Agenda packet, regular meeting — West Covina City Council, October 21, 2025

CITY OF WEST COVINA

CITY COUNCIL/SUCCESSOR AGENCY
OCTOBER 21, 2025, 7:00 PM
REGULAR MEETING
CITY HALL COUNCIL CHAMBERS
1444 W. GARVEY AVENUE SOUTH
WEST COVINA, CALIFORNIA 91790
Mayor Tony Wu
Mayor Pro Tem Letty Lopez-Viado
Councilman Ollie Cantos
Councilwoman Rosario Diaz
Councilmember Brian Gutierrez
Please turn off all cell phones and other electronic devices prior to entering the Council Chambers

AMERICANS WITH DISABILITIES ACT
The City complies with the Americans with Disabilities Act (ADA). If you will need special assistance at a Council meeting, please call (626) 939-8433 (voice) or (626) 960-4422 (TTY) from 8am to 5pm Monday through Thursday. Please call at least one day prior to the meeting date to inform us of your particular needs and to determine if accommodation is possible. For sign language interpreter services at Council meetings, please request no less than four working days prior to the meeting.

AGENDA MATERIAL
Agenda material is available for review at the City Clerk's Office, Room 317 in City Hall, 1444 W. Garvey Avenue South, West Covina and at www.westcovina.org. Any writings or documents regarding any item on this agenda, not exempt from public disclosure, provided to a majority of the City Council that is distributed less than 72 hours before the meeting, will be made available for public inspection in the City Clerk’s Office, Room 317 of City Hall located at 1444 W.

Garvey Avenue South, West Covina, during normal business hours.

NOTICE
The City Council will regularly convene on the first and third Tuesday of the month. The West Covina Community Development Commission, West Covina Public Financing Authority and the West Covina Community Services Foundation are agencies on which the City Council serves as members. Agendas may contain items for these boards, as necessary.

PUBLIC COMMENTS

ADDRESSING THE CITY COUNCIL
Any person wishing to address the City Council on any matter listed on the agenda, excluding any matter set for a public hearing, or on any other matter within their jurisdiction must complete a speaker card that is provided at the entrance to the Council Chambers and submit the card to the City Clerk prior to the commencement of Oral Communications. No speaker cards will be accepted after the commencement of Oral Communications, except at the discretion of the Presiding Officer.

Please identify on the speaker card whether you are speaking on an agenda item or non-agenda. Requests to speak on agenda items will be heard prior to requests to speak on non-agenda items. Comments are limited to three (3) minutes per speaker, unless modified by the Presiding Officer or the City Council.

Any testimony or comments regarding a matter set for a public hearing will be heard during the hearing.

While members of the public are free to level criticism of City policies and the action(s) or proposed action(s) of the City Council or its members, members of the public may not engage in behavior that is disruptive to the orderly conduct of the meeting, including, but not limited to, speaking off topic, speaking beyond the speaker’s allotted time limit, making slanderous or profane remarks or using loud, threatening, or abusive language which disrupts, disturbs, impedes, or renders infeasible the orderly conduct of the meeting. Members of the public may not threaten any person with physical harm or act in a manner that may reasonably be interpreted as an imminent threat of physical harm. The City of West Covina will not tolerate harassment based upon a person’s race, religious creed, color, national origin, ancestry, disability, medical condition, marital status, gender, sexual orientation, or age.

RULES OF DECORUM
Excerpts from the West Covina Municipal Code and Penal Code pertaining to the Rules of Decorum will be found at the end of agenda.

AGENDA
CITY OF WEST COVINA
CITY COUNCIL/SUCCESSOR AGENCY

TUESDAY OCTOBER 21, 2025, 7:00 PM
REGULAR MEETING

INVOCATION
Led by Chaplin Kelly Dupee from the West Covina Police Department

PLEDGE OF ALLEGIANCE
Led by Councilwoman Diaz

ROLL CALL

REPORTING OUT FROM CLOSED SESSION

PRESENTATIONS

CERTIFICATE FOR PUBLIC SAFETY OFFICER BLAKEMAN

PRESENTATION OF THE FIRE PREVENTION WEEK POSTER CONTEST

HISPANIC HERITAGE MONTH

FILIPINO AMERICAN HISTORY MONTH
ORAL COMMUNICATIONS - Three (3) minutes per speaker
Please step forward to the podium and state your name and city of residence for the record when recognized by the Mayor.

CITY MANAGER'S REPORT
City Manager's report on current City projects.

CONSENT CALENDAR
All matters listed under CONSENT CALENDAR are considered to be routine and can be acted on by one roll call vote.

There will be no separate discussion of these items unless members of the City Council/Community Development Commission request specific items to be removed from the Consent Calendar for separate discussion or action.

ORDINANCES FOR ADOPTION - Procedural Waiver. Waive full reading of each ordinance on the agenda and authorize the approval of each ordinance by title only.

COMMUNITY DEVELOPMENT
1) CONSIDERATION OF ACCEPTANCE OF WORK AND AUTHORIZATION TO FILE THE 1) CONSIDERATION OF ACCEPTANCE OF WORK AND AUTHORIZATION TO FILE THE

NOTICE OF COMPLETION FOR THE CITYWIDE PEDESTRIAN & VEHICLE TRAFFIC SAFETY IMPROVEMENTS FY 24-25 - PROJECT NO. 23027
It is recommended that the City Council:

Accept the work performed by Superior Pavement Markings, Inc. for the Citywide Pedestrian & Vehicle Traffic Safety Improvements FY 24-25 (Project No. 23027) with a final contract amount of $283,501.57; and

1. Authorize the Acting City Manager and Deputy City Clerk to execute the Notice of Completion and file the Notice of Completion with the County of Los Angeles Registrar-Recorder; and

2. 3. Authorize the Acting City Manager to release a retention once appropriate.

FIRE DEPARTMENT
2) CONSIDERATION OF PURCHASE ORDER WITH LIFE ASSIST, INC. FOR FIRE

DEPARTMENT EMERGENCY MEDICAL SUPPLIES
It is recommended that the City Council authorize the Acting City Manager to negotiate and execute a purchase order with Life Assist, Inc. for medical supplies for a term of five (5) years, in an annual amount not-to-exceed $230,000 utilizing the pricing provided to the Pasadena Fire Department.
3) CONSIDERATION OF ADOPTION OF ORDINANCE ADOPTING THE 2025 CALIFORNIA FIRE CODE AND THE 2025 CALIFORNIA WILDLAND-URBAN INTERFACE CODE It is recommended that the City Council adopt the following ordinance:

INTERNATIONAL FIRE CODE, WITH LOCAL AMENDMENTS, AND TO ADOPT BY REFERENCE THE 2025 CALIFORNIA WILDLAND-URBAN INTERFACE CODE, AND AMENDING PROVISIONS OF CHAPTER 4.5 OF THE WEST COVINA MUNICIPAL CODE

POLICE DEPARTMENT
4) CONSIDERATION OF EXPENDITURES OF FISCAL YEAR 2025-26 SUPPLEMENTAL LAW

ENFORCEMENT SERVICES ACCOUNT FUNDS
It is recommended that the City Council approve using Fiscal Year (FY) 2025-26 Supplemental Law Enforcement Services Account (SLESA) funds totaling $167,231 for the frontline law enforcement supply and service items listed in the staff report. 5) CONSIDERATION OF 2025-26 OFFICE OF TRAFFIC SAFETY (OTS) GRANT It is recommended that the City Council:

1. Accept 2025-26 Grant Number PT26157 from the State Office of Traffic Safety (OTS), and authorize the Acting City Manager and authorized designees to execute the Grant Agreement and all grant related documents, in such form as approved by the City Attorney; and

2. Adopt the attached resolution authorizing the necessary budget amendments:

RESOLUTION NO. 2025-82 - A RESOLUTION OF THE CITY COUNCIL OF THE CITY

OF WEST COVINA, CALIFORNIA, ADOPTING A BUDGET AMENDMENT FOR THE FISCAL YEAR COMMENCING JULY 1, 2025 AND ENDING JUNE 30, 2026 (OFFICE OF

TRAFFIC SAFETY GRANT)

PUBLIC WORKS
6) CONSIDERATION OF AUTHORIZATION TO PROCURE THREE FULLY ELECTRIC

VEHICLES UTILIZING DEPARTMENT OF ENERGY EFFICIENCY AND CONSERVATION

BLOCK GRANT (EECBG) VOUCHER PROGRAM
It is recommended that the City Council:

Authorize the purchase of fully electric vehicles utilizing the Department of Energy Efficiency and Conservation Block Grant (EECBG) Voucher Program, including:

1. One (1) 2025 Ford E-Transit Van
One (1) 2025 Ford F-150 Lightning
One (1) Ford Electic Sedan or equivalent pending availability If pricing allows, an additional electric sedan or equivalent will be procured, for a total not-to-exceed amount of $153,050.

Authorize the Acting City Manager to execute any documents required to utilize the Department of Energy Efficiency and Conservation Block Grant (EECBG) Voucher Program;

2. Authorize the Acting City Manager to execute the purchase order(s) and/or agreement(s) required for the purchase of the vehicles, and

3. 4. Adopt the following resolution:

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF WEST COVINA,

CALIFORNIA, ADOPTING A BUDGET AMENDMENT FOR THE FISCAL YEAR COMMENCING JULY 1, 2025 AND ENDING JUNE 30, 2026 (EECBG VOUCHER

PROGRAM)

END OF CONSENT CALENDAR

DEPARTMENTAL REGULAR MATTERS

COMMUNITY DEVELOPMENT
7) CONSIDERATION OF ADOPTION OF ORDINANCE NO. 2533 (CODE AMENDMENT NO. 25-01) TO ALLOW MODIFICATIONS TO EXISTING DRIVE-THROUGH FOOD

ESTABLISHMENTS WITH APPROVAL OF A CONDITIONAL USE PERMIT It is recommended that the City Council adopt the following ordinance:

ORDINANCE NO. 2533 - AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF WEST COVINA, CALIFORNIA, APPROVING CODE AMENDMENT NO. 25-01, AMENDING CHAPTER 26 (ZONING) OF THE WEST COVINA MUNICIPAL CODE AND

THE DOWNTOWN PLAN AND CODE TO ALLOW MODIFICATIONS TO EXISTING

DRIVE-THROUGH FOOD ESTABLISHMENTS THROUGH THE CONDITIONAL USE

PERMIT PROCESS

PUBLIC WORKS
8) UPDATE - LANDSCAPE MAINTENANCE SERVICES FOR LANDSCAPE MAINTENANCE DISTRICTS (LMDs) AND COASTAL SAGE AND SCRUB AREAS AT SPORTSPLEX It is recommended that the City Council receive and file this report.

MAYOR/COUNCILMEMBERS REPORTS
AB 1234 Conference and Meeting Report (verbal, if any)
(In accordance with AB 1234, Councilmembers shall make a brief report or file a written report on any meeting/event/conference attended at City expense.)

CITY COUNCIL REQUESTS FOR REPORTS, STUDIES OR INVESTIGATION (Per City of West Covina Standing Rules 4.f - Requests for reports, studies, or investigations that are not readily available must be placed on the City Council/Successor Agency agenda as items of business and must be approved by a majority of the City Council/Successor Agency Board.)

CITY COUNCIL COMMENTS

ADJOURNMENT
Next Tentative City Council Meeting
Regular Meeting Date November 4, 2025 7:00 PM
RULES OF DECORUM
The following are excerpts from the West Covina Municipal Code:

Sec. 2-48. Manner of addressing council; time limit; persons addressing may be sworn.

Each person addressing the council shall step up to the rostrum, shall give his or her name and city of residence in an audible tone of voice for the record and unless further time is granted by the council, shall limit his or her address to five (5) minutes.
a.
b. The city council may establish a limit on the duration of oral communications.

All remarks shall be addressed to the council as a body and not to any member thereof. No person, other than the council and the person having the floor, shall be permitted to enter into any discussion, either directly or through a member of the council, without the permission of the presiding officer. No question shall be asked of a councilmember except through the presiding officer.
c.

The presiding officer may require any person to be sworn as a witness before addressing the council on any subject. Any such person who, having taken an oath that he or she will testify truthfully, willfully and contrary to such oath states as true any material matter which he knows to be false may be held to answer criminally and subject to the penalty prescribed for perjury by the provisions of the Penal Code of the state. d.

Sec. 2-50. Decorum--Required.

While the council is in session, the members shall preserve order and decorum, and a member shall neither, by conversation or otherwise, delay or disrupt the proceedings or the peace of the council nor interrupt any member while speaking or refuse to obey the orders of the council or its presiding officer, except as otherwise herein provided. a.

Members of the public shall not willfully disrupt the meeting or act in a manner that actually impairs the orderly conduct of the meeting. For the purposes of this code, “willfully disrupt” includes, but is not limited to, continuing to do any of the following after being warned by the Mayor that continuing to do so will be a violation of the law:
a. Addressing the Mayor and City Council without first being recognized. b. Persisting in addressing a subject or subjects, other than that before the Mayor and City Council. c. Repetitiously addressing the same subject.
d. Failing to relinquish the podium when directed to do so.

From the audience, interrupting or attempting to interrupt, a speaker, the Mayor, a council member, or a staff member or shouting or attempting to shout over a speaker, the Mayor, a council member or a staff member. e.

As a speaker, interrupting or attempting to interrupt the Mayor, a council member, or a staff member, or shouting over or attempting to shout over the Mayor, a council member, or a staff member. Nothing in this section or any rules of the council shall be construed to prohibit public criticism of the policies, procedures, programs, or services of the City or of the acts or omissions of the City Council. It shall be unlawful to violate the provisions of this Section.
f.
b.

If any subsection, sentence, clause, or phrase or word of this Section 2-50 is for any reason held to be invalid or unconstitutional, such decision shall not affect the validity of the remaining portions of this Section. The City Council hereby declares that it would have passed this section and each subsection, sentence, clause and phrase thereof, irrespective of the fact that any one or more subsections, sentences, clauses, phrases or words had been declared invalid or unconstitutional.

Sec. 2-52. Persons authorized to be within council area.

No person, except city officials, their representatives and members of the news media shall be permitted within the rail in front of No person, except city officials, their representatives and members of the news media shall be permitted within the rail in front of the council chamber without the express consent of the council.

The following are excerpts from the Penal Code
148(a) (1) Every Person who willfully resists, delays, or obstructs any public officer, peace officer, or an emergency medical technician, as defined in Division 2.5 (commencing with Section 1797) of the Health and Safety code, in the discharge or attempt to discharge any duty of his or her office or employment, when no other punishment is prescribed, shall be punished by a fine not exceeding one thousand dollars ($1,000), or by imprisonment in a county jail not to exceed one year, or by both that fine and imprisonment.
403 Every person who, without authority of law, willfully disturbs or breaks up any assembly or meeting that is not unlawful in its character, other than an assembly or meeting referred to in Section 303 of the Penal Code or Section 18340 of the Elections Code, is guilty of a misdemeanor.

AGENDA ITEM NO. 1

AGENDA STAFF REPORT
City of West Covina | Office of the City Manager
DATE: October 21, 2025
TO: Mayor and City Council
FROM: Milan Mrakich, Acting City Manager
SUBJECT: CONSIDERATION OF ACCEPTANCE OF WORK AND AUTHORIZATION TO FILE

THE NOTICE OF COMPLETION FOR THE CITYWIDE PEDESTRIAN & VEHICLE TRAFFIC SAFETY IMPROVEMENTS FY 24-25 - PROJECT NO. 23027 RECOMMENDATION:

It is recommended that the City Council:

1. Authorize the Acting City Manager and Deputy City Clerk to execute the Notice of Completion and file the Notice of Completion with the County of Los Angeles Registrar-Recorder; and

2. 3. Authorize the Acting City Manager to release a retention once appropriate.

BACKGROUND:

On September 17, 2024, the City Council awarded a construction services agreement totaling $265,709.00 to Superior Pavement Markings, Inc. for the Citywide Pedestrian & Vehicle Traffic Safety Improvements FY24-25 Project (Project No. 23027). The project construction budget included a contingency budget of $39,856.00 (15% of awarded amount) for any unforeseen conditions as necessary. The total established construction budget was $305,565.00.

The project included pedestrian and vehicle traffic safety improvements at 29 locations throughout the City, as well as an additional five locations.

DISCUSSION:

All required improvements were constructed in conformance with the approved plans and specifications.

The work was performed within the contractually specified duration and to the City Engineer’s satisfaction. Construction costs totaled $283,501.57, which is within the approved construction budget.

The City retains five percent (5%) of each payment to the contractor as retention to ensure payment to subcontractors and material suppliers before final payment to the contractor. The City Council’s acceptance of the project and the City's recordation of the Notice of Completion trigger timeframes within which subcontractors or material suppliers must file claims for payment if they have not been paid by the contractor. If no claims are filed within 35 days of the filing of the Notice of Completion, the City will release retention and any remaining amount due to the contractor.

LEGAL REVIEW:

The City Attorney's Office has reviewed the staff report.

OPTIONS:

The City Council has the following options:

1. Approve Staff's recommendation; or

2. Provide alternative direction.

Prepared by: Robert Ortega, CIP Project Manager
Additional Approval: Roxanne E. Lerma, Assistant City Manager Fiscal Impact
FISCAL IMPACT:

The following is the breakdown of the project budget:

Construction Cost $265,709.00
Contingency Budget allowance authorization to
staff to utilize for unforeseen conditions as
necessary (15%)
$39,856.00
Total Construction Budget $305,565.00
Actual Expenditures $283,501.57
(Over)/Under Budget $22,063.43
Account 237.50.380.85.00.00.72.72000.

Attachments
Attachment No. 1 - Notice of Completion
CITY COUNCIL GOALS & OBJECTIVES: A Well-Planned Community An Accessible Community
ATTACHMENT NO. 1

RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO:

City Clerk
City of West Covina
1444 W. Garvey Ave. S.

West Covina, CA 91790
EXEMPT FROM RECORDING FEES –
GOVERNMENT CODE §§ 6103, 27383
SPACE ABOVE LINE FOR RECORDER’S USE ONLY

NOTICE OF COMPLETION
(California Civil Code § 9204)
NOTICE IS HEREBY GIVEN THAT:

1. Name and Address of Owner. The City of West Covina (“City”), a municipal corporation, whose address is 1444 W. Garvey Ave. S., West Covina, CA 91790, is the fee owner of the public work of improvement described herein and of the property containing said public work of improvement.

2. Description of Public Work of Improvement. The public work of improvement is the project known as:

Citywide Pedestrian & Vehicle Traffic Safety Improvements FY 24-25 (Project No. 23027).

3. Location of Public Work of Improvement. The public work of improvement is generally located at:

Multiple Locations - Citywide.

4. Award of Contract; Contractor. On September 17, 2024, the City awarded a contract to construct the public work of improvement to Superior Pavement Markings, Inc., 5312 Cypress St., Cypress, CA 90630.

5. Date of Completion. The public work of improvement was completed to the satisfaction of the City Engineer on: September 22, 2025.

6. Date of Acceptance. The City Council accepted the public work of improvement on October 21, 2025. _______________________________________
Milan Mrakich, Acting City Manager Date
City of West Covina

VERIFICATION
I, the undersigned, say: I am the Deputy City Clerk of the City of West Covina, the declarant of the foregoing Notice of Completion; I have read said Notice of Completion and know the contents thereof; the same is true of my own knowledge. I declare under penalty of perjury that the foregoing is true and correct.

Executed on _____________________, at West Covina, California. _______________________________
Monique S. De La Rosa
Deputy City Clerk
AGENDA ITEM NO. 2

DEPARTMENT EMERGENCY MEDICAL SUPPLIES
RECOMMENDATION:

It is recommended that the City Council authorize the Acting City Manager to negotiate and execute a purchase order with Life Assist, Inc. for medical supplies for a term of five (5) years, in an annual amount not-to-exceed $230,000 utilizing the pricing provided to the Pasadena Fire Department.

BACKGROUND:

The Fire Department responds to nearly 7,600 emergency medical calls annually and uses a variety of medical supplies when responding to those calls that require the provision of emergency medical care. In support of this effort, staff purchases a variety of medical supplies and equipment to ensure the Department's first responders are prepared to treat patients with medical conditions and traumatic injuries. This helps to ensure the Department is able to provide critical pre-hospital emergency medical care, as required by the Los Angeles County Emergency Medical Services Agency. From 2020 to 2024, the Fire Department’s emergency calls for service increased by 15%, with approximately 70% of calls being medical and trauma related. Based on this increase in calls for service, it is vital that the Fire Department maintain an inventory of essential EMS supplies.

The Fire Department maintains an inventory of paramedic field supplies including medications, intravenous fluids, assorted needles, bandages, splints, tape, gloves, oxygen masks, EKG paper, electrodes, and other miscellaneous medical supplies. These items are used regularly during medical treatment of patients and standard emergency operations. The Fire Department also maintains field supplies to mitigate larger-scale incidents in the event of a disaster. Traditionally, paramedic field supplies utilized by the Fire Department are re-stocked using multiple private suppliers. Given their ability to deliver a large and varied supply of EMS products since the 1970s, Life-Assist has become the Department’s largest supplier of medical supplies.

DISCUSSION:

For the past several years, the notable increases in both call volume for EMS and the use of paramedic supplies have caused the Fire Department to request additional funding for the year’s paramedic supply purchases. For reference, there has been a 42% increase in intravenous supplies, 30% increase in oxygen supplies, and 28% increase in cardiac arrest supplies in the past year alone. Additionally, there have also been multiple national back orders of commonly ordered medications for the past three years.

These back orders have forced the Department to order similar medications at much higher prices. For instance, the Department has experienced back orders of critical lifesaving medications such as instance, the Department has experienced back orders of critical lifesaving medications such as epinephrine, sodium bicarbonate, calcium chloride, dextrose, and normal saline. Moreover, recent changes in EMS equipment requirements mandated by the Los Angeles County Department of Health Services (DHS) have necessitated having more EMS supplies on-hand.

Pursuant to Section 2-335(7) of Division 2 of Article VII of Chapter 2 of the West Covina Municipal Code, purchases made using another governmental or public agency's contract of substantially the same terms (known as "piggybacking") are exempt from the City's competitive procurement requirements, provided:
(a) the other agency used a solicitation method substantially similar to the method required by Division 2 of Article VII of Chapter 2 of the Municipal Code; and (b) the Purchasing Officer determines the City will realize overall value by utilizing the other agency's contract or contract terms compared to the City performing its own procurement. The Purchasing Division has verified that the City of Pasadena's Invitation for Bids (Attachment No. 1) meets the City of West Covina's bidding requirements as outlined in the City's Municipal Code and determined that the City will realize overall value by utilizing Pasadena's contract terms with Life-Assist, Inc. compared to the City performing its own procurement.

Life-Assist, Inc. has performed satisfactorily as the City’s paramedic supply vendor since the 1970s. The company has delivered the required paramedic field supply products on time and as specified.

Furthermore, Life-Assist, Inc. products are utilized by several agencies such as the Pasadena Fire Department, Burbank Fire Department, La Verne Fire Department, Glendale Fire Department, Arcadia Fire Department, Ontario Fire Department, and Santa Monica Fire Department. By approving the purchase order with Life-Assist, Inc. the City ensures a quality inventory of paramedic field supplies at a fiscally responsible cost.

Piggybacking on larger agency contracts enables the City of West Covina the opportunity to purchase supplies in small quantities at volume pricing. Essentially, this method allows savings in time, resources, and cost by leveraging another agency’s successful competitive bidding process and its more economical bulk pricing for the same or similar supplies. Additionally, Life-Assist, Inc. offers a 25% discount for all items not listed on the bid.

Therefore, staff recommends that the City Council authorize the Acting City Manager to negotiate and execute a purchase order with Life-Assist, Inc. for medical supplies for a term of five (5) years, in an annual amount not to exceed $230,000 utilizing the pricing provided to the Pasadena Fire Department.

LEGAL REVIEW:

The City Attorney's Office has reviewed this staff report.

OPTIONS:

The City Council has the following options:

1. Approve staff's recommendation; or

2. Provide alternative direction.

Prepared by: Mike Browne, Acting Fire Chief
Additional Approval: Roxanne E. Lerma, Assistant City Manager Fiscal Impact
FISCAL IMPACT:

If approved, a purchase order will be generated with Life-Assist, Inc. The total amount of the purchase order is budgeted annually in the Fire Department Medical and Oxygen Supplies Account No. 110.502.32.10.00.00.62330.

