Roseville City Council
February 4, 2026

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5 Open Records Policy
All proposals, information and documents submitted are subject to the Public Information Act requirements governed by the State of Texas once a Contract(s) is executed. If an Offeror believes its response, or parts of its response, may be exempted from disclosure, the Offeror must specify page-by-page and line-by-line the parts of the response, which it believes, are exempt and include detailed reasons to substantiate the exemption. Price is not confidential and will not be withheld. Any unmarked information will be considered public information and released, if requested under the Public Information Act.

The determination of whether information is confidential and not subject to disclosure is the duty of the Office of Attorney General (OAG). Region 4 ESC must provide the OAG sufficient information to render an opinion and therefore, vague and general claims to confidentiality by the Offeror are not acceptable. Region 4 ESC must comply with the opinions of the OAG. Region 4 ESC assumes no responsibility for asserting legal arguments on behalf of any Offeror. Offeror is advised to consult with their legal counsel concerning disclosure issues resulting from this procurement process and to take precautions to safeguard trade secrets and other proprietary information.

Check one of the following responses to the Acknowledgment and Acceptance of Region 4 ESC’s Open Records Policy below:

OPTION A: We acknowledge Region 4 ESC’s Open Records Policy and declare that no information submitted with this proposal, or any part of our proposal, is exempt from disclosure under the Public Information Act.

OPTION B: We declare the following information to be a trade secret or proprietary and exempt from disclosure under the Public Information Act and these requested exemptions are uploaded into the "Response Attachments" Tab located in this online bidding event.

(Note: Offeror must specify page-by-page and line-by-line the parts of the response, which it believes, are exempt. In addition, Offeror must include detailed reasons to substantiate the exemption(s). Price is not confidential and will not be withheld. All information believed to be a trade secret or proprietary must be listed. It is further understood that failure to identify such information, in strict accordance with the instructions, will result in that information being considered public information and released, if requested under the Public Information Act.) OPTION A - No proprietary information
OPTION B - Proprietary information marked
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6 Consent to Release Proposal Tabulation
Notwithstanding anything explicitly and properly declared as Confidential or Proprietary Information to the contrary, by submitting a Proposal, Vendor consents and agrees that, upon Contract award, the District may publicly release, including posting on the public Region 4 ESC and/or OMNIA Partners website(s), a copy of the proposal tabulation for the Contract including Vendor name; proposed catalog/pricelist name(s); proposed percentage discount(s), unit price(s), hourly labor rate(s), or other specified pricing; and Vendor award notice information.

I certify compliance with this attribute.

Vendor: Mythics, LLC 24-02 Addendum 3

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7 Contracting Information
If Vendor is not a governmental body and
(a) this Agreement has a stated expenditure of at least $1 million in public funds for the purchase of goods or services by REGION 4 ESC; or
(b) this Agreement results in the expenditure of at least $1 million in public funds for the purchase of goods or services by REGION 4 ESC in a fiscal year of REGION 4 ESC, the following certification shall apply; otherwise, this certification is not required.

As required by Tex. Gov’t Code § 552.374(b), the following statement is included in the RFP and the Agreement (unless the Agreement is
(1) related to the purchase or underwriting of a public security; (2) is or may be used as collateral on a loan; or
(3) proceeds from which are used to pay debt service of a public security of loan):
“The requirements of Subchapter J, Chapter 552, Government Code, may apply to this RFP and Agreement and the contractor or vendor agrees that the contract can be terminated if the contractor or vendor knowingly or intentionally fails to comply with a requirement of that subchapter.”

Pursuant to Subchapter J, Chapter 552, Texas Government Code, the Vendor hereby certifies and agrees to (1) preserve all contracting information related to this Agreement as provided by the records retention requirements applicable to REGION 4 ESC for the duration of the Agreement; (2) promptly provide to REGION 4 ESC any contracting information related to the Agreement that is in the custody or possession of the Vendor on request of REGION 4 ESC; and (3) on completion of the Agreement, either
(a) provide at no cost to AISD all contracting information related to the Agreement that is in the custody or possession of Vendor, or
(b) preserve the contracting information related to the Agreement as provided by the records retention requirements applicable to REGION 4 ESC.

I certify compliance with this attribute.
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8 Anti-Trust Certification Statement
Vendor affirms under penalty of perjury of the laws of the State of Texas that:
(1) I am duly authorized to execute this contract on my own behalf or on behalf of the company, corporation, firm, partnership or individual (Company) listed below; (2) In connection with this bid, neither I nor any representative of the Company have violated any provision of the Texas Free Enterprise and Antitrust Act, Tex. Bus. & Comm. Code Chapter 15; (3) In connection with this bid, neither I nor any representative of the Company have violated any federal antitrust law; and
(4) Neither I nor any representative of the Company have directly or indirectly communicated any of the contents of this bid to a competitor of the Company or any other company, corporation, firm, partnership or individual engaged in the same line of business as the Company.

I certify compliance with this attribute.
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9 Federal Rule (A) - Contract Term Violations
(A) Contracts for more than the simplified acquisition threshold currently set at $250,000 (2 CFR §200.320), which is the inflation adjusted amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized by 41 U.S.C. 1908, must address administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate.

Pursuant to Federal Rule ( A) above, when federal funds are expended by Region 4 ESC, Region 4 ESC reserves all rights and privileges under the applicable laws and regulations with respect to this procurement in the event of breach of contract by either party.

I certify compliance with this attribute.

Vendor: Mythics, LLC 24-02 Addendum 3

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0 Federal Rule (B) - Termination Conditions
(B) Termination for cause and for convenience by the grantee or subgrantee including the manner by which it will be effected and the basis for settlement. (All contracts in excess of $10,000)

Pursuant to Federal Rule ( B) above, when federal funds are expended by REGION 4 ESC, REGION 4 ESC reserves the right to immediately terminate any agreement in excess of $10,000 resulting from this procurement process in the event of a breach or default of the agreement by Vendor, in the event vendor fails to:
(1) meet schedules, deadlines, and/or delivery dates within the time specified in the procurement solicitation, contract, and/or a purchase order; (2) make any payments owed; or (3) otherwise perform in accordance with the contract and/or the procurement solicitation; (4) to the greatest extent authorized by law, if an award no longer effectuates the program goals or priorities of the Federal awarding agency or REGION 4 ESC. REGION 4 ESC also reserves the right to terminate the contract immediately, with written notice to vendor, for convenience, if REGION 4 ESC believes, in its sole discretion that it is in the best interest of REGION 4 ESC to do so. The vendor will be compensated for work performed and accepted and goods accepted by REGION 4 ESC as of the termination date if the contract is terminated for convenience of REGION 4 ESC. Any award under this procurement process is not exclusive and REGION 4 ESC reserves the right to purchase goods and services from other vendors when it is in the best interest of REGION 4 ESC.

I certify compliance with this attribute.
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1 Federal Rule (C) - Equal Employment Opportunity
(C) Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of “federally assisted construction contract” in 41 CFR Part 60-1.3 must include the equal opportunity clause provided under 41 CFR 60-

1.4(b), in accordance with Executive Order 11246, “Equal Employment Opportunity” (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, “Amending Executive Order 11246 Relating to Equal Employment Opportunity,” and implementing regulations at 41 CFR part 60, “Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor.”

It is the policy of REGION 4 ESC not to discriminate on the basis of race, color, national origin, gender, limited English proficiency or disabling conditions in its programs. Vendor agrees not to discriminate against any employee or applicant for employment to be employed in the performance of this Contract, with respect to hire, tenure, terms, conditions and privileges of employment, or a matter directly or indirectly related to employment, because of age (except where based on a bona fide occupational qualification), sex (except where based on a bona fide occupational qualification) or race, color, religion, national origin, or ancestry. Vendor further agrees that every subcontract entered into for the performance of this Contract shall contain a provision requiring non-discrimination in employment herein specified binding upon each subcontractor. Breach of this covenant may be regarded as a material breach of the Contract.

Pursuant to Federal Rule ( C) and the requirements stated above, when federal funds are expended by REGION 4 ESC on any federally assisted construction contract, the equal opportunity clause is incorporated by reference ESC on any federally assisted construction contract, the equal opportunity clause is incorporated by reference herein.

I certify compliance with this attribute.

Vendor: Mythics, LLC 24-02 Addendum 3

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2 Federal Rule (D) - Davis Bacon Act/Copeland Act
(D) Davis-Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal program legislation, all prime construction contracts in excess of $2,000 awarded by non-Federal entities must include a provision for compliance with the Davis-Bacon Act (40 U.S.C. 3141-3144, and 3146- 3148) as supplemented by Department of Labor regulations (29 CFR Part 5, “Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction”). In accordance with the statute, contractors must be required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determination made by the Secretary of Labor. In addition, contractors must be required to pay wages not less than once a week. The non-Federal entity must place a copy of the current prevailing wage determination issued by the Department of Labor in each solicitation. The decision to award a contract or subcontract must be conditioned upon the acceptance of the wage determination. The non-Federal entity must report all suspected or reported violations to the Federal awarding agency. The contracts must also include a provision for compliance with the Copeland “Anti-Kickback” Act (40 U.S.C. 3145), as supplemented by Department of Labor regulations (29 CFR Part 3, “Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States”). The Act provides that each contractor or subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he or she is otherwise entitled. The non-Federal entity must report all suspected or reported violations to the Federal awarding agency.

Pursuant to Federal Rule ( D) above, when federal funds are expended by REGION4 ESC, during the term of an award for all contracts and subgrants for construction or repair, the vendor will be in compliance with all applicable Davis-Bacon Act provisions.

I certify compliance with this attribute.
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3 Federal Rule (E) - Contract Work Hours and Safety Standards Act (E) (40 U.S.C. 3701-3708). Where applicable, all contracts awarded by the non-Federal entity in excess of $100,000 that involve the employment of mechanics or laborers must include a provision for compliance with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 U.S.C. 3702 of the Act, each contractor must be required to compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The requirements of 40 U.S.C. 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence.

Pursuant to Federal Rule ( E) above, when federal funds are expended by REGION 4 ESC, the vendor certifies that during the term of an award for all contracts by REGION 4 ESC resulting from this procurement process, the vendor will be in compliance with all applicable provisions of the Contract Work Hours and Safety Standards Act.

I certify compliance with this attribute.
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4 Federal Rule (F) - Rights to Inventions Made Under a Contract or Agreement (F)If the Federal award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency.

Pursuant to Federal Rule ( F) above, when federal funds are expended by REGION 4 ESC, the vendor certifies that during the term of an award for all contracts by REGION 4 ESC resulting from this procurement process, the vendor agrees to comply with all applicable requirements as referenced in Federal Rule (F) above.

I certify compliance with this attribute.

Vendor: Mythics, LLC 24-02 Addendum 3

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5 Federal Rule (G) - Clean Air Act/Federal Water Pollution Control Act (G) The Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251- 1387), as amended—Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251- 1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA).

When federal funds are expended by REGION 4 ESC for any contract resulting from this procurement process, the vendor certifies that the vendor will be in compliance with mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (Pub. L. 94-163, 89 Stat. 871).

When federal funds are expended by REGION 4 ESC for any contract resulting from this procurement process in excess of $100,000, the vendor certifies that the vendor is in compliance with all applicable standards, orders, regulations, and/or requirements issued pursuant to the Clean Air Act of 1970, as amended (42 U.S.C. 1857(h)), Section 508 of the Clean Water Act, as amended (33 U.S.C. 1368), Executive Order 117389 and Environmental Protection Agency Regulation, 40 CFR Part 15.

Pursuant to Federal Rule ( G) above, when federal funds are expended by REGION 4 ESC, the vendor certifies that during the term of an award for all contracts by REGION 4 ESC resulting from this procurement process, the vendor agrees to comply with all applicable requirements as referenced in Federal Rule ( G) above.

I certify compliance with this attribute.
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6 Federal Rule (H) - Debarment and Suspension
(H) (Executive Orders 12549 and 12689)—A contract award (see 2 CFR 180.220) must not be made to parties listed on the governmentwide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549.

Pursuant to Federal Rule ( H) above, when federal funds are expended by REGION 4 ESC, the vendor certifies that during the term of an award for all contracts by REGION 4 ESC resulting from this procurement process, the vendor certifies that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any federal department or agency or by the State of Texas.

Vendor shall immediately provide written notice to REGION 4 ESC if at any time the vendor learns that this certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

REGION 4 ESC may rely upon a certification of a vendor that the vendor is not debarred, suspended, ineligible, or voluntarily excluded from the covered contract, unless REGION 4 ESC knows the certification is erroneous.

I certify compliance with this attribute.

Vendor: Mythics, LLC 24-02 Addendum 3

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7 Federal Rule (I) - Byrd Anti-Lobbying Amendment
(I) (31 U.S.C. 1352)—Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non-Federal award.

Pursuant to Federal Rule ( I) above, when federal funds are expended by REGION 4 ESC, the vendor certifies that during the term and after the awarded term of an award for all contracts by REGION 4 ESC resulting from this procurement process, the vendor certifies that it is in compliance with all applicable provisions of the Byrd Anti- Lobbying Amendment (31 U.S.C. 1352). The undersigned further certifies that:
(1) 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, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of a Federal contract, the making of a Federal grant, the making of a Federal loan, the entering into a cooperative agreement, and the extension, continuation, renewal, amendment, or modification of a Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying”, in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certificate is a prerequisite for making or entering into this transaction imposed by Section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

I certify compliance with this attribute.
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8 Federal Rule (J) - Procurement of Recovered Materials (J) When federal funds are expended by REGION 4 ESC, REGION 4 ESC and its contractors must comply with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include: (1) procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; (2) procuring solid waste management services in a manner that maximizes energy and resource recovery; and (3) establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines.

Pursuant to Federal Rule ( J) above, when federal funds are expended REGION 4 ESC, as required by the Resource Conservation and Recovery Act of 1976 (42 U.S.C. § 6962(c)(3)(A)(i)), the vendor certifies, by signing this document, that the percentage of recovered materials content for EPA-designated items to be delivered or used in the performance of the contract will be at least the amount required by the applicable contract specifications or other contractual requirements.

I certify compliance with this attribute.

Vendor: Mythics, LLC 24-02 Addendum 3

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9 Federal Rule (K) - Prohibition on certain Telecom and Surveillance Service and Equipment (K) ALIEF ISD, as a non-federal entity, is prohibited from obligating or expending Federal financial assistance, to include loan or grant funds, to: (1) procure or obtain, (2) extend or renew a contract to procure or obtain, or (3) enter into a contract (or extend or renew a contract) to procure or obtain, equipment, services, or systems that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as a critical technology as part of any system. Covered telecommunications equipment is telecommunications equipment produced Huawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities) and physical security surveillance of critical infrastructure and other national security purposes, and video surveillance and telecommunications equipment produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities) for the purpose of public safety, security of government facilities, physical security surveillance of critical infrastructure, and other national security purposes detailed in 2 CFR § 200.216.

The Respondent certifies that it will not purchase equipment, services, or systems that use covered telecommunications, as defined herein, as a substantial or essential component of any system, or as critical technology as part of any system.

I certify compliance with this attribute.
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0 Federal Rule (L) - Buy American Provisions
(L) As appropriate and to the extent consistent with law, REGION 4 ESC has a preference for the purchase, acquisition, or use of goods, products, or materials produced in the United States, including but not limited to iron, aluminum, steel, cement, and other manufactured products, when spending federal funds. Vendor agrees that the requirements of this section will be included in all subawards including all contracts and purchase orders for work or products under this award, to the greatest extent practicable under a Federal award. Purchases that are made with non-federal funds or grants are excluded from the Buy American Act.

Vendor certifies that it is in compliance with all applicable provisions of the Buy American Act. Purchases made in accordance with the Buy American Act must still follow the applicable procurement rules calling for free and open competition.

“Produced in the United States” means, for iron and steel products, that all manufacturing processes, from the initial melting stage through the application of coatings, occurred in the United States. “Manufactured products” means items and construction materials composed in whole or in part of non-ferrous metals such as aluminum; plastics and polymer-based products such as polyvinyl chloride pipe; aggregates such as concrete; glass, including optical fiber; and lumber.

I certify compliance with this attribute.
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1 Federal Rule - Required Affirmative Steps for Small, Minority, And Women-Owned Firms for Contracts Paid for with Federal Funds
When federal funds are expended by REGION 4 ESC, Vendor is required to take all affirmative steps set forth in 2 CFR 200.321 to solicit and reach out to small, minority and women owned firms for any subcontracting opportunities on the project, including:
1) Placing qualified small and minority businesses and women's business enterprises on solicitation lists; 2) Assuring that small and minority businesses, and women's business enterprises are solicited whenever they are potential sources;
3) Dividing total requirements, when economically feasible, into smaller tasks or quantities to permit maximum participation by small and minority businesses, and women's business enterprises; 4) Establishing delivery schedules, where the requirement permits, which encourage participation by small and minority businesses, and women's business enterprises; and 5) Using the services and assistance, as appropriate, of such organizations as the Small Business Administration and the Minority Business Development Agency of the Department of Commerce.

I certify compliance with this attribute.

Vendor: Mythics, LLC 24-02 Addendum 3

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2 Federal Rule - Federal Record Retention
When federal funds are expended by REGION 4 ESC for any contract resulting from this procurement process, the vendor certifies that it will comply with the record retention requirements detailed in 2 CFR §200.334. The vendor further certifies that vendor will retain all records as required by 2 CFR §200.334 for a period of five (5) years after grantees or subgrantees submit final expenditure reports or quarterly or annual financial reports, as applicable, and all other pending matters are closed.

Vendor agrees that REGION 4 ESC, Inspector General, Department of Homeland Security, FEMA, the Comptroller General of the United States, or any of their duly authorized representatives shall have access to any books, documents, papers and records of Vendor, and its successors, transferees, assignees, and subcontractors that are directly pertinent to the Contract for the purpose of making audits, examinations, excerpts, and transcriptions. The right also includes timely and reasonable access to Vendor’s personnel for the purpose of interview and discussion relating to such documents. Vendor agrees to permit any of the foregoing parties to reproduce by any means whatsoever or to copy excerpts and transcriptions as reasonably needed. Vendor agrees to provide the FEMA Administrator or his authorized representative access to construction or other work sites pertaining to the work being completed under the Contract.

I certify compliance with this attribute.
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3 Federal Rule - Profit Negotiation
For purchases using Federal funds in excess of $250,000, REGION 4 ESC may be required to negotiate profit as a separate element of the price. (See 2 CFR 200.324(b)).

When required by REGION 4 ESC, Vendor agrees to provide information relating to profitability of the given transaction and itemize the profit margin as a separate element of the price.

I certify compliance with this attribute.
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4 Federal Rule - Solid Waste Disposal Act
A non-Federal entity that is a state agency or agency of a political subdivision of a state and its contractors must comply with section 6002 of the Sold Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceed $10,000; procuring sold waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. (78 FR 78608, Dec. 26, 2013, as amended at 79 FR 75885, Dec. 19, 2014.) Pursuant to this federal rule, when federal funds are expended by REGION 4 ESC, the vendor certifies that during the term of all contracts resulting from this procurement process, the vendor agrees to comply with all applicable requirements as referenced in this paragraph.

I certify compliance with this attribute.

Vendor: Mythics, LLC 24-02 Addendum 3

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5 Federal Rule - Never Contract with the Enemy – 2 C.F.R. § 200.215 When federal funds are expended by REGION 4 ESC for grant and cooperative agreements, or any contract resulting from this procurement process, that are expected to exceed $50,000 within the period of performance, and are performed outside of the United States, including U.S. territories, to a person or entity that is actively opposing United States or coalition forces involved in a contingency operation in which members of the Armed Forces are actively engaged in hostilities, REGION 4 ESC will terminate any grant or cooperative agreement or contract resulting from this procurement process as a violation of Never Contract with the Enemy detailed in 2 CFR Part 183.

The vendor certifies that it is neither an excluded entity under the System for Award Management (SAM) nor Federal Awardee Performance and Integrity Information System (FAPIIS) for any grant or cooperative agreement terminated due to Never Contract with the Enemy as a Termination for Material Failure to Comply. AISD has a responsibility to ensure no Federal award funds are provided directly or indirectly to the enemy, to terminate subawards in violation of Never Contract with the Enemy, and to allow the Federal Government access to records to ensure that no Federal award funds are provided to the enemy.

I certify compliance with this attribute.
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6 Applicability to Subcontractors
Vendor agrees that all contracts it awards pursuant to this procurement action shall be bound by the terms and conditions of this procurement action.

I certify compliance with this attribute.
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7 Compliance with the Energy Policy and Conservation Act When REGION 4 ESC expends federal funds for any contract resulting from this procurement process, Vendor certifies that it will comply with the mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (42 U.S.C. 6321 et seq.; 49 C.F.R. Part 18).

I certify compliance with this attribute.

Vendor: Mythics, LLC 24-02 Addendum 3

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8 Indemnification
Acts or Omissions
Vendor shall indemnify and hold harmless Region 4, AND/OR THEIR OFFICERS, AGENTS, EMPLOYEES,

REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED COSTS, ATTORNEY FEES, AND EXPENSES arising out of, or resulting from any acts or omissions of the Vendor or its agents, employees, subcontractors, Order Fulfillers, or suppliers of subcontractors in the execution or performance of the Contract and any Purchase Orders issued under the Contract.

Infringements
a) Vendor shall indemnify and hold harmless Region 4 and Customers, AND/OR THEIR EMPLOYEES, AGENTS, REPRESENTATIVES, CONTRACTORS, ASSIGNEES, AND/OR DESIGNEES from any and all third party claims involving infringement of United States patents, copyrights, trade and service marks, and any other intellectual or intangible property rights in connection with the PERFORMANCES OR ACTIONS OF VENDOR PURSUANT TO THIS CONTRACT. VENDOR AND THE CUSTOMER AGREE TO FURNISH TIMELY WRITTEN NOTICE TO EACH OTHER OF ANY SUCH CLAIM. VENDOR SHALL BE LIABLE TO PAY ALL COSTS OF DEFENSE INCLUDING ATTORNEYS’ FEES.
b) Vendor shall have no liability under this section if the alleged infringement is caused in whole or in part by: (i) use of the product or service for a purpose or in a manner for which the product or service was not designed, (ii) any modification made to the product without Vendor’s written approval, (iii) any modifications made to the product by the Vendor pursuant to Customer’s specific instructions, (iv) any intellectual property right owned by or licensed to Customer, or (v) any use of the product or service by Customer that is not in conformity with the terms of any applicable license agreement.
c) If Vendor becomes aware of an actual or potential claim, or Customer provides Vendor with notice of an actual or potential claim, Vendor may (or in the case of an injunction against Customer, shall), at Vendor’s sole option and expense; (i) procure for the Customer the right to continue to use the affected portion of the product or service, or (ii) modify or replace the affected portion of the product or service with functionally equivalent or superior product or service so that Customer’s use is non-infringing.

Taxes/Workers’ Compensation/Unemployment Insurance – Including Indemnity a) VENDOR AGREES AND ACKNOWLEDGES THAT DURING THE EXISTENCE OF THIS CONTRACT, VENDOR SHALL BE ENTIRELY RESPONSIBLE FOR THE LIABILITY AND PAYMENT OF VENDOR’S AND VENDOR’S EMPLOYEES’ TAXES OF WHATEVER KIND, ARISING OUT OF THE PERFORMANCES IN THIS CONTRACT.

VENDOR AGREES TO COMPLY WITH ALL STATE AND FEDERAL LAWS APPLICABLE TO ANY SUCH PERSONS, INCLUDING LAWS REGARDING WAGES, TAXES, INSURANCE, AND WORKERS’ COMPENSATION. THE CUSTOMER AND/OR REGION 4 SHALL NOT BE LIABLE TO THE VENDOR, ITS EMPLOYEES, AGENTS, OR

OTHERS FOR THE PAYMENT OF TAXES OR THE PROVISION OF UNEMPLOYMENT INSURANCE AND/OR WORKERS’ COMPENSATION OR ANY BENEFIT AVAILABLE TO A STATE EMPLOYEE OR EMPLOYEE OF ANOTHER GOVERNMENTAL ENTITY CUSTOMER.
b) VENDOR AGREES TO INDEMNIFY AND HOLD HARMLESS CUSTOMERS, REGION 4 AND/OR THEIR

EMPLOYEES, AGENTS, REPRESENTATIVES, CONTRACTORS, AND/OR ASSIGNEES FROM ANY AND ALL LIABILITY, ACTIONS, CLAIMS, DEMANDS, OR SUITS, AND ALL RELATED COSTS, ATTORNEYS’ FEES, AND EXPENSES, RELATING TO TAX LIABILITY, UNEMPLOYMENT INSURANCE AND/OR WORKERS’ COMPENSATION IN

ITS PERFORMANCE UNDER THIS CONTRACT, VENDOR SHALL BE LIABLE TO PAY ALL COSTS OF DEFENSE INCLUDING ATTORNEYS’ FEES.

I certify compliance with this attribute.
1 2
9 Excess Obligations Prohibited
Proposer understands that all obligations of Region 4 ESC under the contract are subject to the availability of state funds. If such funds are not appropriated or become unavailable, the contract may be terminated by Region 4 ESC.

I certify compliance with this attribute.
1 3
0 Suspension and Debarment
Respondent certifies that neither it nor its principals are debarred, suspended, proposed for debarment, declared ineligible, or otherwise excluded from participation in the contract by any state or federal agency.

I certify compliance with this attribute.

Vendor: Mythics, LLC 24-02 Addendum 3

1 3
1 Change in Law and Compliance with Laws
Proposer shall comply with all laws, regulations, requirements and guidelines applicable to a vendor providing services and products required by the contract to the Region 4 ESC, as these laws, regulations, requirements and guidelines currently exist and as amended throughout the term of the contract. Region 4 ESC reserves the right, in its sole discretion, to unilaterally amend the contract prior to award and throughout the term of the contract to incorporate any modifications necessary for compliance with all applicable state and federal laws, regulations, requirements and guidelines.

I certify compliance with this attribute.

Vendor: Mythics, LLC 24-02 Addendum 3

Appendix C, Doc #1

ACKNOWLEDGMENT AND ACCEPTANCE
OF REGION 4 ESC’s OPEN RECORDS POLICY

OPEN RECORDS POLICY
All proposals, information and documents submitted are subject to the Public Information Act requirements governed by the State of Texas once a Contract(s) is executed. If an Offeror believes its response, or parts of its response, may be exempted from disclosure, the Offeror must specify page- by-page and line- by-line the parts of the response, which it believes, are exempt and include detailed reasons to substantiate the exemption. Price is not confidential and will not be withheld. Any unmarked information will be considered public information and released, if requested under the Public Information Act.

The determination of whether information is confidential and not subject to disclosure is the duty of the Office of Attorney General (OAG). Region 4 ESC must provide the OAG sufficient information to render an opinion and therefore, vague and general claims to confidentiality by the Offeror are not acceptable. Region 4 ESC must comply with the opinions of the OAG. Region 4 ESC assumes no responsibility for asserting legal arguments on behalf of any Offeror. Offeror is advised to consult with their legal counsel concerning disclosure issues resulting from this procurement process and to take precautions to safeguard trade secrets and other proprietary information.

Signature below certifies complete acceptance of Region 4 ESC’s Open Records Policy, except as noted below (additional pages may be attached, if necessary).

