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HomeMy WebLinkAbout45-Mayor's Office . . C1T'-Y' OF SAN BERNARDI~ - REQUM FOR COUNCIL AC."'ON Dept: Mayor's Offi ce :-,EC'o.-ADMlll. SUbject: California Conservation Corps Agreement ",. "I" ')' '" -,., Granting City CCC Crew l~.t '-,:.,;U ,.t ; '. I' ,-- ~tT ._ From: Mayor Evlyn Wilcox Date: August 13, 1987 Synopsis of Previous Council action: March 25, 1987, Resolution 87-84 authorized Mayor Wilcox to make application to State of California Conservation Corps. Recommended motion: Adopt resolution. i:- ~ '1/ /! / A f' /I ,/JlI ~t.-( -~y' Signature / Contact penon: Mayor Evlyn Wilcox Phone: 5051 h dYes Ward.' Supporting data aUac e : FUNDING REQUIREMENTS: Amount: 1"1........1.' -, F" L.. 0 ". Source: (ACCT. NO.) 0 II) 1- II) 1:3 - ....."'..." C../:4: r .,,~v C."", (ACCT. DESCRIPTION) Finance: /,J... c;-~ f Council Notes: ~- L - .. . . . - - ~ CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION STAFF REPORT Since December, 1985, the City of San Bernardino has had the oppor- tunity of having a 2049 California Conservation Corps (CCC) crew working on BeautifiCation projects in the City of San Bernaruino. Our CCC crew, by law, has been composed of San Bernardino City youth, ages 18-23, who learn a strong work ethic; take educational classes to attain their GED or college degree, and are trained in various vocational skills. The agreement vlhi ch you now have before you grants to 'the City of San llernardino a t\~o-year renewal which roughly is equivalent to $240,000 worth of labor. In return, the City lilUst provide supervision, transportation, and tools at the approximate cost of $29,863.00 per year. All costs have been approved and are budgeted under the Office of the f1ayor. .. . '- --' 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 RESOI,UTION NO. RESOLUTION OP TilE CITY OP SAN BERNARDINO AUTHORIZING THE EXECUTION OF AN AGREEMENT WITH THE CAL~FORNIA CONSERVATION CORPS., STATE OP CALIFORNIA, '1'0 PI<OVIDE WORK OPPORTUNITIES, JOB SKILLS, TRAINING AND PROJECTS IN PUBLIC SERVICE CONSERVATION FOR THE BENEPIT OP THE C.C.C. AND THE CITY BE IT RESOLVED BY THE 14AYOR AND COMMON COUNCIL OP THE CITY OP SAN BERNARDINO AS FOLLOWS: SECTION 1. The Mayor and the City of San Bernardino is hereby authorized and directed to execute on behalf of said City an Agreement with the California Conservation Corps., State of California, to provide work opportunities, job skills, training, and projects in public service conservation for the benefit of CCCs and the City, a copy of which is attached hereto, marked Exhibit "A" through "L" and incorporated herein by reference as fully as though set forth at length. I HEREBY CERTIPY that the foregoing resolution was duly adopted by the Mayor and Common Council of the City of San Bernardino at a meeting thereof, held on the , 1987, by the following day of vote, to wit: Council Members AYES: NAYS: ABSENT: City Clerk 7-22-87 1 '. . . r~' '- ......., ""..; "..../ 1 The foregoing resolution is hereby approved this day 2 of , 1987. 3 4 Mayor of the City of San Bernardino 5 Approved as to form and legal content: 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 7-22-87 2 ,. . STA~' \I~D AGREEMENT APPROVEr"' BY THE ATTORNT ,ENERAL CO',,"To;;A::"'-'::; STA;[ AG Sl ATE OF CA.LlFORNIA STD 2 tREv 2 85 ',,,.,1' DE-;:>1 OF GEl, SEre THIS __\(;HFf\lF'\T 11I,HIt- .lwll'lIkrnllld,' thi~ ill tIll' SLlIt' Ilf c.lhfIlTlli.1 In ,lIHIIl('l\u>t'lJ St.dt' ell L.dilllflll,1 qll.ilifit,d and adill~ 1st {bkn! lijf(I\I~I, July 1,,87 COr<..iR';):...:...E<;: il~ dtll\ ('It'l It d "I .IJ'I" ,ilill,tJ TITLE OF OFI"ICER ACT,""G 1"010. ST,Il..TE AGENCY If", II, It , '" ,', I I" ."1,,1.. UIH ' CO""TRAC, ""'-!....SE'" Director California Conservation Corps linn.}t.-/ ,Ii/I,d /}II 88- 400-35 City of San Bernardino .\ IT'ESSETH. Th;J1 till' (:olltr;.idor for and ill cOIl,ult'Talioll (lj tIlt' ('o\t'JlalJh. l'(lllditiHll"_ .tgn.('IlH.J1t.... IWit'iJl..lflt'T t'\I)ft'~l.,I'd. dOl.... Iwwh~ <.l~r('(' to fllrni...h to tilt' Statt' :-('nil.t'.~ and lII;jkri..]". ;.I" 10110\\'" ,''OJ'/ jllrrh ,\/"ru"(' f(' 111. rnHlonll'/i C'HllrfJdrJr, Qnllmrlllo},. pmd ('rJ1lfrad(Jr Illllf' 1<lt pr';fllrmlirlll' ", /InriI"l tlnrl (md alliJ' /, /,fltJl' (/lid 'fin Ill' ,n,',I. ( IIld'd' 11" ! ~O;A; ....C'T"o"t 5 D ....'"'.....at;'" . ilwl qipllLdl,,),' "j Ill' '!.1!' ;.!,p,r, Contractor agrees to administer, under the direction of the California Conservation Corps (hereinafter called CCC) a component, comprised of a minimum of twelve (12) corpsmembers (hereafter called CM's) from July 1, 1987 through June 30, 1988. The City of San Bernardino shall have responsibility for administration of said component, subject to approval of the State, in all matters related to this agreement. Administration of the CCC component shall be governed by the following provisions: 1. COMPLIANCE Except as provided in paragraph 2, the component shall be conducted in accordance with Sections 14000-14406, California Public Resources Code, all applicable policies, procedures, and program guidelines of the CCC, the attached activities list (Exhibit A), and the budget (Exhibit B). CONTINUED ON.2 SHEETS, EACH BEARING NAME OF CONTRACTOR AND CONTRACT NUMBER, The prmbioll~ flll tilt' rt'\er~(' sidt,lH-'rf'of ('onsWlllt' a part of lllis il~Tt.t'lllt'lll 1\ \\'IT\ESS \\-IIEHFOF, thi_" il~Tt.t-'mt'llt Iws })t-'CIl t'\('('\Ih.d h~ tilt' partit....IH'rt'lll. IlpOll tIlt' d.llt' firsl :.ihm,' \\ rillt'1l - STATE OF CALIFORNIA CONTRACTOR AGENe'r CONTR....CTOR IIF OT"'EP T........ "N INO'VIDU"L STiO.TE W"'ET...EFI .. COPPOIU-;:)" r~li'nrni~ rnnservation P,t.RTNEFI!>"'P. ETC,) Corns City of San Bernardino BY (....UTlolORIZED SIGNATUREI BY I....UTHORIZED SIGN....TURE) X X PRINTED N....ME OF F'ERSOl'< SIGN'l'<G F'RINTEO N....ME ....NO TITi..E OF F'ERSON SIGNING "n~,i~ '+,pp TITI-E ADDRESS ];,ior~' ~ ....MOUNT ENCUMBERED PROGRAM/C....'T"EGORY (CODE ....ND TITI-EI I FUND 'T"IH..E II s Department of General Services UNENCUMBERED BAL.....NCE I ,OPT<ON^, USE> I F<SC^, "J Use Only S AD' INCRE....SIl\,rG ENCUMBRANCE ITEM I CH....PTER 1 ST....TUTE S i i AD' DECRE....SING EI\,rCUMBRAI\jCE OBJECT OF EXF'ENDITURE (CODE AND T'h.EI S 111l'flllIl '"Ir/d" rlj"lIl 1111/"11 /I J'n'OUf// 1..//'11, /, d~I tlwll!1/(II!I"fI'd -"/lId, ar. ITBA NO ISR NO (lUlI/ll/lll' jUt 11,.- p!'lllllJ arid II/IT/II"I ',I tI., 1"1/11 IIdlfllrl "flfl'd ul~JI I SIGNATURE OF ....CCOUI\jTING OFF,CE<=' 10m I X SIGN....TURE OF OI'"FICER SIGNING ON BEtol....l..F OF' THE AGE"'CY DATE I! Ii I I hod," ,nll}l, ,hal 1/1/ III/H/,llml' Jill 1').nllpUOI/ \l" fortll III ....'1111' \dlllllll"NltHI .\telll/wl ,"U'('/II!/1 J:/J'/IHItI 11., II nHllp/ll'd I. lIlllInd til" /hwlI IIWII I I.'.' ".\,(II/Jlf /'(J'" 1'1'111'11 ','/1111 P<'jwrl"Ullf IIf IlIllII!!!' x ... ~ ~ \ .~ity of San Bernardino staroard 1lg1:eerent 88-6400-35 '-' 2 ...."." 2. ~ AND HIRING OP CM'S a. All CM' s hired umer the terms of' this agreement shall be between the ages of eighteen (18) am ewenty-three (23) at the date of hire. r , b. Recruitment efforts shall be directed tcMards appli~ts that reside in target =ities, who are UI1E!IIployed, am who are high school drcp:>uts. c. All CM's hired umer the terms of this agreement shall participate in a ax: trainin;J program for approxiInately two weeks. d. All CM's hired under the terms of this ay:t:eement shall reside in the City of San Bernazdioo. e. It is un:lerstood that the Contractor shall bear responsibility for recruitment of CM applicants. f. Selection am hirin;J of CM's shall be aOOCllplished jointly by the ax: am the Contractor. 'llle ax: reserves the right to make the final determination as to selection/rejection of CM's. 3. CORPSMEMBER SAIARIES. BENEFTl'S. UNIFORMS, AND SAFEI'Y GEAR a. 'llle ax: shall bear all costs incurred for CM salaries, benefits, uniforms, am safety gear. Por pw:poses of this sub-paragraph, safety gear: is limited to the follCMin;J items : o steel toed, vibram lug sole boots; o hard hats; o goggles; o leather gloves. b. Except as provided in paragr<lFb 8(e), Contractor shall provide other safety gear, as required by the nature of the project work, in accordance with California Deparbnent of Occupational Safety am Health lldministration regulations. 