Attachments
Attachment No. 1_City of Pasadena Competitive Bid_Life-Assist Attachment No. 2_City of Pasadena_Life-Assist Staff Report Attachment No. 3_City of Pasadena Multi-Year PO 1st Extension Attachment No. 4_Life Assist Itemized
CITY COUNCIL GOALS & OBJECTIVES: Protect Public Safety
Achieve Fiscal Sustainability and Financial Stability
Competitive Bid - MEDICAL SUPPLIES
Release Date: Thursday, May 19, 2022

Page 1 ends

COMPETITIVE BID

FURNISH AND DELIVER

MEDICAL SUPPLIES

FOR THE

FIRE DEPARTMENT

CITY OF PASADENA, CALIFORNIA
ATTACHMENT NO. 1

Competitive Bid - MEDICAL SUPPLIES
Release Date: Thursday, May 19, 2022

Page 2 ends

Table of Contents

1.0 NOTICE INVITING BIDS 4

1.1 Delivery Instructions 4

1.2 Bid Conference 4

1.3 Release Date 4

2.0 INSTRUCTIONS TO BIDDERS 5

2.1 Summary 5

2.2 Contact Information 5

2.3 Timeline 5

3.0 GENERAL INSTRUCTIONS 6

3.1 General Bid Requirements 6

3.2 Bidder Must Make Thorough Investigation 6

3.3 Acceptance of Conditions 6

3.4 Truth and Accuracy of Representation 6

3.5 City Changes to the Bid Documents 6

3.6 Notice Regarding Disclosure of Contents of Document 7

3.7 Award of Bid and Determination of Responsiveness 7

3.8 Errors and Omissions 7

3.9 Patent Feed; Patent, Copyright, Trade Secret, and Trademark Fees 7

3.10 Taxes 7

3.11 Local Bidders; Refund of Sales and Use Tax 7

3.12 Special Requirements of Contractors 8

3.13 Public Contract Code Sec. 9204 New Public Works Claims Procedure 8

3.14 Federal Terms and Conditions 8

4.0 SPECIAL CITY REQUIREMENTS 9

4.1 Equal Employment Opportunity in Contracting 9

4.2 Declaration of Non-Collusion by Contractor 9

4.3 Local Preferences 9

4.4 Protest Procedure 9

4.5 Bid Shall Remain Open 9

4.6 Equivalents to Specifications 9

5.0 GENERAL SPECIFICATIONS 11

5.1 BID PROPOSAL QUANTITIES 11

5.2 EVALUATION OF BID 11

5.3 SAMPLE CONTRACT 11

5.4 LICENSE AND PERMITS 11

5.5 SUBSTITUTION FOR PATENTED AND SPECIFIED ARTICLES 11

5.6 System for Award Management (SAM.Gov) 12

5.7 BID YOUR FULL EQUAL OR BETTER 12

5.8 PASADENA LIVING WAGE ORDINANCE 12

5.9 PAYMENT 12

5.10 LIABILITY INSURANCE 12

5.11 REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION (IRS Form W-9) 12

5.12 DURATION OF CONTRACT 13

Competitive Bid - MEDICAL SUPPLIES
Release Date: Thursday, May 19, 2022

Page 3 ends

5.13 PRICE ADJUSTMENTS 13

5.14 Invoice Submission Portal 13

6.0 BID SPECIFICATIONS 14

6.1 SCOPE OF SERVICES 14

6.2 DELIVERY 14

6.3 BRANDS 14

6.4 MISCELLANEOUS MEDICAL SUPPLIES 15

6.5 EQUIVALENTS 15

7.0 BIDDER'S PROPOSAL 16

8.0 SIGNATURE PAGE AND LEGAL STATUS 20

9.0 BIDDER'S CHECKLIST 21

9.1 TO THE BIDDER 21

10.0 INSURANCE REQUIREMENTS 22

10.1 Insurance Requirements 22

11.0 PUBLIC WORKS CLAIMS PROCEDURE 23

12.0 INSTRUCTIONS FOR PLANET BIDS 28

13.0 SAMPLE CONTRACT 30

13.1 DECLARATION OF NON-COLLUSION BY CONTRACTOR 31

13.2 Vendor Questionnaire (Form AA-1) 32

13.3 Project Workforce Utilization (Form AA-2) 33

13.4 Current Permanent Workforce Utilization (Form AA-3) 33

Attachments:

A - EquivalentsTable

Competitive Bid - MEDICAL SUPPLIES
Release Date: Thursday, May 19, 2022

Page 4 ends

1.0 NOTICE INVITING BIDS

FOR MEDICAL SUPPLIES

1.1 Delivery Instructions
Bids will be received electronically through Planet Bids (www.planetbids.com). A bid received after the time set for the bid opening shall not be considered. Bidders are required to submit (upload) all items listed in the BIDDER’S CHECKLIST including acknowledgement of all addendums. Bids will be received prior to 2:00 pm Monday, June 6, 2022 , and will be opened online at that time. The bids shall be clearly titled:

MEDICAL SUPPLIES
Copies of the Specifications may be obtained by mail or in person from the Purchasing Division, 100 N. Garfield Ave., Room S-349, Pasadena, CA 91109, Telephone No. (626) 744-6755.

Refer to the Specifications for complete details and bidding requirements. The Specification and this Notice shall be considered a part of any contract made pursuant thereunder.

1.2 Bid Conference
The City does not plan to hold a pre-bid conference. Instead, the City will accept written questions via email.

1.3 Release Date
Release Dated: Thursday, May 19, 2022
CYNTHIA J. KURTZ
Interim City Manager

Competitive Bid - MEDICAL SUPPLIES
Release Date: Thursday, May 19, 2022

Page 5 ends

2.0 INSTRUCTIONS TO BIDDERS

2.1 Summary
The Pasadena Fire Department (PFD) is seeking a vendor to furnish and delivery medical supplies as required.

2.2 Contact Information
Vendor Registration Instructions & Customer Service information:

Click here to register onto Planet Bids:
https://www.planetbids.com/portal/portal.cfm?CompanyID=14770 If you are already registered and need help logging in or retrieving your user information call 818-992-1771 x0.

Additional instructions are included in this solicitation (See section named "Instructions for Registering onto Planet Bids").

Customer Service
For assistance with e-bidding or uploading documents: Contact Planet Bids Monday through Friday 5am - 5pm PST, except statutory holidays Project Contact:

Cynthia Foronda
Senior Office Assistant
Email: [email protected]
Phone: (626) 744-7182
Procurement Contact:

Antonio Watson
Project Manager
Email: [email protected]
Phone: (626) 744-8382
Department:

Fire Department

2.3 Timeline
Release Project Date May 19, 2022
Question Submission Deadline May 26, 2022, 2:00pm
Bid Submission Deadline June 6, 2022, 2:00pm

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3.0 GENERAL INSTRUCTIONS

3.1 General Bid Requirements
To be considered, a bidder must follow the format for bids in the specifications. Bids must be binding and firm. Any bid may be withdrawn before bid opening but not for 90 days after opening.

3.2 Bidder Must Make Thorough Investigation
It is the bidder's responsibility to examine the location of the proposed work, to fully acquaint themselves with the specifications and the nature of the work to be done. The bidder shall have no claim against the City based upon ignorance of the nature and requirements of the project, misapprehension of site conditions, or misunderstanding of the specifications or contract provisions.

3.3 Acceptance of Conditions
By submitting a bid, each bidder expressly agrees to and accepts the following conditions:

A. All parts of the Instructions to Bidders and Specifications will become part of the Contract between the selected bidder and the City;
B. The City may require whatever evidence is deemed necessary relative to the bidder's financial stability and ability to complete this project; C. The City reserves the right to request further information from the bidder, either in writing or orally, to establish any stated qualifications; D. The City reserves the right to solely judge the bidder's representations, and to solely determine whether the bidder is qualified to undertake the project pursuant to the criteria set forth herein. The bidder, by submitting a bid, expressly acknowledges and agrees that the judgment of the City as to whether or not the bidder is qualified to perform the project, shall be final, binding and conclusive; E. The City reserves the right to reject all bids, waive any irregularity in any of the bids, or cancel or delay the project at any time;
F. This bidding process does not commit the City to award any contract, and the City is not liable for any costs incurred by the bidder in the preparation and submission of a bid.

3.4 Truth and Accuracy of Representation
False, incomplete or unresponsive statements in connection with the bid may be sufficient cause for rejection of a bidder.

3.5 City Changes to the Bid Documents
The City reserves the right to change any part of these Instructions to Bidders and Specifications any time prior to the bid opening. Any changes shall be in the form of addenda and will become a part of the bid documents and of the contract. Addenda shall be made available to each bidder. A bidder's failure to address the requirements of the addenda may result in the bid not being considered. If the City determines that a time extension is required for the bid, the addenda will give the new submission date.

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3.6 Notice Regarding Disclosure of Contents of Document All bids accepted by the City at the time of bid opening shall become the exclusive property of the City. Upon opening, all bids accepted by the City shall become a matter of public record and shall be regarded as public, with the exception of those elements of each bid which are identified by the bidder as business or trade secrets and plainly marked as "trade secret," "confidential," or "proprietary." Each element of a bid which a bidder desires not to be considered a public record must be clearly marked as set forth above, and any blanket statement (i.e., regarding entire pages, documents, or other non-specific designations) shall not be sufficient and shall not bind the City in any way whatsoever. If disclosure is required under the California Public Records Act or otherwise by law (despite the bidder's request for confidentiality), the City shall not in any way be liable or responsible for the disclosure of any such records or part thereof.

3.7 Award of Bid and Determination of Responsiveness
The contract shall be awarded to the lowest responsive and responsible bidder. In determining whether a bidder is responsible and responsive, the following shall be considered:

A. The quality of the material offered;
B. The ability, capacity and skill of the bidder to perform the contract or provide the material or services;
C. Whether the bidder can perform the contract or provide the service promptly, or within the time specified, without delay or interference;
D. The sufficiency of the bidder's financial resources and the effect thereof on his ability to perform the contract or provide the material or services; E. The character, integrity, reputation, judgment, experience and efficiency of the bidder; F. The quality and timeliness of the bidder's performance on previous orders or contracts for the City;
G. Litigation by the bidder on previous orders or contracts with the City; H. The ability of the bidder to provide future maintenance and service where such maintenance and service is essential;

3.8 Errors and Omissions
Bidders shall not be allowed to take advantage of any errors or omissions in the Instructions to Bidders or Specifications. Full instructions will be given if such error or omission is discovered and timely called to the attention of the City.

3.9 Patent Feed; Patent, Copyright, Trade Secret, and Trademark Fees Each bidder shall include in the price bid any patent fees, royalties and charges on any patented article or process to be furnished or used in the prosecution of the Work.

3.10 Taxes
Price bid shall include all federal, state, local and other taxes.

3.11 Local Bidders; Refund of Sales and Use Tax

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For the purpose of determining the lowest bidder on a contract for materials and supplies only,

1.75% of that portion of the bid subject to sales or use tax shall be deducted from any bid where it is determined that if such bidder were awarded the contract, the City would receive a refund of the 1.75% sales and use tax pursuant to the Uniform Sales and Use Tax Ordinance of the City of Pasadena.

3.12 Special Requirements of Contractors
There is a separate packet of forms as part of these specifications that a bidder must complete to establish compliance with a number of special City of Pasadena requirements, including, but not limited to, Equal Employment and Affidavit of Non Collusion. These forms and their instructions should be considered an integral part of the specifications and failure to complete them shall be grounds, in the sole discretion of the City, for rejection of any bidder.

3.13 Public Contract Code Sec. 9204 New Public Works Claims Procedure As detailed in the Section Titled #Public Works Claims Procedure new Public Contract Code Section 9204, effective January 1, 2017, specifies new procedural requirements for claims submitted by a contractor on any public works project.

3.14 Federal Terms and Conditions
In as much as there are Federal Requirements for this solicitation please see the Section named #Federal Terms and Conditions.

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4.0 SPECIAL CITY REQUIREMENTS

4.1 Equal Employment Opportunity in Contracting
Policy - The City of Pasadena is committed to a policy of Equal Employment:
 Contracting. Contractors expressly agree to comply with the City’s ordinances and regulations regarding Equal Opportunity Employment as well as regulations that may be mandated by the source of the funds supporting this contract.

Compliance – To the extent permitted by law, Contractor expressly agrees to establish compliance with the Equal Employment Opportunity Practices Provisions of Chapter 4.08 of the Pasadena Municipal Code, and the Rules and Regulations adopted pursuant to said ordinance.

The successful bidder may be required to submit documentation during the term of the contract to evidence on going compliance with the City’s Equal Opportunity Practices Provisions. Such documentation may include, but not be limited to certified payroll records and Current Permanent Workforce Utilization reports.

Required Forms – Each bidder must submit a completed Form AA-1. Failure to submit this form will result in automatic disqualification with no excep¬tions unless bidder has an approved Form on file with the City.

Questions regarding Chapter 4.08 of the Pasadena Municipal Code and regulations adopted pursuant thereto should be directed to the Department of Finance, Purchasing Division 626.744.6755.

4.2 Declaration of Non-Collusion by Contractor
The City requires that each bidder executes and submits to the City with the Bid, the attached Declaration of Non Collusion.

4.3 Local Preferences
The City of Pasadena is committed to promoting the economic health and well being of its residents. To this end, contractor agrees to recruit Pasadena residents initially and to give them preference, if all other factors are equal, for any new positions that result from the performance of this contract and which are performed within the City.

4.4 Protest Procedure
This procedure specifies the process to be utilized by the City of Pasadena in resolving protests regarding this solicitation. In order for a protest to be considered by the City of Pasadena, it must be submitted in accordance with the procedures outlined in the FORMAL SOLICATION PROTEST PROCURE found at the following link: (https://ww5.cityofpasadena.net/finance/doingbusiness-with-the-city/). A protest submitted that is not in accordance with this procedure, may be returned to the submitting party without any further action by the City of Pasadena.

4.5 Bid Shall Remain Open
Bidder agrees that their bid shall remain open and shall not be withdrawn for a period of not less than one hundred and twenty (120) calendar days from the date of opening bids, or until rejected by the City, whichever occurs first.

4.6 Equivalents to Specifications

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The material, equipment or service offered by the bidder will meet all requirements of the specifications in this Notice Inviting Bids. Questions requesting approval of equals must be submitted before the deadline for questions to the City contacts listed in the Bid Invitation.

Bidder must provide all information (no pricing) with their bid in order for the City to determine if the product offered is an equal to the manufacturer specified and/or meets the technical specifications. This includes details for each item to which a proposed equal will be taken, proposed make and model specifications, and any other information on the material specified herein regarding approved equals requested. Bidder must state brand name and/or manufacturer of each item proposed and include detailed specifications. All guarantees and/or warranties must also be stated. Parts and materials must be latest model or current date and meet specifications.

During the question and answer period, the City reserves the right to determine whether equivalents meet the bid specifications of the City, and are equal to the manufacturer specified or the stated technical specifications. The decision of the City regarding equality shall be final.

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5.0 GENERAL SPECIFICATIONS

5.1 BID PROPOSAL QUANTITIES
The quantities contained in the bid documents are approximate only and are for the sole purpose of comparing bids. The City may, in accordance with the specifications, order more equipment and/or materials as necessary at the City's sole discretion, as increased by the unit price noted and payment will be made for the amount of material actually provided as determined by the City and accepted at the unit prices noted in the bid.

5.2 EVALUATION OF BID
Bids will be evaluated based on the lowest Grand Total Price submitted in the Bidders' Proposal.

The contract award will be made from among responsive and responsible bidders. In case of a discrepancy between the unit prices and item total, the unit price shall govern. In the event of a discrepancy between the item totals and the grand total price the item totals shall prevail. The prices will be subject to adjustment by the City on that basis in the event of discrepancy and bid awarded.

Bidder must bid on all items listed on the Bid Price Sheet. The City anticipates the order amount of the items listed in the Bidder’s Proposal. However, the City of Pasadena does not imply nor make any commitment to purchase a specific quantity. The City may increase or decrease the quantities based on the current requirements, and the contractor agrees to furnish more or less of the items stated in the Bidder’s Proposal. Additional varieties of the items may be ordered as a result of this bid. Award of contract shall be based upon the grand total price of items contained in the Bidder’s Proposal.

The Market Basket in this solicitation is established to represent 80% of the total estimated value of the contract to be awarded. As a result, the list of goods to be purchased under this solicitation includes the top 20 goods purchased by dollar volume. Prices for the remaining goods for this solicitation are represented by dollar value in the Grand Total, though they will not be a part of the market basket analysis.

5.3 SAMPLE CONTRACT
A sample of the contract the successful bidder will be required to enter into with the City is attached hereto and by this reference incorporated herein and made part of these specifications.

5.4 LICENSE AND PERMITS
Contractor shall obtain and pay for any required business license under Title 5 of the Pasadena Municipal Code. For further information contact Municipal Services Department at (626) 744- 4166, Monday-Friday between 8am and 5pm.

5.5 SUBSTITUTION FOR PATENTED AND SPECIFIED ARTICLES
Wherever these Specifications specify any material or process by patent or proprietary name, or by name of manufacturer, such specification is only for the purpose of describing the material or process desired and shall be deemed to be followed by the words and/or approved equivalent. Any bidder may offer in the proposal any material or process that is equivalent in every respect to the material or process specified. This statement of alternate unit shall clearly

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describe the material or process for which the substitution is proposed and shall provide technical data establishing equivalency.

5.6 System for Award Management (SAM.Gov)
Prior to contract award, the lowest responsive and responsible bidder must provide an active registration with "Sam.Gov." Vendors seeking to register can register for free at the following link: https://sam.gov/content/entity-registration

5.7 BID YOUR FULL EQUAL OR BETTER
Materials and equipment furnished shall be new, complete, ready-for-use and of the latest model, shall not have been used in demonstration or other services and have all the usual equipment as shown by manufacturer’s current specifications and catalogs unless otherwise specified.

5.8 PASADENA LIVING WAGE ORDINANCE
This project is subject to the City of Pasadena's Living Wage Ordinance, Pasadena Municipal Code Chapter 4.11. The ordinance requires that contractors providing labor or services to the City under contracts in excess of $25,000 pay no less than the City’s Living Wage to all employees who spend any of their time providing labor or delivering services to the City.

The selected contractor will be required to evidence compliance with the Living Wage Ordinance by submitting payroll records as requested by the City. Each record shall include the full name of each employee performing labor or providing services under the contract; job classification; rate of pay and benefit rate.

Failure to comply with the provisions of the Pasadena Living Wage Ordinance is grounds for termination of the contract and a basis for penalties as stated in Pasadena Municipal Code Chapter 4.11. Questions concerning the Pasadena Living Wage Ordinance should be directed to:

Finance Department
Purchasing Division
626-744-6755 - phone
626-744-6757 – fax
Please visit https://ww5.cityofpasadena.net/finance/doing-business-with-the-city/ for the current calendar year Pasadena Living Wage rate.

5.9 PAYMENT
Section 9-3 of the “STANDARD SPECIFICATION FOR PUBLIC WORKS CONSTRUCTION” is hereby replace with the following: Payment will be made when invoice has been submitted upon the completion this project.

5.10 LIABILITY INSURANCE
Proof of insurance is not required to be submitted with your bid, but will be required prior to the City's award of the contract. A copy of the City standard is included in this solicitation.

5.11 REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION (IRS Form W-9)
The apparent low bidder may be required to submit a completed and signed IRS Form W-9.

Failure to submit this form may result in the bidder being deemed non-responsive

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5.12 DURATION OF CONTRACT
The initial term of the contract resulting from these Specifications shall be for three years from the date of execution by the City. The contract may be extended for two optional one-year extension periods subject to the approval of the City Manager.

5.13 PRICE ADJUSTMENTS
At the conclusion of the first contract year and prior to the commencement of the second contract year or any subsequent contract extension period, the contractor may request unit price increases. Under no circumstances shall the City accept price increases, which exceed the rate of the then current Consumer Price Index (C.P.I.) for the latest available preceding 12 month period.

5.14 Invoice Submission Portal
Invoice Submission Portal
The invoice submission process is activated when an invoice is submitted through the Vendor Invoice Portal. Invoices submitted are automatically sent to the department being invoiced for review. Once the city department verifies its accuracy, the department will submit the invoice to Accounts Payable for payment processing. One final review and approval by the department who was invoiced is needed in order for a check to be issued. Checks are issued on Tuesday and Thursday.

How to submit invoices to the City of Pasadena?
Create an account: Visit the City’s Invoice Submission website:
https://invoice.cityofpasadena.net/ and select “Create Account” Refer to the "Invoice Submission Portal - Vendor User Guide" for detailed instructions.

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6.0 BID SPECIFICATIONS

6.1 SCOPE OF SERVICES
The Pasadena Fire Department (PFD) is seeking a vendor to furnish and delivery medical supplies as listed in this bid. Successful bidders must be authorized distributors for the product offerings, and must submit documentation indicating the authorized purchase of the listed supplies. The vendor must honor all the manufacturers’ warranties.

The vendor must have a sales representative available for support and questions. Any necessary sales support through training and/or demonstration of products and equipment must be provided by the vendor.

6.2 DELIVERY
Orders for medical supplies will be placed on a weekly basis, approximately 52 times a year.

Items ordered must be delivered to the address listed below at Fire Station 37 within three business days. Normal delivery hours are Monday through Friday: 8:00AM to 5:00PM PST.

Orders must be shipped the same day if placed by 5:00pm PST. All delivery costs under the weekly order schedule must be included in the unit pricing.

Fire Station 37 Address:
3430 E Foothill Blvd, Pasadena, CA 91107
Failure to adhere to weekly services and delivery performance requirements may be cause for immediate termination of the contract. All items are to be delivered Free On Board (FOB) to Fire Station 37 in the City of Pasadena.

Emergency orders may occur on rare occasions when special or additional supplies are needed on short notice. Deliveries for emergency orders must occur within 24 hours. All delivery costs for emergency orders must be clearly indicated in the Table in the Bidder’s Proposal.

6.3 BRANDS
Any manufacturer's names, trade names, brand names, model or catalog numbers used in these specifications are for the purpose of describing and establishing general quality levels. Such references are not intended to be restrictive. Bids will be considered for any brand which meets or exceeds the quality of the specifications listed for any item; such bids shall state brand name and number and include detailed specifications. Bidder must state alternate brand name and/or manufacturer of each item proposed in this bid in the “Approved Equal Bid Table.” Parts and materials must be latest model or current date and meet specifications. Bids will be considered on equipment or material complying with specifications. No deviations or substitutions for the items listed in the Bid Table will be accepted.

For all items where bidders are quoting an "approved equal", bidder must provide all information with their bid in order for the City to determine if the product offered is an equal to the brand specified and/or meets the technical specifications. The City reserves the right to determine whether the alternate brand is equal to the brand specified or the stated technical specifications. The decision of the City regarding equality shall be final.

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Lowest responsive bidder not to be determined solely based on price. Past experiences, quality, custom online capabilities and adaptability in respect to the requirements will be taken into consideration.

6.4 MISCELLANEOUS MEDICAL SUPPLIES
The City estimates that it will purchase $30,000 in Medical Supplies not listed in this bid. Bidders are required to provide an electronic PDF file of their catalogue of the Medical Supplies they provide at the time of bid, which must include list prices and detailed descriptions. Additionally, in the Bidder’s Proposal, Bidders are required to indicate their total percentage discount or markup on the estimated $30,000 of Miscellaneous Medical Supplies in terms of dollars ($).

6.5 EQUIVALENTS
For bidders proposing “Equivalents” to the items listed in the BIDDER’S PROPOSAL, please provide all the information on the attached "Equivalents Table." Bidders must bid on all items listed in the Bidder's Proposal. No unapproved substitutions for the items listed in the Bid Table will be accepted. All requests for approved equivalents must be submitted during the Q&A period. The City reserves the right to determine whether the alternate brand is equal to the brand specified or the stated technical specifications. Supporting materials must be provided by the bidder at the time of bid for any items proposed as “Equivalents” or the bid may be deemed non-responsive. The decision of the City regarding equality shall be final. Incomplete bids may be deemed non-responsive.

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7.0 BIDDER'S PROPOSAL
To the Honorable City Council of the City of Pasadena, California In response to the Notice Inviting Bids for MEDICAL SUPPLIES the undersigned proposes and agrees to furnish the required material in strict conformity with the general and detailed specifications and data on manufacturer’s data sheets and/or exceptions made part of the bid and accepted by the City in writing.

Each bidder must bid on all items shown in the Bidder’s Pricing Table. If any bidder makes any alteration, interlineation or deviation in any of the printed matter of the proposal or if the signature of the bidder is incomplete, the bid will be considered informal and may be rejected.

The price bid shall include any and all charges required under the California Retail Sales Act of 1933 as amended and the California Use Tax Act of 1935.

Instructions: For each Item, please multiply the Unit Price by the corresponding Quantity to determine the Item Price. Sum the Item Prices to determine the Item Total. Sum the Item Total and the Sales Tax to determine the Grand Total Price.

All bid pricing must be entered into Planet Bids or the bid may be considered informal and deemed non-responsive, do not use a separate document attachment to represent your pricing.

All required attachments must be completed and uploaded electronically into Planet Bids (www.planetbids.com) prior to the set bid date and time in the "Notice Inviting Bids."

