Cal OES
GOVERNOR'S OFFICE
OF EMERGENCY SERVICES
Grant Subaward Certification of Assurance of Compliance Information and Instructions
The Certification of Assurance of Compliance is a binding affirmation that the Subrecipient will comply with the requirements and restrictions outlined in the Subrecipient Handbook, including but not limited to:
• Proof of Authority,
• State and federal civil rights laws,
• Equal Employment Opportunity,
• Drug-Free Workplace,
• California Environmental Quality Act, and
• Lobbying.
The Official Designee (see SRH Section 3.030) and the individual granting that authority (i.e., City/County Financial Officer, City/County Manager, or Governing Board Chair) must sign this form. For State agencies, only the Official Designee must sign this form.
Complete all sections of this form and then submit:
• As part of the Grant Subaward Application,
• With a Grant Subaward Amendment (Cal OES Form 2-213) if a new fund source is being added to the Grant Subaward, (applicable Certification of Assurance of Compliance would be needed), or
• With a Grant Subaward Modification (Cal OES Form 2-223) if the Official Designee or Board Chair changes and the Resolution identifies them by name Grant Subaward Certification of Assurance of Compliance - Cal OES 2-104 (Revised 12/2021) Cal OES
GOVERNOR'S OFFICE
OF EMERGENCY SERVICES
Grant Subaward Certification of Assurance of Compliance Subrecipient: City of Riverside
Cal OES Program Name Grant Grant Subaward
Listos California CERT Support (LC) Program Subaward #: Performance Period 1 LE=-Listos California CERT Support Grant Program- 06/01/22 - 12/31/2023 2 3
4 5
6 I, Al Zelinka (Official Designee; same person as
Section 15 of the Grant Subaward Face Sheet) hereby certify that the above Subrecipient is responsible for reviewing the Subrecipient Handbook (SRH) and adhering to all of the Grant Subaward requirements as directed by Cal OES including, but not limited to, the following areas:
1. Proof of Authority - SRH 1.055
The Subrecipient certifies they have written authority by the governing board (e.g., County Board of Supervisors, City Council, or Governing Board) granting authority for the Subrecipient/Official Designee (see Section 3.030) to enter into a specific Grant Subaward (indicated by the Cal OES Program name and initial Grant Subaward performance period) and applicable Grant Subaward Amendments with Cal OES. The authorization includes naming of an Official Designee (e.g., Executive Director, District Attorney, Police Chief) for the agency/organization who is granted permission to sign Grant Subaward documents on behalf of the Subrecipient. Written proof of authority includes one of the following: signed Board Resolution or approved Board Meeting minutes.
Il. Civil Rights Compliance - SRH Section 2.020
The Subrecipient acknowledges awareness of, and the responsibility to comply with all state and federal civil rights laws. The Subrecipient certifies it will not discriminate in the delivery of services or benefits based on any protected class and will comply with all requirements of this section of the SRH.
IlI. Equal Employment Opportunity - SRH Section 2.025
The Subrecipient certifies it will promote Equal Employment Opportunity by prohibiting discrimination or harassment in employment because of any status protected by state or federal law and will comply with all requirements of this section of the SRH.
Grant Subaward Certification of Assurance of Compliance - Cal OES 2-104 (Revised 12/2021) Cal OES
GOVERNOR'S OFFICE
OF EMERGENCY SERVICES
IV. Drug-Free Workplace Act of 1990 - SRH Section 2.030 The Subrecipient certifies it will comply with the Drug-Free Workplace Act of 1990 and all other requirements of this section of the SRH.
V. California Environmental Quality Act (CEQA) - SRH Section 2.035 The Subrecipient certifies that, if the activities of the Grant Subaward meet the definition of a "project" pursuant to the CEQA, Section 20165, it will comply with all requirements ofCEQA and this section of the SRH.
Vl. Lobbying - SRH Sections 2.040 and 4.105
The Subrecipient certifies it will not use Grant Subaward funds, property, or funded positions for any lobbying activities and will comply with all requirements of this section of the SRH.
All appropriate documentation must be maintained on file by the Subrecipient and available for Cal OES upon request. Failure to comply with these requirements may result in suspension of payments under the Grant Subaward (s), termination of the Grant Subaward(s), and/or ineligibility for future Grant Subawards if Cal OES determines that any of the following has occurred: (1) the Subrecipient has made false certification, or (2) the Subrecipient violated the certification by failing to carry out the requirements as noted above.
CERTIFICATION
I, the official named below, am the same individual authorized to sign the Grant Subaward [Section 15 on Grant Subaward Face Sheet], and hereby affirm that I am duly authorized legally to bind the Subrecipient to the above-described certification. I am fully aware that this certification, execuled on the date, is made under penalty of perjury under the l aws of the State of California.
Sto
Official Designee's Signature:
Official Designee's Typed Name: Al Zelinko
Official Designee's Title: City Manager
Date Executed: 50144/22
AUTHORIZED BY:
I grant authority for the Subrecipient/Official Designee to enter into the specific Grant Subaward(s) (indicated by the Cal OES Program name and initial Grant Subaward performance period identified above) and applicable Grant Subaward Amendments with Cal OES.
City Financial Officer County Financial Officer
City Manager County Manager
Governing Board Chair
Signature: Signature Needed
Typed Name: Edward Enriquez
Title: Chief Financial Officer
Date Executed: Date needed
Grant Subaward Certification of Assurance of Compliance - Cal OES 2-104 (Revised 12/2021) GAVIN NEWSOM MARK S. GHILARDUCCI
GOVERNOR DIRECTOR
Cal OES
GOVERNOR'S OFFICE
OF EMERGENCY SERVICES
LISTOS CALIFORNIA CERT SUPPORT GRANT PROGRAM
CERT Training Certification
Name of Agency: City of Riverside
I, Al Zelinka _ (Official Designee; same person as Section 15 of the Grant Subaward Face Sheet) hereby certify that the above Subrecipient is responsible for adhering to all of the Grant Subaward requirements as directed by Cal OES including, but not limited to, the following area:
• The Subrecipient certifies they are conducting classroom-based, instructor-led, CERT training based on the 20-hour FEMA curriculum, incorporating all nine module and all hands-on exercises (e.g., fire suppression, medical triage, cribbing), including a disaster simulation drill, or utilizing the approved CERT Training curriculum.
All appropriate documentation must be maintained on file by the Subrecipient and available for Cal OES upon request. Failure to comply with this requirement may result in suspension of payments under the Grant Subaward(s), termination of the Grant Subaward(s), and/or ineligibility for future Grant Subawards if Cal OES determines that any of the following has occurred: (1) the Subrecipient has made false certification, or (2) the Subrecipient violated the certification by failing to carry out the requirements as noted above.
CERTIFICATION
1, the official named above, am the same individual authorized to sign the Grant Subaward Section 15 on Grant Subaward Face Sheet], and hereby affirm that 1 am duly authorized legally to bind the Subrecipient to the above-described certification. I am fully aware that this certification, executed on this date, is made under penalty of perjury under the laws of the State of California.
Official Designee Signature: Signs Sled
Official Designee Typed Name: Al Zelinka
Official Designee's Title: City Manager
Date Executed:
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