Check one of the following responses to the Acknowledgment and Acceptance of Region 4 ESC’s Open Records Policy below:

 We acknowledge Region 4 ESC’s Open Records Policy and declare that no information submitted with this proposal, or any part of our proposal, is exempt from disclosure under the Public Information Act.

 We declare the following information to be a trade secret or proprietary and exempt from disclosure under the Public Information Act.

(Note: Offeror must specify page-by-page and line-by-line the parts of the response, which it believes, are exempt. In addition, Offeror must include detailed reasons to substantiate the exemption(s). Price is not confident and will not be withheld. All information believed to be a trade secret or proprietary must be listed. It is further understood that failure to identify such information, in strict accordance with the instructions, will result in that information being considered public information and released, if requested under the Public Information Act.)

Date Authorized Signature & Title
05/31/2024

Region 4 Education Service Center
RFP 24-02
Oracle Products and Services
06/13/2024

Requirement #11. Region 4 ESC’s Open Records Policy
Requesting that the following documents be kept CONFI DENTIAL and ex empt from public disclosure as this information is considered trade secrets, our organization’s individual approach to our organizational structure , staffing, and processes , and/or financi al records that are not available to the public and such disclosure would give competitors an unjust advantage or adversely affect the financial interest of Mythics.
• IonWave Portal Response Attachments Tab Attached Documents o “CONFIDENTIAL RFP #24 -02_Mythics Emergent Group Inc. 2020 2021 Financial Statements”
o “CONFIDENTIAL RFP #24 -02__Mythics Emergent Group, Inc. 202 1 - 2022 Financial Statements”
o “CONFIDENTIAL RFP #24 -02__Mythics LLC and Subsidiary 2022 - 2023 Financial Statements”
o CONFIDENTIAL RFP #24-02 Requirement #41. References
o CONFIDENTIAL RFP #24-02 Requirement #86. PMO Chart_Mythics o CONFIDENTIAL (partial) RFP #24 -02 Requirement Appendix B_Te rms and Conditions Acceptance Form_Mythics (marked portion of this document) o CONFIDENTIAL Requirement #8. Mythics State of NJ_Statement of Ownership Disclosure

• IonWave Portal Attributes Tab Requirement Responses
o Requirement #41. References
o Requirement #87. Supplier’s Customer List (marked portion of response)

Version January 17, 2024
Appendi
x C, Doc #2

ANTITRUST CERTIFICATION STATEMENTS
(Tex. Government Code § 2155.005)
Attorney General Form
I a
ffirm under penalty of perjury of the laws of the State of Texas that:

1. I a
m duly authorized to execute this Contract on my own behalf or on behalf of the company, corporation, firm, partnership or individual (Company) listed below;

2. In
connection with this proposal, neither I nor any representative of the Company has violated any provision of the Texas Free Enterprise and Antitrust Act, Tex. Bus. & Comm. Code Chapter 15;

3. In
connection with this proposal, neither I nor any representative of the Company has violated any federal antitrust law; and

4. Neither I nor any representative of the Company has directly or indirectly communicated any of the contents of this proposal to a competitor of the Company or any other company, corporation, firm, partnership or individual engaged in the same line of business as the Company.

Company Contact
Signature
Printed Name
Address Position with Company
Official
Authorizing
Proposal
Signature
Phone
Printed Name
Fax
Position with Company
Mythics, LLC
4525 Main St., Suite 1500
Virginia Beach, VA 23462
757-412-4362
757-412-1060
Deonte J. Watters
Vice President, Business Operations
Deonte J. Watters
Printed Name
Vice President, Business Operations
Vice President, Business Operations

Appendix C, DOC # 4
Texas
Government Code 2270 Verification Form
Hous
e Bill 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government Code, provides that a governmental entity may not enter into a contract with a company without verification that the contracting vendor does not and will not boycott Israel during the term of the contract.

Furt
hermore, Senate Bill 252 (85R Legislative Session), which amends Chapter 2252 of the Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the Texas Comptroller.

I,
___________________________________________________, as an authorized representative of
_____________________________________________________________, a contractor engaged
by
Insert Name of Company
Region 4 Education Service Center, 7145 West Tidwell Road, Houston, TX 77092, verify by this writing that the above- named company affirms that it (1) does not boycott Israel; and (2) will not boycott Israel during the term of this contract, or any contract with the above- named Texas governmental entity in the future.

Al
so, our company is not listed on and we do not do business with companies that are on the Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found at https://comptroller.texas.gov/purchasing/docs/foreign-terrorist.pdf.

I f
urther affirm that if our company's position on this issue is reversed and this affirmation is no longer valid, that the above -named Texas governmental entity will be notified in writing within one (1) business day and we understand that our company's f ailure to affirm and comply with the requirements of Texas Government Code 2270 et seq. shall be grounds for immediate contract termination without penalty to the above-named Texas governmental entity.

I s
wear and affirm that the above is true and correct.
______________________________________________ ________________

Signature of Named Authorized Company Representative Date Deonte J. Watters, Vice President, Business Operations
Mythics,LLC
05/31/2024

City Council
Communication
Meeting Date: 2/4/2026
Item #: VII.14
File #: 0900-02-01 & 0201-
01 Item ID: 2025-993

Title: Water Distribution System Improvements Project — Notice of Completion and Budget Adjustment
Contact: Jonathan Cummings 916-774-5566 [email protected]

SUMMARY
Staff recommends approval of the Notice of Completion for the Water Distribution System Improvements Project. The total cost of the construction contract with Lund Construction, Co. is $2,442,205. Funding for this project was included in the Water Rehabilitation Fund. Staff also recommends approval of a budget adjustment in the amount of $43,500 for specialized paving services. Funding is available from the Water Rehabilitation Fund budget.

RECOMMENDATION
Staff recommends that the City Council

1. Adopt the attached resolution accepting the Water Distribution System Improvements Project as complete and authorizing the Director of the Environmental Utilities Department to execute the Notice of Completion; and

2. Adopt an ordinance to approve a budget adjustment of $43,500 from available resources in the Water Rehabilitation Fund to fund additional work that arose outside the Project to be completed by City resources to close out of the project.

BACKGROUND
On June 21, 2023, City Council awarded a construction contract to Lund Construction Co. (Contractor) for three water pipeline extensions that further interconnected the water pipeline network, increased the reliability, and addressed capacity limitations of the City’s water distribution system. The project locations are as shown in Attachment A to the Notice of Completion.

On November 27, 2024, the Environmental Utilities Department confirmed final inspections and recognized the work as substantially complete and in accordance with the plans and specifications, and the project is now ready for acceptance.

On April 1, 2025, the Environmental Utilities received a Construction Claim (Claim No.1) from Lund Construction, Co., in the amount of $436,980.56 for alleged extra work. Preceding Claim No.1 were corresponding Notice(s) of Potential Claim, spanning from August 8, 2024 to February 26, 2025. On July 10, 2025, the Environmental Utilities reached an agreement with Lund Construction, Co. to settle Claim No. 1 for an amount totaling $91,500, which was formalized by a Letter Agreement. The resolution occurred at an informal conference to meet and confer for settlement held on June 23, 2025.

The total cost to complete the construction contract, including all change orders ($136,496) and settlement

of Claim No. 1 ($91,500), was $2,442,205. The project expenses were paid from the Water Rehabilitation Fund, which is funded by revenue from water utility sales.

A budget adjustment is recommended to finalize the improvements according to City standards. After contracting with Lund Construction, Co., Environmental Utilities was notified a portion of the work was completed in an area subject to additional requirements (micro-surfacing) for pavement restoration due to the pavement quality and recency of repaving. The additional work was initially offered to Lund Construction, Co., but staff found it more cost-effective to collaborate with Public Works via its on-call contract paving services. An additional $43,500 is being requested to complete the restoration and preserve the useful life intended by the roadway moratorium.

FISCAL IMPACT
The recommended budget adjustment will fund the Water Distribution System Improvements Project with $43,500 from the available resources in the Water Rehabilitation Fund. The budget adjustment requests funding for secondary labor and on-call contract services to complete the roadway moratorium micro- surfacing restoration of Douglas Boulevard. The current budget for this project is $3,748,801 and this budget adjustment will bring the total project budget to $3,792,301.

ENVIRONMENTAL REVIEW
The California Environmental Quality Act (CEQA) does not apply to activities that will not result in a direct or reasonably foreseeable indirect physical change in the environment, or is otherwise not considered a project as defined by CEQA Statute §21065 and CEQA State Guidelines §15060(c)(3) and §15378. The Notice of Completion and Budget Adjustment meets the above criteria and is not subject to CEQA. No additional environmental review is required.

CITY COUNCIL STRATEGIC PLAN/OVERARCHING GOALS

4. Invest in well-planned infrastructure and growth

Respectfully Submitted,
Jonathan Cummings, Associate Engineer

Sean Bigley, Environmental Utilities Director

ATTACHMENTS:

1. Resolution 26-020

2. NOC

3. Attachment "A" Vicinity Map

4. Ordinance 7035

5. Construction Claim

6. Letter Agreement

REVIEWERS:

Jonathan Cummings, Environmental Utilities Department - Technical Services
Created/Initiated -
12/19/2025
Jason Marks, City Clerk Department Approved - 1/7/2026

Mario Guadamuz, Environmental Utilities Department - Technical Services Approved - 1/7/2026 Devin Whittington, Environmental Utilities Department Approved - 1/12/2026 Sean Bigley, Environmental Utilities Department Approved - 1/15/2026 Kelly Aye, City Attorney Department Approved - 1/20/2026 Katrina Six, City Clerk Department Approved - 1/21/2026 Ryan DeVore, City Manager Department - Assistant City Manager Approved - 1/22/2026 Dennis Kauffman, City Manager Department - Assistant City Manager Approved - 1/22/2026 Michelle Sheidenberger, City Attorney Department Approved - 1/23/2026 Dominick Casey, City Clerk Department Approved - 1/27/2026 Katrina Six, City Clerk Department Final Approval - 1/27/2026

RESOLUTION NO. 26-020

ACCEPTING THE PUBLIC WORK KNOWN AS THE WATER DISTRIBUTION SYSTEM IMPROVEMENT PROJECT, APPROVING THE “NOTICE OF COMPLETION”, AND

AUTHORIZING THE ENVIRONMENTAL UTILITIES DIRECTOR TO EXECUTE SAID

NOTICE ON BEHALF OF THE CITY OF ROSEVILLE

BE IT RESOLVED by the City Council of the City of Roseville as follows:

1. The “Notice of Completion” on file in the City Clerk’s Department relative to that public work known as the Water Distribution System Improvements Project, has been approved and the public work accepted.

2. The Environmental Utilities Director is hereby authorized and directed to execute said Notice on behalf of the City of Roseville.

PASSED AND ADOPTED by the Council of the City of Roseville this ____ day of _____________________, 20 , by the following vote on roll call:

AYES COUNCILMEMBERS:

NOES COUNCILMEMBERS:

ABSENT COUNCILMEMBERS:

______________________________
MAYOR

ATTEST:

_________________________________
City Clerk

RECORDING REQUESTED BY AND WHEN
RECORDED MAIL TO:

CITY CLERK

CITY OF ROSEVILLE
311 VERNON STREET
ROSEVILLE, CA 95678

Exempt from recording fees
Pursuant to Gov’t Code §27383

NOTICE OF COMPLETION

NOTICE IS HEREBY GIVEN that the public work of improvement known as the Project was completed and
accepted by the City of Roseville on . The location is situated in the City of Roseville, County of Placer, State of California and is indicated on the attached map, marked as Exhibit “A” and incorporated herein by this reference. The real property herein described is owned by the City of Roseville, 311 Vernon Street, Roseville CA 95678.

The direct/general contractor on said project was .

The surety on said project was
.

___________________________________

City of Roseville
Owner
ATTEST:

________________________________
_
Carmen Avalos, City Clerk

St
ate of California )
County of Placer )
I, , being first duly sworn, depose and say: I am the of the City of Roseville, a municipal
corporation in the State of California, owner of the property described in the above Notice. I am duly authorized to make this verification for and on behalf of the City of Roseville. I have read the Notice of Completion and know its contents and the facts stated therein are true. ___________________________________
C
ity of Roseville
St
ate of California )
County of Placer )
Subscribed and sworn to (or affirmed) before
me on this _____ day of , 20___,
proved to me on the basis of satisfactory
evidence to be the person(s) who appeared
before me.
____________________________________
P
lace Notary Seal and/or Stamp Above Signature of Notary Public A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

I-80

CIRBY WY

DOUGLAS BL

SUNRISE AVRIVERSIDE AV
ORLA
NDO AV

JUDAH ST

OAK RIDGE DR

DARLING WY

VINE AV

COLOMA WY

EARL AV

KING RD

CLINTON AV KEEHNER AV

PARK DR

IRENE AV

HILLCREST AV FRANCES DR

DONNER AVNEVADA AV

AUDREY WY

MARLIN DR

CHERRY ST

MELROSE AV

JO ANNE LN

WILLOW AV

FERN ST
OAK ST

LUCY LN

CORAL DR

RAMPARTDR

SALMON DR
EL
IS
A WY

SMITH LNCOLNAR ST

MAPLE DR

CONROY LN
ASC
OT DR

BLOSSOM HILL WY

BULJAN DR

MADDEN LN

RAVINE VIE
W D
R

TOYON WY

MARIAN WY
LI
VE OAK
CI
AL
COLOM
A W
Y

S HARDIN
G BL

CIRBY CREEK
DRY
CREEK

LIND A CREEK
“EXHIBIT A”

WATER DISTRIBUTION SYSTEM IMPROVEMENTS PROJECT
Water Main Replacement
²

ORDINANCE NO. 7035

ORDINANCE OF THE COUNCIL OF THE CITY OF ROSEVILLE
AUTHORIZING CERTAIN AMENDMENTS TO THE FISCAL YEAR 2025-26

BUDGET AND DECLARING THIS ORDINANCE TO BE IMMEDIATELY

EFFECTIVE AS AN APPROPRIATION MEASURE
THE CITY OF ROSEVILLE ORDAINS:

SECTION 1. The City of Roseville Annual Budget, Fiscal Year 2025-26, is hereby amended as listed on the attached budget adjustment for the Water Distribution System Improvements project.

SECTION 2. This ordinance is hereby declared to be an appropriation measure, immediately effective pursuant to the provisions of Section 5.03 of the Charter.

SECTION 3. The City Clerk is hereby authorized and directed to post a true copy of the foregoing ordinance in each of three (3) conspicuous locations in the City and she shall immediately after such posting enter in the ordinance book, under the record of the ordinance, a certificate under her hand stating the time and place of such publication by posting.

PASSED AND ADOPTED by the Council of the City of Roseville, this day of , 2026, by the following vote on roll call:

AYES COUNCILMEMBERS:

NOES COUNCILMEMBERS:

ABSENT COUNCILMEMBERS:

MAYOR
ATTEST:

City Clerk

REQUEST FOR BUDGET ADJUSTMENT
Updated 07/03/2025

Please complete the cells highlighted in yellow.

REQUESTER NAME & TITLE: FISCAL YEAR:

PREPARER NAME & TITLE: ORDINANCE:

DEPARTMENT/DIVISION:

EXPENDITURES/EXPENSES/TRANSFERS OUT
ACCOUNT STRING BUDGET ($)
Fund Account Center Project Adjustment DESCRIPTION
6130 6587 84001 500198 38,500 Increase capital outlay budget for project #500198 6130 5080 84001 500198 5,000 Increase secondary labor budget for project #500198

EXPENDITURES/EXPENSES/TRANSFERS OUT TOTAL 43,500

REVENUES/TRANSFERS IN
ACCOUNT STRING BUDGET ($)
Fund Account Center Project Adjustment DESCRIPTION

REVENUES/TRANSFERS IN TOTAL -

NET ADJUSTMENT 43,500

FUND BALANCE
ACCOUNT STRING BUDGET ($)
Fund Account Center Project Adjustment DESCRIPTION
6130 3601 00000 000000 (43,500) Decrease Water Rehabilitation Fund Balance 3601 00000 000000
3601 00000 000000
3601 00000 000000
3601 00000 000000
3601 00000 000000
FUND BALANCE TOTAL (43,500)

Justification for Budget Adjustment:

The Environmental Utilities Department is requesting a budget adjustment of $43,500 to increase the Water Distribution System Improvements Project (500198) budget from available resources in the Water Rehabilitation Fund (6130). Additional Public Works on-call contract paving services are needed to complete the roadway moratorium micro-surfacing restoration of Douglas Boulevard and to finalize the improvements according to City standards. The current project budget is $3,748,801. With this adjustment, the revised project budget will total $3,792,301. 2025-26
Jonathan Cummings, Associate Engineer
Jonathan Cummings, Associate Engineer
EU/Technical Services

7/10/2025
Environmental Utilities Director

City Council
Communication
Meeting Date: 2/4/2026
Item #: VII.15
File #: 0103-32
Item ID: 2025-995

Title: Designation of the Law and Regulation Committee Meeting Day and Time Contact: Rob Baquera 916-746-1170 [email protected]

SUMMARY
Staff recommends approval of establishing a regular meeting schedule for the City Council’s Law and Regulation Committee. The proposed resolution sets the Committee’s meetings on a quarterly basis, to be held on the third Thursday of April, June, August, and November at 9:00 a.m., beginning in 2026, in accordance with the City Council/Boards, Commissions, and Committees Administrative Standards.

RECOMMENDATION
Staff recommends that the City Council adopt a resolution to repeal resolution 25-058 and establish the 2026 Law and Regulation Committee’s regular meeting schedule on a quarterly basis, to be held on the third Thursday of April, June, August, and November at 9:00 a.m.

BACKGROUND
The City of Roseville’s Law and Regulation Committee serves as an advisory body to the City Council, providing oversight and guidance on legislative and regulatory matters affecting the City. The Committee plays a central role in shaping the City’s approach to state and federal legislation, reviewing local laws and regulatory issues, and ensuring that recommended policy positions align with City Council goals and priorities.

As part of the City’s broader government relations efforts, the Law and Regulation Committee works closely with staff to support advocacy on issues of importance to the City of Roseville. The Committee also serves as a key link between the City Council and the City’s Legislative and Regulatory Platform, helping to inform, refine, and recommend positions for Council consideration.

FISCAL IMPACT
There is no fiscal impact associated with the operation or meeting schedule of the Law and Regulation Committee.

ENVIRONMENTAL REVIEW
The California Environmental Quality Act (CEQA) does not apply to activities that will not result in a direct or reasonably foreseeable indirect physical change in the environment or is otherwise not considered a project as defined by CEQA Statute §21065 and CEQA State Guidelines §15061(c)(3) and §15378. The approval of the meeting dates for the Law and Regulation Committee meets the above criteria and are not subject to CEQA. No additional environmental review is required.

CITY COUNCIL STRATEGIC PLAN/OVERARCHING GOALS

5. Support community engagement and advocacy

Respectfully Submitted,
Rob Baquera, Government Relations Administrator

Megan Scheid, Deputy City Manager

ATTACHMENTS:

1. Resolution 26-021

REVIEWERS:

Rob Baquera, Public Affairs and Communications Department Created/Initiated - 12/22/2025 Megan Scheid, City Manager Department - Deputy City Manager Approved - 12/22/2025 Kelly Aye, City Attorney Department Approved - 1/20/2026 Katrina Six, City Clerk Department Approved - 1/21/2026 Ryan DeVore, City Manager Department - Assistant City Manager Approved - 1/22/2026 Dennis Kauffman, City Manager Department - Assistant City Manager Approved - 1/22/2026 Michelle Sheidenberger, City Attorney Department Approved - 1/26/2026 Dominick Casey, City Clerk Department Approved - 1/27/2026 Katrina Six, City Clerk Department Final Approval - 1/27/2026

RESOLUTION NO. 26-021

ADOPTING A RESOLUTION REPEALING RESOLUTION NO. 25-058 AND ADOPTING A 2026 MEETING SCHEDULE FOR THE LAW AND REGULATION COMMITTEE

WHEREAS, the City Council/Boards, Commissions, and Committees Administrative Standards requires the City Council to adopt a resolution establishing a regular day and time for meetings of the Law and Regulation Committee; and

WHEREAS, staff is proposing that the Law and Regulation Committee now meet on a quarterly basis, on the third Thursday of April, June, August and November at 9:00 a.m.

NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Roseville as follows:

1. Resolution 25-058 passed and adopted March 5, 2025 is hereby repealed.

2. The Law and Regulation Committee will meet on a quarterly basis in 2026, on the third Thursday of April, June, August and November at 9:00 a.m.

PASSED AND ADOPTED by the Council of the City of Roseville this ___ day of __________________________, 2026, by the following vote on roll call:

AYES COUNCILMEMBERS:

NOES COUNCILMEMBERS:

ABSENT COUNCILMEMBERS:

______________________________
MAYOR

ATTEST:

___________________________
City Clerk

City Council
Communication
Meeting Date: 2/4/2026
Item #: VII.16
File #: 0709 & 2014
Item ID: 2026-1

Title: Prohousing Incentive Pilot Program – Application for Funding Contact: Trisha Isom 916-746-1239 [email protected]

SUMMARY
Staff recommends approval of an application to the State of California Housing and Community Development Department for the Prohousing Incentive Program (PIP) in the amount of $1,210,000 to assist with affordable housing development and to execute the necessary application, standard agreement and relevant documents for the PIP grant program from the California Department of Housing and Community Development. The recommended action does not impact the City's General Fund.

RECOMMENDATION
Staff recommends that the City Council adopt a resolution authorizing the City Manager or his designee to execute the necessary application, standard agreement and relevant documents for the fourth round of Prohousing Incentive Pilot (PIP) grant funding from the State of California Housing and Community Development Department.

BACKGROUND
The Prohousing Designation Program was established by the State of California Housing and Community Development Department (HCD) in 2019 to help meet California’s housing goals. The Prohousing Designation is given to cities that have sufficiently removed barriers to housing. The designation makes affordable housing projects more competitive for state and federal funding and could help accelerate the timeline for future projects. The Prohousing Incentive Pilot Program (PIP) complements the Prohousing Designation Program and is designed to encourage cities and counties to obtain the Prohousing Designation. The program is funded through Chapter 364, Statutes of 2017 (SB 2, Atkins), which established the Building Homes and Jobs Trust Fund. The PIP Program awards funds based on jurisdiction size and Prohousing Designation Program score. Eligible activities include pre-development, development acquisition, rehabilitation and preservation of multifamily rental housing for low-income households.

HCD released a Notice of Funding Availability (NOFA) for approximately $8 million in funds for jurisdictions that received a Prohousing Designation, in September 2025. To encourage continued development opportunity in Roseville, the Housing Division requests to apply for the fourth round of PIP funding. Based on HCD’s formula, the City is eligible to apply for a maximum of $1,210,000. Should the City receive an award, the Housing Division will release a NOFA requesting applications focused on the preservation of affordable housing projects. Following the NOFA process, staff will evaluate eligible proposals and identify recommended projects for funding.

Staff requests Council authorization to complete and submit an application for PIP funds (Attachment 1 - Draft PIP application) by the March 31, 2026 deadline. If the City is successful in securing an award, staff will return to Council with the proposed funding allocations and the corresponding loan and regulatory

agreement documents for review and approval.

FISCAL IMPACT
PIP funding is provided as a reimbursable state grant to the City. These grants are used to offset potential costs to the General Fund, while serving the low-income community and supporting the development of affordable housing. The recommended action does not impact the City's General Fund.

ENVIRONMENTAL REVIEW
The California Environmental Quality Act (CEQA) does not apply to activities that will not result in a direct or reasonably foreseeable indirect physical change in the environment or is otherwise not considered a project as defined by CEQA Statute §21065 and CEQA State Guidelines §15060(c)(3) and §15378. The funding application meets the above criteria and is not subject to CEQA. No additional environmental review is required.

CITY COUNCIL STRATEGIC PLAN/OVERARCHING GOALS

3. Enhance economic vitality

Respectfully Submitted,
Trisha Isom, Housing Manager

Melissa Anguiano, Economic Development Director

ATTACHMENTS:

1. Resolution 26-022

2. 2025 PIP Application

REVIEWERS:

Trisha Isom, Economic Development Department - Housing Created/Initiated - 1/2/2026 Trisha Isom, Economic Development Department - Housing Approved - 1/2/2026 Melissa Anguiano, Economic Development Department Approved - 1/5/2026 Kelly Aye, City Attorney Department Approved - 1/20/2026 Katrina Six, City Clerk Department Approved - 1/21/2026 Ryan DeVore, City Manager Department - Assistant City Manager Approved - 1/22/2026 Dennis Kauffman, City Manager Department - Assistant City Manager Approved - 1/22/2026 Michelle Sheidenberger, City Attorney Department Approved - 1/23/2026 Dominick Casey, City Clerk Department Approved - 1/27/2026 Katrina Six, City Clerk Department Final Approval - 1/27/2026

RESOLUTION NO. 26-022

RESOLUTION OF THE ROSEVILLE CITY COUNCIL AUTHORIZING APPLICATION

FOR, AND RECEIPT OF, PROHOUSING INCENTIVE PILOT PROGRAM FUNDS

WHEREAS, pursuant to Health and Safety Code 50470 et. Seq, the California Department of Housing and Community Development (Department) is authorized to issue Guidelines as part of an incentive program (hereinafter referred to by the Department as the Prohousing Incentive Program or “PIP”);; and

WHEREAS, the City Council of Roseville desires to submit a PIP grant application package (“Application”), on the forms provided by the Department, for approval of grant funding for eligible activities toward planning and implementation activities related to housing and community development as a result of meeting eligibility criteria including but not limited to Prohousing Designation; and

WHEREAS, the Department has issued Guidelines and Application on September 30, 2025 in the amount of $8 million for PIP; and

NOW, THEREFORE, BE IT RESOLVED by the Council of the City of Roseville (“Applicant”) resolves as follows:

SECTION 1. The City Manager is hereby authorized and directed to submit an Application to the Department in response to the NOFA, and to apply for the PIP grant funds in a total amount not to exceed $1,210,000; and

SECTION 2. In connection with the PIP grant, if the Application is approved by the Department, the City Manager of the City of Roseville is authorized and directed to enter into, execute, and deliver on behalf of the Applicant, a State of California Agreement (Standard Agreement) for the amount of $1,210,000, and any and all other documents required or deemed necessary or appropriate to evidence and secure the PIP grant, the Applicant’s obligations related thereto, and all amendments thereto; and

SECTION 3. The Applicant shall be subject to the terms and conditions as specified in the Guidelines, and the Standard Agreement provided by the Department after approval. The Application and any and all accompanying documents are incorporated in full as part of the Standard Agreement. Any and all activities funded, information provided, and timelines represented in the Application will be enforceable through the fully executed Standard Agreement. Pursuant to the Guidelines and in conjunction with the terms of the Standard Agreement, the Applicant hereby agrees to use the funds for eligible uses and allowable expenditures in the manner presented and specifically identified in the approved Application.