BID PROPOSAL TABLE
Line Item Description Manuf
Number
Manufacturer Unit of
Measure
Quantity Unit Cost Total
1 i-gel O2 Resus Pack, Small Adult, Size 3 [*] 8703030 INTERSURGICAL ea 15 2 i-gel O2 Resus Pack, Medium Adult, Size 4
[*]
8704030 INTERSURGICAL ea 15
3 i-gel O2 Resus Pack, Large Adult, Size 5 [*] 8705030 INTERSURGICAL ea 15 4 Guedel Airway 60mm B [*] 43060-50 ADC ea 10
5 Guedel Airway 70mm W [*] 43070-50 ADC ea 10
6 Berman Airway, 80mm, Green [*] 121803 Teleflex ea 10
7 Berman Airway, 90mm, Yellow [*] 121804 Teleflex ea 100 8 Berman Airway, 100mm, Red [*] 121805 Teleflex ea 100
9 BriteView Laryngoscope Blade, Miller #1,
Pink [*]
LB51MIL1-
DS
Hartwell
Medical
ea 5
10 BriteView Laryngoscope Blade, Mac #3,
Orange [*]
LB51MAC3-
DS
Hartwell
Medical
ea 5
11 BriteView Laryngoscope Blade, Mac #4,
Green [*]
LB51MAC4-
DS
Hartwell
Medical
ea 5

6.20 6.20
303.75
303.75

20.25 303.75

20.25 20.25

0.62 0.62

0.17 0.17

0.17 1.70

17.00 17.00

6.25 6.25

6.25 31.25

31.25 31.25

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Line Item Description Manuf
Number
Manufacturer Unit of
Measure
Quantity Unit Cost Total
12 Masimo M-LNCS DCI-I Reusable Sensor,
Adult [*]
2501 MASIMO ea 2
13 Masimo M-LNCS PDTX Disposable Sensor,
Pedi, 18" [*]
2510 MASIMO ea 5
14 PHYSIO-CONTROL EDGE Electrode w/QUIKCOMBO Connector, Adult [*]11996- 000091
PHYSIOCONTROLea 5
15 DIAGNOSTIX™ Palm Style BP Unit, Adult,
Navy Blue [*]
703-11AN ADC ea 2
16 BD Microtainer Lancets, Low Flow, PURPLE
(Bx/200) [*]
366592 BD BX 5
17 Ambu® BLUE SENSOR Electrode, 1.5in h
(Packs of 10) [*]
SP 00 S 10 AMBU pk 6,000
18 Ambu® Perfit™ ACE Extrication Collar [*] 00 281 000 AMBU ea 780 19 Ambu® Perfit™ Mini ACE Extrication Collar
[*]
106 281
000
AMBU ea 60
20 CapnoLine Plus Oral Nasal Cannula with
O2, ADULT [*]
MVAO100U Medtronic USA ea 300
21 AMSAFE IV Set, 2-MicroClave, Back Check
Valve, 15 drop [*]
MRA15B105AMSINO ea 1,806
22 AMSAFE IV Set, 2-MicroClave, 60 Drop [*] MRSA602-
100
AMSINO ea 5
23 ViaValve™ Safety IV Catheter, 18 ga. x 1
1/4" [*]
326510 SMITH ea 1,800
24 ViaValve™ Safety IV Catheter, 20 ga. x 1
1/4" [*]
326610 SMITH ea 3,400
25 NitroMist® Nitroglycerin Spray, 230
Metered Sprays [*]
76299-430-
08 Mist
Pharmaceutical
ea 46
26 BD PosiFlush™ Pre-Filled Saline Syringe, 10
ml (pack of 30) [*]
306546 BECTON

DICKENSON
pk 58
27 Epinephrine, 1:10,000 1 mg, 10 ml
LifeShield® Syringe [*]
0409-4933-
01 PFIZER DDP

INJECTABLES
ea 310
28 Naloxone, 2 mg, 2 ml LUER-JET™ SYRINGE
[*]
76329-
3369-1
Intern'l
Medication Sys.
ea 120
29 Sodium Chloride IV Solution, 0.9%, B
Braun,1000 ml Bag [*]
0264-7800-
09 B Braun ea 1,944
30 Pelican Air 1465EMS EMS Case, Orange [*] 014650-
0050-150
Pelican
Products
ea 20
31 Ambu® SPUR® II Bag Mask Resuscitator,
Adult [*]
000 211
520
AMBU ea 240
150.00 300.00

13.00 65.00

28.50 142.50

44.00 88.00

50.00 250.00

2.00 12,000.00

4.00 3,120.00

4.00 240.00

11.00 3,300.00

2.65 4,785.90

3.38 16.90

1.60 1.60
2,880.00
5,440.00
148.00 6,808.00

10.50 609.00

60.00 1,860.00

32.50 3,900.00

2.95 5,734.80
235.00 4,700.00

8.50 2,040.00

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Line Item Description Manuf
Number
Manufacturer Unit of
Measure
Quantity Unit Cost Total
32 Ambu® SPUR® II Bag Mask Resuscitator,
Pediatric [*]
000 213
530
AMBU ea 12
33 Ambu® SPUR® II Bag Mask Resuscitator,
Infant [*]
000 212
540
AMBU ea 5
34 CONTINUOUS CARE Nebulizer, Hand Held
[*]
MS 101 MEDSOURCE ea 350
35 GRAHAM® MegaMover® Portable
Transport Unit [*]
51926 GRAHAM ea 300
36 APEX Pro Nitrile Exam Glove, Small [*] AP12-1 Ansell Healthcare
case 5
37 APEX Pro Nitrile Exam Glove, Medium [*] AP12-2 Ansell Healthcare
case 5
38 APEX Pro Nitrile Exam Glove, Large [*] AP12-3 Ansell Healthcare
case 5
39 APEX Pro Nitrile Exam Glove, X-Large [*] AP12-4 Ansell Healthcare
case 5
40 STROBE Eyewear, Black Frame, Clear Lens
[*]
49GN80 GATEWAY ea 5
41 i-view Video Laryngoscope [*] 8008000 Intersurgical ea 5 42 DYNAREX Adhesive Bandage, Sheer Strips,
3/4" x 3" (box of 100) [*]
3601 DYNAREX box 48
43 DUKAL™ Trauma Dressing, 10" x 30" [*] 1030TD DUKAL ea 50 44 KERLIX™ Gauze Bandage, 4.5" x 4.1 yds,
Sterile [*]
6715 KENDALL ea 310
45 QuikClot® Combat Gauze LE™, 3" x 4 yds Zfold [*]350 Z-MEDICA ea 160 46 Deliveries for emergency orders within 24
hours
NA NA ea 10
47 REGULAR DELIVIES (weekly basis within
three business days)
NA NA ea 1

MISCELLANEOUS MEDICAL SUPPLIES
Please multiply your percentage discount or markup to a sum of $30,000, and add to or subtract from $30,000. Example: 30,000 x 10% markup = $3,000; plus $30,000 = $33,000.

Therefore, 10% markup would fill in $33,000 in the Unit Cost.

11.75 11.75

35.00 16.50
190.00
190.00
190.00
190.00
141.00

58.75 245.00
4,950.00
950.00
950.00
950.00
950.00

1.25 6.25

90.00 450.00

1.45 69.60

1.05 52.50

1.40 434.00

30.00 4,800.00
0 0
0 0

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Line Item Description Quantity Unit of
Measure
Unit Cost Total
48 Miscellaneous Medical Supplies of
$30,000 [*]
30,000 Dollars

0.75 22,500.00

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8.0 SIGNATURE PAGE AND LEGAL STATUS
Terms _______________________ 30 days
Delivery shall be no more than NINETY (90) days after receipt of City purchase order.

Firm__________________________________________________________________ Contact name __________________________________________________________ Address _______________________________________________________________ Phone No._____________________ Fax No.________________________ Email Address_________________________________________________________ The undersigned certifies that he is an official legally authorized to bind his firm and to enter into a contract should the City accept this proposal.

Bid proposal by _______________________________________________________ (Name of Firm)
Legal status of bidder: Please check the appropriate box O Corporation State of Incorporation ___________________________ O Partnership List Names ____________________________________ ____________________________________
O DBA State full name _____________________________DBA
____________________________________
____________________________________
O Other Explain ____________________________________
____________________________________
____________________________________
Signature of Bidder _____________________ Title___________________ (Authorized Signature)
Address _______________________ City ___________State ____ Zip ________ Telephone No. ( ) _____________________________________________ Signed this _______________________day of _______________________, 20___ ADDENDUM NO. BIDDER’S INITIALS

1. ____________ ________________

2. ____________ ________________

3. ____________ ________________
Net
Life-Assist, Inc.

Contracts Department
11277 Sunrise Park Drive, Rancho Cordova, CA. 95742
800-824-6016 800-290-9794
[email protected]
Corey Farrar
California
Pricing Specialist
11277 Sunrise Park Drive Rancho Cordova CA 95742
800-824-6016
Third June 22
Addendum 1 - CF

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9.0 BIDDER'S CHECKLIST

9.1 TO THE BIDDER
The following list is provided for the convenience of both you and the City and to help eliminate errors and omissions which may render your bid unacceptable. Please check all appropriate boxes and submit with your bid.
 BIDDER'S PROPOSAL (Signed by Bidder)
 DECLARATION OF NON-COLLUSION (Signed by Bidder)
 VENDOR QUESTIONNAIRE (forms AA1; AA2; & AA3 signed by Bidder)  SIGNATURE PAGE AND LEGAL STATUS
Subsequent to the closing of this solicitation, the selected vendor will be required to provide the following documents within 10 calendar days of being notified, otherwise the submitted proposal may be deemed non-responsive.
 REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION (IRS Form W-9)  Pasadena Business License
 ALL INSURANCE REQUIREMENTS

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10.0 INSURANCE REQUIREMENTS

10.1 Insurance Requirements
http://www.cityofpasadena.net/finance/wp-content/uploads/sites/27/Vendors-Materials-andSupplies.pdf?v=1651615728253

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11.0 PUBLIC WORKS CLAIMS PROCEDURE
PUBLIC CONTRACT CODE SEC. 9204 NEW PUBLIC WORKS CLAIMS PROCEDURE AB 626, approved by the Governor on September 29, 2016, created a new Public Contract Code Section 9204, which specifies new procedural requirements for claims submitted by a contractor on any public works project. These new requirements contain burdens for both private contractors and public entities and are specifically made applicable to charter cities.

For this legislation, a “public works project” is defined as “the erection, construction, alteration, repair, or improvement of any public structure, building, road, or other public improvement of any kind.” This definition is not as broad as in the Prevailing Wage Law.

A “claim” is defined as “a separate demand by a contractor sent by registered mail or certified mail with return receipt requested…” and is limited to three types of contract disputes:

1. “A time extension…for relief from damages or penalties for delay assessed by a public entity….”

2. “Payment by the public entity of money or damages arising from work done by, or on behalf of, the contractor pursuant to the contract for a public works project and payment for which is not otherwise expressly provided or to which the claimant is not otherwise entitled”, and/or

3. “Payment of an amount that is disputed by the public entity.” Upon receipt of a claim, a public entity must "conduct a reasonable review" and provide a written statement to the contractor within 45 days of receipt of the claim. Failure of a public entity to respond to a claim within the time periods described in Section 9204 "shall result in the claim being deemed rejected in its entirety."
For any undisputed portion of a claim, a public entity must make payment within 60 days of the public entity's issuance of the written statement.

If the contractor disputes the public entity's written statement, or if the public entity fails to respond, the contractor may demand "an informal conference to meet and confer for settlement of the issues in dispute." The public entity must schedule the meet and confer conference within 30 days of the demand.

Within 10 business days following the meet and confer conference, the public entity must provide a written statement identifying the portion of the claim that remains in dispute.

Any payment due on an undisputed portion of the claim must be made within 60 days of the meet and confer conference. Amounts not paid in a timely manner shall bear interest at 7 percent per year.

After the meet and confer conference, any disputed portion of the claim "shall be submitted to non-binding mediation." If mediation fails to resolve the dispute, the parts of the claim that remain in dispute shall be subject to applicable procedures outside Section 9204 (statutory and contractual).

The full text of this new legislation is set forth below:

THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

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SECTION 1.

Section 9204 is added to the Public Contract Code, to read:
9204.
(a) The Legislature finds and declares that it is in the best interests of the state and its citizens to ensure that all construction business performed on a public works project in the state that is complete and not in dispute is paid in full and in a timely manner. (b) Notwithstanding any other law, including, but not limited to, Article 7.1 (commencing with Section 10240) of Chapter 1 of Part 2, Chapter 10 (commencing with Section 19100) of Part 2, and Article 1.5 (commencing with Section 20104) of Chapter 1 of Part 3, this section shall apply to any claim by a contractor in connection with a public works project. (c) For purposes of this section:
(1) “Claim” means a separate demand by a contractor sent by registered mail or certified mail with return receipt requested, for one or more of the following:
(A) A time extension, including, without limitation, for relief from damages or penalties for delay assessed by a public entity under a contract for a public works project. (B) Payment by the public entity of money or damages arising from work done by, or on behalf of, the contractor pursuant to the contract for a public works project and payment for which is not otherwise expressly provided or to which the claimant is not otherwise entitled. (C) Payment of an amount that is disputed by the public entity. (2) “Contractor” means any type of contractor within the meaning of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code who has entered into a direct contract with a public entity for a public works project. (3) (A) “Public entity” means, without limitation, except as provided in subparagraph (B), a state agency, department, office, division, bureau, board, or commission, the California State University, the University of California, a city, including a charter city, county, including a charter county, city and county, including a charter city and county, district, special district, public authority, political subdivision, public corporation, or nonprofit transit corporation wholly owned by a public agency and formed to carry out the purposes of the public agency. (B) “Public entity” shall not include the following:

The Department of Water Resources as to any project under the jurisdiction of that department.

The Department of Transportation as to any project under the jurisdiction of that department.

The Department of Parks and Recreation as to any project under the jurisdiction of that department.

The Department of Corrections and Rehabilitation with respect to any project under its jurisdiction pursuant to Chapter 11 (commencing with Section 7000) of Title 7 of Part 3 of the Penal Code.

The Military Department as to any project under the jurisdiction of that department.

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The Department of General Services as to all other projects.

The High-Speed Rail Authority.
(4) “Public works project” means the erection, construction, alteration, repair, or improvement of any public structure, building, road, or other public improvement of any kind. (5) “Subcontractor” means any type of contractor within the meaning of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code who either is in direct contract with a contractor or is a lower tier subcontractor. (d) (1) (A) Upon receipt of a claim pursuant to this section, the public entity to which the claim applies shall conduct a reasonable review of the claim and, within a period not to exceed 45 days, shall provide the claimant a written statement identifying what portion of the claim is disputed and what portion is undisputed. Upon receipt of a claim, a public entity and a contractor may, by mutual agreement, extend the time period provided in this subdivision. (B) The claimant shall furnish reasonable documentation to support the claim. (C) If the public entity needs approval from its governing body to provide the claimant a written statement identifying the disputed portion and the undisputed portion of the claim, and the governing body does not meet within the 45 days or within the mutually agreed to extension of time following receipt of a claim sent by registered mail or certified mail, return receipt requested, the public entity shall have up to three days following the next duly publicly noticed meeting of the governing body after the 45-day period, or extension, expires to provide the claimant a written statement identifying the disputed portion and the undisputed portion. (D) Any payment due on an undisputed portion of the claim shall be processed and made within 60 days after the public entity issues its written statement. If the public entity fails to issue a written statement, paragraph (3) shall apply.
(2) (A) If the claimant disputes the public entity’s written response, or if the public entity fails to respond to a claim issued pursuant to this section within the time prescribed, the claimant may demand in writing an informal conference to meet and confer for settlement of the issues in dispute. Upon receipt of a demand in writing sent by registered mail or certified mail, return receipt requested, the public entity shall schedule a meet and confer conference within 30 days for settlement of the dispute.
(B) Within 10 business days following the conclusion of the meet and confer conference, if the claim or any portion of the claim remains in dispute, the public entity shall provide the claimant a written statement identifying the portion of the claim that remains in dispute and the portion that is undisputed. Any payment due on an undisputed portion of the claim shall be processed and made within 60 days after the public entity issues its written statement. Any disputed portion of the claim, as identified by the contractor in writing, shall be submitted to nonbinding mediation, with the public entity and the claimant sharing the associated costs equally. The public entity and claimant shall mutually agree to a mediator within 10 business days after the disputed portion of the claim has been identified in writing. If the parties cannot agree upon a mediator, each party shall select a mediator and those mediators shall select a qualified neutral third party to mediate with regard to the disputed portion of the claim. Each party shall bear the fees and costs charged by its respective mediator in connection with the selection of the

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neutral mediator. If mediation is unsuccessful, the parts of the claim remaining in dispute shall be subject to applicable procedures outside this section. (C) For purposes of this section, mediation includes any nonbinding process, including, but not limited to, neutral evaluation or a dispute review board, in which an independent third party or board assists the parties in dispute resolution through negotiation or by issuance of an evaluation. Any mediation utilized shall conform to the timeframes in this section. (D) Unless otherwise agreed to by the public entity and the contractor in writing, the mediation conducted pursuant to this section shall excuse any further obligation under Section 20104.4 to mediate after litigation has been commenced.
(E) This section does not preclude a public entity from requiring arbitration of disputes under private arbitration or the Public Works Contract Arbitration Program, if mediation under this section does not resolve the parties’ dispute.
(3) Failure by the public entity to respond to a claim from a contractor within the time periods described in this subdivision or to otherwise meet the time requirements of this section shall result in the claim being deemed rejected in its entirety. A claim that is denied by reason of the public entity’s failure to have responded to a claim, or its failure to otherwise meet the time requirements of this section, shall not constitute an adverse finding with regard to the merits of the claim or the responsibility or qualifications of the claimant. (4) Amounts not paid in a timely manner as required by this section shall bear interest at 7 percent per annum.
(5) If a subcontractor or a lower tier subcontractor lacks legal standing to assert a claim against a public entity because privity of contract does not exist, the contractor may present to the public entity a claim on behalf of a subcontractor or lower tier subcontractor. A subcontractor may request in writing, either on his or her own behalf or on behalf of a lower tier subcontractor, that the contractor present a claim for work which was performed by the subcontractor or by a lower tier subcontractor on behalf of the subcontractor. The subcontractor requesting that the claim be presented to the public entity shall furnish reasonable documentation to support the claim. Within 45 days of receipt of this written request, the contractor shall notify the subcontractor in writing as to whether the contractor presented the claim to the public entity and, if the original contractor did not present the claim, provide the subcontractor with a statement of the reasons for not having done so. (e) The text of this section or a summary of it shall be set forth in the plans or specifications for any public works project that may give rise to a claim under this section. (f) A waiver of the rights granted by this section is void and contrary to public policy, provided, however, that (1) upon receipt of a claim, the parties may mutually agree to waive, in writing, mediation and proceed directly to the commencement of a civil action or binding arbitration, as applicable; and (2) a public entity may prescribe reasonable change order, claim, and dispute resolution procedures and requirements in addition to the provisions of this section, so long as the contractual provisions do not conflict with or otherwise impair the timeframes and procedures set forth in this section.
(g) This section applies to contracts entered into on or after January 1, 2017.

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(h) Nothing in this section shall impose liability upon a public entity that makes loans or grants available through a competitive application process, for the failure of an awardee to meet its contractual obligations.
(i) This section shall remain in effect only until January 1, 2020, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2020, deletes or extends that date.

SEC. 2.

The Legislature finds and declares that it is of statewide concern to require a charter city, charter county, or charter city and county to follow a prescribed claims resolution process to ensure there are uniform and equitable procurement practices.

SEC. 3.

If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.

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12.0 INSTRUCTIONS FOR PLANET BIDS
Follow these simple steps to submit your proposal electronically:

If you are already registered and need help logging in or retrieving your user information call 818-992-1771 x0.

STEP ONE – Copy the highlighted link into your Internet browser bar to access the City of Pasadena VENDOR PORTAL (Planet Bids):
https://www.planetbids.com/portal/portal.cfm?CompanyID=14770 Electronic Submission of Bids
All Bidders are required to submit their bid pricing electronically via the eBid system Bid Schedule tab. The electronic system will close submission exactly at the date and time set forth in this solicitation or as changed by addenda. In addition, an electronic copy of the Bid Proposal Package must be uploaded to the eBid system.

Bidders are responsible for submitting and having their bid accepted before the closing time set forth in this solicitation or as changed by addenda. NOTE: Pushing the submit button on the electronic system may not be instantaneous; it may take time for the Bidder’s submittal and documents (if applicable) to upload and transmit before the bid is accepted. It is the Bidder’s sole responsibility to ensure their bid and document(s) are uploaded, transmitted, and arrive in time electronically. The City will have no responsibility for bids that do not arrive in a timely manner, no matter what the reason.

Upon closing of the Bid, Bid Results will be available on the eBid system under the Bid Results tab.

In the case of a discrepancy between the electronic bid schedule (pricing) and any uploaded Bid schedule document or pricing, the electronic bid schedule will be the accepted bid.

Bid Proposal Package shall be ONE (1) PDF file, uploaded to the eBid system. Failure to submit a single PDF file may result in a non-responsive Bid.

Steps to Submit Your Electronic Proposal:

To submit an offer to the City, vendor must complete the following

1. Acknowledge all Addenda

2. Select Place eBid

3. Accept City of Pasadena Terms and Conditions Message

4. Accept PlanetBids Message

5. Complete all tabs within the ebid form. Bidder may save their work and return.

6. Select Submit when offer is complete.

7. Confirm submission to the City

8. Receive confirmation. Bidder will receive an onscreen and email confirmation if successfully submitted. Bidder may return to edit their bid if there is still time.

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Note: If an addenda is issused after a bidder has submitted a proposal to the city, bidder must return to take steps below. Failure to do both steps will result in an invalidated offer. 1- Acknowledge the new addenda; and
2- Select Place ebid, return to their offer and select submit again.

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13.0 SAMPLE CONTRACT

TERMS AND CONDITIONS OF PURCHASE ORDER CONTRACT
https://www.cityofpasadena.net/wp-content/uploads/sites/27/Terms-Conditions-of-PurchaseOrder.pdf

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13.1 DECLARATION OF NON-COLLUSION BY CONTRACTOR

STATE OF CALIFORNIA

COUNTY OF LOS ANGELES
_______________________________________________________________, being first duly sworn deposes and says that he/she is ______________________________________________________________________ (Insert "Sole Owner", "Partner", "President, "Secretary", or other proper title) of____________________________________________________________________ (Insert name of bidder) who submits herewith to the City of Pasadena a proposal; That all statements of fact in such proposal are true;
That such proposal was not made in the interest of or on behalf of any undisclosed person, partnership, company, association, organization or corporation;
That such proposal is genuine and not collusive or sham; That said bidder has not, directly or indirectly by agreement, communication or conference with anyone attempted to induce action prejudicial to the interest of the City of Pasadena, or of any other bidder or anyone else interested in the proposed contract; and further
That prior to the public opening and reading of proposals, said bidder:
a. Did not directly or indirectly, induce or solicit anyone else to submit a false or sham proposal; b. Did not directly or indirectly, collude, conspire, connive or agree with anyone else that said bidder or anyone else would submit a false or sham proposal, or that anyone should refrain from bidding or withdraw his proposal;
c. Did not, in any manner, directly or indirectly seek by agreement, communication or conference with anyone to raise or fix the proposal price of said bidder or of anyone else, or to raise or fix any overhead, profit or cost element of his proposal price, or of that of anyone else; d. Did not, directly or indirectly, submit his proposal price or any breakdown thereof, or the contents thereof, or divulge information or data relative thereto, to any corporation, partnership, company, association, organization, bid depository, or to any member or agent thereof, or to any individual or group of individuals, except the City of Pasadena, or to any person or persons who have a partnership or other financial interest with said bidder in his business.

I certify under penalty of perjury that the above information is correct By:______________________________________ Title:________________________________ Date:____________________________________
Corey Farrar
Pricing Specialist
Life-Assist, Inc.

Pricing Specialist
6/3/2022

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Purchasing Division
100 N. Garfield Ave., Room 328
Pasadena, CA 91101
(626) 744-6755
(626) 744-6757 Fax

13.2 Vendor Questionnaire (Form AA-1)
Affidavit of Equal Opportunity Employment & Non-segregation By submitting this form you are declaring under penalty of perjury under the laws of the State of California and the laws of the United States that the information is true and correct. Furthermore, you are certifying that your firm will adhere to equal opportunity employment practices to assure that applicants and employees are not discriminated against because of their race, religion, color, national origin, ancestry, disability, sex or age. And, your firm does not and will not maintain or provide for its employees any segregated facilities at any of its establishments, and that it does not and will not permit its employees to perform their services at any location, under its control, where segregated facilities are maintained. Additionally, no employees, consultants, or board members of your company or your subcontractors are current employees of the City of Pasadena.

Name of Company Telephone
Address Fax Number
(optional)
City State Zip
Contact Person E-mail Address
DBA (if applicable)
Active City of Pasadena Business License Number
Remit Address (if different)
Please state clearly and concisely the type(s) of goods and services your company would provide on this contract:

Required For All Public Works: Pursuant to Division 2, Part 7, Chapter 1 (commencing with section 1720) of the California Labor Code, you must provide your Registration Number under the Department of Industrial Relations:

Small and Micro Business Preference Program: If certified by California Department of General Services as a small or micro business, please provide DGS Reference Number: (Visit the Purchasing Division website for additional information)
The following section is OPTIONAL and is for statistical reporting purposes only. Ownership (please check all that apply):

AfricanAmerican Asian Armenian HispanicNative
American Disabled Female
Life-Assist, Inc. 800-824-6016
11277 Sunrise Park Drive
Rancho Cordova CA 95742
Contracts Department [email protected]
Medical Supplies for First Responders
N/A

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13.3 Project Workforce Utilization (Form AA-2)
This form is to be included in all bid documents for projects involving labor or services valued at $25,000 or more.

Instructions: Please indicate the job titles/classifications to be used in the performance of this contract should it be awarded to your firm. Please indicate the number of employees in each job classification as well as the number of new hires, if any, as a result of this contract.

Name of Company: ___________________________________________ Project:___________________________________________ Job Titles/Classification Estimated number of existing staff to be employed in this classification if awarded the contract
Estimated number of new hires to be employed in this
classification if awarded the contract
Are any current employees or potential new hires Pasadena residents? If so, how many?

13.4 Current Permanent Workforce Utilization (Form AA-3) (OPTIONAL)

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Name of Company: ___________________________________________ Project: ____________________________________________________ Completion of this form is OPTIONAL. Any information supplied by Proposers is for reporting purposes only and will not be factored into the award of any contract.

Instructions: Please indicate the number of employees in each Job Classification belonging to the following groups.

White (not of
Hispanic origin)
African-American
(not of Hispanic
origin)
Hispanic Asian/Pacific
Islander
Native
American
Armenian Male Female

CLASSIFICATION
Officials/Managers
Professionals

Technicians

Office/Clerical

Skilled Craft Workers
Operators (semi-skilled)
Laborers
Service Workers

TOTAL

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Authorized Distributor List
Life-Assist, Inc. is an Authorized Distributor for over 100 manufacturers. Upon request Life-Assist will provide letters from the manufacturers labeling us as Authorized Distributors. 3M Healthcare
Abbot Diabetes Care
Alied Healthcare
Ambu
Aquability
Argon Medical Devices
Arkray USA
Arrow International
B. Braun Medical
Bard Medical
Becton Dickinson
Bionix
Bioseal
Cables and Sensors
Cardiac Science
CareFusion
Certa Dose, Inc.

Clorox Healthcare
Conmed
Covidien
DuPont
EKF Diagnostics
Elkay Plastics
EM Innovations
Emerson Healthcare
Energizer
Ethicon
Exel International
Flambeau
Flexicare
GE Healthcare
GMAX Industries
GOJO Industries
Graco
Graham-Field Health
Halyard Heatlh
Healthmark Industries
Hospira
HR Pharmaceuticals
Hudson RCI
Hydrox Laboratories
Hygenall
Kendall Healthcare
Kimberly-Clark
Laerdal Medical
Major Pharmaceuticals
Masimo
Medovations
Medtronic USA
Mercury Medical
Metrex Research
Motion Medical
NDC Inc
Nephron Pharmaceuticals
NicePak PDI
Oridion Medical
Owen Mumford
PAX Bags
PerSys Medical
PharmaCare
Philips Healthcare
Physio-Control
Prestan MAnikin
Prestige Medical
Purell
Puritan Medical Products
Retractable Tech
Sage Products
Salter Labs
Samson Strap
Sharps
Sion Biotext
Steris Corporation
Teleflex
Tyco Mallinckrodt
Valeant Pharmaceuticals
Vermed
Vyaire Medical
Welch Allyn
West-Ward Pharmaceuticals
Zoll Medical
Zyno Solutions
ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD
PRODUCER CONTACT NAME: PHONE FAX
(A/C, No, Ext): (A/C, No): E-MAIL ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F : POLICY NUMBER POLICY EFF POLICY EXP TYPE OF INSURANCE LIMITS (MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB

EXCESS LIAB WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $
DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO- POLICY LOC JECT PRODUCTS - COMP/OP AGG
OTHER: $

COMBINED SINGLE LIMIT
(Ea accident) $
ANY AUTO BODILY INJURY (Per person) $

OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident) $

HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident) $
$
OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $
DED RETENTION $

PER OTH- STATUTE ER
E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N
N / A
(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION
ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
$
$
$
$
$
The ACORD name and logo are registered marks of ACORD
LIFEA-1 OP ID: TB
12/29/2021
Tyla A Belton
Foothill Valley Insurance
13 Sierragate Plaza Ste.A
Roseville, CA 95678
Tyla A Belton
916-773-4560 916-773-4583
[email protected]
Admiral Insurance Company
Berkshire Hathaway Homestate
Life Assist, Inc.
11277 Sunrise Park Drive
Rancho Cordova, CA 95742
A X 1,000,000
X CA00000250021 01/01/2022 01/01/2023 100,000
5,000
1,000,000
2,000,000
X 2,000,000
A 1,000,000
CA00000250021 01/01/2022 01/01/2023
X X
X 4,000,000
X
A
GX00000189704 01/01/2022 01/01/2023 4,000,000
X 0
B
LIWC319947 01/01/2022 01/01/2023 1,000,000
1,000,000
1,000,000
RE: For Information Purposes Only
FORIN-1
For Information Purposes Only
916-773-4560
24856
20044

Authorization to Enter Into Contracts for Medical Supplies August 1, 2022

Page 2 of 3 ends

medical care as required by Los Angeles County Emergency Medical Services Agency.

