California Department of Developmental Services
Ag
reement - Allocation Notification and Award Letter
RECIPIENT NAME AND ADDRESS
City of Stockton
ADDRESS
CITY, CA ZIP
DDS ALLOCATION NUMBER
FY Bill No. Section
Number Provision
23-
24 AB 102 261 (d)(2)
Program Contact
Program Contact Name
Program Contact Email
contactname@xxx
Program Office Program Contact Telephone
(##) ###-####
Authorizing Legislation
Budget Act of 2023 (Section 19.565 (d)(2) of Assembly Bill 102, Chapter 38, Statutes of 2023)
ALLOCATION
DETAILS
Allocation Amount Award Date Award Ending Date
$1,000,000 July 10, 2023 06/30/2027
Pursuant to the authority referenced above, you have been awarded $1,000,000 for purposes of funding for the City of Stockton – People/Adults with Intellectual Disabilities Vocational Opportunities. (“Funded Purpose”). Funds allocated are available for encumbrance through June 30, 2025, and expenditure until June 30, 2027.
Thi
s award is made contingent upon the availability of funds. If the Legislature takes action to reduce or defer the funding upon which this award is based, then this award will be amended accordingly.
P
lease return the original (i.e., wet signature), signed Allocation Notification and Award to:
Frances Chacon
California Department of Developmental Services
1215 O Street, MS 9-90
Sacramento, CA 95814
E il F Ch CERTIFICATION OF ACCEPTANCE OF ALLOCATION REQUIREMENTS As Recipient’s Authorized Agent, I accept this Allocation and Award. By signing this Allocation and Award, I hereby certify and attest on behalf of the Recipient that the funds will be used for the purposes for which they have been appropriated and allocated and agree to comply with all requirements as a condition of funding.
Printed Name of Recipient’s Authorized Agent Title
E-mail Address Telephone
Signature
Date
Accepted by:
Signature of Department of Developmental Services, Title
Date
FOR DDS USE ONLY
Supplier ID Reporting Structure
Service Location Fund Appropriation Reference
Project and Activity ID for Fund 0890 Program ENY
EXHIBIT 1
Allocation Notification and Award (Continued)
General Requirements
By signing this Allocation Notification and Award, Recipient is certifying that it will use the allocated funds for the Funded Purpose
In addition, Recipient agrees to abide by the following:
• Recipient shall keep itself fully informed of and shall follow any applicable federal or state law relating to this Funded Purpose.
• Recipient shall maintain accurate fiscal data in accordance with generally accepted accounting principles and, where applicable, standards for governmental entities, documenting actual expenditures by category for the Funded Purpose.
• Recipient shall maintain documentation to substantiate that all costs are reasonable, necessary, allowable, and allocable to the Funded Purpose (e.g., invoices, receipts, agreements). • By accepting these funds, Recipient agrees and acknowledges this Allocation Notification and Award is subject to audit by the State, including but not limited to, DDS and the State Auditor, pertaining to the expenditure of funds provided. Upon request, the Recipient shall provide access to and copies of any records and supporting documentation pertaining to this Allocation Notification and Award. Recipient shall retain all records related to this Allocation Notification and Award for at least three years after Award Ending Date or where an audit has been requested, until the date the audit is resolved, whichever is longer. Recipient agrees to allow interviews of any employees who might reasonably have information related to such records.
• Recipient agrees to timely submit any forms required by the State, such as the Payee Data Record 204, to allow DDS to disburse the allocated funds.
• Recipient agrees to submit, upon request by DDS, reports related to the Funded Purpose of providing services and supports to individuals with developmental disabilities and their families. Such reports include, but are not limited to, any reports required by the Legislature, expenditure reports, and a close- out report.
• Recipient agrees that this agreement is governed by and shall be interpreted in accordance with the laws of the State of California.
Reservation of Rights and Remedies
Nothing contained in this agreement shall constitute a waiver or relinquishment by the State of California of any rights and remedies provided by applicable state and federal law. Nothing in this agreement shall be deemed to limit any right of recovery that the State of California has under law.
EXHIBIT 1