HomeMy WebLinkAbout2009-325
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RESOLUTION NO. 2009-325
RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY
OF SAN BERNARDINO RATIFYING SUBMITTAL OF RENEWAL LOCAL
INCENTIVE AWARD GRANT APPLICATION AND AUTHORIZING THE CITY
MANAGER TO EXECUTE A STANDARD AGREEMENT WITH THE CALIFORNIA
DEPARTMENT OF HEALTH SERVICES FOR A NETWORK FOR HEALTHY
CALIFORNIA (NETWORK) GRANT IN THE AMOUNT OF $93,805 FOR A ONE-
YEAR PERIOD - OCTOBER 1,2009 THROUGH SEPTEMBER 30, 2010.
BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE
CITY OF SAN BERNARDINO AS FOLLOWS:
SECTION 1. That the submittal of Renewal Local Incentive Award Grant application
to the California Department of Health Services for a Network for Healthy California
(NETWORK) grant in the amount of $93,805 for the program year October I, 2009 through
September 30, 2010, a copy of which is attached hereto, marked Attachment "A" and
incorporated herein by reference as fully as though set forth at length, is hereby ratified; and
SECTION 2. That the City Manager is hereby authorized to execute a Standard
Agreement with the California Department of Health Services for a Network for Healthy
California (NETWORK) grant in the amount of$93,805 for a one-year period - October 1,2009
through September 30, 20 I 0, a copy of which is attached hereto, marked Attachment "B" and
incorporated herein by reference as fully as though set forth at length; and
SECTION 3. That the authorization granted hereunder shall expire and be void and of
no further effect if the Standard Agreement is not executed by both parties and returned to the
Office of the City Clerk within one hundred and twenty days (120) days following effective
date of the Resolution.
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2009-325
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RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY
OF SAN BERNARDINO RATIFYING SUBMITTAL OF RENEWAL LOCAL
INCENTIVE AWARD GRANT APPLICATION AND AUTHORIZING THE CITY
MANAGER TO EXECUTE A STANDARD AGREEMENT WITH THE CALIFORNIA
DEPARTMENT OF HEALTH SERVICES FOR A NETWORK FOR HEALTHY
CALIFORNIA (NETWORK) GRANT IN THE AMOUNT OF $93,805 FOR A ONE-
YEAR PERIOD - OCTOBER 1,2009 THROUGH SEPTEMBER 30, 2010.
I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor
joint
and Common Council of the City of San Bernardino at a regular meeting thereof, held
7 on the 21st day of September
,2009, by the following vote, to wit:
Council Members:
AYES
NAYS
ABSTAIN
ABSENT
The foregoing resolution is hereby approvcd this 'Mn.t day of September
2009.
~,-~
atri k J. Morris, M'ayo?
City of San Bernardino
Ap oved as to Form:
,~
a es F. Penman, City Attomey
Attachmcnt "A"
Form #1
Network for a Healthy California
APPLICATION COVERSHEETlCHECKLlST - RENEWING CONTRACTORS
DATE OF April 3, 2009
SUBMISSION
ORGANIZATION City of San Bernardino Parks, Recreation and Community Services Department
NAME
CONTRACT NUMBER 09-11262
APPLICATION CONTENTS:
Form #9 - Letter of Qualification and Intent - Due Feb. 20, 2009
(required of L1A and NIA applicants only)
Application - Due April 3, 2009
Form #1-Application CoversheeUChecklist
Form #2 - Contractor Information Form
Form #3 - Budget Cover Sheet
Form #4 - Budget Justification
Form #5 - Scope of Work
Form #6 - Project Summary Form
Form #7 A - SHAPE Letter of Commitment (required for school districts or
projects working in schools)
Form #7B - SHAPE Partner Data Form (if applicable)
Form # 8 - Memo of Understanding (MOU) (if applicable)
Form #10 - Subcontractor Worksheet
Please Check
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NOTE: The above documents must be completed and submitted with this Application CoversheetlChecklist
Form. Please submit a Coversheet/Checklist Form with each submission. Applications missing any of the
- above--items-eould -result - in -contract-{jelays~Email-completed-application-.to-your..-Contract- Manager--and~__
Program Manager by the submission deadlines.
Contract Negotiation Availability
Please choose from the following available dates: April 13, 2009 through June 1, 2009, Monday through
Friday. The three available time slots for each date are: 1) 9:00 -11:00 a.m., 2) 12:00 - 2:00 p.m. and 3)
2:30 - 4:30 p.m.
Preference
1.
2.
3.
'?'+Date .,1
4/1 3/09
4/20/09
4/27/09
"Time Slot~\i'i'~\\.\)!""H;
9:00 - 11 :00 a.m.
9:00 - 11 :00 a,m.
9:00 - 11 :00 a.m.
Provide the name, phone number, and e-mail address of the person we can contact to confirm the date/time of
the negotiation conference call.
Contact Name: Glenda Martin-Robinson
E-mail: robinson_glenda@sbcity.org
I Phone Number: (909) 384-5332
Page 1 of 1
Rev. 1/09
Network for a Healthy California
Contractor Information Form
Date Form Completed: 4/3/2009
This is the information that will appear on your contract (Standard Agreement).
Federal Tax 10 #
95-6000-772 Contract # 09-11262
CITY OF SAN BERNARDINO PARKS, RECREATION & COMMUNITY
SERVICES DEPARTMENT
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Name
Mailing Address
201-A North "E" Street, Suite 103, San Bernardino, CA
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Street Address (If Different)
County San Bernardino
Phone
Website
(909) 384-5332
www.sbcity.org
Fax (909) 384-5160
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[The ContraetSignatory has Euthority to signa contract.
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Title
Name
Charles McNeely
City Manager
If address(es) are the same as the organization above, just check this box and go to Phone 0
Mailing Address
300 North "0" Street
Street Address (If Different)
Phone
Fax (909) 384-5138
Email
McNeely Charles@sbcity.org
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The p;oject Coordinator is responsible for. all of the day-to-day activitie-s of project implementation;
and for seeing tpat all.co~tractual requirements are met. This person will be in contact with StalEl'staff,
will receive all programmatic, budgetary, and accounting mail for the project and will be re~ponsiblefor'
the proper dissemination of prograrninformation. + .' +
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Name
Glenda Martin-Robinson
Title Community Recreation Manager
If address(es) are the same as the organization above, just check this box and go to Phone 0
Mailing Address
201-A North "E" Street, Suite 1 03
Street Address (If Different)
nJ.
Phone
Email
(909) 384-5332
robinson glenda@sbcity.org
Fax (909) 384-5160
FFY 10 - 200912010
Page 1 of 2
Rev. 11130108
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Network for a Healthy California
Contractor Information Form
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'All payments are sent to this address.
Name
Kate Myers
Title Accounting Manager
If address(es) are the same as the organization above, just cheek this box and go to Phone 0
Mailing Address
300 North "0" Street
Street Address (If Different)
Phone
Email
(909) 384-5331
myers ka@sbcity.org
Fax 5043
The Fi~e~1 Reporter prepares InvoicE!s and State ShareDocumentation Reports and is the
contact forquestions~relatin"g to these' documents, as "'{ell is other fiscal docl!mentation;'''",.'lodVl'
,.", t.-,,: ~~';.,",.<,.;-';,h:;>!?li _..". .-;,t-. .> "".f" _...- U, ".ci. ;,,-..-c..'- .),':,.-;;;;- -;1~
Name
Title
Mary Alvord
Accountant I
If address(es) are the same as the organization above, just check this box and go to Phone 0
Mailing Address 300 North "0" Street, San Bernardino, CA 92418 41h Floor
Street Address (If Different)
Phone
Email
(909) 384-5545
alvord ma@sbcity.org
Fax 5043
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-T-he-FiseaJ..-Signato~S-sigAat-ure..authomy---forJnvoice~ ~nd ~tatp ~h~rp nnCllmentatimB..e ,-
"'5 n.
Name
Title
Barbara Pachon
Director of Finance
If addressees) are the same as the organization above, just check this box and go to Phone 0
Mailing Address 300 North "0" Street, San Bernardino, CA 92418
Street Address (If Different)
~~
Phone
Email
(909) 384-5242
pachon ba@sbcity.org
Fax (909) 384-5043
FFY 10 - 2009/2010
Page 2 of 2
Rev, 11/30/08
BUDGET COVER SHEET
FFY 2010
I I _II I
Organization: City of San Bernardino Parks, Recreation and Community Services Department
Contract Number: 09-11262 .
I I I 1'1. Difference
State Share Budget FFY 2009 FFY 2010 Amount Difference
Personnel Salaries $ 104,009 $ 144,845 $ 40,836 39.26%
Fringe Benefits $ 26,002 $ 42,823 $ 16,821 64.69%
Operating $ 57,600 $ (57,600) -10000%
Travel
Equipment & Other Capital
Subcontractors
Other Costs
Indirect Costs
Total State Share $ 187,611 $ 187,668 $ 57 0.03%
Federal Share Budget FFY 2009 FFY 2010 Amount Difference % Difference
Personnel Salaries $ 39,312 $ 52,822 $ 13,510 34.37%
Fringe Benefits $ 9,828 $ 17,089 I $ 7,261 73.88%
Operating
Travel $ 2,225 $ 3,515 $ 1,290 57.98%
Equipment & Other Capital
Subcontractors
Other Costs $ 42,440 $ 20,379 $ (22,061) -51.98%
Indirect Costs
Total Federal Share $ 93,805 $ 93,805 $ - 0.00%
Note: If the Total State Share or Total Federal Share Percertage difference is greater than 5%, please provide
an explanation
The Operating line item decreased due to a USDA unallowable expense.
If the total percentage difference is greater than 5% consult your Contract Manager.
I II I
FFY 2010 Network Growth Policy restricts contract growth.
I 1_ ~ I
Please delete #DIVIO! Desionation on lines with no difference. I
FFY 2010 Plan
Revised F2009 07 08
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Network Contractor Project Summary FFY 2010
Page 1 of 1
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San Bernardino 06071004201 Ail races 58.44%
San Bernardino 06071004202 Ail races 63.46%
San Bernardino 06071004401 Hisoanic or Latino 51.98%
San Bernardino 06071004700 All races 66.12%
San Bernardino 06071004900 Ail races 61.23%
San Bernardino 06071005400 All races 60.10%
San Bernardino 06071005700 Ail races 70.36%
San Bernardino 06071005800 All races 82.65%
San Bernardino 06071006202 All races 69.75%
San Bernardino 06071006301 All races 53.59%
San Bernardino 06071006500 All races 74.84%
n _0."-
7i27/200911:06 AM
Worksheet: Census Tracts
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STATE OF CALIFORNIA
STANDARD AGREEMENT
STO 213 (CDPH Rev 12106)
Attachment "B"
! REGISTRATION NUMBER
I
AGREEMEtH NUMBER
09-11262
1. This Agreement is entered into between the State Agency and the Contractor named below:
STATE AGENCY'S NAME (Also referred 10 as COPH or the State)
California Department of Public Health
(AlSO referred to as Contractor)
CONTRACTOR'S NAME
City of San Bernardino Parks, Recreation, and Community Services Department
2. The term of this 10/01/2009 through 09/30/2010
Agreement is:
3. The maximum amount $ 93,805
of this Agreement is: Ninety-Three Thousand Eight Hundred Five Dollars
4. The parties agree to comply with the terms and conditions of the following exhibits, which are by this reference made a
part of this A~:.:ement ________________.._______________________
Exhibit A - Scope of Work 9 pages
Exhibit B - Budget Detail and Payment Provisions 5 pages
Exhibit B, Attachment I - Budget (Year 1) 1 page
Exhibit C '- General Terms and Conditions GTC 307
Exhibit D(F) - Special Terms and Conditions (Attached hereto as part of this agreement) 26 pages
[Notwithstanding provision 6 which does not apply to this a9reement]
Exhibit E.. Additionai Provisions 2 pages
Exhibit F - Contractor's Release 1 page
Exhibit G.. Travel Reimbursement Information 2 pages
Exhibit H - Information Confidentiality and Security Requirements 3 pages
Exhibit I-Information Systems Security Requirements for Projects (ISO/SR1) 24 pages
See Exhibit E, Provision 1 for additionai incorporated exhibits.
--------_._._---~-_._.__.__.__._------_._----_.__.._.---
Items shown above with an Asterisk ('), are hereby incorporated by reference and made part of this agreement as if attached hereto.
These documents can be viewed at htto://www.ols.das.caaov/Standard+Lanouaae.
- ------- -.------.----------.-..------...----------.---.--------
IN WITNESS WHEREOF, this Agreement has been executed by the parties hereto.
CONTRACTOR California Department of
CONTRACTOR'S NAME (if other than an individual. state wnetner a corporation. partnership, etc.) General Services Use Only
City of San Bernardino Parks, Recreation, and Community Services Department
BY (Authorized Signature) I DATE SIGNED (Do noltype)
R5
PRINTED NAME AND TITLE OF PERSON SIGNING
Charles McNeely, City Manager
ADDRESS
300 North "0" Street, San Bernardino, CA 92401
STATE OF CALIFORNIA
AGENCY NAME
California Department of Pubiic Health
BY (Authorized Signature) I DATE SIGNED (Do not type)
R5
PRINTED NAME AND TITLE OF PERSON SIGNING D Exempt per:
Sandra Winters, Chief, Contracts and Purchasing Services Section
ADDRESS
1501 Capitol Avenue, Suite 71.5178, MS 1802. PO Box 997377
Sacramento, CA 95899-7377
2009-325
City of San Bernardino Parks, Recreation, and Community Services Department
09-11262
FINAL STATE SHARE BUDGET
(Year 1)
(10/01/2009 through 09/30/2010)
Personnel $ 144,845
Fringe Benefits @ 29.565% of Personnel Salaries $ 42,823
Operating Expenses $ 0
Equipment $ 0
Travel $ 0
Subcontracts $ 0
Other Costs $ 0
Indirect Costs @ _ % of Total Direct Costs $ 0
Total $ 187.668
The Contractor may propose changes to this State Share Budget. All changes are subject to prior
wriUen approval by the State. Said changes shall not require a formal contract amendment.
This State Share Budget has been incorporated in the contract and made a part thereof by reference in
Exhibit E, Additional Provisions, paragraph 1.A. As such, 1 hereby certify it as final and approved.
Contract Signature Authority
141/ or
Date
Page 1 of 1
City of San Bernardino Parks, Recreation, and Community Services Department
09-11262
Exhibit A
Scope of Work
1. Service Overview
Contractor agrees to provide to the California Department of Public Health the services
described herein:
Contractor will provide nutrition education and physical activity promotion to United
States Department of Agriculture (USDA) Supplemental Nutrition Assistance Program
Education (SNAP-Ed) eligible families described herein.
2. Service Location
The services shall be performed at applicabie facilities in the county of San Bernardino.
3. Service Hours
The services shall be provided during normal contractor working hours and days.
4. Project Representative
A. The project representatives during the term of this agreement will be:
California Department of Public Health
CDPH Contract Manager: Christie Heimers
Telephone: (916) 552-9868
Fax: (916) 449-5414
E-mail: Christie. Helmers
Name of Contracting Organization
Project Director: Glenda Martin-Robinson
Telephone: (909) 384-5332
Fax: (909) 384-5160
E-mail: Robinson lend a sbcit
B. Direct all inquiries to:
California Department of Public Health
City of San Bernardino Parks, Recreation
and Community Services Department
City Manager
Attention: Charles McNeely
300 North "D" Street
San Bernardino, CA 925408
Network for a Healthy California
Allention: Gilda Carpenter, Chief
Contract Operations Section
1616 Capitol Avenue, Suite 74.516, MS 7204
P.O. Box 997377, MS 7204
Sacramento, CA 95899-7377
Telephone: (916) 449-5409
Fax: (916) 449-5414
E-mail: Gilda.Car enter cd
C, Either party may make changes to the information above by giving written notice to the other
party. Said changes shall not require an amendment to this agreement.
Da(J8 1 of 9
City of San Bernardino Parks, Recreation, and Community Services Department
09-11262
Exhibit A
Scope of Work
5. Allowable Informal Scope of Work (SOW) Changes
A. Changes and revisions to the SOW contained in the agreement, utiiizing the "allowable
cost payment system", may be proposed by the Contractor in writing. All requested
changes and revisions are subject to the approval of the State. Failure to notify the State of
proposed revisions to the SOW may result in an audit finding.
B. The State will respond, in writing, as to the approval or disapproval of all such requests for
changes or revisions to the SOW within 30 calendar days of the date the request is received
in the program. Should the State fail to respond to the Contractor's request within 30
calendar days of receipt, the Contractor's request shall be deemed approved.
C. The State may also request changes and revisions to the SOW. The State will make a
good-faith effort to provide the Contractor 30 calendar days advance written notice of said
changes or revisions.
6. Progress Reports
A. The Contractor shali submit one original semi-annual progress report to CDPH in the format
prescribed by the State. The progress reports shall describe progress made in completing
agreement deliverables, challenges encountered, and solutions proposed.
B. Progress report periods and due dates are:
Report Period
October 1,2009 - March 31,2010
April 1 ,2010 - September 30,2010
Semiannual
Final
Due Date
04/16/2010
09i30/20 10
C. If the State does not receive complete and accurate progress reports by the required dates,
further payments to the Contractor may be suspended untii complete and accurate reports
are received.
7. Contractor Requirements
The Contractor shall comply with the guidelines for the development of all education materials
as outlined in the Local Incentive Award Program Guidelines Manual. These Guidelines have
been incorporated into this agreement and made a part hereof by reference in Exhibit E,
Additional Provisions, paragraph 1, In particular, the Contractor shall comply with the following
requirements:
A. Submit any news release related to this agreement to the State for review prior to its
release.
8. The Contractor agrees to cooperate with the State in data collection related to evaiuation of
program effectiveness as requested in the manner, format, and timeiine prescribed by the
State. Data shall include, at a minimum, demographic descriptions of the population served,
audience reach, and items to measure program effectiveness. The data shall be submitted
in the required form prescribed by the State.
Page 2 of 9
City of San Bernardino Parks, Recreation, and Community Services Department
09-11262
Exhibit A
Scope of Work
C. The Contractor agrees to cooperate with the State in the review and, when appropriate, the
field testing of statewide evaluation instruments and newly developed educational materials.
D. The Contractor shali ensure that the USDA SNAP-Ed is clearly identified as a sponsor or
support organization on ;ill materials and products funded by the agreement (electronic,
print, audiovisual, media, etc.). The Contractor agrees to abide by the guidelines set for
usage of the Network logos on any products generated by the Contractor.
E. The Contractor agrees to cooperate with the State by participating in statewide meetings
and site visits, as deemed necessary by the State.
8. See the following pages for a detailed description of the services to be performed.
Dage 3 of 9
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City of San Bernardino Parks, Recreation, and Community Services Department
09-11262
Exhibit B
Budget Detail and Payment Provisions
1. Invoicing and Payment
A. For services satisfactorily rendered, and upon receipt and approval of the invoices, the State
agrees to compensate the Contractor for actual expenditures incurred in accordance with
the budget(s) allached hereto.
B. Invoices shall include the Agreement Number and shall be submilled not more frequently
than quarterly in arrears to:
Christie Helmers, Contract Manager
California Department of Public Health
Network for a Healthy California
1616 Capitol Avenue, Suite 74.516
MS 7204
P.O. Box 997377
Sacramento, CA 95899-7377
C. Invoice shall:
1. Be prepared on company letterhead. If invoices are not on produced letterhead
invoices, then it must be signed by an authorized official, employee or agent certifying
that the expenditures claimed represent actual expenses for the service performed
under this agreement.
2. Bear the Contractor's name as shown on the agreement.
3. Identify the billing andlor performance period covered by the invoice.
4. Itemize costs for the billing period in the same or greater level of detail as indicated in
this agreement. Subject to the terms of this agreement, reimbursement may only be
sought for those costs andlor cost categories expressly identified as allowable in this
agreement and approved by CDPH.
