AGENDA______ March 17, 2020 Thomas L. Berkley Square 2000 San Pablo Avenue, Fourth Floor Oakland, California 94612 510-271-9100 / Fax: 510-271-9108 Lori A. Cox [email protected]Agency Director http://alamedasocialservices.org February 24, 2020 Honorable Board of Supervisors County of Alameda 1221 Oak Street, Suite 536 Oakland, CA 94612 Dear Board Members: SUBJECT: APPROVE TWO SERVICE AGREEMENTS TO PROVIDE KINSHIP SUPPORT SERVICES TO FOSTER CAREGIVERS RECOMMENDATION: A. Approve a new service agreement (Master Contract No. 900176; Procurement Contract No. 19632) with Family Support Services (Principal: Cheryl Smith; Location: Oakland) to provide kinship support services to foster caregivers in the Northern Alameda County for the contract term 7/1/20 - 6/30/22 in the amount of $1,500,000 ($750,000 annually); B. Approve a new service agreement (Master Contract No. 900117; Procurement Contract No.19631) with Lincoln (Principal: Allison Becwar; Location: Oakland) to provide kinship support services to foster caregivers in the Central, Southern, and Eastern Alameda County for the contract term 7/1/20 - 6/30/22 in the amount of $1,500,000 ($750,000 annually); and C. Authorize the Social Services Agency Director, or designee, to negotiate and execute the agreements under the Community-Based Organization (CBO) Master Contract process and return an executed copy to the Clerk of the Board for filing. SUMMARY/DISCUSSION: This letter requests action by your Board to approve service agreements with two Community-Based Organizations (CBOs), Lincoln and Family Support Services, to provide kinship support programs in the County of Alameda for Fiscal Years (FY) 2020-2022. Kinship support programs increase the capacity for formal and informal relative caregivers and fictive kin (such as neighbors and family friends) to provide resource parenting for children and youth who are at risk of entering foster care or of becoming dependents of the juvenile court. On September 18, 2018 (Item No. 4), as a result of a 2018 Request for Proposal (RFP No. 2018-SSA-CFS- KSS), your Board approved awards for Family Support Services and Lincoln to provide kinship support services for FY 2018-2020. The RFP documents soliciting kinship support service providers specified the County’s intent to award the contracts for the period of July 1, 2018 through June 30, 2020 with an option
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AGENDA______ March 17, 2020
Thomas L. Berkley Square 2000 San Pablo Avenue, Fourth Floor Oakland, California 94612 510-271-9100 / Fax: 510-271-9108 Lori A. Cox [email protected] Agency Director http://alamedasocialservices.org
February 24, 2020 Honorable Board of Supervisors County of Alameda 1221 Oak Street, Suite 536 Oakland, CA 94612 Dear Board Members: SUBJECT: APPROVE TWO SERVICE AGREEMENTS TO PROVIDE KINSHIP SUPPORT
SERVICES TO FOSTER CAREGIVERS
RECOMMENDATION:
A. Approve a new service agreement (Master Contract No. 900176; Procurement Contract No. 19632) with Family Support Services (Principal: Cheryl Smith; Location: Oakland) to provide kinship support services to foster caregivers in the Northern Alameda County for the contract term 7/1/20 - 6/30/22 in the amount of $1,500,000 ($750,000 annually);
B. Approve a new service agreement (Master Contract No. 900117; Procurement Contract
No.19631) with Lincoln (Principal: Allison Becwar; Location: Oakland) to provide kinship support services to foster caregivers in the Central, Southern, and Eastern Alameda County for the contract term 7/1/20 - 6/30/22 in the amount of $1,500,000 ($750,000 annually); and
C. Authorize the Social Services Agency Director, or designee, to negotiate and execute the
agreements under the Community-Based Organization (CBO) Master Contract process and return an executed copy to the Clerk of the Board for filing.