Supplies and equipment purchased by staff include necessary items such as bandages, splints, intravenous supplies, oxygen masks, medications, and airway equipment.

The Fire Department has a current contract with Life-Assist for medical supplies that was approved on July 24, 2017. Life-Assist was awarded a three- year contract with the Fire Department through a formal bid process to furnish medical supplies, for a not to exceed amount of $200,000 each year of the three- year term. On October 21, 2020, the contract term was amended to a five year contract.

On May 10, 2022, the City published an Invitation for Bid ( IFB) to furnish and deliver medical supplies as required by the Fire Department. The bid was advertised for close to four weeks through Planet bids. Notifications were sent to 757 vendors, with 35 vendors downloading the IFB document. No local Pasadena vendors downloaded or submitted a bid. On June 6, 2022, six bids were received.

Staff requested vendors to bid on 45 of the most commonly ordered products based on historical purchases of the Department to evaluate pricing. Three of the six bids received were deemed non-responsive due to incomplete bids. Of the three, responsive bids received, the bid results are as follows:

No . Bidders Total Weighted Bid Price

1. APTOS LOGISTICS, INC. (San Ramon, CA) (5 year total) $ 1,227,447

2. BOUND TREE MEDICAL, LLC ( Dublin, OH) (1 year total) $ 135,323

3. LIFE ASSIST, INC. ( Cordova, CA) (1 year total) $ 93,200 Following a formal bid process, Life-Assist, Inc. is recommended as the primary vendor to furnish and deliver medical supplies in accordance with the City's specifications. LifeAssist is an established California corporation, and was the lowest bidder that was able to provide all specified goods and meet all indicated requirements. Total expenditures are not to exceed $ 1,250,000, which includes $ 750,000 for an initial three-year term and two optional one- year terms with each year not to exceed $ 250,000.

Bound Tree Medical LLC is recommended as a secondary vendor due to the ongoing supply chain issues and allocation limits for products such as saline, PPE items and certain medications experienced during the COVID- 19 pandemic. For the past 2 years there have been many items that are in a nationwide shortage in which there was no identified vendor backup. Securing a second vendor, will assist the Department in providing expeditious medical services to the public. Total expenditures are not to exceed $ 250,000, which includes $ 150,000 for an initial three-year term and two optional one-year terms with each year not to exceed $ 50,000.

Authorization to Enter Into Contracts for Medical Supplies August 1, 2022

Page 3 of 3 ends

COUNCIL POLICY CONSIDERATION:

The proposed contract furthers the City Council' s strategic planning goal to ensure public safety.

ENVIRONMENTAL ANALYSIS:

The proposed contract has no environmental impact; it is exempt from CEQA review pursuant to State CEQA Guidelines and Section 15061 ( b) (3), the general rule that CEQA only applies to projects that may have an effect on the environment.

FISCAL IMPACT:

The total cost of this action is $ 1,500,000 if the additional one-year terms are exercised.

Funding for this action will be addressed by utilization of the existing and future budgeted appropriations in the Fire Department's General Fund operating budget account for EMS ( 10131021- 810100). There are no anticipated impacts to other operational programs or capital projects as a result of this action.

Prepared by:

J on ansen
attalion Chief/ EMS Division
Fire Department
Approved by:

Respectfully submitted,
CHAD AU~
Fire Chief
Fire Department

CITY OF PASADENA
Purchase Order Contract Cover Page & Acceptance of Terms and Conditions CONTRACT NUMBER:

CONTRACTOR/VENDOR:

CONTRACT PURPOSE:

START DATE: EXPIRATION DATE:

TOTAL PURCHASE ORDER:

Project Manager:

Title/Role:

Phone/E-mail:

Please sign, date, and return
____________________________________ ________________________________________ Vendor Signature & Date Full Name & Title
FY:

ACKNOWLEDGMENT: Contractor/Vendor acceptance of this Purchase Order or payment, or shipment of goods and/or provision of services, shall constitute Contractor/Vendor unqualified acceptance of the terms of this Purchase Order.

This document, in its entirety, does not constitute a firm offer by the City, and may be revoked at any time prior to acceptance. Pre-existing contract language, as agreed upon, shall prevail.

Attachments:

City of Pasadena Terms & Conditions of Purchase Order
6/17/2025
ATTACHMENT NO. 3

Contract: PASADENA Compare Pricing From Version
Report Version: 30469 - 8/6/20
Item No New Price Old Price Pack Size Change % Change
AA560 $ 0.70 $ 0.68 ea-1 0.02 2.9
AA570 $ 0.70 $ 0.68 ea-1 0.02 2.9
AC8703 $ 20.90 $ 20.25 ea-1 0.65 3.2
AC8704 $ 20.90 $ 20.25 ea-1 0.65 3.2
AC8705 $ 20.90 $ 20.25 ea-1 0.65 3.2
BA1030 $ 1.09 $ 1.05 ea-1 0.04 3.8
BA6715 $ 1.58 $ 1.53 ea-1 0.05 3.3
BS800 $ 17.00 $ 16.50 ea-1 0.5 3
DR4933-01 $ 68.20 $ 66.20 bx-10 2 3
EL7017 $ 32.58 $ 31.44 ea-1 1.14 3.6
EL7091 $ 40.10 $ 38.70 ea-1 1.4 3.6
FB1465EMS $ 263.31 $ 253.91 ea-1 9.4 3.7
FS805-BLU $ 12.50 $ 12.12 ea-1 0.38 3.1
GL0104L $ 15.40 $ 15.00 bx-100 0.4 2.7
GL0104M $ 15.40 $ 15.00 bx-100 0.4 2.7
GL0104S $ 15.40 $ 15.00 bx-100 0.4 2.7
GL0104XL $ 15.40 $ 15.00 bx-100 0.4 2.7
IC54-BLK $ 1.29 $ 1.25 ea-1 0.04 3.2
IV4001 $ 1.56 $ 1.51 ea-1 0.05 3.3
IV5100 $ 2.39 $ 2.34 ea-1 0.05 2.1
LY1421 $ 6.77 $ 6.57 ea-1 0.2 3
LY1423 $ 6.77 $ 6.57 ea-1 0.2 3
LY1424 $ 6.77 $ 6.57 ea-1 0.2 3
LY8000 $ 92.85 $ 90.14 ea-1 2.71 3
SG2074 $ 47.12 $ 46.20 ea-1 0.92 2
SY975 $ 4.08 $ 3.95 ea-1 0.13 3.3
ATTACHMENT NO. 4
mpare Pricing From Version: 28764 - 9/17/2024
port Version: 30469 - 8/6/2025
Description Vendor Item No
Guedel Airway, Black, 60mm 1-1505-60
Guedel Airway, White, 70mm 1-1505-70
The i-gel O2 Resus Pack, Small Adult, Size 3 8703030
The i-gel O2 Resus Pack, Medium Adult, Size 4 8704030
The i-gel O2 Resus Pack, Large Adult, Size 5 8705030
DUKAL Trauma Dressing, 10" x 30", Sterile 1030TD
KERLIX Gauze Bandage, 4.5" x 4.1 yds, Sterile 6715-
GRAHAM MegaMover Portable Transport Unit 51926
Epinephrine 1:10,000 1mg/10mL (0.1mg/1mL) LifeShield Syringe00409-4933-01 PHYSIO-CONTROL EDGE Defib Electrode w/Preconnect, Adult 11996-000017 PHYSIO-CONTROL EDGE Defib Electrode, Adult 11996-000091 Pelican Air 1465EMS EMS Case, Orange 014650-0050-150
EMS Fanny Pack, Medium, Blue 43805BL
LifeStar EC Nitrile Exam Glove, Large LSE-104-L
LifeStar EC Nitrile Exam Glove, Medium LSE-104-M
LifeStar EC Nitrile Exam Glove, Small LSE-104-S
LifeStar EC Nitrile Exam Glove, X-Large LSE-104-XL
STROBE Eyewear, Black Frame, Clear Lens 49GB80
MicroClave Clear Needleless Connector, 400 psi MR4001
AMSAFE IV Set, MicroClave/Preslit, 15 drop MRA15-100
BriteView Laryngoscope Blade, Mac #1, Pink LB 51MAC1-DS BriteView Laryngoscope Blade, Mac #3, Orange LB 51MAC3-DS BriteView Laryngoscope Blade, Mac #4, Green LB 51MAC4-DS i-view Video Laryngoscope 8008000
DIAGNOSTIX Palm Style BP Unit, Adult, Navy Blue 703-11AN Laerdal STA-BLOK Head Immobilizer 700-00001
Vendor Name
AirLife
AirLife
Intersurgical
Intersurgical
Intersurgical
Dukal
Cardinal Health
Graham Medical
Pfizer Injectables
Optimal
Optimal
Pelican Products
Royal Case Company
Ansell Healthcare
Ansell Healthcare
Ansell Healthcare
Ansell Healthcare
Gateway Safety
Amsino International
Amsino International
Hartwell Medical
Hartwell Medical
Hartwell Medical
Intersurgical
American Diagnostic
Laerdal Medical
AGENDA ITEM NO. 3

INTERFACE CODE
RECOMMENDATION:

It is recommended that the City Council adopt the following ordinance:

ORDINANCE NO. 2534 - AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF WEST COVINA, CALIFORNIA, AMENDING ARTICLE II OF CHAPTER 10 OF THE WEST COVINA MUNICIPAL CODE TO ADOPT BY REFERENCE THE 2025 CALIFORNIA FIRE CODE, WHICH ADOPTS BY REFERENCE THE 2024 INTERNATIONAL FIRE CODE, WITH LOCAL AMENDMENTS, AND TO ADOPT BY REFERENCE THE 2025 CALIFORNIA WILDLAND-URBAN INTERFACE CODE, AND AMENDING PROVISIONS OF CHAPTER 4.5 OF

THE WEST COVINA MUNICIPAL CODE
BACKGROUND:

The California Health and Safety Code (Section 17958) mandates that the California Building Standards Commission adopt and publish the California Building Standards Code (Title 24 California Code of Regulations), which includes the California Fire Code, every three years. The California Fire Code adopts by reference the International Fire Code. The 2025 California Codes include the Wildland-Urban Interface Code. The 2025 California Codes take effect January 1, 2026.

The Fire Department is requesting that the City Council adopt Ordinance No. 2534, which adopts by reference the 2025 Edition of the California Fire Code, which adopts by reference the 2024 International Fire Code (collectively referred to as the 2025 Fire Code), with amendments, and adopt by reference the 2025 Edition of the California Wildland-Urban Interface Code (the 2025 WUI Code).

DISCUSSION:

At its October 7, 2025 meeting, the City Council adopted Resolution No. 2025-76, making findings regarding the need for modifications to provisions of the 2025 Fire Code due to local climatic, geological or topographical conditions, and introduced Ordinance No. 2534 as presented.

Staff recommends that the City Council adopt Ordinance No. 2534. If adopted, the Ordinance will take effect January 1, 2026.

LEGAL REVIEW:

The City Attorney's Office has reviewed the ordinance and approved it as to form.

OPTIONS:

The City Council has the following options:

1. Approve staff's recommendation; or

2. Provide alternative direction.

ENVIRONMENTAL REVIEW:

Pursuant to the California Environmental Quality Act (CEQA) Guidelines, the ordinance is exempt from CEQA under Section 15061 (b)(3) (Common Sense Exemption) of the CEQA Guidelines, which provides that CEQA only applies to projects that have the potential for causing a significant effect on the environment. The ordinance would not result in physical change in the environment and does not involve any construction or additions to any existing structures.

Prepared by: Mike Browne, Acting Fire Chief
Additional Approval: Roxanne E. Lerma, Assistant City Manager Fiscal Impact
FISCAL IMPACT:

This is strictly an administrative item; therefore, there is no fiscal impact associated with this action.

Attachments
Attachment No. 1 - Ordinance No. 2534
CITY COUNCIL GOALS & OBJECTIVES: Protect Public Safety
A Well-Planned Community
Enhance City Image and Effectiveness
ATTACHMENT NO. 1
Ordinance No. 2534

Page 1 of 15 ends

ORDINANCE NO. 2534

AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF

WEST COVINA, CALIFORNIA, AMENDING ARTICLE II OF
CHAPTER 10 OF THE WEST COVINA MUNICIPAL CODE
TO ADOPT BY REFERENCE THE 2025 CALIFORNIA FIRE
CODE, WHICH ADOPTS BY REFERENCE THE 2024

INTERNATIONAL FIRE CODE, WITH LOCAL

AMENDMENTS, AND TO ADOPT BY REFERENCE THE
2025 CALIFORNIA WILDLAND-URBAN INTERFACE
CODE, AND AMENDING PROVISIONS OF CHAPTER 4.5

OF THE WEST COVINA MUNICIPAL CODE
The City Council of the City of West Covina hereby finds and declares as follows:

WHEREAS, the California Building Standards Commission recently published the 2025 California Building Standards Code, which includes the 2025 California Fire Code (the “2025 Fire Code”) and the 2025 California Wildland-Urban Interface Code (the “2025 WUI Code”); and
WHEREAS, the 2025 Fire Code and the 2025 WUI Code will be effective on January 1, 2026; and
WHEREAS, Section 17958.5 of the California Health and Safety Code permits the City to make changes or modifications to the 2025 Fire Code, which incorporates by reference the 2024 International Fire Code with California amendments, as codified within the 2025 Fire Code, and the 2025 WUI Code, as such changes are reasonably necessary because of local climatic, geographical or topographical conditions; and WHEREAS, Section 13143.5 of the California Health and Safety Code permits the City, by ordinance, to make changes or modifications to the 2025 Fire Code and the 2025 WUI Code that are more stringent than the requirements published in the 2025 Fire Code and the 2025 WUI Code relating to fire and panic safety; and WHEREAS, prior to making any modifications or changes pursuant to Section 17958.5 of the California Health and Safety Code, Section 17958.7 of the Health and Safety Code requires the City to make express findings that such modifications or changes are reasonably necessary because of local climatic, geological or topographical conditions; and
WHEREAS, the findings and local amendments apply to all occupancy classifications, unless specified otherwise; and
Ordinance No. 2534

Page 2 of 15 ends

WHEREAS, the City Council of the City of West Covina has determined that modifications to the 2025 Fire Code are reasonably necessary due to local climatic, geological, and topographical conditions, as detailed in Resolution No. 2025-76; and WHEREAS, all legal requirements prior to the adoption of this Ordinance have occurred.

NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF WEST COVINA, CALIFORNIA, DOES HEREBY ORDAIN AS FOLLOWS:

SECTION 1. Recitals. The City Council makes and adopts as findings the facts and conclusions set forth in the recitals of this Ordinance and, for the reasons set forth in the recitals and in Resolution No. 2025-76, finds that the modifications to the 2025 California Fire Code are reasonably necessary due to local climatic, geological, or topographical conditions.

SECTION 2.Amendment to Section 10-20 of Article II of Chapter 10. Section 10- 20 of Article II of Chapter 10 of the West Covina Municipal Code is hereby amended as to read as follows:

Sec. 10-20. - Adopted.

Except as otherwise provided in this article, the city council of the City of West Covina hereby adopts by reference the 2025 California Fire Code, which adopts by reference the 2024 International Fire Code, including Appendices A, B, BB, C, CC, D, E, F, G, H, I, K, M, N, O, P and Appendix Chapter 4, and the 2025 California Wildland-Urban Interface Code as the fire code (the “Fire Code”) of the City of West Covina. In the event of any conflict or ambiguity between any provision contained in such codes set forth above, and any amendment thereto contained in this article or other provision of the West Covina Municipal Code, the amendment or addition shall control.

One (1) complete copy of the 2025 California Fire Code, with errata and supplements, one (1) complete copy of the 2024 International Fire Code, and one (1) complete copy of the 2025 California Wildland-Urban Interface Code shall be at all times maintained by the fire department for use and examination by the public.

SECTION 3. Amendment to Section 10-21. Subsection (a) of Section 10-21 of Article II of Chapter 10 of the West Covina Municipal Code is hereby amended to read as follows:
(a) The Fire Code shall be enforced by the bureau of fire prevention in the fire department of the City of West Covina which is hereby established and which shall be operated under the supervision of the chief of the fire department.

SECTION 4. Amendment to Section 10-24. Section 10-24 of Article II of Chapter 10 of the West Covina Municipal Code is hereby amended to read as follows:

Ordinance No. 2534

Page 3 of 15 ends

Sec. 10-24. - Amendments to the 2025 California Fire Code.

The California Fire Code, 2025 Edition, adopted under section 10-20 of this article, is hereby amended as follows:

Chapter 1 (Scope and Administration) is amended as follows:

Section 101 (Scope and General Requirements) is amended as follows:

Section 101.1 (Title) is amended to read as follows:
101.1 Title.

These regulations shall be known as the Fire Code of the City of West Covina, hereinafter referred to as “this code.”
Section 104 (General Authority and Responsibilities) is amended to add a new subsection 104.12 to read as follows:
104.12 Fire investigations.

The fire chief, assistant chief, fire marshal, deputy fire marshal, fire protection specialist, captain, engineer, firefighter and firefighter/paramedic shall have the authority to investigate the origin, cause and circumstance of any fire, explosion or other hazardous condition. While performing these duties, the listed officers and members of the fire department, if meeting the definition of “peace officer” as outlined in California Penal Code section 830.37, shall have the power to arrest any person without warrant whenever they have reasonable cause to believe that the person has violated any provision of this chapter in their presence. Those persons certified as “fire investigators” shall also have peace officer powers under California Penal Code section 830.37.

Section 105.5 (Required Operational Permits) is amended to add a new Section 105.5.60 to read as follows:
105.5.60 Christmas tree sales lots.

All temporary, outdoor lots for the display and sale of Christmas trees are required to have a permit and shall be located, maintained, and operated subject to the following provisions:
105.5.60.1 Permits – Christmas tree sales lots.

All applications for permits shall be made in writing, filed with the city, and shall state the name of the applicant, his or her address, and the location of the proposed Christmas tree lot. The application shall be accompanied by a clearance from the fire chief as to fire regulations, by a clearance from the building and safety department as Ordinance No. 2534

Page 4 of 15 ends

to the proposed electrical installation, if any, and by clearance from the engineering department for review of location in relation to possible interruption of traffic.  All permits must be posted in a conspicuous place.
 Fires in barbeques or in metal drums or other containers require a special permit that is to be obtained from the fire department.
105.5.60.2 Fire protection.

There shall be maintained in each premises or display area where Christmas trees are sold or offered for sale, at least two fire extinguishers with a minimum rating of 2A. No extinguisher shall be more than 75 feet travel distance from any tree on display or in storage.
105.5.60.3 Tents or canopies on Christmas tree lots.

A separate permit shall be obtained from the fire department for all tents, canopies and temporary membrane structures and they shall meet all requirements of Chapter 31 of the Fire Code. All tents, canopies and temporary membrane structures shall be made of flameproof materials or rendered flame retardant by an approved process. 105.5.60.4 Display.

Christmas trees shall not be sold or displayed indoors or under covered, outdoor walkways of buildings or shopping centers unless the walkway is protected by an approved automatic fire sprinkler system, or the display is specifically approved by the fire chief.
105.5.60.5 Lot closure.

Christmas trees shall be removed and the debris cleared no later than 10 calendar days after the last day of sale. A fee, as established by resolution of the city council, shall be posted for each lot with the license collector at the time of issuance of the permit. This fee will be returned if the debris is cleared and the lot is removed within the stated time, otherwise the fee will be used to defray the cost of cleanup and will not be returned.

Section 112.1 (General) is amended to read as follows:
112.1 Board of appeals established.

In order to hear and decide appeals of orders, decisions or determinations made by the fire code official relative to the application and interpretation of this code, there shall be and is hereby created a board of appeals. The board of appeals shall be appointed by the city manager and shall hold office at his/her pleasure. The board shall adopt rules of Ordinance No. 2534

Page 5 of 15 ends

procedures for conducting its business, and shall render all decisions and findings in writing to the appellant with a duplicate copy to the fire code official.

Appendix A (Board of Appeals) is amended as follows:

Section A101.3 (Membership of Board) is amended to read as follows:

A101.3 Membership of board.

The board shall consist of five voting members appointed by the city manager. Each member shall serve for one year. The fire code official shall be an ex officio member of said board but shall have no vote on any matter before the board.

Section 113.4 (Violation penalties) is amended to read as follows:
113.4 Violation penalties.

Any person who violates a provision of this code or fails to comply with any of the requirements thereof or who erects, installs, alters, repairs or does work in violation of the approved construction documents or directive of the fire code official, or of a permit or certified used under the provisions of this code, shall be guilty of a misdemeanor as provided in section 1-37 of the West Covina Municipal Code. Each day that a violation continues after due notice has been served shall be deemed a separate violation.

Chapter 3 (General Requirements) is amended as follows:

Section 304.1.3 (Vegetation) is amended to read as follows:
304.1.3 Vegetation.

Weeds, grass, vines or other growth that is capable of being ignited and endangering property shall be cut down and removed by the owner or occupant of the premises.

Vegetation clearance requirements for all residential front, rear and side yards including slopes shall be maintained, by the owner or occupant, free and clear of all flammable and combustible vegetation for a distance of 100 feet or to their property line, whichever is closest.

A minimum clearance of 10 feet shall be maintained between all roads and all dry grass, weeds, vegetation and other combustible material.

A minimum clearance of 10 feet shall be maintained between any tree or portion of a tree from the outlet of a chimney or stovepipe.

All roofs of any structure shall be maintained free of leaves, needles or other dead vegetative growth.

Ordinance No. 2534

Page 6 of 15 ends

It shall be unlawful for any person to deposit any grass, weeds, brush, debris, trash or other waste material upon any vacant lot or parcel of ground within the city.

Chapter 5 (Fire Services Features) is amended as follows:

Section 503 (Fire Department Access Roads) is amended as follows:

Section 503.3 (Marking) is amended to read as follows:
503.3 Markings or postings of fire apparatus access roads.

When required by the fire official, approved signs or other approved notices shall be provided for fire apparatus access roads to identify such roads or prohibit the obstruction thereof. Signs or notices shall be maintained in a clean and legible condition at all times and be replaced or repaired when necessary to provide adequate visibility. Those areas determined to be “Fire Lanes” shall be posted in accordance with the standards set forth by the West Covina engineering department per the requirements of section 22-188 of the West Covina Municipal Code.

Section 503.4 (Obstruction of fire apparatus access roads) is amended to read as follows:
503.4 Obstruction of fire apparatus access roads.

The required width of a fire apparatus access road shall not be obstructed in any manner, including via the parking of vehicles. Minimum required width and clearances established under Section 503.2.1 shall be maintained at all times.

Entrances to roads, trails or other access ways, which have been closed with gates and barriers in accordance with Sections 503.5.1 and 503.2.2 shall not be obstructed by parked vehicles. In addition, any person excavating or working upon any street, alley, public thoroughfare, or fire apparatus access road and by reason thereof, or for any other reason, causes the same to be blocked or made impassable, shall notify the fire official of the fire department at the time such work is started and upon completion thereof.

Section 503.5.1 and Section 503.6 are amended to read as follows:
503.5.1 Security gates and building security access.

All security gates shall be operable by the fire department by way of an emergency entry system approved by the fire chief.

Page 7 of 15 ends

code official, an approved key box or a radio operated control system may be required as a substitute, or in addition to, the emergency key entry system. 503.6 Security gates and building security access.

All security gates shall be operable by the fire department by way of an emergency entry system approved by the fire chief.

All security access systems on building entrances or openings used for emergency access shall be operated by the fire department by way of an emergency access system, which will accept a fire department master key. At the discretion of the fire chief or fire code official, an approved key box or a radio operated control system may be required as a substitute, or in addition to, the emergency key entry system.

Section 505 (Premises Identification) is amended as follows:

Section 505.1 (Address identification) is amended to read as follows:
505.1 Address numbers.

New and existing buildings shall have approved address numbers, building numbers or approved building identification placed in a position that is plainly legible and visible from the street or road fronting the property. These numbers shall contrast with their background. Address numbers shall be Arabic numerals or alphabet letters. Numbers shall be a minimum of 4 inches high, for residential homes, with a minimum stroke width of 0.5 inch.

Numbers for commercial or industrial buildings shall be a minimum of 8 inches high, located near the top corner of the structure facing the street. Any building which exceeds a setback of greater than 50’ but does not exceed 100’ from the curb face must have a minimum of 10 inch numbers. Any building which exceeds a setback of greater than 100’ but does not exceed 200’ from the curb face must have a minimum of 12 inch numbers.

Section 507 (Fire Protection and Water Supplies) and Appendix B (Fire-Flow Requirements for Buildings) are amended as follows:

Section 507.3 (Fire flow) and Appendix B (Fire-Flow Requirements for Buildings) are amended as follows:
507.3 Fire flow.

Water mains and piping supplying fire hydrants shall not be of a size less than that specified by applicable, adopted standards, and installation shall be accompanied by hydraulic calculations supporting the size of piping installed. Underground piping shall be capable of supplying a minimum of 1,000 gallons per minute, at a residual pressure of at least 20 psi.

Ordinance No. 2534

Page 8 of 15 ends

Appendix B Fire flow.

Chapter 9 (Fire Protection and Life Safety Systems) is amended as follows:

Section 901.4 (Fire protection and life safety systems) is amended to read as follows:
901.4 Fire protection and life safety systems-installation.

Fire protection systems shall be maintained in accordance with the original installation standards for that system. Required systems shall be extended, altered or augmented as necessary to maintain and continue protection whenever a building is altered, remodeled or added to. Alterations to fire protection systems shall be done in accordance with applicable, adopted standards.