PASSED AND ADOPTED by the Council of the City of Roseville this ___ day of ______________, 20 , by the following vote on roll call:

AYES COUNCILMEMBERS:

NOES COUNCILMEMBERS:

ABSENT COUNCILMEMBERS:

______________________________
MAYOR

ATTEST:

________________________
City Clerk

Prohousing Incentive Program
(PIP)
2025 Application for Local Governments
State of California
Governor, Gavin Newsom
Tomiquia Moss, Secretary
Business, Consumer Services and Housing Agency
Gustavo Velasquez, Director
Department of Housing and Community Development
Megan Kirkeby, Deputy Director
Division of Housing Policy Development
Final Filing Date: March 31, 2026
651 Bannon Street, Suite 400 Sacramento, CA 95811
Website: https://www.hcd.ca.gov/grants-and-funding/programs-active/prohousing- incentive-program
Email: [email protected]

X
X
X
X
X
X
Demonstration of meeting threshold criteria shall be determined by the Department in its sole and absolute discretion. No documentation of meeting threshold requirements is required in the application unless requested by the Department.

Housing Element Annual Progress Report submittal pursuant to Government Code Section 65400 for the current or prior year, as applicable.

Prohousing Designation: An awarded or completed Prohousing Designation Application with an authorizing resolution must be submitted prior to or in conjunction with the Applicant’s PIP Application. PIP Awards cannot be made until a Prohousing Designation is awarded.

A complete application as determined by the Department.

An authorizing resolution authorizing submittal of the application to the Program that materially comports with the Program’s requirements and is legally sufficient as determined in the Department’s reasonable discretion, including an authorized representative. See Attachment B of the PIP Guidelines for required resolution format.

Compliance with state and federal housing laws as determined by the sole discretion of HCD.

Prohousing Incentive Program (PIP) Application Instructions The applicant is applying to the Department of Housing and Community Development (Department) for a grant authorized under the provisions pursuant to Health and Safety Code Section 50470(2)(C)(i). PIP is designed to encourage cities and counties to achieve Prohousing Designation. Please refer to the PIP Guidelines and September 2024 Notice of Funding Availability (NOFA) for detailed information on eligible uses and awards. If you have questions regarding this application or the PIP Program, email [email protected].

If approved for funding, the PIP application is incorporated as part of your Standard Agreement with the Department. To be considered for funding, all sections of this application, including attachments if required, must be complete and accurate.

In order to be considered for funding, all applicants must submit a complete, signed application to [email protected] by March 31, 2026. Pursuant to Section 202 of the PIP Guidelines, all applicants must meet the following threshold requirements to be eligible for funding:

An adopted housing element in substantial compliance, as determined by the Department, pursuant to Housing Element Law (Article 10.6 of Gov. Code) in accordance with Government Code section 65585, subdivision (h).

Threshold Requirements

Applicant
Applicant Agency Type
Mailing Address
City Zip Code
County
Website
TIN
Authorized Representative Name
Authorized Representative Title
Phone
Fax
Email
Contact Person Name
Contact Person Title
Phone
Fax
Email
Signature Date
Name Title
Placer
www.roseville.ca.us
Dominick Casey City Manager
As the official designated by the governing body (authorized representative above and in resolution), I hereby certify that, if approved by HCD for funding through PIP, the applicant assumes the responsibilities specified in the NOFA and certifies that the information, statements, and other contents contained in this application are true and correct.
916-746-1295
Housing Manager
916-746-1239
[email protected]
94-6000409
Applicant Information
City of Roseville
City
316 Vernon Street #150
Roseville 95678
Dominick Casey
City Manager
916-774-5270
[email protected]
Trisha Isom
916-786-9175

Jurisdiction Name Eligible Base Award
Geographic Category Bonus Award Amount:

Prohousing Designation Application
Score Total Award46 1,210,000$
Award Amount
Roseville 750,000$
Sacramento Area
Click the dropdown menu to choose a jurisdiction. The geographic category and base award will auto-populate. If the jurisdiction has obtained Prohousing Designation at the time of PIP application submittal, enter in the Prohousing Designation applicant score. Population projections are based on the Department of Finance E-1 January 1, 2025 estimates. https://dof.ca.gov/Forecasting/Demographics/estimates-e1/ 460,000$

X
Eligible Applicants must use award funds towards any planning or implementation activities related to housing and community development including, but not limited to, any eligible uses pursuant to Health and Safety Code section 50470(b)(2)(D), as described below. Please indicate which of the following the applicant will use award funds toward:

Eligible Uses
Objective
(v) Capitalized reserves for services connected to the creation of new permanent supportive housing, including, but not limited to, developments funded through the Veterans Housing and Homelessness Prevention Bond Act of 2014. (vi) Assisting persons who are experiencing or at risk of homelessness, including providing rapid rehousing, rental assistance, navigation centers, emergency shelters, and the new construction, rehabilitation, and preservation of permanent and transitional housing. (i) The predevelopment, development, acquisition, rehabilitation, and preservation of multifamily, residential live-work, rental housing that is affordable to extremely low, very low, low-, and moderate-income households, including necessary operating subsidies. (ii) Affordable rental and ownership housing that meets the needs of a growing workforce earning up to 120 percent of area median income, or 150 percent of area median income in high-cost areas. (iii) Matching portions of funds placed into local or regional housing trust funds. (vii) Accessibility modifications.
(viii) Efforts to acquire and rehabilitate foreclosed or vacant homes. (ix) Homeownership opportunities, including, but not limited to, downpayment assistance. (x) Fiscal incentives or matching funds to local agencies that approve new housing for extremely low, very low, low-, and moderate-income households. (iv) Matching portions of funds available through the Low and Moderate Income Housing Asset Fund pursuant to subdivision (d) of Section 34176 of the Health and Safety Code.

Responsible Party
Summary of Proposed Activities
Proposed Activity
NotesEligible Use Category
(i)
End
6/30/2027
Subtask(s) admin6/30/2027
City
City
Est. Cost
$1,149,500
$60,500
Begin
7/1/2026
7/1/2026
Statement of Work Plan
Acquisition and rehabilitation for the preservation of
affordable housing
Release NOFA to eligible developers for preservation
of affordable housing

City Council
Communication
Meeting Date: 2/4/2026
Item #: VII.17
File #: 0600
Item ID: 2026-4

Title: Occupational Health Services - Professional Services Agreements Contact: Evelyn Bowers 916-774-5213 [email protected]

SUMMARY
Staff recommends approval of professional services agreements with Kaiser Foundation Health Plan, Inc. and Occupational Health Centers of California, a Medical Corporation dba Concentra Medical Centers, for city-wide occupational health services. The total budget for the Kaiser agreement is $100,000 annually and the Concentra agreement is budgeted for $450,000 annually. These occupational medical costs are included in the Fiscal Year 2025-26 budget and will be incorporated in future proposed budgets.

RECOMMENDATION
Staff recommends that the City Council:

1. Adopt a resolution authorizing the City Manager to execute a Professional Services Agreement with Kaiser Foundation Health Plan, Inc. for Occupational Health Services; and

2. Adopt a resolution authorizing the City Manager to execute a Professional Services Agreement with Occupational Health Centers of California dba Concentra Medical Centers for Occupational Health Services.

BACKGROUND
In November 2025, the City solicited proposals from qualified facilities experienced in the area of occupational medicine. These services include pre-employment physicals, wellness examination and services, fitness for duty examinations, as well as drug and alcohol testing, as needed.

The City has utilized Kaiser Foundation Health Plan, Inc., a California corporation (Kaiser) to provide a variety of medical services to the City since November 2015. Kaiser was once again chosen based on the services they provide and their rate structure. Contracting with Kaiser will give the City another option for occupational health services. Having established a strong working relationship with Kaiser and because the City is satisfied with the services provided over the last several years, staff recommends that another five-year contract be executed.

Occupational Health Centers of California, a Medical Corporation dba Concentra Medical Centers, a California corporation (“Concentra”) presented an impressive proposal of services offered, as well as a competitive rate structure. Contracting with Concentra Medical Centers provides the City with another option for a variety of occupational health services, to ensure no delays in these critical employment- related medical services throughout the year. Based on an extensive interview and review of the proposal, staff recommends that a five-year contract with Concentra be approved.

FISCAL IMPACT

The professional services agreement for Kaiser shall not exceed $100,000 annually. The professional services agreement for Concentra shall not exceed $450,000 annually. The cost is budgeted in the Fiscal Year 2025-26 budget and will be included in future proposed budgets.

ENVIRONMENTAL REVIEW
The California Environmental Quality Act (CEQA) does not apply to activities that will not result in a direct or reasonably foreseeable indirect physical change in the environment, or is otherwise not considered a project as defined by CEQA Statute §21065 and CEQA State Guidelines §15060(c)(3) and §15378. The recommended professional services agreements for occupational medical services meets the above criteria and are not subject to CEQA. No additional environmental review is required.

CITY COUNCIL STRATEGIC PLAN/OVERARCHING GOALS

1. Ensure a safe and healthy community

Respectfully Submitted,
Evelyn Bowers, Administrative Assistant

Stacey Peterson, Human Resources Director

ATTACHMENTS:

1. Resolution 26-025

2. Kaiser Agreement

3. Resolution 26-026

4. Concentra Agreement

REVIEWERS:

Katrina Six, City Clerk Department Created/Initiated - 1/9/2026 Stacey Peterson, Human Resources Department Approved - 1/9/2026 Kelly Aye, City Attorney Department Approved - 1/20/2026 Katrina Six, City Clerk Department Approved - 1/21/2026 Ryan DeVore, City Manager Department - Assistant City Manager Approved - 1/22/2026 Dennis Kauffman, City Manager Department - Assistant City Manager Approved - 1/22/2026 Michelle Sheidenberger, City Attorney Department Approved - 1/28/2026 Dominick Casey, City Clerk Department Approved - 1/28/2026 Katrina Six, City Clerk Department Final Approval - 1/28/2026

RESOLUTION NO. 26-025

APPROVING A PROFESSIONAL SERVICES AGREEMENT, BY AND BETWEEN THE CITY OF ROSEVILLE AND KAISER FOUNDATION HEALTH PLAN, INC., AND

AUTHORIZING THE CITY MANAGER TO EXECUTE IT ON BEHALF OF

THE CITY OF ROSEVILLE

WHEREAS, a Professional Services Agreement for Occupational Health Services, by and between the City of Roseville and Kaiser Foundation Health Plant, Inc., has been reviewed by the City Council; and

NOW, THEREFORE, BE IT RESOLVED by the Council of the City of Roseville that said Professional Services Agreement is hereby approved and that the City Manager is authorized to execute it on behalf of the City of Roseville.

PASSED AND ADOPTED by the Council of the City of Roseville this ___ day of ______________, 2026, by the following vote on roll call:

AYES COUNCILMEMBERS:

NOES COUNCILMEMBERS:

ABSENT COUNCILMEMBERS:

______________________________
MAYOR

ATTEST:

________________________
City Clerk

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PROFESSIONAL SERVICES AGREEMENT

Occupational Health Services

THIS AGREEMENT is made and entered into this day of , 20 , and
The Permanente Medical Group, Inc., a California corporation and

W I T N E S S E T H:

WHEREAS, CITY desires professional services consisting of certain medical services to job applicants and employees, including, but not limited to, pre-employment physical examinations, respiratory protection program services, blood-borne pathogen program services, drug and alcohol abuse program services, and police and fire department specialized testing; and WHEREAS, CONSULTANT has prepared a proposal dated November 19, 2025, which describes the scope of work to be performed by CONSULTANT, the budget for the work, and the schedule for performance of the work; and
WHEREAS, CONSULTANT is qualified and experienced to provide such professional services.

NOW, THEREFORE, the parties agree as follows:

1. Term. The term of this Agreement shall commence upon execution and expire on January 20, 2029. The City Manager may, in his or her discretion, elect to extend the Agreement in one (1) year increments for up to an additional three (3) years by giving CONSULTANT thirty (30) days advance written notice of each optional one (1) year renewal. Such extensions shall be memorialized by a written amendment to this Agreement.

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2. Services. CONSULTANT shall perform, at the direction of CITY, the scope of

reference.

3. Compensation. For its services provided hereunder, CONSULTANT shall be compensated on a time and expense basis in accordance with the budget estimate as described in A Total compensation
per year shall not exceed one hundred thousand dollars ($100,000). The City does not guarantee whatsoever the actual value of this contract.

CONSULTANT shall submit one monthly invoice for its services. Such invoices shall be delineated by task, and the person performing the services. CITY shall pay invoices within thirty (30) days after receipt, if the services specified in the invoice have been satisfactorily completed.

CITY shall monitor the total amount of payments owed to CONSULTANT and shall immediately notify CONSULTANT when the maximum payment amount permitted under this Agreement is reached. Notwithstanding anything to the contrary in this Agreement, CITY shall be liable for and pay CONSULTANT for any services provided by Contractor before CITY notified CONSULTANT of the reaching of the maximum payment amount permitted under this Agreement.

4. Indemnification. To the fullest extent allowed by law, CONSULTANT shall

defend, indemnify, and save and hold harmless CITY, its officers, agents, employees and volunteers from any claims, suits or actions of every name, kind and description brought forth, or on account of, injuries to or death of any person (including but not limited to workers and the public), or damage to property, resulting from or arising out of CONSULTANT's willful

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misconduct or negligent act or omission while engaged in the performance of obligations or exercise of rights created by this Agreement, except those matters arising from (i) CITY's sole negligence or willful misconduct or (ii) an employment-related dispute (including but not limited to a lawsuit by an employee of CITY for employment discrimination based on results of employment statute or regulation, etc.). The parties intend that this section shall be broadly construed.

CONSULTANT agrees to defend and indemnify CITY if, despite the parties intent and practice, any venue, agency, or court with competent jurisdiction determines that CONSULTANT and/or any of its agents, officers, employees, volunteers, independent contractors, or subcontractors, are characterized as employee(s) of CITY. survive the termination or completion of this Agreement for the full period of time allowed by law. The defense and indemnity obligations of this Agreement are undertaken in addition to, and shall not in any way be limited by, the insurance obligations contained in this Agreement.

5. Insurance. CONSULTANT agrees to continuously maintain, in full force and effect, the following minimum policies of insurance during the term of this Agreement. Such insurance may include alternative risk management programs, including self-insurance or a combination of self-insurance and insurance, provided that such alternative risk management programs provide protection equivalent to that specified under this Agreement, and is provided to the City in advance of contract execution for complete review, and approval.

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COVERAGE LIMITS OF LIABILITY

Compensation Statutory

Commercial General Liability $1,000,000 each occurrence $2,000,000 aggregate
Personal Injury:
$1,000,000 each occurrence
$2,000,000 aggregate

Automobile Liability $1,000,000 combined single limit

Professional Liability (errors and $1,000,000 per claim omissions) $2,000,000 aggregate

a. Form. CONSULTANT shall submit a certificate evidencing such

coverage for the period covered by this Agreement in a form satisfactory to Risk Management and the City Attorney, prior to undertaking any work hereunder. Any insurance written on a claims made basis is subject to the approval of Risk Management and the City Attorney. b. Additional Insureds. CONSULTANT shall also provide a separate

endorsement form or section of the policy showing CITY, its officers, agents, employees and and Professional Liability. This requirement may be satisfied by a blanket endorsement. Such insurance shall specifically cover the contractual liability of CONSULTANT. The additional evidenced by a separate endorsement or section of the policy, and shall not seek contribution -insurance. In addition, the
CG 20 01 Endorsement. Any available insurance proceeds in excess of the specified minimum insurance coverage requirements and limits shall be available to the additional insureds.

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Furthermore, the requirements for coverage and limits shall be: (1) the minimum coverage and limits specified in this Agreement; or (2) the full coverage and maximum limits of any insurance proceeds available to the named insureds, whichever is greater. c. Cancellation/Modification. CONSULTANT shall provide ten (10) days

written notice to CITY prior to cancellation or modification of any insurance required by this Agreement unless replaced by similar coverage.
d. Umbrella/Excess Insurance. The limits of insurance required in this

Agreement may be satisfied by a combination of primary and excess insurance. Any excess insurance shall contain or be endorsed to contain a provision that such coverage shall also apply on a primary and noncontributory basis for the benefit of CITY (if agreed to in a written

e. Self-Insured Retentions. In the event of a claim, suit, or action, including as described in Paragraph 4, the CITY reserves the right to obtain a full certified copy of any insurance policy and endorsements, and any self-
limits of liability. Policies containing any SIR provision shall provide or be endorsed to provide that the SIR may be satisfied by either the named insured or CITY. The failure to exercise this right shall not constitute a waiver of such right.
f. Waiver of Subrogation. CONSULTANT hereby agrees to waive

subrogation which any insurer of CONSULTANT may acquire from CONSULTANT by virtue of the payment of any loss under a Workers Compensation, Commercial General Liability or Automobile Liability policy. All Workers Compensation, Commercial General Liability and Automobile Liability policies shall be endorsed with a waiver of subrogation in favor of CITY, its officers, agents, employees and volunteers for all worked performed by CONSULTANT, its

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employees, agents and subcontractors. The Parties waive any right to subrogation against the other Party, its officers, agents, employees and volunteers. g. Liability/Remedies. Insurance coverage in the minimum amounts set forth

herein shall not be construed to relieve CONSULTANT of liability in excess of such coverage, nor shall it preclude CITY from taking such other actions as are available to it under any other provisions of this Agreement or law.

6. Records. CONSULTANT and its subcontractors shall maintain all files and

records relating to the services performed hereunder during the term of this Agreement and for a period of not less than one (1) year after the date of termination or expiration. Provided, however, that in the event of litigation or settlement of claims arising from the performance of this Agreement, CONSULTANT and its subcontractors shall maintain all files and records until such litigation, appeals or claims are resolved. Duly authorized representatives of CITY shall have right of access during normal business hours and after reasonable notice to hereunder and may review and copy the files and records at appropriate stages during performance of the services and during the one (1) year period following termination or expiration of this Agreement. CONSULTANT shall include this provision in its contracts with all subcontractors.
not include access to medical records and any medical record created or modified by CONSULTANT in connection with its provision of services hereunder. CONSULTANT shall retain all rights and title to such medical records and be solely responsible therefor.

7. Time is of the Essence. Time is of the essence of this Agreement.

8. Prevailing Wages. When applicable, for purposes of this Agreement,

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CONSULTANT and its subcontractors shall comply with all applicable prevailing wage laws, e.g., but not limited to, California Labor Code Sections 1770 et seq. In accordance with said Section 1775, CONSULTANT shall forfeit as a penalty to the City two hundred dollars ($200) for each calendar day or portion thereof for each worker paid less than the prevailing rates for such work or craft in which such worker is employed for any work done on-site under the Agreement by CONSULTANT or by any subcontractor in violation of the provisions of the Labor Code and in particular, Labor Code Sections 1770 to 1780, inclusive. In addition to said penalty and pursuant to said Section 1775, the difference between such stipulated prevailing wage rates and the amount paid to each worker for each calendar day or portion thereof for which each worker was paid less than the stipulated prevailing wage shall be paid to each worker by CONSULTANT or the applicable subcontractor.

Pursuant to the provisions of California Labor Code Section 1773, the contracting department has identified the source, stated below, of the general prevailing rate of wages applicable to the site to be done, for straight time, overtime, and holiday work. The holiday wage rate listed shall be applicable to all holidays recognized in the collective bargaining agreement of the particular craft, classification or type of worker concerned. These wage rates may be obtained from the State Department of Industrial Relations and/or the following website address: http://www.dir.ca.gov/dlsr/DPreWageDetermination.htm.

Pursuant to Labor Code Section 1773.2, general prevailing wage rates set forth above, which forms a part of this Agreement, shall be posted by CONSULTANT at a prominent place at the work site. Prevailing wage rates to be posted at the work site will be furnished by the contracting department. The possibility of wage increases is one of the elements to be considered by CONSULTANT in determining its proposal and will not under any circumstances be considered as the basis of a claim against CITY or the Agreement.

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9. Compliance with Laws. CONSULTANT shall comply with all federal, state and

local laws, ordinances and policies as may be applicable to the performance of services under this Agreement.

10. Ability to Perform. CONSULTANT agrees and represents that it has the time,

ability and professional expertise to perform the services required under this Agreement.

11. Public Contracts: Conflicts of Interest. services

under this Agreement shall not include preparing or assisting CITY with any portion of the regarding a subsequent or additional contract with CITY. CITY shall at all times retain responsibility for public contracting, including with respect to any subsequent phase of this or specifications shall be limited to conceptual, preliminary, or initial plans or specifications.

CONSULTANT shall cooperate with CITY to ensure that all bidders for a subsequent contract on any subsequent phase of this project have access to the same information, including all conceptual, preliminary, or initial plans or specifications prepared by CONSULTANT pursuant to this Agreement.

12. Governing Agreement. In the event of any conflict between this Agreement and

its EXHIBITS, the provisions of this Agreement shall govern. In the event of any conflict between any of the EXHIBITS, the provisions of the first in order of attachment shall govern.

13. Assignment. CONSULTANT is employed to perform unique personal services.

CONSULTANT shall not assign this Agreement without the prior written consent of CITY, not to be unreasonably withheld. Except for The Permanente Medical Group (TPMG) physicians and staff, CONSULTANT shall not employ or otherwise incur any obligation to

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pay other specialists or experts for services in connection with this Agreement, without prior written consent of CITY, which shall not be unreasonably withheld. CONSULTANT will but all personnel must be supervised by CONSULTANT.

14. Independent Contractor. CONSULTANT, inclusive of its agents, officers,

employees, volunteers, independent contractors, and subcontractors, shall act as an independent contractor, and covenants and agrees that it will conduct itself consistent with such status, that it will neither hold itself out as, nor claim to be, an officer or employee of CITY by reason of this Agreement.

CONSULTANT and CITY agree that: (a) CONSULTANT is free from the control and direction of CITY in connection with the performance of the work; (b) CONSULTANT is providing services directly to CITY; (c) CONSULTANT has and will maintain at all relevant times a business license; (d) CONSULTANT maintains a business location that is separate from CITY; (e) CONSULTANT is customarily engaged in an independently established business of the same nature as that involved in the work performed hereunder; (f) CONSULTANT actually contracts with other businesses to provide the same or similar services and maintains a clientele without restrictions from CITY; (g) CONSULTANT advertises and holds itself out to the public as available to provide the same or similar services; (h) CONSULTANT provides its own tools, vehicles, and equipment to perform the services; (i) CONSULTANT has negotiated its own -
call needs; and (k) CONSULTANT has the right to control the manner and means of accomplishing the result desired and exercises its own expert independent judgement.

15. Representations and Warranties. CONSULTANT warrants that it has not

employed or retained any company or person, other than a bona fide employee working for

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CONSULTANT, to solicit or secure this Agreement, and that it has not paid or agreed to pay any company or person, other than a bona fide employee, any fee, commission, percentage, brokerage fee, gift or any other consideration, contingent upon or resulting from the award or making of this Agreement. For breach or violation of this warranty, CITY shall have the right to terminate as void this Agreement, without liability, or, in its discretion, to deduct from the Agreement price or consideration, or otherwise recover, the full amount of such fee, commission, percentage, brokerage fee, gift or contingent fee.

16. Successors in Interest. This Agreement shall be binding upon the heirs,

successors, executors, administrators and assigns of the respective parties hereto.

17. Copyright, Ownership and Use of Materials. All tangible material

created or delivered pursuant to this Agreement is considered a work made for hire under the Copyright Act. To the extent such Material does not qualify as a work made for hire, CONSULTANT hereby assigns to CITY all right, title, and interest, including but not limited to all copyrights, in all Material created by CONSULTANT in its performance under this Agreement. Material constitutes the scope of work outlined in Exhibit A and attached hereto, and all written and other tangible expressions, including but not limited to, drawings (including computer aided drawings), papers, documents, reports, surveys, renderings, exhibits, sketches, maps, models, prints, paintings or photographs, in any and all media or formats in which such materials have been created or are maintained. All Material furnished by CONSULTANT is, and shall remain, the property of CITY. Notwithstanding the foregoing, Materials shall not include medical records and any medical record created or modified by CONSULTANT in connection with its provision of services hereunder. CONSULTANT shall retain all rights and title to such medical records, and be solely responsible therefor.

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CONSULTANT shall execute any documents necessary to effectuate such assignment.

In the event that CONSULTANT uses, employs, designates, or retains any person or entity who is not an employee of CONSULTANT, to perform any work required of it pursuant to this Agreement, CONSULTANT shall require said person or entity to execute an agreement containing the preceding paragraph.

18. Termination of Agreement. Either party may terminate this Agreement without

cause by giving the other party thirty (30) calendar days advance written notice from the City Manager. CONSULTANT may terminate this Agreement without cause by giving CITY thirty (30) days
advance written notice. In the event of termination through no fault of CONSULTANT, CITY shall compensate CONSULTANT for services performed as of the date of termination, upon the release to CITY of all Material hereunder, in any and all media or formats in which such materials have been created or are maintained. CITY retains the right to receive and use any Material, notwithstanding any termination or any dispute regarding the amount to be paid.

19. If either party commences any legal

action against the other party arising out of this Agreement or the performance hereof, the prevailing party in such action shall be entitled to recover its reasonable litigation expenses, including but not limited to, court costs, expert witness fees, dis fees. Any action arising out of this Agreement shall be brought in Placer County, California, regardless of where else venue may lie. This Agreement shall be governed by and construed in accordance with the laws of the State of California.

20. Modification. This Agreement and each provision contained herein may be

waived, amended, supplemented or eliminated only by mutual written agreement of the parties.

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21. Severability. If any of the provisions contained in this Agreement are for any

reason held invalid or unenforceable, such holding shall not affect the remaining provisions or the validity and enforceability of the Agreement as a whole.

22. Notices. Any notices to parties required by this Agreement shall be delivered personally or mailed, U.S. first class postage prepaid, addressed as follows:

CITY OF ROSEVILLE CONSULTANT
Kaiser Permanente
Human Resources Department Occ. Health Sales & Account Management Attn: Stacey Peterson Attn: Sales Manager
311 Vernon Street 1 Kaiser Plaza, CR 1876
Roseville, CA 95768 Oakland, CA 94612

Either party may amend its address for notice by giving notice to the other party in writing.

23. Integrated Agreement. This is an integrated agreement and contains all of the

terms, considerations, understanding and promises of the parties. It shall be read as a whole.

IN WITNESS WHEREOF, the City of Roseville, a municipal corporation, has authorized the execution of this Agreement in duplicate by its City Manager and attested to by its City Clerk under the authority of Resolution No. , adopted by the Council of the City of Roseville on the day of , 20 , and CONSULTANT has caused this Agreement to be executed.

THE PERMANENTE MEDICAL GROUP, INC.,
CITY OF ROSEVILLE, a
municipal corporation a California corporation

BY:_______________________________ BY: _______________________________ DOMINICK CASEY Maria Ansari, MD, CEO
City Manager The Permanente Medical Group, Inc.

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and
ATTEST:

BY: _______________________________
Timothy R. Richards, CPA
Executive Chief Financial Officer
The Permanente Medical Group, Inc.