SUMMARY/DISCUSSION: This letter requests action by your Board to approve service agreements with two Community-Based Organizations (CBOs), Lincoln and Family Support Services, to provide kinship support programs in the County of Alameda for Fiscal Years (FY) 2020-2022. Kinship support programs increase the capacity for formal and informal relative caregivers and fictive kin (such as neighbors and family friends) to provide resource parenting for children and youth who are at risk of entering foster care or of becoming dependents of the juvenile court. On September 18, 2018 (Item No. 4), as a result of a 2018 Request for Proposal (RFP No. 2018-SSA-CFS-KSS), your Board approved awards for Family Support Services and Lincoln to provide kinship support services for FY 2018-2020. The RFP documents soliciting kinship support service providers specified the County’s intent to award the contracts for the period of July 1, 2018 through June 30, 2020 with an option
Honorable Board Members -2- February 24, 2020 for successful bidders to renew their contracts for two additional years. Approving these two service agreements provides the additional two years of service described in the RFP. Effectiveness of the kinship support services contracts is reported monthly by the contractors using seven performance measures, including: the number of outreach activities conducted; information, referral, crisis intervention, and critical needs support calls and contacts; families provided case management services; support group participant hours; youth programming participant hours; the percent of satisfied caregivers; and the percent of case management participants reporting a reduction in stress. In FY 2018-2019, the two contractors met or exceeded nearly all performance targets. Family Support Services met or exceeded all targets except the number of case management participants (94.5% of target) and the percent of case management participants with reduced stress (94% of target), while providing 478% of the target participant hours of youth programming. The other kinship support services provider, Lincoln, met or exceeded all targets except number of support group hours (86% of target) and the percent of case management participants with reduced stress (89% of target), while providing 179% of the target participant hours of youth programming. SELECTION CRITERIA/PROCESS:
On April 2, 2018, SSA released RFP No. 2018-SSA-CFS-KSS to solicit bids for kinship support service contractors for two service regions in Alameda County. SSA received Federal Grant Funds Waiver No. F1248 for the RFP process from the Office of Contract Compliance Reporting on February 28, 2019. The RFP was posted on the General Services Agency (GSA) and SSA websites and distributed through the Current Contract Opportunities mailing service, which includes certified Small Local Emerging Businesses (SLEB). Networking/bidders conferences were held in Hayward and Oakland on April 12 and April 13, 2018, respectively. The proposal process resulted in seven bids, which were evaluated in two stages by a County Selection Committee (CSC). Proposals were initially scored by CSC members to develop a short list of bidders. Four of the seven proposals from agencies obtained sufficient points to advance to the second stage, and those four agencies participated in interviews with the CSC. References of the four finalist agencies were screened by SSA staff. On May 31, 2018, Family Support Services and Lincoln were selected by the CSC to receive an Intent to Award letter from SSA. No appeals were received. Family Support Services is a certified small business (Certification No. 10-00093, expiration date March 31, 2020). Both agencies are local nonprofit agencies and are therefore exempt from County SLEB requirements. Federal Grant Funds Waiver No. F1248-D for Lincoln was approved by the Office of Contract Compliance and Reporting on January 31, 2020. Federal Grant Funds Waiver No. F1248-C was approved for Family Support Services by the Office of Contract Compliance and Reporting on January 31, 2020. Both waivers will expire June 30, 2021 and will be renewed by the SSA Contracts Office as required. FINANCING: Funding for the recommended awards will be included in the proposed FY 2020-2021 and FY 2021-2022 Maintenance of Effort Budgets with the funding level of the program at the same amount as the Fiscal Year 2019-20 Approved Budget. There are no additional net County costs. VISION 2026 GOAL: Approval of the kinship support contracts aligns with the 10x goals of Eliminate Poverty and Hunger and Eliminate Homelessness in support of our shared vision of a Thriving and Resilient Population. Sincerely,
Lori A. Cox Agency Director
Form 110-9 Rev 7/23/15, Page 1 of 2 – INTERNAL COUNTY OF ALAMEDA USE ONLY
REQUEST TO ENCUMBER, ADD, LIQUIDATE FUNDS OR PAY BOARD-APPROVED CONTRACTS
Department Contact Name: _______________________________________ Phone #:___________________ QIC:______________
Total Amount Authorized By Board:$ ____________________ Amount to be Encumbered:$ __________________________
Justification if partial encumbrance requested: ________________________________________________________________ (See reverse for required Additional Supplier Contact Information when requesting A. for CBO/Human Services Contracts)
B. ADD FUNDS TO EXISTING PURCHASE ORDER for Period of Funding from_______________ to_________________
PO Number: _____________________Board Approval Date: ___________________Agenda Item Number: ______________
Total Amount Authorized By Board:$ _____________________ Amount to be Encumbered:$ __________________________
Justification if partial encumbrance requested:________________________________________________________________
C. LIQUIDATE FUNDS FROM A PURCHASE ORDER
Purchase Order Number: __________________________ Amount to be Liquidated: ____________________________
(Estimated Only. See Contract Exhibit B) Federal - CFDA # State County BOS Dist #
Authorized signatory below certifies that contractor has provided goods/services as invoiced and verifies the mathematical accuracy of the invoice; that all financial provisions of the contract have been met (including the rates charged); that all invoiced items are specifically authorized by the contract and no contract limits have
been exceeded (in total, by month or by expense category).