All new fire protection systems shall be designed, installed and maintained in accordance with applicable, adopted Standards of the National Fire Protection Association.

Subsection 901.4.1.1 is added to read as follows:

Section 901.4.1.1 Group R occupancies.

In Group R occupancies, when a fire sprinkler system is designed and installed under the NFPA 13D or 13R Standards, additional areas may require fire sprinklers at the discretion of the fire official. These areas may include, but not be limited to, areas such as closets or bathrooms under stairways; special water heater enclosures; accessible attic or storage spaces, basements and similar areas.

Subsection 901.4.1.2 is added to read as follows:

Section 901.4.1.2 Group R occupancies - signage and valves.

In Group R occupancies with a combined fire/domestic service installed, a main control valve, identified by signage, shall be installed before the tee split to the domestic piping, in addition to a domestic-only control valve. The main control valve shall be clearly identified, be readily accessible, and shall be ready for use without requiring a tool or wrench to operate. A separate fire-only control valve shall not be allowed.

Section 901.6.1 (Standards) is amended to read as follows:

ATTACHMENT NO. 1
Ordinance No. 2534

Page 9 of 15 ends

901.6.1 Standards.

Fire protection systems shall be inspected, tested and maintained in accordance with the referenced Standards listed in Table 901.6.1.

The design, installation, inspection and maintenance of all automatic fire sprinkler systems shall meet the requirements of the 2025 Edition of the National Fire Protection Association (NFPA) Standards 13,13R, 13D and 25, as applicable.

Section 903.2 (Where required) is amended to read as follows:
903.2 Fire sprinkler systems – where required.

Approved automatic sprinkler systems shall be provided in specific buildings, occupancies and structures as follows:
(1) New Buildings. Notwithstanding any applicable provisions of Sections 903.2.1 through 903.2.19 of this code, an automatic fire extinguishing system shall be installed in all new structures when the total building area, as defined in Section 202, exceeds 5,000 square feet or is more than two stories in height, regardless of fire or allowable areas.

Exception: In accordance with Section 406.5 of the California Building Code, open parking garages shall not be required to provide fire sprinkler systems, subject to the approval of the fire official.
(2) Existing Buildings. Notwithstanding any applicable provisions of this code, an automatic fire sprinkler system shall be provided in any existing building upon occurrence of any of the following:
(a) When the value of any addition, renovation, repair and/or remodeling exceeds 25 percent of the market value of the existing building and the addition, renovation, repair and/or remodeling will result in a building that will exceed 5,000 square feet in floor area. All additions, renovations, repairs, or remodeling performed within a twelve month period shall be considered in determining the cumulative value under this section.
(b) When the existing building is over 5,000 square feet and an addition or additions exceeds 25 percent of the existing floor area or 5,000 square feet, whichever is less.
(c) In any existing one- or two-family dwelling, when 1,201 or more square feet is added or constructed, whether attached or detached to the existing dwelling. (d) In any existing one- or two-family dwelling, when an addition or creation of a habitable floor level above or below the existing level of exit discharge takes place.

Ordinance No. 2534

Page 10 of 15 ends

(e) In any existing one- or two-family dwelling, when alterations are made which affect 50 percent or more of the structural or roof framing.

Section 903.2.3 (Group E) is amended to delete the exception set forth in Section 903.2.3(2).

Section 903.2.11 (Specific building areas and hazards) is amended to delete the exception set forth in Section 903.2.11.3.

Section 903.3.5 (Water supplies) is amended to add a new subsection 903.3.5.3 to read as follows:
903.3.5.3 Hydraulically calculated systems.

The design of hydraulically calculated fire sprinkler systems shall not exceed 90 percent of the water supply capacity.

Section 903.4.2 (Monitoring) is amended to add a new subsection 903.4.2.1 to read as follows:
903.4.2.1 Alarm devices.

At the discretion of the fire official, at least one interior audible alarm device, connected to the fire sprinkler flow switch, may be required for residential occupancies and individual commercial tenant spaces where it is determined that the exterior audible device may not provide adequate occupant notification in the event of a fire.

Chapter 56 (Explosives and Fireworks) is amended as follows:

Section 5601.1.3 is amended to delete Exception #4.

Section 5608 (Fireworks Display) is amended to add a new Section 5608.2 to read as follows:

5608.2 Permit required.

It is unlawful to use or discharge any fireworks or pyrotechnic devices without first obtaining a permit therefor from the fire chief.
5608.2.1 Application.

A written application for a permit to conduct a public display of fireworks or to use or discharge pyrotechnic special effects materials shall be submitted to the fire chief at least 60 calendar days prior to the proposed date of the display, unless the fire chief approves the submission of an application less than 60 calendar days prior to the Ordinance No. 2534

Page 11 of 15 ends

proposed date of the display. The application shall be on a form provided by the city and shall include, at minimum:
(a) Name of person or organization sponsoring the proposed activities; (b) Name of pyrotechnic operator and copy of current pyrotechnic operator’s license issued by the state fire marshal;
(c) The date and time the proposed activities would occur; (d) A full description of the proposed activities;
(e) The size and number of all fireworks or special effects materials to be involved in the proposed activities, including the number of set pieces and shells; (f) The manner and place of storage of all fireworks or special effects materials that will be used in the display;
(g) A diagram of the grounds on which the activities are proposed to occur showing all points at which fireworks or special effects materials are proposed to be stored and discharged, the location of all buildings, roads, and other means of transportation to and from the site, the lines behind which the audience will be restrained, and the location of all nearby trees, electrical or telephone lines and other overhead obstructions;
(h) Proof of current general liability coverage in the amount of at least $5,000,000.00 per occurrence, or such other amount as may be approved by the risk manager, to cover possible liability for bodily injury and damage to persons or property that may arise from or relate to the fireworks display or special effects and/or any negligence of the applicant, its agents, employees, or contractors in presenting the fireworks display or special effects. The certificate of insurance shall be endorsed to name the city, its officers, agents, and employees as additional insureds, and shall be in a form approved by the city’s risk manager; and
(i) An executed agreement, in a form approved by the city attorney, agreeing to indemnify, defend (at applicant's sole cost and expense and with attorneys of city’s choosing), and hold the city, and its officers, officials, employees, representatives, and agents, harmless from any and all claims, losses, damages, injuries, liabilities or losses which arise out of, or which are in any way related to, the city’s issuance of public display or special effects permit or any activities of the applicant in connection with the public display of fireworks or pyrotechnic special effects.

ATTACHMENT NO. 1
Ordinance No. 2534

Page 12 of 15 ends

5608.2.2 Fee.

The application for a permit to conduct a public display of fireworks or pyrotechnic special effects shall be accompanied by a fee in the amount established by city council resolution.
5608.2.3 Approval.

The fire chief may grant a permit to conduct a public display of fireworks or pyrotechnic special effects if the fire chief determines that all requirements of law are or will be complied with by the applicant and that granting any such permit will not be detrimental to the public peace, health, safety, or welfare. In granting a permit, the fire chief may eliminate from the proposed display such items as the fire chief deems hazardous and may impose such conditions on the permit as the fire chief deems necessary to protect the public health, peace, safety, and/or welfare. Upon request of the permittee, the fire chief may approve changes to an approved display provided that any changes are not detrimental to the public peace, health, safety, or welfare. 5608.2.4 Permit requirements.

In addition to any conditions imposed by the fire chief, any permit issued shall be subject to the following requirements:
(a) A separate permit is required for each display.
(b) Any permit issued shall only be valid for the date, time and place specified in such permit.
(c) Any permit issued pursuant to this section shall be non-transferable. (d) All public displays of fireworks or pyrotechnic special effects shall be under the direct supervision of a pyrotechnic operator licensed by the state fire marshal. The licensed pyrotechnic operator shall be responsible for all aspects of the display relating to pyrotechnics.
(e) Any permit issued pursuant to this section shall be subject to the condition that the fireworks or pyrotechnic special effects display may be canceled or modified by the city manager, including on the scheduled date of the display, if such cancelation or modification is in the interest of the public health, peace, safety, or welfare. The city manager shall make such determination in consultation with the fire chief. 5608.2.5 Appeal.

Within 10 calendar days after the date of a decision of the fire chief pursuant to this section, an aggrieved party may appeal such decision to the city manager by filing a written appeal with the city clerk setting forth the reasons why the decision was not Ordinance No. 2534

Page 13 of 15 ends

proper. The city manager shall consider the appeal within a reasonable time after the filing of the appeal. The decision of the city manager shall be final. 5608.2.6 City manager authority.

The city manager, at the city manager’s discretion, may review any decision of the fire chief pursuant to this section. The city manager may overrule any decision of the fire chief as the city manager deems necessary in the interest of the public health, peace, safety, or welfare. If the city manager grants a permit that was initially denied by the fire chief, the city manager may impose such conditions on the permit as the city manager deems necessary to protect the public health, peace, safety, and/or welfare.

The decision of the city manager shall be final.

Section 5609 (Temporary Storage of Consumer Fireworks) is amended to add a new subsection 5609.2 to read as follows:
5609.2 Sale and retail display.

No person shall construct a retail display nor offer for sale any explosives, explosive materials or fireworks upon any highway, street, sidewalk, public or private property, or from any occupancy within the city.

The sale, use and discharge of fireworks, including those classified as “Safe and Sane” is prohibited within the City of West Covina limits.

Chapter 80 (Referenced Standards) is amended as follows:
(1) Revise NFPA 13D, Section 7.6, to read as follows:

7.6 Local waterflow alarms shall be provided on all sprinkler systems. (2) Revise NFPA 13D, Sections 8.3.5. and 8.3.5.1, to read as follows:

8.3.5 Sprinklers shall not be required in attics without storage or other concealed spaces that are not used or intended for living purposes.

8.3.5.1 When fuel-fired equipment is present in the attic, at least one quickresponse, intermediate temperature sprinkler shall be installed above the equipment.

(3) Delete NFPA 13D Sections 8.3.5.1.1 and 8.3.5.1.2 in their entirety. (4) Revise NFPA 13D, Section 8.3.9, to read as follows:

Ordinance No. 2534

Page 14 of 15 ends

8.3.9 Sprinklers shall be installed in any closet or combustible enclosure containing heating and/or air conditioning equipment, washers and/or dryers, or water heaters.

SECTION 5. Amendment to Section 10-25. Section 10-25 of Article II of Chapter 10 of the West Covina Municipal Code is hereby amended to read as follows:

Sec. 10-25. - Appeals
Whenever the fire chief disapproves an application or refuses to grant a permit applied for, or when it is claimed that the provisions of the Fire Code do not apply or that the true intent and meaning of the Fire Code have been misconstrued or wrongly interpreted, the applicant may appeal the decision of the fire chief to a board of appeals as outlined in Section 112 of the 2025 California Fire Code within 30 calendar days from the date of the decision.

SECTION 6. Amendment to Section 4.5-2. Subsection (a) of Section 4-5.2 of Chapter 4.5 of the West Covina Municipal Code is amended to read as follows:
(a) Adopted code(s) means all the fire codes and applicable standards adopted by the City of West Covina, inclusive of all local amendments to said codes, in compliance with the current edition of the California Fire Code, as adopted pursuant to Section 10-20 of this code, including all indices and appendices.

SECTION 7. Amendment to Section 4.5-9. Subsection (h) of Section 4-5.9 of Chapter 4.5 of the West Covina Municipal Code is amended to read as follows:
(h) Every premises having a monitored fire alarm system shall have at least one (1) dedicated communication path or primary transmission channel available for signal transmission, unless otherwise permitted by NFPA 72 in light of technological advances and as approved by the fire department during installation and testing.

SECTION 8. CEQA. Pursuant to the California Environmental Quality Act (CEQA) Guidelines, the City Council finds and determines that the Ordinance is exempt from CEQA under Section 15061(b)(3) (Common Sense Exemption) of the CEQA Guidelines, which provides that CEQA only applies to projects that have the potential for causing a significant effect on the environment. The Ordinance would not result in direct or indirect physical changes in the environment and does not involve any construction or additions to any existing structures.

SECTION 9. Severability. If any section, subsection, clause or phrase or portion of this Ordinance is for any reason held to be invalid or unconstitutional by the decision of any court of competent jurisdiction, such decision shall not affect the validity of all other provisions of this Ordinance. The City Council of West Covina hereby declares that it would have passed this Ordinance, and each section, subsection, sentence, clause and phrase or portion thereof, irrespective of the fact that any one or more of the sections, Ordinance No. 2534

Page 15 of 15 ends

subsections, sentences, clauses, or phrases or portions thereof be declared invalid or unconstitutional.

SECTION 10. Effective Date. This Ordinance shall become effective on January 1, 2026.

SECTION 11. Publication. The City Clerk shall certify to the adoption of this Ordinance and shall cause this Ordinance to be published or posted as required by law.

SECTION 12. Certified Copy. The City Clerk shall file a certified copy of this Ordinance with the California Building Standards Commission.

PASSED, APPROVED AND ADOPTED this 21st day of October, 2025.

Tony Wu
Mayor

APPROVED AS TO FORM ATTEST
Thomas P. Duarte Monique S. De La Rosa
City Attorney Deputy City Clerk
I, MONIQUE S. DE LA ROSA, DEPUTY CITY CLERK of the City of West Covina, California, do hereby certify that the foregoing Ordinance No. 2534 was introduced at a regular meeting of the City Council held on the 7th day of October, 2025, and adopted at a regular meeting of the City Council held on the 21st day of October, 2025 by the following vote of the City Council:

AYES:

NOES:

ABSENT:

ABSTAINED:

Monique S. De La Rosa
Deputy City Clerk
AGENDA ITEM NO. 4

LAW ENFORCEMENT SERVICES ACCOUNT FUNDS
RECOMMENDATION:

It is recommended that the City Council approve using Fiscal Year (FY) 2025-26 Supplemental Law Enforcement Services Account (SLESA) funds totaling $167,231 for the frontline law enforcement supply and service items listed in the staff report.

BACKGROUND:

The Citizens’ Option for Public Safety (COPS) Supplemental Law Enforcement Services Account (SLESA) is a State allocation which, according to California Government Code Sections 30061 and 30062, must be used exclusively to fund frontline municipal police services, in accordance with written requests submitted by the Chief of Police. These funds cannot be used to replace or supplant existing funding for law enforcement services, but must instead supplement local funds. This funding was formerly called the Supplemental Law Enforcement Service Fund (SLESF), but was renamed SLESA as part of the realignment program for law enforcement that was enacted along with the State of California 2011 Budget Act.

DISCUSSION:

West Covina’s FY 2025-26 SLESA allocation totals an estimated $167,231. Anticipating the receipt of these funds, which is distributed monthly, the Police Department prioritized a list of unbudgeted frontline police supplies and services for this Fiscal Year, as listed below. Since the start of this Fiscal Year, some of these supply and services expenditures have already started.

Helicopter support services, totaling an estimated $29,000. The latest multi-year agreement with Los Angeles County for helicopter support services, paid for using SLESA funds, was approved by the City Council on October 1, 2024 (agenda item No. 8).

GPS based surveillance services used by the Special Enforcement Team to track narcotics suspects, totaling an estimated $24,000.

Specialized ammunition and tactical supplies for the SWAT Team, totaling an estimated $29,500.

Personal protective supplies including bulletproof vests for newly hired officers, gas mask cartridges, ballistic helmets, and carrying gear, totaling an estimated $40,500.

Traffic enforcement supplies, weapons accessories, unmanned aerial system software and accessories, and police supplies supporting front line law enforcement, totaling an estimated $44,231.

LEGAL REVIEW:

The City Attorney's Office has reviewed this staff report.

Prepared by: Alex B. Houston, Police Administrative Services Manager Additional Approval: Tony Cortina, Chief of Police
Additional Approval: Roxanne E. Lerma, Assistant City Manager Fiscal Impact
FISCAL IMPACT:

Using the State SLESA funds for the frontline law enforcement items described above is in keeping with the legislatively dictated requirements associated with this funding source. Estimated SLESA expenditure and revenue amounts were previously budgeted in Fund 155, so there is no impact to the General Fund.

CITY COUNCIL GOALS & OBJECTIVES: Protect Public Safety
AGENDA ITEM NO. 5

It is recommended that the City Council:

2. Adopt the attached resolution authorizing the necessary budget amendments:

RESOLUTION NO. 2025-82 - A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF WEST

COVINA, CALIFORNIA, ADOPTING A BUDGET AMENDMENT FOR THE FISCAL YEAR COMMENCING JULY 1, 2025 AND ENDING JUNE 30, 2026 (OFFICE OF TRAFFIC SAFETY GRANT)
BACKGROUND:

The State of California’s Office of Traffic Safety (OTS) administers grant funding made available to California by the National Highway Traffic Safety Administration (NHTSA) to address the current and future traffic safety needs in the State. OTS funds more than $100 million dollars annually in innovative, evidence-based enforcement, education, and technologies designed to improve road and driver safety, competitively rating and awarding grant applications across the State. West Covina has obtained many of these competitive grants in the past. Last year, the Police Department obtained a $75,000 competitive grant from OTS that funded saturation patrols, sobriety checkpoints, and traffic enforcement operations targeting problematic locations.

DISCUSSION:

Now, the Police Department has obtained new competitive grant from OTS. This grant totals $83,000, with the overall goal of reducing fatal and injury collisions in West Covina—see Attachment No. 1. This grant funds special enforcement mobilizations identified by OTS as best practice strategies. These include saturation patrols, sobriety checkpoints, and traffic enforcement operations that target problematic locations. Most of this grant is comprised of sworn officer overtime, but also includes funding for a radar trailer, mandatory training, and supplies.

This grant is reimbursable, contributing $83,000 exclusively for the project activities, between October 1, 2025 and September 30, 2026. These funds cannot be used for other purposes or to supplant existing funding.

LEGAL REVIEW:

The City Attorney's Office has reviewed the Grant Agreement and resolution and approved them as to form.

Prepared by: Alex B. Houston, Police Administrative Services Manager Additional Approval: Karen Ogawa, Finance Director
Additional Approval: Roxanne E. Lerma, Assistant City Manager Fiscal Impact
FISCAL IMPACT:

The City will receive $83,000 in reimbursement funds from OTS during the grant period. As detailed in the proposed budget amendment, Staff is recommending expenditure appropriations of this amount and balancing revenue appropriations in Fund 207. There is no impact to the City’s General Fund.

Attachments
OTS Grant
Attachment No. 2 - Resolution No. 2025-82
CITY COUNCIL GOALS & OBJECTIVES: Protect Public Safety
9/29/2025 9:55:34 AM Page 1 of 21
State of California Office of Traffic Safety

GRANT AGREEMENT

GRANT NUMBER
PT26157

1. GRANT TITLE
Selective Traffic Enforcement Program (STEP)

2. NAME OF AGENCY 3. Grant Period
West Covina From:

To:
10/01/2025
09/30/2026 4. AGENCY UNIT TO ADMINISTER GRANT
West Covina Police Department

5. GRANT DESCRIPTION
Best practice strategies will be conducted to reduce the number of persons killed and injured in crashes involving alcohol and other primary crash factors. The funded strategies may include impaired driving enforcement, enforcement operations focusing on primary crash factors, distracted driving, night-time seat belt enforcement, special enforcement operations encouraging motorcycle safety, enforcement and public awareness in areas with a high number of bicycle and pedestrian crashes, and educational programs. These strategies are designed to earn media attention thus enhancing the overall deterrent effect. In addition, the department will participate in community collaboration and engagement activities to engage in conversations regarding traffic safety with community members.

6. Federal Funds Allocated Under This Agreement Shall Not Exceed:

Allocation is contingent upon availability of federal funds. $83,000.00

7. TERMS AND CONDITIONS: The parties agree to comply with the terms and conditions of the following which are by this reference made a part of the Agreement:

Schedule A Problem Statement, Goals and Objectives and Method of Procedure Schedule B Detailed Budget Estimate and Sub-Budget Estimate (if applicable) Schedule B-1 Budget Narrative and Sub-Budget Narrative (if applicable) Exhibit A Certifications and Assurances
Exhibit B* OTS Grant Program Manual
Exhibit C Grant Electronic Management System (GEMS) Access *Items shown with an asterisk (*), are hereby incorporated by reference and made a part of this agreement as if attached hereto. These documents can be viewed at the OTS home web page under Grants: www.ots.ca.gov. We, the officials named below, hereby swear under penalty of perjury under the laws of the State of California that we are duly authorized to legally bind the Grant recipient to the above described Grant terms and conditions.

IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto.

8. Approval Signatures
A. GRANT DIRECTOR B. AUTHORIZING OFFICIAL
NAME:

TITLE:

EMAIL:

PHONE:

ADDRESS:

Eric Street
Sergeant
[email protected]
(626) 939-8513
1444 West Garvey Avenue South
West Covina, CA 91790
ADDRESS: Milan Mrakich
Acting City Manager
[email protected]
(626) 939-8401
1444 West Garvey Avenue South
West Covina, CA 91790
{{_es_signer2_signature}} {{_es_signer2_date}} {{_es_signer4_signature}} {{_es_signer4_date}} (Signature) (Date) (Signature) (Date) C. FISCAL OFFICIAL D. AUTHORIZING OFFICIAL OF OFFICE OF TRAFFIC SAFETY ADDRESS: Alex Houston
Admin. Services Manager
[email protected]
626-939-8536
1444 West Garvey Avenue South
West Covina, CA 91790
ADDRESS: Stephanie Dougherty
Director
[email protected]
(916) 509-3030
2208 Kausen Drive, Suite 300
Elk Grove, CA 95758
{{_es_signer3_signature}} {{_es_signer3_date}} {{_es_signer6_signature}} {{_es_signer6_date}} (Signature) (Date) (Signature) (Date)

9/29/2025 9:55:34 AM Page 2 of 21
9/29/2025 9:55:34 AM Page 3 of 21
E. ACCOUNTING OFFICER OF OFFICE OF TRAFFIC SAFETY 9. SAM INFORMATION NAME: Carolyn Vu SAM #:

REGISTERED
ADDRESS:

CITY:

ZIP+4:

ZHHFLMKMZKL1
1444 W. Garvey Ave. S.

West Covina
91790-2716
ADDRESS: 2208 Kausen Drive, Suite 300
Elk Grove, CA 95758

10. PROJECTED EXPENDITURES
FUND CFDA ITEM/APPROPRIATION F.Y. CHAPTER STATUTE PROJECTED

EXPENDITURES
405e DDL-26 20.616 0521-0890-101 2025 04/25 BA/25 $14,500.00 402PT-26 20.600 0521-0890-101 2025 04/25 BA/25 $28,000.00 1906-26 20.611 0521-0890-101 2025 04/25 BA/25 $500.00
164AL-26 20.608 0521-0890-101 2025 04/25 BA/25 $40,000.00

AGREEMENT
TOTAL $83,000.00

AMOUNT ENCUMBERED BY THIS DOCUMENT
I CERTIFY upon my own personal knowledge that the budgeted funds for the current budget year are available for the period and purpose of the expenditure stated above.
$83,000.00

PRIOR AMOUNT ENCUMBERED FOR THIS

AGREEMENT
$ 0.00

OTS DATE SIGNED TOTAL AMOUNT ENCUMBERED TO DATE
{{_es_signer5_signature}} {{_es_signer5_date}} $83,000.00 9/29/2025 9:55:34 AM Page 4 of 21
State of California Office of Traffic Safety

GRANT AGREEMENT
Schedule A

GRANT NUMBER
PT26157

1. PROBLEM STATEMENT
Describe the city, county, or jurisdiction this grant will impact.

With a population of about 110,000, the City of West Covina lies in the heart of the San Gabriel Valley (eastern Los Angeles County). Encompassing 17 square miles, the City is a mix of residential, multicultural households, with a majority identifying as Hispanic/Latino and a significant Asian population. and retail shopping areas, right off of the Interstate 10 freeway. It features a blend of architectural styles, strong municipal infrastructure, parks like Galster Wilderness, and shopping centers like Plaza West Covina.

Known for its vibrant cultural fabric and suburban yet connected lifestyle, West Covina plays an important region (the Plaza at West Covina), over two dozen schools, and several other areas with traffic concerns.

The Interstate 10 Freeway (the San Bernardino Freeway) covers the northern end of the city. Vehicle traffic to and from the I-10 congests several major feeder streets, especially during commute hours. West Covina encompasses 225 miles of road, making the City particularly dense in terms of vehicular traffic.

Describe the problem(s) to be addressed, supported by current and relevant crash data. (most recent calendar year data/stats).

In 2022, West Covina experienced 6 deaths caused by traffic crashes, and 409 injuries caused by traffic crashes. West Covina Police made 62 DUI arrests in 2022, and there were 2 traffic deaths involving alcohol/drugs and 72 traffic injuries involving alcohol/drugs. Two Pedestrians were killed, and 358 pedestrians were injured in 2022. In 2023, deaths caused by traffic crashes increased significantly, to 10. 2023 traffic injuries totaled 471, with 47 of them involving alcohol (a significant increase), and 63 were during night-time. In late 2023, local newspapers published articles about several traffic deaths in West Covina with the headlines prominently featuring "motorcycles," but the real culprit was speeding. In 2024, fatal crashes showed improvements, reducing to 3, but the injuries are still high (292 injury crashes and 415 injury victims).
violations, and traffic signal/sign violations.

Define the target population the grant intends to serve and how they are affected by the problem(s).

West Covina currently faces a range of traffic problems and lacks the staffing to fully address them. In 2007- 2008, the West Covina Police Department had 127 sworn positions. The subsequent years saw recession driven local revenue declines and state revenue takeaways, resulting in unprecedented reductions in City services and staffing, leaving the Police Department currently with only 102 sworn positions. The Traffic Unit was cut from 8 positions to 3 (including a supervisor) and targeted traffic enforcement efforts consequently fell. As detailed in the Traffic Data Summary section, certain traffic problems are of specific concern. Chief among
these are speeding, alcohol-involved crashes, and night-time crashes--all contributing to traffic deaths and injuries. With collaboration from OTS to help fund overtime for targeted enforcement activities (at the times and locations
revealed by data analysis) will help address these traffic problems, serving all residents and travelers across the entire City of West Covina.