BY: _______________________________

CARMEN AVALOS
City Clerk

[SIGNATURES CONTINUED ON FOLLOWING PAGE]

APPROVED AS TO FORM:

BY: _______________________________

MICHELLE SHEIDENBERGER
City Attorney

APPROVED AS TO SUBSTANCE:

BY: _______________________________

STACEY PETERSON
Human Resources Director

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Billing Code Description of Services Cost of Services
PREPLACEMENT EXAM (PP1)
300388 Preplacement Physical Exam $65.00
As Employer Requested:
86580 PPD, 1 step, placement and reading $20.00
300420 Billed by Preferred
Alliance
As Clinically Indicated:
71045 Chest X-Ray, 1 view $55.00
71046 Chest X-Ray, 2 views $75.00
PREPLACEMENT EXAM (PP2)
300388 Preplacement Physical Exam $65.00
300422 PPD, 2 step, 2 placements and readings $30.00
As Employer Requested:
300420 Billed by Preferred
Alliance
As Clinically Indicated:
86580 PPD, 1 step, placement and reading $20.00
94010 Spirometry $60.00
93000 EKG, resting $50.00
93015 Cardiac Stress Test with Treadmill $230.00
36415 Venipuncture $15.00

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86735 Titer: Mumps Antibody Screen $35.00
86762 Titer: Rubella Antibody Screen (German Measles) $35.00 86765 Titer: Rubeola Antibody Screen (Measles) $35.00
86787 Titer: Varicella (Varicella or Chickenpox) Antibody Screen $35.00 86706 Titer: Hepatitis B Surface Antibody (HBsAb) $35.00 86708 Titer: Hepatitis A Antibody, Total $40.00
90707 Vaccine: Measles Mumps Rubella (MMR), may need
series of 2 injections
$103.00/injection
90716 Vaccine: Varivax (Varicella or Chickenpox), may need series of 2 injections
$152.00/injection
90715 Vaccine: Tdap $63.00
90658 Vaccine: Influenza (when seasonally available) $20.00 90746 Vaccine: Hepatitis B, may need series of 3 injections $130.00/injection 90632 Vaccine: Hepatitis A, may need series of 2 injections $114.00/injection 90636 Vaccine: Twinrix (Hep B and Hep A combo), series of 3 injections
$191.00/injection
71045 Chest X-Ray, 1 view $55.00
71046 Chest X-Ray, 2 views $75.00
300408 Physician consultation, each 15 minutes $64.00/15 mins PREPLACEMENT EXAM (PP3)
300388 Preplacement Physical Exam $65.00
As Employer Requested:
300415 Respirator Med Clearance/OSHA $35.00
92552 Audiogram, screening $54.00
94010 Spirometry $60.00
85025 CBC with automated differential $20.00
80053 Chem Comprehensive Panel $41.00
300420 Billed by Preferred
Alliance
As Clinically Indicated:
36415 Venipuncture $15.00
93000 EKG, resting $50.00
93015 Cardiac Stress Test with Treadmill $230.00
71046 Chest X-Ray, 2 views $75.00
300408 Physician consultation, each 15 minutes $64.00/15 mins PREPLACEMENT EXAM (PP4)
300388 Preplacement Physical Exam $65.00
85025 CBC with automated differential $20.00
80053 Chem Comprehensive Panel $41.00

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36415 Venipuncture $15.00
As Employer Requested:
300415 Respirator Med Clearance/OSHA $35.00
92552 Audiogram, screening $54.00
300420 Collection for Drug Screen Billed by Preferred
Alliance
82482 Cholinesterase, RBC $31.00
82480 Cholinesterase, Plasma/Serum $31.00
As Clinically Indicated:
94010 Spirometry $60.00
93000 EKG, resting $50.00
93015 Cardiac Stress Test with Treadmill $230.00
71046 Chest X-Ray, 2 views $75.00
86708 Titer: Hepatitis A IgG Antibody (HAAb) $40.00
90632 Vaccine: Hepatitis A, may need series of 2 injections $114.00/injection 300408 Physician consultation, each 15 minutes $64.00/15 mins PREPLACEMENT EXAM (PP5)
300388 Preplacement Physical Exam $65.00
300422 PPD, 2 step, 2 placements and readings $30.00
As Employer Requested:
92552 Audiogram, screening $54.00
300420 Billed by Preferred
Alliance
As Clinically Indicated:
36415 Venipuncture $15.00
71045 Chest X-Ray, 1 view $55.00
71046 Chest X-Ray, 2 views $75.00
86580 PPD, 1 step, placement and reading $20.00
86382 Titer: Rabies Antibody Testing $43.00
90675 Rabies Vaccine, series of 3 injections $579.00/injection 300408 Physician consultation, each 15 minutes $64.00/15 mins

POLICE/SHERIFF PREPLACEMENT EXAM (POSTPP)
300399 POST Physical Exam $127.00
92552 Audiogram, screening $54.00
94010 Spirometry $60.00
93000 EKG, resting $50.00
93015 Cardiac Stress Test with Treadmill $230.00
86580 PPD, 1 step, placement and reading $20.00

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80053 Chem Comprehensive Panel $41.00
85025 CBC with automated differential $20.00
86706 Titer: Hepatitis B Surface Antibody (HBsAb) $35.00 86704 Titer: Hepatitis B Core Antibody (HBcAb) $31.00
86803 Titer: Hepatitis C Antibody Screen $56.00
86708 Titer: Hepatitis A IgG Antibody, Total $40.00
36415 Venipuncture $15.00
As Employer Requested:
300420 Billed by Preferred
Alliance
As Clinically Indicated:
90746 Vaccine: Hepatitis B, may need series of 3 injections $130.00/injection 90632 Vaccine: Hepatitis A, may need series of 2 injections $114.00/injection 90636 Vaccine: Twinrix (Hep B and Hep A combo), series of 3 injections
$191.00/injection
90707 Vaccine: Measles Mumps Rubella (MMR), may need
series of 2 injections
$103.00/injection
90716 Vaccine: Varivax (Varicella or Chickenpox), may need series of 2 injections
$152.00/injection
90715 Vaccine: Tdap $63.00
90658 Vaccine: Influenza (when seasonally available) $20.00 86735 Titer: Mumps Antibody Screen $35.00
86762 Titer: Rubella Antibody Screen (German Measles) $35.00 86765 Titer: Rubeola Antibody Screen (Measles) $35.00
86787 Titer: Varicella (Varicella or Chickenpox) Antibody Screen $35.00 81001 Urinalysis with microscopy $16.00
71045 Chest X-Ray, 1 view $55.00
71046 Chest X-Ray, 2 views $75.00
75571 Cardiac calcium scoring CT scan $265.00
300408 Physician Consultation, each 15 minutes $64.00/15 mins

PUBLIC SAFETY DISPATCHER PREPLACEMENT EXAM (DISPATCH)
300388 Preplacement Physical Exam $65.00
92552 Audiogram, screening $54.00
As Employer Requested:
300420 Billed by Preferred
Alliance

FIREFIGHTER PREPLACEMENT EXAM (FFPP)
300398 Firefighter Physical Exam $127.00
92552 Audiogram, screening $54.00
94010 Spirometry $60.00

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85025 CBC with automated differential $20.00
80053 Chem Comprehensive Panel $41.00
36415 Venipuncture $15.00
71046 Chest X-Rays (2 views, PA & Lateral) $75.00
86480 QuantiFERON $145.00
93000 EKG, resting $50.00
93015 Cardiac Stress Test with Treadmill $230.00
86706 Titer: Hepatitis B Surface Antibody (HBsAb) $35.00 86704 Titer: Hepatitis B Core Antibody (HBcAb) $31.00
86803 Titer: Hepatitis C Antibody Screen $56.00
86708 Titer: Hepatitis A IgG Antibody, Total $40.00
As Employer Requested:
300413 Form completion (2 or more pages for DMV/DOT exam if done during the same exam encounter)
$25.00
300420 Billed by Preferred
Alliance
As Clinically Indicated:
90746 Vaccine: Hepatitis B, may need series of 3 injections $130.00/injection 90632 Vaccine: Hepatitis A, may need series of 2 injections $114.00/injection 90636 Vaccine: Twinrix (Hep B and Hep A combo), series of 3 injections
$191.00/injection
90707 Vaccine: Measles Mumps Rubella (MMR), may need
series of 2 injections
$103.00/injection
90716 Vaccine: Varivax (Varicella or Chickenpox), may need series of 2 injections
$152.00/injection
90715 Vaccine: Tdap $63.00
90658 Vaccine: Influenza (when seasonally available) $20.00 86735 Titer: Mumps Antibody Screen $35.00
86762 Titer: Rubella Antibody Screen (German Measles) $35.00 86765 Titer: Rubeola Antibody Screen (Measles) $35.00
86787 Titer: Varicella (Varicella or Chickenpox) Antibody Screen $35.00 81001 Urinalysis with microscopy $16.00
86580 PPD, 1 step, placement and reading $20.00
71045 Chest X-Ray, 1 view $55.00
75571 Cardiac calcium scoring CT scan $265.00
300408 Physician Consultation, each 15 minutes $64.00/15 mins

FIREFIGHTER ANNUAL / PERIODIC EXAM (FFANN)
300398 Firefighter Physical Exam $127.00
92552 Audiogram, screening $54.00
94010 Spirometry $60.00
80053 Chem Comprehensive Panel $41.00
85025 CBC with automated differential $20.00

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36415 Venipuncture $15.00
86480 QuantiFERON $145.00
93000 EKG, resting $50.00
93015 Cardiac Stress Test with Treadmill $230.00
As Employer Requested:
300413 Form completion (2 or more pages for DMV/DOT exam if done during the same exam encounter)
$25.00
82482 Cholinesterase, RBC $31.00
82480 Cholinesterase, Plasma/Serum $31.00
As Clinically Indicated:
71045 Chest X-Ray, 1 view $55.00
71046 Chest X-Ray, 2 views $75.00
81001 Urinalysis with microscopy $16.00
86706 Titer: Hepatitis B Surface Antibody (HBsAb) $35.00 86708 Titer: Hepatitis A IgG Antibody, Total $40.00
86735 Titer: Mumps Antibody Screen $35.00
86762 Titer: Rubella Antibody Screen (German Measles) $35.00 86765 Titer: Rubeola Antibody Screen (Measles) $35.00
86787 Titer: Varicella (Varicella or Chickenpox) Antibody Screen $35.00 90746 Vaccine: Hepatitis B, may need series of 3 injections $130.00/injection 90632 Vaccine: Hepatitis A, may need series of 2 injections $114.00/injection 90636 Vaccine: Twinrix (Hep B and Hep A combo), series of 3 injections
$191.00/injection
90707 Vaccine: Measles Mumps Rubella (MMR), may need
series of 2 injections
$103.00/injection
90716 Vaccine: Varivax (Varicella or Chickenpox), may need series of 2 injections
$152.00/injection
90715 Vaccine: Tdap $63.00
90658 Vaccine: Influenza (when seasonally available) $20.00 75571 Cardiac calcium scoring CT scan $265.00
83018 Heavy Metal, Quantitative Urine $63.00
300408 Physician Consultation, each 15 minutes $64.00/15 mins

ADDITIONAL REQUIRED LABS FOR COVERED EMPLOYEES (FEMA)
82482 Cholinesterase, RBC $31.00
82480 Cholinesterase, Plasma/Serum $31.00
As Clinically Indicated:
36415 Venipuncture $15.00
86706 Titer: Hepatitis B Surface Antibody (HBsAb) $35.00 83018 Heavy Metal, Quantitative Urine $63.00

HAZMAT BASELINE / ANNUAL / PERIODIC (HAZ)

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300393 Hazardous Worker Exam $106.00
92552 Audiogram, screening $54.00
94010 Spirometry $60.00
80053 Chem Comprehensive Panel $41.00
85025 CBC with automated differential $20.00
36415 Venipuncture $15.00
As Clinically Indicated:
71046 Chest X-Ray, 2 views $75.00
93000 EKG, resting $50.00
93015 Cardiac Stress Test with Treadmill $230.00
300408 Physician Consultation, each 15 minutes $64.00/15 mins

RESPIRATOR BASELINE / PERIODIC (RESP)
300415 Review of OSHA Respirator Questionnaire by MD/NP/RN $35.00 As Employer Requested:
300410 Respirator Fit Test, qualitative $41.00
As Clinically Indicated:
300391 Respirator Clearance Physical Exam $64.00
94010 Spirometry $60.00
71046 Chest X-Ray (2 views) $75.00
93000 EKG, resting $50.00
93015 Cardiac Stress Test with Treadmill $230.00
300408 Physician Consultation, each 15 minutes $64.00/15 mins

AUDIOGRAM (AUDIO)
92552 Audiogram, screening $54.00
As Clinically Indicated:
300408 Physician Consultation, each 15 minutes $64.00/15 mins LEAD EXPOSURE - BASELINE (LEAD1)
300395 Lead Exposure Exam $106.00
85025 CBC with automated differential $20.00
85008 Blood Smear; microscopic examination without manual differential WBC
$14.00
83655 Blood Lead $30.00
80048* Chem 7 Panel $33.00
84630 ZPP (Zinc) $44.00
81001 Urinalysis Gross & Micro $16.00
36415 Venipuncture $15.00
As Clinically Indicated:

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94010 Spirometry $60.00
71046 Chest X-Ray, 2 views $75.00
93000 EKG, resting $50.00
93015 Cardiac Stress Test with Treadmill $230.00
84702 Pregnancy Test $35.00
89230 Semen Analysis $64.00
300408 Physician Consultation, each 15 minutes $64.00/15 mins LEAD EXPOSURE - ANNUAL / PERIODIC (LEAD2)
83655 Blood Lead $30.00
84630 ZPP (Zinc) $44.00
85025 CBC with automated differential $20.00
85008 Blood Smear; microscopic examination without manual differential WBC
$14.00
80048* Chem 7 Panel $33.00
81001 Urinalysis Gross & Micro $16.00
36415 Venipuncture $15.00
As Employer Requested:
300395 Lead Exposure Physical Exam $106.00
As Clinically Indicated:
300395 Lead Exposure Physical Exam $106.00
94010 Spirometry $60.00
71046 Chest X-Ray, 2 views $75.00
93000 EKG, resting $50.00
93015 Cardiac Stress Test with Treadmill $230.00
84702 Pregnancy Test $35.00
89230 Semen Analysis $64.00
300408 Physician Consultation, each 15 minutes $64.00/15 mins

DMV/DOT EXAM (DMV/DOT)
300390 DMV/DOT Physical Exam $115.00
As Employer Requested:
300411 Collection for Drug Screen-Preferred Alliance Billed by Preferred Alliance
As Clinically Indicated:
92552 Audiogram, screening $54.00

BOMB SQUAD (BOMB)
300400 Complex Physical Exam $127.00
92552 Audiogram, screening $54.00

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94010 Spirometry $60.00
86580 PPD, 1 step, placement and reading $20.00
80053 Chem Comprehensive Panel $41.00
85025 CBC with automated differential $20.00
36415 Venipuncture $15.00
93000 EKG, resting $50.00
As Clinically Indicated:
93015 Cardiac Stress Test with Treadmill $230.00
81001 Urinalysis with microscopy $16.00
71045 Chest X-Ray, 1 view $55.00
71046 Chest X-Ray, 2 views $75.00
300408 Physician Consultation, each 15 minutes $64.00/15 mins

URINE DRUG AND BREATH ALCOHOL TESTING (DRUG)
300411 Collection for Drug Screen-Preferred Alliance
-OR-
Billed by Preferred
Alliance
300420 Billed by Preferred
Alliance
As Indicated:
82075 Breath Alcohol Testing (BAT) Preferred Alliance Billed by Preferred Alliance
300421 Breath Alcohol Testing (BAT), Confirmatory Preferred Alliance
Billed by Preferred
Alliance

VACCINATION ONLY (VAX)
300406 History/Review of Tests/Brief Screen - No Physical Exam $42.00 As Clinically Indicated:
90746 Vaccine: Hepatitis B, may need series of 3 injections $130.00/injection 90632 Vaccine: Hepatitis A, may need series of 2 injections $114.00/injection 90636 Vaccine: Twinrix (Hep B and Hep A combo), series of 3 injections
$191.00/injection
90707 Vaccine: Measles Mumps Rubella (MMR), may need
series of 2 injections
$103.00/injection
90716 Vaccine: Varivax (Varicella or Chickenpox), may need series of 2 injections
$152.00/injection
90715 Vaccine: Tdap $63.00
90658 Vaccine: Influenza (when seasonally available) $20.00 90675 Rabies Vaccine, series of 3 injections $579.00/injection

LABORATORY ONLY (LAB)
300406 History/Review of Tests/Brief Screen - No Physical Exam $42.00 36415 Venipuncture $15.00
As Clinically Indicated:

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86706 Titer: Hepatitis B Surface Antibody (HBsAb) $35.00 86708 Titer: Hepatitis A IgG Antibody, Total $40.00
86735 Titer: Mumps Antibody Screen $35.00
86762 Titer: Rubella Antibody Screen (German Measles) $35.00 86765 Titer: Rubeola Antibody Screen (Measles) $35.00
86787 Titer: Varicella (Varicella or Chickenpox) Antibody Screen $35.00 86382 Titer: Rabies Antibody Testing $43.00
80053 Chem Comprehensive Panel $41.00
85025 CBC with automated differential $20.00
82482 Cholinesterase, RBC $31.00
82480 Cholinesterase, Plasma/Serum $31.00

TB CLEARANCE PPD/QUANTIFERON (PPD/TB CLEARANCE)
86580 PPD, 1 step, 1 placement and reading
-OR-
$20.00
86480 QuantiFERON $145.00
As Clinically Indicated:
36415 Venipuncture $15.00
300422 PPD, 2 step, 2 placements and readings $30.00
71045 Chest X-Ray, 1 view $55.00
71046 Chest X-Ray, 2 views $75.00
99211 Brief encounter with non-MD Provider (PPD-Review of Symptoms Form)
$25.00

FITNESS FOR DUTY EXAM (FFD/RTW)
300397 Fitness for Duty Exam $115.00
As Clinically Indicated:
300408 Physician Consultation, each 15 minutes $64.00/15 mins

RESOLUTION NO. 26-026

APPROVING A PROFESSIONAL SERVICES AGREEMENT, BY AND BETWEEN THE

CITY OF ROSEVILLE AND OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA

DBA CONCENTRA MEDICAL CENTERS, AND AUTHORIZING THE CITY MANAGER

TO EXECUTE IT ON BEHALF OF THE CITY OF ROSEVILLE

WHEREAS, a Professional Services Agreement for Occupational Health Services, by and between the City of Roseville and Occupational Health Centers of California dba Concentra Medical Centers, has been reviewed by the City Council; and

NOW, THEREFORE, BE IT RESOLVED by the Council of the City of Roseville that said Professional Services Agreement is hereby approved and that the City Manager is authorized to execute it on behalf of the City of Roseville.

PASSED AND ADOPTED by the Council of the City of Roseville this ___ day of ______________, 2026, by the following vote on roll call:

AYES COUNCILMEMBERS:

NOES COUNCILMEMBERS:

ABSENT COUNCILMEMBERS:

______________________________
MAYOR

ATTEST:

________________________
City Clerk

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PROFESSIONAL SERVICES AGREEMENT
Occupational Health Services
THIS AGREEMENT is made and entered into this day of , 2026, by and between the City of Roseville, a municipal corporation (“CITY”), and Occupational Health Centers of California, a Medical Corporation dba Concentra Medical Centers, a California corporation (“CONSULTANT”); and
W I T N E S S E T H:

WHEREAS, CITY desires professional services consisting of certain medical services to job applicants and employees, including, but not limited to, pre-employment physical examinations, respiratory protection program services, blood-borne pathogen program services, drug and alcohol abuse program services, and police and fire department specialized testing; and WHEREAS, CONSULTANT has prepared a proposal dated November 20, 2025, which describes the scope of work to be performed by CONSULTANT, the budget for the work, and the schedule for performance of the work; and
WHEREAS, CONSULTANT is qualified and experienced to provide such professional services.

NOW, THEREFORE, the parties agree as follows:

1. Term. The term of this Agreement shall commence upon execution and expire on January 20, 2029. The City Manager may, in his or her discretion, elect to extend the Agreement in one (1) year increments for up to an additional three (3) years by giving CONSULTANT thirty (30) days advance written notice of each optional one (1) year renewal. Such extensions shall be memorialized by a written amendment to this Agreement.

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

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2. Services. CONSULTANT shall perform, at the direction of CITY, the scope of services as described in EXHIBIT “A,” attached hereto and incorporated herein by this reference.

3. Compensation. For its services provided hereunder, CONSULTANT shall be compensated on a time and expense basis or per service in accordance with the budget estimate as described in EXHIBIT “A,” attached hereto and incorporated herein by reference. Total compensation per year shall not exceed four hundred fifty thousand dollars ($450,000), and the CITY shall compensate CONSULTANT pursuant to Exhibit “A” for all services that the CITY requests the CONSULTANT provide. The City does not guarantee whatsoever the actual value of this contract. At the beginning of each twelve (12) month period of this Agreement, following the effective date, the fees set for in Exhibit “A” for the prior twelve (12) month period shall be automatically increased by two percent (2%).

CONSULTANT shall submit one monthly invoice for its services. Such invoices shall be delineated by task, the person performing the services, and the hourly rate, which shall be stated in time increments of not greater than one tenth (1/10) hours, or fee per service. CITY shall pay invoices within thirty (30) days after receipt, if the services specified in the invoice have been satisfactorily completed.

4. Indemnification. To the fullest extent allowed by law, CONSULTANT shall defend, indemnify, and save and hold harmless CITY, its officers, agents, employees and volunteers from any claims, suits or actions of every name, kind and description brought forth, or on account of, injuries to or death of any person (including but not limited to workers and the public), or damage to property, resulting from or arising out of CONSULTANT's willful misconduct or negligent act or omission while engaged in the performance of obligations or exercise of rights created by this Agreement, except those matters arising from CITY's sole Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

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negligence or willful misconduct. Furthermore, CITY will not seek indemnification from CONSULTANT for any actions, claims, loss, or damages CITY incurs as a result of an employment decision or action CITY took or required with a CITY employee who received services under this Agreement. The parties intend that this section shall be broadly construed.

CONSULTANT agrees to defend and indemnify CITY if, despite the parties intent and practice, any venue, agency, or court with competent jurisdiction determines that CONSULTANT and/or any of its agents, officers, employees, volunteers, independent contractors, or subcontractors, are characterized as employee(s) of CITY.

CONSULTANT’s responsibility for such defense and indemnity obligations shall survive the termination or completion of this Agreement for the full period of time allowed by law. The defense and indemnity obligations of this Agreement are undertaken in addition to, and shall not in any way be limited by, the insurance obligations contained in this Agreement.

5. Insurance. CONSULTANT agrees to continuously maintain, in full force and

effect, the following minimum policies of insurance during the term of this Agreement.

COVERAGE LIMITS OF LIABILITY

Workers’ Compensation Statutory

Commercial General Liability $1,000,000 each occurrence $2,000,000 aggregate
Personal Injury:
$1,000,000 each occurrence
$2,000,000 aggregate

Automobile Liability $1,000,000 combined single limit

Professional Liability (medical malpractice) $2,000,000 aggregate

a. Form. CONSULTANT shall submit a certificate evidencing such Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

[B:\City Attorney\agreement\professional services agreements\professional svcs council.docx;05/28/2024] coverage for the period covered by this Agreement in a form satisfactory to Risk Management and the City Attorney, prior to undertaking any work hereunder. Any insurance written on a claims made basis is subject to the approval of Risk Management and the City Attorney. b. Additional Insureds. CONSULTANT shall also provide a separate endorsement form or section of the policy showing CITY, its officers, agents, employees and volunteers as additional insureds for each type of coverage, except for Workers’ Compensation and Professional Liability. Such insurance shall specifically cover the contractual liability of CONSULTANT. The additional insured coverage under the CONSULTANT’s policy shall be primary and noncontributory, as evidenced by a separate endorsement or section of the policy, and shall not seek contribution from CITY’s insurance or self-insurance. In addition, the additional insured coverage shall be at least as broad as the Insurance Services Office (“ISO”) CG 20 01 Endorsement. Any available insurance proceeds in excess of the specified minimum insurance coverage requirements and limits shall be available to the additional insureds.

Furthermore, the requirements for coverage and limits shall be: (1) the minimum coverage and limits specified in this Agreement; or (2) the full coverage and maximum limits of any insurance proceeds available to the named insureds, whichever is greater. c. Cancellation/Modification. CONSULTANT shall provide ten (10) days written notice to CITY prior to cancellation or modification of any insurance required by this Agreement.
d. Umbrella/Excess Insurance. The limits of insurance required in this Agreement may be satisfied by a combination of primary and excess insurance. Any excess insurance shall contain or be endorsed to contain a provision that such coverage shall also apply on a primary and noncontributory basis for the benefit of CITY (if agreed to in a written Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

[B:\City Attorney\agreement\professional services agreements\professional svcs council.docx;05/28/2024]

contract) before CITY’s own insurance shall be called upon to protect it as a named insured. e. Subcontractors. CONSULTANT agrees to include in its contracts with all

subcontractors the requirements and provisions of this Agreement, including the indemnity and comparable levels of insurance requirements, to the extent they apply to the scope of the subcontractor’s work.

Furthermore, CONSULTANT shall require its subcontractors to agree to be bound to CONSULTANT and CITY in the same manner and to the same extent as CONSULTANT is bound to CITY under this Agreement. Additionally, CONSULTANT shall obligate its subcontractors to comply with these same provisions with respect to any tertiary subcontractor, regardless of tier. A copy of CITY’s indemnity and insurance provisions will be furnished to the subcontractor or tertiary subcontractor upon request.
f. Self-Insured Retentions. All self-insured retentions (“SIR”) must be

disclosed to Risk Management for approval and shall not reduce the limits of liability.

Policies containing any SIR provision shall provide or be endorsed to provide that the SIR may be satisfied by either the named insured or CITY. CITY reserves the right to obtain a full certified copy of any insurance policy and endorsements. The failure to exercise this right shall not constitute a waiver of such right.
g. Waiver of Subrogation. CONSULTANT hereby agrees to waive

subrogation which any insurer of CONSULTANT may acquire from CONSULTANT by virtue of the payment of any loss under a Workers Compensation, Commercial General Liability or Automobile Liability policy. All Workers Compensation, Commercial General Liability and Automobile Liability policies shall be endorsed with a waiver of subrogation in favor of CITY, its officers, agents, employees and volunteers for all worked performed by CONSULTANT, its employees, agents and subcontractors.

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

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h. Liability/Remedies. Insurance coverage in the minimum amounts set forth

herein shall not be construed to relieve CONSULTANT of liability in excess of such coverage, nor shall it preclude CITY from taking such other actions as are available to it under any other provisions of this Agreement or law.

6. Records. CONSULTANT and its subcontractors shall maintain all files and

records relating to the services performed hereunder during the term of this Agreement and for a period of not less than one (1) year after the date of termination or expiration. Provided, however, that in the event of litigation or settlement of claims arising from the performance of this Agreement, CONSULTANT and its subcontractors shall maintain all files and records until such litigation, appeals or claims are resolved. Duly authorized representatives of CITY shall have right of access during normal business hours and after reasonable notice to CONSULTANT’s and subcontractors’ files and records relating to the services performed hereunder and may review and copy the files and records at appropriate stages during performance of the services and during the one (1) year period following termination or expiration of this Agreement. CONSULTANT shall include this provision in its contracts with all subcontractors. Notwithstanding the foregoing, CITY’s access rights to these records shall not include access to medical records and any medical record created or modified by CONSULTANT in connection with its provision of services hereunder, except to the extent allowed by law. CONSULTANT shall retain all rights and title to such medical records and be solely responsible therefor.