4. SUPERVISION OP '!HE CM' S a. Contractor shall provide personnel neoeES"ary to supervise the CM's durin;J the perfonnanoe of project work. '!his personnel shall participate in the ax: crew supervisor (Conservationist I) trainin;J program. '!he ax: will pay for the cost of materials, trainin;J, roan, am board if trainin;J oocurs at a ax: facility. b. '!he ax: reserves the right to select am reject personnel provided by the Contractor for supervision of the CM's. c. Personnel provided by the Contractor to supervise the CM's shall: . , 3 \ city of san Berna1:dino stamard J\greellleI1t 88-6400-35 ....., .....,,,"'" o report directly to the o:c in all matters pertainin;J to this a~.Leerrent; be of gocxi m:>ral character; have experience supervisin;J ywth or young adu1 ts; as relates to the tenns of this agreement, be subj~ to all awlicable policies, prooedures, ani guidelines df the o:c inclOOi.rx:J, but not limited to, O:C's fraternizatior{ policy; at a miniIra.nn, be able to deIronstrate ~ in basic first aid ani cardiopulnonary resuscitation (Red cross or equivalent) ; have experience in a trade (Le. carpentry, plumbin;J, roofin;J, etc.) or typical creN project \oIOrk (Le. tree plantin;J, lan::'lscapin;J, irrigation \oIOrk, etc.). o o o o o 6. IDJCATION o:MroNENI' a. Contractor shall make provisions for, ani require participation of all CM's fun:ied urner the tenns of this a~....=,oent in, a c:x:mq:>rehensive educational OCIlp)nent which shall: Be equal in content to a high school or a General Frlucational Develcpnent curriculUIII ani provide c::am;e credits leadin:J to a high school diplana or its equivalent for oorpsmembers who do not have a high school diplana or its equivalent; Provide assistance in developin;J a plan for those CM's who desire to return to school, ani; Provide advanced education or vocational tra:ini.m opportunties for those CM's with a high school degree or its equivalent. b. Contractor shall secure a written oonunitment fran local educational institution (s) that awropriate educational services will be provided for CM's fun:ied urner the tenns of this aY.L=:llent. c. Contractor shall be responsible for, prepare, ani maintain at Contractor's headquarters, a written plan for :ilIplementation of the education canponent. Said plan shall be made available for review by the O:C, durin;J nonnal business hours, upon request. '!he educational <.;U1,~lE!I1t will consist of all of the followin;J unlerlined elements: Remediation. GEDlLiteracv: e.g., Remedial math, remedial En:Jlish, remedial readin;J, GED preparation, En:Jlish as a secon::i larquage, all other remedial services. vocational/O:C related: e.g. , o:c \oIOrk experience, first aid, CPR, weldin:J, fire science, technical math, auto shop, environmental science/awareness, forestry, lan::'lscapin;J, P.E., construction, ~ CXlllSeJ:Vation. , . I -':ity of San Bernardino "-,,, Starxlard l\green'ent 88-6400-35 '"'^'''' 4 Career Guidance: e.g., Job search, job preparation, career developnent. Assessment (all CM's Shall assessment for class placement): vocational. receive academic . t e.g., Academic-, . , , Pinancial Aid: e.g., Orientation an:i =llege guidance. (All CM's shoold receive a session on grants, loans available to continue education, an:i =llege guidance session). other: e.g.. All classes, workshqlS, an:i services that do not fit in other categories. (General education, skill specific classes not CCC related, consumer education, personal developnent, volunteerism). d. Contractor shall maintain a records system for CM attendance an:i boors of participation equivalent to or the same as that of the CCC. Contractor will provide this infonnation on a m:mthly basis to the CCC. e. '!he educational o::np:ment may be provided by a CCC center, upon arrarge.ments made with the local Area Manager an:i the Plannin;J Branch. Arr:i acklitional costs incurred by the center, p.u:suant to this paragraIb, shall be borne by the Contractor. 7. EMPIDYMfNI' AND TRAINING SERVICES Contractor shall secure f'uIxting or services fran the local service delivery area for enployment an:i trainin:J services for CM's f'urded urxier the terms of this agLeetuent. 8. Pl<OJECI' w:lRK a. Project work un:iertaken by CM's f'urded un:ler the terms of this ag1:~"ent II'USt be in OCIlplianoe with Sections 14300 an:i 14304, California Public Resources Code, an:i all applicable policies, procedures, an:i guidelines of the CCC. b. All project work perfonned by the CM's must receive approval of the CCC prior to initiation. c. It is urxierstood that, fran time to time, the CM's may be required to resporxi to emergencies outside the =nfines of the City of San Bemardaino if deemed necesEary an:i appropriate by the CCC. In such instances, the CCC Shall bear the responsibility for providin:.J supervision for the CM's. In the event said CM's are dispatched by the CCC outside the City of San Bernardino, the Contractor's responsibility for provision of tools an:i vehicles shall not exceed the requixements of paragraIb 3.b. . . I "t:ity of san BeJ:nardino 'j Stan:lard Agreement 88-6400-35 ",.., 5 9. AI:MINISTRATIVE SUProRl' '!he Contractor shall provide persormel, as needed, to prepare timekeepirg, persormel, an:i project reportirg doclnnents in an accurate an:i timely manner. Said doclnnents shall include ~ not be limited to : ; . o CCC Form 123 (Exhibit C) o Stan:lard Form 634 (Exhibit 0) o CCC Form 138 A-B (Exhibit E) o Stan:lard Porm 603 (Exhibit P) o CCC Form 58 (Exhibit G) o CCC Porm 45 (Exhibit H) o Del'"-":lLapric survey Porm (Exhibit I) o Elrployer's Report of OcCIlpCltional Injury or Illness SCIP 3067 (Exhibit J) 10. REPORI'ING REXXJIREMEN'IS All required forms an:i reports IIl.ISt be sul:lnitted to CCC san Bernardino Center by the fifth (5th) of each IIDIlth for the pl:ecMirg lIDIlth's work. SUl::mittal of said forms shall be furnished uroer separate rover identified by the above-referenoed agreement number. 11. TOOlS AND VEHIClES a. '!he Contractor shall provide any an:i all tools an:i materials MCeC'''''''ry to catplete project work uOOertaken by the CM's furxied lIIXier the terl!Is of this a':jL=oont. b. 'lhe Contractor shall provide suitable transportation, in a=rdance with Department of Motor Vehicles an:i Cal OSHA regulations, to an:i fran the job site for CM's hired uroer the terl!Is of this a':jLcel,lellt. 13. GENERAL FROVISIONS a. 'lhe CCC may ask for either verl:la1 or written assurance that Contractor inteOOs, or has the capability, to fulfill the terl!Is of the contract. Contractor shall provide such assurances at the time an:i in the manner requested. b. 'lhe CCC or the Contractor may terminate this agreement, without shoW'irg cause, by providin;J thirty (30) days written notification to the other party. c. '!he Contractor has read the Non-discrimination Clause (attached as Exhibit K) an:i fully lIIXierstaros the requirements contained therein. Further, the Contractor has executed uroer penalty of perjury the statement of CCIlilli.aooe (attached as Exhibit L) cont.eJrp>raneously with this agreement an:i agrees to catply therewith. d. '!he term of this a':jL=,ent shall be fran JUly 1, 1987, through June 30, 1988. ~. .., . \ _..:ity of San Bernardino starrlard Agreement 88-6400-35 '-' '-' t. e. 'lhe Contractor shall be subject to the examination am audit I:ly the CCC for a period of three (3) years after expiration of the =tract.' f. 'lhe Contractor, I:ly signin;J the =tract, does 5\IIear lJIlier penalty of perjury that no more than one final una~<4:>le fin:iin:3' of conteI1i>t of ooort I:ly aPederal ooort has Q!en issued against the Contractor within the i1mnediately 1>1''''' ...lin::J two-year period because of the Contractor's failure to OCITply with an order of a Pederal ooort which orders the Contractor to OCITply with an order of the National Labor Relations Board (Public Contract O:xie section 10296). Exhibits A-L are I:ly this refereooe hereby incorporated into, am made a part of, this agreement. 'lhe Contractor shall: 1) in any p.1blications that include the SCAJrOeS of SIJIllOrt for the program cite the CCC as a contriJJutor am 2) on any '"""'.....'orative signs, plaques, or p.1blications recogniziIXJ the Contractor for work aCCCllplished urder the tenrs of this =tract include the followin;J puase: "fun:ied, in part, I:ly the California Conservation Corps. II g. i. ~ . . , I .....,-_.'" ~./ I I I I I I I I . . . . . 