I certify that the information in this document was explained to my satisfaction in my own
language and a copy of this form was given to me. I understand that by signing below, I hereby
authorize (____________________________________________) to release all my information INSERT NAME OF THE CONTRACTOR pertaining to my grievance to the Alameda County Social Services Agency.
A. Failure to submit required reports can delay the processing of invoices for
reimbursement.
B. The amount shown on the Exhibits A & B Coversheet of the CBO Master Contract with
Alameda County Social Services Agency is based on the estimated amount at the time the
contract was executed. This does not affect the total contract amount that was awarded to
Family Support Services. The actual federal expenditure amount, if any, will be available
to Contractors by October of the following fiscal year, and Contractor shall contact the
ACSSA Contract Liaison to receive this information.
V. Termination Provisions
A. Termination for Cause: If County determines that Contractor has failed, or will fail,
through any cause, to fulfill in a timely and proper manner its obligations under the
Agreement, or if County determines that Contractor has violated or will violate any of the
covenants, agreements, provisions, or stipulations of the Agreement, County shall
thereupon have the right to terminate the Agreement by giving written notice to Contractor
of such termination and specifying the effective date of such termination.
Without prejudice to the foregoing, Contractor agrees that if prior to or subsequent to the
termination or expiration of the Agreement upon any final or interim audit by County,
Contractor shall have failed in any way to comply with any requirements of this Agreement,
then Contractor shall pay to County forthwith whatever sums are so disclosed to be due to
County (or shall, at County's election, permit County to deduct such sums from whatever
amounts remain un-disbursed by County to Contractor pursuant to this Agreement or from
whatever remains due Contractor by County from any other contract between Contractor and
County).
B. Termination Without Cause: County shall have the right to terminate this Agreement
without cause at any time upon giving at least 30 days written notice prior to the effective
date of such termination.
C. Termination By Mutual Agreement: County and Contractor may otherwise agree in
writing to terminate this Agreement in a manner consistent with mutually agreed upon
specific terms and conditions.
Page 18 of 24
EXHIBIT B-1
PROGRAM BUDGET
FY20-21
Budget
PERSONNEL COSTS
Salaries and Wages: Annual Salary FTE Amount
1 Chief Executive Officer 168,521 0.02 3,033
2 Chief Operating Officer 108,212 0.05 5,411
3 Director of Program Operations 88,132 0.23 19,988
4 Kinship Support Services (KSSP) Program Director 87,994 0.90 79,195
5 Kinship Youth Program (KYP) Supervisor 58,000 0.84 48,952
6 Kinship Program (KSSP) Supervisor 62,098 1.00 62,098
7 KSSP Social Worker 43,000 1.00 43,000
8 KSSP Social Worker 43,000 1.00 43,000
9 KSSP Social Worker 43,000 1.00 43,000
10 KSSP Program Outreach Worker 32,956 0.25 8,239
11 Respite Providers (hourly) - Grant 5,000 1.00 0
12 Kinship Youth Program Assistant 42,200 0.84 35,617
13 Kinship Program Aides 37,000 0.83 30,695
14 School Year Youth Aides - Grant 33,638 0.49 0
15 Administrative Assistant 35,587 0.08 2,847
Subtotal Salaries and Wages 10 425,075
Payroll Taxes & Benefits:
Payroll taxes - FICA 32,518
Payroll taxes - SUI 3,335
Retirement 8,501
Life, ADD & LTD Ins. 1,129
Health Insurance 61,361
Workers Compensation Insurance 2,222
Subtotal Taxes and Benefits 109,067
Total Personnel Cost 534,142
SERVICES AND SUPPLIES
IT Support 5,100
Legal Consulting 5,000
Travel and Mileage 4,200
Phone/Internet 11,000
Office Supplies 2,700
Software 1,100
Printing and Postage 1,300
Rent and Lease of Structures 118,843
Rent and Lease of Equipment 3,800
Building Maintenance and Repairs 500
Training Fees and Materials 1,000
Meetings & Orientation 600
Insurance 4,600
Advertising, Recruitment & Pre-employment 700
Client & Program Expenses 1,000
Program & Activities Supplies 5,267
Subtotal Services and Supplies 166,710
Total Direct Cost 700,852
Indirect Cost - 8.5%* 49,148
GRAND TOTAL PROGRAM COSTS 750,000
TOTAL CONTRACT AMOUNT 750,000
0
*Indirect cost calculation excludes Rent and Lease of Structures and Equipment
FAMILY SUPPORT SERVICES
KINSHIP SUPPORT SERVICE PROGRAM
BUDGET FY 2020-2021
BUDGET ITEM
Page 19 of 24
AGENCY COMPOSITE BUDGET
EXHIBIT B-2
Page 20 of 24
EXHIBIT C
COUNTY OF ALAMEDA MINIMUM INSURANCE REQUIREMENTS
Without limiting any other obligation or liability under this Agreement, the Contractor, at its sole cost and expense, shall
secure and keep in force during the entire term of the Agreement or longer, as may be specified below, the following
insurance coverage, limits and endorsements:
TYPE OF INSURANCE COVERAGES MINIMUM LIMITS
A Commercial General Liability
Premises Liability; Products and Completed Operations;
Contractual Liability; Personal Injury and Advertising Liability