7. Time is of the Essence. Time is of the essence of this Agreement.

8. Prevailing Wages. When applicable, for purposes of this Agreement,

CONSULTANT and its subcontractors shall comply with all applicable prevailing wage laws, e.g., but not limited to, California Labor Code Sections 1770 et seq. In accordance with said Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

[B:\City Attorney\agreement\professional services agreements\professional svcs council.docx;05/28/2024] Section 1775, CONSULTANT shall forfeit as a penalty to the City two hundred dollars ($200) for each calendar day or portion thereof for each worker paid less than the prevailing rates for such work or craft in which such worker is employed for any work done on-site under the Agreement by CONSULTANT or by any subcontractor in violation of the provisions of the Labor Code and in particular, Labor Code Sections 1770 to 1780, inclusive. In addition to said penalty and pursuant to said Section 1775, the difference between such stipulated prevailing wage rates and the amount paid to each worker for each calendar day or portion thereof for which each worker was paid less than the stipulated prevailing wage shall be paid to each worker by CONSULTANT or the applicable subcontractor.

Pursuant to the provisions of California Labor Code Section 1773, the contracting department has identified the source, stated below, of the general prevailing rate of wages applicable to the site to be done, for straight time, overtime, and holiday work. The holiday wage rate listed shall be applicable to all holidays recognized in the collective bargaining agreement of the particular craft, classification or type of worker concerned. These wage rates may be obtained from the State Department of Industrial Relations and/or the following website address: http://www.dir.ca.gov/dlsr/DPreWageDetermination.htm.

Pursuant to Labor Code Section 1773.2, general prevailing wage rates set forth above, which forms a part of this Agreement, shall be posted by CONSULTANT at a prominent place at the work site. Prevailing wage rates to be posted at the work site will be furnished by the contracting department. The possibility of wage increases is one of the elements to be considered by CONSULTANT in determining its proposal and will not under any circumstances be considered as the basis of a claim against CITY or the Agreement.

9. Compliance with Laws. CONSULTANT shall comply with all federal, state and local laws, ordinances and policies as may be applicable to the performance of services under Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

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this Agreement.

10. Ability to Perform. CONSULTANT agrees and represents that it has the time,

ability and professional expertise to perform the services required under this Agreement.

11. Public Contracts: Conflicts of Interest. CONSULTANT’s duties and services

under this Agreement shall not include preparing or assisting CITY with any portion of the CITY’s preparation of a request for proposals, request for qualifications, or any other solicitation regarding a subsequent or additional contract with CITY. CITY shall at all times retain responsibility for public contracting, including with respect to any subsequent phase of this project. CONSULTANT’s participation in the planning, discussions, or drawing of project plans or specifications shall be limited to conceptual, preliminary, or initial plans or specifications.

CONSULTANT shall cooperate with CITY to ensure that all bidders for a subsequent contract on any subsequent phase of this project have access to the same information, including all conceptual, preliminary, or initial plans or specifications prepared by CONSULTANT pursuant to this Agreement.

12. Governing Agreement. In the event of any conflict between this Agreement and

its EXHIBITS, the provisions of this Agreement shall govern. In the event of any conflict between any of the EXHIBITS, the provisions of the first in order of attachment shall govern.

13. Assignment. CONSULTANT is employed to perform unique personal services.

CONSULTANT shall not assign this Agreement without the prior written consent of CITY.

CONSULTANT shall not employ or otherwise incur any obligation to pay other specialists or experts for services in connection with this Agreement, without prior written consent of CITY.

14. Independent Contractor. CONSULTANT, inclusive of its agents, officers,

employees, volunteers, independent contractors, and subcontractors, shall act as an independent contractor, and covenants and agrees that it will conduct itself consistent with such status, that it Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

[B:\City Attorney\agreement\professional services agreements\professional svcs council.docx;05/28/2024] will neither hold itself out as, nor claim to be, an officer or employee of CITY by reason of this Agreement.

CONSULTANT and CITY agree that: (a) CONSULTANT is free from the control and direction of CITY in connection with the performance of the work; (b) CONSULTANT is providing services directly to CITY; (c) CONSULTANT has and will maintain at all relevant times a business license; (d) CONSULTANT maintains a business location that is separate from CITY; (e) CONSULTANT is customarily engaged in an independently established business of the same nature as that involved in the work performed hereunder; (f) CONSULTANT actually contracts with other businesses to provide the same or similar services and maintains a clientele without restrictions from CITY; (g) CONSULTANT advertises and holds itself out to the public as available to provide the same or similar services; (h) CONSULTANT provides its own tools, vehicles, and equipment to perform the services; (i) CONSULTANT has negotiated its own rates; (j) CONSULTANT set its own hours and location of work in accomplishing CITY’s on- call needs; and (k) CONSULTANT has the right to control the manner and means of accomplishing the result desired and exercises its own expert independent judgement.

15. Representations and Warranties. CONSULTANT warrants that it has not employed or retained any company or person, other than a bona fide employee working for CONSULTANT, to solicit or secure this Agreement, and that it has not paid or agreed to pay any company or person, other than a bona fide employee, any fee, commission, percentage, brokerage fee, gift or any other consideration, contingent upon or resulting from the award or making of this Agreement. For breach or violation of this warranty, CITY shall have the right to terminate as void this Agreement, without liability, or, in its discretion, to deduct from the Agreement price or consideration, or otherwise recover, the full amount of such fee, commission, percentage, brokerage fee, gift or contingent fee.

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16. Successors in Interest. This Agreement shall be binding upon the heirs,

successors, executors, administrators and assigns of the respective parties hereto.

17. Copyright, Ownership and Use of Materials. All tangible material (“Material”)

created or delivered pursuant to this Agreement is considered a work made for hire under the Copyright Act. To the extent such Material does not qualify as a work made for hire, CONSULTANT hereby assigns to CITY all right, title, and interest, including but not limited to all copyrights, in all Material created by CONSULTANT in its performance under this Agreement. Material constitutes the scope of work outlined in Exhibit A and attached hereto, and all written and other tangible expressions, including but not limited to, drawings (including computer aided drawings), papers, documents, reports, surveys, renderings, exhibits, sketches, maps, models, prints, paintings or photographs, in any and all media or formats in which such materials have been created or are maintained. All Material furnished by CONSULTANT is, and shall remain, the property of CITY. Notwithstanding the foregoing, Materials shall not include medical records and any medical record created or modified by CONSULTANT in connection with its provision of services hereunder. CONSULTANT shall retain all rights and title to such medical records, and be solely responsible therefor.

CONSULTANT shall execute any documents necessary to effectuate such assignment.

In the event that CONSULTANT uses, employs, designates, or retains any person or entity who is not an employee of CONSULTANT, to perform any work required of it pursuant to this Agreement, CONSULTANT shall require said person or entity to execute an agreement containing the preceding paragraph.

18. Termination of Agreement. The City may terminate this Agreement without

cause by giving CONSULTANT ten (10) days advance written notice from the City Manager.

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CONSULTANT may terminate this Agreement without cause by giving CITY thirty (30) days advance written notice. In the event of termination through no fault of CONSULTANT, CITY shall compensate CONSULTANT for services performed as of the date of termination, upon the release to CITY of all Material hereunder, in any and all media or formats in which such materials have been created or are maintained. CITY retains the right to receive and use any Material, notwithstanding any termination or any dispute regarding the amount to be paid.

19. Attorney’s Fees; Venue; Governing Law. If either party commences any legal

action against the other party arising out of this Agreement or the performance hereof, the prevailing party in such action shall be entitled to recover its reasonable litigation expenses, including but not limited to, court costs, expert witness fees, discovery expenses, and attorney’s fees. Any action arising out of this Agreement shall be brought in Placer County, California, regardless of where else venue may lie. This Agreement shall be governed by and construed in accordance with the laws of the State of California.

20. Modification. This Agreement and each provision contained herein may be

waived, amended, supplemented or eliminated only by mutual written agreement of the parties.

21. Severability. If any of the provisions contained in this Agreement are for any

reason held invalid or unenforceable, such holding shall not affect the remaining provisions or the validity and enforceability of the Agreement as a whole.

22. Notices. Any notices to parties required by this Agreement shall be delivered personally or mailed, U.S. first class postage prepaid, addressed as follows:

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CITY OF ROSEVILLE CONSULTANT
Human Resources Department Occupational Health Centers of California, a Attn: Stacey Peterson Medical Corporation dba Concentra Medical 311 Vernon Street Center
Roseville, CA 95768 Attn: Legal Contracts
5080 Spectrum Drive, Suite 1200W
Addison, TX 75001
Either party may amend its address for notice by giving notice to the other party in writing.

23. Integrated Agreement. This is an integrated agreement and contains all of the terms, considerations, understanding and promises of the parties. It shall be read as a whole.

24. Medical Records. CONSULTANT shall serve as the custodian of medical records created at the clinic during the term of this Agreement. CONSULTANT, as custodian of records shall abide by all local, state, and federal requirements for such record retention during and after the term of this Agreement. CONSULTANT shall also abide by all applicable laws related to CONSULTANT and the medical service record retention. CITY acknowledges that CONSULTANT will provide copies of medical records to any third-party requestor (with the appropriate executed release from the employee/patient, court order, or business affidavit, as applicable). CITY understands and acknowledges that the CITY is not entitled to access any patient medical records except to the extent allowed by law. CONSULTANT is a “covered entity” as enumerated in 45 CFR §160.103. As a covered entity, CONSULTANT may only disclose protected health information as authorized by and to the extent allowed by law. Upon the termination of this Agreement for any reason, CONSULTANT shall maintain all records created against the statutory and regulatory requirements. Should CITY request records be maintained by CONSULTANT beyond any state, local or federal rule due to an ongoing audit or legal matter, then CITY shall be invoiced for such retention for as long as such records are retained until written notice from CITY to destroy such retained records. This Section shall survive the termination of this Agreement.

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

[B:\City Attorney\agreement\professional services agreements\professional svcs council.docx;05/28/2024] IN WITNESS WHEREOF, the City of Roseville, a municipal corporation, has authorized the execution of this Agreement in duplicate by its City Manager and attested to by its City Clerk under the authority of Resolution No. , adopted by the Council of the City of Roseville on the day of , 20 , and CONSULTANT has caused this Agreement to be executed.

CITY OF ROSEVILLE, a OCCUPATIONAL HEALTH CENTERS OF,
municipal corporation CALIFORNIA, A MEDICAL CORPORATION DBA CONCENTRA MEDICAL CENTERS, a
California corporation
BY:_______________________________ BY: _______________________________ DOMINICK CASEY its: ________________________________
City Manager
and
ATTEST:

BY: _______________________________
its: ________________________________
BY: _______________________________

CARMEN AVALOS
City Clerk
APPROVED AS TO FORM:

BY: _______________________________

MICHELLE SHEIDENBERGER
City Attorney
APPROVED AS TO SUBSTANCE:

BY: _______________________________

STACEY PETERSON
Human Resources Director
Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539 John R. Anderson, DO, FACOEM
Vice President
Kathy T. Le, MD, MPH
President and Treasurer

[B:\City Attorney\agreement\professional services agreements\professional svcs council.docx;05/28/2024] EXHIBIT “A”
Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services

November 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 12

TAB D: Project Understanding
Based on the available information, supplemental research, field observations, and experience with similar projects, provide a narrative describing your understanding of the services requested in this RFP, your general approach and any major challenges to achieving the City's stated goals.

Include any issues that you believe will require special consideration for this project. Also identify any unique approaches or strengths that your firm may have related to this project.

Identify in what City and County your services will be performed. City staff will assess your understanding of all aspects of the project based on the overview.

Concentra understands that the City is interested in obtaining comprehensive occupational health services form a medical facility or facilities and/or medical practitioner or practitioners ("Provider") that will be able to provide the medical services consisting of a minimum of the following:

• Pre-employment physicals
• Various programs
• Fitness for duty exams, police department testing, and fire department testing

Concentra’s Solution
Concentra has extensive experience performing the requested services and we are confident our expertise and best practices approach to make us the right company to assist the City in meeting its program objectives.

Concentra would successfully perform the requested scope of services proficiently and in the most cost -effective manner through our extensive network of medical centers, our skilled clinicians and account management team staff, and our operational efficiency.

Concentra assures the City that we would:
• Leverage our decades of experience and use company best practices that are compliant with the Department of Transportation (DOT), Occupational Safety and Health Administration (OSHA), and other regulated examinations • Maintain policies and procedures to ensure ongoing compliance with the Americans with Disabilities Act (ADA), the Family and Medical Leave Act (FMLA), the National Fire Protection Association (NFPA), police off icer standards, and many others
• Conduct drug screenings in accordance with DOT standard, 49 CFR Part 40 • Utilize a Substance Abuse and Mental Health Services Administration (SAMHSA)-certified, College of American Pathologists-Forensic Drug Testing (CAP-FDT) accredited, and Clinical Laboratory Improvement Amendments (CLIA)-certified laboratory for specimen analysis
• Utilize our Rocklin medical center as the main service site • Employ only properly certified and trained staff to perform the scope of work • Assign a designated team of qualified professionals to oversee the City’s program and ensure continued compliance
• Document patient visits and generate meaningful reports • Maintain records securely to ensure confidentiality of personal health information in accordance with the guidelines outlined by the Health Insurance Portability and Accountability Act (HIPAA)

We have the experience and resources, and qualified personnel, and are readily able to serve the City efficiently and professionally.

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services
N
ovember 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 13 TAB E: Project Plan
Provide a detailed discussion of your firm's approach to the successful implementation of this project. Include thorough discussions of methodologies you believe are essential to accomplishing this project. Include a proposed work schedule to accomplish all of the required tasks within the desired timeline. Identify the staff who would be assigned to each task, including sub-consultants and sub-contractors. List any necessary equipment, training or installation services required.

Concentra medical centers offer a full complement of health care services including, but not limited to, substance abuse testing, physical examinations, clinical services, vaccinations, injury care, physical therapy, and wellness screenings. Our centers offer convenient weekday operational hours and many locations also offer evening and weekend hours.

W
e continually evaluate the layout of our centers to accommodate patient flow and volume. Therefore, the physical dimensions, layout, and staffing of each center vary depending on the location and overall scope of services. Our centers average between 3,100 and 9,000 square feet in size. The centers maintain security services, and most offer free parking on the center property or adjacent to the center. All facilities are accessible (ADA -compliant) and conform to all applicable federal, state, and local safety and disability laws.

A
s described in the following table, each center’s layout consists of support/common areas and clinical areas .

Support/Common Areas
• Waiting room – seating for
patients with a television and
magazine/coffee bar
• Business office – work area for
clerical staff
• Manager office
• Break room
• Marketing office
• Restroom
• Records storage area
• Telephone/electrical area
Clinical Areas
• Procedure rooms (for minor
procedures)
• Examination rooms
• Lab area – separate restrooms
(ADA-compliant) for drug and
alcohol collections
• Breath analysis/exam room –
to maximize privacy for
federally mandated testing
• Audio testing room – a single-
person booth
• Physician office
• Physician station – with X-ray
viewing areas and privacy to
enter patient data into
computer system
• X-ray facilities – a full-service
X-ray room and digital file
storage
• Storage area – for patient
charts
• Physical therapy area with
whirlpool, treatment areas,
strength and flexibility
equipment,
hydrocollator/freezer, and a
wide variety of therapy
modalities
Service Sites
Concentra proposes that our center closest to the City, the Rocklin center, serve as the primary site for your employees. The Rocklin medical center maintains the essential staffing resources, required equipment, and licensed and credentialed clinicians to perform your requested scope of services. While the Rocklin center is fully capable of providing all required services in one facility, all Concentra medical centers are available to the City as convenience necessitates. Please note that medical center hours are subject to change and some select services may vary from center to center.

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services

November 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 14

Concentra Medical Centers in Your area
Rocklin
2305 Sunset Boulevard
Rocklin, CA 95765
M – F: 8 am - 5 pm
Within 5 miles

Rancho Cordova
10670 White Rock Road
Suite 100
Rancho Cordova, CA 95670
M – F: 8 am - 5 pm
Within 15 miles

Sacramento - North
4700 Northgate Blvd.

Suite 100
Sacramento, CA 95834
M – F: 8 am - 5 pm
Within 15 miles

Multilingual Support
Through our nationwide network of Concentra Medical Centers and employer onsite clinics, Concentra has acquired extensive experience with multilingual populations. To accommodate multiple language requirements, we use remote translation services through our preferred provider, Voiance. This 24/7 service supports more than 200 languages and dialects, including American Sign Language. Also, many Concentra centers are staffed with clinician’s and office staff who are bilingual, and recruiting bilingual staff is another option, where a specific engagement requires.

In addition, our marketing department can translate promotional material and center messaging into other languages.

Additional fees may apply for translation services.

Telemedicine
Concentra Telemed is the first telemedicine platform designed for the treatment of work-related injuries and illnesses.

Since its launch in 2017, thousands of employees nationwide have trusted Concentra Telemed clinicians to provide the right care at the right time — no need to leave work or home. Using a smartphone or computer, an employee can connect with a licensed Concentra clinician and receive immediate attention to minor medical issues, work injury care rechecks, physical therapy, and more.

In addition, Concentra has recently expanded its offering. If you and/or your employees have an existing relationship with a center and want to continue working with the team you know and trust, telemedicine visits can be arranged by calling the center directly. Contact information for all Concentra medical centers is available on Concentra.com.

Services will be provided during current hours of operation and include:

• Initial treatment of minor, work-related injuries and illnesses • Rechecks for employees who were previously seen at a Concentra medical center • Concentra Telerehab® for employees who were previously seen at a Concentra medical center and want to continue physical therapy regimens at home
• Return-to-work evaluations for asymptomatic employees with possible exposure to COVI D-19

Concentra Telemed and Concentra medical centers use the same patient management system and electronic medical record allowing employees to experience a continuity of care regardless of the access point of care. In addition, utilizing the same patient management system that holds the employer’s existing account and service instructions, allows for the expedited exchange of information for accurate and timely reporting, claim management, and billing.

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services

November 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 15

Occupational Health Services
Physical Examinations
Concentra has comprehensive policies and procedures outlining examination requirements in accordance with DOT, OSHA, ADA, and general occupational health. We assure the City that a trained and appropriately licensed medical professional would perform the required examinations and adhere to all applicable regulations and guidelines specific to the examination.

Concentra would provide physical examinations according to the City’s requirements. However, it is customary for the standard examination to include the following components:

• Medical history
• Occupational history
• Vital signs
• Vision acuity (far distance)
• Examination of head, eyes, ears, nose, and throat
• Evaluation of the cardiovascular system
• Evaluation of the respiratory system
• Gastrointestinal examination
• Musculoskeletal examination
• Neurological evaluation
• Skin and lymphatic examination

We would also perform other ancillary testing as requested and/or indicated, upon the City’s approval and consistent with evidence-based medical standards and regulatory requirements.

Medical and Work History Questionnaire
Prior to any physical examination, an employee completes a thorough medical history questionnaire that includes personal, occupational, family, and medication history. Our comprehensive medical and work history questionnaires ensure your employees are compliant with all federal, state, and local mandates specific to their job category.

After reviewing the questionnaire, Concentra’s clinician performs a comprehensive physical examination and reviews the questionnaire in conjunction with the employee’s test results to make the appropriate medical recommendations.

Concentra immediately addresses any findings that pose immediate danger to the life or heal th of the employee.

Electronic Forms
Concentra uses the TouchWorks EHR to electronically capture the employee’s medical history and questionnaire.

The employee completes the form online before coming to the clinic/medical center, or upon arrival, thus ensuring legibility and completeness (the system prevents skipping sections).

For DOT physicals, if the driver is certified, the medical examiner's certificate (MEC) is provided in the center post - visit. All determinations are reported to the National Registry of Certified Medical Examiners (NRCME) per regulations.

Custom and Spanish Forms
Concentra has custom medical and work history questionnaires in both English and Spanish and can provide an array of comprehensive and mandated questionnaires necessary to maintain compliance.

Pre-placement/Post-offer Physical Examinations
Concentra realizes that any medical examination must be “job-related and consistent with business necessity” (29 CFR 1630.14(b)). Pre-placement/post-offer physical examinations help ensure employees or prospective employees do not have a medical condition that:

• Prevents safe performance of the essential job duties • Can be exacerbated by the job duties
• Affects the safety of the employee, co-workers, or others in the workplace

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services

November 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 16

Fitness-for-Duty Examinations
Fitness-for-duty examinations help ensure that employees can safely perform their job functions. Concentra therapists and clinicians are specifically trained to assess fitness for duty for injured employees and for employees who have medical conditions that could limit their ability to perform essential job functions.

A fitness-for-duty examination is performed when an employee:

• Has observable difficulty performing work duties in a manner that is safe for the employee, his/her coworkers, the employer, or the public, as determined by the employee’s supervisor • Poses an imminent and serious safety threat to self or others • Returns to work from a non-work-related illness or injury

When an employee meeting the above conditions is referred to Concentra, our clinicians begin to implement our well-coordinated evaluation to identify issues that may be affecting performance. This begins with a comprehensive evaluation and communication with the employer to determine if the employee can return to his/her normal job or if a limited-duty arrangement is indicated. Our clinicians apply a three-phase methodology:

• Phase 1: Our clinicians work to understand the various jobs in the workplace and perform evaluations to ensure the employee can meet the essential job functions. We educate the employee on how to enhance function and encourage support from his/her supervisor.
• Phase 2: The employee undergoes a clinical examination to determine if he/she is medically able to perform his/her job; this may include a job-specific functional test. Once the medical evaluation is complete, Concentra’s physical therapist conducts functional testing. In cases where the employee has other medical conditions (e.g. recent surgery or a cardiac condition), we seek clearance from the employee’s primary care physician to proceed.
• Phase 3: Upon completion of the functional testing, our physical therapist provides the results to our physician, who combines the medical and functional test results and renders an overall “able to" or "not able to” return- to- work decision. If our clinicians believe additional testing is required to render a proper medical decision, we would seek the City’s authorization to proceed.

Department of Transportation (DOT) Physical Examinations Concentra has been performing Department of Transportation (DOT) physical examinations for employers for more than 45 years. Annually, we perform more than 1,000,000 DOT physicals. We maintain comprehensive policies and procedures for these examinations and thoroughly train our staff on each testing component. The Federal Motor Carrier Safety Administration (FMCSA) provides the physical requirements for commercial motor vehicle (CMV) drivers in 49 CFR 391.41. (Other DOT agencies may have prescribed different physical standards for their safety sensitive roles, such as pilots, rail conductors, etc.)

The purpose of the DOT examination is to detect the presence of physical, mental, or organic conditions of such a character and extent as to affect the driver’s ability to safely operate a commercial motor vehicle. The examination must be conducted carefully and include (at least) all information requested in the applicable form. A history of certain conditions may lead to a disqualification or indicate the need for further testing and/or an evaluation by a specialist.

Firefighter Physical Examinations
Concentra conducts comprehensive physical examinations of firefighters. To begin, we require firefighters to complete a medical history questionnaire, which includes medical, personal, occupational, family, and medication history. A Concentra clinician reviews the questionnaire and performs a thorough physical examination, which focuses on the firefighter’s ability to meet the physical demands required to perform the essential job functions identified by the fire department. The clinician also performs a medical examination to reveal any health conditions that could adversely affect job performance.

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services
N
ovember 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 17 Examples of essential functions tested include:
• L
ifting/carrying – Simulates the height/weight of a fan, jaws of life, chain saw, or portable ladder • Pushing/pulling – Simulates the pulling/carrying the hose off the truck to the scene/fire hydrant • Upper body push/pull – Simulates coupling the hoses to the hydrant/truck, using hand tools, and opening doors • Climbing – Simulates accessing the fire ladder to reach victims and climbing stairs in structures I
n addition, clinicians assess the firefighter for aerobic capacity, muscular strength and flexibility, and cardiovascular endurance. Concentra offers a variety of assessment testing including, but not limited to, the following:
• Body fat composition
• Sit/reach flexibility test
• Maximum muscular upper and lower body strength (hand-grip strength, pushups, curl-up muscle endurance) P
lease note, assessment testing components may not be included if the individual has already passed a physical abilities test.

NFPA Standard 1582
Concentra performs National Fire Protection Agency (NFPA) and International Association of Fire Fighters (IAFF) examinations for hundreds of municipalities across the United States. We maintain written protocols on all NFPA and IAFF standards and ensure that all personnel who deliver services have the appropriate certifications to perform audiograms, pulmonary function tests, and stress testing. Furthermore, we have physical conditioning protocols and perform job site analyses, physical fitness testing, and more to meet NFPA requirements for our clients.

C
oncentra recognizes that appropriate physical condition is essential to a firefighter’s safety, as well as the public’s safety. As such, we share the City’s responsibility to ensure firefighters have the requisite physical and cardiac fitness to perform the essential job functions. Understanding the environmental conditions (including required use of personal protective equipment) in which firefighters perform, we assess their cardiovascular and muscular fitness, and follow fitness guidelines that address the physiological and psychological demands they face on the job.

Our Clinicians’ NFPA Expertise
Concentra clinicians are experts in their field and go through extensive occupational health care training specific to firefighters, in accordance with National Fire Protection Agency (NFPA) guidelines. They:
• U
nderstand the physiological, psychological, and environmental demands placed on fire fighters • Evaluate fire department candidates and employees to identify medical conditions that could affect their ability t o s
afely respond to emergency operations
• Utilize the essential job task descriptions provided by the fire department to determine a candidate's or member’s medical certification
• Identify and report the presence of disqualifying medical conditions • Inform the fire department chief or designee if/when a candidate or current member is assessed as medically fit to safely perform the essential job functions
Confidentiality
Concentra maintains the confidentiality of all medical data. Information firefighters provide to our clinician would not be inappropriately shared. No fire department supervisor or manager shall have access to medical records without the express written consent of the employee. There are occasions, however, when specific medical information is required to make decisions regarding placement, return to work, and so forth. In these cases, written consent shall be obtained from the employee prior to release of specific medical information.

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services

November 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 18

HazMat Physical Examinations
Concentra has been performing physical examinations for four decades, and we affirm our ability to perform Hazardous Materials (HazMat) physicals. We maintain written clinical guidelines on Occupational Safety and Health Administration (OSHA) and other regulatory standards, including the required testing. Our clinicians are properl y licensed, and all testing is performed in accordance with the applicable regulations.

Regarding HazMat examinations, Concentra:

• Renders services and abides by the recordkeeping standard in accordance with OSHA requirements including, but not limited to, the following:
• 1910.95 Occupational noise exposure
• 1910.120 Hazardous waste operations and emergency response • 1910.134 Respiratory protection
• 1910.1030 Bloodborne pathogens
• Follows Centers for Disease Control and Prevention (CDC) recommendations • Ensures that all personnel who perform associated clinical testing (e.g., audiograms, pulmonary function tests, etc.) maintain the appropriate certifications for such testing.

