HomeMy WebLinkAbout5069 RESOLUTION NO. 5 0 6 9
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF
AUBURN, WASHINGTON, AUTHORIZING THE
ACCEPTANCE OF A GRANT FROM THE WASHINGTON
SERVICE CORPS TO PROVIDE SERVICES TO THE CITY
OF AUBURN IN THE NATURE OF A FULL-TIME
DISASTER SERVICES MEMBER AND A FULL-TIME
VETERANS SERVICES MEMBER, AND AUTHORIZING
THE MAYOR TO EXECUTE THE NECESSARY,
AGREEMENTS TO ACCEPT SAID MEMBERS
WHEREAS, the City of Auburn has an office of Emergency Management,
dedicated to preparing the City and its residents for disaster; and
WHEREAS, the Washington Service Corps provides full-time disaster
services volunteers to local programs through the AmeriCorps program; and
WHEREAS, the City of Auburn desires to provide comprehensive disaster
education to Auburn residents; and
WHEREAS, the City of Auburn has a coordinator of Veterans Services,
dedicated to providing services to veterans; and
WHEREAS, the Washington Service Corps provides full-time veterans
services volunteers to local programs through the AmeriCorps program; and
WHEREAS, the City of Auburn desires to provide outreach to veterans
who are Auburn residents; and
WHEREAS, the City of Auburn has been accepted as a host site for a
2014/2015 AmeriCorps member,
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF AUBURN,
WASHINGTON, DO ORDAIN AS FOLLOWS:
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Resolution No.5069
May 27, 2014
Page 1
Section 1. Purpose. The City Council of the City of Auburn hereby
accepts a grant from the Washington Service Corps for one Disaster Services
AmeriCorps member and for one Veterans Services AmeriCorps member, for the
2014/2015 program year, in substantial conformity with the Memorandum of
Understanding, a copy of which is attached hereto, marked as Exhibit "A" and
incorporated herein by this reference.
Section 2. Implementation. The Mayor of the City of Auburn is hereby
authorized to implement such administrative procedures as may be necessary to
carry out the directions of this resolution.
Section 3. Effective Date. This Resolution shall be in full force and effect
upon passage and signatures hereon.
SIGNED and DATED this d-, day of June 2014.
CITY OF AUBURN
NANCY BA U6, Mayor
ATTEST:
Danielle Daskam, City Clerk
APPROVED A TO FORM:
Hei , ' y Attorney
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Resolution No 5069
May 27, 2014
Page 2
WSC ONLY:
Contract#-
(as assigned by ESD)
SON-10collps 19
EMPLOYMENT SECURITY DEPARTMENT
Av Individual Placement RECEIVED
CFDA 94.006
Program Year September 1, 2014—August 31, 2015 JUN 0 6 2014
WA Service Corps
MEMORANDUM OF UNDERSTANDING
The purpose of this Memorandum of Understanding (MOU) is to establish the compliance
expectations of the Washington Service Corps (WSC) Individual Placement and Special
Programs. These expectations are designed to establish effective coordination between
sponsoring organizations and the WSC, to ensure that the objectives of the WSC, Washington
State Commission for National and Community Service, and the Corporation for National and
Community Service are met, and to ensure a positive service experience for the AmeriCorps
member(s).
Mail completed original to Washington Service Corps
P.O. Box 9046, Olympia, WA 98507
Sponsoring Organization Information
Organization (Legal Name): City of Auburn
Organization Website URL: http://www.auburnwa.gov
Project Title (s): City of Veterans Project/City of Auburn Emergency Management
DUNS#: 032942575
Legal Applicant Name: Nancy Backus Title: Mayor
Mailing Address: 25 W Main Street; Auburn, WA 98001
Telephone Number: (253) 931-3008 Fax Number: (253) 288-3132
Email Address: nbackus @auburnwa.gov
Number of AmeriCor s positions-awarded: 2
Program Year: 2014-2015
Member Placement Fee Total $6,200 x number of placements): $ 12,400
Funding Contingency
In the event funding for the WSC is reduced or eliminated, or if federal program requirements
change, prior to or after the date of this MOU, the WSC may terminate or modify this MOU with
30 days written notification to the sponsoring organization.
I MOU 2014-2015 1 of 14 05/2014
Responsibilities of the Sponsoring Organization
Section I — Financial Responsibility
1. Submit$6,200 member placement fee per member on or before September 30, 2014.
Invoice with payment instructions will be sent by WSC to sponsoring organizations on or
about August 15, 2014. Refer to RFA Guidance Document for additional details pertaining
to the use of federal funds. Member placement fee will only be pro-rated for any member
who terminates prior to serving 15% of their term. Organizations will not receive a pro-rated
refund if members serve more than 15% of their term. If a member serves less than 15% of
his/her time, the pro-rated calculation is based on the following formula (15% of 1700 hours
is 255 service/training/fundraising hours combined results in no refund of member
placement fee of$6,200. (Ex: member serves 80 hours and quits, pro-rated amount would
be $1,945.10). Failure to pay the member placement fee requirement per member may
result in removal of the member(s)from site and termination of this contract by WSC.