D. Quarterly invoices shall be submilled for payment within 30 days following the end of each
calendar quarter in which the work was performed and costs incurred in the performance of
the agreement, uniess the agreement has reached the expiration or termination date
(see paragraph 4, Timely Submission of Final Invoice) or a later or alternate deadline is
agreed to in writing by the program contract manager.
E. The State may, at its discretion, choose not to honor any deiinquent invoice if the Contractor
fails to obtain prior written State approval of an aiternate invoice submission deadline.
2. Budget Contingency Clause
A. It is mutually agreed that if the Budget Act of the current year and/or any subsequent years
covered under this Agreement does not appropriate sufficient funds for the program, this
Agreement shall be of no further force and effect. In this event, the State shall have no
liability to pay any funds whatsoever to Contractor or to furnish any other considerations
under this Agreement and Contractor shall not be obligated to perform any provisions of this
Agreement.
B. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this
program, the State shall have the option to either cancel this Agreement with no liability
occurring to the State, or offer an agreement amendment to Contractor to reflect the
reduced amount.
D...,,...,...., 1 ,..,fl:;
City of San Bernardino Parks, Recreation, and Community Services Department
09-11262
Exhibit B
Budget Detail and Payment Provisions
3. Prompt Payment Clause
Payment will be made in accordance with, and within the time specified in, Government Code
Chapter 4.5, commencing with Section 927.
4. Timely Submission of Final Invoice
A. A final undisputed invoice shall be submitted for payment no more than ninety (90) calendar
days following the expiration or termination date of this agreement, unless a later or
alternate deadline is agreed to in writing by the program contract manager. Said invoice
should be clearly marked "final Invoice" , thus indicating that all payment obligations of the
State under this agreement have ceased and that no further payments are due or
outstanding.
B. The State may, at its discretion, choose not to honor any delinquent final invoice if the
Contractor fails to obtain prior written State approvai of an alternate final invoice submission
deadline. Written State approval shall be sought from the program contract manager prior
to the expiration or termination date of this agreement.
C. The Contractor is hereby advised of its obligation to submit, with the final invoice, a
"Contractor's Release (Exhibit Fl" acknowledging submission of the final invoice to the
State and certifying the approximate percentage amount, if any, of recycled products used in
performance of this agreement.
5. Allowable Line Item Shifts
A. Subject to the prior review and approval of the State, line item shifts of up to fifteen percent
(15%) of the annual agreement total, not to exceed a maximum of one hundred thousand
($100,000) annually are allowed, so long as the annual agreement total neither increases
nor decreases.
The $100,000 maximum limit shall be assessed annuaily and automatically adjusted by the
State in accordance with cost-of-Iiving indexes. Said adjustments shall not require a formal
agreement amendment. The State shall annually inform the Contractor in writing of the
adjusted maximum.
B. Line item shifts meeting this criteria shall not require a formai agreement amendment.
C. The Contractor shall adhere to State requirements regarding the process to follow in
requesting approval to make line item shifts.
D. Line item shifts may be proposedlrequested by either the State or the Contractor.
_..... _Lr-
City of San Bernardino Parks, Recreation, and Community Services Department
09-11262
Exhibit B
Budget Detail and Payment Provisions
6. Expense Allowability 1 Fiscal Documentation
A. Invoices, received from a Contractor and accepted andlor submitted for payment by the
State, shall not be deemed evidence of allowable agreement costs.
B. Contractor shall maintain for review and audit and supply to CDPH upon request, adequate
documentation of all expenses claimed pursuant to this agreement to permit a determination
of expense allowability.
C. If the aliowability or appropriateness of an expense cannot be determined by the State
because invoice detail, fiscal records, or backup documentation is nonexistent or inadequate
according to generally accepted accounting principles or practices, ali questionable costs
may be disallowed and payment may be withheld by the State, Upon receipt of adequate
documentation supporting a disallowed or questionable expense, reimbursement may
resume for the amount substantiated and deemed allowable.
D. If travei is a reimbursable expense, receipts must be maintained to support the claimed
expenditures. For more information on allowable travel and per diem expenses and
required documentation, see Exhibit G entitled, "Travel Reimbursement Information".
E. Costs and/or expenses deemed unallowable are subject to recovery by CDPH.
See provision 7 in this exhibit entitled, "Recovery of Overpayments" for more information.
7. Recovery of Overpayments
A. Contractor agrees that claims based upon a contractual agreement or an audit finding
andlor an auditing finding that is appealed and upheid, will be recovered by the State andlor
Federal Government by one of the following options:
1) Contractor's remittance to the State of the full amount of the audit exception within 30
days foliowing the State's request for repayment:
2) A repayment schedule which is agreeable to both the State and the Contractor.
B. The State reserves the right to select which option will be employed and the Contractor will
be notified by the State in writing of the claim procedure to be utilized.
C. Interest on the unpaid balance of the audit finding or debt wili accrue at a rate equal to the
monthly average or the rate received on investments in the Pooled Money Investment Fund
commencing on the date that an audit or examination finding is mailed to the Contractor,
beginning 30 days after Contractor's receipt of the State's demand for repayment.
D. If the Contractor has filed a vaiid appeal regarding the report of audit findings, recovery of
the overpayments will be deferred until a final administrative decision on the appeal has
been reached. If the Contractor loses the final administrative appeal, Contractor shali repay,
to the State, the over-claimed or disallowed expenses, plus accrued interest. Interest
accrues from the Contractor's first receipt of State's notice requesting reimbursement of
questioned audit costs or disallowed expenses.
n___ 0 _. c
City of San Bernardino Parks, Recreation, and Community Services Department
09-11262
Exhibit B
Budget Detail and Payment Provisions
8. Contractor's State Share Requirements
A. The contractor shall contribute qualifying network nutrition education contributions from its
own State Share resources to the extent of the Contractor's State Share as detailed in the
State Share Budgets signed and approved as final by the contractor, These State Share
Budgets have been incorporated into this agreement and made a part hereof by reference in
Exhibit E, Additional Provisions, paragraph 1.A. The Contractor's State Share must be from
a public, non-Federal source" The Contractor's State Share cannot be used to match
another Federal program. In addition, the qualifying nutrition education intervention must
target Supplemental Nutrition Assistance Program Education (SNAP-Ed) recipients andlor
other similar households living at not higher than 185 percent of the Federal Poverty Level
or for school districts and other education agencies, interventions must target low-resource
schools, defined as those with 50% of students or more eligible for free or reduced-price
school meals.
'Exception: Indian Tribal Organizations can use federal grant funds that are designated as
an allowabie source of State Share dollars directed toward nutrition education.
B, The Contractor is responsible for maintaining verifiable records of all State Share
contributions. The Contractor shall submit quarterly, State Share reports documenting State
Share contributions. The State Share documentation report shall be submilled in a form
and format prescribed by the State.
C. The Contractor shall return any funds necessary to repay the State for any Federal audit
exceptions resuiting in the disallowance of agreement funds in which the Contractor has not
complied with the requirements of this agreement and applicable Federal regulations.
D. The Contractor agrees to match each Federal Share doliar with two dollars of State Share
contributions as detailed in the State Share Budgets. The State Share Budgets represent
the minimum support the contractor agrees to provide in exchange for the payments
received. Any changes to the Contractor's State Share Budgets as referenced in Exhibit E,
Additional Provisions, paragraph 1.A. may be proposed by the Contractor. All changes are
subject to prior written approval by the State. Changes to State Share Budgets do not
require a formal amendment.
9. Revenue
A. This provision supersedes and replaces provision 6 entitled, "Income Restrictions"
appearing in Special Terms and Conditions Exhibit D(F).
B. If the Contractor realizes a profit from the sale of nutrition education materials (videos,
literature, etc. paid with agreement dollars), it must report the amount to the State as
Contractor income on the SF-269 form. The Contractor shall make the SF-269 form
available to the State on request. The Contractor shall place any income, fees, or
reimbursements accruing to or received by the Contractor for services rendered under this
agreement into a separate identifiable account. Revenues generated by the Contractor as a
result of this State agreement must be utilized to meet identified, agreed upon, program-
related needs of the Contractor, or must be returned to the State. Any revenues accruing to
the Contractor, based on services supported in whole or in part by the State pursuant to this
agreement, shall be used to defray costs incurred by this project to measurably expand the
program or improve the quality of services detailed in this agreement, and must be approved
Paoe .1 of 5
City of San Bernardino Parks, Recreation, and Community Services Department
09.11262
Exhibit B
Budget Detail and Payment Provisions
in writing by the State. Adequate documentation of the use of these funds shall be
maintained.
10. Advance Payment
No advance payment is allowed under this agreement.
Page 5 of 5
City of San Bernardino Parks, Recreation, and Community Services Department
09-11262
Exhibit B Attachment I
BUDGET
Indirect Costs L% of Total Costs)
$ 52,822
$ 17,089
$ 0
$ 0
$ 3,515
$ 0
$ 20,379
$ 0
Total $ 93.805
Personnel
Fringe Benefits (40% of Personnel) *
Operating Expenses
Equipment
Travel
Subcontracts
Other Costs
* 40% for full-time staff ($41,278) and approximately 5% for part-time staff ($11,544)
D:=tnp 1 of 1
Ciflifornia D~partment of Public Health
Exhibit D(F)
Special Terms and Conditions
(For federally funded service contracts or agreements and grant agreements)
The use of headings or titles throughout this exhibit is for convenience only and shall not be used to interpret or to
govern the meaning of any specific term or condition.
The terms "contract", "Contractor" and "Subcontractor" shall also mean, "agreement", "grant", "grant agreement",
"Grantee" and "Subgrantee" respectively.
The terms "California Department of Public Health" and "CDPH" shall have the same meaning and refer to the
California State agency that is a party to this Agreement.
This exhibit contains provisions that require strict adherence to various contracting laws and policies. Some
provisions herein are conditional and only apply if specified conditions exist (i.e., agreement total exceeds a certain
amount, agreement is federally funded, etc.). The provisions herein apply to this Agreement unless the provisions
are removed by reference on the face of this Agreement, the provisions are superseded by an alternate provision
appearing elsewhere in this Agreement, or the applicable conditions do not exist.
Index of Special Terms and Conditions
1, Federal Equal Employment Opportunity
Requirements
2. Travel and Per Diem Reimbursement
3. Procurement Rules
4. Equipment Ownership I Inventory i Disposition
5. Subcontract Requirements
6. Income Restrictions
7. Audit and Record Retention
8. Site Inspection
9. Federal Contract Funds
10, Intellectual Property Rights
11. Air or Water Pollution Requirements
12. Prior Approval of Training Seminars, Workshops
or Conferences
13. Confidentiality of Information
14. Documents, Publications, and Written Reports
15. Dispute Resolution Process
16. Financial and Compliance Audit Requirements
17. Human Subjects Use Requirements
18. Novation Requirements
19. Debarment and Suspension Certification
20. Smoke-Free Workplace Certification
21. Covenant Against Contingent Fees
22. Payment Withholds
23. Performance Evaluation
24, Officials Not to Benefit
25. Four-Digit Date Compliance
26. Prohibited Use of State Funds for Software
27. Use of Small, Minority Owned and Women's
Businesses
28. Alien Ineligibility Certification
29. Union Organizing
30. Contract Uniformity (Fringe Benefit Allowability)
31 . Lobbying Restrictions and Disclosure Certification
CDPH Exhibit D(F) (8/09)
Page 1 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
1. Federal Equal Opportunity Requirements
(Applicable to all federally funded agreements entered into by the California Department of Public
Health (CDPH) formerly known as California Department of Health Services (CDHS).)
a. The Contractor will not discriminate against any empioyee or applicant for employment because of
race, color, religion, sex, national origin, physical or mental handicap, disability, age or status as a
disabled veteran or veteran of the Vietnam era. The Contractor will take affirmative action to
ensure that qualified applicants are empioyed, and that employees are treated during
empioyment, without regard to their race, color, religion, sex, national origin, physical or mental
handicap, disability, age or status as a disabled veteran or veteran of the Vietnam era. Such
action shall include, but not be limited to the following: employment, upgrading, demotion or
transfer; recruitment or recruitment advertising: layoff or termination; rates of payor other forms of
compensation; and career development opportunities and selection for training, including
apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and
applicants for employment, notices to be provided by the Federal Government or CDPH, setting
forth the provisions of the Equal Opportunity clause, Section 503 of the Rehabilitation Act of 1973
and the affirmative action clause required by the Vietnam Era Veterans' Readjustment Assistance
Act of 1974 (38 U.S.C. 4212). Such notices shall state the Contractor's obligation under the law to
take affirmative action to employ and advance in empioyment qualified applicants without
discrimination based on their race, color, religion, sex, national origin physical or mental handicap,
disability, age or status as a disabled veteran or veteran of the Vietnam era and the rights of
applicants and empioyees.
b. The Contractor will, in all solicitations or advancements for employees placed by or on behalf of
the Contractor, state that all qualified applicants will receive consideration for employment without
regard to race, color, religion, sex, national origin physical or mentai handicap, disability, age or
status as a disabled veteran or veteran of the Vietnam era.
c. The Contractor will send to each labor union or representative of workers with which it has a
collective bargaining agreement or other contract or understanding a notice, to be provided by the
Federal Government or the State, advising the labor union or workers' representative of the
Contractor's commitments under the provisions herein and shall post copies of the notice in
conspicuous places available to employees and applicants for employment.
d. The Contractor will comply with all provisions of and furnish all information and reports required by
Section 503 of the Rehabilitation Act of 1973, as amended, the Vietnam Era Veterans'
Readjustment Assistance Act of 1974 (38 U.S.C, 4212) and of the Federal Executive Order No.
11246 as amended, including by Executive Order 11375, 'Amending Executive Order 11246
Relating to Equal Employment Opportunity,' and as supplemented by regulation at 41 CFR part
60, "Office of the Federal Contract Compliance Programs, Equal Employment Opportunity,
Department of labor," and of the rules, regulations, and relevant orders of the Secretary of labor.
e. The Contractor will furnish all information and reports required by Federal Executive Order No.
11246 as amended, including by Executive Order 11375, 'Amending Executive Order 11246
Relating to Equal Employment Opportunity,' and as supplemented by regulation at 41 CFR part
60, "Office of the Federal Contract Compliance Programs, Equal Employment Opportunity,
Department of labor," and the Rehabilitation Act of 1973, and by the rules, regulations, and
orders of the Secretary of labor, or pursuant thereto. and will permit access to its books, records,
and accounts by the State and its designated representatives and the Secretary of Labor for
purposes of investigation to ascertain compliance with such rules, regulations, and orders.
f. In the event of the Contractor's noncompliance with the requirements of the provisions herein or
with any federal rules, regulations, or orders which are referenced herein, this Agreement may be
cancelled, terminated, or suspended in whole or in part and the Contractor may be declared
ineligible for further federal and state contracts in accordance with procedures authorized in
Federal Executive Order No. 11246 as amended and such other sanctions may be imposed and
remedies invoked as provided in Federal Executive Order No. 11246 as amended, including by
Executive Order 11375, 'Amending Executive Order 11246 Relating to Equal Employment
Opportunity,' and as supplemented by regulation at 41 CFR part 60, "Office of the Federal
CDPH Exhibit D(F) (8/09)
Page 2 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
Contract Compliance Programs, Equal Employment Opportunity, Department of Labor," or by rule,
regulation, or order of the Secretary of Labor, or as otherwise provided by law.
g. The Contractor will inciude the provisions of Paragraphs a through g in every subcontract or
purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued
pursuant to Federai Executive Order No. 11246 as amended, including by Executive Order 11375,
'Amending Executive Order 11246 Relating to Equal Employment Opportunity,' and as
supplemented by regulation at 41 CFR part 60, "Office of the Federal Contract Compliance
Programs, Equal Employment Opportunity, Department of Labor," or Section 503 of the
Rehabilitation Act of 1973 or (38 U.S.C. 4212) of the Vietnam Era Veteran's Readjustment
Assistance Act, so that such provisions will be binding upon each subcontractor or vendor. The
Contractor will take such action with respect to any subcontract or purchase order as the Director
of the Office of Federai Contract Compliance Programs or CDPH may direct as a means of
enforcing such provisions including sanctions for noncompliance provided, however, that in the
event the Contractor becomes involved in, or is threatened with litigation by a subcontractor or
vendor as a result of such direction by CDPH, the Contractor may request in writing to CDPH,
who, in turn, may request the United States to enter into such litigation to protect the interests of
the State and of the United States.
2. Travel and Per Diem Reimbursement
(Applicable if travel and/or per diem expenses are reimbursed with agreement funds,)
Reimbursement for travel and per diem expenses from CDPH under this Agreement shall, unless
otherwise specified in this Agreement, be at the rates currently in effect, as established by the
California Department of Personnel Administration (DPA), for nonrepresented state employees as
stipulated in CDPH's Travel Reimbursement Information Exhibit. If the DPA rates change during the
term of the Agreement, the new rates shail apply upon their effective date and no amendment to this
Agreement shall be necessary, Exceptions to DPA rates may be approved by CDPH upon the
submission of a statement by the Contractor indicating that such rates are not available to the
Contractor. No travel outside the State of California shall be reimbursed without prior authorization
from CDPH. Verbal authorization should be confirmed in writing. Written authorization may be in a
form including fax or email confirmation.
3. Procurement Rules
(Applicable to all agreements in which equipment, property, commodities andlor supplies are
furnished by CDPH or expenses for said items are reimbursed with state or federal funds.)
a. Equipment definitions
Wherever the term equipment /property is used, the following definitions shall apply:
(1) Major equipmenUproperty: A tangible or intangible item having a base unit cost of $5.000 or
!!!Jill! with a life expectancy of one (1) year or more and is either furnished by CDPH or the
cost is reimbursed through this Agreement. Software and videos are examples of intangible
items that meet this definition.
(2) Minor equipmenUproperty: A tangible item having a base unit cost of less than $5,000 with
a life expectancy of one (1) year or more and is either furnished by CDPH or the cost is
reimbursed through this Agreement.
b. Government and public entities (including state coileges/universities and auxiliary
organizations), whether acting as a contractor and/or subcontractor, may secure all commodities,
supplies, equipment and services related to such purchases that are required in performance of
this Agreement. Said procurements are subject to Paragraphs d through h of Provision 3.
Paragraph c of Provision 3 shail also apply, if equipment purchases are delegated to
subcontractors that are nonprofit organizations or commercial businesses.
c. Nonprofit organizations and commercial businesses, whether acting as a contractor and/or
subcontractor, may secure commodities, supplies, equipment and services related to such
purchases for performance under this Agreement.
CDPH Exhibit D(F) (8/09)
Page 3 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 '(F)
(1) Equipment purchases shall not exceed $50,000 annually.
To secure equipment above the annual maximum limit of $50,000, the Contractor shall make
arrangements through the appropriate CDPH Program Contract Manager, to have all
remaining equipment purchased through CD PH's Purchasing Unit. The cost of equipment
purchased by or through CDPH shall be deducted from the funds available in this Agreement.
Contractor shall submit to the CDPH Program Contract Manager a list of equipment
specifications for those items that the State must procure. The State may pay the vendor
directly for such arranged equipment purchases and title to the equipment wiil remain with
CDPH, The equipment will be delivered to the Contractor's address, as stated on the face of
the Agreement, unless the Contractor notifies the CDPH Program Contract Manager, in
writing, of an alternate delivery address.
(2) Ail equipment purchases are subject to Paragraphs d through h of Provision 3. Paragraph b
of Provision 3 shall also apply, if equipment purchases are delegated to subcontractors that
are either a government or public entity.
(3) Nonprofit organizations and commercial businesses, shall use a procurement system that
meets the following standards:
(a) Maintain a code or standard of conduct that shall govern the performance of its officers,
employees, or agents engaged in awarding procurement contracts. No employee, officer,
or agent shall participate in the selection, award, or administration of a procurement, or
bid contract in which, to his or her knowledge, he or she has a financial interest.