Police Officer Physical Examinations
Concentra conducts police officer examinations according to the employing agency’s examination requirements. In addition, for identified safety-sensitive positions, Concentra performs a medical history and physical examination designed to detect any of the following outlined conditions that may affect the individual’s job function:

• Angina pectoris
• Asthma
• Cancer-metastatic or leukemia
• Cardiac arrhythmias or murmurs
• Cerebral vascular accident
• Chest pains of unknown origin
• Contagious hepatitis
• Contagious tuberculosis
• Chronic respiratory disease
• Diabetes, insulin-dependent or ketosis-prone
• Fixation of major joint
• Hearing
• Herniated lumbar disc
• Hypertension, uncontrolled
• Inguinal hernia
• Liver or renal dysfunction
• Migraine headache
• Myocardial infarction, history of
• Paralysis
• Prosthetic device, e.g., limbs, hearing aid,
colostomy
• Recurrent dislocation of a major joint
• Schizophrenia or manic-depressive psychosis
• Scoliosis greater than 15 degrees
• Seizure disorders
• Current substance abuse
• Valvular heart disease, uncorrected
• Vision
• Wasting disease, chronic, such as multiple
sclerosis, myasthenia gravis, or amyotrophic
lateral sclerosis

The examining physician records the findings of the medical examination on the prescribed form, and indicates whether a limiting medical, physical, or mental circumstance exists – describing how the circumstance affects the officer’s ability to perform his/her duties, and specifying the type and duration of treatment required. Infectious disease screenings and immunizations are completed, as needed, based on the individual’s health history.

Respirator Medical Clearance Evaluation
We summarize our capabilities to perform respirator medical clearance evaluations for an employer’s occupational health services program in the following table.

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services

November 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 19

Component Details
OSHA Respirator
Medical Clearance
Evaluation
Questionnaire
Concentra uses the required OSHA Respirator Medical Clearance Evaluation Questionnaire (questionnaire) when rendering an evaluation. Concentra asks the employer to provide the following information:
• Type and weight of respirator to be worn
• Exposures encountered with respirator use
• Duration and frequency of respirator use
• Physical effort expected while wearing the respirator • Temperature and humidity extremes during wear
• Other personal protective equipment to be worn while wearing the respirator • Any subsequent medical information
If the employee provides a positive response to any of questions one through eight of the questionnaire, a follow-up exam and ancillary tests (such as spirometry, resting EKG, and CXR) may be required at the discretion of the evaluating clinician. The evaluating clinician reviews the responses, performs a focused physical exam, reviews any test results, then provides a written medical opinion to the employer regarding the employee’s ability to use the respirator.

Physical
Examination
A follow-up medical exam may be required based on questionnaire responses. The exam includes all components as applicable and medically appropriate. We conduct the evaluations in accordance with OSHA standards, as outlined in 29 CFR 1910.134.

Clinical Testing As appropriate, Concentra performs spirometry, Chest X-rays, and resting EKGs.

Fit Testing
(additional fee)
Concentra has comprehensive policies and procedures for training our medical support specialist on respirator fit testing in accordance with OSHA regulation 29 CFR 1910.134. We regularly provide qualitative fit testing at Concentra medical centers and perform quantitative fit testing at select locations.

Respirator Fit Testing
Concentra offers respirator fit testing through our nationwide footprint of medical centers. Our clinical experts work to ensure comprehensive training for our employees, and adherence to fit testing policies and procedures in accordance with Occupational Safety and Health Administration (OSHA) regulation 29 CFR 1910.134.

We regularly provide qualitative fit testing at our centers and perform quantitative fit testing in select markets. The qualitative fit test checks an employee’s response to chemicals introduced outside the respirator. The response may be voluntary or involuntary, depending on the substance used. (Concentra typically uses Bitrex ™ or saccharin.) The quantitative fit test uses a fit test machine that measures the particle concentration both inside and outside of the respirator. Quantitative fit testing is primarily for full-face respirators but can be used for all tight-fitting respirators.

Vaccination Services and Infectious Disease Screenings
Concentra offers vaccination services and screening/testing for infectious disease to assist employers in maintaining a healthy workforce. We administer vaccinations and infectious disease screenings per regulatory requirements and recommendations from leading health organizations, including the Occupational Safety and Health Administration (OSHA), Centers for Disease Control and Prevention (CDC), and the World Health Organization (WHO).

Vaccinations / Immunization
The vaccinations we offer for immunization vary by clinic location including travel health vaccinations, such as those required and/or recommended for a traveling workforce. The list of vaccines offered across various clinic locations includes but is not limited to:

• Hepatitis A vaccine • Hepatitis B immune globulin (HBIG) Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services
N
ovember 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 20 • Hepatitis B vaccine • Influenza vaccine
• Japanese encephalitis vaccine • Measles, mumps, rubella (MMR) vaccine • Meningococcal vaccine • Polio vaccine
• Rabies vaccine • Tetanus, diphtheria, pertussis (Tdap) vaccine • Tetanus/diphtheria vaccine • Typhoid vaccine
• Varicella (chickenpox) vaccine • Yellow fever vaccine O
ther vaccinations (such as shingles vaccine, human papillomavirus (HPV), cholera, pneumococcal disease, and others) are administered at Concentra facilities upon request and clinical approval.

Infectious Disease Screenings
Infectious disease screening includes testing for disease and/or for immunity. Infectious disease screening includes testing for disease and/or for immunity. Screenings we offer include (but are not limited to):
• Hepatitis B virus • Hepatitis C virus
• HIV • Influenza
• Measles, mumps, rubella • Tuberculosis (TB)
• Varicella (chicken pox) •
Bloodborne Pathogen (BBP) Exposure
Concentra realizes that people working in certain occupational settings may have the potential for bloodborne pathogen (BBP) exposure through contact with blood or other potentially infectious materials (OPIM). OPIM includes cerebrospinal fluid, synovial fluid, vaginal secretions, semen, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, or any bodily fluid that is visibly contaminated with blood. BBP exposure can lead to many serious diseases, including HIV, hepatitis B, and hepatitis C.

BBP Exposure Control Plan
Concentra can assist in developing a BBP Exposure Control Plan – often required by the Occupational Safety and Health Administration (OSHA) – to help employers minimize the probability of exposures occurring.

A
n Exposure Control Plan includes, but is not limited to:
• E
ngineering and work practice controls
• Standard precautions
• Hand hygiene
• Needle usage/disposal
• Personal protective equipment (PPE)
• Decontamination procedures
• Sharps containers and bio-hazard bags
• Hepatitis B vaccine program
• Post-exposure response plan
BBP Exposure Protocol
Despite adherence to preventive strategies, occupational exposures to bloodborne pathogens may occur and Concentra can evaluate and treat the exposed employees. Our protocol for managing exposures to potential BBP was developed by our Travel Health and Infectious Disease Medical Expert Panel . It is consistent with updated national guidelines, such as “Guidance for Evaluating Health-Care Personnel (HCP) for Hepatitis B Virus Protection and for Administering Post-Exposure Management” and “Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to Human Immunodeficiency Virus,” published by the Centers for Disease Control and Prevention (CDC) in December 2013 and August 2013, respectively.

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services

November 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 21

Our BBP protocol includes, but is not limited to:

• Determination of risk of exposure
• Decontamination
• Obtain (or test) source individual’s HIV, hepatitis B, and hepatitis C results, when applicable • Determine hepatitis B immune states of exposed employee and obtain baseline labs • Counsel on the risks of infection and the benefits and risks of post-exposure prophylaxis • Administer hepatitis B post-exposure prophylaxis when indicated • Administer first dose and/or prescribe HIV PEP when indicated • Follow up visits at three-to-four days, six weeks, four months, and six months after exposure for evaluation, laboratory testing, and treatment as indicated; closer follow-up is indicated if the employee is on HIV PEP

Concentra understands that time is of the essence when the decision is made to start HIV PEP. Therefore, we train our staff to prioritize individuals presenting with potential BBP exposures from the time they register at the Concentra clinic or center. From the initial encounter to the final six-month visit, employees who sustain a possible BBP exposure receive best-in-class care based on national guidelines and experts in the field.

Drug and Alcohol Testing
DOT-Compliant Urine Drug Screens
Concentra conducts urine drug testing in full compliance with Department of Transportation (DOT) rule 49 CFR Part 40 (Procedures for Transportation Workplace Drug and Alcohol Testing) and adheres to all Substance Abuse and Mental Health Services Administration (SAMHSA) policies and procedures to ensure appropriate chain of custody.

By following these procedures in both federal and non-federal testing, Concentra simplifies the collection process, offers the most defensible procedures for our collectors and clients, and provides the optimal level of confidentiality for the donors.

Our typical process includes:
• Certified staff to perform collections
• Use of split specimen collection method as required by DOT • Use of the proper custody and control forms (CCF) for regulated and non-regulated testing, using electronic CCFs when possible
• Proper specimen containment
• Shipment of specimen, within 24 hours, to a SAMHSA-certified laboratory for analysis • Involvement of a Medical Review Officer (MRO) for follow-up review, as appropriate • Utilization of Quest Diagnostics, SAMHSA, CAP-FDT, and CLIA certified, for laboratory analyses

Technology
Altera TouchWorks® Electronic Health Record (EMR) enables our clinicians to access patient records from any Concentra medical center, onsite clinic, Concentra Telemed, or Concentra TeleRehab site in the country. Our EMR integrates with practice management systems and supports continuity of patient care and an exceptional customer experience. TouchWorks provides:

• Computerized order entry and management with electronic integration with laboratory and X-ray vendors • Customized clinical documentation templates to support clinical operations • Best practice, evidence based, diagnosis specific care guides • Integrated tasking and communication function

TouchWorks supports all clinical operations, improves clinical quality, and streamlines the information exchange process to afford our clinicians the ability to quickly and accurately communicate information to the City and your employees. The system also provides data-driven insights, allowing us to apply population management principles for measurable trend management. Our ability to capture member data in real time from multiple sources helps us learn the health and social behavior patterns unique to each individual and the City ’s population in the aggregate.

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services

November 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 22

Concentra HUB
Concentra offers a self-service, online tool for the City’s convenient access to account information, test results, and reporting. Concentra HUB uses advanced security software to ensure privacy and the protection of employee information.

• Online account management
• Access to make edits to your company and location addresses and contacts • View capabilities of all service packages, components, and payors, third-party administrators, and medical review officers (MROs)
• Timely updates to your employees' non-injury and injury visit results and work restrictions • Full integration of existing employer reports for easy access • Search, export and print functionality for all accessible reports • Ability to create, manage, and review employee authorizations online • Electronic creation and transmission of authorization and associated forms • Saving the authorization sends it to Concentra automatically; no need for employee to bring form • Option to print and email authorization to employee is available, but not required • Search, edit and copy authorization functions
• Enhanced security features protect your information
• Access control
• Database monitoring
• Malware and virus protection
• Intrusion detection and prevention

Standard Reporting
Individual patient encounters provide the basis for the reporting system. Our system would create a report for each employee seen at Concentra and would make it available to the City via the Concentra HUB. Concentra can set up notification for multiple contacts, if desired. The following table outlines examples of our standard visit-based report output.

Sample Reports and Communications
Non-Injury Status
Report
• Generated after each non-injury visit
• Includes the employee's name and demographics, date seen, time checked in and out of the center, results, and remarks
Patient Referral • Generated when a referral to a specialist takes place • Includes basic demographics, billing information, specialist information, and referrals details (i.e., type of referral, recommendations, priority, notes)

Utilization Reporting
Concentra also offers utilization reports that share key injury information. This report captures all injuries treated at Concentra for each employer, and provides detailed information specific to injury care services, including but not limited to the following:

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services
N
ovember 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 23 • Number of employees treated
• Distribution of body category injured
• Number and percentage of cases closed
• Average visits per case
• Percentage of cases referred to a specialist
provider
• Percentage of cases referred to physical
therapy
• Average days to discharge
• Percentage of cases with off-duty and limited-duty
days
• Average number of off-duty and limited-duty days
• Average cost per case
• Comparisons of the project data to the entire client
market for the same period
Results Reporting
Physical Examinations
Concentra evaluates and reports all medical information back to an employer’s designated representative within 24 hours of receiving all relevant data. The report provides a recommendation based on the results, and any recommended referrals and/or restrictions. The clinician notes if additional testing is necessary and advises of the clearance status for job placement. If the results require supplemental testing, Concentra would notify the City ’s designated representative prior to performing any additional testing. Depending on the specific components tested for (i.e., blood or urine analysis), results may take up to five days to report.

Drug and Alcohol Testing
Concentra’s average turnaround time for a negative drug screen result is 24-48 hours upon receipt at the laboratory.

Turnaround time for a non-negative drug screen result, including Medical Review Office’s (MRO) review, varies for non-DOT and DOT tests, and may take 48 to 72 hours depending on the MRO verifications. • F
or a non-DOT non-negative drug test, MRO review is at the employer’s discretion and results can take 48 to 72 hour
s once received at the lab.
• MRO review is required for all DOT non-negative drug tests. While we can report a non-negative result to the MRO within 48 hours, the average turnaround time for a non-negative DOT drug screen review by the MRO varies. Per DOT guidelines the donor has up to five days to contact the MRO before the MRO reports a result.

B
reath alcohol test results are reported the same day the specimen is obtained.

Administrative and Support Services
Appointment Scheduling
Concentra would provide the City's employees with prompt service. Although our medical centers are primarily “first come, first serve,” Concentra can accommodate scheduled appointments if requested, with 24 hours’ advance notice. In addition, our medical centers implement “fast track” drug/alcohol testing services where employees experience a 30-minute-or-less wait time for drug specimen collection and/or breath alcohol testing.

Billing and Invoicing
Concentra’s Central Business Offices (CBO) maintain responsibility for all aspects of revenue billing and collection within their designated regions, including bill production, cash receipt, payment posting, and account receivable management services. We outline our standard billing process in the following table.

Service Type Billing/Invoicing Details
Non-Injury Care • Invoices generated weekly by market
• Includes a minimum of the following for each line item: patient name, date of service, employee’s department location (if provided), complete list of services performed • Term is net 30 days
Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services

November 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 24

Patient Confidentiality
Concentra takes the privacy, security, and protection of confidential and personal information very seriously and we have enterprise-wide strategies and industry leading technologies to maintain compliance with the HIPAA Privacy and Security Regulations.

Concentra’s Compliance department incorporates all aspects of HIPAA, information security, privacy, and compliance into our initial colleague training upon hire and annually thereafter. New privacy and security laws and challenges including high profile topics such as phishing, social engineering, and data handling procedures are communicated through corporate communications (e.g., Concentra intranet, internal newsletters, and face- to-face educational programs) on a quarterly basis. We have HIPAA policies and procedures in place to ensure on-going compliance with the HIPAA Privacy and Security Regulations.

We also employ:
• A HIPAA-compliant Business Associate Agreement (BAA) with any third-party whose services provided, and data shared, are subject to the HIPAA regulations
• Concentra-owned, internal documentation systems on our servers, all of which are protected by firewalls and anti-virus technologies that are monitored daily
• A secured intranet for all internal documents and a secured virtual private network (VPN) for authorized remote access
• HIPAA policies and procedures that outline the required privacy and security requirements for handling, maintaining, and disposing of personal health information (PHI) • Contracted service with a bonded (HIPAA-compliant) vendor to manage the shredding and recycling of paper documents located internally in locked cabinets within our office space (as per the HIPAA guidelines). Our vendor provides an approved form of identification, picks up and removes all materials from our offices, and obtains required signatures from our bonded workers
• Password protected access to all sensitive client files and access only to those staff members with a need to know, who require the files to support direct client services • Acknowledgement of our HIPAA compliance for all employees within new hire and annual training • HIPAA regulations regarding proper consent prior to sharing individual PHI with any party, i.e., client (employer), insurance company, or other provider(s), as required

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services

November 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 25

TAB F: Cost Proposal
Provide a total cost proposal for all products and services to be delivered, and a breakdown of costs delineated by tasks as described in your project plan. Include a schedule of hourly rates for all proposed staff and the amount of time each person will be devoted to this project. Define any reimbursable expenses requested to be paid by the City.

Concentra appreciates the opportunity to present our proposed fee schedule. We affirm all information contained herein is current, complete, accurate, and remains valid for 90 days following the due date of November 20, 2025.

Component Price Audiogram $81.90
BBP Written Medical Opinion $0.00
Behavioral Health Screen $56.70
Breath Alcohol Test $66.60
Cardiac Risk Assessment $145.80
Cardio IQ(R) MPO 92814 $178.20
Cardiovascular Stress Test $414.90
DOT Physical $136.80
EKG Resting $108.90
Firefighter Exam $135.90
Fitness for Duty Physical-Level 2 $112.50
Gen Hlth Pnl 1 331431 (Chem23,CBC,UA,TSH) $139.50
Heat Stress Questionnaire $65.70
Hemoccult FOBT FIT Test $109.80
Hep B Recombivax (3 shots) #1 $164.70
Hep B Recombivax (3 shots) #2 $164.70
Hep B Recombivax (3 shots) #3 $164.70
Hepatitis B e Antigen 555 $172.80
Hepatitis B Surface Antibody Quant 8475 $140.40
Hepatitis B Surface Antigen 498SB $117.00
Hepatitis C Antibody 8472 w reflex RNA $155.70
Heplisav-B (2 shot series) #1 $285.30
Heplisav-B (2 shot series) #2 $285.30
HIV 1/2 Ag/Ab Fourth gen w/Reflexes 91431 $135.90
Influenza (Flu Shot) $40.50
Law Enforcement Physical $136.80
MMR Vaccine $186.30
OSHA Physical Medical Opinion Letter $0.00
OSHA Respirator Questionnaire $65.70
Physical Exam Concentra Standard $113.40
Prostatic Specific Antigen (PSA) 5363SB $110.70
Pulmonary Function Test $93.60
QuantiFERON Gold Plus 36970 $215.10
Rapid HIV Test $124.20
Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City of Roseville
Occupational Health Services
N
ovember 20, 2025 © Concentra Operating Corporation. All rights reserved. Page 26 Regulated UDS 65304 $99.00
Respirator Fit Test Qualitative $81.90
Respirator Fit Test Quantitative $93.60
Respirator Physical $116.10
Sleep Apnea Screen $40.50
TDaP Vaccine $135.90
Varicella Vaccine $243.00
Vision Acuity Complete (Titmus) $68.40
Vision Color Hardy Rand Rittler $58.50
Vision Color Ishihara 14 Plates $52.20
X-Ray Chest-2 View $138.60
N
ote regarding any applicable immunization services: After the first twelve months of an executed agreement, if the current market price for the above Services change due to market conditions, demands and/or shortages, the City will be billed current market rates.

Docusign Envelope ID: 830B843A-F2CC-4511-8992-0F7B5C38B539

City Council
Communication
Meeting Date: 2/4/2026
Item #: VII.18
File #: 0709 & 0214 &
0201-01
Item ID: 2026-26

Title: Community Development Block Grant Fund - Budget Adjustment Contact: Danielle OConnell 916-774-5277 [email protected]

SUMMARY
Staff recommends approval of a budget adjustment for the FY2025-26 Community Development Block Grant Fund to increase both expenditures and revenue by $484,743 for awarded grant funding, unexpended entitlement funding, and estimated program income. This budget adjustment uses Community Development Block Grant funds and will not impact the City's General Fund.

RECOMMENDATION
Staff recommends that the City Council adopt an ordinance approving a budget adjustment to increase revenues and expenditures in the Community Development Block Grant (CDBG) Fund, in the amount of $484,743, for awarded grant funding, unexpended entitlement funding, and estimated program income.

BACKGROUND
The City became a CDBG entitlement jurisdiction in 1986. These annual grants fund affordable housing, public facilities and improvements, planning, program administration, and public service activities. The annual grant funding is allocated from the federal Department of Housing and Urban Development (HUD), and the amount awarded to each program is subject to the federal budgeting process.

In June of 2025, City Council adopted the FY2025-26 estimated CDBG budget. HUD notified the City of its FY2025-26 entitlement award of $701,373 after the budget was adopted and approved. Staff then finalized and submitted the annual spending plan to HUD for approval. Following HUD's approval, Housing Division staff is requesting this budget adjustment to align the CDBG budget with the 2025-26 Action Plan.

On May 1, 2025, Council approved the Annual Action Plan for FY2025-26. The plan included funding for six public service projects; an affordable housing acquisition project; owner-occupied housing rehabilitation projects; and administrative expenses. Once the budget adjustment is approved, the total available CDBG funds will be $1,214,743 which will be comprised of $701,373 from the FY2025-26 grant award, $392,360 of unexpended funds FY2022-24, $21,010.36 in Coronavirus Aid, Relief and Economic Security Act (CARES Act) funding, and an estimated $100,000 in program income available to grant in FY2025-26.

The CARES Act was enacted on March 27, 2020 to provide emergency assistance and health care response for individuals, families, and businesses affected by the COVID-19 pandemic. In 2020, the City was awarded a total of $1,213,133 in the special allocation of CARES Act CDBG funds. Since then, $1,192,122.64 has been spent on various activities to prevent, prepare for, or respond to the coronavirus.

The balance of the funds, in the amount of $21,010.36, will be expended in FY2025-26.

FISCAL IMPACT

The recommended budget adjustment will align the budget with the 2025-26 CDBG grant and add unspent availability from prior years. The expenditures in the attached budget adjustment total $484,743 and will be added to the approved budget of $730,000 for a total of $1,214,743.36. The revenues in the attached budget adjustment total $484,743 and will be added to the approved budget of $730,000 for a total of $1,214,743.36. CDBG Funds are awarded through an annual entitlement grant from the federal Housing and Urban Development Department. This budget adjustment has no impact to the General Fund.

ENVIRONMENTAL REVIEW
The California Environmental Quality Act (CEQA) does not apply to activities that will not result in a direct or reasonably foreseeable indirect physical change in the environment or is otherwise not considered a project as defined by CEQA Statute §21065 and CEQA State Guidelines §15060(c)(3) and §15378.

Approval of a budget adjustment meets the above criteria and is not subject to CEQA. No additional environmental review is required.

CITY COUNCIL STRATEGIC PLAN/OVERARCHING GOALS

1. Ensure a safe and healthy community

Respectfully Submitted,
Danielle OConnell, Housing Analyst

Melissa Anguiano, Economic Development Director

ATTACHMENTS:

1. Ordinance 7036

REVIEWERS:

Danielle OConnell, Economic Development Department - Housing Created/Initiated - 1/14/2026 Trisha Isom, Economic Development Department - Housing Approved - 1/14/2026 Melissa Anguiano, Economic Development Department Approved - 1/16/2026 Kelly Aye, City Attorney Department Approved - 1/21/2026 Katrina Six, City Clerk Department Approved - 1/21/2026 Ryan DeVore, City Manager Department - Assistant City Manager Approved - 1/22/2026 Dennis Kauffman, City Manager Department - Assistant City Manager Approved - 1/22/2026 Michelle Sheidenberger, City Attorney Department Approved - 1/23/2026 Dominick Casey, City Clerk Department Approved - 1/27/2026 Katrina Six, City Clerk Department Final Approval - 1/27/2026

ORDINANCE NO. 7036

ORDINANCE OF THE COUNCIL OF THE CITY OF ROSEVILLE
AUTHORIZING CERTAIN AMENDMENTS TO THE FISCAL YEAR 2025-26

BUDGET AND DECLARING THIS ORDINANCE TO BE IMMEDIATELY

EFFECTIVE AS AN APPROPRIATION MEASURE

THE CITY OF ROSEVILLE ORDAINS:

SECTION 1. The City of Roseville Annual Budget, Fiscal Year 2025-26, is hereby amended as listed on the attached budget adjustment for the Community Development Block Grant Fund project.

SECTION 2. This ordinance is hereby declared to be an appropriation measure, immediately effective pursuant to the provisions of Section 5.03 of the Charter.

SECTION 3. The City Clerk is hereby authorized and directed to post a true copy of the foregoing ordinance in each of three (3) conspicuous locations in the City and she shall immediately after such posting enter in the ordinance book, under the record of the ordinance, a certificate under her hand stating the time and place of such publication by posting.

PASSED AND ADOPTED by the Council of the City of Roseville, this day of , 2026, by the following vote on roll call:

AYES COUNCILMEMBERS:

NOES COUNCILMEMBERS:

ABSENT COUNCILMEMBERS:

MAYOR
ATTEST:

City Clerk

REQUEST FOR BUDGET ADJUSTMENT
Updated 11/19/2025

Please complete the cells highlighted in yellow.

REQUESTER NAME & TITLE: FISCAL YEAR:

PREPARER NAME & TITLE: ORDINANCE:

DEPARTMENT/DIVISION:

EXPENDITURES/EXPENSES/TRANSFERS OUT
ACCOUNT STRING BUDGET ($)
Fund Account Center Project Adjustment DESCRIPTION

2201

5301

54101

36,000 Increase Professional Services budget in the CDBG fund to align with the CDBG Action Plan
2201 5389 54101

250 Increase Printing budget in the CDBG fund to align with the CDBG Action Plan

2201

5461

54101

(2,025) Decrease Training & Development budget in the CDBG fund to align with the CDBG Action Plan
2201 5465 54101

75 Increase Mileage budget in the CDBG fund to align with the CDBG Action Plan
2201 5570 54101

(8,300) Decrease Grants budget in the CDBG fund to align with the CDBG Action Plan
2201 5571 54101

(15,240) Decrease Grants Public Services budget in the CDBG fund to align with the CDBG Action Plan
2201 5573 54101

473,983 Increase Grants Deferred Loans budget in the CDBG fund to align with the CDBG Action Plan
EXPENDITURES/EXPENSES/TRANSFERS OUT TOTAL 484,743

REVENUES/TRANSFERS IN
ACCOUNT STRING BUDGET ($)
Fund Account Center Project Adjustment DESCRIPTION
2201 4401 54101

414,743 Increase Federal Grants revenue budget in the CDBG fund to align with the CDBG Action Plan

2201

4735

54101

70,000 Increase Program Income revenue budget in the CDBG fund to align with the CDBG Action Plan

REVENUES/TRANSFERS IN TOTAL 484,743

NET ADJUSTMENT -

FUND BALANCE
ACCOUNT STRING BUDGET ($)
Fund Account Center Project Adjustment DESCRIPTION
3601 00000 000000
3601 00000 000000
3601 00000 000000
3601 00000 000000
3601 00000 000000
3601 00000 000000

FUND BALANCE TOTAL -

Justification for Budget Adjustment:

The Economic Development Department is requesting a budget adjustment of $484,743 to align the Community Development Block Grant (CDBG) Fund budget with the CDBG Action Plan approved by the City Council May 2025.

This budget adjustment adjusts expenditures in the CDBG Fund by $484,743 for public services, owner occupied rehab projects, affordable housing acquisition, and administrative expenses to adhere to the approved Action Plan.

This budget adjustment will increase the existing CDBG Fund expense budget of $730,000 to $1,214,743. This budget adjustment will also increase the existing revenue budget of $730,000 to $1,214,743.
2025-26
Emily Sawin - Management Analyst
Emily Sawin - Management Analyst
Economic Development - Housing

City Council
Communication
Meeting Date: 2/4/2026
Item #: VII.19
File #: 0203-07
Item ID: 2026-27

Title: Roseville Energy Park Centrifuge Dewatering Equipment Tariff - Sole Source Purchase Order Change Order
Contact: Michael Zasso 916-746-1665 [email protected]

SUMMARY
Staff recommends approval of a change order for import tariffs to the sole source purchase order with Siebtechnik Tema for centrifuge dewatering equipment at the Roseville Energy Park and to grant Electric staff the authority to approve unforeseen change orders up to 10% of the equipment cost. The total cost of the change order is $75,052.84. The new total cost of the purchase order including 10% contingency is $636,385.82. Funding is included in the Electric Department's FY2025-26 budget in the Electric Fund.