2. PERFORMANCE MEASURES
A. Goals:

1. Reduce the number of persons killed in traffic crashes.

2. Reduce the number of persons injured in traffic crashes.

3. Reduce the number of pedestrians killed in traffic crashes.

4. Reduce the number of pedestrians injured in traffic crashes.

5. Reduce the number of bicyclists killed in traffic crashes.

6. Reduce the number of bicyclists injured in traffic crashes.

7. Reduce the number of persons killed in alcohol-involved crashes.

8. Reduce the number of persons injured in alcohol-involved crashes.

9. Reduce the number of persons killed in drug-involved crashes. 9/29/2025 9:55:34 AM Page 5 of 21

10. Reduce the number of persons injured in drug-involved crashes.

11. Reduce the number of persons killed in alcohol/drug combo-involved crashes.

12. Reduce the number of persons injured in alcohol/drug combo-involved crashes.

13. Reduce the number of motorcyclists killed in traffic crashes.

14. Reduce the number of motorcyclists injured in traffic crashes.

15. Reduce hit & run fatal crashes.

16. Reduce hit & run injury crashes.

17. Reduce nighttime (2100 - 0259 hours) fatal crashes.

18. Reduce nighttime (2100 - 0259 hours) injury crashes.

B. Objectives: Target Number

1. Issue a news release announcing the kick-off of the grant by December 31st. The kick-off news releases and media advisories, alerts, and materials must be emailed to the OTS Public Information Officer at [email protected], and copied to your OTS Coordinator, for approval 7 days prior to the issuance date of the release.
1 2. Participate and report data (as required) in the following campaigns; Quarter 1:

National Pedestrian Safety Month, National Walk to School Day, National Teen Driver Safety Week, NHTSA Winter Mobilization; Quarter 3: National Distracted Driving Awareness Month, National Motorcycle Safety Month, National Bicycle Safety Month, National Click it or Ticket Mobilization; Quarter 4: National Speed Prevention Campaigns, NHTSA Summer Mobilization, National Child Passenger Safety Week, and California's Pedestrian Safety Month.
12 3.
and traffic officers to be on the lookout for identified repeat DUI offenders with a suspended or revoked license as a result of DUI convictions. Updated DUI BOLOs should be distributed to patrol and traffic officers monthly. 12 4. Send law enforcement personnel to the NHTSA Standardized Field Sobriety Testing (SFST) (minimum 16 hours) POST-certified training. 1 5. Send law enforcement personnel to the NHTSA Advanced Roadside Impaired Driving Enforcement (ARIDE) 16 hour POST-certified training. 1 6. Send law enforcement personnel to the Drug Recognition Expert (DRE) training (classroom and field training must be completed).
1 7. Conduct DUI/DL Checkpoints. A minimum of 1 checkpoint should be conducted during the NHTSA Winter Mobilization and 1 during the Summer Mobilization. To enhance the overall deterrent effect and promote high visibility, it is recommended the grantee issue an advance press release and conduct social media activity for each checkpoint. For combination DUI/DL checkpoints, departments should issue press releases that mention DL's will be checked at the DUI/DL checkpoint. Signs for DUI/DL checkpoints should read "DUI/Driver's License Checkpoint Ahead." OTS does not fund or support independent DL checkpoints. Only on an exception basis and with OTS pre-approval will OTS fund checkpoints that begin prior to 1800 hours. When possible, DUI/DL Checkpoint screeners should be DRE- or ARIDE-trained.
2 8. Conduct DUI Saturation Patrol operation(s). 9

9. Conduct Traffic Enforcement operation(s), including but not limited to, primary crash factor violations.
4 10. Conduct highly publicized Distracted Driving enforcement operation(s) targeting drivers using hand held cell phones and texting.
8 11. Conduct highly publicized Motorcycle Safety enforcement operation(s) in areas or during events with a high number of motorcycle incidents or crashes resulting from unsafe speed, DUI, following too closely, unsafe lane changes, improper turning, and other primary crash factor violations by motorcyclists and other drivers. 1 12. Conduct highly publicized pedestrian and/or bicycle enforcement operation(s) in areas or during events with a high number of pedestrian and/or bicycle crashes resulting from violations made by pedestrians, bicyclists, and drivers. 1 13. Conduct Traffic Safety educational presentation(s) with an effort to reach community members. Note: Presentation(s) may include topics such as distracted 2 9/29/2025 9:55:34 AM Page 6 of 21
driving, DUI, speed, bicycle and pedestrian safety, seat belts and child passenger safety.

14. Participate in community collaboration and engagement activities to engage in conversations regarding traffic safety to both share information and receive input from the community members.
1 3. METHOD OF PROCEDURE
A. Phase 1 Program Preparation (1st Quarter of Grant Year) outlined in the objectives section.

Conduct all training needed to implement the program, in the first quarter.

Purchase all grant related supplies and materials to implement the program, in the first quarter.

Items with a unit cost of $5,000 more (including tax and shipping) must comply with Buy America. description, current license status, and the number of times suspended or revoked for DUI. DUI BOLOs should be updated and distributed to traffic and patrol officers at least monthly.

Implementation of the STEP grant activities will be accomplished by deploying personnel at high crash locations.

Media Requirements
Issue a news release approved by the OTS PIO announcing the kick-off of the grant by December 31 and after the grant is signed and executed, but no sooner than October 1, the start of the grant year. The kick-off release must be approved by the OTS PIO. If you are unable to meet the December 31 deadline to issue a kick-off press release, communicate reasons to your OTS grant coordinator and OTS PIO.

B. Phase 2 Program Operations (Throughout Grant Year)
Media Requirements
The following requirements are for all grant-related activities:

Send all media advisories, alerts, videos, graphics, artwork, posters, radio/PSA/video scripts, storyboards, digital and/or print educational materials for grant-related activities to the OTS PIO at [email protected] for approval and copy your OTS grant coordinator. Optimum lead time would be 7 days before the scheduled release but at least 3 business days prior to the scheduled release date for review and approval is appreciated.

Send all PowerPoint presentations, online presentations and trainings for grant-related activities to the OTS PIO at [email protected] for approval and copy your OTS grant coordinator. Certified training courses are EXEMPT from the approval process.

The OTS PIO is responsible for the approval of the design and content of materials. The agency understands OTS PIO approval is not authorizing approval of budget expenditure or cost. Any cost approvals must come from the OTS grant coordinator.

Pre-approval is not required when using any OTS-supplied template for media advisories, news releases, social media graphics, videos or posts, or any other OTS-supplied educational material.

However, copy the OTS PIO at [email protected] and your OTS grant coordinator when any material is distributed to the media and public, such as a news release, educational material, or link to social media post.

If an OTS-supplied template, educational material, social media graphic, post or video is substantially changed, the changes shall be sent to the OTS PIO at [email protected] for approval and copy your OTS grant coordinator.

News releases, social media posts and alerts on platforms such as NextDoor and Nixle reporting immediate and time-sensitive grant activities (e.g. enforcement operations, day of event highlights or announcements, event invites) are EXEMPT from the OTS PIO approval process.

The OTS PIO and your OTS grant coordinator should still be notified when the grant-related activity is happening (e.g. car seat checks, bicycle rodeos, community presentations, DUI checkpoints, etc.).

Enforcement activities such as warrant and probation sweeps, court stings, etc. that are embargoed or could impact operations by publicizing in advance are EXEMPT from the PIO approval process. However, announcements and results of activities should still be copied to the 9/29/2025 9:55:34 AM Page 7 of 21
OTS PIO at [email protected] and your OTS grant coordinator with the embargoed date and time Any earned or paid media campaigns for TV, radio, digital or social media that are part of a specific grant objective, using OTS grant funds, or designed and developed using contractual services by a subgrantee, requires prior approval.

Social media posts highlighting state or national traffic safety campaigns (Distracted Driving Month, Motorcycle Safety Awareness Month, etc.), enforcement operations (DUI checkpoints, etc.), or any other grant-related activity such as Bicycle rodeos, presentations, or events, are highly encouraged but do not require prior approval.

Submit a draft or rough-cut of all digital, printed, recorded or video material (brochures, posters, scripts, artwork, trailer graphics, digital graphics, social posts connected to an earned or paid media campaign grant objective) to the OTS PIO at [email protected] and copy your OTS grant coordinator for approval prior to the production or duplication.

Use the following standard language in all press, media, and printed materials, space permitting:

Funding for this program was provided by a grant from the California Office of Traffic Safety, through the National Highway Traffic Safety Administration.

Space permitting, include the OTS logo on all grant-funded print materials, graphics and paid or earned social media campaign grant objective; consult the OTS PIO and copy your OTS grant coordinator for specifics, format-appropriate logos, or if space does not permit the use of the OTS logo.

Email the OTS PIO at [email protected] and copy your OTS grant coordinator at least 21 days in advance, or when first confirmed, a short description of any significant grant-related traffic safety event or program, particularly events that are highly publicized beforehand with anticipated media coverage so OTS has sufficient notice to arrange for attendance and/or participation in the event.

If unable to attend, email the OTS PIO and coordinator brief highlights and/or results, including any media coverage (broadcast, digital, print) of event within 7 days following significant grantrelated event or program. Media and program highlights are to be reflected in QPRs.

Any news releases, work plans, scripts, storyboards, artwork, graphics, videos or any educational or informational materials that received OTS PIO approval in a prior grant year needs to be resubmitted for approval in the current grant year.

For additional guidance, refer to the OTS Grants Materials Approval Process Guidelines and OTS Grants Media Approval Process FAQs on the OTS website.

Contact the OTS PIO or your OTS grant coordinator for consultation when changes from any of the above requirements might be warranted.

C. Phase 3 Data Collection & Reporting (Throughout Grant Year)

1. Prepare and submit grant claim invoices (due January 30, April 30, July 30, and October 30)

2. Prepare and submit Quarterly Performance Reports (QPR) (due January 30, April 30, July 30, and October 30)
Collect and report quarterly, appropriate data that supports the progress of goals and objectives.

Provide a brief list of activity conducted, procurement of grant-funded items, and significant media activities. Include status of grant-funded personnel, status of contracts, challenges, or special accomplishments.

Provide a brief summary of quarterly accomplishments and explanations for objectives not completed or plans for upcoming activities.

Collect, analyze and report statistical data relating to the grant goals and objectives.

4. METHOD OF EVALUATION
the fourth/final Quarterly Performance Report (QPR). The Final Evaluation should provide a brief summary whether goals and objectives were met, exceeded, or an explanation of why objectives were not completed.

5. ADMINISTRATIVE SUPPORT
This program has full administrative support, and every effort will be made to continue the grant activities after grant conclusion.
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State of California Office of Traffic Safety

GRANT AGREEMENT
Schedule B

GRANT NUMBER
PT26157

FUND NUMBER CATALOG

NUMBER (CFDA)

FUND DESCRIPTION TOTAL AMOUNT
1906-26 20.611 Racial Profiling Prohibition Grants $500.00 405e DDL-26 20.616 Distracted Driving Laws $14,500.00
402PT-26 20.600 State and Community Highway
Safety
$28,000.00
164AL-26 20.608 Minimum Penalties for Repeat
Offenders for Driving While
Intoxicated
$40,000.00

COST CATEGORY FUND
NUMBER

UNIT COST OR
RATE

UNITS TOTAL COST TO
GRANT
A. PERSONNEL COSTS
Straight Time
$0.00
Overtime
DUI/DL Checkpoints 164AL-26 $8,500.00 2 $17,000.00
DUI Saturation Patrols 164AL-26 $1,800.00 9 $16,200.00
Benefits for 164AL OT @ 11.55% 164AL-26 $33,200.00 1 $3,835.00 Traffic Enforcement 402PT-26 $1,500.00 4 $6,000.00
Motorcycle Safety Enforcement 402PT-26 $1,700.00 1 $1,700.00 Pedestrian and Bicycle Enforcement 402PT-26 $1,500.00 1 $1,500.00 Traffic Safety Educational Presentations 402PT-26 $500.00 2 $1,000.00 Benefits for 402PT OT @ 11.55% 402PT-26 $10,200.00 1 $1,178.00 Distracted Driving Enforcement 405e DDL26 $1,624.90 8 $12,999.00 Benefits for 405e OT @ 11.55% 405e DDL26 $12,999.00 1 $1,501.00 Community Collaboration Engagement 1906-26 $448.00 1 $448.00 Benefits for 1906 OT @ 11.55% 1906-26 $448.00 1 $52.00
Category Sub-Total $63,413.00
B. TRAVEL EXPENSES
In State Travel 402PT-26 $3,622.00 1 $3,622.00
$0.00
Category Sub-Total $3,622.00
C. CONTRACTUAL SERVICES
$0.00
Category Sub-Total $0.00
D. EQUIPMENT Radar Trailer 402PT-26 $13,000.00 1 $13,000.00 Category Sub-Total $13,000.00
E. OTHER DIRECT COSTS
DUI Checkpoint Supplies 164AL-26 $2,965.00 1 $2,965.00
Category Sub-Total $2,965.00
F. INDIRECT COSTS
$0.00
Category Sub-Total $0.00
9/29/2025 9:55:34 AM Page 9 of 21
GRANT TOTAL $83,000.00
9/29/2025 9:55:34 AM Page 10 of 21
State of California Office of Traffic Safety

GRANT AGREEMENT
Schedule B-1

GRANT NUMBER
PT26157

BUDGET NARRATIVE

PERSONNEL COSTS
DUI/DL Checkpoints - Overtime for grant funded law enforcement operations conducted by appropriate department personnel.

DUI Saturation Patrols - Overtime for grant funded law enforcement operations conducted by appropriate department personnel.

Benefits for 164AL OT @ 11.55% - Claimed amounts must reflect actual benefit costs for overtime hours charged to the grant.

Benefit breakdown:

Workers compensation 10%
Medicare 1.45%
Unemployment 0.1%
Total benefits 11.55%
Traffic Enforcement - Overtime for grant funded law enforcement operations conducted by appropriate department personnel.

Motorcycle Safety Enforcement - Overtime for grant funded law enforcement operations conducted by appropriate department personnel.

Pedestrian and Bicycle Enforcement - Overtime for grant funded law enforcement operations conducted by appropriate department personnel.

Traffic Safety Educational Presentations - Overtime for grant funded traffic safety educational presentations conducted by appropriate department personnel.

Benefits for 402PT OT @ 11.55% - Claimed amounts must reflect actual benefit costs for overtime hours charged to the grant.

Benefit breakdown:

Workers compensation 10%
Medicare 1.45%
Unemployment 0.1%
Total benefits 11.55%
Distracted Driving Enforcement - Overtime for grant funded law enforcement operations conducted by appropriate department personnel.

Benefits for 405e OT @ 11.55% - Claimed amounts must reflect actual benefit costs for overtime hours charged to the grant.

Benefit breakdown:

Workers compensation 10%
Medicare 1.45%
Unemployment 0.1%
Total benefits 11.55%
Community Collaboration Engagement - Overtime for grant funded community collaborative engagement conducted by appropriate department personnel.

Benefits for 1906 OT @ 11.55% - Claimed amounts must reflect actual benefit costs for overtime hours charged to the grant.

Benefit breakdown:

Workers compensation 10%
Medicare 1.45%
Unemployment 0.1%
Total benefits 11.55%

TRAVEL EXPENSES
In State Travel - Costs are included for appropriate staff to attend conferences and training events supporting the grant goals and objectives and/or traffic safety. Anticipated travel may include the OTS Traffic Safety Law Enforcement Forum. Local mileage for grant activities and meetings is included. All conferences, seminars or training not specifically identified in the Budget Narrative must be approved by OTS. All travel 9/29/2025 9:55:34 AM Page 11 of 21
claimed must be at the agency approved rate. Per Diem may not be claimed for meals provided at conferences when registration fees are paid with OTS grant funds.

CONTRACTUAL SERVICES
-EQUIPMENT
Radar Trailer-Trailer with radar to measure and display the speed of vehicles. Costs may include trailer, computer software, and modifications such as generator, paint, graphics and lighting.

OTHER DIRECT COSTS
DUI Checkpoint Supplies - On-scene supplies needed to conduct sobriety checkpoints. Costs may include 28" traffic cones, MUTCD compliant traffic signs, MUTCD compliant high visibility vests (maximum of 10), traffic counters (maximum of 2), generator, gas for generators, lighting, reflective banners, electronic flares, PAS Device Supplies, PAS Calibration Supplies, heater, propane for heaters, fan, anti-fatigue mats, and canopies. Additional items may be purchased if approved by OTS. The cost of food and beverages will not be reimbursed.

INDIRECT COSTS
-STATEMENTS/DISCLAIMERS
There will be no program income generated from this grant. enforcement officer issue a specified or predetermined number of citations in pursuance of the goals and objectives here under.

Benefits for personnel costs can only be applied to straight time or overtime hours charged to the grant. 9/29/2025 9:55:34 AM Page 12 of 21
State of California Office of Traffic Safety

GRANT AGREEMENT
Exhibit A

GRANT NUMBER
PT26157
Appendix A to Part 1300 Certifications and Assurances for Highway Safety Grants (23 U.S.C. Chapter 4 or Section 1906, Public Law 109-59, as amended by Section 25024, Public Law 117- 58)
The officials named on the grant agreement, certify by way of signature on the grant agreement signature page, that the Grantee Agency complies with all applicable Federal statutes, regulations, and directives and State rules, guidelines, policies, and laws in effect with respect to the periods for which it receives grant funding.

Applicable provisions include, but are not limited to, the following:

GENERAL REQUIREMENTS
The State will comply with applicable statutes and regulations, including but not limited to:
23 U.S.C. Chapter 4 Highway Safety Act of 1966, as amended; Sec. 1906, Public Law 109-59, as amended by Sec. 25024, Public Law 117-58; 23 CFR part 1300 Uniform Procedures for State Highway Safety Grant Programs; 2 CFR part 200 Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards;
2 CFR part 1201 Department of Transportation, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.

NONDISCRIMINATION
(applies to subrecipients as well as States)
The State highway safety agency [and its subrecipients] will comply with all Federal statutes and implementing limited to:

Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq., 78 stat. 252), (prohibits discrimination on the basis of race, color, national origin);
49 CFR part 21 (entitled Non-discrimination in Federally-Assisted Programs of the Department of Transportation Effectuation of Title VI of the Civil Rights Act of 1964); 28 CFR 50.3 (U.S. Department of Justice Guidelines for Enforcement of Title VI of the Civil Rights Act of 1964);
The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, (42 U.S.C. 4601), (prohibits unfair treatment of persons displaced or whose property has been acquired because of Federal or Federal-aid programs and projects);
Federal-Aid Highway Act of 1973, (23 U.S.C. 324 et seq.), and Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681-1683 and 1685-1686) (prohibit discrimination on the basis of sex);
Section 504 of the Rehabilitation Act of 1973, (29 U.S.C. 794 et seq.), as amended, (prohibits discrimination on the basis of disability) and 49 CFR part 27; The Age Discrimination Act of 1975, as amended, (42 U.S.C. 6101 et seq.), (prohibits discrimination on the basis of age);
The Civil Rights Restoration Act of 1987, (Pub. L. 100-209), (broadens scope, coverage, and applicability of Title VI of the Civil Rights Act of 1964, The Age Discrimination Act of 1975 and Section 504 of the Rehabilitation Act of 1973, by expanding the definition include all of the programs or activities of the
Federal aid recipients, subrecipients and contractors, whether such programs or activities are Federallyfunded or not); Titles II and III of the Americans with Disabilities Act (42 U.S.C. 12131-12189) (prohibits discrimination on the basis of disability in the operation of public entities, public and private transportation systems, places of public accommodation, and certain testing) and 49 CFR parts 37 and 38
9/29/2025 9:55:34 AM Page 13 of 21
The preceding statutory and regulatory cites hereinafter are referred to as the respectively.

GENERAL ASSURANCES
In accordance with the Acts, the Regulations, and other pertinent directives, circulars, policy, memoranda, and/or guidance, the Recipient hereby gives assurance that it will promptly take any measures necessary to ensure that:
excluded from
participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity, for which the Recipient receives Federal financial assistance from The Civil Rights Restoration Act of 1987 clarified the original intent of Congress, with respect to Title VI of the Civil Rights Act of 1964 and other non-discrimination requirements (the Age Discrimination Act of 1975, and Section 504 of the Rehabilitation Act of 1973), by restoring the broad, institutional-wide scope and coverage of these nondiscrimination statutes and requirements to include all programs and activities of the Recipient, so long as any portion of the program is Federally assisted.

SPECIFIC ASSURANCES
More specifically, and without limiting the above general Assurance, the Recipient agrees with and gives the following Assurances with respect to its Federally assisted Highway Safety Grant Program:

1. 49 CFR part 21 will be (with regard to an facilitated, in compliance with all requirements
imposed by, or pursuant to the Acts and the Regulations.

2. The Recipient will insert the following notification in all solicitations for bids, Requests For Proposals for work, or material subject to the Acts and the Regulations made in connection with all Highway Safety Grant Programs and, in adapted form, in all proposals for negotiated agreements regardless of funding source:

Act of
1964 (78 Stat. 252, 42 U.S.C 2000d to 2000d-4) and the Regulations, hereby notifies all bidders that it will affirmatively ensure that in any contract entered into pursuant to this advertisement, disadvantaged business enterprises will be afforded full and fair opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin

3. The Recipient will insert the clauses of appendix A and E of this Assurance (also referred to as DOT order 1050.2A) [1]in every contract or agreement subject to the Acts and the Regulations.

4. The Recipient will insert the clauses of appendix B of DOT Order 1050.2A, as a covenant running with the land, in any deed from the United States effecting or recording a transfer of real property, structures, use, or improvements thereon or interest therein to a Recipient.

5. That where the Recipient receives Federal financial assistance to construct a facility, or part of a facility, the Assurance will extend to the entire facility and facilities operated in connection therewith.

6. That where the Recipient receives Federal financial assistance in the form of, or for the acquisition of, real property or an interest in real property, the Assurance will extend to rights to space on, over, or under such property.

7. That the Recipient will include the clauses set forth in appendix C and appendix D of this DOT Order 1050.2A, as a covenant running with the land, in any future deeds, leases, licenses, permits, or similar instruments entered into by the Recipient with other parties:
a. for the subsequent transfer of real property acquired or improved under the applicable activity, project, or program; and
b. for the construction or use of, or access to, space on, over, or under real property acquired or improved under the applicable activity, project, or program.

8. That this Assurance obligates the Recipient for the period during which Federal financial assistance is extended to the program, except where the Federal financial assistance is to provide, or is in the 9/29/2025 9:55:34 AM Page 14 of 21
form of, personal property, or real property, or interest therein, or structures or improvements thereon, in which case the Assurance obligates the Recipient, or any transferee for the longer of the following periods:
a. the period during which the property is used for a purpose for which the Federal financial assistance is extended, or for another purpose involving the provision of similar services or benefits; or
b. the period during which the Recipient retains ownership or possession of the property.

9. The Recipient will provide for such methods of administration for the program as are found by the Secretary of Transportation or the official to whom he/she delegates specific authority to give reasonable guarantee that it, other recipients, sub-recipients, sub- grantees, contractors, subcontractors, consultants, transferees, successors in interest, and other participants of Federal financial assistance under such program will comply with all requirements imposed or pursuant to the Acts, the Regulations, and this Assurance.

10. The Recipient agrees that the United States has a right to seek judicial enforcement with regard to any matter arising under the Acts, the Regulations, and this Assurance.

By signing this ASSURANCE, the State highway safety agency also agrees to comply (and require any subrecipients, sub-grantees, contractors, successors, transferees, and/or assignees to comply) with all applicable provisions governing NHTSA's access to records, accounts, documents, information, facilities, and staff. You also recognize that you must comply with any program or compliance reviews, and/or complaint investigations conducted by NHTSA. You must keep records, reports, and submit the material for review upon request to NHTSA, or its designee in a timely, complete, and accurate way. Additionally, you must comply with all other reporting, data collection, and evaluation requirements, as prescribed by law or detailed in program guidance.

The State highway safety agency gives this ASSURANCE in consideration of and for obtaining any Federal grants, loans, contracts, agreements, property, and/or discounts, or other Federal-aid and Federal financial assistance extended after the date hereof to the recipients by the U.S. Department of Transportation under the Highway Safety Grant Program. This ASSURANCE is binding on the State highway safety agency, other recipients, sub-recipients, sub-grantees, contractors, subcontractors and their subcontractors', transferees, successors in interest, and any other participants in the Highway Safety Grant Program. The person(s) signing below is/are authorized to sign this ASSURANCE on behalf of the Recipient.

THE DRUG-FREE WORKPLACE ACT OF 1988 (41 U.S.C. 8103)
The Subgrantee will provide a drug-free workplace by:
a. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace, and specifying the actions that will be taken against employees for violation of such prohibition; b. Establishing a drug-free awareness program to inform employees about:

1. The dangers of drug abuse in the workplace;

2. The grantee's policy of maintaining a drug-free workplace;

3. Any available drug counseling, rehabilitation, and employee assistance programs;

4. The penalties that may be imposed upon employees for drug violations occurring in the workplace;

5. Making it a requirement that each employee engaged in the performance of the grant be given a copy of the statement required by paragraph (a); c. Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will

1. Abide by the terms of the statement;

2. Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after such conviction; d. Notifying the agency within ten days after receiving notice under subparagraph (c)(2) from an employee or otherwise receiving actual notice of such conviction; e. Taking one of the following actions, within 30 days of receiving notice under subparagraph (c)(2), with respect to any employee who is so convicted

1. Taking appropriate personnel action against such an employee, up to and including termination;

2. Requiring such employee to participate satisfactorily in a drug abuse assistance or 9/29/2025 9:55:34 AM Page 15 of 21
rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;
f. Making a good faith effort to continue to maintain a drug-free workplace through implementation of all of the paragraphs above.

POLITICAL ACTIVITY (HATCH ACT)
(applies to subrecipients as well as States)
The State will comply with provisions of the Hatch Act (5 U.S.C. 1501-1508), which limits the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds.

CERTIFICATION REGARDING FEDERAL LOBBYING
(applies to subrecipients as well as States)

CERTIFICATION FOR CONTRACTS, GRANTS, LOANS, AND COOPERATIVE AGREEMENTS The undersigned certifies, to the best of his or her knowledge and belief, 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 any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any 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,
instructions;

3. The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, subgrants, and contracts under grant, 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 certification 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.

RESTRICTION ON STATE LOBBYING
(applies to subrecipients as well as States)
None of the funds under this program will be used for any activity specifically designed to urge or influence a State or local legislator to favor or oppose the adoption of any specific legislative proposal pending before any State or local legislative body. Such activities include both direct and indirect (e.g., lobbying activities, with one exception. This does not preclude a State official whose salary is supported with NHTSA funds from engaging in direct communications with State or local legislative officials, in accordance with customary State practice, even if such communications urge legislative officials to favor or oppose the adoption of a specific pending legislative proposal.