4 PROPOSED PROJECTS FY 1987 - 1988 PROJECTS LETTER OF COMMITMENT . EXHIBIT A r , . , , 4-0 , . I I I I I . . . - '-" EXHIBIT A PROJECT: Delmann Heights Park Irrigation PROJECT DESCRIPTION: 1. Repair and replace irrigation system (6 acres) 2. Regrade damaged areas 3. Reseed areas 4. Plant trees and shrubs PROJECT DURATION: 4 weeks r PROJECT BENEFITS: Six acres of Delmann Heights Park is currently d~oid of an irrigation system. This project will enhance the aesthetics of t.he park. eliminate an unattractive nuisance and safety hazard and substantially improve public use. Construction savings resulting from the use of the CCC is esti- mated at $15,016. PROJECT: Delmann Heights Football Field PROJECT DESCRIPTION: 1. Install total irrigation system 2. Fine grading and seed bed preparation 3. Seed 4. Grade and add mix on running track PROJECT DURATION: 10 weeks PROJECT BENEFITS: Construction of a football field/track is a total in-house project due to limited funds. This project covers approximately 8 acres and entails the final phases of the project - installation of irrigation, turfing and application of track material. This project provides a renovation of an older section of this park which had a deteriorated irrigation system and very uneven grading. Park aesthetics and usability will be greatly enhanced. Con- struction savings are estimated to be $37,520. Annual savings in reduced main- tenance is estimated to be $2,500. PROJECT: Palm Field Improvements PROJECT DESCRIPTION: 1. Install concrete and block curbs/retaining wall 2. Install automatic irrigation system 3. Grade and seedbed preparation 4. Seed PROJECT DURATION: 3 weeks PROJECT BENEFITS: Construction of retaining wall will correct a major drainage problem which renders the parking lot unusable in the wet season. Irrigation and seeding is intended for a warm up area for softball players which currently is just dirt. This improvement will provide for dust control, increase safety and improve aesthetics and user enjoyment. Constructionsav{ngs is estimated to be $11 ,256. PROJECT: Gutierrez Field Dugout Renovations PROJECT DESCRIPTION: 1. Remove and fill in ground dugouts 2. Concrete dugouts and drinking fountains 3. Install dugout benches 4. Install drinking fountains 5. Remove and replace fencing as needed PROJECT DURATION: 3 weeks PROJECT BENEFITS: Current subterrannean dugouts are a major nuisance and a fre- quent site for tranSlents, crime, vandalism and drinking. The dugouts are un- sightly and stink of urine. New dugouts will be ground level and provide high visibility and consequently eliminate the above problems. Improvements will pro- vide increased comfort and appearance for the Little League users as well as eli- minating a highly vulnerable area. Annual savings in reduced maintenance is es- timate to be $1.000. Construction savings is estimated at $11,256. ^ , . . I I I I I I I I I I I I I I II I I o EXHIBIT A ~. ,. ,$ "-' PROJECT: Perris Hill Park Picnic Renovations PROJECT DESCRIPTION: 1. Clearing and grubbing 2. Fill ing and grading 3. Concrete pads and curbs 4. Install concrete picnic tables 5. Install log rail ings 6. Install trash can holders and trash cans 7. Install BBQ's and sinks 8. Install drinking fountains 9. Demolition and stone work 10. Sandblasting and repair of existing tables PROJECT DURATION: 12 weeks PROJECT BENEFITS: Group picnic areas at Perris Hill Park date back to as early as the Public Works Era. Picnic areas reflect their age and heavy use. Re- novation work will restore existing shelter amenities to prime condition to serve as an historic feature of the park; other improvements will greatly en- hance functional requirements of picnic areas to be unique historical accents but also more accomodating, attractive and comfortable. Park usage can be in- creased due to increased capacity in the picnic areas. Savings in construction costs are estimated to be $45,124. r , ! . PROJECT: Repair Dyno Dumpster Areas (7) PROJECT DESCRIPTION: Locations: Lytle Creek, Meadowbrook, Blair, Wildwood, Perris Hill, Nunez and Patton 1. Grade and repair drive approaches 2. Install chain 1 ink fence and gates 3. Concrete work as needed PROJECT DURATION: 7 weeks PROJECT BENEFITS: Dyno Dumpster sites serve a critical maintenance need in the mission of landscape maintenance: In deteriorated condition, the dyno areas are not only an eyesore but also diminished work efficiency. Repair work will improve park aesthetics, public safety and work efficiency. Construction cost savings are estimated at $26,264. PROJECT: Annual Ballfield Renovation (37 fields) PROJECT DESCRIPTION: 1. Grade/Add clay 2. Repair fencing 3. Repair bleachers 4. Repair and paint building 5. Misc. - from league PROJECT DURATION: 8 weeks PROJECT BENEFITS: The City has over 30 softball and baseball facilities which receive heavy use from youth and adult sports programs. Many of these facilities have deteriorated significantly over time. This project will annually renovate ball parks to restore them to safe playing conditions. These renovations will significantly contribute to use convenience and safety. The fields currently have a number of identifiable hazards such as curled fences, exposed barbs and berms, mounds and holes in the outfield which will be remedied. The renovations to the restrooms will result in a cleaner, more comfortable facility. Construction cost savings are estimated to be $30,016. Corps members will learn various construction skills including demolition, chain link fence construction, carpentry, concrete framing and finishing, roofing and plumbing. Landscaping skills will be learned through the turf renovation elements of this project. Additionally, corps members will learn tool use and care and equipment use and safety. The department intends to provide orientations associated with the respective skill areas orior to the hands-on experience. , I I I . . . II 11M EXHIBIT A , ~ -- PROJECT: Major Ballfield Renovation (4 fields) PROJECT DESCRIPTION: Nicholson LL, Ballard LL, Civitan LL, Nunez South 1. Grade - add 2 tons clay 2. Mott mow - level turf 3. Renovate irrigation 4. Remove replace - repair fencin9 5. Repair backstoo - remove rubber/boards 6. Repair bleachers/change seats; foot planks if needed 7. Install drinking fountains B. Repair and paint building PROJECT DURATION: 12 weeks PROJECT BENEFITS: The City has over 30 softball and baseball facilities which receive heavy use from youth and adult sports programs. Many of these facilities have deteriorated significantly over time. This project will completely renovate 4 ball parks beginning with the worst. These renovations will significantly contribute to use convenience and safety. The fields currently have a number of identifiable hazards such as curled fences, exposed barbs and berms. mounds and holes in the outfield which will be remedied. The renovations to the restrooms will result in a cleaner, more comfortable facility. The City plans to do major Renovation on 4 ballfields on a rotating basis. Construction cost savings are estimated at $45,024. Corps members will learn various construction skills including demolition, chain link fence construction, carpentry, concrete framing and finishing, roofing and plumbing. Landscaping skills will be learned through the turf renovation elements of this project. Additionally, corps members will learn tool use and care and equipment use and safety. The department intends to provide orientations asso- ciated with the respective skill areas prior to the hands on experience. r , t , . 4-3 .... I ~ .....~.....' 5 CORPSMEMBERS EMPLOYMENT TRAINING SERVICES S.B.E.T.A I I I I I EXHIBIT A r . I , . 