RECOMMENDATION
Staff recommends that the City Council adopt a resolution to approve a change order to the sole source purchase order to Siebtechnik Tema for centrifuge dewatering equipment import tariffs.

Staff further recommends that the City Council authorize the City Manager or his designee is authorized to approve change orders, consisting with the contract terms, provided that the net cost of all change orders shall not exceed ten percent (10%) of the total contract price.

BACKGROUND
The Roseville Energy Park (REP) utilizes a Zero Liquid Discharge (ZLD) system to make demineralized water and treat process waste streams. The final treatment step in the ZLD is dewatering slurry from two crystallizers to produce dry salt cake that is hauled to the local landfill. The dewatering treatment step is currently performed by a single belt filter press originally installed during the ZLD construction in 2006.

The existing belt press is a single point of failure and offers no redundancy when failure often occurs, it is severely undersized restricting ZLD processing capacity, it inefficiently dewaters slurry in batch feeds rather than a continuous feed, and after many repairs and improvements the belt press is at end of life.

Through the rigorous engineering and operational testing conducted onsite at the REP with multiple equipment types and vendors, centrifuge technology by Siebtechnik Tema was selected. A sole source purchase order with Siebtechnik Tema was previously approved by City Council at the December 18, 2024, meeting by Resolution 24-419. The estimated centrifuge fabrication time was approximately 12 months. The centrifuge fabrication is now complete and ready for shipment from Germany to Roseville.

The centrifuge and associated costs were $510,302.71 in December 2024. An additional 10% contingency was granted for unforeseen change orders of $51,030.27, for a total budget authority of $561,332.98. Siebtechnik Tema manufactures their centrifuges in Germany. From December 2024 to today, tariff costs between Germany and the United States have increased significantly. The tariff surcharge for this equipment is $69,654.60 plus $5,398.24 in taxes, for a total additional cost of $75,052.84.

As this change order amount exceeds the remaining authorized contingency amount, staff is requesting approval from City Council to increase the contract authority by the tariff cost, to a new total of $636,385.82. The remaining contingency funds are intended to remain for unforeseen costs during installation and commissioning.

FISCAL IMPACT
The total cost of one centrifuge, estimated freight, 10% contingency, and sales tax is now $636,385.82, including the $75,052.84 import tariff. Funding is included in the Electric Department's FY2025-26 budget in the Electric Fund.

ENVIRONMENTAL REVIEW
The proposed project involves operational minor alterations of an existing facility. This activity is categorically exempt from CEQA as a Class 1 Exemption (State CEQA Guidelines Section 15301). The Exemption has been prepared and no further CEQA action is required.

CITY COUNCIL STRATEGIC PLAN/OVERARCHING GOALS

4. Invest in well-planned infrastructure and growth

6. Deliver exceptional City services

Respectfully Submitted,
Michael Zasso, Power Plant Engineer

Daniel Beans, Electric Utility Director

ATTACHMENTS:

1. Resolution 26-023

2. CEQA Exemption

3. Change Order- PO 9021079 E-1893

4. SIEBTECHNIK TEMA 47881 Rev02-A

REVIEWERS:

Michael Zasso, Electric Department - Engineering Created/Initiated - 1/14/2026 Chris Porter, Electric Department - Engineering Approved - 1/14/2026 Shawn Matchim, Electric Department - All Approved - 1/16/2026 Daniel Beans, Electric Department - All Approved - 1/16/2026 Kelly Aye, City Attorney Department Approved - 1/21/2026 Katrina Six, City Clerk Department Approved - 1/21/2026 Ryan DeVore, City Manager Department - Assistant City Manager Approved - 1/22/2026 Dennis Kauffman, City Manager Department - Assistant City Manager Approved - 1/22/2026 Michelle Sheidenberger, City Attorney Department Approved - 1/23/2026 Dominick Casey, City Clerk Department Approved - 1/27/2026 Katrina Six, City Clerk Department Final Approval - 1/27/2026

RESOLUTION NO. 26-023

APPROVING A PURCHASE ORDER CHANGE ORDER FOR CENTRIFUGE

DEWATERING EQUIPMENT FOR THE ROSEVILLE ENERGY PARK

WHEREAS, a purchase order change order for centrifuge dewatering equipment for the Roseville Energy Park, has been reviewed by the City Council.

NOW, THEREFORE, BE IT RESOLVED by the Council of the City of Roseville that said purchase order change order is approved.

BE IT FURTHER RESOLVED that the City Manager or his designee is authorized to approve change orders, consistent with the contract terms, provided that the net cost of all change orders shall not exceed ten percent (10%) of the total contract price.

PASSED AND ADOPTED by the Council of the City of Roseville this ___ day of ______________, 2026, by the following vote on roll call:

AYES COUNCILMEMBERS:

NOES COUNCILMEMBERS:

ABSENT COUNCILMEMBERS:

_______________________________
MAYOR

ATTEST:

__________________________
City Clerk

Notice of Exemption

To: Placer County Clerk From: City of Roseville
Recorder’s Office Development Services Dept.
2954 Richardson Drive 311 Vernon Street
Auburn, CA 95603 Roseville, CA 95678

Project Title: Roseville Energy Park Centrifuge Dewatering Equipment

Project Location(s): 5120 Phillip Road, Roseville, CA 95747. Assessor’s Parcel Number s 017- 101-020-000 and 017-101-021-000.

Project Description: Roseville Electric staff seeks a sole source purchase order with Siebtechnik Tema for centrifuge dewatering equipment at the R oseville Energy Park (REP). The existing equipment used is a Zero Liquid Discharge (ZLD) system using a Single Belt Filter Press. The Belt Press has been determined to be inefficient, undersized, and at its end of life. Staff determined that based on the Belt Press’s shortcomings, a new dewatering technology should replace the existing equipment to improve efficiency, provide redundancy, eliminate the single point of failure, and keep cost, consumables, and new auxiliary equipment to a minimum. The new technology selected is a proprietary centrifuge technology by Siebtechnik Tema. Installation and use of the new equipment and technology would not result in an expansion of use or capacity.

Public Agency Approving Project: Roseville City Council

Agency/Individual Carrying Out Project: Roseville Electric Utility

Reason why this Project is Exempt: The project qualifies for a Class 1 Categorical Exemption as described in Section 15301 of the California Environmental Quality Act (CEQA) guidelines which states:

“Class 1 consists of the operation, repair, maintenance,...or minor alteration of existing public or private structures, facilities, mechanical equipment, or topographical features, involving negligible or no expansion of existing or former use… Examples include, but are not limited to: (b) Existing facilities of both investor and publicly owned utilities used to provide electrical power, natural gas, sewerage, or other public utility services…”

The project consists of replacing the existing dewatering equipment with a new centrifuge technology at the REP because the existing equipment is inefficient and has reached end of life.

The project would not result in expansion of use. Consequently, the Class 1 Categorical Exemption applies.

Lead Agency Contact Person: Michael Zasso, Roseville Electric (916-746-1665).

Signature: Date: 11/19/2024
Jessica Lynch, Environmental Coordinator
City of Roseville

Item Status : Open
1 SBD 500
---
Rev
U/M
EA

1.0000
455,135.0000
455,135.00
SBD
500
DECANTER CENTRIFUGE per
47881
Rev
02 -A.

Qty (
1 ) One SBD-
500
(K) Short Bowl Decanter Centrifuge
to include all features outlined on Quote
47881
Rev
02 -A.

Included in price:

Sea-worthy packing
Flexibles and Compensators
Centrate Chute (square flange to ASME flange)
Spare proximity switch (
1 )
Base frame, bearing housing in

1.4301
Scroll flights abrasion protection: Surface-Layer welding.

COO: Germany
Est. Ship Date : 12/01/2025
Tax Amount
35,272.97
Item Status : Open
2 E-1893/25 SPARES
---
Rev
U/M
SET

1.0000
3,429.0000
3,429.00

V-BELTS,SCRAPER KNIVES
COO: Germany
Est. Ship Date : 12/01/2025
Tax Amount
265.75
Item Status : Open
3 FREIGHT
---
Rev
U/M
EA

1.0000
16,200.0000
16,200.00

FREIGHT-
IMPORT FEES/DUTIES, SEAFREIGHT FROM GERMANY.

Est. Ship Date : 12/01/2025

CUSTOMER COPY

PRINT DATE 12/12/2025
Duplicate Copy

Revised
Sales Order
Customer
E-1893/25
029998-02
002310

To :

CITY OF ROSEVILLE
311
VERNON ST.

ROSEVILLE CA
95678
US
Ship to :

ROSEVILLE ENERGY PARK
5120

PHILLIP RD

ROSEVILLE CA
95747
-
US
Phone

Email: [email protected]
Customer PO Number
Order Date
Terms
Incoterms
Ship Via
Salesperson
9021079
01/15/2025

PER BELOW
GF
Item No
Part / Rev / Description / Details
Quantity
Unit Price
Extended Price

EXWORKS

GERMANY

SEA PPD & ADD
Contact : MICHAEL ZASSO
Ref #

Item Status : Open
4 E-1893 BASE FRAME 316LSS
---
Rev
U/M
EA

1.0000
5,800.0000
5,800.00

MATERIAL CHANGE
304
SS TO
316
LSS
(TAX

7.75%
=
$449.50
)
COO: Germany
Est. Ship Date : 12/01/2025
Tax Amount
449.50
Item Status : Open
5 TARIFF SURCHARGE
000
Rev
U/M
EA

1.0000
69,654.6000
69,654.60
TARIFF SURCHARGE- 15% ON MACHINE, BASE AND SPARES.

Est. Ship Date : 12/01/2025
Tax Amount
5,398.24
Total Items Price
USD 550,218.60
Total Order Tax
USD 41,386.46
Grand Total
USD 591,605.06

CUSTOMER COPY

PRINT DATE 12/12/2025
Duplicate Copy

Revised
Sales Order
Customer
E-1893/25
029998-02
002310

To :

CITY OF ROSEVILLE
311
VERNON ST.

ROSEVILLE CA
95678
US
Ship to :

ROSEVILLE ENERGY PARK
5120

PHILLIP RD

ROSEVILLE CA
95747
-
US
Phone

Email: [email protected]
Customer PO Number
Order Date
Terms
Incoterms
Ship Via
Salesperson
9021079
01/15/2025

PER BELOW
GF
Item No
Part / Rev / Description / Details
Quantity
Unit Price
Extended Price

EXWORKS

GERMANY

SEA PPD & ADD
Contact : MICHAEL ZASSO
Ref #

PAYMENT TERMS:
30%
with purchase order.
30%

60 days after receipt of order (March
17 ,
2025
).
30%
at shipment (approximately
12/01/2025
).
10%
net
90 days after shipment.

ORDER ACKNOWLEDGEMENT REV
01 .

ADDED LINE ITEM
#4
.

PLEASE NOTE THERE MAY BE UNPLANNED DELAYS EFFECTING LEAD TIMES ( DISRUPTIONS IN THE SUPPLY CHAIN DUE TO FACTORY CLOSURES, BACKLOG, TRANSPORT PROBLEMS, ETC.). **ALL ESTIMATED SHIP DATES ARE ONLY AN ESTIMATE AND ARE NOT GUARANTEED.** U.S. CUSTOMERS
–
PLEASE PROVIDE YOUR SALES AND USE TAX EXEMPT CERTIFICATE.

THIS ORDER MAY BE SUBJECT TO SALES AND USE TAX.

IF REQUIRED, SALES TAX WILL BE ADDED TO THE FINAL INVOICE AT SHIPMENT.

WE SINCERELY APPRECIATE YOUR ORDER. IF THIS ACKNOWLEDGEMENT IS NOT CORRECT, PLEASE NOTIFY US IMMEDIATELY.

CUSTOMER COPY

PRINT DATE 12/12/2025
Duplicate Copy

Revised
Sales Order
Customer
E-1893/25
029998-02
002310

To :

CITY OF ROSEVILLE
311
VERNON ST.

ROSEVILLE CA
95678
US
Ship to :

ROSEVILLE ENERGY PARK
5120

PHILLIP RD

ROSEVILLE CA
95747
-
US
Phone

Email: [email protected]
Customer PO Number
Order Date
Terms
Incoterms
Ship Via
Salesperson
9021079
01/15/2025

PER BELOW
GF
Item No
Part / Rev / Description / Details
Quantity
Unit Price
Extended Price

EXWORKS

GERMANY

SEA PPD & ADD
Contact : MICHAEL ZASSO
Ref #

Quotation 47881 Rev02-A
Client:

Customer Ref.:

D
ate:

Supplier:

Contact:

Tel:

Mobile
:

E-mail:

IEC for Roseville Electric Utility

29.08.2024

SIEBTECHNIK TEMA
7806 Redsky Drive Cincinnati, OH 45245
Gary Folger
513-489-7811 ext: 131
513-288-8822
[email protected]
Project Crys

tallizer System, US
Short Bowl Decanter
centrifuges SBD 500K for
separation of Sodium chloride / Sodium sulfate crystals

21 Automati
cally and continuously operating
Short Bowl Decanter centrifuge type
SBD 500K
Desig
ned for separation of solids out of suspension
Based on Siebtechnik Quality Plan according to European Standards Delivery time app. 11 - 12 months
FCA Delivery with Sea-worthy packing (option)
Country of origin: Germany/EU (machine)
Manufacturing Standard: Siebtechnik Quality Plan based on European Standards, CE conform
Offer valid until: 18.10.2024

21 CONTENT

1. Prices ...................................................................................................................................... 4 2. Spares ....................................................................................................................................4

3. Scope of supply Short Bowl Decanter SBD 500K ...................................................................5

4. Site installation check, mechanical test run and final site acceptance test ..........................6

5. General Conditions ................................................................................................................9

6. Product & process data per centrifuge SBD 500K ...............................................................13

7. Ambient conditions .............................................................................................................14

8. Design data SBD 500K ..........................................................................................................15

9. Electrical and instrumentation data SBD 500K ....................................................................17 Motors ....................................................................................................................................17 Instruments .............................................................................................................................17

10. Document submittal schedule .............................................................................................18

11. Quality, Codes and Standards ..............................................................................................20

12. Exclusions: ............................................................................................................................21 Attachments ...............................................................................................................................21

1. Centrifuge Price

DECANTER CENTRIFUGES
Item Qty Description Unit Price Subtotal

1. 1 Short Bowl Decanter SBD 500K $455,135.00 $455,135.00 Item Qty Description

1. 1 Sea-worthy packing

2. 1 Flexibles & compensators

3. 1 Centrate chute
(square flange to ASME flange)

4. 1

5. 1 Base frame, bearing housing in

1.4301 (SS 304)

6. 1 Scroll flights abrasion protection:

Surface‐layer welding
Following items included in price:

Spartes (v-belts and proximity switch)
FREIGHT DUTY and TAX Fees
Item Qty Description Subtotal

1. 1 Import Fees/Duties $6,200.00

2. 1 Freight EXW Mulheim, Germany to 5778 Phillips Rd,
Roseville, CA 95747
$10,000.00

3. Taxes (7.75% City of Roseville) $35,538.71
*These are estimates and will be billed at actual cost* 2-YEAR OPERATION SPARES
Item Qty Description Unit Price Subtotal

1. 1 V-belts (set) $304.00 $304.00

2. 1 Scraper knifes ring (pc) $3,125.00 $3,125.00
$458,564.00 Total for decanter centrifuge and spare parts

3. Import fees/Duties, Freight, and Taxes
$510,302.71 Grand total for centrifuge, spares, fees/duties, freight & taxes

2. Spares
for centrifuge & spares

21 3. Scope of supply Short Bowl Decanter SBD 500K

PRODUCT WETTED SIDE
• Product housing
• Feed assembly & product distribution
• Drum and scroll
• Rinsing device for the drum
• Rinsing nozzles for solid discharge area
• Discharge channel with scrapers
• Sealing for gas-tight design

DRIVE END SIDE
• Base frame with vibration isolation and corrosion protection • Bearing housing with bearings / gearbox
• Oil circulation system
• One set of instruments
• Drive motor
• Gear input shaft motor
• Oil pump motor

FURTHER SCOPE OF DELIVERY
• Set of special maintenance tools
• Documentation (English, 1 x digital format, max. 3 x paper format on request)

OPTIONS
• Sea-worthy packing
• Flexibles & compensators
• Centrate chute
• Thermal insulation
• Base frame, bearing housing in 1.4301 (SS 304)
• Scroll flights abrasion protection
• Spares

of 21

4. Site installation check, mechanical test run and final site acceptance test Factory Acceptance Test (FAT)
The FAT in the SIEBTECHNIK workshop is carried out according to the SIEBTECHNIK Quality Plan.

The corresponding test report Q3034-D-E must contain all measured data. This document shall be signed by authorized SIEBTECHNIK personnel and shall be part of Quality Manual, delivered with
the centrifuge.

Detailed test reports of all unwitnessed tests will be provided by us for review.

The certification documents of the unwitnessed tests and inspections shall be reviewed by the customer.

For all electrical equipment we will provide IEC certificates.

Both our company and all our su
b- suppliers w ork according to their quality plans. SIEBTECHNIK is DIN EN ISO 9001 certified.

We grant the buyer the opportunity to visit our production site in Germany and participate the inspections and the FAT procedure.

The on-site presence time is limited due to the inspection time/ FAT of the machine.

Site Acceptance Test (SAT)
Storage before installation
Before i nstallation purchaser shall ensure a storage an d handling o f t he equipment as per manual by qualified personnel. The location shall be free from dust and dirt, hum idity, free of ferrites. Special attention shall be given to the regular moving of the rotor assembly according to maintenance manual.

This includes
(1) Siebtechnik Tema employee on site for start-up for up to two days at no charge. They are there to answer questions, make suggestion, and observe. If installation or programming is required that will be done on our standard shop rates.

Site Installation
Purchaser shall install the equipment according to instructions and data of SIEBTECHNIK by qualified
personnel. The ground shall be designed for given dynamic and static loads.

Sufficient
and orderly hoist or cranes shall be available. All connections shall be realized as
per SIEBTECHNIK instructions. Media shall be connected flexible. Electrical connections shall be realized according to documents and connection lists. The control – if no
t supplied by SIEBTECHNIK – shall be e xecuted as per SIEBTECHNIK logi c diagram. Purchaser shall have finished successfully the loop check. Intermediate maintenance is
supposed to be made according to manual by purchaser. An installation protocol i
s mandatory and will be provided by the purchaser.

Site Ins
tallation check
SIEBTECHNIK shall finalize the installation phase together with the customer by inspecting the installed equipment in detail. The inspection check shall be completed by both parties.

Details and deficiencies shall be indicated clearly. These deficiencies shall be rectified by customer upon short notice.

An installation check protocol is mandatory.

Start-up

P
age 7 of 21
For the start -up of the equipment customer shall ensure sufficient availability of qualified personnel. Continuous operation of up-stream and down-stream equipment must be ensured together with supply of raw material and media in agreed quality and quantity.

The start-up is successfully finished when processing minimum 80% of the agreed solid feed in a continuous operation by reaching separation results with a tolerance of +/- 20%.

Customer shall allow SIEBTECHNIK specialists access to all necessary measuring results and allow the support for optimizing plant’s parameters.

After a successful start- up the delivery is understood as complete and with the orderly functioning of the equipment the guarantee period starts.

A start-up protocol is mandatory.

Pr
ocess optimization
Before starting the final acceptance test the operation of the centrifuge shall be optimized by SIEBTECHNIK centrifuge specialists. Customer’s comprehensive support is mandatory.

Centrifuge Specialists access to the site and to the equipment is ensured.

A process optimization protocol is mandatory.

Sit
e Acceptance Test
Customer shall inform SIEBTECHNIK about his readiness for the final Site Acceptance Test. Then he shall supply sufficient raw material and media in the contractually defined quality and quantity. SIEBTECHNIK defines the adjustments of the centrifuges for this SAT. When a constant and stable production has been reached, the Acceptance Test starts. The duration of the test is 72 hours.

Customer shall operate the plant continuously with qualified and trained personnel. Machine settings are defined by SIEBTECHNIK specialists and shall not be changed by purchaser.

Before starting the SAT SIEBTECHNIK has the right to request the maintenance of the centrifuge and also the exchange of wear parts, related costs are borne by purchaser. A SAT protocol is mandatory.

Sam
ple Taking and Analysis
Once a shift samples shall be taken by customer, he shall ensure an orderly and qualified sample taking. SIEBTECHNIK has the right to observe this sample taking.

To be sampled and measured are:
- all d
efined and agreed feed parameters together with
- all defined and guaranteed operation and separation parameters.

Th
e sample analysis shall be performed by customer in suitable laboratories with qualified personnel in reasonable short time. SIEBTECHNIK specialists have the right to accompany the analysis with full access to the laboratory and related documentation.

A sample taking and sample analysis protocol is mandatory.

P
age 8 of 21
Evaluation
For each defined, agreed, or guaranteed value (both feed and operation / separation performance) the arithmetical average of all samples taken is calculated. For these values a tolerance of +/- 5% applies.

Acce
ptance
When all values comply with the contractual guarantees, the equipment is accepted, and a Site Acceptance Test protocol is issued.

If the Acceptance Test cannot be performed at all due to reasons beyond SIEBTECHNIK responsibility the equipment is deemed accepted the latest 24 months after delivery date.

In c
ase guarantee values cannot be reached due to reasons beyond SIEBTECHNIK control, such as feed not complying to defined and agreed parameters, up/down stream failures, etc, customer shall adjust his frame conditions and invite SIEBTECHNIK again, to rep eat the test. If the frame conditions cannot be corrected and reached by customer for more than two times the equipment is deemed accepted.

In
case guarantee values cannot be reached although defined feed parameters are achieved, SIEBTECHNIK has the right to modify and adjust the centrifuge. After modification SIEBTECHNIK shall inform customer to repeat the Acceptance Test as described above. Customer shall allow a reasonable time for modification, taking in consideration that some major parts of centrifuges have long manufacturing times. SIEBTECHNIK shall have the right to repeat this Acceptance Test.

In case guarantee values are not reached after maximum three repeated tests, the contractually agreed penalties apply. Any further claims are excluded.

An acceptance protocol is mandatory.

SI
EBTECHNIK is confirming explicitly to support purchaser in optimizing production results.

5. General Conditions
Mechanical
Warranty:

The Goods shall be free of defects in workmanship and materials for a period of twelve (12) months from the date of Commissioning or eighteen (18) months after Seller's notification that the Goods are ready for delivery, whichever occurs first.

Normal wear and tear is excluded.

Limited Liability:

No Consequential Damages
Whether due to delay, breach of contract or warranty,
(including negligence and strict liability) or otherwise, neither Seller nor its subcontractors or agents of any tier shall be liable for any special, indirect, incidental, or consequential damages of any nature, including, without limitation, Customer’s loss of actual or anticipated profits or revenues, loss by reason of shutdown, non-operation, or increased expense of manufacturing or operation, loss of use, cost of capital, damage to or loss of property or equipment of Customer or claims of customers of Customer.

Maximum liability
Except for personal injuries caused by the wilful misconduct or gross negligence of Seller, the aggregate liability of Seller or its subcontractors or agents of any tier to Customer whether in contract, warranty, tort (including negligence and strict liability) or otherwise for the performance or breach of the Contract or anything done in connection therewith shall not exceed
one hundred percent (100%) of the amount paid Seller hereunder.

Scope of supply:

Included within the scope of supply is only the equipment mentioned in this offer. All further material as piping, tubes, cables, electrical components and distribution, are not included and have to be supplied and installed by the Buyer. Necessary technical specifications will be supplied by SIEBTECHNIK.

The offered equipment is built according to the laws, norms and regulations of the EU. Exceptions hereof only apply if they are mentioned explicitly in our offer.

P
age 10 of 21
Terms of Delivery
/
Price Basis
FCA Mülheim/Ruhr, according to lncoterms 2020 of the International Chamber of Commerce.

Excluding packing, without duty, without clearance charges, without any taxes in the country of consignee, without any other dues, without installation and without commissioning. All taxes in the country of consignee are to be paid by the Buyer, all taxes in the Federal Republic of Germany are to be paid by the Seller.

The total price does not include the cost for any official applications, examinations, inspections and approvals which may be necessary for the plant or parts thereof. These will be paid by the Buyer.

The price level of this quotation is according the date of the quotation.

Should raw material prices be subject to increase prior to delivery, the Seller reserves the right to charge for the proportional extra costs.

Terms of
Payment:
30% with purchase order
30% 60 days after receipt of order
30% at shipment
10% net 90 days after shipment
Commercial
Terms
SIEBTECHNIK TEMA General Terms and Conditions of Sale – Centrifuges

Pa
ge 11 of 21
Sanctions
(1) The Importer/Buyer shall not sell, export or re—export, directly or indirectly, to the Russian Federation or for use in the Russian Federation any goods supplied under or in connection with this Agreement that fall under the scope of Article 129 of Council Regulation (EU) No 833/2014.
(2) The Importer/Buyer shall undertake its best efforts to ensure that the purpose of paragraph (1) is not frustrated by any third parties further down the commercial chain, including by possible resellers.
(3) The Importer/Buyer shall set up and maintain an adequate monitoring mechanism to detect conduct by any third parties further down the commercial chain, including by possible resellers, that would frustrate the purpose of paragraph (1). (4) Any violation of paragraphs (1), (2) or (3) shall constitute a material breach of an essential element of this Agreement, and Siebtechnik GmbH shall be entitled to seek appropriate
remedies, including, but not limited to:
i. termination of this Agreement; and
ii. a penalty of 20% of the total value of this
Agreement or price of the goods
exported, whichever is higher.
(5) The Importer/Buyer shall immediately inform Siebtechnik GmbH about any problems in applying paragraphs (1), (2) or (3), including any relevant activities by third parties that could frustrate the purpose of paragraph (1). The Importer/Buyer shall make available to Siebtechnik GmbH information
concerning compliance with the obligations under paragraph (1), (2) and (3) within two weeks of the simple request of such information.

Export Control
The supplies and services (fulfilment of contract) shall be subject to the provision that contract fulfilment will not be impaired by obstacles on the grounds of national or international rules and regulations, in particular export control regulations as well as embargos or any other restrictions.

The contracting partners shall undertake to provide all the information and documents being required for export/transfer/import.

Delays caused by export controls or by licensing procedures being required by export law shall annul deadlines and delivery times. In case required licenses are not granted, the contract shall be considered as non-concluded with regard to the affected parts. Thus, damage claims, in particular due to non-fulfilment and due to the aforementioned exceeding of deadlines, shall be excluded.

Pa
ge 12 of 21
Other
This quotation is subject to confirmation in case of order.

The
pictures/drawings in this quotation are examples and for visualization of the principal functions only. The delivered machine might vary from the pictures/drawings shown or delivered with this quotation.