2. Submit to WSC proof of current valid Commercial General Liability Insurance with minimum
of$1,000,000 per occurrence with Washington Service Corps endorsed to the policy with
limit of no less than $1,000,000 per accident for bodily injury or disease. If coverage expires
prior to end of member's service term, submit new proof of coverage to WSC. If sponsoring
organization is a federal or state agency, provide documentation showing that status. If
sponsoring organization is a school district, local government, or other agency participating
in a "risk pool" or self-insured program, provide documentation of that status and coverage.
The WSC AmeriCorps member(s)will be covered, as certified in Attachment A.
3. Provide transportation or mileage reimbursement to AmeriCorps member(s) to conduct
service away from their established service site during service hours.
4. Provide transportation or mileage reimbursement according to State rates to AmeriCorps
member(s)as they attend the required SERVES Institute scheduled for October 27-29, 2014
in Yakima. The WSC covers the cost of provided meals and lodging expenses for the
members at this event.
5. Pay for any member costs around Washington State WATCH background checks. WSC will
provide a one-time fee per enrolled member for using required channeler(FieldPrint)for FBI
background check. When appointments are missed, cancelled, or changed without at least
24 hours' notice, sponsoring organization will reimburse WSC for any Fieldprint
cancellation/change fees. The sponsoring organization will be responsible for costs incurred
to redo checks that are completed incorrectly (including misspelling of member name).
Sponsoring organization will pay these costs within 14 days of receipt of invoice from WSC.
6. Pay all costs for required background checks of covered individuals, including primary and
backup supervisors.
7. Member costs that are deemed disallowed through monitoring or audit review(s)will be the
responsibility of the sponsoring organization.
8. Sponsoring organizations are only permitted to subcontract member placement with
permission of WSC and must submit a copy of their contractual agreement to WSC.
Section II - Risk Management and Compliance
1. Comply with the Assurances and Certifications (Attachment A) of the WSC Individual
Placement, Grant Program Civil Rights and Non-Harassment Policy (Attachment B),
AmeriCorps Member Service Agreement and the RFA Expectations & Agreements.
2. Comply with all WSC Policies and Procedures, including the current policies and procedures
listed below, and other policies or procedures that may be developed and implemented
throughout the program year:
AmeriCorps State Member Leave
Service Gear and Appearance
SERVES Training Institute
Member Grievance Policy and Procedures
AmeriCorps State Member Conduct
AmeriCorps State Member Transfer
I MOU 2014-2015 2 of 14 05/2014
AmeriCorps Member Deployment
Nondiscrimination on the Basis of Disability
Member Hours and Allowable Service Activities
Criminal History Background Check Requirements
Procedure for Criminal History Background Check Requirements
3. Establish safety guidelines and rules that ensure the well-being of the AmeriCorps
member(s) and participants
4. Ensure your organization has current Drug-Free Work Place and Non-Discrimination
Policies.
5. Ensure that AmeriCorps member(s) provides direct service in accordance with the position
description. Ensure any changes to duties are updated on the member position description
form and immediately sent to WSC. In the event administrative duties are necessary to
reach the member's service goals, such duties will be allowed. However, administrative
duties that support general organizational goals are not allowed.
6. Ensure that service activities do not duplicate routine functions of, or displace, paid
employees. Service activities must expand or enhance the organization's impact.
7. Ensure accuracy of member's service. Accurate records should include hours served as
service hours, training hours, and fundraising hours. No hours can be granted for service or
training out-of-state without prior WSC approval.
8. Ensure that members do not participate in out-of-country trainings or other activities which
are not allowable under CNCS regulations.
9. Monitor and ensure AmeriCorps member(s) service hours to determine if the member is
serving an average of at least 40 hours a week for 10.5 months and is on track to complete
the required 1700 service hours. Communicate to members that they must be available to
serve the hours needed by the project including weekend and evening service activities.
10. Members' supervisor will approve all member electronic timesheets through the WSC
vendor no later than 3-5 business days after the end of each semi-monthly payroll period.
11. Ensure AmeriCorps member(s)wear AmeriCorps gear daily and other possible identifiers
while serving.
12. Ensure service site has the WSC and AmeriCorps*State Logos visibly posted as follows:
• In a prominent location visible to staff and customers where member serves: Sign with
WSC logo, AmeriCorps*State logo, and "AmeriCorps Member Serves Here".
• At the entrance to the building where member serves: Sign with WSC logo,
AmeriCorps*State logo, and service site name.
13. When communicating with customers, stakeholders, Legislative Representatives, or media
about the program a WSC AmeriCorps member is serving in, the Sponsoring Organization
and any member service placement site will identify the roles of both the Washington
Service Corps and AmeriCorps in the project. For example: "(organization name) as part of
the Washington Service Corps, the AmeriCorps members......".
14. Require and retain member's proof of valid driver's license and current proof of vehicle
insurance, if the member is reimbursed for use of a personal vehicle in the performance of
their service duties.