(b) Procurements shall be conducted in a manner that provides, to the maximum extent
practical, open, and free competition,
(c) Procurements shall be conducted in a manner that provides for all of the following:
[1J Avoid purchasing unnecessary or duplicate items.
[2] Equipment solicitations shall be based upon a clear and accurate description of the
technical requirements of the goods to be procured.
[3] Take positive steps to utilize small and veteran owned businesses,
d. Uniess waived or otherwise stipulated in writing by CDPH, prior written authorization from the
appropriate CDPH Program Contract Manager will be required before the Contractor will be
reimbursed for any purchase of $5,000 or more for commodities, supplies, equipment, and
services related to such purchases. The Contractor must provide in its request for authorization
all particulars necessary, as specified by CDPH, for evaluating the necessity or desirability of
incurring such costs. The term "purchase" excludes the purchase of services from a
subcontractor and public utility services at rates established for uniform applicability to the general
public.
e. In special circumstances, determined by CDPH (e.g., when CDPH has a need to monitor certain
purchases, etc.), CDPH may require prior written authorization and/or the submission of paid
vendor receipts for any purchase, regardless of dollar amount. CDPH reserves the right to either
deny claims for reimbursement or to request repayment for any Contractor and/or subcontractor
purchase that CDPH determines to be unnecessary in carrying out performance under this
Agreement.
f. The Contractor and/or subcontractor must maintain a copy or narrative description of the
procurement system, guidelines, rules, or regulations that will be used to make purchases under
this Agreement. The Slate reserves the right to request a copy of these documents and to inspect
the purchasing practices of the Contractor and/or subcontractor at any time.
g, For all purchases, the Contractor and/or subcontractor must maintain copies of all paid vendor
CDPH Exhibit DIF) 18/09)
Page 4 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
invoices, documents, bids and other information used in vendor selection, for inspection or audit.
Justifications supporting the absence of bidding (i.e., sole source purchases) shall also be
maintained on file by the Contractor and/or subcontractor for inspection or audit.
h. CD PH may, with cause (e.g., with reasonable suspicion of unnecessary purchases or use of
inappropriate purchase practices, etc.), withhold, cancel, modify, or retract the delegated
purchase authority granted under Paragraphs b andlor c of Provision 3 by giving the Contractor no
less than 30 calendar days written notice.
4. Equipment Ownership ( Inventory I Disposition
(Applicable to agreements in which equipment and/or property is furnished by CDPH and/or when said
items are purchased or reimbursed with state or federal funds.)
a, Wherever the terms equipment and/or property are used in Provision 4, the definitions in
Provision 3. Paragraph a, shall apply.
Unless otherwise stipulated in this Agreement, all equipment and/or property that are
purchased/reimbursed with agreement funds or furnished by CD PH under the terms of this
Agreement shall be considered state equipment and the property of CDPH.
(1) CDPH requires the reporting, tagging and annual inventorying of all equipment and/or
property that is furnished by CDPH or purchased/reimbursed with funds provided through this
Agreement.
Upon receipt of equipment and/or property, the Contractor shall report the receipt to the
CDPH Program Contract Manager. To report the receipt of said items and to receive property
tags, Contractor shall use a form or format designated by CDPH's Asset Management Unit. If
the appropriate form (i.e., Contractor Equipment Purchased with CD PH Funds) does not
accompany this Agreement, Contractor shall request a copy from the CDPH Program
Contract Manager.
(2) If the Contractor enters into an agreement with a term of more than twelve months, the
Contractor shall submit an annual inventory of state equipment and/or property to the CDPH
Program Contract Manager using a form or format designated by CDPH's Asset Management
Unit. If an inventory report form (i.e., Inventory/Disposition of CDPH-Funded Equipment) does
not accompany this Agreement, Contractor shail request a copy from the CDPH Program
Contract Manager. Contractor shail:
(a) Include in the inventory report, equipment and/or property in the Contractor's possession
and/or in the possession of a subcontractor (including independent consultants).
(b) Submit the inventory report to CDPH according to the instructions appearing on the
inventory form or issued by the CD PH Program Contract Manager.
(c) Contact the CDPH Program Contract Manager to learn how to remove, trade-in, sell,
transfer or survey off, from the inventory report, expired equipment and/or property that is
no longer wanted, usable or has passed its life expectancy. Instructions will be supplied
by CDPH's Asset Management Unit.
b. Title to state equipment andlor property shall not be affected by its incorporation or attachment to
any property not owned by the State.
c. Unless otherwise stipulated, CDPH shail be under no obligation to pay the cost of restoration, or
rehabilitation of the Contractor's and/or Subcontractor's facility which may be affected by the
removal of any state equipment and/or property.
d. The Contractor and/or Subcontractor shall maintain and administer a sound business program for
ensuring the proper use, maintenance, repair, protection, insurance and preservation of state
equipment and/or property.
CDPH Exhibit D(F) (8/09)
Page 5 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
(1) In administering this provision. CDPH may require the Contractor and/or Subcontractor to
repair or replace, to CDPH's satisfaction, any damaged, lost or stolen state equipment and/or
property, Contractor and/or Subcontractor shall immediately file a theft report with the
appropriate poi ice agency or the California Highway Patrol and Contractor shall promptly
submit one copy of the theft report to the CDPH Program Contract Manager.
e. Unless otherwise stipulated by the program funding this Agreement, equipment and/or property
purchased/reimbursed with agreement funds or furnished by CDPH under the terms of this
Agreement, shail only be used for performance of this Agreement or another CDPH agreement.
f. Within sixty (60) calendar days prior to the termination or end of this Agreement, the Contractor
shall provide a final inventory report of equipment and/or property to the CDPH Program Contract
Manager and shall, at that time, query CDPH as to the requirements, including the manner and
method, of returning state equipment and/or property to CDPH. Final disposition of equipment
and/or property shail be at CD PH expense and according to CDPH instructions, Equipment
and/or property disposition instructions shall be issued by CDPH immediately after receipt of the
final inventory report. At the termination or conclusion of this Agreement, CDPH may at its
discretion, authorize the continued use of state equipment and/or property for performance of
work under a different CDPH agreement.
g, Motor Vehicles
(Applicable only if motor vehicles are purchased/reimbursed with agreement funds or furnished by
CDPH under this Agreement.)
(1) If motor vehicles are purchased/reimbursed with agreement funds or furnished by CDPH
under the terms of this Agreement, within thirty (30) calendar days prior to the termination or
end of this Agreement, the Contractor and/or Subcontractor shali return such vehicles to
CDPH and shall deliver all necessary documents of title or registration to enable the proper
transfer of a marketable title to CDPH,
(2) If motor vehicles are purchased/reimbursed with agreement funds or furnished by CDPH
under the terms of this Agreement, the State of California shall be the legal owner of said
motor vehicles and the Contractor shall be the registered owner. The Contractor and/or a
subcontractor may only use said vehicles for performance and under the terms of this
Agreement.
(3) The Contractor and/or Subcontractor agree that all operators of motor vehicles,
purchased/reimbursed with agreement funds or furnished by CDPH under the terms of this
Agreement, shall hold a valid State of California driver's license. In the event that ten or more
passengers are to be transported in anyone vehicle, the operator shail also hold a State of
California Class B driver's license.
(4) If any motor vehicle is purchased/reimbursed with agreement funds or furnished by CDPH
under the terms of this Agreement, the Contractor and/or Subcontractor, as applicable, shall
provide, maintain, and certify that, at a minimum, the following type and amount of automobile
liability insurance is in effect during the term of this Agreement or any extension period during
which any vehicle remains in the Contractor's and/or Subcontractor's possession:
Automobile Liability Insurance
(a) The Contractor. by signing this Agreement, hereby certifies that it possesses or will obtain
automobile liability insurance in the amount of $1,000,000 per occurrence for bodily injury
and property damage combined. Said insurance must be obtained and made effective
upon the delivery date of any motor vehicle, purchased/reimbursed with agreement funds
or furnished by CDPH under the terms of this Agreement, to the Contractor and/or
Subcontractor.
CDPH Exhibit D(F) (8/09)
Page 6 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
(b) The Contractor and/or Subcontractor shall, as soon as practicai, furnish a copy of the
certificate of insurance to the CDPH Program Contract Manager. The certificate of
insurance shall identify the CDPH contract or agreement number for which the insurance
applies. .
(c) The Contractor and/or Subcontractor agree that bodily injury and property damage liability
insurance, as required herein, shall remain in effect at ali times during the term of this
Agreement or until such time as the motor vehicie is returned to CDPH.
(d) The Contractor and/or Subcontractor agree to provide, at least thirty (30) days prior to the
expiration date of said insurance coverage, a copy of a new certificate of insurance
evidencing continued coverage, as indicated herein, for not less than the remainder of the
term of this Agreement, the term of any extension or continuation thereof, or for a period
of not less than one (1) year.
(e) The Contractor and/or Subcontractor, if not a self-insured government and/or public
entity, must provide evidence, that any required certificates of insurance contain the
following provisions:
[1J The insurer will not cancel the insured's coverage without giving thirty (30) calendar
days prior written notice to the State (California Department of Public Health (CDPH)).
[2J The State of California. its officers, agents, employees, and servants are included as
additionai insureds, but only with respect to work performed for the State under this
Agreement and any extension or continuation of this Agreement.
[3] The insurance carrier shall notify CDPH, in writing, of the Contractor's failure to pay
premiums; its cancellation of such policies: or any other substantial change, including,
but not limited to, the status, coverage, or scope of the required insurance. Such
notices shall contain a reference to each agreement number for which the insurance
was obtained.
(f) The Contractor and/or Subcontractor is hereby advised that copies of certificates of
insurance may be subject to review and approval by the Department of General Services
(DGS), Office of Risk and Insurance Management. The Contractor shall be notified by
CDPH, in writing, if this provision is applicable to this Agreement. If DGS approval of the
certificate of insurance is required, the Contractor agrees that no work or services shall be
performed prior to obtaining said approval.
(g) In the event the Contractor and/or Subcontractor fails to keep insurance coverage, as
required herein, in effect at all times during vehicle possession, CDPH may, in addition to
any other remedies it may have, terminate this Agreement upon the occurrence of such
event.
5. Subeontract Requirements
(Applicable to agreements under which services are to be performed by subcontractors including
independent consultants.)
a. Prior written authorization will be required before the Contractor enters into or is reimbursed for
any subcontract for services costing $5,000 or more. Except as indicated in Paragraph a(3)
herein, when securing subcontracts for services exceeding $5,000, the Contractor shall obtain at
least three bids or justify a sole source award.
(1) The Contractor must provide in its request for authorization, all information necessary for
evaluating the necessity or desirability of incurring such cost.
(2) The State may identify the information needed to fulfill this requirement.
CDPH Exhibit D(F) (8/09)
Page 7 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
(3) Subcontracts performed by the following entities or for the service types listed below are
exempt from the bidding and sole source justification requirements:
(a) A local governmental entity or the federal government,
(b) A State college or university from any State,
(c) A Joint Powers Authority,
(d) An auxiliary organization of a California State University or a California community
college,
(e) A foundation organized to support the Board of Governors of the California Community
Colleges,
(f) An auxiliary organization of the Student Aid Commission established under Education
Code 9 69522,
(g) Entities of any type that will provide subvention aid or direct services to the public,
(h) Entities and/or service types identified as exempt from advertising in State Contracting
Manual 5.80, View this pubiication at the following Internet address:
http://www.ols.dQs.ca.Qov/Contract+ManuaIlChapters4throuQh6.htm .
b. CDPH reserves the right to approve or disapprove the selection of subcontractors and with
advance written notice, require the substitution of subcontractors and require the Contractor to
terminate subcontracts entered into in support of this Agreement.
(1) Upon receipt of a written notice from CDPH requiring the substitution and/or termination of a
subcontract, the Contractor shall take steps to ensure the completion of any work in progress
and select a replacement, if applicable, within 30 calendar days, unless a longer period is
agreed to by CDPH.
c, Actual subcontracts (Le" written agreement between the Contractor and a subcontractor) of
$5,000 or more are subject to the prior review and written approval of CDPH. CDPH may, at its
discretion, elect to waive this right. All such waivers shall be confirmed in writing by CDPH.
d. Contractor shall maintain a copy of each subcontract entered into in support of this Agreement
and shall, upon request by CDPH, make copies available for approval, inspection, or audit.
e. CDPH assumes no responsibility for the payment of subcontractors used in the performance of
this Agreement. Contractor accepts sole responsibility for the payment of subcontractors used in
the performance of this Agreement.
f. The Contractor is responsible for all performance requirements under this Agreement even
though performance may be carried out through a subcontract.
g. The Contractor shall ensure that all subcontracts for services include provision(s) requiring
compliance with applicable terms and conditions specified in this Agreement.
h. The Contractor agrees to include the following clause, reievant to record retention, in all
subcontracts for services:
"(Subcontractor Name) agrees to maintain and preserve, until three years after
termination of (Agreement Number) and final payment from CDPH to the Contractor, to
permit CDPH or any duly authorized representative, to have access to, examine or audit
any pertinent books, documents, papers and records related to this subcontract and to
allow interviews of any employees who might reasonably have information related to such
records, "
L Uniess othelWise stipulated in writing by CDPH, the Contractor shall be the subcontractor's sole
point of contact for all matters related to performance and payment under this Agreement.
j. Contractor shall, as appiicable, advise all subcontractors of their obligations pursuant to the
following numbered provisions of this Exhibit: 1,2,3,4,5,6,7,8,10,11,12,13,14,17,19,20,
24, and 31 or other numbered provisions herein that deemed applicable.
CDPH Exhibit D(F) (8/09)
Page 8 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
6. Income Restrictions
Unless otherwise stipulated in this Agreement, the Contractor agrees that any refunds, rebates,
credits, or other amounts (including any interest thereon) accruing to or received by the Contractor
under this Agreement shall be paid by the Contractor to CDPH, to the extent that they are properly
allocable to costs for which the Contractor has been reimbursed by CDPH under this Agreement.
7. Audit and Record Retention
(Applicable to agreements in excess of $10,000.)
a. The Contractor and/or Subcontractor shall maintain books, records, documents, and other
evidence, accounting procedures and practices, sufficient to properly reflect all direct and indirect
costs of whatever nature claimed to have been incurred in the performance of this Agreement,
including any matching costs and expenses, The foregoing constitutes "records" for the purpose
of this provision.
b. The Contractor's and/or subcontractor's facility or office or such part thereof as may be engaged
in the performance of this Agreement and his/her records shall be subject at all reasonable times
to inspection, audit, and reproduction.
c. Contractor agrees that CDPH, the Department of General Services, the Bureau of State Audits, or
their designated representatives including the Comptroller General of the United States shall have
the right to review and to copy any records and supporting documentation pertaining to the
performance of this Agreement. Contractor agrees to allow the auditor(s) access to such records
during normal business hours and to allow interviews of any employees who might reasonably
have information related to such records. Further, the Contractor agrees to include a similar right
of the State to audit. records and interview staff in any subcontract related to performance of this
Agreement. (GC 8546.7, CCR Tille 2, Section 1896).
d. The Contractor and/or Subcontractor shall preserve and make available his/her records (1) for a
period of three years from the date of final payment under this Agreement, and (2) for such longer
period, if any, as is required by applicable statute, by any other provision of this Agreement, or by
subparagraphs (1) or (2) below.
(1) If this Agreement is completely or partially terminated, the records relating to the work
terminated shall be preserved and made available for a period of three years from the date of
any resuiling final settlement.
(2) If any litigation, claim, negotiation, audit, or other action involving the records has been started
before the expiration of the three-year period, the records shall be retained until compietion of
the action and resolution of all issues which arise from it, or until the end of the regular three-
year period. whichever is later.
e. The Contractor and/or Subcontractor shall comply with the above requirements and be aware of
the penalties for violations of fraud and for obstruction of investigation as set forth in Public
Contract Code 910115.10. if applicabie.
f. The Contractor and/or Subcontractor may, at its discretion, following receipt of final payment
under this Agreement, reduce its accounts, books and records related to this Agreement to
microfilm, computer disk, CD ROM, or other data storage medium. Upon request by an
authorized representative to inspect, audit or obtain copies of said records, the Contractor and/or
Subcontractor must supply or make available applicable devices, hardware, and/or software
necessary to view, copy andior print said records. Applicable devices may include, but are not
limited to, microfilm readers and microfilm printers, etc.
g, The Contractor shall, if applicable, comply with the Single Audit Act and the audit reporting
requirements set forth in OMB Circular A-133.
8. Site Inspection
CDPH Exhibit D(F) (8/09)
Page 9 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
The State, through any authorized representatives, has the right at all reasonable times to inspect or
otherwise evaluate the work performed or being performed hereunder including subcontract
supported activities and the premises in which it is being performed. If any inspection or evaluation is
made of the premises of the Contractor or Subcontractor, the Contractor shall provide and shall
require Subcontractors to provide all reasonable facilities and assistance for the safety and
convenience of the authorized representatives in the performance of their duties. Ali inspections and
evaluations shall be performed in such a manner as will not unduly delay the work.
9. Federal Contract Funds
(Applicable only to that portion of an agreement funded in part or whole with federal funds.)
a. It is mutually understood between the parties that this Agreement may have been written before
ascertaining the availability of congressional appropriation of funds, for the mutual benefit of both
parties, in order to avoid program and fiscal delays which would occur if the Agreement were
executed after that determination was made,
b. This agreement is valid and enforceable only if sufficient funds are made available to the State by
the United States Government for the fiscal years covered by the term of this Agreement. In
addition, this Agreement is subject to any additional restrictions, limitations, or conditions enacted
by the Congress or any statute enacted by the Congress which may affect the provisions, terms or
funding of this Agreement in any manner.
c. It is mutually agreed that if the Congress does not appropriate sufficient funds for the program,
this Agreement shall be amended to reflect any reduction in funds.
d. CDPH has the option to invalidate or cancel the Agreement with 30-days advance written notice or
to amend the Agreement to reflect any reduction in funds,
10. Intellectual Property Rights
a. Ownership
(1) Except where CDPH has agreed in a signed writing to accept a license, CDPH shall be and
remain, without additional compensation, the sole owner of any and all rights, title and interest
in all Intellectual Property, from the moment of creation, whether or not jointly conceived, that
are made, conceived, derived from. or reduced to practice by Contractor or CDPH and which
result directly or indirectly from this Agreement.
(2) For the purposes of this Agreement, Intellectual Property means recognized protectable rights
and interest such as: patents, (whether or not issued) copyrights, trademarks, service marks,
applications for any of the foregoing, inventions, trade secrets, trade dress, logos, insignia,
color combinations, slogans, moral rights. right of publicity, author's rights, contract and
licensing rights, works. mask works, industrial design rights, rights of priority, know how.
design fiows, methodologies. devices, business processes, developments, innovations, good
will and all other legal rights protecting intangible proprietary information as may exist now
and/or here after come into existence, and all renewals and extensions, regardless of whether
those rights arise under the laws of the United States, or any other state, country or
jurisdiction.
(a) For the purposes of the definition of Intellectual Property, "works" means all literary works,
writings and printed matter including the medium by which they are recorded or
reproduced, photographs, art work, pictorial and graphic representations and works of a
similar nature, film, motion pictures, digital images, animation cells, and other audiovisual
works including positives and negatives thereof, sound recordings, tapes, educational
materials, interactive videos and any other materials or products created, produced,
conceptualized and fixed in a tangible medium of expression. It includes preliminary and
finai products and any materials and information developed for the purposes of producing
CDPH Exhibit D(F) (8/09)
Page 10 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
those final products. Works does not include articles submitted to peer review or
reference journals or independent research projects.