$1,000,000 per occurrence (CSL)
Bodily Injury and Property Damage
B Commercial or Business Automobile Liability
All owned vehicles, hired or leased vehicles, non-owned,
borrowed and permissive uses. Personal Automobile Liability is
acceptable for individual contractors with no transportation or
hauling related activities
$1,000,000 per occurrence (CSL)
Any Auto
Bodily Injury and Property Damage
C Workers’ Compensation (WC) and Employers Liability (EL)
Required for all contractors with employees
WC: Statutory Limits
EL: $100,000 per accident for bodily injury or disease
D Professional Liability/Errors & Omissions
Includes endorsements of contractual liability
$1,000,000 per occurrence
$2,000,000 project aggregate
E
Endorsements and Conditions:
1. ADDITIONAL INSURED: All insurance required above with the exception of Professional Liability, Personal Automobile
Liability, Workers’ Compensation and Employers Liability, shall be endorsed to name as additional insured: County of
Alameda, its Board of Supervisors, the individual members thereof, and all County officers, agents, employees and
representatives.
2. DURATION OF COVERAGE: All required insurance shall be maintained during the entire term of the Agreement with
the following exception: Insurance policies and coverage(s) written on a claims-made basis shall be maintained during the
entire term of the Agreement and until 3 years following termination and acceptance of all work provided under the
Agreement, with the retroactive date of said insurance (as may be applicable) concurrent with the commencement of activities
pursuant to this Agreement.
3. REDUCTION OR LIMIT OF OBLIGATION: All insurance policies shall be primary insurance to any insurance available
to the Indemnified Parties and Additional Insured(s). Pursuant to the provisions of this Agreement, insurance effected or
procured by the Contractor shall not reduce or limit Contractor’s contractual obligation to indemnify and defend the
Indemnified Parties.
4. INSURER FINANCIAL RATING: Insurance shall be maintained through an insurer with a minimum A.M. Best Rating
of A- or better, with deductible amounts acceptable to the County. Acceptance of Contractor’s insurance by County shall not
relieve or decrease the liability of Contractor hereunder. Any deductible or self-insured retention amount or other similar
obligation under the policies shall be the sole responsibility of the Contractor. Any deductible or self-insured retention amount
or other similar obligation under the policies shall be the sole responsibility of the Contractor.
5. SUBCONTRACTORS: Contractor shall include all subcontractors as an insured (covered party) under its policies or shall
furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all
of the requirements stated herein.
6. JOINT VENTURES: If Contractor is an association, partnership or other joint business venture, required insurance shall be
provided by any one of the following methods:
– Separate insurance policies issued for each individual entity, with each entity included as a “Named Insured (covered party),
or at minimum named as an “Additional Insured” on the other’s policies.
– Joint insurance program with the association, partnership or other joint business venture included as a “Named Insured.
7. CANCELLATION OF INSURANCE: All required insurance shall be endorsed to provide thirty (30) days advance written
notice to the County of cancellation.
8. CERTIFICATE OF INSURANCE: Before commencing operations under this Agreement, Contractor shall provide
Certificate(s) of Insurance and applicable insurance endorsements, in form and satisfactory to County, evidencing that all
required insurance coverage is in effect. The County reserves the rights to require the Contractor to provide complete,
certified copies of all required insurance policies. The require certificate(s) and endorsements must be sent to:
- Alameda County Social Services Agency Contracts Office, 1111 Jackson Street, Suite 103, Oakland, CA 94607
- With a copy to Risk Management Unit, 1106 Madison Street, Room 233, Oakland, CA 94607
Certificate C-2 Form 2001-1
Page 21 of 24
EXHIBIT D
AUDIT REQUIREMENTS
The County contracts with various organizations to carry out programs mandated by the Federal
and State governments or sponsored by the Board of Supervisors. Under the Single Audit Act
Amendments of 1996 (31 U.S.C.A. §§ 7501-7507) and Board policy, the County has the
responsibility to determine whether organizations receiving funds through the County have
spent them in accordance with applicable laws, regulations, contract terms, and grant
agreements. To this end, effective with the first fiscal year beginning on and after December 26,
2014, the following are required. I. AUDIT REQUIREMENTS
A. Funds from Federal Sources:
1. Non-Federal entities which are determined to be sub-recipients by the
supervising department according to 2 CFR § 200.330 and which expend
annual Federal awards in the amount specified in 2 CFR § 200.501 are
required to have a single audit performed in accordance with 2 CFR §
200.514.