15. Participate in the monitoring/audit process (including desk review and/or site visit) by a WSC
Program Coordinator or an authorized representative, allowing access to member or
program files, documents and materials.
16. Host scheduled programmatic visits as requested by WSC Program Coordinator.
17. In the event of any change to the information regarding the Legal Applicant, notify the WSC
Program Coordinator within ten (10) working days.
18. Ensure that member eligibility verification is met.
Section III - Prohibited AmeriCorps Member Activities
There are certain activities, including lobbying, political, religious or advocacy activities that
AmeriCorps members may not perform in the course of their duties while charging time to the
AmeriCorps program, or at the request of sponsoring organization staff. Furthermore, members
and staff may not engage in conduct in a manner that would associate the national service
IP MOU 2014-2015 3 of 14 05/2014
program or the Corporation for National and Community Service (CNCS)with the prohibited
activities. Programs must become familiar with specific provisions described in the
Corporation's formal regulation (45 C.F.R. 2520.65) and the grant provisions. The list of
prohibited activities includes:
CNCS prohibited activities:
1. Attempting to influence legislation;
2. Organizing or engaging in protests, petitions, boycotts, or strikes;
3. Assisting, promoting, or deterring union organizing;
4. Impairing existing contracts for services or collective bargaining agreements;
5. Engaging in partisan political activities, or other activities designed to influence the
outcome of an election to any public office;
6. Participating in, or endorsing, events or activities that are likely to include advocacy
for or against political parties, political platforms, political candidates, proposed
legislation, or elected officials;
7. Engaging in religious instruction, conducting worship services, providing instruction
as part of a program that includes mandatory religious instruction or worship,
constructing or operating facilities devoted to religious instruction or worship,
maintaining facilities primarily or inherently devoted to religious instruction or
worship, or engaging in any form of religious prose lytization;
8. Providing a direct benefit to-
(i) A business organized for profit;
(ii) A labor union;
(iii) A partisan political organization;
(iv) A nonprofit organization that fails to comply with the restrictions contained
in section 501(c)(3) of the Internal Revenue Code of 1986 except that
nothing in this section shall be construed to prevent participants from
engaging in advocacy activities undertaken at their own initiative; and
(v) An organization engaged in the religious activities described in paragraph
(7) of this section, unless Corporation assistance is not used to support
those religious activities;
9. Conducting a voter registration drive or using Corporation funds to conduct a voter
registration drive;
10. Providing abortion services or referrals for receipt of such services;
11. Such other activities as the Corporation may prohibit.
WSC prohibited activities:
1. Organizing a letter-writing campaign to Congress;
2. Participating in activities that pose a significant safety risk to participants;
3. Preparing any part of a grant proposal or performing other fundraising functions to
help the program achieve its match requirements, or to pay the program's general
operating expenses; and
4. Fundraising, unless under the following circumstances: if it provides direct support to
a specific service activity, falls within the program's approved objectives, is not the
primary activity of the program, and does not exceed 10% of the total hours served
for any member.
AmeriCorps members, like other private citizens, may participate in the above listed activities on
their own time, at their own expense, and on their own initiative. However, the AmeriCorps logo
must not be worn while doing so.
Federal funding for AmeriCorps members is approved with the understanding that member
service is directly supporting AmeriCorps objectives. Contrary circumstances could lead to
removal of AmeriCorps member(s)from the site.
I MOU 2014-2015 4 of 14 0512014
Section IV- Recruitment and Enrollment of AmeriCorps Member(s)
1. Conduct AmeriCorps member(s) recruitment, interviews, and selection.
2. Comply with WSC criminal history background check requirements as identified in guidance
including, but not limited to, WSC Guide to Criminal History Background Checks and the
WSC Criminal History Background Check Policy & Procedure. AmeriCorps members must
pass criminal history background checks prior to their start date and cannot be listed on the
National Sex Offender Registry. Comply with other criminal background check requirements
that may be developed and required throughout the program year to maintain CNCS
compliance.
3. Submit completed AmeriCorps member enrollment packet, to include all completed items on
checklist, to WSC at least two weeks prior to the member's start date, per dates established
by WSC.
Section V -Support and Supervision of AmeriCorps Member(s)
1. Identify a staff person from the organization to be the key contact for WSC.
2. Identify staff persons from the organization to be the primary and backup supervisors for the
AmeriCorps member(s) on site. If the member serves off site, designate off-site supervisor.
3. All supervisors are identified as "covered individuals" and are required to complete the same
criminal history background checks as members.
4. Comply with other criminal background check requirements that may be developed and
required throughout the program year and provide original documents to the WSC to
maintain.
5. In the event of a change in supervisor, ensure the individual's background checks have
been completed and cleared by WSC PRIOR to working as a supervisor. Notify WSC
Program Coordinator and submit a signed Amended Position Description for the member
within two (2) business days of the change.
6. Orient AmeriCorps member(s)to AmeriCorps; your site; the community; and the service
they will provide.