5-0 " , I I I I I . . EXHIBIT A '~. BACKGROUND AND OVERVIEW OF THE SAN BERNARDINO EMPLOYMENT AND TRAINING AGENCY r In the Spring of 1983, the City of San Bernardino petitioned the State of California Job Training Coordinating Counctl to become its own independent Service Delivery Area under the then new Job Training Partnership Act. The City's agency for Job Training Programs under the CETA programs, the San Bernardino Employment and Training Agency, had established strong linkages between the City of San Bernardino's adminis- trative structure and the City's business community. In recognition of the City's record in the area of Job Training, the City of San Bernardino was designated as an independent Service Delivery Area. Linkages between the city of San Bernardino and the San Bernardino Employment and Training Agency (SBETA) are strong and direct. As a City department, the SBETA's personnel, payroll and fiscal functions are coordinated through existing City structures. The SBETA has linkages with the city's Redevelopment Agency for the purpose of placing economically disadvantaged clients into employment with private sector employers who locate inside the City's borders. The SBETA is also an active member of the local Chamber of Commerce. The SBETA provides employment and training services to the economically disadvantaged residents of the City. Our goals are: To provide occupational skill training in demand occupations, along with the necessary related support services, which will result in permanent unsubsidized employment in the private sector. To enhance labor market opportunities for the employment of eligible participants by employment generating activities to inform the private sector community of employment training programs, and to encourage employer participation in the development of such programs. To achieve these goals, the SBETA offers the following programs: Work Experience - A short term (6 month) or part time work assignment in the public sector designed to develop good basic work skills for those who have been out of the job market for a substantial period of time or who are new to the labor force. On-the-Job-Traininq - In this program, a private sector employer provides on-the-job training to new employees. " , , . I I I I I EXHIBIT A The SBETA then rei~es the emplo: 't for 50% of the trainee's hourly wage to offset the~osts associated with training. Classroom Trainina - Remedial - The SBETA will pay the costs associated with schooling of those who require a GED or High School Diploma. Classroom Trainina - Occuoational - The SBETA will pay the costs associated with skills training in local~y determined demand occupations. Upon the completiop of training, the school or training center is to assist with the placement of participants into private sector employment. All of the above programs are available for the 18 - 24 age groups targeted in your proposal. California conservation Corpsmembers are encouraged to seek job training and placement once their tenure with the Corps is completed. 5-2 '. . , ~ ~"'''' 6 HIGH SCHOOL DROPOUT RECRUITING PROGRAM I I I . . .. EXHIBIT A t , . . . 6-0 .. , , I . EXHIBIT A -""'../ CITY OF SAN BERNARDINO 2049 CORPS APRIL 3, 1987 r . t , .' HIGH SCHOOL DROPOUT RECRUITING PROGRAM In the past, the city has been depending primarilY on the San Bernardino Area Corps to supply the personnel necessary to fill the ranks of the 2049 group. The city has helped in this effort by providing space for recruitment posters on every floor of city Hall, and by giving free building space to hold an annual recruitment blitz by our San Bernardino Area Corps. About two months ago, the Personnel Department gave permission to reserve one of their recruitment boxes for both the 2049 program and the Area Corps. This will help disseminate knowledge of positions open within our city and throughout the State Corps. In the coming year, every effort to educate the high school counselors with regard to the california conservation Corps will be made. steps have already been taken at the San Bernardino Arbor Week Celebration which involved administration staff of the CCC and the School District, Further steps initiated through the Mayor's Office will be made. 6-1 . , , EXHIBIT A ,j r . << . . 7 CORPSMEMBERS DEVELOPMENT PROGRAM , I . . .. 7-0 . . I , I . . . EXH1Bl'1' A ',,;Ii CITY OF SAN BERNARDINO CORPSMEMBER DEVELOPMENT PROGRAM r , t , the city of San Bernardino to develop our participating in the 2049 Program to their It is the goal of local corpsmembers fullest potential. using the proven methods as outlined in the California Con- servation corps Development Guide, corpsmembers have been routinely monitored to determine their progress, The areas of development on which our Corps focuses are work ethics, basic education, pre-employment skills, conservation awareness and community volunteerism. Work ethic is addressed on a daily basis. The city of San Bernardino feels that if our youth is to succeed in our local job market once detached from the Corps, the CMS need to have a solid work ethic background which includes dependa- bility, superior job performance and ability to interact with fellow workers, superiors, and the public. To this end, our conservation Crew supervisor monitors each corpsmember daily for punctuality, good attendance, proper dress, and good personal hygiene. Additionally, each Corpsmember is expected to develop abilities to follow verbal and written instructions, work safely, perform quality work quickly, learn to supervise himself/herself, accept constructive criticism, work as a team with peers, and understand the need for flexibility toward change. Should Corpsmembers fall short in any of these critical areas, proper counselling by our conservation Crew supervisor is given. Another facet in CMS development is a basic education. For an employee to get ahead, education is the key, and our community provides several opportunities to CMS. Before CMS can take advantage of these programs, however, proper evaluations are given. Direct hires must take Career Occupational Preference Systems test, Career Ability Place- ment survey, Career Orientation Placement Evaluation, Test of Adult Basic Education and the Kiersey Temprementsorter. These examinations are evaluated and the CMS then choose the educational direction most beneficial to them. The following programs are offered: 1) Through brought to to instruct Project Redirect, an our local Corps facility the CMS with the goal of independent teacher is four (4) hours per week completing their G.E.D. 2) A literacy program is available to CMS through the California Literacy Campaign as offered by the San Bernardino County Library. 7-1 . . EXHIBIT A ,- j ~.. ..,/ 3. Adult educational courses are available through the San Bernardino Unified School District. 4) San Bernardino CMS to participate education. Valley College has a program for qualified should they opt for a degree in higher To give our corpsmembers an edge in the job market, pte- employment skills are taught at our Area Center or LOfal Center. It is hoped that by the corpsmember's understanding his/her job interest and skills, and knowing how to look for employment, complete an employment application, develop a resume, and conduct himself/herself at an employment inter- view, our CCC graduates will be able to get their foot into the door of the work force ahead of their peers. The ability to secure a job based on skills and education is admirable yet there is yet another facet to corpsmembers' development which is taught to help round out an - individual: conservation awareness. Per the State require- ment and for the good of mankind, our CMS must learn and demonstrate their understanding of Natural Resources, conservation of Natural Resources, Ecoloqy and Energy conservation. Classes are taught to all CMS unless they demonstrate a good understanding of such, in which case they can assist in the teaching of Conservation Awareness to fellow CMS. Finally, another aspect of our Corpsmember development which cannot be taught, but only experienced is volunteerism. In the San Bernardino community this is an aptitude of which we are proud and always looking to develop in our youth. The city has many opportunities for our CMS to get involved. Some events which have had CMS participants in the past are the Cinco de Mayo Celebration, United Way, March of Dimes, Blood Bank, Martin Luther King activities, City Clean up Days, and the Annual Harvest Festival. This form of community involvement is encouraged because it is our feeling that we need to give back to the community some of what we as citi- zens take out. Through the various opportunities of community vo1unteerism, conservation awareness, pre-employment skill training, basic education and work ethic development, it is the City of San Bernardino's hope to produce the best corpsmembers, the best citizens and the best people possible. 