2. When a non-Federal entity expends annual Federal awards in the amount
specified in 2 CFR § 200.501(a) under only one Federal program
(excluding R&D) and the Federal program's statutes, regulations, or
terms and conditions of the Federal award do not require a financial
statement audit of the auditee, the non-Federal entity may elect to have a
program-specific audit conducted in accordance with 2 CFR § 200.507
(Program Specific Audits).
3. Non-Federal entities which expend annual Federal awards less than the
amount specified in 2 CFR § 200.501(d) are exempt from the single audit
requirements for that year except that the County may require a limited-
scope audit in accordance with 2 CFR § 200.503(c) .
B. Funds from All Sources:
Non-Federal entities which expend annual funds from any source (Federal,
State, County, etc.) through the County in an amount of:
1. $100,000 or more must have a financial audit in accordance with the
U.S. Comptroller General’s Generally Accepted Government Auditing
Standards (GAGAS) covering all County programs.
2. Less than $100,000 are exempt from these audit requirements except as
otherwise noted in the contract.
Page 22 of 24
Non-Federal entities that are required to have or choose to do a single
audit in accordance with 2 CFR Subpart F, Audit Requirements are not
required to have a financial audit in the same year. However, Non-
Federal entities that are required to have a financial audit may also be
required to have a limited-scope audit in the same year.
C. General Requirements for All Audits:
1. All audits must be conducted in accordance with General ly Accepted
Government Auditing Standards issued by the Comptroller General of
the United States (GAGAS).
2. All audits must be conducted annually, except for biennial audits
authorized by 2 CFR § 200.504 and where specifically allowed
otherwise by laws, regulations, or County policy.
3. The audit report must contain a separate schedule that identifies all funds
received from or passed through the County that is covered by the audit.
County programs must be identified by contract number, contract
amount, contract period, and amount expended during the fiscal year
by funding source. An exhibit number must be included when applicable.
4. If a funding source has more stringent and specific audit requirements,
these requirements must prevail over those described above.
II. AUDIT REPORTS
A. For Single Audits
1. Within the earlier of 30 calendar days after receipt of the auditor’s report
or nine months after the end of the audit period, the auditee must
electronically submit to the Federal Audit Clearinghouse (FAC) the data
collection form described in 2 CFR § 200.512(b) and the reporting
package described in 2 CFR § 200.512(c). The auditee and auditors must
ensure that the reporting package does not include protected personally
identifiable information. The FAC will make the reporting package and
the data collection form available on a web site and all Federal agencies,
pass-through entities and others interested in a reporting package and data
collection form must obtain it by accessing the FAC. As required by 2
CFR § 200.512(a)(2), unless restricted by Federal statutes or regulations,
the auditee must make copies available for public inspection.
2. A notice of the audit report issuance along with two copies of the
management letter with its corresponding response should be sent to the
County supervising department within ten calendar days after it is
Page 23 of 24
submitted to the FAC. The County supervising department is responsible
for forwarding a copy of the audit report, management letter, and
corresponding responses to the County Auditor within one week of
receipt.
B. For Audits other than Single Audits
At least two copies of the audit report package, including all attachments and any
management letter with its corresponding response, should be sent to the County
supervising department within six months after the end of the audit year, or other
time frame as specified by the department. The County supervising department
is responsible for forwarding a copy of the audit report package to the County
Auditor within one week of receipt.
III. AUDIT RESOLUTION
Within 30 days of issuance of the audit report, the entity must submit to its County
supervising department a corrective action plan consistent with 2 CFR § 200.511(c)
to address each audit finding included in the current year auditor’s report. Questioned
costs and disallowed costs must be resolved according to procedures established by the
County in the Contract Administration Manual. The County supervising department
will follow up on the implementation of the corrective action plan as it pertains to
County programs.
IV. ADDITIONAL AUDIT WORK
The County, the State, or Federal agencies may conduct additional audits or reviews to
carry out their regulatory responsibilities. To the extent possible, these audits and
reviews will rely on the audit work already performed under the audit requirements
listed above.