7. Inform AmeriCorps member(s)about your organization's rules of conduct and appropriate
behavior, including procedures for communicating service hours and absences. Provide
member(s)with policy manuals and/or handbooks, and include your organizational chart.
8. Introduce AmeriCorps member(s) to other organization staff and include member(s) in
appropriate organization functions.
9. Provide appropriate tools and equipment for the AmeriCorps member(s)to perform service
and to communicate with WSC. Tools and equipment may include, but are not limited to
work space, computer with internet and agency e-mail, phone and fax access.
10. Recognize and support distinct roles and responsibilities of the AmeriCorps member(s) as
outlined in the member's position description.
11. Provide oversight on the AmeriCorps member's progress and skill development, including
member's participation in required site and WSC training.
12. Ensure member(s) participation in days of national service including, but not limited to,
Martin Luther King Jr. Day of Service and AmeriCorps Week.
13. Communicate immediately with WSC program coordinator regarding AmeriCorps member(s)
performance issues or other program concerns.
14. Document AmeriCorps member performance/personnel issues in writing, including actions
taken toward resolution.
15. Follow AmeriCorps member discipline procedures as outlined in the Member Service
Agreement.
16. Consult with WSC program coordinator prior to taking action to remove or transfer an
AmeriCorps member. If the WSC becomes aware of any removal or transfer of a member
without prior approval, it may result in removal of the member from the sponsoring
organization to fulfill the service at another service site.
17. Use retention strategies to ensure member(s) successfully completes his/her full term of
service. If a Sponsoring Organization or member service site hires a WSC member before
I MOU 2014-2015 5 of 14 05/2014
the completion of that member's agreed-upon term of service, then WSC may elect not to
place another member with that organization in the future.
18. If a member indicates the intent to leave his or her service early, complete all WSC-required
exit documentation, per checklist on WSC website, prior to member leaving service.
Section VI - Performance Measures and Reporting
1. Collaborate with WSC and the AmeriCorps member(s)to develop a well-defined project that
has clear goals and objectives in accordance with the AmeriCorps member's position
description and the Request for Application. Any adjustments or revisions need prior
approval of WSC Program Coordinator.
2. Ensure performance objectives are quantifiable and demonstrate the impact of the
AmeriCorps member's service in one of the focus areas, as defined in application and
negotiated in writing with WSC. Example of quantifiable outcomes: 2,500 individuals will
participate in a health education program. The health education program will administer a
pre/post survey on all of its participants in order to assess an increase in knowledge or
awareness of healthy behaviors. 70% or 1,750 of those who complete the health education
program will report an increase in knowledge or awareness of healthy behaviors as
demonstrated through the Pre/Post survey.
3. Implement data tracking tools, as agreed upon by WSC Program Coordinator, to use for
collecting data on the performance objectives defined in the Request for Application and the
AmeriCorps member's position description.
4. Retain data collection tools such as attendance rosters, pre/post test results and other
reports related to performance for six years after the end of the program year.
5. Submit quarterly progress reports, or as requested by WSC, on outcomes for each
performance objective defined in the Request for Application and the AmeriCorps member's
position description.
6. Support the AmeriCorps member(s) in reaching the performance goals for volunteer
recruitment and training. Track and report on goals for total number of unduplicated
community volunteers, hours to be served by volunteers, number of veteran and military
family volunteers, and effective volunteer management strategies.
7. Update member position descriptions as necessary and submit signed originals to the
Washington Service Corps. A change in supervisor, schedule, or duties requires an
amended position description proposing the changes to be sent in to WSC for approval. If
the WSC becomes aware of any change in supervisor or duties without prior approval, it
may result in removal of the member from the sponsoring organization to fulfill the service at
another service site.
8. Submit original, signed performance evaluations of the AmeriCorps member twice during the
service term (January 31 and June 30) using forms provided by the Washington Service
Corps on its website.
9. Notify WSC of impending scheduled events or activities that may warrant media support.
Follow WSC guidance for media relations and interactions including releases for all pictures.
10. Ensure that members submit at least one "Story of Service" per quarter. Report AmeriCorps-
sponsored activities and events in which stakeholders, legislators or other elected officials
are invited to be educated in the effectiveness of the AmeriCorps program.
11. Submit copies of written or electronic articles that highlight AmeriCorps member(s)and/or
AmeriCorps projects.
12. Provide, as requested by WSC, additional performance-and programmatic-related
information as needed throughout the program year.
Section VII -Career Development/Training
1. Ensure AmeriCorps member site supervisor or project supervisor attend one of the WSC
orientations scheduled in July or August 2014.
2. Provide adequate training to AmeriCorps member(s)to ensure member(s) is prepared for
the roles and responsibilities of the project.
I MOU 2014-2015 6 of 14 05/2014
3. Provide AmeriCorps member(s) a minimum of two site-specific trainings related to the
service position. Not more than 20% of AmeriCorps members' total service hours may be
spent in training. Training received by AmeriCorps member(s) during orientation do not
count toward the site-specific training.