SIEBTECHNIK TEMA

21 6. Product & process data per centrifuge SBD 500K
PRODUCT Sodium chloride / sodium sulfate
Min. Nom. Max. Unit
FEED Slurry (mother liquor with crystals / solids)
Feed flow total 3.093

6.818
kg/h
lb/h
Solids concentration wt.-%
Feed flow solids 272 kg/h
lb/h
Temperature 120
248
°C
°F
Particle size d50 1) µm
Residual moisture 2) wt.-%
Solids in centrate 3) wt.-%

SOLID COMPOSITION
NaCl wt.-%
Na2SO4 wt.-%
wt.-%
Solid density 2.000 2.760 kg/m³

LIQUID COMPOSITION
NaCl 3 wt.-%
Na2SO4 wt.-%
CaCO3 wt.-%
SiO2
PO3- / PO4-
K+ / Mg +
H2O Bal. Bal. Bal. wt.-%
Liquid density 4) 1.300 kg/m³
pH 7 -
Viscocity n/a cP
1) d50 53.4 um
2) Visual estimation equal or better than existing belt filter 3) Visual estimation equal to existing belt filter
4) Estimated mother liquor density

53.4 66.17%
300 lb/h
600

21 7. Ambient conditions

AMBIENT CONDITIONS
Site location
Ambient temperature outdoor
Height above sea level
Humidity n.a.

Seismic n.a.

Installation type n.a.

Roseville, CA, USA
97 ft AMSL
62 degrees F (17 C)

Pa
ge 15 of 21

8. Design data SBD 500K

TECHNICAL DATA
inside diameters of the drum(s) 500 mm
Noise pressure level (DIN 45635) < 85 dB(A )
Gear type 218 -
oil quantity 20 Litre
oil viscosity 68 mm²/s
Flange type ASME B16.5 -
Cover type Bolted cover -
Inspection opening Bolted -
Pulleys for speed change (static) none (VFD) -

MAIN DIMENSIONS & WEIGHTS
Length 1.860 mm
Width 2.140 mm
Height 1.700 mm
Installation weight 3.320 kg

MATERIAL OF CONSTRUCTION FOR PRODUCT WETTED PARTS
Product housing 1.4529 (AL-6 XN)
Drum 1.4529 (AL-6XN)
Scroll 1.4529 (AL-6XN)
Racetrack & scrapers 1.4529 (AL-6XN)
Surface treatment product housing pickling/ passivate or glass bead blasted Comments:
• Material test report EN 10204 Type 3.1. only for the basket / other parts EN 10204 Type 2.2 or PMI (positive material identification) or equivalent.

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MATERIAL OF CONSTRUCTION BASE FRAME & BEARINGS
Base frame Carbon steel painted / Op tion 1.4301 (SS 304) Bearing housing Carbon steel painted / Op tion 1.4301 (SS 304)

COLOR SYSTEM
Colour for all protection hoods RAL 2004 (pure orange)
Colour for motors RAL 7043 (traffic grey)
Colour for base frame RAL 7043 (traffic grey)
Alloy & Stainless-steel parts not painted
PAINTING SYSTEM 9:

EXTRA-HEAVY DUTY CORROSION PROTECTION FOR FERRITIC STEELS C5H acc. ISO 12944
SBTE Standard N00006-D-E Primer Intermediate
coating Finish
Designation Epoxy resin
(2 comp)
Epoxy resin
(2 comp) polyurethane
Corrosion protection pigment zinc
phosphate
micaceous
iron oxide -
Thickness of dry coat 1 x 80 μm 2 x 80 μm 1 x 80 μm

SURFACE QUALITY OF PARTS IN CONTACT WITH THE PRODUCT
Company standard QII
• The parts must be de-burred
• Finish of the weld seams according to ISO 5817-C or ISO 13919-C, but arc strikes (ISO 5817, order-no. 601) and welding splashes (ISO 5817, order-no. 602 or ISO 13919, order-no. 602) are non-permissible.
• For all weld seams, the surface discolouration and layers of scale must be completely removed.
• Ra <= 4 µm or Rz <= 16 µm (not for weld seams).

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9. Electrical and instrumentation data SBD 500K
Motors

TECHNICAL DATA
Drive Motor Gear input
shaft mptpr
Oil pump
motor
Rated power 30 kW 15 kW 0,37 kW
Voltage 480 480 480 V
Mounting type B3 B3 V1
Frequency 60 60 60 Hz
Thermal motor protection PTC PTC none
Start/Operation mode VFD VFD DOL
Space heaters no no no
Ex protection none none none
Painting acc. ISO 12944 Min. C4M Min. C4M Min. C4M
Additional independent fan No No No
Motor enclosure protection IP 55 IP 55 IP 56
Motor cooling IC 411 / TEFC IC 411 / TEFC IC 411 / TEFC Motor class IE 3 IE 3 IE 3
Manufacturer WEG WEG WE G
Instruments
Vibration monitoring and drum speed monitoring on our centrifuges must be carried out in accordance with the Machinery Directive (2006/42/EC), the centrifuge standard (DIN EN 12547:2014 - Centrifuges - General safety requirements) and the risk assessment carried out in the following safety levels:

Vibrat
ion monitoring PLr = d (S2, F2, P1)
Drum speed at FU operation PLr = d (S2, F2, P1)
The
sensors are PLr = d / SIL 2 compliant.

The
operator must take this safety classification into account when integrating the machine/sensors into the overall system.

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INSTRUMENTATION
Designation Type Function
Oil level reservoir LI Gauge v isual
Oil level reservoir LSL Level switch electrical
Oil pressure PI Gauge v isual
Oil temperature reservoir TI Gauge v isual
Oil temperature reservoir TAH / TSH Hea ter electrical
Flow meter oil flow FI Gear wheel
flow meter
visual /
mechanical
Vibration guard (PLr = d) XZH / XAH Vibration
sensor electrical
Speed sensor rotor *) (PLr = d) SZH / SAH Namur sensor electrical Speed sensor input gear shaft *) SSL / S SH Namur sensor electrical Speed sensor coupling *) SSH N amur sensor electrical
Temperature rotor motor TSH PTC ele ctrical
Temperature gear input shaft motor TSH PTC elec trical
Temperature oil pump motor none none no ne
Front cover lock /sensor none none no ne
Inspection cover lock / sensor none none N one
Cabling Electrical instruments in battery limits connected to the junction box
Protection class electrical instruments IP 65
Ex protection none
Comments:
*) = instrument includes transmitter (4-20 mA) to be installed in centrifuge junction box.

JUNCTION BOXES
Description Signals to DCS
Junction box Stainless steel / IP 65 digit al / 4 – 20 mA

10. Doc
ument submittal schedule

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ITEM DESCRIPTION Due Date
Technical Documentation
1 Dimensioned Installation Drawings with
Foundation requirements, loads, and
support/anchor bolt details
PO + 4W
2 P&ID PO + 4W
3 Transportation/Lifting Drawing PO + 4W
4 Logic Diagram PO + 4W
5 Complete Parts List Final documentation
Documents on measurement and control
technology
6 Electrical Wiring Schematics PO + 4W
7 Supplier Instrument Data Sheets PO + 4W
8 Supplier Motor Data Sheets PO + 4W
9 I&C Layout PO + 4W
10 Instrument/Motor List PO + 4W
Quality documents
11 Supplier Inspection and Test Plan (ITP) PO + 4W
12 FAT/SAT Protocol PO + 4W
13 Mechanical Test Results PO + 4W
14 Certified Material Test Reports (where applicable) PO + 4W 15 Dynamic Balance Reports PO + 4W
16 CE Certificate of Conformity PO + 4W
Other documents
17 Operation & Maintenance Instructions incl.
transport, storage and installation instructions Final documentation 18 SIEBTECHNIK TEMA Procedure/ Specification PO + 4W
19 Production Schedule -
20 Centrifuge Data Sheet Final documentation
21 Recommended Spare Parts List (Priced) Final documentation PO : Purchase Order

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11. Quality, Codes and Standards

TECHNICAL DIRECTIVES / CODES / STANDARDS
The offered machine complies with the following standards (if applicable):
2006/42/EG
2006/42/EC
Masc
hinenrichtlinie und Leitfaden zur Anwendung der
Maschinenrichtlinie 2. Ed. - Juni 2010
Machinery Directive and guide for application of the Machinery Directive 2. Ed. - June 2010
Directive machines et lignes directrices pour l'application de la directive machine, 2ème édition – juin 2010
2014/30/EU EMV – R ichtlinie / EMC – Directive / Directive CEM 2014/35/EU Nied erspannungsrichtlinie / Low Voltage Directive / Directive Basse tension

DIN EN ISO
12100:2010
Sic
herheit von Maschinen / Safety of Machinery /
Sécurité des machines
DIN EN 60204
Sic
herheit von Maschinen - Elektrische Ausrüstung von Maschinen / Safety of Machinery – Electrical Equipment of Machines / Sécurité des machines - Équipement électrique des machines DIN EN
12547:2014
Zentr
ifugen - Allgemeine Sicherheitsanforderungen /
Centrifuges - Common safety requirements /
Centrifugeuses - Prescriptions communes de sécurité
Internal company
standards
SIEB
TECHNIK TEMA standards for the production process of the centrifuge valid from design to manufacturing / testing until the final delivery.

All our machines are manufactured according to the codes, standards, and regulations of European Union. SIEBTECHNIK TEMA centrifuges are built under strict CE-Conformity and EN / DIN standards.

This refers also but not only to welding procedures, which are followed according to rel
ated European norms (EN/DIN). The design and manufacturing of the centrifuge itself is based on related European Norms and Standards or other explicitly named in our offer such as IEC/ISO.

Integral part of this quotation is our Quality Plan.

CERTIFICATIONS
Siebtechnik GmbH is certified according to the following standards:
• ISO 9001 (Quality)
• ISO 14001 (Environment)
• ISO 45001 (Occupational Health & Safety)
• ISO 50001 (Energy)

21 12. Exclusions:

EXCLUSIONS IN SCOPE OF SUPPLY, UNLESS OTHERWISE STATED IN THE OFFER The scope of supply and services by Siebtechnik is determined and limited by the description in this quotation.

All other required equipment and services not included in this quotation are excluded.

Examples are:
• Lubricating oil and grease for operation
• Compensators for feed, solid and liquid discharges
• Insulation against noise / thermal insulation
• Material for the installation on site / supervision of the installation (Option) • DCS connection, local control panel and switch gear for the motor control center incl. frequency converters.
• Beam above the centrifuge with chain pulley for maintenance. • Risk assessments, method statements and HAZOP studies • PID´s deviating from SBTE standard / Customer tags will be added on request. • Civil works and civil engineering, platforms, scaffolding. • Any NON European Standard, except for interfaces such as flanges.

Devi
ations to your inquiry acc. to attached deviation lists commercial & technical:
• SIEBTECHNIK Quality Plan based on European Standards applies.

The pi
ctures shown in this offer are examples and for visualization of the principal functions only. The delivered machine might vary from the pictures shown in this offer.

Attachm
ents
• SBD 500K - Installation plan_example

City Council
Communication
Meeting Date: 2/4/2026
Item #: VII.20
File #: 0102-03
Item ID: 2026-76

Title: Minutes of Prior Meetings
Contact: Adilia Keller 916-774-5265 [email protected]

SUMMARY
Staff recommends approval of the minutes of the January 21, 2026 City Council Meeting.

RECOMMENDATION
Approve the minutes of the January 21, 2026 City Council Meeting.

BACKGROUND
Not applicable.

FISCAL IMPACT
There is no fiscal impact associated with this request.

ENVIRONMENTAL REVIEW
The California Environmental Quality Act (CEQA) does not apply to activities that will not result in a direct or reasonably foreseeable indirect physical change in the environment, or is otherwise not considered a project as defined by CEQA Statute §21065 and CEQA State Guidelines §15060(c)(3) and §15378. The City Council minutes are not subject to CEQA. No additional environmental review is required.

CITY COUNCIL STRATEGIC PLAN/OVERARCHING GOALS

6. Deliver exceptional City services

Respectfully Submitted,
Adilia Keller, City Clerk Technician

Carmen Avalos, City Clerk

ATTACHMENTS:

1. City Council Closed Session Meeting - January 21, 2026

2. Minutes 1.21.2026

REVIEWERS:

Adilia Keller, City Clerk Department Created -
Katrina Six, City Clerk Department

Krista Bernasconi, Mayor
Karen Alvord, Vice Mayor
Bruce Houdesheldt, Councilmember
Tracy Mendonsa, Councilmember
Pauline Roccucci, Councilmember
Dominick Casey, City Manager
Michelle Sheidenberger, City Attorney
Carmen Avalos, City Clerk

MINUTES
City Council Closed Session Meeting
January 21, 2026
5:30 PM
Roseville Electric Building,
First Floor Conference Room 116 S. Grant Street
I. CALL TO ORDER
Mayor Bernasconi called the meeting to order at 5:30 PM.

II. ROLL CALL

Present: Vice Mayor Alvord, Councilmember Houdesheldt, Councilmember Mendonsa, Councilmember Roccucci, Mayor Bernasconi.

III. PUBLIC COMMENTS
No public comments received.

IV. CLOSED SESSION

1. Conference with Legal Counsel - Existing Litigation (CITY ATTORNEY DEPARTMENT) Summary: Pursuant to Government Code Section 54956.9(d)(1) Shannon Killion, et al. v. City of Roseville, et al.

Sacramento County Superior Court, Case Number: 23CV010663 CONTACT: Michelle Sheidenberger 916-774-5325 [email protected] Closed Session Discussion: No reportable action taken.

V. ADJOURNMENT
Mayor Kirsta Bernasconi adjourned the meeting at 5:54 p.m.

Krista Bernasconi, Mayor
Karen Alvord, Vice Mayor
Bruce Houdesheldt, Councilmember
Tracy Mendonsa, Councilmember
Pauline Roccucci, Councilmember
Dominick Casey, City Manager
Michelle Sheidenberger, City Attorney
Carmen Avalos, City Clerk

MINUTES
City Council Regular Meeting
January 21, 2026
6:00 PM
Roseville Electric Building
116 S. Grant Street, 1st Floor
I. CALL TO ORDER
Mayor Bernasconi called the meeting to order at 6:01 pm.

II. ROLL CALL

Present: Vice Mayor Alvord, Councilmember Houdesheldt, Councilmember Mendonsa, Councilmember Roccucci, Mayor Bernasconi.

III. PLEDGE OF ALLEGIANCE
Roseville High School Principal Ashley Serin & son James led the Pledge of Allegiance.

IV. MEETING PROCEDURES
City Clerk Carmen Avalos announced the procedures for addressing the City Council.

V. PRESENTATIONS

1. Roseville Chamber of Commerce - SPLASH Proceeds
Summary: Presentation to the City Parks, Recreation and Libraries Department of the proceeds from the 2025 SPLASH event to benefit youth programs within the City.

CONTACT: Jill Geller 916-774-5249 [email protected] Roseville Area Chamber of Commerce CEO Ananda Rochita and 2025 Splash Co-chair Anne Carpenter made the presentation of a check for $20,000 to Recreation Supervisor Alisha Moyer.

2. Resolution - Roseville High School Varsity Football Team Summary: Recognize and commend Roseville High School Tigers Football Team, its administration, its coaches, student-athletes, and supporters, for winning the Sacramento-San Joaquin Section Championship, for achieving historic milestones during the 2025 season, and for representing the City of Roseville with distinction, grit, and Tiger pride.

CONTACT: Arleta Wagenhals 916-774-5200 [email protected]

The City Council made the presentation to Coach Adam Reinking and Principal Ashley Serin, who responded.

VI. PUBLIC COMMENTS
This is the first opportunity to make a public comment on non-agenda items.

Jennifer Chapman spoke on RCONA bylaws.

VII. CONSENT CALENDAR
Motion by Councilmember Houdesheldt, seconded by Councilmember Roccucci, to remove item 5 from the Consent Calendar for further discussion and approve the remaining items as presented. The motion passed.

Ayes: Vice Mayor Alvord, Councilmember Houdesheldt, Councilmember Mendonsa, Councilmember Roccucci, Mayor Bernasconi.

3. Roseville Transit Safety Plan Update (PUBLIC WORKS DEPARTMENT - TRANSPORTATION) Summary: Staff recommends approval of the 2026 Roseville Transit Agency Safety Plan. This plan is required by federal law in order for the local agency to receive funding from the Federal Transit Agency. This year's plan approval has a couple of minor changes: safety committee member changes and minor formatting changes, which required updating the table of contents.

Approval of the safety plan has no impact on the General Fund but will allow for additional federal funding for transit services in Roseville.

CONTACT: Ed Scofield 916-774-5449 [email protected] The City Council will consider the recommendation to:

a. Adopt Resolution No. 26-011 approving the 2026 Roseville Transit Agency Safety Plan, and authorizing the City Manager to execute it on behalf of the City of Roseville.

4. Stoney Point Way Drainage Repair Project - Approval of Plans and Specifications and Authorization to Call for Bids (PUBLIC WORKS DEPARTMENT - ENGINEERING - CITY PROJECT'S) Summary: Staff recommends approval of plans and specifications for the Stoney Point Way Drainage Repair Project and authorization for staff to call for bids. The project scope consists of rehabilitating approximately 1,427 linear feet of existing 54-inch corrugated metal storm drain pipe with a concrete spray applied liner, along with the rehabilitation of two manhole bases. The construction of the project is estimated to cost $1.5 million and will be funded through the Highway Users Tax Fund. No General Fund resources will be used for the project.

CONTACT: Laura Salcedo 916-774-5437 [email protected] The City Council will consider the recommendation to:

a. Approve plans and specifications and authorize staff to call for bids.

5. Fairway Drive and Junction Boulevard Arterial Resurfacing Project - Award of Construction Contract and Budget Adjustments (PUBLIC WORKS DEPARTMENT - ENGINEERING - CITY

PROJECT'S)
Summary: Staff recommends approval of a construction agreement with McGuire and Hester in the amount of $3,452,605 for the Fairway Drive and Junction Boulevard Arterial Resurfacing Project and associated budget adjustment. The project scope includes replacement of failed sections of asphalt pavement and placement of a preventative maintenance surface treatment.

Roadway segments include the entirety of Fairway Dr. from Blue Oaks Blvd. to Stanford Ranch Rd. and Junction Blvd. from Washington Blvd. to Foothills Blvd. Construction is anticipated to begin in April 2026, with completion in the summer of 2026. The project construction is estimated to cost $4,350,000 and will be funded with federal Regional Surface Transportation Program funds, state CalRecycle funds, Roseville Finance Authority Capital Project funds and Highway User Tax funds. The budget adjustments will increase project funding from the Roseville Finance Authority Capital Project fund and reduce Highway User Tax funding for a net reduction in total funding. No General Fund resources will be used for this project.

CONTACT: Nick Bumb 916-746-1313 [email protected]
The City Council will consider the recommendation to:

a. Adopt Resolution No. 26-007 approving an agreement, by and between the City of Roseville and McGuire and Hester, and authorizing the City Manager to execute it on behalf of the City of Roseville;

b. Adopt Finance Authority Resolution No. 26-1 authorizing amendments to the FY2025-26 budget;

c. Adopt Ordinance No. 7031 authorizing certain amendments to the fiscal year 2025-26 budget and declaring this ordinance to be immediately effective as an appropriation measure.

Item removed from the Consent Calendar by Julia Sweeney who spoke on the desire to have additional amenities added to the project.

Assistant Public Works Director Stefanie Kemen provided clarification.

Motion by Councilmember Houdesheldt, seconded by Councilmember Roccucci, to adopt Resolution No. 26-007 approving an agreement between the City of Roseville and McGuire and Hester, and authorizing the City Manager to execute it on behalf of the City of Roseville; to adopt Finance Authority Resolution No. 26-1 authorizing amendments to the FY2025-26 budget; to adopt Ordinance No. 7031 authorizing certain amendments to the fiscal year 2025-26 budget and declaring this ordinance to be immediately effective as an appropriation measure. The motion passed.

Ayes: Vice Mayor Alvord, Councilmember Houdesheldt, Councilmember Mendonsa, Councilmember Roccucci, Mayor Bernasconi.

6. Roseville Soccer Complex Intersection Improvement Project - Notice of Completion (PUBLIC

WORKS DEPARTMENT - ENGINEERING - CITY PROJECT'S)
Summary: Staff recommends approval of the Notice of Completion for the Roseville Soccer Complex Intersection Improvement Project. The project included the construction of four (4) new traffic signals along with roadway widening to support the opening of the new Placer Valley Soccer Complex. The total cost of the construction contract with Mountain Cascade, Inc. is $7,515,054.54. The project was funded by the Blue Oaks Blvd. Fee fund, Westpark Drive Fee fund, Traffic Mitigation fund, and an interfund loan from the General Fund Capital Reserve Fund (approved by Council June 21, 2023).

CONTACT: Brian Gulewich 916-746-1376 [email protected] The City Council will consider the recommendation to:

a. Adopt Resolution No. 26-005 accepting the Public Work known as Roseville Soccer Complex Intersection Improvement Project, approving the "Notice of Completion", and authorizing the Public Works Director to execute said notice on behalf of the City of Roseville.

7. Church Street and Pump Station 26 Collections System Improvements Project - Notice of Completion (ENVIRONMENTAL UTILITIES DEPARTMENT - TECHNICAL SERVICES) Summary: Staff recommends approval of the Notice of Completion for the Church Street and Pump Station 26 Collections System Improvements Project. The total cost of the construction contract with Mountain Cascade, Inc. including all change orders was $7,812,060. The project was funded by the Wastewater Rehabilitation Fund and the South Placer Wastewater Authority.

CONTACT: William Montz 916-774-5545 [email protected] The City Council will consider the recommendation to:

a. Adopt Resolution No. 26-001 accepting the public work known as the Church Street and Pump Station 26 Collections System Improvements Project, approving the “Notice of Completion”, and authorizing the Environmental Utilities Director to execute said notice on behalf of the City of Roseville.

8. 2022 Sewer Collection System Cured-in-Place Pipe Rehabilitation Project - Notice of Completion (ENVIRONMENTAL UTILITIES DEPARTMENT - TECHNICAL SERVICES) Summary: Staff recommends approval of the Notice of Completion for the 2022 Sewer Collection System Cured-in-Place Pipe Rehabilitation Project. The total cost of the construction contract with Express Sewer & Drain, Inc. was $2,782,579. Funding for this project was provided by the Wastewater Rehabilitation Fund.

CONTACT: Jonathan Cummings 916-774-5566 [email protected] The City Council will consider the recommendation to:

a. Adopt Resolution No. 26-003 accepting the Public Work known as the 2022 Sewer Collection

System Cured-In-Place Pipe Rehabilitation Project, approving the “Notice of Completion”, and authorizing the Environmental Utilities Director to execute said Notice on behalf of the City of Roseville.

9. Utility Exploration Center Exhibit Fabrication and Installation Project - Notice of Completion (ENVIRONMENTAL UTILITIES DEPARTMENT - TECHNICAL SERVICES) Summary: Staff recommends approval of the Notice of Completion for the Utility Exploration Center Exhibit Fabrication and Installation Project. The total cost of the construction contract, including all change orders, was $1,462,227.23. The payment of final retention will be in the amount of $41,141.96. The project was funded by the Electric Fund, Water Rehabilitation Fund, Wastewater Rehabilitation Fund, and Waste Services Rehabilitation Fund.

CONTACT: Rana Moore 916-774-5581 [email protected] The City Council will consider the recommendation to:

a. Adopt Resolution No. 26-009 accepting the Public Work known as The Utility Exploration Center Exhibit Fabrication and Installation Project, approving the “Notice Of Completion”, and authorizing the Environmental Utilities Director to execute said Notice on Behalf of the City of Roseville.

10. Dry Creek Wastewater Treatment Plant Operations and Laboratory Building Project – Professional Design Services Agreement Amendment (ENVIRONMENTAL UTILITIES

DEPARTMENT - TECHNICAL SERVICES)
Summary: Staff recommends approval of an amendment to the professional design services agreement with 19six Architects, Inc. to add $194,086, for a total not-to-exceed contract amount of $1,043,870, to provide design services during construction for the Dry Creek Wastewater Treatment Plant Operations and Laboratory Building Design Project (Project). The Project is being funded from available resources in the Wastewater Regional Rehabilitation Fund for the rehabilitation portion of the project (approximately 31%) and from the capital improvement project budget approved by the South Placer Wastewater Agency for the building expansion (approximately 69%).

CONTACT: Inderpreet Chaggar 916-774-5553 [email protected] The City Council will consider the recommendation to:

a. Adopt Resolution No. 26-002 approving a second amendment to professional design services agreement, by and between the City of Roseville and 19six Architects, Inc., and authorizing the City Manager to execute it on behalf of the City of Roseville.

11. Generation Maintenance Support Services - Contract Purchase Agreement Amendment (ELECTRIC DEPARTMENT - RESOURCE PLANNING & GENERATION)
Summary: Staff recommends approval of a contract purchase agreement amendment with Performance Mechanical, Inc. to provide maintenance support services to Roseville Electric Utility's generation facilities. The amendment will increase the first year of the contract from

$2,000,000 to $3,000,000. Funding is included in the Electric Department's FY2025-26 budget in the Electric Fund.

CONTACT: Nathan Ribordy 916-746-1673 [email protected] The City Council will consider the recommendation to:

a. Adopt Resolution No. 26-008 approving amendment 1 to contract purchase agreement, by and between the City of Roseville and Performance Mechanical, Inc., and authorizing the City Manager to execute it on behalf of the City of Roseville.

12. Pad Mount Transformers (RFQ 10-3431) - Purchase Orders (FINANCE DEPARTMENT -

PURCHASING)
Summary: Staff recommends approval of purchase orders with General Pacific and Hyundai Corporation USA, as the lowest responsive and responsible bidders, for the purchase of pad mount transformers for the Roseville Peaker Plant (RPEAK) facility in response to Request for Quotations No. 10-3431. Funding is included in the Electric Department’s FY2025-26 budget in the Electric Fund. Staff also requests authority for the City Manager or his designee to approve change orders not to exceed five percent (5%), for a total amount of $169,151.

CONTACT: Sue Jessup 916-746-1107 [email protected] The City Council will consider the recommendation to:

a. Adopt Resolution No. 26-010 approving purchases order for Pad Mount Transformers.

13. Judicial Foreclosure of Delinquent Special Taxes Pursuant to the Mello-Roos Community Facilities Act 1982, as Amended (FINANCE DEPARTMENT)
Summary: Staff recommends that the City Council, acting as the governing body for its Community Facilities Districts (individually, "CFD" and collectively, "CFDs"), adopt a resolution ordering the judicial foreclosure of delinquent special taxes pursuant to the Mello-Roos Community Facilities Act of 1982, as amended, and ordering the Placer County Tax Collector remove current and future delinquent taxes for the CFD from the tax roll. Certain property owners have become delinquent in payments of special taxes associated with a few of the City's CFDs. To comply with the City's bond covenants, when certain delinquency thresholds have been met, the City is required to commence foreclosure actions against any delinquent parcel(s).

There is no fiscal impact on the City's General Fund. All legal fees are borne by the property owners and all penalties and interest collected will be credited to the subject CFDs.

CONTACT: Jeannine Thrash 916-774-5473 [email protected] The City Council will consider the recommendation to:

a. Adopt Resolution No. 26-012 resolution of the City Council of the City of Roseville acting as the governing body of all of its Community Facilities Districts Ordering Judicial Foreclosure of Delinquent Special Taxes Pursuant to the Mello-Roos Community Facilities Act of 1982 and