(3) In the performance of this Agreement, Contractor will exercise and utilize certain of its
Intellectual Property in existence prior to the effective date of this Agreement. In addition,
under this Agreement, Contractor may access and utilize certain of CDPH's Intellectual
Property in existence prior to the effective date of this Agreement. Except as otherwise set
forth herein, Contractor shall not use any of CDPH's Intellectual Property now existing or
hereafter existing for any purposes without the prior written permission of CDPH. Except as
otherwise set forth herein, neither the Contractor nor CDPH shall give any ownership
interest in or rights to its Intellectual Property to the other Party. If during the term of
this Agreement, Contractor accesses any third-party Intellectual Property that is licensed to
CDPH, Contractor agrees to abide by all license and confidentiality restrictions applicable to
CDPH in the third-party's license agreement.
(4) Contractor agrees to cooperate with CD PH in establishing or maintaining CDPH's exclusive
rights in the Intellectual Property, and in assuring CDPH's sole rights against third parties with
respect to the Intellectual Property, If the Contractor enters into any agreements or
subcontracts with other parties in order to perform this Agreement, Contractor shall require
the terms of the Agreement(s) to include all Intellectual Property provisions. Such terms must
include, but are not limited to, the subcontractor assigning and agreeing to assign to CDPH all
rights, title and interest in Intellectual Property made, conceived, derived from, or reduced to
practice by the subcontractor, Contractor or CDPH and which resuit directly or indirectly from
this Agreement or any subcontract.
(5) Contractor further agrees to assist and cooperate with CDPH in all reasonable respects, and
execute all documents and. subject to reasonable availability, give testimony and take all
further acts reasonably necessary to acquire, transfer, maintain, and enforce CD PH's
Intellectuai Property rights and interests.
b, Retained Rights I License Rights
(1) Except for Intellectual Property made, conceived, derived from, or reduced to practice by
Contractor or CDPH and which result directly or indirectly from this Agreement, Contractor
shali retain title to all of its Intellectual Property to the extent such Intellectual Property is in
existence prior to the effective date of this Agreement. Contractor hereby grants to CDPH,
without additional compensation, a permanent, non-exclusive, royalty free, paid-up,
worldwide, irrevocable, perpetual, non-terminable license to use, reproduce, manufacture,
sell, offer to sell, import, export, modify, publicly and privately display/perform, distribute, and
dispose Contractor's Intellectual Property with the right to sublicense through multiple layers,
for any purpose whatsoever, to the extent it is incorporated in the Intellectual Property
resulting from this Agreement, unless Contractor assigns all rights, title and interest in the
Intellectual Property as set forth herein.
(2) Nothing in this provision shall restrict, limit, or otherwise prevent Contractor from using any
ideas, concepts, know-how, methodology or techniques related to its performance under this
Agreement, provided that Contractor's use does not infringe the patent, copyright, trademark
rights, license or other Intellectual Property rights of CDPH or third party, or result in a breach
or default of any provisions of this Exhibit or result in a breach of any provisions of law relating
to confidentiality.
c. Copyright
(1) Contractor agrees that for purposes of copyright law, all works [as defined in Paragraph a,
subparagraph (2)(a) of this provision] of authorship made by or on behalf of Contractor in
connection with Contractor's performance of this Agreement shall be deemed "works made
for hire". Contractor further agrees that the work of each person utilized by Contractor in
connection with the performance of this Agreement will be a "work made for hire," whether
that person is an employee of Contractor or that person has entered into an agreement with
Contractor to perform the work. Contractor shall enter into a written agreement with any such
CDPH Exhibit D(F) (8/09)
Page 11 of 26
California Department of Public Health, Special Terms and Conditions
Exhibit 0 (F)
person that: (i) all work performed for Contractor shall be deemed a "work made for hire"
under the Copyright Act and (ii) that person shall assign ali right, title, and interest to CDPH to
any work product made, conceived, derived from, or reduced to practice by Contractor or
CD PH and which result directly or indirectly from this Agreement.
(2) AIi materials, including, but not limited to, visual works or text, reproduced or distributed
pursuant to this Agreement that include Intellectual Property made, conceived, derived from,
or reduced to practice by Contractor or CD PH and which result directly or indirectly from this
Agreement, shall include CD PH's notice of copyright, which shall read in 3mm or larger
typeface: "@ [Enter Current Year e.g., 2007, etc,}, Department of Health Care Services, This
material may not be reproduced or disseminated without prior written permission from the
Department of Health Care Services." This notice should be placed prominently on the
materials and set apart from other matter on the page where it appears. Audio productions
shall contain a similar audio notice of copyright.
d. Patent Rights
With respect to inventions made by Contractor in the performance of this Agreement, which did
not result from research and development specifically included in the Agreement's scope of work,
Contractor hereby grants to CD PH a license as described under Section b of this provision for
devices or material incorporating, or made through the use of such inventions. If such inventions
result from research and development work specifically included within the Agreement's scope of
work, then Contractor agrees to assign to CDPH, without additional compensation, all its right, title
and interest in and to such inventions and to assist CDPH in securing United States and foreign
patents with respect thereto.
e. Third-Party Intellectual Property
Except as provided herein, Contractor agrees that its performance of this Agreement shall not be
dependent upon or include any Intellectual Property of Contractor or third party without first: (i)
obtaining CDPH's prior written approval; and (ii) granting to or obtaining for CDPH, without
additional compensation, a license, as described in Section b of this provision, for any of
Contractor's or third-party's Intellectual Property in existence prior to the effective date of this
Agreement. If such a license upon the these terms is unattainable, and CDPH determines that
the Inteliectual Property should be included in or is required for Contractor's performance of this
Agreement. Contractor shall obtain a license under terms acceptable to CDPH.
f. Warranties
(1) Contractor represents and warrants that:
(a) It is free to enter into and fuliy perform this Agreement.
(b) It has secured and will secure all rights and licenses necessary for its performance of this
Agreement.
(c) Neither Contractor's performance of this Agreement, nor the exercise by either Party of
the rights granted in this Agreement, nor any use, reproduction, manufacture, sale. offer
to sell, import, export, modification, public and private display/performance, distribution,
and disposition of the Intellectual Property made, conceived, derived from, or reduced to
practice by Contractor or CDPH and which result directly or indirectly from this Agreement
wili infringe upon or violate any Intellectual Property right, non-disclosure obligation, or
other proprietary right or interest of any third-party or entity now existing under the laws of,
or hereafter existing or issued by, any state, the United States, or any foreign country.
There is currently no actual or threatened claim by any such third party based on an
alleged violation of any such right by Contractor.
(d) Neither Contractor's performance nor any part of its performance will violate the right of
privacy of, or constitute a libel or slander against any person or entity.
CDPH Exhibit DIF) (8/09)
Page 12 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
(e) It has secured and wi Ii secure ali rights and iicenses necessary for Inteliectual Property
including, but not iimited to, consents, waivers or releases from all authors of music or
performances used, and talent (radio, teievision and motion picture talent), owners of any
interest in and to real estate, sites, locations, property or props that may be used or
shown.
(f) It has not granted and shall not grant to any person or entity any right that would or might
derogate, encumber, or interfere with any of the rights granted to CDPH in this
Agreement.
(g) It has appropriate systems and controls in place to ensure that state funds will not be
used in the performance of this Agreement for the acquisition, operation or maintenance
of computer software in violation of copyright laws.
(h) It has no knowledge of any outstanding claims, licenses or other charges, liens, or
encumbrances of any kind or nature whatsoever that could affect in any way Contractor's
performance of this Agreement.
(2) CDPH MAKES NO WARRANTY THAT THE INTELLECTUAL PROPERTY RESULTING
FROM THIS AGREEMENT DOES NOT INFRINGE UPON ANY PATENT, TRADEMARK,
COPYRIGHT OR THE liKE, NOW EXISTING OR SUBSEQUENTLY ISSUED.
g. Intellectual Property Indemnity
(1) Contractor shall indemnify, defend and hold harmless CDPH and its licensees and assignees,
and its officers, directors, employees, agents, representatives, successors, and users of its
products, ("Indemnitees") from and against all claims, actions, damages, losses, liabilities (or
actions or proceedings with respect to any thereof), whether or not rightful, arising from any
and all actions or claims by any third party or expenses related thereto (including, but not
limited to, all legal expenses, court costs, and attorney's fees incurred in investigating,
preparing, serving as a witness in, or defending against, any such claim, action, or
proceeding, commenced or threatened) to which any of the lndemnitees may be subject,
whether or not Contractor is a party to any pending or threatened litigation, which arise out of
or are related to (i) the incorrectness or breach of any of the representations, warranties,
covenants or agreements of Contractor pertaining to Intellectual Property; or (ii) any
Intellectual Property infringement, or any other type of actual or alleged infringement claim,
arising out of CD PH's use, reproduction, manufacture, sale, offer to sell, distribution, import,
export, modification, pubiic and private performance/display, license, and disposition of the
Intellectual Property made, conceived, derived from, or reduced to practice by Contractor or
CDPH and which result directly or indirectly from this Agreement. This indemnity obiigation
shall apply irrespective of whether the infringement claim is based on a patent, trademark or
copyright registration that issued after the effective date of this Agreement. CDPH reserves
the right to participate in and/or control, at Contractor's expense, any such infringement action
brought against CDPH.
(2) Should any Intelieclual Property iicensed by the Contractor to CDPH under this Agreement
become the subject of an Inteliectual Property infringement claim, Contractor will exercise its
authority reasonably and in good faith to preserve CDPH's right to use the iicensed Inteliectual
Property in accordance with this Agreement at no expense to CDPH. CDPH shall have the
right to monitor and appear through its own counsel (at Contractor's expense) in any such
claim or action. In the defense or settlement of the claim, Contractor may obtain the right for
CDPH to continue using the licensed Intellectual Property; or, replace or modify the licensed
Intellectuai Property so that the replaced or modified Intellectuai Property becomes non-
infringing provided that such replacement or modification is functionaliy equivalent to the
original iicensed Intellectual Property. If such remedies are not reasonably available, CDPH
shall be entitled to a refund of all monies paid under this Agreement, without restriction or
iimitation of any other rights and remedies availabie at law or in equity.
(3) Contractor agrees that damages aione would be inadequate to compensate CDPH for breach
of any term of this Inteliectual Property Exhibit by Contraclor. Contractor acknowledges
CDPH Exhibit D(F) (8/09)
Page 13 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
CDPH would suffer irreparable harm in the event of such breach and agrees CDPH shail be
entitled to obtain equitable relief, including without limitation an injunction, from a court of
competent jurisdiction, without restriction or limitation of any other rights and remedies
available at law or in equity.
h. Federal Funding
In any agreement funded in whole or in part by the federal government, CDPH may acquire and
maintain the Intellectuai Property rights, title, and ownership, which results directly or indirectly
from the Agreement; except as provided in 37 Code of Federal Regulations part 401.14; however,
the federal government shail have a non-exclusive, nontransferable, irrevocabie, paid-up license
throughout the world to use, duplicate, or dispose of such Intellectual Property throughout the
world in any manner for governmental purposes and to have and permit others to do so.
i. Survival
The provisions set forth herein shall survive any termination or expiration of this Agreement or any
project schedule.
11. Air or Water Pollution Requirements
Any federally funded agreement and/or subcontract in excess of $100,000 must comply with the
following provisions unless said agreement is exempt under 40 CFR 15.5.
a. Government contractors agree to comply with all applicable standards, orders, or requirements
issued under section 306 of the Clean Air Act [42 U.S.C. 1857(h)], section 508 of the Clean Water
Act (33 U.S.C. 1368), Executive Order 11738, and Environmental Protection Agency regulations
(40 CFR part 15).
b. Institutions of higher education, hospitals, nonprofit organizations and commercial businesses
agree to comply with all applicable standards. orders, or requirements issued under the Clean Air
Act (42 U.S.C. 7401 et seq.), as amended, and the Federal Water Pollution Control Act (33 U.S.C.
1251 et seq.). as amended.
12. Prior Approval of Training Seminars, Workshops or Conferenees
Contractor shall obtain prior CD PH approval of the location, costs, dates, agenda, instructors,
instructional materials, and attendees at any reimbursable training seminar, workshop, or conference
conducted pursuant to this Agreement and of any reimbursable publicity or educational materials to be
made available for distribution, The Contractor shall acknowledge the support of the State whenever
publicizing the work under this Agreement in any media. This provision does not apply to necessary
staff meetings or training sessions held for the staff of the Contractor or Subcontractor to conduct
routine business matters.
13. Confidentiality of Information
a. The Contractor and its employees, agents, or subcontractors shall protect from unauthorized
disclosure names and other identifying information concerning persons either receiving services
pursuant to this Agreement or persons whose names or identifying information become available
or are disclosed to the Contractor, its employees, agents, or subcontractors as a result of services
performed under this Agreement, except for statistical information not identifying any such person,
b. The Contractor and its employees, agents, or subcontractors shall not use such identifying
information for any purpose other than carrying out the Contractor's obligations under this
Agreement.
c. The Contractor and its employees, agents, or subcontractors shail promptiy transmit to the CDPH
Program Contract Manager all requests for disclosure of such identifying information not
emanating from the client or person.
CDPH Exhibit D(F) (8/09)
Page 14 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
d. The Contractor shali not disclose, except as otherwise specifically permitted by this Agreement or
authorized by the client, any such identifying information to anyone other than CDPH without prior
written authorization from the CDPH Program Contract Manager, except if disclosure is required
by State or Federal law.
e. For purposes of this provision, identity shall include, but not be limited to name, identifying
number, symbol, or other identifying particular assigned to the individual, such as finger or voice
print or a photograph,
f. As deemed applicable by CDPH, this provision may be suppiemented by additional terms and
conditions covering personal health information (PHI) or personal, sensitive, andlor confidentiai
information (PSCI). Said terms and conditions will be outlined in one or more exhibits that will
either be attached to this Agreement or incorporated into this Agreement by reference.
14. Documents, Publications and Written Reports
(Applicable to agreements over $5,000 under which publications, written reports and documents are
developed or produced, Government Code Section 7550.)
Any document, publication or written report (excluding progress reports, financial reports and normal
contractual communications) prepared as a requirement of this Agreement shall contain, in a separate
section preceding the main body of the document, the number and dollar amounts of all contracts or
agreements and subcontracts relating to the preparation of such document or report, if the total cost
for work by nonemployees of the State exceeds $5,000.
15. Dispute Resolution Process
a. A Contractor grievance exists whenever there is a dispute arising from CDPH's action in the
administration of an agreement. If there is a dispute or grievance between the Contractor and
CDPH, the Contractor must seek resolution using the procedure outlined below.
(1) The Contractor should first informally discuss the problem with the CDPH Program Contract
Manager. If the problem cannot be resolved informally, the Contractor shall direct its
grievance together with any evidence, in writing. to the program Branch Chief. The grievance
shall state the issues in dispute, the iegal authority or other basis for the Contractor's position
and the remedy sought. The Branch Chief shall render a decision within ten (10) working
days after receipt of the written grievance from the Contractor. The Branch Chief shall
respond in writing to the Contractor indicating the decision and reasons therefore. If the
Contractor disagrees with the Branch Chief's decision, the Contractor may appeal to the
second level.
(2) When appealing to the second level, the Contractor must prepare an appeal indicating the
reasons for disagreement with Branch Chief's decision, The Contractor shall include with the
appeal a copy of the Contractor's original statement of dispute along with any supporting
evidence and a copy of the Branch Chief's decision. The appeal shall be addressed to the
Deputy Director of the division in which the branch is organized within ten (10) working days
from receipt of the Branch Chief's decision. The Deputy Director of the division in which the
branch is organized or his/her designee shall meet with the Contractor to review the issues
raised. A written decision signed by the Deputy Director of the division in which the branch is
organized or his/her designee shall be directed to the Contractor within twenty (20) working
days of receipt of the Contractor's second level appeal.
b. If the Contractor wishes to appeal the decision of the Deputy Director of the division in which the
branch is organized or his/her designee, the Contractor shall follow the procedures set forth in
Division 25.1 (commencing with Section 38050) of the Health and Safety Code and the
regulations adopted thereunder. (Title 1, Subchapter 2.5, commencing with Section 251,
California Code of Regulations.)
c. Disputes arising out of an audit, examination of an agreement or other action not covered by
subdivision (a) of Section 20204, of Chapter 2.1, Title 22, of the California Code of Regulations.
COPH Exhibit O(F) (8/09)
Page 15 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
and for which no procedures for appeal are provided in statute, regulation or the Agreement, shall
be handled in accordance with the procedures identified in Sections 51016 through 51047,
Title 22, California Code of Regulations.
d. Unless otherwise stipulated in writing by CDPH, ail dispute, grievance and/or appeal
correspondence shall be directed to the CDPH Program Contract Manager.
e. There are organizationai differences within CDPH's funding programs and the management levels
identified in this dispute resolution provision may not apply in every contractual situation. When a
grievance is received and organizational differences exist, the Contractor shail be notified in
writing by the CDPH Program Contract Manager of the level, name, andior title of the appropriate
management official that is responsible for issuing a decision at a given level.
16. Financial and Compliance Audit Requirements
a. The definitions used in this provision are contained in Section 38040 of the Health and Safety
Code, which by this reference is made a part hereof,
b. Direct service contract means a contract or agreement for services contained in local assistance
or subvention programs or both (see Health and Safety [H&S] Code section 38020). Direct
service contracts shail not include contracts, agreements, grants, or subventions to other
governmental agencies or units of government nor contracts or agreements with regional centers
or area agencies on aging (H&S Code section 38030).
c. The Contractor, as indicated below, agrees to obtain one of the following audits:
(1) If the Contractor is a nonprofit orqanization (as defined in H&S Code section 38040) and
receives $25.000 or more from anv State aqencv under a direct service contract or
aqreement; the Contractor agrees to obtain an annuai single. organization wide, financial and
compliance audit. Said audit shall be conducted according to Generally Accepted Auditing
Standards. This audit does not fulfiil the audit requirements of Paragraph c(3) below. The
audit shall be completed by the 15th day of the fifth month following the end of the
Contractor's fiscal year, and/or
(2) If the Contractor is a nonprofit orqanization (as defined in H&S Code section 38040) and
receives less than $25.000 per year from any State aqencv under a direct service contract or
aqreement, the Contractor agrees to obtain a biennial single, organization wide financial and
compliance audit, unless there is evidence of fraud or other violation of state law in
connection with this Agreement. This audit does not fulfill the audit requirements of
Paragraph c(3) below. The audit shail be completed by the 15th day of the fifth month
foilowing the end of the Contractor's fiscal year. and/or
(3) If the Contractor is a State or Local Government entitv or Nonprofit orqanization (as defined
by the Federal Office of Management and Budget [OMB] Circular A-133) and expends
$500,000 or more in Federal awards, the Contractor agrees to obtain an annual single,
organization wide, financial and compliance audit according to the requirements specified in
OMB Circular A-133 entitled "Audits of States, Local Governments, and Non-Profit
Organizations". An audit conducted pursuant to this provision will fuifill the audit requirements
outlined in Paragraphs c(1) and c(2) above. The audit shall be completed by the end of the
ninth month foilowing the end of the audit period. The requirements of this provision apply if:
(a) The Contractor is a recipient expending Federal awards received directly from Federal
awarding agencies, or
(b) The Contractor is a subrecipient expending Federal awards received from a pass-through
entity such as the State, County or community based organization.
(4) If the Contractor submits to CDPH a report of an audit other than an OMB A-133 audit, the
Contractor must aiso submit a certification indicating the Contractor has not expended
$500,000 or more in federal funds for the year covered by the audit report.
CDPH Exhibit D(F) (8/09)
Page 16 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
d. Two copies of the audit report shall be delivered to the CDPH program funding this Agreement.
The audit report must identify the Contractor's legal name and the number assigned to this
Agreement. The audit report shall be due within 30 days after the completion of the audit. Upon
receipt of said audit report, the CDPH Program Contract Manager shall forward the audit report to
CDPH's Audits and investigations Unit if the audit report was submitted under Section 16.c(3),
unless the audit report is from a City, County, or Special District within the State of California
whereby the report will be retained by the funding program.
e, The cost of the audits described herein may be included in the funding for this Agreement up to
the proportionate amount this Agreement represents of the Contractor's total revenue. The CDPH
program funding this Agreement must provide advance written approval of the specific amount
allowed for said audit expenses.
f. The State or its authorized designee, including the Bureau of State Audits, is responsible for
conducting agreement performance audits which are not financial and compliance audits.