4. Submit all requests for out-of-state training for the member to the WSC program coordinator
prior to the event, for approval.
5. Support AmeriCorps member(s) in attending WSC training and career development
opportunities. Release AmeriCorps member(s)to attend mandatory training events, service
projects, and other WSC events including WSC sponsored overnight SERVES Training
Institute to be held October 27-29, 2014 in Yakima, Washington.
6. Ensure that the member(s) receives training related to the core training requirements during
their term of service. Many of these are offered at SERVES; however, they may not all be
available. Sites are responsible for ensuring members meet all core training requirements.
7. Support AmeriCorps member(s) in updating and submitting the Member Training Plan to
WSC quarterly.
8. Release AmeriCorps member(s)from regular service to respond to disasters in accordance
with the WSC Member Deployment Policy.
Section VIII -Sustainability
1. The AmeriCorps project must support the long-term goals of the organization and the
organization must be committed to the project.
2. The project must be designed to yield results beyond the AmeriCorps member's term of
service.
3. The AmeriCorps member's position is to enhance or expand an organization's service, not
to maintain existing programs or replace staff.
Section IX— Use and Disclosure of Information
The sponsoring organization shall use any private and confidential information provided under
this MOU solely for the purpose for which the information was disclosed. The sponsoring
organization shall not misuse any private and confidential information under this MOU. The
sponsoring organization shall not disclose any private or confidential information unless the
disclosure is authorized by law. The misuse or unauthorized release of private and confidential
information shall subject sponsoring organization, its employees or agents to a civil penalty of
Five Thousand dollars ($5,000) and other applicable sanctions under state and federal law.
Responsibilities of Washington Service Corps
1. Provide program orientation for all AmeriCorps members and supervisors.
2. Provide on-going technical support to AmeriCorps member and supervisors by telephone
and/or e-mail, and on-site visits as arranged.
3. Communicate expectations and procedures about AmeriCorps member service and
performance.
4. Conduct desk reviews and on-site monitoring reviews and issue reports that list findings,
concerns and observations. Provide technical assistance to the organization and
AmeriCorps member(s)to complete corrective action.
5. Ensure oversight of electronic timesheets for each AmeriCorps member(s) and maintain the
official permanent member file.
6. Process AmeriCorps member stipend for payment on the 5'h and the 20'h of each month.
7. Provide State Industrial Insurance coverage for the AmeriCorps member(s).
8. Provide Medical Insurance coverage for the AmeriCorps member(s)who do not already
have coverage.
9. Provide sponsoring organizations with WSC and AmeriCorps logo posters to post in a
prominent location.
10. Provide AmeriCorps member(s)with basic AmeriCorps gear.
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11. Provide AmeriCorps member(s) training and development opportunities at the SERVES
Training Institute. Cover the cost of meals and lodging expenses required for attendance at
SERVES.
Responsibilities of AmeriCorps Member
Comply with the AmeriCorps Member Service Agreement.
Special Conditions
1. Failure to comply with the Responsibilities of the Sponsoring Organization sections within
this MOU may result in termination of this MOU and removal of the AmeriCorps member(s)
from the site.
2. The WSC retains the authority to review and approve or disapprove all subcontracts. For any
proposed subcontractor the sponsoring organization shall:
a. Be responsible for subcontractor compliance with this MOU and attachments thereto.
b. Ensure that the subcontractor follows the WSC reporting formats and procedures as
specified by the WSC.
This Memorandum of Understanding clarifies the focus and intent of the joint working
relationship of mutual support, cooperation and coordination between the sponsoring
organization and the Washington Service Corps AmeriCorps program. By signing below,
the Sponsoring Organization agrees to perform all actions and support all intentions of
this Memorandum of Understanding.
Legal Applicant Representative: Nancy Backus
(As identified on agency's Organizational Chart)
Signature: Date: 06/03/2014
(On behalf pIffsoring Organization)
Washington Service Corps:
Signature: Date:
Debbie Aoki, Director
or
Signature: --Z- Date: (cJ- 10- ILI
Eric Rindvall, Director of Programs & Operations
The original signed Memorandum of Understanding will be filed at Employment Security
Department.
We recommend you keep a copy for your records, until a fully-executed copy is returned
to you.
I MOU 2014-2015 8 of 14 05/2014
ATTACHMENT A
Assurances and Certifications
ASSURANCES
As the duly authorized representative of the applicant, I certify, to the best of my knowledge
and belief, that the applicant:
• Has the legal authority to apply for federal assistance, and the institutional, managerial, and
financial capability (including funds sufficient to pay the non-federal share of project costs)to
ensure proper planning, management, and completion of the project described in this
application.
• Will give the awarding agency, the Comptroller General of the United States, and if
appropriate, the state, through any authorized representative, access to and the right to
examine all records, books, papers, or documents related to the award; and will establish a
proper accounting system in accordance with generally accepted accounting standards or
agency directives.
• Will establish safeguards to prohibit employees from using their position for a purpose that
constitutes or presents the appearance of personal or organizational conflict of interest, or
personal gain.