7-2 I , . . . , , I I I EX! IlliIT B RJBLIC 1\CDlCi lUGET ClJlU1l'E . t , . , . ) st.'PPORI' PERSONNEL N\.DltIer of 1\d::Ii.ni.strati ve Fer5OIll'Jel 3 COSt (irdudirq benefits) $ 13,615 36,319 N\.DltIer of SUperVisors COSt (in::ludirq benefits) 2 $ ornER ~ Tools Type an:l, Nur.tler of Tools Requirecl Hand tools (see attached inventory) 1 nw'ntnl'v va 1 IIF"$ ~~660 COSt New toolS $ 3,1)1)0 $10,000 1,9~~ $ tJ,utJy vehicles Vehicle/EQuio. Maint. Type an:l, Nur.tler 15 pass. Van 3/4 ton-Inventory: 1 traller w/casev ana nltCn: COSt Facility Expense ~ J Ft.') :DING Matchirq Grants, ~tions, an:l, lleiJn1;7.Jrselrlets $ 5o.l..""Ce other Ccntril:uticns Basketball court $ 2,000 $ B1,003 Total PL~Lgffi B.Jdget ------ 'IC1IAL itlBLIC AGFllCi CXliS'I' PER CORP5MD'lBER FOR PERIOD OF CXNl'AAcr (Includirq other turds; i.e., grant related iN::ale, matchirq contril:uticns) $ 6,750 FOm 2-2 ?_l . . ,- I....,; --- CITY OF SAN BERNARDINO 2049 CORPS BUDGET OUTLINE SUPPLEMENT 3/24/87 1987-88 BUDGET INVENTORY SUPPORT PERSONNEL (l)ADMINISTRATIVE STAFF Greg Garcia/Mayor's Office John Kramer, Parks & Rec. Jim Parker, Parks & Rec. $ 4,272 2,700 5,400 e".-"" Total Cost Including Benefits: $12,372 (2) CLERICAL SUPPORT Total Cost Including Benefits: I I I I I I I . . (3) SUPERVISING STAFF 1. Marty Holdaway 2. Chris Cook (Technical) Total Cost Including Benefits 28,159 8,160 TOTAL SUPPORT PERSONNEL/COST & BENEFIT OTHER EXPENSES INVENTORY $7,410.00 TOOLS Existing (See Attached) (4) New tools $10,000.00 VEHICLES (5) 15 Pass. Van 3/4 ton EOUIPMENT 1 Trailer w/casey Vehicle/Equip.Maint. $1,900.00 . 1,243 36, 319 1,700 3,000 $ 49,934 EXHIBIT B r , . , , 1 " 2-2 . , I I I I . It ..... ~~. -..,..;' (6) FACILITY EXPENSE Rent Electrical Phone Upkeep $3,600 500 432 527 TOTAL FACILITY EXPENSE $5,059 IN KIND DONATIONS (7) Basketball/Volley- ball Court & Equipment 1,900 (8) Rent on Building for a Hiring Blitz 100 TOTAL IN KIND DONATIONS 2,000 TOTAL OTHER EXPENSES $11,759 TOTAL 1987-88 BUDGET $61,693 $19,310 TOTAL 1987 INVENTORY EXHIBIT B r , f . 2- 3 \ I I I ) ~ 1 , , , . I I I I I I (1) I .....~-..... '*' EXHlllIT B CITY OF SAN BERNARDINO 2049 CORPS 1987 - 1988 BUDGET APRIL 3, 1987 . t , ! . DETAIL EXPLANATION Cost for administrative staff includes overall adminis- tration of program, Park liaison, and Park technical administrator. . (2) Cost for clerical includes all departments secretarial/ clerical time. I I (3) Cost for Supervising staff includes one fUll-time permanent supervisor plus a part-time technical/directional supervisor from Parks Department. (4) New tool fund is for replacement of old, worn out, or missing tools plus any additional tools required. I I I I (5) One 3/4 ton van was purchased for ccc's exclusive Use, however, all City equipment light and heavy, is at the disposal of local 2049 CCC. (6) 2049 Corps have their own facility requiring utilities and Upkeep. (7) ASPhalt, basketball/volley ball court to be installed at Patton State Hospital for San Bernardino Area CCC Use. Back boards and poles included. (8) Community or City Property is Used once per year to conduct an area wide hiring blitz. I I . . .. . . I I I I I I I I I I I I .1 n u m I I I , , QUANTITY 15 15 10 10 15 15 5 10 10 5 5 5 5 5 5 5 5 5 5. 5 5 3 5 5 5 5 5 1 10 3 3 5 5 5 2 5 5 15 5 5 3 3 5 10 10 10 10 .......,..... '>..J PUBLIC AGENCY HAND TOOL INVENTORY 3/24/87 TOOL Round Point Shovels Square Point Shovels Irrigation Shovels Garden Bow Rakes (iron) Garden Hoe Cotton Eye Hoe Lawn Combs Lopper Shears Hedge Shears Street Brooms Floor Brooms Pole prunner with saw Linemen Pliers Pliers Straight Screw Drivers Philips Screw Drivers 12" Crescent Wrenches 8" Crescent Wrenches 3/8" Socket Sets 50' Water Hose Linoleum Knives Sets Concrete Tools Folding Tree Saws Set Comb. open/box 3/8" to 1" Wrenches Regular Chanel Locks Large Chanel Locks Hacksaws with 2 dozen Blades Set Allen Wrenches Claw Hammer Construction Wheel Barrow Axes 8 lb. Sledge Hammer 12" Tape Measure 25' Tape Measure 100' Tape Measure 18" Pipe Wrench 12" Pipe Wrench Mc Leods Pulaskis Matlock/pick Come-a-long Chains 3/8" x 10' Post Hole Digger Paint Brush Paint Roller Paint Pans Drop Cloth (Heavy Plastic) TOTAL r . . . C09T $ 294.00 294.00 155.00 185.00 247.50 309.45 60.00 394.50 308.50 104,25 101. 65 467.00 85.20 25.45 25.45 27.95 121. 20 67.20 142.45 39.15 34.75 201. 00 48,50 315.85 52.20 118.70 78.15 7.31 117.20 267.00 72.00 62.55 27,85 71.20 29.98 48.00 44,15 794.25 200.00 139,45 85.47 72.30 120.00 36.90 11. 53 11. 29 30.00 EX\ITBIT B /-5 I I I I . . . . . . . . . .... . 10 10 5 5 3 3 20 15 15 15 20 20 '-' Scraper Paint Wire Brush Crow Bars Large Pry Bars Cross cut carpenter saw squares - tri - squares PERSONAL GEAR Gloves Hard hats Sets Rain Gear Pair Rubber overshoes Goggles Safety Vests GRAND TOTAL .........., - EXHIBIT B 47.40 15.44 52.20 11.85 43.74 22.77 r I , f 35.40' 80.25 174.00 233.85 62,40 78.40 ~ t $7,410.22 . 2-6 . , . EXHIBIT C STAT' .F CALI FOR1\IA CALl FOR1\ IA CONSERVATlO1\ CORP~ "-'" AND WORK 1rr'PORT DAILY CREW ROSTER DATE: CENTER: CREW NO. PROJECT Nl,MBER : SPONSOR: . . PROJECT TITLE: , it (From CCC 58) / P.s.c.W/ SUPPORT -tV LEAVE / MISC. ~ v' ~. . ~ ~ ... \:0.' ">' C It ~ ~{H ~:I.!~.", ~ ,. 'I "> ~ 4,' ~ J . t? ~ to ~. tf. ~ t::;J"t' t::;J"t' ~ 0.; f~:ll;l~'~"t' v' .;:~.~.~/ . ~ CORPSMEMBER Nk~ Q, . s ~~ .. .. .. lo; lo; C ~ v '. - l. i I TOTAL NUMBER OF HOURS EMERGENCIES Emergency Code Name: Location: OES # CDF Order , cce Account , Center Departure Time: Date: Return Time: Date: Comment s: Crew Supervisor's Signature: . . """ - ,-,' EXIIIBIT D ,..' STAT!; OF CALIPORN'''' ABSENCE AND ADDITIONAL TIME WORKED REPORT PAY PERIOD TIME BASE WORI< WEEK G"OUP t. MONTH I YIEA" SEMIMONTHLY STATUS ONLY STD. 1M 11/77) I 0"'''''' 0 laC:OND , MAio" "At." .I. NAME (Fint, Middle, LeutJ s. SOCIAL SECURITY NUMBIER .t. POSITION NUMBER O JUlIIVgUTV I'), I.....KII: CO"" ..0.. ...c:o;ou..n....' I. .....IENCIE WITH P...y 0 liCK t.lI:AV& 0 "'I'NG ov.",.,... I I.' ,.1." (Tol e".OITI I I 0 I'C" 1...""" 0 UI.NG HOLlO"''' I 11,,1 ......,1..... 11.10...... ITH) C"1I:01'" I 0 .,CK l..I:A"'lI: , ,..)0 ,......',..0 I tla) a...T" IN ",,"H.'" I ......0"'...1. I ("II:.....TIOH.""..) MOI.IO,," In,D UI."'G .xc." I HO"'''' c"aDIY I "'OlD , 0 I" 0 .0..,c:""10........ I ,., "'ACATION l.a.vlE .. ",..'U\lcll WITHOUT P...y (0) o ...O..,.-T..... """I,.ITA"'" LEAve le..I..NO..... aA"11 I...TTACH MILITA"Y au,." 0..0....1 1...1. tE:lt.....T ,".,,0 ,"OM'HOUS".'." lNJU"" INDuaT"IAL II.~NESS 011 INJUIIY tc] 0 T,,"'~O""'''T DI.....U.IT... .....I!IiTO.., ".....'1'1'100 TO IiT...T.. tIDt.] 0 ."~O"T 0,.. INOU.T"'..... IN'U"'" MU.T ... .U....'TT..O) o "..., ".1'...'N.O 01'''.'' CH...IIGII: .....IIi:NCIE TO Ov...c OCTO o ......NCI! W,1'HOU1' ... ,.) O 1.."0""'..... ......v. Oll",NT.D I" WO"KI"G 0"''''' 0" .....1 O ..."0"....... ......v. 0......1'.0 t'li WO"....NO DA"'. Oil .....Ilc.uc) E. 0" .....IENCII:. AND EXTIIA TIMII: WOIII<ED . (ENTER SYMBOL AND Nt:MBER OF HOURS IN DATE: BLOCKS. SEE REVERSE FOR LEGENDS AND SYMBOLS NOT :..'OTED ABOVE. IF THE ABSE'NCE IS "'OR A COMPENSABLE INJURY WAITING PERIOD ADD X TO OTHER SYMBOL) ,.) o o ......NC. WITHOUT ......V. t. WO"KIJUJ D"''''. 0" .....11....0..1 O ......NC. ,. WHI... ..IIVING ... ~"O."'l'lON"'"'" ~.III0D (.) T.M~O"""'" ......V. h. C"...NO...II 0"''''. Oil .....1 PAY PI:IIIOO IS o OU",L.I"""..G o "OHOU"L.'''' ~ IHG 7. DA ""PORTING I 2 3 . . . 7 8 . 10 II 12 13 I' 15 I' 17 18 I' 20 21 22 23 2' 2' 2' 27 28 2' 30 31 1 TOTAl. ''''''''''L.''' 'NTI" . I ! H". TO .I! .....ID ,., ! I , i IIICM I I i , I I 'c. I I ~ VACATIO" I i i I ,., I I TO. TM, T., ~H,., "'. .W,J ,", I .. 0" A ! , I I .,....T"...IGHT I TI.... I WO, ". HC,.. 