Performance audits are defined by Generally Accepted Government Auditing Standards.
g. Nothing in this Agreement limits the State's responsibility or authority to enforce State law or
regulations, procedures, or reporting requirements arising thereto.
h. Nothing in this provision limits the authority of the State to make audits of this Agreement,
provided however, that if independent audits arranged for by the Contractor meet Generally
Accepted Governmental Auditing Standards, the State shall rely on those audits and any
additional audit work and shall build upon the work already done.
i. The State may, at its option, direct its own auditors to perform either of the audits described
above. The Contractor will be given advance written notification, if the State chooses to exercise
its option to perform said audits.
j. The Contractor shall include a clause in any agreement the Contractor enters into with the audit
firm doing the single organization wide audit to provide access by the State or Federal
Government to the working papers of the independent auditor who prepares the single
organization wide audit for the Contractor.
k. Federal or state auditors shall have "expanded scope auditing" authority to conduct specific
program audits during the same period in which a single organization wide audit is being
performed, but the audit report has not been issued. The federal or state auditors shall review and
have access to the current audit work being conducted and will not apply any testing or review
procedures which have not been satisfied by previous audit work that has been completed.
The term "expanded scope auditing" is applied and defined in the U.S, General Accounting Office
(GAO) issued Standards for Audit of Government Organizations, Programs, Activities and
Functions. better known as the "yellow book".
17. Human Subjeets Use Requirements
(Applicable only to federally funded agreements/grants in which performance, directly or through a
subcontractlsubaward, includes any tests or examination of materials derived from the human body.)
By signing this Agreement, Contractor agrees that if any performance under this Agreement or any
subcontract or subagreement includes any tests or examination of materials derived from the human
body for the purpose of providing information, diagnosis, prevention, treatment or assessment of
disease, impairment, or health of a human being, all locations at which such examinations are
performed shall meet the requirements of 42 U.S.C. Section 263a (CLlA) and the regulations
thereunder.
CDPH Exhibit D(F) (8/09)
Page 17 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
18. Novation Requirements
If the Contractor proposes any novation agreement, CDPH shall act upon the proposal within 60 days
after receipt of the written proposal. CDPH may review and consider the proposal, consult and
negotiate with the Contractor, and accept or reject all or part of the proposal. Acceptance or rejection
of the proposal may be made orally within the 60-day period and confirmed in writing within five days
of said decision. Upon written acceptance of the proposal, CDPH will initiate an amendment to this
Agreement to formally implement the approved proposal.
19. Debarment and Suspension Certification
(Applicable to all agreements funded in part or whole with federai funds.)
a, By signing this Agreement, the ContractorlGrantee agrees to comply with applicable federal
suspension and debarment regulations including, but not limited to 7 CFR Part 3017, 45 CFR 76,
40 CFR 32 or 34 CFR 85.
b, By signing this Agreement, the Contractor certifies to the best of its knowledge and belief, that it
and its principals:
(1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded by any federal department or agency;
(2) Have not within a three-year period preceding this applicationiproposal/agreement been
convicted of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing a public
(Federal, State or local) transaction or contract under a public transaction; violation of Federal
or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification
or destruction of records, making false statements, or receiving stolen property;
(3) Are not presently indicted for or othelWise criminally or civilly charged by a governmental
entity (Federai, State or local) with commission of any of the offenses enumerated in
Paragraph b(2) herein; and
(4) Have not within a three-year period preceding this application/proposal/agreement had one or
more public transactions (Federal, State or local) terminated for cause or default.
(5) Shall not knowingly enter into any lower tier covered transaction with a person who is
proposed for debarment under federal regulations (i.e., 48 CFR part 9, subpart 9.4), debarred.
suspended, declared ineligible, or voluntarily exciuded from participation in such transaction,
unless authorized by the State.
(6) Will include a clause entitled, "Debarment and Suspension Certification" that essentially sets
forth the provisions herein, in all lower tier covered transactions and in all solicitations for
lower tier covered transactions.
c. If the Contractor is unable to certify to any of the statements in this certification, the Contractor
shall submit an explanation to the CDPH Program Contract Manager.
d. The terms and definitions herein have the meanings set out in the Definitions and Coverage
sections of the rules implementing Federal Executive Order 12549.
e. If the Contractor knowingly violates this certification, in addition to other remedies available to the
Federal Government, the CDPH may terminate this Agreement for cause or default.
20. Smoke-Free Workplace Certification
(Applicabie to federaliy funded agreements/grants and subcontracts/subawards, that provide health,
day care, early childhood development services, education or library services to children under 18
directly or through local governments.)
CDPH Exhibit D(F) (8/09)
Page 18 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
a. Public Law 103-227, also known as the Pro-Children Act of 1994 (Act), requires that smoking not
be permitted in any portion of any indoor faciiity owned or leased or contracted for by an entity and
used routinely or regularly for the provision of health, day care, early childhood development
services, education or library services to children under the age of 18. if the services are funded
by federal programs either directly or through state or local governments, by federal grant,
contract, loan, or loan guarantee, The law also applies to children's services that are provided in
indoor facilities that are constructed, operated, or maintained with such federal funds. The law
does not apply to children's services provided in private residences; portions of facilities used for
inpatient drug or alcohol treatment; service providers whose sole source of applicable federal
funds is Medicare or Medicaid; or facilities where WIC coupons are redeemed.
b. Failure to comply with the provisions of the law may result in the imposition of a civil monetary
penalty of up to $1,000 for each violation and/or the imposition of an administrative compliance
order on the responsible party.
c. By signing this Agreement, Contractor or Grantee certifies that it will comply with the requirements
of the Act and will not allow smoking within any portion of any indoor facility used for the provision
of services for children as defined by the Act. The prohibitions herein are effective
December 26, 1994.
d. Contractor or Grantee further agrees that it will insert this certification into any subawards
(subcontracts or subgrants) entered into that provide for children's services as described in the
Act.
21. Covenant Against Contingent Fees
(Applicabie only to federally funded agreements.)
The Contractor warrants that no person or selling agency has been employed or retained to
solicit/secure this Agreement upon an agreement of understanding for a commission, percentage,
brokerage, or contingent fee. except bona fide employees or bona fide established commerciai or
selling agencies retained by the Contractor for the purpose of securing business. For breach or
violation of this warranty, CDPH shall have the right to annul this Agreement without liability or in its
discretion to deduct from the Agreement price or consideration, or otherwise recover, the full amount
of such commission, percentage, and brokerage or contingent fee.
22. Payment Withholds
(Applicable only if a final report is required by this Agreement. Not applicable to government entities.)
Unless waived or otherwise stipulated in this Agreement, CDPH may, at its discretion, withhold 10
percent (10%) of the face amount of the Agreement, 50 percent (50%) of the final invoice. or $3,000
whichever is greater, until CDPH receives a final report that meets the terms, conditions and/or scope
of work requirements of this Agreement.
23. Performance Evaluation
(Not applicable to grant agreements.)
CDPH may, at its discretion, evaluate the performance of the Contractor at the conciusion of this
Agreement. If performance is evaluated, the evaluation shall not be a public record and shall remain
on file with CDPH. Negative performance evaluations may be considered by CD PH prior to making
future contract awards.
24. Officials Not to Benefit
No members of or delegate of Congress or the State Legislature shall be admitted to any share or part
of this Agreement, or to any benefit that may arise therefrom. This provision shall not be construed to
extend to this Agreement if made with a corporation for its general benefits.
CDPH Exhibit D(F) (8109)
Page 19 of 26
Caiifornia Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
25. Four-Digit Date Compliance
(Applicable to agreements in which Information Technology (IT) services are provided to DHCS or if IT
equipment is procured.)
Contractor warrants that it will provide only Four-Digit Date Compliant (as defined below) Deliverables
and/or services to the State. "Four Digit Date compliant" Deliverables and services can accurately
process, calculate, compare, and sequence date data, including without limitation date data arising out
of or relating to leap years and changes in centuries. This warranty and representation is subject to
the warranty terms and conditions of this Contract and does not limit the generality of warranty
obligations set forth elsewhere herein.
26. Prohibited Use of State Funds for Software
(Applicable to agreements in which computer software is used in performance of the work.)
Contractor certifies that it has appropriate systems and controls in place to ensure that state funds wiil
not be used in the performance of this Agreement for the acquisition, operation or maintenance of
computer software in violation of copyright laws.
27. Use of Small, Minority Owned and Women's Businesses
(Applicable to that portion of an agreement that is federally funded and entered into with institutions of
higher education, hospitals, nonprofit organizations or commercial businesses,)
Positive efforts shall be made to use small businesses, minority,owned firms and women's business
enterprises, whenever possible (i.e., procurement of goods and/or services). Contractors shall take
all of the following steps to further this goal.
(1) Ensure that small businesses, minority-owned firms, and women's business enterprises are used
to the fullest extent practicable.
(2) Make information on forthcoming purchasing and contracting opportunities available and arrange
time frames for purchases and contracts to encourage and facilitate participation by smail
businesses, minority-owned firms, and women's business enterprises.
(3) Consider in the contract process whether firms competing for larger contracts intend to
subcontract with small businesses, minority-owned firms, and women's business enterprises.
(4) Encourage contracting with consortiums of smail businesses, minority-owned firms and women's
business enterprises when a contract is too large for one of these firms to handle individually.
(5) Use the services and assistance, as appropriate, of such organizations as the Federal Small
Business Administration and the U.S. Department of Commerce's Minority Business Development
Agency in the solicitation and utilization of smail businesses, minority-owned firms and women's
business enterprises.
28. Alien Ineligibility Certification
(Applicable to sole proprietors entering federally funded agreements.)
By signing this Agreement, the Contractor certifies that helshe is not an alien that is ineligible for state
and local benefits, as defined in Subtitle B of the Personal Responsibility and Work Opportunity Act.
(8 U.S.C. 1601, et seq.)
29. Union Organizing
(Applicable only to grant agreements.)
COPH Exhibit O(F) (8/09)
Page 20 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
Grantee, by signing this Agreement, hereby acknowledges the applicability of Government Code
Sections 16645 through 16649 to this Agreement. Furthermore, Grantee, by signing this Agreement,
hereby certifies that:
a. No state funds disbursed by this grant will be used to assist, promote or deter union organizing.
b. Grantee shall account for state funds disbursed for a specific expenditure by this grant, to show
those funds were allocated to that expenditure.
c. Grantee shall, where state funds are not designated as described in b herein, allocate, on a pro-
rata basis, all disbursements that support the grant program.
d. If Grantee makes expenditures to assist, promote or deter union organizing, Grantee will maintain
records sufficient to show that no state funds were used for those expenditures, and that Grantee
shall provide those records to the Attorney General upon request.
30. Contract Uniformity (Fringe Benefit Allowability)
(Applicable only to nonprofit organizations.)
Pursuant to the provisions of Article 7 (commencing with Section 100525) of Chapter 3 of Part 1 of
Division 101 of the Health and Safety Code, CDPH sets forth the following policies, procedures, and
guidelines regarding the reimbursement of fringe benefits.
a. As used herein fringe benefits shall mean an employment benefit given by one's employer to an
employee in addition to one's regular or normal wages or salary.
b. As used herein, fringe benefits do not include:
(1) Compensation for personal services paid currently or accrued by the Contractor for services
of employees rendered during the term of this Agreement, which is identified as regular or
normal salaries and wages, annual leave, vacation, sick leave, holidays, jury duty and/or
military leave/training.
(2) Director's and executive committee member's fees.
(3) Incentive awards and/or bonus incentive pay.
(4) Allowances for off-site pay.
(5) Location allowances.
(6) Hardship pay.
(7) Cost-of-living differentials
c. Specific allowable fringe benefits include:
(1) Fringe benefits in the form of employer contributions for the employer's portion of payroll taxes
(i.e., FICA. SUI, SOl), employee health plans (i.e., health, dental and vision), unemployment
insurance, worker's compensation insurance, and the empioyer's share of pension/retirement
plans, provided they are granted in accordance with established written organization policies
and meet all legal and Internal Revenue Service requirements.
d. To be an allowable fringe benefit, the cost must meet the following criteria:
(1) Be necessary and reasonable for the performance of the Agreement.
(2) Be determined in accordance with generally accepted accounting principles.
(3) Be consistent with policies that apply uniformly to all activities of the Contractor.
e. Contractor agrees that all frinqe benefits shall be at actual cost.
f. Earned/Accrued Compensation
(1) Compensation for vacation. sick leave and holidays is limited to that amount earned/accrued
within the agreement term. Unused vacation, sick leave and holidays earned from periods
CDPH Exhibit D(F) (8/09)
Page 21 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
prior to the agreement term cannot be claimed as allowable costs. See Provision f (3)(a) for
an example.
(2) For multiple year agreements, vacation and sick leave compensation, which is
earned/accrued but not paid, due to employee(s) not taking time off may be carried over and
claimed within the overall term of the multiple years of the Agreement. Holidays cannot be
carried over from one agreement year to the next. See Provision f (3)(b) for an example.
(3) For single year agreements, vacation, sick leave and holiday compensation that is
earned/accrued but not paid, due to employee(s) not taking time off within the term of the
Agreement, cannot be claimed as an allowable cost. See Provision f (3)(c) for an example.
(a) Example No.1:
If an employee, John Doe, earns/accrues three weeks of vacation and tweive days of sick
leave each year, then that is the maximum amount that may be claimed during a one year
agreement. If John Doe has five weeks of vacation and eighteen days of sick leave at the
beginning of an agreement, the Contractor during a one-year budget period may only
claim up to three weeks of vacation and twelve days of sick leave as actually used by the
employee, Amounts earned/accrued in periods prior to the beginning of the Agreement
are not an allowable cost.
(b) Example No.2:
If during a three-year (muitiple year) agreement, John Doe does not use his three weeks
of vacation in year one, or his three weeks in year two, but he does actualiy use nine
weeks in year three; the Contractor would be aliowed to claim all nine weeks paid for in
year three. The total compensation over the three-year period cannot exceed 156 weeks
(3 x 52 weeks).
(c) Example No.3:
If during a single year agreement, John Doe works fifty weeks and used one week of
vacation and one week of sick leave and all fifty-two weeks have been bilied to CDPH, the
remaining unused two weeks of vacation and seven days of sick leave may not be
claimed as an aliowable cost.
31. Lobbying Restrictions and Disclosure Certification
(Applicable to federally funded agreements in excess of $100,000 per Section 1352 of the 31. U.S,C,)
a. Certification and Disclosure Requirements
(1) Each person (or recipient) who requests or receives a contract or agreement, subcontract,
grant, or subgrant. which is subject to Section 1352 of the 31, U.S.C., and which exceeds
$100,000 at any tier, shall file a certification (in the form set forth in Attachment 1, consisting
of one page, entitled "Certification Regarding Lobbying") that the recipient has not made, and
will not make, any payment prohibited by Paragraph b of this provision.
(2) Each recipient shall file a disclosure (in the form set forth in Attachment 2, entitled "Standard
Form-LLL 'disclosure of Lobbying Activities"') if such recipient has made or has agreed to
make any payment using nonappropriated funds (to include profits from any covered federal
action) in connection with a contract, or grant or any extension or amendment of that contract,
or grant, which would be prohibited under Paragraph b of this provision if paid for with
appropriated funds.
(3) Each recipient shall file a disclosure form at the end of each calendar quarter in which there
occurs any event that requires disclosure or that materially affect the accuracy of the
information contained in any disclosure form previously filed by such person under Paragraph
a(2) herein. An event that materially affects the accuracy of the information reported includes:
CDPH ExhibIt D(F) (8/09)
Page 22 of 26
Caiifornia Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
(a) A cumulative increase of $25,000 or more in the amount paid or expected to be paid for
influencing or attempting to influence a covered federal action;
(b) A change in the person(s) or individuais(s) influencing or attempting to influence a
covered federal action; or
(c) A change in the officer(s), employee(s), or member(s) contacted for the purpose of
influencing or attempting to influence a covered federai action.
(4) Each person (or recipient) who requests or receives from a person referred to in Paragraph
a(1) of this provision a contract or agreement, subcontract, grant or subgrant exceeding
$100,000 at any tier under a contract or agreement, or grant shall file a certification, and a
disclosure form, if required, to the next tier above.
(5) All disclosure forms (but not certifications) shall be forwarded from tier to tier until received by
the person referred to in Paragraph a(1) of this provision. That person shaH forward all
disclosure forms to CDPH Program Contract Manager.
b. Prohibition
Section 1352 of Title 31, U.S.C., provides in part that no appropriated funds may be expended by
the recipient of a federal contract or agreement. grant, loan, or cooperative agreement to pay 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 any of the following covered federal actions: the awarding of any federal contract
or agreement, the making of any federal grant, the making of any federal loan, entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or modification of
any federal contract or agreement, grant, loan, or cooperative agreement.
COPH Exhibit O(F) (8109)
Page 23 of 26
California Department of Pubiic Health - Special Terms and Conditions
Exhibit 0 (F)
Attachment 1
STATE OF CALIFORNIA
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CERTIFICATION REGARDING LOBBYING
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behaif of the undersigned, to any
person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or
employee of Congress, or an employee of a Member of Congress in connection with the making, awarding or entering into
of this Federal contract, Federal grant, or cooperative agreement, and the extension, continuation, renewai, amendment,
or modification of this Federai contract, grant, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing
or attempting to influence an officer or employee of any agency of the United States Government, 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, or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure of Lobbying
Activities" in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents for all
subawards at all tiers (including subcontractors, subgrants, and contracts under grants and cooperative agreements) of
$100,000 or more, and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or
entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by
Section 1352, Title 31, U.S.C" any person who fails to file the required certification shall be subject to a civil penalty of not
less than $10,000 and not more than $100,000 for each such failure.
Printed Name 01 Person Signing for Contractor
Name of Contractor
Signature of Person Signing for Contractor
Contract I Grant Number
Tille
Dale
After execution by or on behalf of Contractor, please return to:
California Department of Public Health
CDPH reserves the right to notifiy the contractor in writing of an alternate submission address.
CDPH Exhibit D(F) (8/09)
Page 24 of 26
California Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
Attachment 2
CERTIFICATION REGARDING LOBBYING
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352
(See reverse for public burden disclosure)
Appmvedby QMB
0348-0046
1. Type of Federal Action:
[I a. contract
b. grant
c. cooperative agreement
d. loan
e. Joan guarantee
f. loan insurance
2. Status of Federal Action:
[J a. bid/offer/application
b. initial award
c. post-award
3. Report Type:
(J a. initial filing
b. material change
For Material Change Only:
Year _ quarter _
dale of last report _"
4. Name and Address of Reporting Entity:
5. If Reporting Entity in NO.4 is Subawardee, Enter Name
and Address of Prime:
o Prime
o Subawardee
Tier _, if known;
Con ressional District If known:
6. Federal DepartmenVAgency
Con ressional District, If known:
7. Federal Program Name/Description:
8. Federal Action Number, if known:
CDFA Number, if applicable:_
9. Award Amount, if known:
$
10.a. Name and Address of Lobbying Registrant
(If individual, fast name, first name, MI):
b. Individuals Performing Services (including address if different from
10a.
(Last name, First name, MI):
11. Information requested through this form is authorized by title 31
V.S.C. section 1352. This disclosure 01 lobbying activities is a material
representation of fact upon which reliance was placed by the tier
above when this transaction was made or entered into. This
disclosure is required pursuant 10 31 V.S.C. 1352. This information
will be available for publiC inspection. required disclosure shall be
subject to a not more than $100,000 for each such failure.
Signature:
Print Name:
Title:
Telephone No.:
Date:
. " ;'~?+'. r..~:,.~-i-;-; - '~'_.,J.....,,:;,.,
Federal.Us8~ Only Z""~~!