CERTIFICATION REGARDING DEBARMENT AND SUSPENSION
(applies to subrecipients as well as States)

INSTRUCTIONS FOR PRIMARY TIER PARTICIPANT CERTIFICATION (STATES) 9/29/2025 9:55:34 AM Page 16 of 21

1. By signing and submitting this proposal, the prospective primary tier participant is providing the certification set out below and agrees to comply with the requirements of 2 CFR parts 180 and 1200. 2. The inability of a person to provide the certification required below will not necessarily result in denial of participation in this covered transaction. The prospective primary tier participant shall submit an explanation of why it cannot provide the certification set out below. The certification or explanation will be considered in connection with the department or agency's determination whether to enter into this transaction. However, failure of the prospective primary tier participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction.

3. The certification in this clause is a material representation of fact upon which reliance was placed when the department or agency determined to enter into this transaction. If it is later determined that the prospective primary tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default or may pursue suspension or debarment.

4. The prospective primary tier participant shall provide immediate written notice to the department or agency to which this proposal is submitted if at any time the prospective primary tier participant learns its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

5. The terms covered transaction, civil judgment, debarment, suspension, ineligible, participant, person, principal, and voluntarily excluded, as used in this clause, are defined in 2 CFR parts 180 and 1200. You may contact the department or agency to which this proposal is being submitted for assistance in obtaining a copy of those regulations.

6. The prospective primary tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency entering into this transaction.

7. The prospective primary tier participant further agrees by submitting this proposal that it will include Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered provided by the department or agency entering into this covered transaction, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions and will require lower tier participants to comply with 2 CFR parts 180 and 1200. 8. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not proposed for debarment under 48 CFR part 9, subpart

9.4, debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant is responsible for ensuring that its principals are not suspended, debarred, or otherwise ineligible to participate in covered transactions. To verify the eligibility of its principals, as well as the eligibility of any prospective lower tier participants, each participant may, but is not required to, check the System for Award Management Exclusions website
( https://www.sam.gov/).

9. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency may terminate the transaction for cause or default.

CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS PRIMARY TIER

COVERED TRANSACTIONS

1. The prospective primary tier participant certifies to the best of its knowledge and belief, that it and 9/29/2025 9:55:34 AM Page 17 of 21
its principals:
a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in covered transactions by any Federal department or agency;
b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and d. Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State, or local) terminated for cause or default.

2. Where the prospective primary tier participant is unable to certify to any of the Statements in this certification, such prospective participant shall attach an explanation to this proposal.

INSTRUCTIONS FOR LOWER TIER PARTICIPANT CERTIFICATION

1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below and agrees to comply with the requirements of 2 CFR parts 180 and 1200. 2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension or debarment.

3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

4. The terms covered transaction, civil judgment, debarment, suspension, ineligible, participant, person, principal, and voluntarily excluded, as used in this clause, are defined in 2 CFR parts 180 and 1200. You may contact the person to whom this proposal is submitted for assistance in obtaining a copy of those regulations.

5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated.

6. The prospective lower tier participant further agrees by submitting this proposal that it will include the clause titled
Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered tier covered transactions and in all solicitations for
lower tier covered transactions and will require lower tier participants to comply with 2 CFR parts 180 and 1200. 7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not proposed for debarment under 48 CFR part 9, subpart

8. Nothing contained in the foregoing shall be construed to require establishment of a system of 9/29/2025 9:55:34 AM Page 18 of 21
records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension or debarment.

CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION LOWER TIER

COVERED TRANSACTIONS

1. The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in covered transactions by any Federal department or agency.

2. Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.

BUY AMERICA
(applies to subrecipients as well as States)
The State and each subrecipient will comply with the Buy America requirement (23 U.S.C. 313) when purchasing items using Federal funds. Buy America requires a State, or subrecipient, to purchase with Federal funds only steel, iron and manufactured products produced in the United States, unless the Secretary of Transportation determines that such domestically produced items would be inconsistent with the public interest, that such materials are not reasonably available and of a satisfactory quality, or that inclusion of domestic materials will increase the cost of the overall project contract by more than 25 percent. In order to use Federal funds to purchase foreign produced items, the State must submit a waiver request that provides an adequate basis and justification for approval by the Secretary of Transportation.

CERTIFICATION ON CONFLICT OF INTEREST
(applies to subrecipients as well as States)

GENERAL REQUIREMENTS
No employee, officer, or agent of a State or its subrecipient who is authorized in an official capacity to negotiate, make, accept, or approve, or to take part in negotiating, making, accepting, or approving any subaward, including contracts or subcontracts, in connection with this grant shall have, directly or indirectly, any financial or personal interest in any such subaward. Such a financial or personal interest would arise when the employee, officer, or agent, any member of his or her immediate family, his or her partner, or an organization which employs or is about to employ any of the parties indicated herein, has a financial or personal interest in or a tangible personal benefit from an entity considered for a subaward. Based on this policy:

1. The recipient shall maintain a written code or standards of conduct that provide for disciplinary actions to be applied for violations of such standards by officers, employees, or agents. a. The code or standards shall provide that the recipient's officers, employees, or agents may neither solicit nor accept gratuities, favors, or anything of monetary value from present or potential subawardees, including contractors or parties to subcontracts. b. The code or standards shall establish penalties, sanctions, or other disciplinary actions for violations, as permitted by State or local law or regulations.

2. The recipient shall maintain responsibility to enforce the requirements of the written code or standards of conduct.

DISCLOSURE REQUIREMENTS
9/29/2025 9:55:34 AM Page 19 of 21
No State or its subrecipient, including its officers, employees, or agents, shall perform or continue to perform under a grant or cooperative agreement, whose objectivity may be impaired because of any related past, present, or currently planned interest, financial or otherwise, in organizations regulated by NHTSA or in organizations whose interests may be substantially affected by NHTSA activities. Based on this policy:

1. The recipient shall disclose any conflict of interest identified as soon as reasonably possible, making an immediate and full disclosure in writing to NHTSA. The disclosure shall include a description of the action which the recipient has taken or proposes to take to avoid or mitigate such conflict.

2. NHTSA will review the disclosure and may require additional relevant information from the recipient.

If a conflict of interest is found to exist, NHTSA may (a) terminate the award, or (b) determine that it is otherwise in the best interest of NHTSA to continue the award and include appropriate provisions to mitigate or avoid such conflict.

3. Conflicts of interest that require disclosure include all past, present, or currently planned organizational, financial, contractual, or other interest(s) with an organization regulated by NHTSA or with an organization whose interests may be substantially affected by NHTSA activities, and which are related to this award. The interest(s) that require disclosure include those of any recipient, affiliate, proposed consultant, proposed subcontractor, and key personnel of any of the above. Past interest shall be limited to within one year of the date of award. Key personnel shall include any person owning more than a 20 percent interest in a recipient, and the officers, employees or agents of a recipient who are responsible for making a decision or taking an action under an award where the decision or action can have an economic or other impact on the interests of a regulated or affected organization.

PROHIBITION ON USING GRANT FUNDS TO CHECK FOR HELMET USAGE (applies to subrecipients as well as States)
The State and each subrecipient will not use 23 U.S.C. Chapter 4 grant funds for programs to check helmet usage or to create checkpoints that specifically target motorcyclists.

POLICY ON SEAT BELT USE
In accordance with Executive Order 13043, Increasing Seat Belt Use in the United States, dated April 16, 1997, the Grantee is encouraged to adopt and enforce on-the-job seat belt use policies and programs for its employees when operating company-owned, rented, or personally-owned vehicles. The National Highway Traffic Safety Administration (NHTSA) is responsible for providing leadership and guidance in support of this Presidential initiative. For information and resources on traffic safety programs and policies for employers, please contact the Network of Employers for Traffic Safety (NETS), a public-private partnership dedicated to improving the traffic safety practices of employers and employees. You can download information on seat belt programs, costs of motor vehicle crashes to employers, and other traffic safety initiatives at www.trafficsafety.org. The NHTSA website ( www.nhtsa.gov) also provides information on statistics, campaigns, and program evaluations and references.

POLICY ON BANNING TEXT MESSAGING WHILE DRIVING
In accordance with Executive Order 13513, Federal Leadership On Reducing Text Messaging While Driving, and DOT Order 3902.10, Text Messaging While Driving, States are encouraged to adopt and enforce workplace safety policies to decrease crashes caused by distracted driving, including policies to ban text messaging while driving company-owned or rented vehicles, Government-owned, leased or rented vehicles, or privately-owned vehicles when on official Government business or when performing any work on or behalf of the Government. States are also encouraged to conduct workplace safety initiatives in a manner commensurate with the size of the business, such as establishment of new rules and programs or reevaluation of existing programs to prohibit text messaging while driving, and education, awareness, and other outreach to employees about the safety risks associated with texting while driving. 9/29/2025 9:55:34 AM Page 20 of 21

INSTRUCTIONS FOR ADDING OR UPDATING GEMS USERS

1. Each agency is allowed a total of FIVE (5) GEMS Users. 2. GEMS Users listed on this form will be authorized to login to GEMS to complete and submit Quarterly Performance Reports (QPRs) and reimbursement claims.

3. Complete the form if adding, removing or editing a GEMS user(s).

4. The Grant Director must sign this form and return it with the Grant Agreement.

CURRENT GEMS USER(S)

1. Alex Houston
Title: Admin. Services Manager Media Contact: Yes
Phone: 626-939-8536
Email: [email protected]
State of California Office of Traffic Safety
OTS-55 Grant Electronic Management System (GEMS) Access Exhibit C

GRANT NUMBER
PT26157

GRANT DETAILS
Grant Number: PT26157
Agency Name: West Covina Police Department
Grant Title: Selective Traffic Enforcement Program (STEP) Agreement Total: $83,000.00
Authorizing Official: Milan Mrakich
Fiscal Official: Alex Houston
Grant Director: Eric Street
9/29/2025 9:55:34 AM Page 21 of 21
Complete the below information if adding, removing or editing a GEMS user(s) GEMS User 1
Add/Change {{[]c11_es_:signer1}} Remove Access {{[] c12_es_:signer1}} Add as a media contact? Yes {{[]c1_es_:signer1}} No{{[]c2_es_:signer1}} {{UserName1_es_:signer1 }} {{UserTitle1_es_:signer1 }}
Name Job Title
{{UserEmail1_es_:signer1 }} {{UserPhone1_es_:signer1 }} Email address Phone number
GEMS User 2
Add/Change {{[]c13_es_:signer1}} Remove Access {{[]c14_es_:signer1}} Add as a media contact? Yes {{[]c3_es_:signer1}}No {{[]c4_es_:signer1}} {{UserName2_es_:signer1 }} {{UserTitle2_es_:signer1 }}
Name Job Title
{{UserEmail2_es_:signer1 }} {{UserPhone2_es_:signer1 }} Email address Phone number
GEMS User 3
Add/Change {{[]c15_es_:signer1}} Remove Access {{[]c16_es_:signer1}} Add as a media contact? Yes {{[]c5_es_:signer1}}No {{[]c6_es_:signer1}} {{UserName3_es_:signer1 }} {{UserTitle3_es_:signer1 }}
Name Job Title
{{UserEmail3_es_:signer1 }} {{UserPhone3_es_:signer1 }} Email address Phone number
GEMS User 4
Add/Change {{[]c17_es_:signer1}} Remove Access {{[]c18_es_:signer1}} Add as a media contact? Yes {{[]c8_es_:signer1}}No {{[]c7_es_:signer1}} {{UserName4_es_:signer1 }} {{UserTitle4_es_:signer1 }}
Name Job Title
{{UserEmail4_es_:signer1 }} {{UserPhone4_es_:signer1 }} Email address Phone number
GEMS User 5
Add/Change {{[]c19_es_:signer1}} Remove Access {{[]c20_es_:signer1}} Add as a media contact? Yes {{[]c9_es_:signer1}}No {{[]c10_es_:signer1}} {{UserName5_es_:signer1 }} {{UserTitle5_es_:signer1 }}
Name Job Title
{{UserEmail5_es_:signer1 }} {{UserPhone5_es_:signer1 }} Email address Phone number
Form completed by: {{Sig_es_:signer1:signature}} Date: {{Dte1_es_:signer1:date}} As a signatory I hereby authorize the listed individual(s) to represent and have GEMS user access. {{Sig_es_:signer2:signature}} {{Name1_es_:signer2:fullname }} Signature Name
{{Dte2_es_:signer2:date}} Grant Director
Date Title
ATTACHMENT NO. 2
RESOLUTION NO. 2025-82

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF

WEST COVINA, CALIFORNIA, ADOPTING A BUDGET

AMENDMENT FOR THE FISCAL YEAR COMMENCING
JULY 1, 2025 AND ENDING JUNE 30, 2026 (OFFICE OF

TRAFFIC SAFETY GRANT)
The City Council of the City of West Covina hereby finds and declares as follows:

WHEREAS, on June 3, 2025, the Acting City Manager presented to the City Council a proposed budget for Fiscal Year 2025-26 in compliance with Section 2-151(m) of the West Covina Municipal Code; and
WHEREAS, the City held meetings and community workshops and conducted an online budget survey in order to solicit input from the public regarding the proposed budget; and
WHEREAS, on June 17, 2025, the City Council adopted a budget for the Fiscal Year 2025-26; and
WHEREAS, amendments must periodically be made to the budget to conform to changed circumstances following adoption of the budget.

NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF WEST COVINA, CALIFORNIA DOES HEREBY RESOLVE AS FOLLOWS:

SECTION 1. The City Council hereby approves Budget Amendment No. 2026-08, attached hereto as Exhibit A, for Fiscal Year 2025-26.

SECTION 2. The City Clerk shall certify to the adoption of this resolution and shall enter the same in the book of original resolutions and it shall become effective immediately.

APPROVED AND ADOPTED this 21st day of October, 2025.

Tony Wu
Mayor

APPROVED AS TO FORM ATTEST
Thomas P. Duarte Monique S. De La Rosa
City Attorney Deputy City Clerk
I, MONIQUE S. DE LA ROSA, Deputy City Clerk of the City of West Covina, California, do hereby certify that the foregoing Resolution No. 2025-82 was duly adopted by the City Council of the City of West Covina, California, at a regular meeting thereof held on the 21st day of October, 2025, by the following vote of the City Council:

AYES:

NOES:

ABSENT:

ABSTAIN:

Monique S. De La Rosa
Deputy City Clerk
Exhibit A
City of West Covina
Fiscal Year 2025-26
Budget Amendment No. 2026-08
OTS Grant
Fund No. - Name
Current
Budget
Proposed
Amendment
Amended
Budget
Fund 207 – OTS Grant
Revenue 12,360 83,000 95,360
Expenditures 12,360 83,000 95,360
Net Change in Fund Balance 0 0 0
EXPENDITURE TOTAL INCREASE 83,000
AGENDA ITEM NO. 6

VEHICLES UTILIZING DEPARTMENT OF ENERGY EFFICIENCY AND

CONSERVATION BLOCK GRANT (EECBG) VOUCHER PROGRAM
RECOMMENDATION:

It is recommended that the City Council:

Authorize the purchase of fully electric vehicles utilizing the Department of Energy Efficiency and Conservation Block Grant (EECBG) Voucher Program, including:

Authorize the Acting City Manager to execute any documents required to utilize the Department of Energy Efficiency and Conservation Block Grant (EECBG) Voucher Program;

2. Authorize the Acting City Manager to execute the purchase order(s) and/or agreement(s) required for the purchase of the vehicles, and

3. 4. Adopt the following resolution:

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF WEST COVINA, CALIFORNIA, ADOPTING A BUDGET AMENDMENT FOR THE FISCAL YEAR COMMENCING JULY 1, 2025 AND ENDING JUNE 30, 2026 (EECBG VOUCHER PROGRAM)
BACKGROUND:

As part of the City’s ongoing efforts to modernize its fleet, reduce greenhouse gas emissions, and leverage special funding opportunities, and to comply with California's requirement for municipal fleets (city, county, and special district) to purchase zero-emission vehicles (ZEVs) for vehicles over 8,500 lbs GVWR, with a 50% ZEV purchase requirement that began January 1, 2024,.staff has identified the need to procure fully electric vehicles.

The City submitted an application through the Department of Energy’s Energy Efficiency and Conservation Block Grant (EECBG) Voucher Program for the purchase of electric vehicles. The City will receive $153,050 on a reimbursement basis through the grant. This opportunity provides the City with the ability to comply with California’s Advance Clean Fleets regulation and replace older, less efficient vehicles with modern, sustainable alternatives at no direct cost to the City’s General Fund.

DISCUSSION:

The proposed procurement includes a minimum of three fully electric vehicles to support operational needs across City departments. The Ford E-Transit Van will support facilities and maintenance tasks, the F-150 Lightning will provide utility for the City's Information Technology Department, and the electric sedan will be utilized by Public Works for inspections, staff transportation, and administrative purposes.

Staff will comply with the requirements of the City’s Purchasing Manual to acquire the vehicles, ensuring compliance with all applicable purchasing procedures and competitive pricing requirements. Preliminary dealership quotes confirm that the total cost of three vehicles will not exceed $153,050. The EECBG Voucher Program will fully cover the procurement, ensuring no fiscal impact to the City.

Approval of this action will authorize the City to purchase at least three fully electric vehicles utilizing the EECBG Voucher Program for a total not-to-exceed amount of $153,050. This action allows the City to modernize its fleet, support sustainability initiatives, and reduce operational emissions with no fiscal impact.

LEGAL REVIEW:

The City Attorney's Office has reviewed this staff report.

OPTIONS:

The City Council has the following options:

1. Adopt staff's recommendation; or

2. Provide alternative direction.

ENVIRONMENTAL REVIEW:

This action is exempt from the California Environmental Quality Act (CEQA) pursuant to Section 15061(b)(3) (common sense exemption) as it can be seen with certainty that the adoption of this recommendation will not have a significant effect on the environment. Additionally, the procurement of electric vehicles will have a positive environmental benefit by reducing greenhouse gas emissions.

Prepared by: Mike Cresap, Public Works Superintendent
Additional Approval: Roxanne E. Lerma, Assistant City Manager Fiscal Impact
FISCAL IMPACT:

The City will receive $153,050 on a reimbursement basis through the Department of Energy’s EECBG Voucher Program. The attached budget amendment allocates these funds. No use of the General Fund or other local funds is required.

Attachments
Attachment No. 1 Vehicle Pricing
Attachment No. 2 - Resolution No. 2025-85
CITY COUNCIL GOALS & OBJECTIVES: Enhance City Image and Effectiveness Saved Items Summary
ATTACHMENT NO. 1
Vehicle Configuration 1
Vehicle Configuration
Model Transit
Bodystyle E-Transit Cargo Van
Doors 253-Degree Rear Door
Bodystyle Transit Long 350
GVWR 9500 GVWR Payload Package
Brake System Parking Brake – Electric (SRW configurations only) Windows Privacy Glass
Cab Cargo Van
Height Low Roof
Tires 235/65R16C 121/119 R BSW all-season Tires
Rear Axle Ratio Electric Axle
Seats Grey Vinyl 2-way manual Driver and Passenger seats Body Paint Oxford White
Exterior Options Keys: 2 additional (4 total) with key fobs Exterior Options Front Bumper – Carbon Black
Exterior Options Front License Plate Bracket
Exterior Options Horn – Single-note
Exterior Options Single AGM Battery – 70 amp-hr
Exterior Options Black High-Intensity Discharge (HID) Headlamps Exterior Options Roof Marker Lamp Delete
Exterior Options Spare Tire and Wheel
Exterior Options Fixed Rear Cargo Door Glass
Vehicle Price Summary
Base MSRPS1 $51,000
Options & S4 $1,080
Destination $2,095
Total MSRPS16 $54,175
Quantity 1
Estimated Net $54,175
Subscriptions
All subscriptions $0/mo
AccessoriesS8
ChargesS17
PriceS5
Rear Wheels SRW
Audio SYNC 4 with 12.0” multi-function display
Color Dark Palazzo Grey
Wheelbase Wheelbase: 148.0"
Engine Electric Motor with 89.9kWH High-Voltage Battery Mirrors Power Adjusting, Manual-Folding.

Drive RWD
Material Dark Palazzo Grey Vinyl Seats
Wheels 16” Steel Wheel with Full Silver Wheel Cover Wheels Series Cargo Van
Interior Options B-Pillar Assist Handle (Passenger-side) Interior Options Less Rear Seats
Interior Options Intelligent Access with push-button start.

Interior Options Reverse Speed Limiter
Interior Options SOS Post-Crash Alert System™.

Interior Options Vinyl, Front only
Interior Options High Resolution Digital Camera
Interior Options Rearview Mirror
Transmission Single-Speed Transmission
Vehicle Technical Specifications
Base Curb Weight 6189 lbs
GVWR 9500 lbs
Max Payload 3249 lbs
Seating Capacity 2 seats
*The specification data listed herein is estimated and provided solely for reference purposes. Please check with your local dealer for more precise data.

Subscriptions
Ford Pro™ Telematics Essentials $0/mo Qty 1 Included
Total Price Summary
Vehicles
All Vehicles Subtotal $54,175
Total $54,175
Subscriptions
All Subscriptions $0
Subscriptions billed separately
Disclosures
Pricing Summary Disclaimers
S1: Manufacturer's Suggested Retail Price (also referred to as "MSRP", "Base MSRP", "Base Price" or the "Starting At" price), excludes destination/delivery charge, taxes, title, license, and registration and/or electronic filing fees, dealer fees, and total of options. For authenticated AXZ Plan customers, the price displayed may represent Plan pricing. Not all AXZ Plan customers will qualify for the Plan pricing shown and not all offers or incentives are available to AXZ Plan customers.

S4: The Option Package price and monthly payment displayed is for illustration purposes, only. Prices and monthly payments may vary based on features included in package, financing terms and availability. Some Options are not available separately. Not all Options or Option Packages are available on all vehicles. See your local dealer for details.

S5: Estimate Net Price is the Total Manufacturer's Suggested Retail Price (“Total MSRP”) minus any available offers and/or incentives.

Incentives may vary. Excludes taxes, title, and registration fees. For authenticated AXZ Plan customers, the price displayed may represent Plan pricing. Not all AXZ Plan customers will qualify for the Plan pricing shown and not all offers or incentives are available to AXZ Plan customers.

S8: Dealer Accessories are defined as items that do not appear on the factory window sticker that are installed by a Ford or Lincoln Dealers.

Actual Prices for all accessories may vary and depend upon your dealer. Prices DO NOT include installation or painting, which may be required for particular items. Please check with your authorized dealer for complete pricing accuracy for all accessories and parts. Genuine Ford Accessories will be warranted for whichever provides you the greatest benefit: 12 months or 12,000 miles (whichever occurs first) or the remainder of your Bumper-to-Bumper 3-year/36,000-mile New Vehicles Warranty. Contact your local Ford, Lincoln or Mercury dealer for details and a copy of the limited warranty. Ford Licensed Accessories (FLA) are warranted by the accessories manufacturer's warranty.

Contact your Ford, Lincoln or Mercury Dealer for details regarding the manufacturer's limited warranty and/or a copy of the FLA product limited warranty offered by the accessory manufacturer. Most Ford Racing Performance Parts are sold with no warranty. Ford Racing Performance Parts are sold "As Is", "With All Faults", "As They Stand" and without any express warranty whatsoever, unless otherwise expressly designated herein. To determine which parts come with a warranty from the original manufacturer, or from Ford Racing, please contact the Ford Racing Techline at (800) FORD788.

S16: Total MSRP is Base MSRP plus options, destination and delivery charges. Excludes taxes, title, and registration fees.

S17: Destination Charges are associated with getting the vehicle from the manufacturer to the dealership. Prices listed are MSRP and are based on information updated on this website from time to time.

S19: Based on full charge. 2024 E-Transit™ Cargo Van Low Roof model demonstrated range reflecting current capability based on testing consistent with US EPA MCT drive-cycle methodology (FuelEconomy.gov, EPA Test Procedure for EV's and PHEV's - 11/14/2017) at ALVW (Adjusted Loaded Vehicle Weight). Medium Roof and High Roof models projected range reflecting capability based on CAE analytical adjustments from tested vehicles and adjusted for roof height. Actual range varies with conditions such as external environment, vehicle use, upfits and alterations, vehicle maintenance, lithium-ion battery age, and state of health.

Subscription Disclosures
Ford Pro Intelligence (1)
Available on vehicles with embedded modem or equipped with approved plug#in device (PID). May require modem activation. Ford Pro Telematics and Ford Pro Data Services require a purchased subscription. Terms and conditions apply. Telematics service and features, and access to vehicle data, depend on subscription and compatible AT&T network availability. Evolving technology/cellular networks/vehicle capability may limit functionality and prevent operation of connected features.

Ford Pro Telematics Essentials (2)
Complimentary product. Available on vehicles with embedded modem. Requires modem activation. Terms and conditions apply.

Telematics service and features, and access to vehicle data depend on compatible AT&T network availability. Evolving technology/cellular networks/vehicle capability may limit functionality and prevent operation of connected features.

Ford Pro Telematics (3)
Available on vehicles with embedded modem or equipped with approved plug#in device (PID). May require modem activation. Ford Pro Telematics and Ford Pro Data Services require a purchased subscription. Terms and conditions apply. Telematics service and features, and access to vehicle data, depend on subscription and compatible AT&T network availability. Evolving technology/cellular networks/vehicle capability may limit functionality and prevent operation of connected features.

Ford Pro E-Telematics (4)
Complimentary product. Available on vehicles with embedded modem. Requires modem activation. Terms and conditions apply.