• Will initiate and complete the work within the applicable time frame after receipt of approval
of the awarding agency.
• Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. 4728-4763)
relating to prescribed standards for merit systems for programs funded under one of the
nineteen statutes or regulations specified in Appendix A of OPM's Standards for a Merit
System of Personnel Administration (5 CFR 900, Subpart F).
• Will comply with all federal statutes relating to nondiscrimination. These include but are not
limited to: Title VI of the Civil Rights Act of 1964 (P.L. 88-352)which prohibits discrimination
on the basis of race, color, or national origin; (b)Title IX of the Education Amendments of
1972, as amended (20 U.S.C. 1681-1683, and 1685-1686). which prohibits discrimination on
the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C.
794), which prohibits discrimination on the basis of disability (d)The Age Discrimination Act
of 1975, as amended (42 U.S.C. 6101-6107), which prohibits discrimination on the basis of
age; (e)The Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended,
relating to nondiscrimination on the basis of drug abuse; (f)The Comprehensive Alcohol
Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616),
as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g)
sections 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290dd-3 and
290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records;
(h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to
nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination
provisions in the National and Community Service Act of 1990, as amended; and Q)the
requirements of any other nondiscrimination statute(s)which may apply to the application.
• Will comply, or has already complied, with the requirements of Titles II and III of the Uniform
Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646)
which provide for fair and equitable treatment of persons displaced or whose property is
acquired as a result of federal or federally assisted programs. These requirements apply to
all interests in real property acquired for project purposes regardless of federal participation
in purchases.
• Will comply with the provisions of the Hatch Act (5 U.S.C. 1501-1508 and 7324-7328)which
limit the political activities of employees whose principal employment activities are funded in
whole or in part with Federal funds.
I MOU 2014-2015 9 of 14 0512014
• Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.0 276a and
276a-77), the Copeland Act (40 U.S.0 276c and 18 U.S.C. 874), and the Contract Work
Hours and Safety Standards Act (40 U.S.C. 327-333), regarding labor standards for
Federally assisted construction sub-agreements.
• Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of
the Flood Disaster Protection Act of 1973 (P.L. 93-234)which requires the recipients in a
special flood hazard area to participate in the program and to purchase flood insurance if the
total cost of insurable construction and acquisition is $10,000 or more.
• Will comply with environmental standards which may be prescribed pursuant to the
following: (a) institution of environmental quality control measures under the National
Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order(EO) 11514; (b)
notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to
EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e)
assurance of project consistency with the approved state management program developed
under the Coastal Zone Management Act of 1972 (16 U.S.0 1451 et seq.); (f)conformity of
federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean
Air Act of 1955, as amended (42 U.S.C. 7401 et seq.); (g) protection of underground
sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-
523); and (h) protection of endangered species under the Endangered Species Act of 1973,
as amended (P.L. 93-205).
• Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.0 1271 et seq.) related to
protecting components or potential components of the national wild and scenic rivers
system.
• Will assist the awarding agency in assuring compliance with Section 106 of the National
Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification
and protection of historic properties), and the Archaeological and Historic Preservation Act
of 1974 (16U.S.C. 469a-I et seq.).
• Will comply with P.L. 93-348 regarding the protection of human subjects involved in
research, development, and related activities supported by this award of assistance.
• Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7
U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of warm blooded
animals held for research, teaching, or other activities supported by this award of
assistance.
• Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. §§ 4801 et
seq.)which prohibits the use of lead based paint in construction or rehabilitation of
residence structures.
• Will cause to be performed the required financial and compliance audits in accordance with
the Single Audit Act of 1984, as amended, and OMB Circular A-133, Audits of States, Local
Governments, and Non-Profit Organizations.
• Will comply with all applicable requirements of all other Federal laws, executive orders,
regulations, application guidelines, and policies governing this program.
I MOU 2014-2015 10 of 14 05/2014
CERTIFICATIONS
Certification— Debarment, Suspension, and Other Responsibility Matters
This certification is required by the government-wide regulations implementing Executive Order
12549, Debarment and Suspension, 2 CFR Part 180, Section 180.335, What information must I
provide before entering into a covered transaction with a Federal agency?
As the duly authorized representative of the applicant, I certify, to the best of my knowledge and
belief, that neither the applicant nor its principals:
• Is presently excluded or disqualified;
• Has been convicted within the preceding three years of any of the offenses listed in §
180.800(a) or had a civil judgment rendered against it for one of those offenses within
that time period;
• Is presently indicted for or otherwise criminally or civilly charged by a governmental
entity (Federal, State, or local)with commission or any of the offenses listed in §
180.800(a); or
• Has had one or more public transactions (Federal, State, or local) terminated within the
preceding three years for cause or default.
Certification— Drug Free Workplace
This certification is required by the Corporation's regulations implementing sections 5150-
5160 of the Drug-Free Workplace Act of 1988 (P.L. 100-690), 45 CFR Part 2545, Subpart
B. The regulations require certification by grantees, prior to award, that they will make a good
faith effort, on a continuing basis, to maintain a drug-free workplace. The certification set out
below is a material representation of fact upon which reliance will be placed when the agency
determines to award the grant. False certification or violation of the certification may be
grounds for suspension of payments, suspension or termination of grants, or government-wide
suspension or debarment (see 2 CFR Part 180, Subparts G and H).