~? :~'~:{;,. ':_t::r~~f~:;~t:';;:/-; -. .,,;:0 ,+.,c.'
Authorized for Local Reproduction
Standard Form-LLL (Rev. 7-97)
CDPH Exhibit D(F) (8/09)
Page 25 of 26
Caiifornia Department of Public Health - Special Terms and Conditions
Exhibit 0 (F)
INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt 01 a covered Federal action, or a
malerial change to a previous filing, pursuanllo title 31 U.S_C. section 1352. The filing of a form is required for each payment or agreemenllo make paymenllo any lobbying
entity for influencing or attempting to influence an officer or employee of any agency. a Member 01 Congress, an officer or employee of Congress, or an employee of a Member
of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change report Refer 10 the implementing guidance
published by the Office of Management and Budget lor additional information
1. Identify the type of covered Federal action for which lobbying activity is andlor has been secured to influence the outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and
quarter in which the change occurred Enter the date 01 the last previously submitted report by this reporting entity for this covered Federal action.
4. Enter the fun name, address, city, State and zip code of the reporting enlily. Include Congressional District, if known. Check the appropriate classification of the
reporting entity that designates if it is, or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g.. the first subawardee of the prime is
the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in item 4 checks "Subawardee," then enter the lull name, address. city, State and zip code of the prime Federal recipient Include
Congressional District, if known.
6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name. if known. For example.
Department of Transportation, United States Coast Guard
7. Enter the Federal program name or description for the covered Federal action (item 1) If known. enter the full Catalog of Federal Domestic Assistance (CFDA)
number for grants, cooperative agreements. loans, and loan commitments
8. Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposat (RFP) number; Invitation for Bid
(lFB) number; grant announcement number; the contract. grant, or loan award number; the application/proposal control number assigned by the Federal agency).
Include prefixes, e.g.. "RFP.DE-90-o0e
9 For a covered Federal action where there has been an award or loan commitment by the Federal agency. enter the Federal amount of the award/loan commitment
for the prime entity identified in item 4 or 5.
10. (a) Enter the full name, <!ddress, city. State and zip code of the lobbying registrant under the lobbying Disclosure Act of 1995 engaged by the reporting entity
identified in item 4 to influence the covered Federal action
(b) Enter the futl names of the individual(s) performing services, and include full address if different from 10 (a) Enter Lasl Name, First Name, and Middle Initial
(MI)
11 The certifying official shall sign and date the form, print his/her name, tille. and telephone number.
According to the Paperwork Reduction Act. as amended. no persons are required to respond 10 a collection of information unless it displays a valid
OMB Control Number. The valid OMS control number for this information collection is OMS No. 034a.0046. Public reporting burden for this
collection of information is estimated to average 10 minutes per response. including time for reviewing instructions. searching existing data sources,
gathering and maintaining the data needed. and completing and reviewing the collection of information. Send comments regarding the burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden. to the Office of Management and
Budget. Paperwork Reduction Project (0348-0046). Washington, DC 20503.
CDPH Exhibit D(F) (8/09)
Page 26 of 26
----
City of San Bernardino Parks, Recreation, and Community Services Department
09-11262
Exhibit E
Additional Provisions
1. Additional Incorporated Exhibits
A. The fOllowing documents and any subsequent updates are not attached, but are
incorporated herein and made a part hereof by this reference. These documents may be
updated periodically by CDPH, as required by program directives. CDPH shall provide the
Contractor with copies of said documents and any periodic updates thereto, under separate
cover. CDPH will maintain on file, all documents referenced herein and any subsequent
updates.
1) State Share Budget(s) (signed and approved as final by the Contractor)
2) Local Incentive Award Program Guidelines Manual
3) Network for a Healthy California Program Letters and any revisions thereto
4) United States Department of Agriculture State Supplemental Nutrition Assistance
Program Education (SNAP-Ed) Plan Guidance
2. Cancellation I Termination
A. This agreement may be cancelied by CDPH or Contractor without cause upon 30 calendar
days advance written notice to the other party.
B. CDPH reserves the right to cancel or terminate this agreement immediately for cause. The
Contractor may submit a written request to terminate this agreement only if CDPH
substantially fails to perform its responsibilities as provided herein.
C. The term "for cause" shall mean that the Contractor fails to meet the terms, conditions,
andlor responsibilities of this agreement.
D. Agreement termination or cancellation shall be effective as of the date indicated in CDPH's
notification to the Contractor. The notice shall stipulate any final performance, invoicing or
payment requirements.
E. Upon receipt of a notice of termination or cancellation, the Contractor shall take immediate
steps to stop performance and to cancel or reduce subsequent agreement costs.
F. In the event of early termination or cancellation, the Contractor shall be entitled to
compensation for services performed satisfactorily under this agreement and expenses
incurred up to the date of canceliation and any non-cancelable obligations incurred in
support of this agreement.
3. Avoidanee of Conflicts of Interest by Contractor
A. CDPH intends to avoid any real or apparent conflict of interest on the part of the Contractor,
subcontractors, or employees, officers and directors of the Contractor or subcontractors.
Thus, CDPH reserves the right to determine, at its sole discretion, whether any information,
assertion, or claim received from any source indicates the existence of a real or apparent
conflict of interest; and, if a conflict is found to exist, to require the Contractor to submit
additional information or a plan for resolving the conflict, subje::t to prior CDPH review and
approval.
Page 1 of 2
City of San Bernardino Parks, Recreation, and Community Services Department
09-11262
Exhibit E
Additional Provisions
B. Conflicts of interest include, but are not limited to:
1) An instance where the Contractor or any of its subcontractors, or any employee, officer,
or director of the Contractor or any subcontractor has an interest, financial or otherwise,
whereby the use or disclosure of information obtained while performing services under
the agreement would allow for private or personal benefit or for any purpose that is
contrary to the goals and objectives of the agreement.
2) An instance where the Contractor's or any subcontractor's employees, officers, or
directors use their positions for purposes that are, or give the appearance of being,
motivated by a desire for private gain for themselves or others, such as those with whom
they have family, business or other ties.
C, If CDPH is or becomes aware of a known or suspected confiict of interest, the Contractor wili
be given an opportunity to submit additional information or to resolve the conflict. A
Contractor with a suspected confiict of interest under this agreement will have five (5)
working days from the date of notification of the conflict by CDPH to provide complete
information regarding the suspected confiict. If a conflict of interest is determined to exist by
CDPH and cannot be resolved to the satisfaction of CDPH, the conflict wiil be grounds for
terminating the agreement. CDPH may, at its discretion upon receipt of a written request
from the Contractor, authorize an ex1ension of the timeline indicated herein.
4. Freeze Exemptions
(Applicable only to local government agencies.)
A. Contractor agrees that any hiring freeze adopted during the term of this agreement shall not
be applied to the positions funded, in whole or part, by this agreement.
B. Contractor agrees not to implement any personnel policy, which may adversely affect
performance or the positions funded, in whole or part, by this agreement.
C. Contractor agrees that any travel freeze or travel limitation policy adopted during the term of
this agreement shaH not restrict travel funded, in whole or part, by this agreement.
D. Contractor agrees that any purchasing freeze or purchase limitation policy adopted during
the term of this agreement shall not restrict or limit purchases funded, in whole or part, by
this agreement.
Page 2 of 2
Stale of California - Health and Human ServICes Agency
Call1\Xnla Depanment of Public Heal1h
Exhibit F
Contractor's Release
Instructions to Contractor:
With final invoice(s) submit one (1) original and one (1) copy. The original must bear the original signature of a person
authorized to bind the Contractor. The additional copy may bear photocopied signatures.
Submission of Final Invoice
Pursuant to contract number entered into between the California Department of Public Health (CDPH)
and the Contractor (identified below), the Contractor does acknowledge that final payment has been requested via invoice
number(s) , in the amount(s) of $ and dated
If necessary, enter "See Attached" in the appropriate blocks and attach a list of invoice numbers, dollar amounts and invoice dates.
Release of all Obligations
By si9ning this form, and upon receipt of the amount specified in the invoice number(s) referenced above, the Contractor does
hereby release and discharge the State, its officers, agents and employees of and from any and all liabilities, obligations, claims, and
demands whatsoever arising from the above referenced contract.
Repayments Due to Audit Exceptions I Record Retention
By signing this form, Contractor acknowledges that expenses authorized for reimbursement does not guarantee final allowability of
said expenses. Contractor agrees that the amount of any sustained audit exceptions resulting from any subsequent audit made
after final payment will be refunded to the State.
All expense and accounting records related to the above referenced contract must be maintained for audit purposes for no less than
three years beyond the date of final payment, unless a longer term is stated in said contract.
Recycled Product Use Certification
By signing this form, Contractor certifies under penalty of perjury that a minimum of 0% unless othelWise specified in writing of post
consumer material, as defined in the Public Contract Code Section 12200, in products, materials, 900ds, or supplies offered or sold
to the State regardless of whether it meets the requirements of Public Contract Code Section 12209. Contractor specifies that
printer or duplication cartridges offered or sold to the State comply with the requirements of Section 12156(e).
Reminder to Return State Equipment/Property (If Applicable)
(Applies only if equipment was provided by CDPH or purchased with or reimbursed by contract funds)
Unless CDPH has approved the continued use and possession of State equipment (as defined in the above referenced contract) for
use in connection with another CDPH agreement, Contractor agrees to promptly initiate arrangements to account for and return said
equipment to CDPH, at CDPH's expense, if said equipment has not passed its useful life expectancy as defined in the above
referenced contract.
Patents / Other Issues
By signing this form, Contractor further agrees, in connection with patent matters and with any claims that are not specifically
released as set forth above, that it will comply with all of the provisions contained in the above referenced contract, including, but not
limited to, those provisions relating to notification to the State and related to the defense or prosecution of litigation.
ONLY SIGN AND DATE THIS DOCUMENT WHEN ATTACHING IT TO THE FINAL INVOICE
Contractor's Legai Name las on contract): City of San Bernardino Parks, Rec., & Community Services DeDI.
Signature of Contractor or Official Designee: Date:
Printed Name/Title of Person Signing:
Distribution:
Accounting (Original)
Program
CDPY :n::::, I7W,7,
Californii'\ Departr.1ent of Public Health
Exhibit G
Travel Reimbursement Information
(Mileage Decrease Effective 1/1/09)
1. The following rate policy is to be applied for reimbursing the travei expenses of persons under contract. The terms
"contract" andior "subcontract" have the same meaning as "grantee" and/or "subgrantee" where applicable.
a. Reimbursement for travel and/or per diem shall be at the rates established for nonrepresented/excluded state
employees. Exceptions to Department of Personnel Administration (DPA) lodging rates may be approved by the
California Department of Public Health (CDPH) upon the receipt of a statement on/with an invoice indicating that such
rates are not available.
b. Short Term Travel is defined as a 24-hour period, and less than 31 consecutive days, and is at least 50 miles from the
main office, headquarters or primary residence. Starting time is whenever a contract or subcontract employee leaves
his or her home or headquarters. "Headquarters" is defined as the place where the contracted personnel spends the
largest portion of their working time and returns to upon the completion of assignments. Headquarters may be
individually established for each traveler and approved verbaliy or in writing by the program funding the agreement
Verbal approval shall be followed up in writing or email.
c. Contractors on travel status for more than one 24-hour period and less than 31 consecutive days may claim a
fractional part of a period of more than 24 hours. Consult the chart appearing on Page 2 of this exhibit to
determine the reimbursement allowance. All lodging reimbursement claims must be supported by a receipt". If a
contractor does not or cannot present receipts, lodging expenses will not be reimbursed.
(1) Lodging (with receipts"):
Travel Location / Area Reimbursement Rate
Statewide (excluding the counties identified below) $ 84.00 plus tax
Counties of Los Angeies and San Diego $110.00 plus tax
Counties of Alameda, San Francisco, San Mateo, and Santa Clara $140.00 plus tax
Reimbursement for actual lodging expenses that exceed the above amounts may be allowed with the advance
approvai of the Deputy Director of the California Department of Public Heaith (CDPH) or his or her designee.
Receipts are required.
"Receipts from Internet lodging reservation services such as Priceline.com which require prepayment for that
service, ARE NOT ACCEPTABLE LODGING RECEIPTS and are not reimbursable without a valid lodging receipt
from a lodging establishment
(2) Meal/Supplemental Expenses (with or without receipts): With receipts, the contractor will be reimbursed actual
amounts spent up to the maximum for each full 24-hour period of travel.
Meal/ Expense
Breakfast
Lunch
Dinner
Incidental expenses
Reimbursement Rate
$ 6.00
$ 10.00
$ 18.00
$ 6.00
d. Out-of-state travel may only be reimbursed if such travel is necessitated by the scope or statement of work and has
been approved in advance by the program with which the contract is held. For out-of-state travel, contractors may be
reimbursed actual lodging expenses, supported by a receipt, and may be reimbursed for meals and supplemental
expenses for each 24-hour period computed at the rates listed in c. (2) above. For all out-of-state travel,
contractors/subcontractors must have prior CDPH written or verbal approval. Verbal approval shall be confirmed in
writing (email or memo).
e. In computing aliowances for continuous periods of travel of less than 24 hours, consult the chart appearing on Page 2
of this exhibit
f. No meal or lodging expenses will be reimbursed for any period of travel that occurs within normai working hours, unless
expenses are incurred at least 50 miles from headquarters
:;DPH eMU 01 (01/09)
Page 1 of 2
Travel Reimbursement Information (Continued)
Exhibi: G
2. If any of the reimbursement rates stated herein is changed by DPA, no formal contract amendment will be required to
incorporate the new rates. However, CDPH shall inform the contractor, in writing, of the revised travel reimbursement rates
and the applicable effective date of any rate change.
At CDPH's discretion, changes or revisions made by CDPH to this exhibit, excluding travel reimbursement policies
established by DPA may be applied retroactively to any agreement to which a Travel Reimbursement Information exhibit is
attached, incorporated by reference, or applied by CDPH program policy. Changes to the travel reimbursement rates
stated herein may not be applied earlier than the date a rate change is approved by DPA
3. For transportation expenses the contractor must retain receiots for parking; taxi, airline, bus, or rail tickets; car rental: or
any other travel receipts pertaining to each trip for attachment to an invoice as substantiation for reimbursement.
Reimbursement may be requested for commercial carrier fares; private car mileage; parking fees: bridge tolls; taxi, bus, or
streetcar fares; and auto rental fees when substantiated by a receipt.
4. Note on use of autos: If a contractor uses his/her or a company car for transportation, the rate of reimbursement will be
55 cents maximum per mile. If a contractor uses his/her or a company car "in lieu of' airfare, the air coach fare will be the
maximum paid by the State. The contractor must provide a cost comparison upon request by the State. Gasoline and
routine automobile repair expenses are not reimbursabie.
5. The contractor is required to furnish details surrounding each period of travel. Travel expense reimbursement detail may
inciude, but not be limited to: purpose of travel, departure and return times, destination points, miles driven, mode of
transportation, etc. Reimbursement for travel expenses may be withheld pending receipt of adequate travel documentation.
6. Contractors are to consult with the program with which the contract is held to obtain specific invoicing procedures.
Per Diem Reimbursement Guide
Length of traver This condition exists... Allowable Meal(s)
period , "
Less than 24 hours Trip begins at or before 6 a.m. and ends at or after 9 a.m. Breakfast may be claimed.
Less than 24 hours Trip begins at or before 4 p.m. and ends at or after 7 p.m. Dinner may be claimed.
.,' ',,;; ',~,:: -, ~~'" '. r ..~. ..., .. ,,' ,~.", :;J. "~1.,'" ;;':", t:::.-,.'C "",..<:,;. ",<:-,,.,,., d~>;ri'-
. Contractor, may not claim iunch or incidenta(s on one,day trips. . When trips are less than 24 hours and there's fic?
"c:yern.ight staY,lJlea!s c/~imed are ta!ia~!e, ,.,,~,,;,;'* ~J(j*' d)'~' tf".r ,. i.~:;'!':J ":" ;'-."ijjC~ ..~:l}!
'.' ''i",~~ _';.: -~ ,,,,"~., ,p. r:~ #1.~ . "'-t"';
'_0... -,'?"., .-_ '..' "_'-". .. ,", "._,,> .... ,'5,;, ~._ "' __, ,j "',rr. "h. .;~" ",..." '.~
24 hours Trip begins at or before 6 a.m. Breakfast may be claimed.
24 hours Trip begins at or before 11 a.m. Lunch may be claimed.
24 hours Trip begins at or before 5 p.m. Dinner may be claimed.
More than 24 hours Trip ends at or after 8 a.m. Breakfast may be claimed.
More than 24 hours Trip ends at or after 2 p.m. Lunch may be claimed.
More than 24 hours Trip ends at or after 7 p.m. Dinner may be claimed.
'.~ :;"
Contractor may not ciaim meals provided by the State, meals included in hotel expenses or conference fees,
meals included in transportation costs such as airline tickets, or meals that are otherwise provided. Snacks and
continental breakfasts such as rolls, juice, and coffee are riot considered to be meals. "
CDPH eMU 01 (011091
Page 2 of 2
City of San Bernardino Parks, Recreation and Community Services Department
09-11262
Exhibit H
Information Confidentiality and Security Requirements
1. Definitions. For purposes of this Exhibit, the following definitions shall apply:
A. Public Information: Information that is not exempt from disclosure under the provisions of the
Caiifornia Public Records Act (Government Code sections 6250-6265) or other applicabie state or
federal laws.
B. Confidential Information: Information that is exempt from disclosure under the provisions of the
California Public Records Act (Government Code sections 6250-6265) or other applicable state or
federal laws.
C, Sensitive Information: Information that requires special precautions to protect from unauthorized use,
access, disclosure, modification, loss, or deletion, Sensitive information may be either Public
Information or Confidential Information. It is information that requires a higher than normal assurance
of accuracy and completeness. Thus, the key factor for Sensitive Information is that of integrity.
Typically, Sensitive Information includes records of agency financial transactions and regulatory
actions.
D. Personal Information: Information that identifies or describes an individual, including, but not limited
to, their name, social security number, physical description, home address, home telephone number,
education, financial matters, and medical or employment history. It is CDPH's policy to consider all
information about individuals private unless such information is determined to be a public
reeord.
2. Nondisclosure. The Contractor and its employees, agents, or subcontractors shall protect from
unauthorized disclosure any Personal Information, Sensitive Information, or Confidential Information
(hereinafter identified as PSCI), except for statistical information not identifying any such person.
3. The Contractor and its employees, agents, or subcontractors shall not use any PSCI for any purpose other
than carrying out the Contractor's obligations under this Agreement.
4. The Contractor and its employees, agents, or subcontractors shall promptly transmit to the CDPH Program
Contract Manager all requests for disclosure of any PSCI not emanating from the person who is the subject
of PSCI.
5. The Contractor shall not disclose, except as otherwise specifically permitted by this Agreement or
authorized by the person who is the subject of PSCI, any PSCI to anyone other than CDPH without prior
wriUen authorization from the CDPH Program Contract Manager, except if disclosure is required by State
or Federal law.
6. The Contractor shall observe the following requirements:
A. Safeguards. The Contractor shall implement administrative, physical, and technical safeguards that
reasonably and appropriately protect the confidentiality, integrity, and availability of the PSCI, including
electronic PSCI that it creates, receives, maintains, uses, or transmits on behaif of CDPH. Contractor
shall develop and maintain a written information privacy and security program that includes
administrative, technical and physical safeguards appropriate to the size and complexity of the
Contractor's operations and the nature and scope of its activities, including at a minimum, the
safeguards set forth in Exhibit I, the SR1 CDPH-ISO Project Requirements.
CDPH ICSR (9/08)
Pa"e 1 of 3
City of San Bernardino Parks, Recreation and Community Services Department
09-11262
Exhibit H
Information Confidentiality and Security Requirements
B. Security Officer, The Contractor shall designate a Security Officer to oversee its data security
program who will be responsible for carrying out its privacy and security programs and for
communicating on security mailers with CDPH.
