>.
Contractor understands that it is responsible for reviewing and maintaining compliance with all subsequent revisions or amendments to State and County orders and requirements regarding COVID-19.
2. As of the date signed below:
a. Contractor understands that it must confirm, and has confirmed, that all of contractor’s personnel (including any subcontractor personnel) who routinely perform services for the County onsite and share airspace with or proximity to other people at an indoor County facility as part of their services for the County1 are:
i. Fully vaccinated against COVID-19 as defined and required in the County Vaccine Policy;2 or
1 As established in the County’s Memorandum Regarding Application of COVID-19 Vaccination Requirement to County Contractors, Interns, and Volunteers, contractors performing work at closed construction sites are not required to comply with the County’s vaccination requirements, but must comply with all applicable federal, state, and local public health laws, including but not limited to any vaccination, testing, and masking requirements. 2 County departments are required by law to implement any State-issued requirements, including ones that are more restrictive than the County’s internal policies. As of the date of this policy, the California Department of Public Health (CDPH) requires that workers in health care facilities, as well as specified workers in custodial settings, obtain a COVID19 booster dose. Thus, contractor personnel subject to this CDPH booster requirement are expected to comply with it, in addition to the County’s policy. The exemption process in Section C of the County Vaccine Policy shall apply to any requests for exemption from the State booster requirement.
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3. If contractor seeks to send any personnel who are not fully vaccinated to work indoors at any County facility because the contractor has granted them an exemption, contractor shall notify the County in writing by providing a list of any such personnel to the COVID-19 Designee for the department that manages the facility where the contractor personnel will be working at least 96 hours in advance of any such personnel arriving onsite so that the department has sufficient time to determine whether it will approve the contractor’s requests that its personnel work onsite and, if approved, can ensure that the contractor has complied with all applicable COVID19 safety requirements for unvaccinated individuals, including, where appliable, regular testing and the use of a fit-tested N95 mask.3 Notice must be separately provided to each department that manages a facility where contractor seeks to assign personnel to work onsite.
4. If any of contractor’s personnel are noncompliant with vaccination or testing requirements, contractor will notify the County Department for which they are providing services immediately and will not permit those personnel to go onsite at a County facility without express written permission from the County.
5. Contractor will comply with all reasonable requests by the County for documentation demonstrating the contractor’s compliance with this Certification.
I verify the truth and accuracy of the statements in this Certification under penalty of perjury under the laws of the State of California.
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3 If contractor sends personnel who are not fully vaccinated, it is contractor’s obligation to ensure that it has any necessary authorization under the California Confidentiality of Medical Information Act, Cal. Civ. Code §§ 56 et. seq., and under any other laws to share this information with the County.
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