As the duly authorized representative of the grantee, I certify, to the best of my knowledge and
belief, that the grantee will provide a drug-free workplace by:
A. Publishing a drug-free workplace statement that:
a. Notifies employees that the unlawful manufacture, distribution, dispensing, possession,
or use of a controlled substance is prohibited in the grantee's workplace;
b. Specifies the actions that the grantee will take against employees for violating that
prohibition; and
c. Informs employees that, as a condition of employment under any award, each
employee will abide by the terms of the statement and notify the grantee in writing if
the employee is convicted for a violation of a criminal drug statute occurring in the
workplace within five days of the conviction;
B. Requiring that a copy of the statement described in paragraph (A) be given to each
employee who will be engaged in the performance of any Federal award;
C. Establishing a drug-free awareness program to inform employees about:
a. The dangers of drug abuse in the workplace;
b. The grantee's policy of maintaining a drug-free workplace;
c. Any available drug counseling, rehabilitation, and employee assistance programs; and
I MOU 2014-2015 11 of 14 0512014
d. The penalties that the grantee may impose upon them for drug abuse violations
occurring in the workplace;
D. Providing us, as well as any other Federal agency on whose award the convicted
employee was working, with written notification within 10 calendar days of learning that an
employee has been convicted of a drug violation in the workplace;
E. Taking one of the following actions within 30 calendar days of learning that an employee
has been convicted of a drug violation in the workplace:
a. Taking appropriate personnel action against the employee, up to and including
termination; or
b. Requiring that the employee participate satisfactorily in a drug abuse assistance or
rehabilitation program approved for these 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 paragraphs (A) through (E).
Certification - Lobbying Activities
As required by Section 1352, Title 31 of the U.S. Code, as the duly authorized representative of
the applicant, I certify, to the best of my knowledge and belief, that:
• No federal appropriated funds have been paid or will be paid, by or on behalf of the
applicant, to any person for influencing or attempting to influence an officer or employee
of any agency, a member of Congress, an officer of Congress in connection with the
awarding of any federal contract, the making of any federal loan, the entering into of any
cooperative agreement, or modification of any federal contract, grant, loan, or
cooperative agreement;
• 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 applicant will submit Standard Form-LLL, "Disclosure Form to Report
Lobbying," in accordance with its instructions;
• The applicant will require that the language of this certification be included in the award
documents for all subcontracts at all tiers (including subcontracts, subgrants, and
contracts under grants, loans and cooperative agreements) and that all subrecipients will
certify and disclose accordingly.
Erroneous certification or assurance
The assurances and certifications are material representations of fact upon which we rely in
determining whether to enter into this transaction. If we later determine that you knowingly
submitted an erroneous certification or assurance, in addition to other remedies available to the
federal government, we may terminate this transaction for cause or default.
Notice of error in certification or assurance
You must provide immediate written notice to us if at any time you learn that a certification or
assurance was erroneous when submitted or has become erroneous because of changed
circumstances.
Definitions
The terms "debarment', "suspension", "excluded", "disqualified", "ineligible", "participant',
"person", "principal', "proposal', and "voluntarily excluded" as used in this document have the
meanings set out in 2 CFR Part 180, subpart I, "Definitions." A transaction shall be considered
I MOU 2014-2015 12 of 14 05/2014
a "covered transaction" if it meets the definition in 2 CFR part 180 subpart B, "Covered
Transactions."
Assurance requirement for subgrant agreements
You agree by submitting this proposal that if we approve your application you shall not
knowingly enter into any lower tier covered transaction with a person who is debarred,
suspended, declared ineligible, or voluntarily excluded from participation in this covered
transaction, unless authorized by us.
Assurance inclusion in subgrant agreements
You agree by submitting this proposal that you will obtain an assurance from prospective
participants in all lower tier covered transactions and in all solicitations for lower tier covered
transactions that the participants are not debarred, suspended, ineligible, or voluntarily excluded
from the covered transaction.
Assurance of subgrant principals
You may rely upon an assurance of a prospective participant in a lower-tier covered transaction
that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction,
unless you know that the assurance is erroneous. You may decide the method and frequency
by which you determine the eligibility of your principals. You may, but are not required to, check
the List of Parties Excluded from Federal Procurement and Nonprocurement Programs.
Non-assurance in subgrant agreements
If you knowingly enter into a lower tier covered transaction with a person who is suspended,
debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to
other remedies available to the federal government, we may terminate this transaction for cause
or default.
Prudent person standard
Nothing contained in the aforementioned may be construed to require establishment of a
system of records in order to render in good faith the assurances and certifications required.
Your knowledge and information is not required to exceed that which is normally possessed by
a prudent person in the ordinary course of business dealings.