C. Training. The Contractor shall provide training on its data privacy and security policies at its own
expense, to all its employees who assist in the performance of functions or activities on behalf of CDPH
under this Agreement and use or disclose PSCI.
1) The Contractor shaH require each employee who receives data privacy and security training to sign
a certification, indicating the employee's name and the date on which the training was completed.
2) The Contractor shall retain each employee's written certifications for CDPH inspection for a period
of three years foHowing contract termination.
D. Discovery and Notifieation of Breach. The Contractor shall notify CDPH immediately by telephone
call plus email or fax upon the discovery of breach of security of PSCI in computerized form if the
PSCI was, or is reasonably believed to have been, acquired by an unauthorized person, or within
twenty-four (24) hours by email or fax of the discovery of any suspected security incident, intrusion
or unauthorized use or disclosure of PSCI in violation of this Agreement, this provision, the law, or
potential loss of confidential data affecting this Agreement. Notification shall be provided to CDPH
Program Contract Manager, the CDPH Privacy Officer and the CDPH Chief Information Security
Officer. If the incident occurs after business hours or on a weekend or holiday and involves eiectronic
PSCI, notification shall be provided by calling the CDPH I.T. Service Desk. Contractor shaH take:
1) Prompt corrective action to mitigate any risks or damages involved with the breach and to protect
the operating environment and
2) Any action pertaining to such unauthorized disclosure required by applicable Federal and State
laws and reguiations.
E. Investigation of Breach. The Contractor shaH immediately investigate such security incident, breach,
or unauthorized use or disclosure of PSCI and within seventy-two (72) hours of the discovery, shaH
notify the CDPH Program Contract Manager, the CDPH Privacy Officer, and the CDPH Chief
Information Security Officer of:
1) What data elements were involved and the extent of the data involved in the breach,
2) A description of the unauthorized persons known or reasonabiy believed to have improperly used or
disclosed PSCi,
3) A description of where the PSCI is believed to have been improperly transmitted, sent, or utilized,
4) A description of the probable causes of the improper use or disclosure: and
5) Whether Civil Code sections 1798,29 or 1798.82 or any other federal or state laws requiring
individual notifications of breaches are triggered,
F. Written Report. The Contractor shall provide a written report of the investigation to the CD PH
Program Contract Manager, the CDPH Privacy Officer, and the CDPH Chief Information Security
Officer within ten (10) working days of the discovery of the breach or unauthorized use or disclosure.
The report shall include, but not be limited to, the information specified above, as well as a full, detailed
corrective action plan, including information on measures that were taken to halt andior contain the
improper use or disclosure.
CDPH ICSR 19/08)
Page 2 of 3
--
City of San Bernardino Parks, Recreation and Community Services Department
09-11262
Exhibit H
Information Confidentiality and Security Requirements
G. Notification of Individuals. The Contractor shall notify individuals of the breach or unauthorized use
or disclosure when notification is required under state or federal law and shall pay any costs of such
notifications, as weil as any costs associated with the breach. The CDPH Program Contract Manager,
the CDPH Privacy Officer, and the CDPH Chief Information Security Officer shail approve the time,
manner and content of any such notifications.
H. Affect on lower tier transactions. The terms of this Exhibit shall apply to all contracts, subcontracts,
and sUbawards, regardless of whether they are for the acquisition of services, goods, or commodities.
The Contractor shall incorporate the contents of this Exhibit into each subcontract or subaward to its
agents, subcontractors, or independent consultants.
7. Contact Information. To direct communications to the above referenced CDPH staff, the Contractor shall
initiate contact as indicated herein. CDPH reserves the right to make changes to the contact information
below by giving written notice to the Contractor. Said changes shall not require an amendment to this
Exhibit or the Agreement to which it is incorporated.
CDPH Program CDPH Privacy Officer CDPH Chief Information
Contract Security Officer
Manager
See the Scope of Privacy Officer Chief Information Security Officer
Work exhibit for Privacy Office, clo Office of Legal Information Security Office
Program Contract Services California Department of Pubiic
Manager California Department of Public Health
Health P.O. Box 997413, MS 6302
P.O. Box 997377, MS 0506 Sacramento, CA 95899-7413
Sacramento, CA 95899-7377
Email: privacy@cdph.ca.Qov Email: cdphiso@cdph.ca.Qov
Telephone: IT Service Desk
Telephone: (877) 421-9634 (916) 440-7000 or
(800) 579-0874
CDPH ICSR 19108\
Page 3 of 3
~.
C~PH
C a I j fo r n i a D cpa rr l11 C nr 0 f
DiI '?h'~;~Health
!E ~tll~~j;:~d
INFORMATION SECURITY OFFICE
Exhibit I
,._,.,.. ._"_.........."___,,.""'c~~-__...__,_... ._._......"_"'..~._,,~~,,.._; -__. _._..__~_ .__ _ __.._.~ _.--'-MO' _ "-__,,,,_~_ .~__
Information Systems Security
Requirements for Projects
(ISO/SR1)
Version 3.9
October 2008
Revision History
Doc No. /
Rev No.'
S19/ R1.5
Revision Date
RTvise,d By
A Lancashire
CDHS
M. Serapio DHCS,
B. Kelsey CDPH
1/10/2007
SR1/R1.0
9/12/2007
SR1/v1.5 9/14/2007 I. Sanford DHCS
SR1iv2.0 9/21/2007 I. Sanford DHCS
SR1/v2.1 10/17/2007 J. Cleveiand CDPH
SR1N2.2 10/21i2007 J. Cieveland CDPH
SR1N2.3 10/22/2007 J. Cleveiand CDPH
SR1N3.0 10/25/2007 J. Cleveland CDPH
SR1N3.5 10/26/2007 J. Cleveland CDPH
SR1N3.6 12/24/2007 J. Cleveland CDPH
SR1N3.7 1/03/2008 J. Cleveland CDPH
SR1N3.8 06/01/2008 E. Lemke CDPH
SR1N3.9 10/31/2008 A Begliomini
CDPH
Exhibit I
Description of !'evision IChange
Reformatting changes
Updated to address new best practices
(previous version had dependencies to
best practices from pre-SOA), fill existing
regulatory gaps, remove vendor
dependencies, reword language to make
applicable to COTS/MOTS applications,
and re-designated document number
and name.
Various grammatical and definition
changes. Clarification of terms and
responsibilities.
Post team review updates
2"'team review comments/changes
Added Admin User 10 and password
section from Ian Sanford and Data Query
section from Brett Kelsev.
Modifications to Admin User 10 and
password section and Data Query
section.
Minor grammatical changes, removal of
dynamic web links, and added COTS
lannuaoe in C.8.
Addition of Sections A 13, A 14, B.12,
B.13, B.14, B.15, and B.16 for the
purpose of covering Privacy, when used
in coniunction with BAAs.
Edits based on feedback from project
mananement oersonnel.
Edits based on final review of ISO office.
Minor grammatical changes and minor
format chanoes.
Added Privileged Account Management
and Service Account Management
sections. Addess Project Security
Approvals, Applications Security
Approvals, and System Roles and
Relationships sections from Scott Wright.
Added minimum password age in
password policy. Minor format changes.
Added table of contents.
SR1-lnformation Systems Security Requirements for Projects
Page 2 of 24
-
Exhibit I
TABLE OF CONTENTS
I. PURPOSE...........................................................................................................................................5
II. SCOPE OF REQUIREMENTS........................................................................................................5
III. CONTACT .........................................................................................................................................6
IV, INFORMATION SYSTEMS SECURITY REQUIREMENTS.....................................................7
A ADMINISTRATIVE I MANAGEMENT SAfEGUARDS...................................................................... 7
/. Workforce Confidentiality Sta/ement. ................... .... 7
2. Access Authorization... ..................... ............................... .............. ..............7
3. Access Authorization Maintenance.. ................... ........................................... 7
4. Information System Activity Review........................... ............... ...........................7
5. Periodic System Security Review..... .........".................. ............................. 7
6. Periodic System Log Review...... ........................ ......7
7. Business Impacl Analysis ............ ......................... ......8
8. Change Control......................... ........................... .......8
9. Incident Response.............. .............. .............. ..8
10. Disaster Recovery ...... ................. ................8
I/. Emergency Mode Opera/ion Plan ......................8
J 2. Periodic System Recovery Testing.... ..... ........... .. ............ ....................... ......... 9
13. Supervision of Da/a................... ...... ........ ........9
14. Escorting Visitors........ ............. ........9
B. TECHNICAL AND OPERATIONAL SAFEGUARDS ........................................................................10
I. System Security Compliance ......... .. ........................................ .....10
2. Virus Protection ..... .................... ................. ................ .. ..../0
3. Patch Management.. ....................... ........10
4. Encrypted Electronic Transmissions ........10
5. Encryp/ed Data Storage ..............10
6. Worksta/ion! Laptop Encryp/ion. ..... .....................10
7. Removable Media Encryp/ion ........ . ......11
8. Secure Connec/ivity.............. .......11
9. 1ntrusion Detection and Prevention. ............. .................. ......//
10. Minimum Da/a Downloads. ..............11
1/. Data Destruction ............. ..................1/
/2. Confidential Destruction..... .................... ............... .11
13. RemovalofDa/a................... II
14. Faxing ofCanfidentiallnforma/ion.. .............. ............. 12
15. Mailing ofConfiden/iallnformation... ................ ........12
C. SOLUTION ARCHITECTURE............................................... ....................................... ..............13
1. System Securiry Compliance ..... .............. .. 13
2. Warning Banner ................... ................ .............. ................13
3. Layered Application Design........ ............... ..............13
4. Separation of Layers .. ............... ...................... .........14
5. Business Logic Layer Communication ....... ..14
6. Data Access Logic Layer Design.. ................. ..................... ........14
7. Da/a Access Logic Layer Commllnica/ion .............. ........14
8. Data Persistence/Database Layer Isola/ion.. .................... .............. .14
9. User IIlPIl/ Valida/ion... ............... ........14
10. Da/a Inpu/ Valida/ion.... ......14
II. Data Queries... ................. ......15
J 2. UsernamelPassword Based Authentication.. ................ ......... .........15
13. Privileged Accounts Management..... ................. .... 15
14. Service Accollnts Management ................... ............... .................. ....16
15 Role - Based Access............ .............. .... ..... ........... ....17
16. User! Enti/yAwhentica/ion Logging ....................... ................ .../7
SR1-lnformation Systems Security Requirements for Projects
Page 3 of 24
---
Exhibit I
/7. Automatic System Session Expiration .................. .............. /7
/8. Automatic System Lock-out and Reporting ......... .............. ...17
19. Role-based Access to Audit Functions and Data.. ...... ... ....... .............. 17
20. Secure Online Access 10 Audit Funclions...... 17
21. Audit Trai/s......... .................................... ..... ............ ......../8
22. Application Security Controls ................................................... ............... ............18
D. DOCUMENTATION OF SOLUTION ......... ................ ........... ............................... ...,......""............20
/. System Configuration........................ .............. ............... ...20
2. Data In Use Classifications... .20
3. System Ro/es and Relationships ........................... ......20
4. Audit lylethod Documentation ................................ .20
5. Retention a/Documentation....... ............. .................... ........20
E, ISO NOTIFICATIONS AND APPROVALS ,............,......................................................................21
/. Security Compliance Notification .......................... ....2/
2. Notification a/Changes to Solution .......... ............... .................... .....2/
3. Notification afBreach or Compromise ..... .............. ........21
4. Project Security Approvals....... ........................ ................. ............... ... 2/
5. Application Security Approvals................... ............22
F. APPENDIX A - SRI EXEMPTION FORM....................................................................................23
SR1.lnformation Systems Security Requirements for Projects
Page 4 of 24
Exhibit I
~.'Ir;'
" ~,,,.~
~;,..,
~C~PH
Type: ISO Requirements
Issued: October 31,2008 Doc Number. SR1 v3.9
Revised:
Title:. Information Systems Security Requirements for Projects
IMPORTANT NOTE: If an exemption from any SR1 requirement is required,
the SR1 Exemption Form in Appendix A must be filled out by the Project
Manager or Contract Manager.
I. Purpose
This document provides the minimum security requirements, mandated by the
Information Security Office (ISO) from projects governed andlor subject to the policies
and standards of the California Department of Public Health (CDPH). Projects that
intend to deploy systems/applications into the Department's system infrastructure or wiii
utilize Department information system services are also subject to these minimum
security requirements.
This document is intended to assist the Department and its service customers in
understanding the criteria the Department will use when evaluating and certifying the
system design and security features and protocols used by project solutions utilizing
Department services The security requirements herewith will aiso be used in
conjunction with the Department ISO's compliance review program of its information
system services consumers.
This document will serve as a universal set of requirements which must be met
regardless of physical hosting location or entities providing operations and maintenance
responsibility. These requirements do not serve any specific project nor do they
prescribe any specific implementation technology.
II. Scope of Requirements
The information security requirements herein are organized in five categories (sections)
and address at a minimum:
. AdministrativeiManagement Safeguards
. Technical and Operational Safeguards
. Solution Architecture
. Documentation of Solution
. ISO Notifications and Approvals
SR1-lnformation Systems Security Requirements for Projects
Page 5 of 24
Exhibit I
Ill. Contact
Chief Information Security Officer
California Department of Public Health
Information Security Office
1615 Capitol Avenue
Sacramento, Ca 95814
SR1-lnformation Systems Security Requirements for Projects
Page 6 of 24
Exhibit I
IV. Information Systems Security Requirements
A. Administrative I Management Safeguards
11. Workforce Confidentiality Statement
All persons working with Department information must sign a Security and Confidentiality
statement The statement must include at a minimum; General Use, Security and
Privacy safeguards, Unacceptable Use, Audit, and Enforcement policies. (Contact the
ISO for the current version of the Security & Confidentiality form in use.)
The statement must be signed by the Project member prior to being granted access to
the Department's information. The statement must be renewed annually.
1 2. Access Authorization
ProjectlProgram must implement and document clear rules and processes for vetting
and granting authorizations; and procedures for the supervision of workforce members
who work with Department information or in locations where it might be accessed.
I 3. Access Authorization Maintenance
On at least a semi-annual basis, ProjectlProgram will review and remove all
authorizations for individuals who have left the department, transferred to another unit,
or assumed new job duties within the Department
14. Information System Activity Review
Project/Program must implement and document procedures to regularly review records
of information system activity, such as audit logs, access reports, and security incident
tracking reports.
1 5. Periodie System Security Review
All systems shall allow for periodic system security reviews that provide assurance that
management, operations, personnel, and technical controls are functioning effectively
and providing adequate ievels of protection.
The reviews may include technical tools and security procedures such as virus
scanners, vulnerability assessment products (which look for known security problems,
configuration errors, and the installation of the latest hardwarelsoftware "patches"), and
penetration testing.
1 6. Periodic System Log Review
All systems processing andlor storing Department information shall have a method or
procedure in place to create and review system logs for unauthorized access. Logs may
SR1- Information Systems Security Requirements for Projects
Page 7 of 24
Exhibit I
be stored within the system or on a centralized logging server or service, and shall be
maintained for a minimum of three years.
17. Business Impact Analysis
Projectlprogram will conduct annually a Business Impact Analysis of the application to
determine the Maximum Acceptable Outage (MAO), cost of lost functionality, system
component dependencies, business function dependencies, and business partner
dependencies.
I 8. Change Control
All systems processing andlor storing Department information must have a documented
change control procedure that ensures separation of duties and protects the
confidentiality, integrity, and availability of information
For those systems running within the Department's environment and/or are consuming
Department services, those systems shall comply with Department of Technology
Services (DTS) and Department standards for change control process and procedures,
19. Incident Response
projecUProgram will establish procedures for responding to an emergency or other
occurrence (e.g, fire, vandalism, system failure, and natural disaster) that damages
systems that contain eiectronic protected health information.
The emergency response procedures shall be added to the existing Operational
Recovery Plan (ORP). The ORP shall address what to do if a computer system and/or
the information files are violated, iost, damaged, or inaccessibie.
110. Disaster Recovery
ProjectlProgram will estabiish procedures that allow facility access in support of
restoration of iost information under the ORP and emergency mode operations pian in
the event of an emergency.
The restorationlrecovery support procedures shall be added to the existing Operational
Recovery Plan (ORP) to restore any loss of information and assure continuity of
computing operations for support of the application and information.
Recovery procedures shall be developed using the appropriate template from the
Department's ORP.
111. Emergency Mode Operation Plan
Projectlprogram will establish an Emergency Mode Operation Plan (EMO) to enable
continuation of critical business processes for protection of the security of electronic
SR1-lnformation Systems Security Requirements for Projects
Page B of 24
Exhibit I
protected health information while operating in emergency mode. This plan shall be
added to the existing ORP.
112. Periodic System Recovery Testing
AIi systems, as part of a new or existing project, shall allow for periodic system recovery
testing. The period between tests should be defined as part of the project and be
consistent with relevant department disaster recovery standards. Such testing should
provide assurances that plans (Incident Response, Disaster Recovery, Emergency
Mode Operation, and Data Backup) and controls (management, operations, personnel,
and technical) are functioning effectively and providing adequate levels of protection
during an incident, disaster, or breach,
113. Supervision of Data
Protected Health Information (PHI) in paper form shall not be left unallended at any time,
unless it is locked in a file cabinet, file room, desk, or office. Unattended means that
information is not being observed by an empioyee authorized to access the information.
Department PHI in paper form shall not be left unallended at any time in vehicles or
planes and shall not be contained in checked-in baggage on commercial airplanes.
114. Escorting Visitors
Visitors to areas where Department PHI is contained shall be escorted and Department
PHI shall be kept out of sight while visitors are in the area.
SR1.lnformation Systems Security Requirements for Projects
Page 9 of 24
Exhibit I
B. Technical and Operational Safeguards
11. System Seeurity Compliance
All Project systems shaH comply with applicable Department security policies and
requirements, as specified in the State Administrative Manual (SAM), Health
Administrative Manual (HAM), HIPAA, Privacy Act, and any other applicable state or
federal regulation, AH security safeguards and precautions shall be subject to the
approvai of the Department ISO.
I 2. Virus Protection
All systems shaH install and actively use comprehensive third-party virus protection
software, and routinely update such software when updates are released. All security
safeguards and precautions shall be subject to the approval of the Department ISO.
I 3. Patch Management
All systems shall install and actively use comprehensive third-party patch management
program and routinely update system and application software when updates are
released. All security safeguards and precautions shall be subject to the approval of the
Department ISO.
4. Encrypted Electronic Transmissions
Ali information transmissions that contain confidential information must be encrypted
end-to-end using an industry-recognized encryption standard. The eiectronic transport
must utilize Secure Socket Layer (SSL) and Department information and confidential
information shaH be encrypted at the minimum of 128 bit AES (Advanced Encryption
Standard) or 3DES (Triple Data Encryption Standard) if AES is unavailable. Equivalent
or stronger algorithms may be used upon approval of the Department ISO.
I 5. Encrypted Data Storage
All confidential information must be encrypted when stored using a Department
approved encryption standard Confidential information shali be encrypted at the
minimum of 128 bit AES (Advanced Encryption Standard) or 3DES (Tripie Data
Encryption Standard) if AES is unavaiiable. Equivalent or stronger algorithms may be
used upon approval of the Department ISO.
1 6. Workstation I Laptop Encryption
All workstations and laptops that process andlor store Department information must be
encrypted with a Department approved solution or a solution using a vendor product
specified on the Department of General Services (DGS) California Strategic Sourced
Initiative (CSSI) website.
SR1- Information Systems Security Requirements for Projects
Page 10 of 24
Exhibit I
17. Removable Media Encryption
All electronic files that contain Department information must be encrypted when stored
on any removable media type device (i,e. USB thumb drives, floppies, CD/DVD, tape
backup, etc.) with a Department approved solution or a solution using a vendor product
specified on the Department of General Services (DGS) California Strategic Sourced
Initiative (CSSI) website.