Saved Items Summary
Vehicle Configuration 1
Vehicle Configuration
Model F-150
Bodystyle F-150 Lightning™ Pro
Tires 275/65R18 BSW All-Terrain Tires
Battery Dual eMotor - 98 kWh Usable Capacity Standard Range Battery
Secondary
Color Less Secondary Color
Packages Ford Co-Pilot360™ 2.0
Exterior
Options Fascia Front
Exterior
Options Tailgate – removable with key lock
Exterior
Options Tailgate Appliqué “FORD” Delete
Exterior
Options Zone Lighting
Exterior
Options Rear Privacy Glass
Exterior
Options Rear-window with Fixed Glass and Solar Tint
Exterior
Options Bed Storage Box
Exterior
Options Power Up and Down Front Hood
Exterior
Options Smart Trailer Tow Connector
Exterior
Options Handles, Black Door and Tailgate with Black Beze Exterior
Vehicle Price Summary
Base MSRPS1 $49,780
Options & S4 $60
Destination $2,195
Total MSRPS16 $52,035
Quantity 1
Estimated Net $52,035
Subscriptions
All subscriptions $0/mo
AccessoriesS8
ChargesS17
PriceS5
Options Wipers - Intermittent speed
Exterior
Options Forward Collision Warning
Exterior
Options Less Skid Plates
Exterior
Options Reverse Sensing System
Exterior
Options
Pro Power Onboard 2.4kW Exportable Power – 8 120v
Outlets, 8 USB Outlets
Exterior
Options Less Fog Lamps
Exterior
Options Class IV Hitch
Exterior
Options Hooks – Black Front Tow Hooks (2)
Exterior
Options Scuff Plates Front
Exterior
Options Grapics Delete
Bumper Bumper Front – Black
Bumper Bumper Rear - black
Body Paint Oxford white
Wheelbase 145" Wheel Base
Audio Connected Navigation
Audio SYNC® 4 with Enhanced Voice Recognition
Color Medium Dark Slate
Box Length 5.5' Box
Engine Dual eMotor - 98 kWh Usable Capacity Standard Range Battery
Mirrors Manual-folding, Power Glass with Heat and Black Skull Caps Series Pro
Drive 4X4
Material Vinyl Bucket Front Seats, 2-Way Manual driver and passenger with flow-through console and floor shifter
Grille Black Coast to Coast Grille
Wheels 18” Machined Wheels with Black High Gloss Pockets Cab Crew cab
Interior
Options Front Console Plate Delete
Interior
Options Dual-Zone Electronic Automatic Temperature Control Interior
Options Jack
Interior
Options First Aid Kit with Ford Logo
Interior
Options Black Vinyl Floor Covering
Interior
Options Heated Front Seats
Interior
Options Forward Collision Warning
Interior
Options Steering Wheel, Black Urethane
Interior
Options 12” LCD Capacitive Touchscreen with Swipe Capability Interior
Options 12” Digital Instrument Cluster
Interior
Options Blind Spot Assist
Interior
Options Perimeter Alarm
Interior
Options Rearview Mirror, Auto-Dimming
Interior
Options Airbags
Interior
Options
Steering Wheel, Black Urethane – Manual Tilt Telescoping and Manual Locking
Interior
Options Bin Delete
Interior
Options 2-Way manual driver and passenger Seat Adjuster Transmission Single-Speed Transmission
Radio Type AM/FM with Clock and SiriusXM with 360L
Radio Type SiriusXM with 360L
Decal Less Decal
Vehicle Technical Specifications
Base Curb Weight 5960.76 lbs
GCWR 14300 lbs
GVWR 8350 lbs
Max Payload 2329 lbs
Seating Capacity 5 seats
*The specification data listed herein is estimated and provided solely for reference purposes. Please check with your local dealer for more precise data.

Subscriptions
Ford Pro™ Telematics Essentials (en_US
subscriptions not configured for this vehicle) $0/mo Qty 1 Included Total Price Summary
Vehicles
All Vehicles Subtotal $52,035
Total $52,035
Subscriptions
All Subscriptions $0
Subscriptions billed separately
Disclosures
Pricing Summary Disclaimers
S1: Manufacturer's Suggested Retail Price (also referred to as "MSRP", "Base MSRP", "Base Price" or the "Starting At" price), excludes destination/delivery charge, taxes, title, license, and registration and/or electronic filing fees, dealer fees, and total of options. For authenticated AXZ Plan customers, the price displayed may represent Plan pricing. Not all AXZ Plan customers will qualify for the Plan pricing shown and not all offers or incentives are available to AXZ Plan customers.

S5: Estimate Net Price is the Total Manufacturer's Suggested Retail Price (“Total MSRP”) minus any available offers and/or incentives.

S8: Dealer Accessories are defined as items that do not appear on the factory window sticker that are installed by a Ford or Lincoln Dealers.

S16: Total MSRP is Base MSRP plus options, destination and delivery charges. Excludes taxes, title, and registration fees.

Ford Pro Telematics Essentials (2)
Complimentary product. Available on vehicles with embedded modem. Requires modem activation. Terms and conditions apply.

Ford Pro E-Telematics (4)
Complimentary product. Available on vehicles with embedded modem. Requires modem activation. Terms and conditions apply.

ATTACHMENT NO. 2
RESOLUTION NO. 2025-85

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF

WEST COVINA, CALIFORNIA, ADOPTING A BUDGET

AMENDMENT FOR THE FISCAL YEAR COMMENCING
JULY 1, 2025 AND ENDING JUNE 30, 2026 (EECBG

VOUCHER PROGRAM)
WHEREAS, on June 3, 2025, the Acting City Manager presented to the City Council a proposed budget for Fiscal Year 2025-26 in compliance with Section 2-151(m) of the West Covina Municipal Code; and
WHEREAS, the City held meetings and community workshops and conducted an online budget survey in order to solicit input from the public regarding the proposed budget; and
WHEREAS, on June 17, 2025, the City Council adopted a budget for the 2025- 2026 Fiscal Year; and
WHEREAS, amendments must periodically be made to the budget to conform to changed circumstances following adoption of the budget.

NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF WEST COVINA, CALIFORNIA DOES RESOLVE AS FOLLOWS:

SECTION 1. The City Council hereby approves Budget Amendment No. 2026-09, attached hereto as Exhibit A, for Fiscal Year 2025-26.

SECTION 2. The City Clerk shall certify to the adoption of this resolution and shall enter the same in the book of original resolutions and it shall become effective immediately.

APPROVED AND ADOPTED this 21st day of October, 2025.

Tony Wu
Mayor

APPROVED AS TO FORM ATTEST
Thomas P. Duarte Monique S. De La Rosa
City Attorney Deputy City Clerk
I, MONIQUE S. DE LA ROSA, DEPUTY CITY CLERK of the City of West Covina, California, do hereby certify that the foregoing Resolution No. 2025-85 was duly adopted by the City Council of the City of West Covina, California, at a regular meeting thereof held on the 21st day of October, 2025, by the following vote of the City Council:

AYES:

NOES:

ABSENT:

ABSTAIN:

Monique S. De La Rosa
Deputy City Clerk
Exhibit A
City of West Covina
Fiscal Year 2025-26
Budget Amendment No. 2026-09
EECBG Voucher Program
Fund No. - Name
Current
Budget
Proposed
Amendment
Amended
Budget
Fund 198 – Federal Grants
Revenue 153,050 153,050
Expenditures 153,050 153,050
Net Change in Fund Balance 0
EXPENDITURE TOTAL INCREASE 0
AGENDA ITEM NO. 7

ESTABLISHMENTS WITH APPROVAL OF A CONDITIONAL USE PERMIT RECOMMENDATION:

It is recommended that the City Council adopt the following ordinance:

ORDINANCE NO. 2533 - AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF WEST COVINA, CALIFORNIA, APPROVING CODE AMENDMENT NO. 25-01, AMENDING CHAPTER 26 (ZONING) OF THE WEST COVINA MUNICIPAL CODE AND THE DOWNTOWN PLAN AND

CODE TO ALLOW MODIFICATIONS TO EXISTING DRIVE-THROUGH FOOD

ESTABLISHMENTS THROUGH THE CONDITIONAL USE PERMIT PROCESS BACKGROUND:

On February 20, 2024, the City Council approved Code Amendment No. 23-01, adopting Ordinance No. 2519, known as the “Development Code Update” which amended the City of West Covina Municipal Code including the consolidation of the Subdivision Code (Chapter 20) and the Zoning Code (Chapter 26) into one Development Code (Chapter 26). The Development Code Update included provisions prohibiting the construction and new uses of drive-through food establishments throughout the City to address over-concentration issues.

On June 17, 2025, the City Council voted by minute action to direct staff to explore amending the Development Code to allow for existing drive-throughs to be modified to correct traffic, queuing, vacancy, or other related issues. The former Carl's Jr./Spotless Burger restaurant was used as an example: the site's drive-through was approved through a conditional use permit (CUP) as a reverse drive-through, where the drive-through window is accessible through the passenger's side of the vehicle; due to this configuration, the property owner has had problems attracting restaurant tenants, which have all expressed the desire to reconstruct a new building with a different drive-through configuration.

On July 22, 2025, the Planning Commission held a public hearing to consider Code Amendment No. 25-01 and voted to recommend City Council approval and adoption of the draft ordinance. During the public hearing, there were no members of the public who spoke for or against the Code Amendment.

At the September 2, 2025 City Council meeting, the City Council introduced Ordinance No. 2533 to approve Code Amendment No. 25-01. The staff report from the September 2, 2025 meeting is included as Attachment No. 2.

DISCUSSION:

The Ordinance will amend Chapter 26 (Zoning) of the City of West Covina Municipal Code and the Downtown Plan & Code to allow for modifications to existing drive-through food establishments via a conditional use permit.

Staff recommends that the City Council adopt Ordinance No. 2533. If adopted, the Ordinance will take effect on the 31st day following adoption.

LEGAL REVIEW:

The City Attorney's Office has reviewed the proposed ordinance and approved it as to form.

OPTIONS:

The City Council has the following options:

1. Approve staff's recommendation; or

2. Provide alternative direction.

ENVIRONMENTAL REVIEW:

Pursuant to the State California Environmental Quality Act (CEQA) Guidelines, the ordinance is exempt from CEQA under Section 15061(b)(3) (Common Sense Exemption) of the CEQA Guidelines, which provides that CEQA only applies to projects that have the potential for causing a significant effect on the environment. The ordinance would not result in physical change in the environment and does not involve any construction or additions to any existing structures.

Prepared by: Roxanne E. Lerma, Assistant City Manager
Fiscal Impact
FISCAL IMPACT:

This is strictly an administrative item, therefore; there is no fiscal impact associated with this action.

Attachments
Attachment No. 1 Ordinance 2533- Adoption
Attachment No. 2 Staff Report - Introduction of Ordinance 2533 CITY COUNCIL GOALS & OBJECTIVES: A Well-Planned Community Expand Economic Development Opportunities
Enhance City Image and Effectiveness
ATTACHMENT NO. 1
ORDINANCE NO. 2533

AN ORDINANCE OF THE CITY COUNCIL OF THE CITY

OF WEST COVINA, CALIFORNIA, APPROVING CODE
AMENDMENT NO. 25-01, AMENDING CHAPTER 26
(ZONING) OF THE WEST COVINA MUNICIPAL CODE

AND THE DOWNTOWN PLAN AND CODE TO ALLOW

MODIFICATIONS TO EXISTING DRIVE-THROUGH FOOD

ESTABLISHMENTS THROUGH THE CONDITIONAL USE

PERMIT PROCESS
The City Council of the City of West Covina hereby finds and declares as follows:

WHEREAS, on February 20, 2024, the City Council approved Code Amendment No. 23-01, adopting Ordinance No. 2519, known as the “Development Code Update” which amended the City of West Covina Municipal Code including the consolidation of the Subdivision Code (Chapter 20) and the Zoning Code (Chapter 26) into one Development Code (Chapter 26), and included provisions prohibiting the construction and new uses of drive-through food establishments throughout the City; and WHEREAS, on June 17, 2025, the City Council voted by minute action to direct staff to explore amending the Development Code to allow for existing drive-throughs to be modified; and
WHEREAS, it is necessary to amend Chapter 26 (Zoning) of the West Covina Municipal Code and the Downtown Plan and Code to allow the modifications of existing drive-throughs to provide the opportunity to correct traffic, queuing, and vacancy issues that are contributed by the existing drive-through design; and WHEREAS, on July 22, 2025, the Planning Commission conducted a duly noticed public hearing as prescribed by law to consider the code amendment, gave all persons interested therein an opportunity to be heard, and voted to recommend the City Council’s approval and adoption of the code amendment; and
WHEREAS, on September 2, 2025, the City Council conducted a duly noticed public hearing as prescribed by law on this Ordinance; and WHEREAS, the Ordinance is exempt from the California Environmental Quality Act (CEQA) under Section 15061(b)(3) (Common Sense Exemption) of the CEQA Guidelines, which provides that CEQA only applies to projects that have the potential for causing a significant effect on the environment. The Ordinance would not result in direct or indirect physical changes in the environment and does not involve any construction or additions to any existing structures; and
2 WHEREAS, the City Council has duly considered all information presented to it, including written staff reports and any testimony provided at the public hearing, with all testimony received being made a part of the public record,

NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF WEST COVINA, CALIFORNIA DOES HEREBY ORDAIN AS FOLLOWS:

SECTION 1. Recitals. The City Council finds that all facts set forth in the recitals to this Ordinance are true and correct and incorporated herein as findings.

SECTION 2. Record. The findings made in this Ordinance are based upon the information and evidence presented at the hearings and submitted into the record of the proceedings.

SECTION 3. Notice and Opportunity to Comment. The City Council finds that agencies and interested members of the public have been afforded ample notice and opportunity to comment on Code Amendment No. 25-01.

SECTION 4. General Plan Consistency. Based on the evidence presented, Code Amendment No. 25-01 is found to be consistent with the City’s General Plan.

SECTION 5. Findings. In accordance with Section 26-292 of Chapter 26 of the West Covina Municipal Code, the City Council makes the following findings regarding Code Amendment No. 25-01:
(a) The proposed amendment ensures and maintains internal consistency with the goals, policies, and strategies of all elements of the General Plan, and, in the case of a Zoning Code amendment, will not create any inconsistencies with this Chapter.

The purpose of the code amendment is to allow for the modifications of existing permitted drive-through food establishments to correct issues related to traffic, queuing, vacancy, etc. Therefore, Code Amendment No. 25-01 ensures and maintains internal consistency with the goals, policies, and strategies of all elements in the General Plan and will not create any inconsistencies within Chapter 26.
(b) The proposed amendment would not be detrimental to the public interest, health, safety, convenience or welfare of the City.

Code Amendment No. 25-01 is designed to improve the welfare of the City by allowing the opportunity to modify existing permitted drive-throughs to correct issues that are negatively impacting the community. Therefore, the proposed amendment will not be detrimental to the public interest, health, safety, convenience or welfare of the City.
3 (c) The proposed amendment is in compliance with the provisions of the California Environmental Quality Act (CEQA).

Code Amendment No. 25-01 is statutorily exempt from CEQA under Section 15061(b)(3) of the CEQA Guidelines, which provides that CEQA only applies to projects that have the potential for causing a significant effect on the environment. The Code Amendment would not result in direct or indirect physical change in the environment and does not involve any construction or additions to any existing structures. Therefore, the proposed amendment is in compliance with the requirements of CEQA.

SECTION 6. Code Amendment. Table 4.3.1 (Permitted Land Uses) of Section 3 (Land Use Standards) of the West Covina Downtown Plan and Code shall be amended to allow modifications to existing permitted drive-throughs in the T4-GU zones through a conditional use permit process.

SECTION 7. Code Amendment. Subsection E of Section 10.1 of the West Covina Downtown Plan and Code shall be renumbered to F with a new subsection E to read as follows (changes denoted in underline and strikethrough):

E. Drive-through findings and standards
i. Findings. The Planning Commission shall not grant a Conditional Use Permit to modify an existing drive-through facility without making the findings (1) through (6) listed in Section 26-116(j) of the West Covina Municipal Code. ii. Design Standards. The following standards shall apply to the design of any development providing a drive-through service and/or modifying an existing drive-through.
a. Drive-through lanes shall not obstruct the circulation routes necessary for access to the property, parking areas (including backup area of parking spaces), and pedestrian walkways.
b. Drive-through facilities within an integrated shopping center shall be consistent with the center in terms of architectural design and detailing, roof material, exterior finish materials and color.
c. Each drive-through aisle shall be appropriately screened with a combination of landscaping, low decorative walls, and/or berms to prevent headlight glare from impacting adjacent residences, businesses, public rights-of-way, and parking lots.
d. Landscaping along the drive-through aisle shall be a minimum of five (5) feet in width.
4 e. Decorative paving shall be incorporated at project entrances and in pedestrian areas to improve the aesthetics of the pedestrian environment. f. New buildings with drive-through facilities shall orient the primary building entrance toward the street to provide direct access to the public sidewalk. iii. Queuing. Modifications to existing drive-through facilities shall require a parking and queuing study that is based on similar operations, addressing the anticipated traffic volumes and vehicular stacking needs of the proposed business. Queuing lanes shall not interfere with the use of or access to any parking or loading spaces.
iv. Noise. Noise levels shall not increase ambient noise levels by five (5) dba as measured at all property lines abutting residential development and other sensitive receptors. This may be achieved through one (1) or more of the following methods, as determined by the Community Development Director or their designee and/or Planning Commission:
a. All deliveries and exterior building and landscaping maintenance and cleaning activities may be limited as necessary to achieve compatibility with adjacent sensitive land uses.
b. Hours of operation may be limited as necessary to achieve compatibility with adjacent sensitive land uses.
c. The applicant shall provide a noise study prepared by an acoustic engineer indicating that the proposed operation will not increase ambient noise levels by five (5) dba as measured at all property lines abutting residential development and other sensitive receptors.
d. The applicant shall provide the plans and specifications for any potential noise sources (e.g., the speaker system, trash compactor, delivery trucks, etc.).
e. If speakers are utilized, the speaker box shall be oriented away from adjacent residences and other sensitive receptors.

F E.Other Municipal Code Standards
All other requirements of the Municipal Code not specifically provided in the Downtown Plan apply including, but not limited to, screening (i.e. rooftop mechanical equipment), trash enclosures, and the installation of underground utilities.

SECTION 8. Code Amendment. “Service, recreational, educational and public assembly uses” Category of Table 2-12 of Section 26-51 of the West Covina Municipal 5 Code shall be amended to add the following uses and inserted/arranged consistently in alphabetical order (changes denoted in underline):

Uses and Permit
Requirements for Mixed-Use
Zones Zones Special
Regulatio
ns
Use Types OP
MU NMU RMU SMU M-1
Drive-through, modification of
existing permitted drivethroughs only (food
establishments)
CUP CUP CUP Section
26-116
Drive-through, new (food
establishments)
SECTION 9. Code Amendment. Subsection (a) of Section 26-116 of the West Covina Municipal Code shall be amended to read as follows (changes denoted in underline and strikethrough):
(a) New drive-throughDrive-through facilities shall not be within five hundred (500) feet of another drive-through facility. This shall be measured from the building and/or queuing lane, whichever is closer.

SECTION 10. Code Amendment. Subsection (b) of Section 26-116 of the West Covina Municipal Code shall be amended to read as follows (changes denoted in underline and strikethrough):
(b) Area requirements. Every new drive-through facility shall be located on a site having an area of not less than ten thousand (10,000) square feet and a minimum street frontage of not less than one hundred (100) feet.

SECTION 11. Code Amendment. Subsection (c) of Section 26-116 of the West Covina Municipal Code shall be amended to read as follows (changes denoted in underline and strikethrough):
(c) New drive-throughDrive-through facilities are prohibited in the West Covina Downtown Plan area.

SECTION 12. Code Amendment. Renumber Subsections c) through f) of Section 26-127(b)(1)(xv) of the West Covina Municipal Code to Section 26-127(b)(1)(xvi) through (xix), respectively to read as follows (changes denoted in underline and strikethrough):
6 (xv) Occupation of parking spaces by the facility and by the attendant may not reduce available parking spaces below the minimum number required for the primary host use unless all of the following conditions exist:
a) The facility is located in a convenience zone or a potential convenience zone as designated by the California Department of Conservation. b) A parking study shows that the existing parking capacity is not already fully utilized during the time the recycling facility is in operation. (xvi) c) If the permit expired without renewal, the recycling facility shall be removed from the site on the day following permit expiration. (xvii) d) A twelve-inch (12”) by twelve-inch (12”) sign which states the redemption value offered shall be posted daily.
(xviii) e) The small collection facility shall be screened when determined by the review authority to reduce visibility impacts from off-site and main traffic areas on-site. (xix) f) Small collection facilities shall only be located on a property with a market that is greater than twenty thousand (20,000) square feet in floor area.

SECTION 13. CEQA. Pursuant to the California Environmental Quality Act (CEQA) Guidelines, the City Council finds and determines that the Ordinance is exempt from CEQA under Section 15061(b)(3) (Common Sense Exemption) of the CEQA Guidelines, which provides that CEQA only applies to projects that have the potential for causing a significant effect on the environment. The Ordinance would not result in direct or indirect physical changes in the environment and does not involve any construction or additions to any existing structures.

SECTION 14. Severability. If any section, subsection, sentence, clause, phrase, or portion of this Ordinance is for any reason held to be invalid or unconstitutional by the decision of any court of competent jurisdiction, such decision shall not affect the validity of the remaining portions of this Ordinance. The City Council of the City of West Covina hereby declares that it would have adopted this Ordinance and each section, subsection, sentence, clause, phrase, or portion thereof, irrespective of the fact that any one or more sections, subsections, sentences, clauses, phrases, or portions be declared invalid or unconstitutional.

SECTION 15. Certification. The City Clerk shall certify passage of this Ordinance and shall cause the same to be published as required by law.

SECTION 16. Effective Date. This Ordinance shall take effect and be in force on the 31st day after the date of its passage.

PASSED, APPROVED AND ADOPTED this 21st day of October, 2025.

Tony Wu
Mayor

APPROVED AS TO FORM ATTEST
Thomas P. Duarte Monique S. De La Rosa
City Attorney Deputy City Clerk
I, MONIQUE S. DE LA ROSA, DEPUTY CITY CLERK of the City of West Covina, California, do hereby certify that the foregoing Ordinance No. 2533 was introduced at a regular meeting of the City Council held on the 2nd day of September, 2025, and adopted at a regular meeting of the City Council held on the 21st day of October, 2025 by the following vote of the City Council:

AYES:

NOES:

ABSENT:

ABSTAIN:

Monique S. De La Rosa
Deputy City Clerk

AGENDA ITEM NO. 8

AGENDA STAFF REPORT
City of West Covina | Office of the City Manager
DATE: October 21, 2025
TO: Mayor and City Council
FROM: Milan Mrakich, Acting City Manager
SUBJECT: UPDATE - LANDSCAPE MAINTENANCE SERVICES FOR LANDSCAPE MAINTENANCE DISTRICTS (LMDs) AND COASTAL SAGE AND SCRUB AREAS AT

SPORTSPLEX
RECOMMENDATION:

It is recommended that the City Council receive and file this report.

BACKGROUND:

There are five Landscape Maintenance Districts (LMDs) in West Covina. LMDs for parts of the community were established pursuant to the Municipal Improvement Act of 1911 (LMDs 1 and 2) and Landscaping and Lighting Act of 1972 (LMDs 4, 6, and 7) at the request of the owners of the developments in lieu of forming Homeowners' Associations. Funds collected by the districts are used to maintain landscaping, irrigation and hardscape (i.e. sidewalks, walls, graffiti abatement, clean-up of site, etc.) in public open space areas within its boundaries. The areas covered include maintenance for the Coastal Sage and Scrub Community Facility District (CSS) that consists of the gnatcatcher habitat restoration program, parkway maintenance and street lighting in the Sportsplex area.

Due to budgetary limitations, the scope of services for landscape maintenance in the LMDs had been reduced over the various contract years. The older scope of services only required 3 feet clearance from sidewalks and 6-10 feet fire clearance behind residences. The scope of services outlined in the Request for Proposal (RFP No. 61-021) in 2023 was changed significantly to include full hillsides with brush and vegetation to be trimmed to a maximum height of 4 feet.

Staff issued RFP No. 61-021 for landscape maintenance services for all Landscape Maintenance Districts, known as LMDs 1, 2, 4, 6, 7 and Sportsplex Coastal Sage, and Scrub Areas on February 13, 2023. The RFP was sent out to subscribers through the City’s third-party website, Planet Bids.

At the September 5, 2023 City Council meeting, the City Council awarded the RFP to Merchants Landscape Services, Inc. (Merchants) and authorized the City Manager to execute an agreement with Merchants and any future amendments to the agreement.

The Maintenance Services Agreement (Agreement) between the City of West Covina and Merchants is included as Attachment No. 1. Merchants began providing services pursuant to the Agreement on November 1, 2023.

DISCUSSION:

Public Works staff routinely does visual/drive-by inspections to monitor contracted services to ensure the City's appearance and respond to issues reported through the GoGov app or the reporting telephone number (626) 939-8458. City staff is in regular communication with Merchants’ staff for updates and to ensure the scope of services is being met.

Per the direction of City Council, representatives from Merchants have been asked to provide a PowerPoint Presentation as an update and to be available to answer any questions and address any concerns.

Prepared by: Renee M. G. Chavez, Management Analyst I
Additional Approval: Roxanne E. Lerma, Assistant City Manager Fiscal Impact
FISCAL IMPACT:

This is strictly an administrative item to receive and file; therefore, there is not an associated fiscal impact with this report.

Attachments
Attachment No. 1- MSA with Merchants Landscape Services, Inc.

Attachment No. 2 Merchants Presentation
CITY COUNCIL GOALS & OBJECTIVES: Protect Public Safety
Achieve Fiscal Sustainability and Financial Stability
A Well-Planned Community
Enhance City Image and Effectiveness
ATTACHMENT NO. 1

Landscape Maintenance Districts
Update
ATTACHMENT NO. 2
Landscape Maintenance Districts (LMDs)
Before and After (Initial Clearing)
Before
Before and After
Before and After
Initial Clearing
June 2025
LMDs In Process
Completed
In Process
Challenges
• Three decades of no maintenance
• Overgrowth was more severe than was thought
• Hillsides were significantly difficult
• Need to identify what are trees vs. bushes/vegetation • Homeless encampments
• Moved to different sites on a regular basis
• Most of the work required hand tools
• Weather
• Irrigation is not present in most of the areas
Were requested to spend time reviewing irrigation
Note: The areas cleared have been maintained
Trees are not part of the contract
Today….

LMD 2
Fairgrove &
Parkside
Woodgrove
Park
Today….

LMD2 & LMD4
Brentwood
Drive and
Amar Road
Today….

LMD 2 & LMD4
Amar Road
Today….

LMD2 & LMD4
North Azusa
Ave From
Tierra Mia
Coffee to
Nelson Street
Today….

Behind
Playgrounds
and
Restrooms at
Woodgrove
Park
Today….

LMD 4
North Amar
Road from
Shadow Oak
Drive to
Nogales
Conclusion
Expected time of completion,
baring weather, will be end of
December 2026

West Covina City CouncilOctober 21, 2025

West Covina City Council
October 21, 2025