Page 24 of 24
EXHIBIT E
HIPAA BUSINESS ASSOCIATE AGREEMENT
(INTENTIONALLY OMITTED )
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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 onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBRWVD
ADDLINSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLYNON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?(Mandatory in NH)
DESCRIPTION OF OPERATIONS belowIf yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-
STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP
(MM/DD/YYYY)POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCEDAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICYPRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY)
County of Alameda, it's board of supervisors, the individuals members there of, and all county officers, agents, employees and representatives are namedadditional insured with respect to the operations of the named insured. Workers Compensation coverage is evidence only. 10 days for cancellation due tononpayment of premium applies and 30 days for all other reasons.
POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – SCHEDULED PERSON OR
ORGANIZATION This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations
Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to
include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by:
1. Your acts or omissions; or 2. The acts or omissions of those acting on your
behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after:
1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or
2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.
8586974-10
Berkley National Insurance Company
County of Alameda, it's board of supervisors, the individuals members there of, and all county officers, agents, employees and representatives
C. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
EXHIBIT F
COUNTY OF ALAMEDA
DEBARMENT AND SUSPENSION CERTIFICATION (Applicable to all agreements funded in part or whole with federal funds and contracts over $25,000).
The contractor, under penalty of perjury, certifies that, except as noted below, the
contractor, its principals, and any named and unnamed subcontractor:
Is not currently under suspension, debarment, voluntary exclusion, or
determination of ineligibility by any federal agency;
Has not been suspended, debarred, voluntarily excluded or determined
ineligible by any federal agency within the past three years;
Does not have a proposed debarment pending; and
Has not been indicted, convicted, or had a civil judgment rendered against it
by a court of competent jurisdiction in any matter involving fraud or official
misconduct within the past three years.
If there are any exceptions to this certification, insert the exceptions in the following
space. {!10}
Exceptions will not necessarily result in denial of award, but will be considered in
determining contractor responsibility. For any exception noted above, indicate
below to whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or
administrative sanctions. The above certification is part of the Community Based
Organization Master Contract. Signing this Contract on the signature portion
thereof shall also constitute signature of this Certification.
Total Amount Authorized By Board:$ ____________________ Amount to be Encumbered:$ __________________________
Justification if partial encumbrance requested: ________________________________________________________________ (See reverse for required Additional Supplier Contact Information when requesting A. for CBO/Human Services Contracts)
B. ADD FUNDS TO EXISTING PURCHASE ORDER for Period of Funding from_______________ to_________________
PO Number: _____________________Board Approval Date: ___________________Agenda Item Number: ______________
Total Amount Authorized By Board:$ _____________________ Amount to be Encumbered:$ __________________________
Justification if partial encumbrance requested:________________________________________________________________
C. LIQUIDATE FUNDS FROM A PURCHASE ORDER
Purchase Order Number: __________________________ Amount to be Liquidated: ____________________________
(Estimated Only. See Contract Exhibit B) Federal - CFDA # State County BOS Dist #
Authorized signatory below certifies that contractor has provided goods/services as invoiced and verifies the mathematical accuracy of the invoice; that all financial provisions of the contract have been met (including the rates charged); that all invoiced items are specifically authorized by the contract and no contract limits have
been exceeded (in total, by month or by expense category).
I certify that the information in this document was explained to my satisfaction in my own
language and a copy of this form was given to me. I understand that by signing below, I hereby
authorize (____________________________________________) to release all my information INSERT NAME OF THE CONTRACTOR pertaining to my grievance to the Alameda County Social Services Agency.
Total Direct Expenses (Personnel and Operating Expenses Combined) 687,182$
Total Indirect Cost (Administrative Overhead, 10% Maximum) 62,818$
Total Contract Amount 750,000$
Operating
Expenses
Personnel
Expenses
Describe (add one line for each major category)
Page 19 of 24
EXHIBIT B-2
AGENCY COMPOSIT BUDGET
Page 20 of 24
EXHIBIT C
COUNTY OF ALAMEDA MINIMUM INSURANCE REQUIREMENTS
Without limiting any other obligation or liability under this Agreement, the Contractor, at its sole cost and expense, shall
secure and keep in force during the entire term of the Agreement or longer, as may be specified below, the following
insurance coverage, limits and endorsements:
TYPE OF INSURANCE COVERAGES MINIMUM LIMITS
A Commercial General Liability
Premises Liability; Products and Completed Operations;
Contractual Liability; Personal Injury and Advertising Liability
$1,000,000 per occurrence (CSL)
Bodily Injury and Property Damage
B Commercial or Business Automobile Liability
All owned vehicles, hired or leased vehicles, non-owned,
borrowed and permissive uses. Personal Automobile Liability is
acceptable for individual contractors with no transportation or
hauling related activities
$1,000,000 per occurrence (CSL)
Any Auto
Bodily Injury and Property Damage
C Workers’ Compensation (WC) and Employers Liability (EL)
Required for all contractors with employees
WC: Statutory Limits
EL: $100,000 per accident for bodily injury or disease
D Professional Liability/Errors & Omissions
Includes endorsements of contractual liability
$1,000,000 per occurrence
$2,000,000 project aggregate
E
Endorsements and Conditions:
1. ADDITIONAL INSURED: All insurance required above with the exception of Professional Liability, Personal Automobile
Liability, Workers’ Compensation and Employers Liability, shall be endorsed to name as additional insured: County of
Alameda, its Board of Supervisors, the individual members thereof, and all County officers, agents, employees and
representatives.