Adequate Liability Coverage
You agree by submitting this proposal that you will maintain adequate liability coverage for the
project, including the member.
• Schools, local government agencies, and other entities participating in a Risk Pool or
Self-Insured program will provide evidence of at least$1,000,000 coverage per incident
that covers the WSC member during service hours.
• Other entities will maintain a commercial liability insurance policy with limits of no less
than $1,000,000 per occurrence, with Washington Service Corps endorsed as an
additional insured on the policy.
I MOU 2014-2015 13 of 14 05/2014
ASSURANCES AND CERTIFICATIONS
By signing below you certify:
1. that you agree to perform all actions and support all intentions in the Assurances Section;
and,
2. that you agree to perform all actions and support all intentions in the Certification Sections of
this application. The Certifications include:
• Certification: Debarment, Suspension and Other Responsibility Matters
• Certification: Drug-Free Workplace
• Certification: Lobbying Activities
• Certification: Adequate Liability Coverage
Sponsoring Organization Name: City of Auburn
Legal Applicant Representative: Nancy Backus
(As identified on agency's Organizational Chart)
Signature, Date: 06/03/2014
On behalf o on ring Organization)
i�
IP MOU 2014-2015 14 of 14 05/2014
i
ATTACHMENT B
Corporadonfar 1201%VYoik AVM bV
NATIONAL& fth .DC 20525
COMMUNITY 262-6m-m
SERVICES Batian2lstirYiCagW
Grant Program Civil Rights and Non-l-Tarassment Polity
ne Corporation for National and Community Service(CNCS)has zero tolerance for the harassment
of any individual or group of Individuals for any reason, CNCS is committed to treating all persons
with dignity and respect. CNCS prohibits all forms of discrimination based upon race,color,national
origin, gender, age, religion,sexual orientation, disability,gender identity or expression, political #
affiliation,marital or parental status,or military service.All programs administered by,or receiving
Federal financial assistance from CNCS,must be free from all forms of harassment, 1Nhether in CNCS
offices or campuses,fn other service-related settings such as training sessions or service sites,or at
service-related social events,such harassment is unacceptable. Any such harassment,if found,will t
result in Immediate corrective action, up to and including removal or termination of any CNCS
employee or volunteer. Recipients of Federal financial assistance,be they individuals,organvations,
programs and/or projects are also subject to this zero tolerance policy. Where a violation is found,
and subject to regulatory procedures,appropriate corrective action will tv taken,up to and including I
termination of Federal financial assistance from all Federal sources.
Slurs and other verbal or physical conduct relating to an individual's gender,race,ethnicity,religion,
sexual orientation.or any other basin constitute harassment when it has the purpose or effect of
interfering with service performance or creating an intimidating, hostile, or offensive service
environment, Harassment includes, but is not linilled to:explicit or implicit demands for sexual
favors;pressure for dates;deliberate touchtng,leaning over, or cornering;offensive leasing,jokes,
remarks,or questions;letters,phone calls,or distribution or display of offensive materials;offensive
looks or gestures;gender,racial,eNtmc,or religious baiting;physical assaults or other threatening
behavior;or demeaning,debasing or abusive comments or actions that intimidate.
C.NCS does not tolerate harassment by anyone including persons of the same or different races,sexes,
religions,or ethnic origins,or.from a CATCS employee or supervisor,a project,or site employee or
supervisor,a non-employee(e.g.,client);a co-worker or service member. i
I expect supervisors and managers of CNCS programs and projects, when made aware of alleged
harassment by employees,service participants,or other individuals,to immediately take sivift and
appropriate action. CNCS will not tolerate retallation against a person who raises harassment
concerns in good faith. Any CNCS employee who violates this policy will be subject to discipline,up
to and including termination,and any grantee that permits harassment in violation of this policy will
be subject to a finding of non-compliance and administrative procedures that may result In
termination of Federal financial assistance from CNCS and all other Federal agencies.
Any person who believes that he or she has been discriminated against in violation of civil rights laws,
regulations, or this policy, or in retaliation for opposition to discrimination or participation in
discrimination complaint proceedings(e.g.,as a complainant or witness)in any CN(S program or
pro)ect; may raise his or her concerns with our Office of Civil Rights and inclusiveness (OCRl).
Discrimination claims not brought to the attention of OCR(within 45 days of their occurrence may not
be accepted in a formal complaint of discrimination. No one can he required to use a program,project
or sponsor dispute resolution procedure before contacting OCRI. If another procedure is used,it does
not affect the 45-day time limit. OCRI may be reached at(202)606-7503(voice),(202)606-3472('1-M,
eoocris.eov,or through www.iiationatsetvfce.cov.
5115/2012 C I Date WendySpenc - iefExecutiveOfficer
MASTER SERVICES I ECO110111C OPPORTUfNTY I EDUCATION t ENVIRONME11TALSTfW OSHIP I HEALTHY FUTURES I VETERANSANO MILITARY FWPIE$
j
AMERICORPS I SENIOR CORPS 1 SOCIAL INNOVATION FUND {
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29