1 8. Secure Connectivity
All transmission and data-links between the information and applicationlsystem and
DBMS and the DTS Wide Area Network 0NAN) shall be secure between transmission
systems as required by regulation, policy or standard and as prescribed for the given
application/system.
19. Intrusion Detection and Prevention
All systems that are accessible via the Internet, are critical, or contain ePHI (electronic
Protected Health Information) shail install and actively use a Department approved
comprehensive third-party real-time host based intrusion detection and prevention
program that reports security events directly to the Department ISO. All security
safeguards and precautions shall be subject to the approval of Department ISO.
110. Minimum Data Downloads
In accordance with the principle of need-to-know, only the minimum amount of
information required to perform necessary business functions shouid be copied or
downloaded.
111. Data Destruction
Ail Department information must be wiped from systems when the information is no
longer necessary. The wipe method must conform to Department of Defense (000) and
Department standards for information destruction. Once information has been
destroyed, the Department contract manager must be notified. If an agency or other
entity is unable to destroy media in accordance with Department standards and provide
notification, the media must be returned to the Department after usage for destruction in
an approved manner.
112. Confidential Destruction
Department PHI in paper form must be disposed of through confidential means, such as
cross cut shredding and pulverizing.
113. Removal of Data
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Exhibit I
Department PHI in either electronic or paper form shall not be removed from Department
premises or from the premises of an authorized vendor or contractor without the written
permission of the Department ISO.
114. Faxing of Confidential Information
Facsimile transmissions containing PHI shall not be left unattended and fax machines
shall be in secure areas. Faxes shall contain a confidentiality statement notifying
persons receiving faxes in error to destroy them. Fax numbers must be verified before
sending.
115. Mailing of Confidential Information
Department PHI shall only be maiied using secure methods. Large volume mailings of
Department PHI must be by a secure, bonded courier with signature required on receipt.
Disks and other transportable media sent through the mail must be encrypted with a
Department approved soiution or a solution using a vendor product specified on the
Department of General Services (DGS) California Strategic Sourced Initiative (CSSI)
website.
SR1- information Systems Security Requirements for Projects
Page 12 of 24
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Exhibit I
C. Solution Architecture
11. System Security Compliance
The system shall comply with all applicable Department security policies and
requirements, as well as those specified in the State Administrative Manual (SAM),
Health Administrative Manual (HAM), HIPAA, Privacy Act, and any other applicable state
or federal regulation. All security safeguards and precautions shall be subject to the
approval of the Department ISO.
I 2. Warning Banner
All systems containing Department information shall dispiay a login warning banner
stating that information is confidential, activity is logged, and system use is for business
purposes only. User shall be directed to log off the system if they do not agree with
these requirements.
The following warning banner shall be used for all access points (e.g., desktops, laptops,
web applications, mainframe applications, servers and network devices):
WARNING: This is a State of California computer system that is for
offieial use by authorized users and is subject to being monitored
and/or restrieted at any time. Unauthorized or improper use of this
system may result in administrative disciplinary aetion and/or civil
and criminal penalties. By continuing to use this system you indicate
your awareness of and consent to these terms and eonditions of use.
LOG OFF IMMEDIA TEL Y, if you do not agree to the eonditions stated
in this warning.
I 3. Layered Application Design
Application must be able to be segmented into a layered application design separating at
a minimum the Presentation, Application/Business Logic, and Data Access Logic, and
Data PersistenceiDatabase layers.
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SR1- Information Systems Security Requirements for Projects
Page 13 of 24
Exhibit I
1 4. Separation of Layers
The Presentation, Application/Business Logic, and Data Access Logic layer must be
separated physically by a firewall regardiess of physical implementation.
Vendor-provided commercial off-the-shelf (COTS) packages or components where
physical separation of layers is not possibie requires ISO approval.
I 5. Business Logic Layer Communication
Any system request made to the Business logic layer must be authenticated.
1 6. Data Aecess Logic Layer Design
The Data Access Logic Layer may take the form of stored procedures, database API
(Appiication Programming Interface), Data Access ObjectslComponents, Data Access
Middleware, Shared Data Services, or Secure Web Service.
7. Data Access Logic Layer Communication
Any system request made to the Data Access logic layer must be authenticated and
authorized.
8. Data PersistencelDatabase Layer Isolation
No direct access to the Data Persistence/Database layer will be permitted, except
through the Data Access logic layer.
All calls to the Data PersistencelDatabase layer will be made through the Data Access
logic layer as a trusted sub-system that utilizes a single database access account to all
transactions.
Vendor-provided commercial off-the-shelf (COTS) packages or components where
physical separation of Data Access Logic layer from Data Persistence/Database layer is
not possible require ISO approval.
1 9. User Input Validation
All user input must be validated. The system must manage client input controis from
server side to the extent possibie. All third-party client side input controls must be
documented and approved by the Department ISO.
110. Data Input Validation
All user information input must be validated before being committed to the database or
other application information repository.
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Page 14 of 24
Exhibit I
111. Data Queries
All Data queries (inciuding In-line SQL calls) will not be allowed from the Presentation or
the Business Logic layers unless validated for appropriate use of query language and
validated for appropriate quanlity/quality of data input. All data queries solution must be
approved by the Department ISO.
Database table names and column names must not be exposed. Applications must use
an alias for every table and column.
Dynamic SQL will not be permitted from the Presentation Layer without prior approval
from the Department ISO,
12. Username/Password Based Authentication
When usernames and passwords are going to be used as the method for system
authentication the following for each must be met:
. Username requirements:
. Usernames are unique and are traceable to an individual worker.
. Usernames are NOT to be shared and never hard-coded into system logic.
. Password requirements:
. Are not to be shared.
. Must be 8 characters or more in length.
. Must NOT be a word found in the dictionary, regardless of language.
. Passwords must be encrypted using irreversible industry-accepted strong
encryption.
. Must be changed at least every 60 days,
. Must NOT be the same as any of the previous 10 passwords.
. Must be changed immediately if revealed or compromised.
. Must be composed of characters from at least three of the following four
groups from the standard keyboard:
o Upper case letters (A-Z);
o Lower case letters (a-z):
o Arabic numerals (0 through 9); and
o Non-alphanumeric characters (punctuation symbois).
. Accounts must be locked after 3 failed logon attempts.
. Account lock-out reset timers must be set for a minimum of 15 minutes.
113. Privileged Accounts Management
. Privileged Account Authorization
A privileged account is an account that allows an individual to perform
maintenance on an operating system or application (e.g. createlremove users,
install applications, createlmodify databases). Privileged accounts require the
approval of the individuai's manager, the ISO, and must include a business
justification stating why priviieged access is required and what it will be used for.
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- -
Exhibit I
Individuals granted priviieged accounts must have already signed the Security
and Confidentiality Acknowledgement Statement. Privileged accounts must be
unique and associated with the individual for whom the account is authorized.
The use of shared privileged accounts (e.g. Administrator) is strictly prohibited.
. Username requirements
. Must be unique and are traceabie to an individual person.
. Must NOT be shared.
. Must never be hard-coded into system logic,
. Must NOT be the same across different zones (e.g. Web Zone, Internal
network, and Test Labs I Environments).
. The default built-in Administrator account must be renamed and disabled.
. The naming convention for privileged accounts must not make it obvious that
usernames belong to privileged accounts.
. If a generic privileged account is created:
o It must only be used in an Emergency.
o It is NOT to be used for routine maintenance.
o The password storage and management process for generic privileged
accounts must be approved by the Department ISO.
. Password requirements
. Must not be the same as any of the previous 10 passwords.
. Must not to be shared.
. Must NOT be the same across different zones (e.g. Web Zone, Internal
network, and Test Labs I Environments).
. Must be 12 characters or more in length.
. Must NOT be a word found in the dictionary, regardless of language.
. Password must NOT be stored in clear text.
. Must be changed at least every 60 days.
. Must be changed immediately if revealed, or compromised.
. Must be changed immediately upon the termination or transfer of an
employee with knowledge of the password.
. Passwords must be encrypted using industry accepted, irreversible strong
encryption.
. Accounts must be locked after 3 failed logon attempts.
. Account lock-out timers must be set for at ieast 60 minutes.
. Must be comprised of characters from at ieast three of the following four
groups from the standard keyboard:
o Upper case letters (A-Z):
o Lower case letters (a-z);
o Arabic numerals (0 through 9):
o Non-aiphanumeric characters (punctuation symbols).
. Restrictions for Privileged Accounts
. Holders of privileged accounts must restrict the use of their account priviieges
to activities that are part of their job and that require privileged access.
. Holders of privileged accounts must never share their access and password
with other individuals.
114. Service Accounts Management
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Exhibit I
. Service Account Authorization
In situations where it is necessary to use a service account, which is an account
used to run a service and whose password is known by multiple individuais, the
account request will be approved by the manager of the Project/Program
requesting the account and by the ISO. Requirements, stating the need for a
service account, will be documented in the request. A service account password
is shared among the individuals authorized to access the account, and is subject
to controls as stated in the password requirements in this document.
. Restrictions for Service Accounts
. Sharing passwords via email is prohibited, unless the body of the email itself
is encrypted using strong encryption.
. When users are no longer authorized to access an existing service account,
the service account password must be changed.
115. Role - Based Access
Any system deployed during, or as a result of a project, shall provide secure role-based
access for authorization utilizing the principle of least privilege at all layers/tiers.
116. User I Entity Authentication Logging
The system must log success and failures of user authentication at all layers as well as
log all user transactions at the database layer as required by regulation, policy or
standard and as prescribed for the given application/system. This logging shall be
included for all user privilege levels including but not limited to systems administrators.
This requirement applies to systems that process, store, andlor interface with PII
(Personal Identifiable Information) and/or confidential information.
17. Automatic System Session Expiration
The system must provide an automatic timeout of user sessions after 20 minutes of
inactivity.
118. Automatic System Lock-out and Reporting
The system must provide an automatic lock-out of users and a means to audit a
minimum of 3 failed log-in attempts. The means of providing audit information must be
approved by the Department ISO.
19. Role-based Access to Audit Functions and Data
All systems/applications will implement role-based access to auditing functions and audit
trail information utiiizing the principle of least privilege.
20. Secure Online Access to Audit Functions
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Page 17 of 24
Exhibit I
All systems I appiications will implement a secure online interface to Audit Capabilities
and Reporting by way of application programming interface (API) or network service (or
Web Service): to aliow Department ISO to view logs, auditing procedures, and audit
reporting,
121. AuditTrails
This requirement delineates the (minimum) log information that audit trails should record
for any system that contains or is invoived in the transmission of confidential information.
The information listed below should be available on every system running a production
environment. Not only wili this information assist with problem resolution efforts and
system restore operations, it will also be invaluable to system penetration attack
investigations, fraud investigations, etc.
The system must record (at minimum) the following events and any other events
deemed appropriate by the Department ISO:
Transaction Types
. Any and all administrative changes to the system (Le. administrative password
changes (forgotten password resets), system variables, network configuration
changes, disk subsystem modifications, etc).
. Logon failures.
. Logons during non-business hours.
. Program or file access denial.
. Addition, deietion, or modification of users or program access privileges.
. Changes in file access restrictions.
. Database addition, deletion, or modification.
. Copy of files before and after read and write changes.
. Transaction issued.
Individual audit trail records shali contain the information needed to associate each
query transaction to its initiator and relevant business purpose. Individual audit trail
records should capture at a minimum the following:
Minimum Audit Trail Record Content
. Date and Time Stamp.
. Unique Username of Transaction Initiator.
. Transaction Recorded.
. Success or Failure of Transaction Recorded.
. Relevant business process or application component involved.
. Data captured (if any).
Audit Trail logs shall be maintained at minimum for three years after the occurrence or a
set period of time determined by the Department ISO that would not hinder a detailed
forensic investigation of the occurrence. The Department ISO has final approval
authority.
1 22. Application Security Controls
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Page 18 of 24
Exhibit I
For any application which accesses confidential data, the following technical controls
shall be present, unless an exception is granted by ISO:
. Shall use least privileged accounts to execute code and to access databases.
. User access rights shall be authenticated and authorized on entry to each
application tier.
. All user input shall be validated as weil as all validating parameters passed to all
public web service methods,
. Do not expose information that is not required, as such information can
potentiaily open doors that might lead to new vulnerabilities,
. If a web application fails, it shail not leave sensitive data unprotected or expose
any details in error messages presented to the user. Any exceptions shail be
logged or emaiied to the appropriate team member.
. Any sensitive data stored in session, cookies, disk files etc., shall be encrypted.
Any sensitive data passed between tiers shall be encrypted.
. Applications shall be protected from the Internet by a front-end web application,
firewall, gateway, and proxy of a type approved by the ISO, which shall be
included in the documented system design.
. Post back Universai Resource Locators (URLs) shall not contain unencrypted
record identifiers or database keys.
. Post back URLs shail not include query strings.
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Exhibit I
D. Documentation of Solution
11. System Configuration
As part of each project, assigned staff will document and maintain a full inventory of the
major hardware, software, and communications platforms in use; system configurations;
all applicationslcomponents with descriptions encompassing the solution; and a
description of the solution's security design features and user access control
mechanisms. ProjecUProgram will ensure a custodian(s) is assigned to each
applicationlcomponent.
1 2. Data In Use Classifications
Project/Program will document and maintain information classification matrix of all
information eiements accessed and/or processed by solution.
The matrix should identify at a minimum:
. Information element.
. Information c1assification/sensitivity.
. Relevant functionlprocess or where is it used.
. System and database or where is it stored.
1 3. System Roles and Relationships
Project shall document the following roles and ensure everyone understands their role,
and complies with all applicabie regulations including the SAM.
. The designated owner of the system
. The designated custodian(s) of the system
. The users of the system
. The security administrator for the system
. Outside entities sending or receiving data to system
Project shall document the organizational structure and relationships between these
roles.
I 4.' Audit Method Documentation
Project/Program will document the solution's auditing features and provide samples of
audit reporting.
I 5. Retention of Documentation
The systemlappiication administrators will retain documentation, including audit and
activity logs, for a minimum of three years (up to seven years) from the date of its
creation or the date it was last in effect, whichever is later.
SR1-lnformation Systems Security Requirements for Projects
Page 20 of 24
Exhibit I
E. ISO Notifications and Approvals
11. Security Compliance Notification
As part of each project, assigned staff wiil document how proposed solution meets or
addresses the requirements specified in this document and must be submitted to the
Department ISO prior to taking custody of Department owned information.
1 2. Notification of Changes to Solution
Once a project is approved as final by the Department ISO, no changes will be made to
the project scope, documentation, systems or components without a change approval by
the Department ISO.
3. Notification of Breach or Compromise
The systemlapplication administrators shall immediately and in writing report to the
Department ISO any and ail breaches or compromises of system andlor information
security, and shall take such remedial steps as may be necessary to restore security and
repair damage, if any.
In the event of a breach or compromise of system andlor information security, the
Department ISO may require a system/application security audit. The Department ISO
shall review the recommendations from the security audit, and make finai decisions on
the steps necessary to restore security and repair damage.
The systemlapplication administrators shall properly implement any and ail
recommendations of the security audit, as approved by the Department ISO.
1 4. Project Security Approvals
Projects shall ensure checkpoints throughout the SDLC which verify security
requirements are being met. This shall be incorporated in the project plan along with
identification of necessary resources, timelines, and costs to address these
requirements. An ISO representative should be involved throughout the SDLC to ensure
this occurs.
For reportable FSR's, Office of Information Security and Privacy Protection (OISPP)
requires submission of the Questionnaire for Information Security and Privacy
Components in Feasibility Study Reports and Project-Related Documents. See
hllp:l/www.oisppca.QoviQovernment/documents/docs/lnfo Sec and Priv Components
FSR-Questionnaire.doc. The response to this document shall be approved by the ISO
prior to submission.
Projects shall ensure all applicable security requirements and deliverables are included
in the project plan, and that ISO approvals are obtained, where required. This includes
those listed in the following section, and any covered by other sections of this document.
ISO shail be given reasonabie time to review and comment on these deliverables.
SR1-lnformation Systems Security Requirements for Projects
Page 21 of 24
Exhibit I
I 5. Application Seeurity Approvals
At a minimum, for any application which accesses confidential data, the following
documented ISO approvals shaH be obtained at the appropriate project phases, and
before the application is moved to production.
. ISO approval of a dated, detaiied design document. This design shall include
network layout including specific firewall port requirements, server hosting
locations, operating systems, databases, data exchange interfaces, and points of
authentication/authorization. The project shall not move beyond the design phase
until there is an ISO approved design.
. ISO approval of any non-standard development tools, e.g. programming
languages or toolkits.
. ISO approval of a plan for an independent security code review which addresses
at minimum the current Open Web Application Security Project (OWASP) top ten
application vulnerabilities, where applicable. ISO shall approve any findings of
that code review not being corrected. ISO recommends the security code review
be carried out during the development process rather than only at the end.
. ISO approval of a pian for security code reviews of future maintenance code
changes, which addresses at minimum the current OWASP top.len application
vulnerabilities, where applicable.
. ISO approval of a plan for an independent automated security vulnerability
assessment of the application, and approval of the findings of that assessment.
The assessment shall assess the OWASP top ten risks at minimum, as
applicable.
Independent as indicated above is defined as organizationally separate from those
developing or configuration the application. The independence and skill level of the
entities being utilized shall be approved by ISO.
Application code and infrastructure is subject to ISO audit, and shall match the approved
detailed design.
SR1- Information Systems Security Requirements for Projects
Page 22 of 24
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Exhibit I
F. Appendix A - SR1 Exemption Form
REF Secu~ity Requirement .' Exemption Business Justification
(Yes, No;'
; " 'or N/AI'
A Administrative I Management Safeguards
1 Workforce Confidentiality Statement
2 Access Authorization
3 Access Authorization Maintenance
4 Information System Activity Review
4 Periodic System Security Review
6 Periodic System Log Review
7 Business Impact Analysis
8 Change Control
9 Incident Response
10 Disaster Recovery
11 Emergency Mode Operation Plan
12 Periodic System Recovery Testing
13 Supervision of Data
14 Escorting Visitors
B Technical and Operational Safeguards
1 System Security Compliance
2 Virus Protection
3 Patch Management
4 Encrypted Electronic Transmissions
5 Encrypted Data Storage
6 Workstation I Laptop Encryption
7 Removable Media Encryption
8 Secure Connectivity
9 Intrusion Detection and Prevention
10 Mll1imum Data Downloads
11 Data Destruction
12 Confidentiai Destruction
13 Removal of Data
14 Faxing of Confidential Information
15 Mailing of Confidential Information
C Solution Architecture
1 System Security Compliance
2 Access Point Warning Banner
3 Layered Application Design
4 Separation of Layers
SR1-lnformation Systems Security Requirements for Projects
Page 23 of 24
Exhibit I
REF -, Security Requirement Exemptio~ : -Business Justification ,
~. . .-- "
,(Yes, No,
, I. or N/A)
5 Business Logic Layer Communication
6 Data Access Logic Layer Design
7 Data Access Logic Layer Communication
8 Data Persistence/Database Layer Isolation
9 User Input Validation
10 Data Input Validation
11 Data Queries
12 Username/Password Based Authentication
13 Privileged Accounts Management
14 Service Accounts Management
15 Role - Based Access
16 User / Entity Authentication Logging
17 Automatic System Session Expiration
18 Automatic System Lock-out and Reporting
19 Role-based Access to Audit Functions and Data
20 Secure Online Access to Audit Functions
21 Audit Trails
22 Application Security Controls
D Documentation of Solution
1 System Configuration
2 Data In Use Classifications
3 System Roles and Relationships
4 Audit Method Documentation
5 Retention of Documentation
E ISO Notifications
1 Security Compliance Notification
2 Notification of Changes to Solution
3 Notification of Breach or Compromise
4 Project Security Approvals
5 Application Security Approvals
SR1-lnformation Systems Security Requirements for Projects
Page 24 of 24