2. DURATION OF COVERAGE: All required insurance shall be maintained during the entire term of the Agreement with
the following exception: Insurance policies and coverage(s) written on a claims-made basis shall be maintained during the
entire term of the Agreement and until 3 years following termination and acceptance of all work provided under the
Agreement, with the retroactive date of said insurance (as may be applicable) concurrent with the commencement of activities
pursuant to this Agreement.
3. REDUCTION OR LIMIT OF OBLIGATION: All insurance policies shall be primary insurance to any insurance available
to the Indemnified Parties and Additional Insured(s). Pursuant to the provisions of this Agreement, insurance effected or
procured by the Contractor shall not reduce or limit Contractor’s contractual obligation to indemnify and defend the
Indemnified Parties.
4. INSURER FINANCIAL RATING: Insurance shall be maintained through an insurer with a minimum A.M. Best Rating
of A- or better, with deductible amounts acceptable to the County. Acceptance of Contractor’s insurance by County shall not
relieve or decrease the liability of Contractor hereunder. Any deductible or self-insured retention amount or other similar
obligation under the policies shall be the sole responsibility of the Contractor. Any deductible or self-insured retention amount
or other similar obligation under the policies shall be the sole responsibility of the Contractor.
5. SUBCONTRACTORS: Contractor shall include all subcontractors as an insured (covered party) under its policies or shall
furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all
of the requirements stated herein.
6. JOINT VENTURES: If Contractor is an association, partnership or other joint business venture, required insurance shall be
provided by any one of the following methods:
– Separate insurance policies issued for each individual entity, with each entity included as a “Named Insured (covered party),
or at minimum named as an “Additional Insured” on the other’s policies.
– Joint insurance program with the association, partnership or other joint business venture included as a “Named Insured.
7. CANCELLATION OF INSURANCE: All required insurance shall be endorsed to provide thirty (30) days advance written
notice to the County of cancellation.
8. CERTIFICATE OF INSURANCE: Before commencing operations under this Agreement, Contractor shall provide
Certificate(s) of Insurance and applicable insurance endorsements, in form and satisfactory to County, evidencing that all
required insurance coverage is in effect. The County reserves the rights to require the Contractor to provide complete,
certified copies of all required insurance policies. The require certificate(s) and endorsements must be sent to:
- Alameda County Social Services Agency Contracts Office, 1111 Jackson Street, Suite 103, Oakland, CA 94607
- With a copy to Risk Management Unit, 1106 Madison Street, Room 233, Oakland, CA 94607
Certificate C-2 Form 2001-1
Page 21 of 24
EXHIBIT D
AUDIT REQUIREMENTS
The County contracts with various organizations to carry out programs mandated by the Federal
and State governments or sponsored by the Board of Supervisors. Under the Single Audit Act
Amendments of 1996 (31 U.S.C.A. §§ 7501-7507) and Board policy, the County has the
responsibility to determine whether organizations receiving funds through the County have
spent them in accordance with applicable laws, regulations, contract terms, and grant
agreements. To this end, effective with the first fiscal year beginning on and after December 26,
2014, the following are required. I. AUDIT REQUIREMENTS
A. Funds from Federal Sources:
1. Non-Federal entities which are determined to be sub-recipients by the
supervising department according to 2 CFR § 200.330 and which expend
annual Federal awards in the amount specified in 2 CFR § 200.501 are
required to have a single audit performed in accordance with 2 CFR §
200.514.
2. When a non-Federal entity expends annual Federal awards in the amount
specified in 2 CFR § 200.501(a) under only one Federal program
(excluding R&D) and the Federal program's statutes, regulations, or
terms and conditions of the Federal award do not require a financial
statement audit of the auditee, the non-Federal entity may elect to have a
program-specific audit conducted in accordance with 2 CFR § 200.507
(Program Specific Audits).