'G."".",U'" T..... WO, ~ s. REASON ..011 A.SENCE Oil EXTIIA HOUIIS WOIIKED o ".DICA~ APPOINTMENT [ DENTA~ APPOINTMENT s. CE..TI"ICATE .Y EM"LOYEE To th~ be.t of my "nowled,~ and b~lief. the facta dat~d are accurate and In full compli4nc~ with le,al r-equlrement. EMPLOYEE SIGNA TUllE D"'TE 10. IIECOMMENDATION AND SU.STANTIATION 0" SUPEIIVISO.. II. ST"'TEMENT .Y "'HVSICIAN (Not to be completed b)' effendi", Phy.ician for indu.trial illne.. or inju,.,'.} 0 A"""OVAL 0 A....ROVAL 0 RECOMMEND lED NOT IIIECOMMENDED DOCTOII STATEMENT ATTACHIEO SU.STANTIATION SH"'LL aE III:QUIIIED ..0" s.eK LEAVE 0" MOIIII. THAN 0 AS ..HYSICI...N. I II.XAMINED AND TIIEATIli:D Oil PllIESCIII.Il:D FO" TWO CONSIECUTIVIE WOIIK DAYS. SHOW METHOD 0" VIEIII"IC...TION aELOW. THIS ..ATIIlNT ON THESE DATES DATE 0'" "ETURN TO WOIIK I'" STII.L DISA.LED, GIVE ..STIM...TIE DATE 0" IIETUIIN TO WOIIK THE ILLNESS OR INJURY CAualNG THE DISA.II.ITY W.... .IGN",TURE 0'" SU..ERVISOII DATE SIGNATUIIE 0" ATTENDING ..HVSICIAN DATE . . U. "EIIIOD ON DI.....ILITY ... DISA.ILITY COM..II.NSATION SU"PLEMENT I.. OF",CIAI. DIEP...."T- IIEVIEWED .... COMPENSATION MENTAl. ACTION ""0'" ,. I"CO ..... vAC...TIO" c>. HOL.ID"'" o ""~"QVItD c".OIT "'ou". I I , , . DClI....p.."C1""C1 . . . ,,~..... INSTRUCTIONS '-.."" GENERAL INFORMATION 1. All absences or additional hours worked by full-time or Plrt-tlme em. ploy.es should be reported on one Form Std. 634 for "eh PlY period. Report all time worked for permanent Intermittent and pert-time em- ploye's. INSTRUCTIONS FOR FILLING OUT FORM STD. 634 BY ITEM NUMBER 1. Enter pay periOd, month ,nd year and complete other boxes as required by your department. 2-4. Complete name, social security number and position number. 5. AbMnce, With Pay. Check appropriate box, Indlcatlng type(s) of lb. sence(s). Furnish all Information requested In Items requiring additional Information. Alteen Military Duty orden If applicable. 6. Absence, Without Pay (Dock) . Complete a" boxes, indlc.tlng type of unpaid absence and If the current PlY period Is Qualified or nonquall1led. Last bo)( can De checked If employee Is Ulr...lng .. prob..tlon..ry period to determine If employee will complete required number of working d..ys. Qualif)'in, Pay Period - Eleven Ill) or more paid days In.. monthly P..Y period, NonQUGlifyini PO)' Period - Less than eleven (11) paid days In a monthly p..y period. Note: If the employee Is absent wIthout p..y for more than .Iev.n (11) co.nsecutlve working days, which falls b.tween two (2) consecutl.... other- wise qu..lifylng pay periods, on. (1) pay period shall b. disqualifying. 7. D..t.s 01 Absenc.s and Extra HOUri Worked 7a. Enter ttme to be paid for .ach day, including p..id absence hours for Int.rmltt.nt or part-time employees. Note: Enter..1I hours to be p..ld In the total column, 7b. Indicate sick te..v. hOUrs and ..pproprl..te symbol on d..te of ab- sence. SiCk Leave sh..1I be used In Incr.ments of one (1) hour and Is shown on the approprl..te date with a symbol "5", "SF". or "SO", If more than two (2) houn Is n..ded for a doctor's appOlntm.nt, the r..son should be st..t.d In Item 8, Enter the I.tter symbol and the number of hours under the numb.r(s) corr.spondlnv to the d..tes being reported, Sick F..mlly _ An employe. m..y use UP to forty (40) houn of sl(.k le....e credit for 1amlly car. during any on. cal.ndar y...r. Unused family care sick I.av. cannot be carrl.d o....r for use In another year. Sick Dlllth - An employ.e may use up to fl.... (5) days of th.lr sick 'eave balance for .ach family d.ath. 7c. Vacation shall b. usee In Increm.nts of one (1) hour and Is shown on the appropriate date with the symbol "V". An Ibsence can b. charged av..lnst v..catlon credits only wh.n ..pproved by the appointing power. The time at which vacation shall be taken may be specified to lult the con....nl.nce of the dep..rt- m.nt. Vacation cannot b. taken as an abaolute rlvht unl." the appointing power dO.s not provide a vacation for the .mployee for two succ.sslve y...n. 7d. Post proper symbol and numb.r of hours for type of absence being reported, P..ld Educational Leave . Following completion of twelve (12) qualifying PlY periods of continuous service, a fUIl-tlm. .mploy.e In St..te cl...1I serylce employed In a position requiring teaching certifi- cation Qualification ShIll b. allow.d flfte.n (1S) dlYs credit or .ducatlon..1 I.ave with pay, Ther.aft.r, on the first (1St) of the pay period following .ach Iddltlonat QUlllfylng pay period of servlc., he/She shall be allowed one and on.fourth (1-1/4) days cr.dlt for .ducatlon..1 leave with Ply, The .mployee may .arn or use .duca- tlon..l I...ve credit only whll. In a position r.Qulrlng teach.r certlfl. cation qualifications, Th. vrantlng of paid .ducatlonalle..ve Is at the discretion of the appointing pOwer. Mlllt..ry Lea". _ Att..ch a copy of Iny applicable mllltlry ord.r, Every cal.nellr d..y must b. record.d, Including any Saturday, Sunday or holiday. STD,.... (.'71) II.IEVIUt.. 2. Pr.Plr. the number of copl.s required by your depart ment. Employees who w..nt .. copy for their own records, Indicating super...isor'S signature, m..y pre~re an extra copy. (.ee reverse .ide) Jury Duty Dr Subpoenaed Wltn~. . An employee may be absent with P..Y for time ..etualty,prvect to perform jury duly or for time SUbPoenaed ..s .. witness In .. {ourt c..se when the employee IS nelth.r a p..rty nor In .xp.rt wltrteu, prOl/iding the employee remits the fee to the St..te. If the fe. ~ retained, either a charge is made ..galnst the employee's ..ccumul..ted lea...e bal..nce or absence Is with. out pay. It Is up to the .mployee to demand of the p..rty requesting their ..ppearance a SUbPoena Ind whate...er fees and tr..vel allowance th..t m..y b. allowed by Ilw. Witness fees for a ell/II trial are gOI/- .rned by Government Code Sections 68093 . 68096 and the fee for a crlmln..1 trl..l Is gov.rned by Penal Code SectIOn 1329. The .mploye. m..y keep trlv.1 allowance. 7e, Post proper symbol ..nd number of hours for type of ..bsence repon- Ing, eIther ..n ..pproved ..bsence without p..y (dOck) or an unap- pro...ed absence without pay (AWOL). An Unapproved Abllnce Without PlY - C..n be for any amount of time UP to flv. IS) working days, If the AWOL e)(ceeds five (51 con- secutlv. working days, this constitutes ..n automatic resignation from St..te servlc.. 71, Ent.r symbols and hours to be compensated ..t ,freight time as Indlcat.d b.low: WO O...ertlme hours work.d for CTO P Ov.rtlme hours worked for pay HC (CSUC only) Hours worked on .. hOliday WE Excess hours work.d due to Irregular work shift 79, Enter symbols and hours to be compensated at pr('mium time "S Indicat.d below (Personnel Office will convert to time and one.half (1-1/2): WQ Overtlm. hours worked for CTO P Overtime hours work.d for pay Note; Tot..1 column may be uUld for Items 7b through 7g, 8. Re..on for Absence or Ext,. Hours Worked. Employee must Indicate r.ason for sick I......e absenceS, Including rel..tlonship of f..mily member when reporting f..mlly sick le..v.. Note - This Item Ilso can be used for reporting reasons for overtime hours worked or for unp..ld absences, 9. E.mploy..'s Responsibility end Sllnlture . Employees have the respon. SlbllltY to vlve their super...lsor Idvance notification when they anticlp..te a future absence. Wh.n unlntlclp..ted .mergency causes the Ibsence, the .mployees ..re responsible for notifying supervisor ..s soon as possible and keeping th.lr sup.rvlsor Informed IS to the possible date of return. Employees Ir. also responsible for promptly revl.wing ..nd signing their absence r.port .t th. .nd of the pay period and SUbmitting to supervisor, 18. Recommendation of Supervllor'S R.sponslblllty - E..ch .upervisor is r.sponslbl. for s..lng that .mployees comply with the regul..Oons go....rnlng absence from work. Th. supervisor Is exp.cted to recommend 190IInst approval of sick I..ve absences when satls1actory ....Id.nce as to need Is not pres.nt.d. Super...isor Is th.n r.sponslble for promptly re...lew- Ing Ind signing the employee's absence report and forw..rdlng It to the Pt!rsonneIOfflc.. Before recomm.ndlng Ipprovll for sick lea...e by ..n INTERMITTENT EMPLOYEE, supervisor shall c.rtlfy thet the .mployee was scheduled to work during the hours reported for sick 'elve. Note: Methods of verflcatlon can Include telephone, physician st..tement, home or hOSpltll visit. 