3. Non-Federal entities which expend annual Federal awards less than the
amount specified in 2 CFR § 200.501(d) are exempt from the single audit
requirements for that year except that the County may require a limited-
scope audit in accordance with 2 CFR § 200.503(c) .
B. Funds from All Sources:
Non-Federal entities which expend annual funds from any source (Federal,
State, County, etc.) through the County in an amount of:
1. $100,000 or more must have a financial audit in accordance with the
U.S. Comptroller General’s Generally Accepted Government Auditing
Standards (GAGAS) covering all County programs.
2. Less than $100,000 are exempt from these audit requirements except as
otherwise noted in the contract.
Page 22 of 24
Non-Federal entities that are required to have or choose to do a single
audit in accordance with 2 CFR Subpart F, Audit Requirements are not
required to have a financial audit in the same year. However, Non-
Federal entities that are required to have a financial audit may also be
required to have a limited-scope audit in the same year.
C. General Requirements for All Audits:
1. All audits must be conducted in accordance with General ly Accepted
Government Auditing Standards issued by the Comptroller General of
the United States (GAGAS).
2. All audits must be conducted annually, except for biennial audits
authorized by 2 CFR § 200.504 and where specifically allowed
otherwise by laws, regulations, or County policy.
3. The audit report must contain a separate schedule that identifies all funds
received from or passed through the County that is covered by the audit.
County programs must be identified by contract number, contract
amount, contract period, and amount expended during the fiscal year
by funding source. An exhibit number must be included when applicable.
4. If a funding source has more stringent and specific audit requirements,
these requirements must prevail over those described above.
II. AUDIT REPORTS
A. For Single Audits
1. Within the earlier of 30 calendar days after receipt of the auditor’s report
or nine months after the end of the audit period, the auditee must
electronically submit to the Federal Audit Clearinghouse (FAC) the data
collection form described in 2 CFR § 200.512(b) and the reporting
package described in 2 CFR § 200.512(c). The auditee and auditors must
ensure that the reporting package does not include protected personally
identifiable information. The FAC will make the reporting package and
the data collection form available on a web site and all Federal agencies,
pass-through entities and others interested in a reporting package and data
collection form must obtain it by accessing the FAC. As required by 2
CFR § 200.512(a)(2), unless restricted by Federal statutes or regulations,
the auditee must make copies available for public inspection.
2. A notice of the audit report issuance along with two copies of the
management letter with its corresponding response should be sent to the
County supervising department within ten calendar days after it is
Page 23 of 24
submitted to the FAC. The County supervising department is responsible
for forwarding a copy of the audit report, management letter, and
corresponding responses to the County Auditor within one week of
receipt.
B. For Audits other than Single Audits
At least two copies of the audit report package, including all attachments and any
management letter with its corresponding response, should be sent to the County
supervising department within six months after the end of the audit year, or other
time frame as specified by the department. The County supervising department
is responsible for forwarding a copy of the audit report package to the County
Auditor within one week of receipt.
III. AUDIT RESOLUTION
Within 30 days of issuance of the audit report, the entity must submit to its County
supervising department a corrective action plan consistent with 2 CFR § 200.511(c)
to address each audit finding included in the current year auditor’s report. Questioned
costs and disallowed costs must be resolved according to procedures established by the
County in the Contract Administration Manual. The County supervising department
will follow up on the implementation of the corrective action plan as it pertains to
County programs.
IV. ADDITIONAL AUDIT WORK
The County, the State, or Federal agencies may conduct additional audits or reviews to
carry out their regulatory responsibilities. To the extent possible, these audits and
reviews will rely on the audit work already performed under the audit requirements
listed above.
Page 24 of 24
EXHIBIT E
HIPAA BUSINESS ASSOCIATE AGREEMENT
(INTENTIONALLY OMITTED )
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:CONTACT
(A/C, No):FAX
E-MAILADDRESS:
PRODUCER
(A/C, No, Ext):PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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 onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBRWVD
ADDLINSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
$
$
$
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLYNON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?(Mandatory in NH)
DESCRIPTION OF OPERATIONS belowIf yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
EROTH-
STATUTEPER
LIMITS(MM/DD/YYYY)POLICY EXP
(MM/DD/YYYY)POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTRINSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
$
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCEDAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICYPRO-JECT LOC
CERTIFICATE OF LIABILITY INSURANCEDATE (MM/DD/YYYY)
Re: Kinship Support Services. County of Alameda, its Board of Supervisors, the individual members thereof, and all County officers, agents, employees andrepresentatives are included as an additional insured on General Liability policy per the attached endorsement, if required.
Alameda County Social Services AgencyAdministrative OfficesAttn: Lori A. Cox2000 San Pablo Avenue, 4th FloorOakland, CA 94612