11. Stlt.ments By Physlcllns - If physician statem.nt Is Ittached, CheCk first box Ind do not complete oth.r Information In this item, If supervisor has request.d the physlcl..n'S verlflc..tion on this form, second box Is checked ..nd the doctor completes each Item Ind signs the form. 12- Applicable Information rll9ardlng ..bsences due to Industrl..1 Injury or 13. IIIMSlshould be r.corded In this are.. 14. Compl.ted by Personn.1 Office only, . , . ~ EXHIBIT E MONTHLY we' ~SHEEJ .... /' """""' " ,< aNfI!L SIC110N A - 123'. PlIOJECTS C I I 2 3 . t 5 6 7 8 9 10 11 12 13 I. 15 16 17 18 19 20 21 22 1 ;, 2. 25 26 FocIiIi. .U 'D __ 28V_ 29 T.... 30 - . . -=- C - 6M'. 1 Paid r_ 2 "-"'W/O,.., 3 CTO/OT_ . 6301 TOTAl I' +2+:1) 5 0.,0 011 ax_ .- L .. , . EXHIBIT E MONTHl Y WP-~"<SHEET ,.. 2 CENTER, SECTION A-123', ....... MONTH: 'IOJECTS c ALl 2 3 . 5 61 7 8 . 10 11 12 13 .. 15 16 i 17 18 ,. 20 21 22 23 ,. 25 SUMMARY Of HCMMS WOIQD a. Non-bimbu,........ Houn b. Reirnbun.rMnt Houn c. Proiect o..time Moun (Paid Of CTO) d. Totol Proi<<t Houn ., "'-- Support Moun f. Support 0--. _.. (CTO) .' T...."...... Support h. Total Houn W~ed '!Ojod .... _.,..... d .;- h a+b+c .+. . COMMENTS, . _NIlS, ...........,c-c:w. - ...........,....... c.-.-. - " ..............c-...... -, IIGULU I'IOJICT ItOUIS _ ova . C 123'56 \ '" f(CCI_ .. 11m , , . l>-. E-< H (:Q H ::I: >< W >- < Q. I- :;) 0 :I: I- ~ V'I W U z . w V'I z CO 0 < J U. . 0 L I- 0 Ct: 0 " . 0 Q. . . W 0 . Ct: . - , W "'... ~ .. '-" , u.. :z , u..'" .. , OW '" ~ : "'~ ... '" . > U ... IX IX Z >- IU_ Ww ... .. ....,. ~'" '" ... ..... ~..J .. .. ~ -0 O..J .. 8 ....... IXo "'.... I-IX ~ ~::. z>- ... ' %... . . .; 0< M'-. '. ~ UO- . iii, w w, ........ ... , ~ 1-0 0-' - .. , <'" '" 0 ~ . 1-0- ",0- .. .. I- j Z Z ... 0 :IE , l- I- ~ U , 0 .. , ... Ill: ... lL .. .. , , ~ : i Q " --- . 0 ... :> --- --- - -- --- ,.-- --- --- --- -- -- --- - - _n I- --., w "" 0 > I- U :z: 0 ... 0 0 ! 0 . Z I- W ~ W . III >- . z '" > 0 - 0 . ~ ~ . -' '" ii< ~ w ~ Ill: W ~ , III ~ t w :IE '" . :> -' , > z u :1 ~ 0 z :1 0 ON 0 . .... l- i I " ;;; . :> , D- o , > l1. . >- I . u z .. Do w , - " :1 - .. '" I w , :lE I '" , z : w " , w :> I >- '" , 0 , -' l1. . :lE w lL 0 w :lE '" '" z -' '" >- - z ~ - >- I- Ill: , :> " " u w , W III . '" :lE z :> -' > '" z u z U " 0 0 . '" . - - 0 'f"\~, ':INI' - N M ... '" '" .... 0> 0- 0 - N M ... "' w . . o o z . . o . w . ... " . , . . z o . o " N . o r . , . ... ! ,; . 0. 0 0 E .E 0 u , 0- 01 U ~ ~ ~ "" 0 u 0 ~ ~ ,- ~ 0 .!? . ~ 0 .<: "" .<: ! ~ E . ~ u E 0 0 0 "" "" ~ . u u u 0 0 0 0 "" 0 ~ "" 0 <0: 0 , " . - - EXHIBIT G . AlIlJSurisked (screened) information is Ih~ sponsor's responsibility. FOR CCC HEADQL'ARTERS l'51, O\J.1 ""OJaCT HUM..,,; ClAT.ll'ltCI:I\I.O ~ " eel; .. ..,....OV.,,; YES LJ NO LJ , ! f . STATE OF CALIFORNIA RESOURCES AGENCY CALIFORNIA CONSERVATION CORPS PROJECT EVALUATION (PLEASE TYPEI . all'ONaO'UNG AOlENCY . ADD"IESS . .~ON.O"'. "C,Plitll..NTATIVIE ...... .,....,... ,..... .."....... CCC CIENTlEfII "VALUATOR EVALUATION DATE" IEMEIUilENCY IN"O"MATION I...... .......'e......) COt'" O"OIU' HUM.IE" I......) IT] 0.. 11""'0" .....,........... .."...... eec "'cco""",,,(;. ............ ITIIJ . ....... TIT". -.... ."..... 1. PROJECT TITLE IB".fl: 2. . PROJECT DESCRIPTION (Pie... be specific -.ttach suppl.mentlry shlet if n......ry): f' . ',/1. , ........"'. T... .........,..., . pao"aCT aU..TION (....0. "0"..1_ c... .... _ TIt..v... "... .TaRT D..TIE 3. . PROJECT LOCATION (IndicN 1111I1 owner of propenyl: GiVl specific _.pIIiCIIIOCltion of work 1iU; '.Il-,ltrHt .ddress. cross ItrHII; r.nge, township .nd lICtion number. whI.. .ppliClble. . ....... ..,....._... . ... c__ .. ..... .IT. . c...,.,.... ........L" D.aT.IC1' ......T.DleT.le,. CO.......,O.."'... O"1'''''C'' CCC S8A (R..... 12/14) 1 of 3 DISTRIBUTION White. Can"y - H"OQu,".n; PInk - Center. GOIOer'l'O(l- Spon50' ". '. EXHIBIT G '-"'....' '''',,,,,,,", PROjECT EVALUATION 4. EQU'PMENT AND MATERIALS A. . To be supplied by sponsor: B, To be .upp'ied by CCC: i , ! . 5. . ALL APPLICABLE LOCAL. STATE OR FEDERAL PERMITS, APPROVALS. CLEARANCES HAVE BEEN OBTAINED (..g" CECA. DFG str.lmbed Iltlrltion, trlde union considerltions, ItC.) 6. . ARE ANY FUNDS APPROPRIATED FOR LABOR ON THIS PROJECT (CCC OR OTHER) DYES 0 N/A OYES D NO 7. HAZARD ANALYSIS OF PROJECT: (Attach .upplemenWV shlet, if necesslrvl Description of hazard: Preventive Measures: B. SPIKE: OXE,S ONO A. . Loca~ 'd description of housing: B. Special items needed by crew on spike: . To be supplied by sponsor: To be supplied bV CCC: 9. . EDUCATIONAL PRESENTATION TO INCREASE CORPSMEMBER UNDERSTANDING OF THE NATURAL ENVIRONMENT (To be given bV the Sponsor); DISTRIBUTION, Wrllt.. Can.ry - .....csQu.n."; PInk - C.nt.r; Goldenrod - SPOn50r CCC SS8 (Rh. 12/84) 2 of 3 ", ". ~ ..." SXHIBIT G "'-'" PROJECT EVALUATION 10. WRITE A BRIEF NARRATIVE ON HOW THIS PROJECT MEETS ALL OF THE LEGISLATIVELY MANDATED OBJECT'VES (Also .ssign a numerical rating using the scale: 1 '"' Low; 2'"' Medium; 3. High): A. Conserving, improving, developing natural resources, maintaining environmentllly important Ilnds or wlters . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i . . . . PROJECTED NUMERICAL RATING ll. Providing public benefit or ICceSS (Estimlted visitor use. safety. reduced mlintenance costs. etc.) C, ProvidinJ corpsmembers with opportunities for training in emploYlble skills h.e..specific tools Ind use, fir. control, re50urce mlnagement, carpentry, etc.). . . . . . . . . . . . . . SIGNATURES (Indiclting mutulllpprovll of project for implement.tion): C."T.. ".O'.CT coo.etl"aToa/.."... CCC C....T.. .I..CT.. ..T. . ......... ............... ...... ..,.. cee sec IRev, U/!Ul 3 nf :\ DISTRIBUTION White "'.n.~", _ w.."n.......n. Din" _ "'.nt.., nftl~......... _ c............ '" <' .. ~ '-' .....,,,' EXHIBIT H CALIFORNIA CONSERVATION CORPS PUBLIC SERVICE CONSERVATION WORK PROJECT COMPLETION REPORT CENTER: PROJECT it Project Title: Sponsor: Start Date: I. Total hours spent 11: Product and Code Completion Date: on project: r , . , . 0 n Spike Yes No Final Report 0 Yes ~ Interim Report 0 Yes ~ SECTION A: To be filled out by the Project Coordinator Quantity and Unit III. Was the project description modified? 0 No 0 Yes If yes, describe changes. IV. Did the sponsor provide programming required? all pI ann i,!!.E.' DYes U superVlelon, materials and educational No If no, please explain. V. Do you feel that the numerical ratings stated on the CCC 58 are correct and do reflect the actual project mandated objectives? 0 Yes 0 No If no, briefly describe changes and note new rating. SECTION B: To be filled out by Project Sponsor I. Did the CCC fulfill its project obligations? If no, please explain: DYes 0 No II. Alternative Cost - (Cost of project if done by outside contractor): $ SIGNATURES PROJECT COORDINATOR: DATE: CENTER DIRECTOR: DATE: SPONSOR: DATE: (rcc 45-Rcv:~cr! l"/~") Title , . . . EXHIBIT I '-, ......j SB 20~9 Flll.'DEl:' COliPS~!$ERS /ia::e: r , . . !ge: Birtbdate: Su: Etl:r.ici ty: Street !ddress: CHy: COllnty: Date of Hire: Date or Ter=1natio~: Reasoc for Ter:jnation: ~ploy=er.t Stetlls at Time or Hire: Ea;ployed? Yes No_ Ir unea;~loyed at time or b1re, number or months unea;pl07ed: Ir corpsmea:ber resigned to accept otber employment: NUle or Firm: !ddrus or F1Mr.: Pbone: ,S~~.rt11l& Salary: Job Deacr1ption: Educational Level at Time or Sire: 81gh Scbool Graduate? tea 10 Ir teated aa part or educational component, 11et t7pe or teat, and .corea: " " , , . . EXHIBIT I ........ ",,,,, S8 20~9 Funded Corpamembers Pase 2 Category or Eduoation Program: r . ~ . A. RemediationICED/Literaoy: B. Vooational/Program Related: C. Career Guidanoe: D. Aasessment (Aoademio and Vooational: E. Finanoial Aid; College Guidanoe; Counseling Information: F. Other (Liat): '. " . . ~ ~' ~.. . . ( \ , . . '-' ''''''''; EXHIBIT J lEND lY/O _ED COPIES 10 STATE COIIPENSATION INSURANCE FUND Relet'1ll STATE ADMINISTRATIVE MANUAL. SECTIONS 2581,2-2581.5 lor inI/trUCIiOI>I 011 compI<<iOfI and lOUIing, IIOrH SlOES OF ~ _ _1 .. COIIPI.ETED Celifomia Iew rwqui... an amplojaT to ..port within fiva d~ ...ry inclullrtallniury '" occupationlll di.._ whicll: (~ - in 1001 time beyOnd the day 01 Injury, or (b) rwqul.. medical _mant Illher than .. aid, PLEASE NOTE: In addlllon. if de, ath.....lts '" W Iha Iii'" IlInes .. (a) Aequire. Inpallant Iloapltaliution 01 m.... than 24 houri 10' Illher than medical _. '" (bj.....lts In Ioas 01 any - '" body; or Ie) produce. any ..rioua degree of permanent dllfigurement. thin ,the ~~ di.strict office of the C. lfor~i. Djy;~n of ~ and Health also must be notified Immediatelv by telephone or telegre.ph. ThIS notification II not ,.qulred. howeY8r, If the tnJury or death......... an acCIdent on a public __ or highway FILING OF THIS REPORT IS NOT AN ADMISSION OF LIABILITY ,t SlIle ill Cllllornll EMPLOYER'S REPORT OF OCCUPATIONAL INJURY OR ILLNESS OSHA Case or File No. 5 , DEPA~"ME",T 01'/15101'1I T PLEASE DC N:" A uSE ~I"I'~ C:'_l'~ T BUR.EA.. ~ PAVROLL "'GENe... CODE oP self POLICY NO E CASE "Ie A 3 MAILING ADDRESS (PLEASE INCl.UOE CITY AND ZIP, PHONE G E - N OWNE"'SHI. . I.OC""'ION If DlfFEFlEW Fl'lO'-' ~"",-'NC. ADDFlES~ , SH'H UNE~PLOvIrllENT INSW,,"ANCE C ACCT NWIrIlBE,," Y NONE 6 NAME , OATEOf' l5IRT.... I I INDUS,.." Mont" Ooliy ~e.' IE . ~ME ADDRESS !rI<.Imoe. Irlel ,t,,,l 'II)'. Z'P: .. PHONE NU""BE~ OCCUP:..~':::~, M -11c OCCUPATION (R.g..II' jObI'''e p . ~ nOl,petlt,t.'l'..ly.tt,mtOI'rll"'Y' " SOClAl SECURIT'l' NUMBER L o MALE DFE""ALE ..' - 0 " OfPARTIrIlEi'I;T IN WHICI-' REGULARLY EMPLOvEC 12.&. DATE Of' ....tM I I y E Mo!'llt 0., ve.' E HOURS USUALl v WOI'IKE: AGE " 13A WEEl(l" HOURS ". unM'w!'l'l Cllh cO()e 0' yo,,' POl", _re wave' 'lIIpn&d" EMPLOvEE WORKS HQUFlS PEFl DAY FOR DAYS PEP: WEEK .. GROSS WAGES 'SALAR'\' DAILY HOW"" EMPLOyEE EARI\IS , __~_ -~ __.PEI" o HOUR DDAY DWEEI" o EVER'\' TWO WEEK~ o ~ONTt1 o OTHER ___,. --- 1~ WHERE 010 ACClDE..T OR EXPOSURE OCCUR" !",,"'be' ."d SI...l "',. "A COUNT" T" ON EMPLOvER'!; PREMISES DYES Ow DAVSPEF....U. U; WHAT WA5 EM' ..()YEE DOING WHEN I"'JUFlED" IP".~e ~ ,petd.t ldenhll l00'~ .Qu,p"'en, 0' m'le"" ln~ ..mp'{}v"~ ...~ ,,~.n\l 1-' WEEKLY HUul-' I WE.E!';l' W~c..; N " HOW DID THE ACCIOENT OR EXPOSURE OCCUR~ tP....e lM'K'lbe tully 1flfI...efI" I,..t ..ull<<l ,n .nJu'Y 'IF OCCupIIl'onIl dlMlte 1.11....1 ~.ncl , J I'Io<Jw it IIappe".d P..... ule MPi'''le .nee' ,I nece....y , - , U COUN'" ~ R I Y 0 NIlo.1uAE Of I"'.'c'" " OBJECT OR SUBST ANCE THAT DIIU:Cny INJURED EMPlOvEE eg 1M IftIch...e fIfnCllOyM' ,uue" .'''1 or when ",ueII. fIfm. IN ".,0< 0' crorliOl'llflhe" R 0' ,..Iloweil IfW cr.e"",.1 'hal ,,"lalfl(l h,' $II'" on c..to O. II'.'"' ,lie trl,ng lIe.n lolling pUIl,ng file I PIloR1 Of BOG' L L 19" DESCRleE THE INJURY OR IllNESS e" t"l,t,.,nff.etu.e...,,,,.sr..e't 1gep"RT Of 800'\' AFFECTED"" talC" lell ..oil. ngtllrye elt . N SOURCf E 5 20 NIloME AND ADDRESS OF PMYSICI"N "nc'''oe- pt>one ""mDe" 5 ACCIDEN~ '-yp, " " MOSPlTAlIlED NIloME AND ADORES5 Of HOSPITAl " OAT E Dr INJufn OR lllNESS I" T....E OF DAY " Dill ~ ....1 1NtI_1,,1I dlrl~"""~ AD' I I Cy.....latworllllcl__ . ~.. Mo"'" Do, Y.., ..' ..... P"' ..-- " MAS EMPLOYEE RETURNED TO WORK~ .. 010 EMPLOyEE OlE ~ E.IlTENT 0' IN.'~" - DYnd.t..'el"'....d D No 'lIlloll.o'~ Cv...... 0... " WAS ANOTHER p[FlSON RESPONSIBLE FOA THE INJURV~ DYES 0 NO .. HflS.'STAS MEMBER C 'YES ONO lEAVE CREDIT ACCUMUL"T1ON OVES ONO CODEO 8' " HAVE YOu l.ilvEN THE INJURED EMPLOYEE WflITTE'" NOTICE Of WORKERS COMPENSATION ARE lEAVE CREDITS AVAilABLE TO BE USED IN BENEfl"'S ~llHlN!> WORIilING DAYS OF vOUFl SUPPLEMENTING TEMPORARY P1SABILll'l' BENEFtTS~ KNOWLEDGE OF THE INJURY~ DYES o NO C YES ONO C:ompletfICI t1~ ('~pe 0' p"rll' 16"l\IIlu" I'. I eM. selF 3007 STATE (REV. 2-04) UNDER NO aACUIIISTANCES SHALL THE EMPLOYEE COMPLETE OR SIGN THIS IIEPORT. OLD 67 (OVf If the Supervisor and Manager Review portion"5--o1 this form cannot be COIT\CII..d within five days of the InJury, DO NOT DELAY SUBMISSION vF rrlE REVERSE SIDE 10 STI'iTE FUND Submit the form completed in its entirety to the Departmental Safety Coordinator within ten days of the inJury EMPL.OYEE'S NAIIE 1 UIIIT 1- SOCIAL SECUAln HUltBEA SUPEJMlIOR'S REVIEW F.::tS ...... tHd me to....... 'fIICWtt InfI"Y .. U FlaM" IIIctI l-.i "'" ......,or'1 Of. phpIC"" U "....lJoltOlll'\d1::.1elhIS CIIII!"" L CUMCI br WId ~ dYnng s.. 'fIICWtt ecMce. The ~ *"" of ~. not clewtw....... .. -..rY _ wor" connected .... ... s.. _.~ GIVE THE MCfS THAT .lUSllFY THE ~ CHECKED. ., r , - . . . , . , WHAT CQRAEC11YE ACTION rs BEING lAKE.. 10 PREVENT SllltLAA ACCIDENTS' HIIIiE YOU TAKIN THESE STEPS? C VES U NO tll'lO,ex.plI,n I DO NOT HoWE AUTHOAIT'f' 10 TAKE THE FQUDWING ACT10N MIl ~ND: . F IMJUREO elllPLOVEE IS UNAaE TO flStFORII FULL DUTY: A THE POSSlIMLlTY Of IIODIf1ED WORK WAS DIICUIIED WITH TIlE ATTBIDING DOCTOR: o ,,"S 0 NO B IIIOOIFlED WORK 0EQtMC)N: o ConOIIoOnprectuctesMW o Appropnate MW. not av.uble [] IIW ....anged ___ lMy(ll Slgnatufe 1 c....c:..on 0aI. MANAGER'S REVIEW DO YOU CONCUR WITH 1ST LINE SUPERVISOR'$ REVIEW? DYES [] NO tfno.~ Slgnatu'" a.nd Oale ~ . CONTtNUATION AND MI$CELLAIEOUS COIMENTS: -- - ',,-. ,;# P.O. BOX 915 ARCADIA, CA 91006-0915 P.O. BOX 9729 BAKERSFIELD, CA 93389-9729 P.O. BOX 6165 CERRITOS, CA 9070)-}364 P.O. BOX 2~18 CULVER CITY. CA 90231.2S18 P.O. BOX 4420 EUREKA, CA 9S502-4420 P.O. BOX 40000 FRESNO, CA 937S5-40G1 STA.TE COMPENSATION INSURANCE FUND ADJUSTING OFFICES P.O. BOX 21)4, TERMINAL'ANNEX LOS ANGELES, CA 900$1-0}34 P.O. BOX 12971 OAKLAND, CA 94604-2971 P.O. IIQX 2377 REDDING, CA 96099-2377 P.O. BOX 2~4700 SACRAMENTO, CA 9586S-4700 9.0. BOX 1316 SAN BERNARDINO, CA 92402-1316 ".0. BOX 154'. SAN DIEGO, CA 92138-0488 P.O. BOX 807 SAN FRANCISCO. CA 94101-0807 P.O. BOX 759 SAN JOSE; CA 95106.0759 P.O. 110 X 419 SAN-r:~~ CA 92702-0419 P.O. BOk M07 SANTA~. CA 9540S-0407 P.O. BO)( 1000 STOCKTON. CA 95208-0016 P.o. BOX 5 VENTURA, CA 93002-2266 P.O. BOX i 950 WOODLAND HILLS. CA 9136S-1950 , . ....../ '\ ..J EXHIBIT K r NONDISCRIMINATION CLAUSE , , , (OCP - 1) 1. During the performance of this contract, contractor and its subcontractors shall not unlawfullY discriminate against any employee or applicant for employment because of race, reli- gion, color, national origin, ancestry, physical handicap, medical condition, marital status, age (over 40) or sex. Contractors and subcontractors shall insure that the evalua- tion and treatment of their employees and applicants for employment are free of such discrimination. Contractors and subcontractors shall comply with the provisions of the Fair Employment and Housing Act (Government Code, Section 12900 et seg.) and the applicable regulations promulgated thereunder (California Administrative Code, Title 2, Section 7285.0 et seQ.). The applicable regulations of the Fair Employment and Housing Commission im~lementing Government Code, Section 12990, set forth in Chapter 5 of Division 4 of Title 2 of the Ca i- fornia Administrative Code are incorporated into this contract by reference and made a part hereof as if set forth in full. Contractor and its subcontractors shall give written notice of their obligations under this clause to labor organizations with which they have a collective bargaining or other agreement. 2. This contractor shall include the nondiscrimination and com- pliance provisions of this clause in all subcontracts to perform work under the contract. STD. 17A (NEW s.es) ~ 1 ., l I , , , , , -' "-" ....... ST ATEtrr.Er,,"T OF COMPL.I ANCE City of San Bernardino (Company Name) (hereinafter referred to ( as "prospective contractor") hereby certifies, unless specifiCallY exempted, co~?liance with Government Code Section 12990 and California Administrative Code, Title II, Division 4, Cha,ter 5 in matters relating to the development, icplementa:ion and ~in- tenance of a nondiscrimination program. Prospective contractor agrees not to unlawfully discriminate against any employee or applicants for employment because of race, religion, color, national origin, ancestry, physical handicap, medical condition, marital status, sex or age (over forty). I Evlyn Wilcox (~ame of Official) hereby swear that I am duly authorized to legally bind the prospective contractor to the above described certification. I am fully aware that this certification executed on ~. d I". ~ 1 in the county (Date) of San 8ernardino (County) is made under the penalty of perjury under the laws of the State of California. .4.c!?1~ t~ayor Title 11-1 STD. If (NEW I'" I