HomeMy WebLinkAboutCalifornia Conservation Corps; 2019-06-28;I STA re'o, CALIFORNIA CALIFORNIA CONSERVATION CORPS
: AGREEMENT ADDENDUM
CCC-96A(REV.1:IJ02/2015)Page 1 ol3
Agreement # Index# CCC Work Code
1 2. o -3 <Z Io -2> crtP--I 3810 R-19-3810-4010
(CCC Conlrac\ Olllcor Assigns) (Cooler Index Code Is F011 clglls) (Center Project Manager Assigns)
A] The California Conservation Corps (CCC), agrees to provide crew labor for the project titled:
City Of Carlsbad Urban Thinning 19/20
Seo CCC-58: Project Evalualion Form for details.
July 1, 2019 D Check here if multi-year
June 30, 2020
C] Sponsor agrees to reimburse the CCC for LABOR Hours Rate/Hr Totals
estimated costs in accordance with the Fiscal CM Reoular Time: 4409.09 $ 22.00 $ 96,999.98
Summary. {Fiscal Year displays are shown on page 2 CM Overtime: 0.00 $ -$ -
& 3.) Performance-Based Labor: $ -
Staff BILLABLE Reaular Time : $ -
Staff Overtime : $ -
EXPENSES
Eauioment (oreater than $5,000): $ -
Tools (Includes eauioment less than $5,000): $ -
Materials: $ -
NOTE TO SPONSOR: Budget detail will not be Vehicle Operations: $ -
provided on performance based contracts. Consultina: $ -
Other: $ 3,000.02
DJ The total amount payable by Sponsor to CCC under this agreement shall not exceed: $ 100,000.00
E] The CCC shall forward billing for labor and/or operating expenses with supporting documentation in triplicate to sponsor
jx !Monthly I IOuarterly I !At end of contract .
S onsor a rees to a CCC within 50 da s from recei t of bill. Ne otiated Advanced Pa ments: $
S onsor
Or anization: Cit of Carlsbad Parks De artment
Date:
Si nature:
Print:
SPONSOR EMAIL ADDRESS
SPONSOR MAILING ADDRESS
City of Carlsbad Parks Department
1200 Carlsbad Village Dr.
Carlsbad CA 92008
SPONSOR BILLING ADDRESS:
City of Carlsbad Parks Department
1200 Carlsbad Village Dr.
Carlsbad CA 92008
ST ATE OF CALIFORNIA
rint: Dawne Bortolazzo
Title: Administrative Chief
CCC DISTRICT VERIFICATION
Date:
Title: Conservation Su rvisor
FORWARD PAYMENTS TO:
California Conservation Corps
Attention: Accounting/Receivables
1719 24th Street, Sacramento
Sacramento, CA 95816
STATE OF CALIFORNIA
' AGREEMENT ADDENDUM
CCC 96A (REV 09/10) Pogo 2 ol 3
First
Fiscal Year
Display
Second
Fiscal Year
Display
Third
Fiscal Year
Display
Fourth
Fiscal Year
Display
FROM:
TO:
FROM:
TO:
FROM:
TO:
FROM:
TO:
CALIFORNIA CONSERVATION CORPS
LABOR Hours Rate/Hr Totals
07/01/19 CM Reoular Time: 4409.09 $ 22.00 $ 96,999.98
CM Overtime: 0.00 $ -$ -
06/30/20 Performance-Based Labor: $ -
Staff BILLABLE Reaular Time : $ -
Staff Overtime : $ -
EXPENSES
Eauioment (areater than $5,000): l -
Tools (Includes equipment less than $5,000): $ -
Materials: $ -
Vehicle Ooeratlons: $ -
Consullina: $ -
other: $ 3,000.02
First Fiscal Year TOTAL: $ 100,000.00
. •, -~ .. .,;..1--~{•t•;~ .--~. :-~.'"'-.. ~··· ~ . . ·-'-~~•.f.Q,~~-.,. ~... ~\ ~ •; ., 'n . w ll_i_-~•.;\~ .. ::~; Jiil'( ...
LABOR Hours Rate/Hr Totals
CM Regular Time: 0.00 $ 22.00 $ -
CM Overtime: 0.00 $ -$ -
Performance-Based Labor: $ -
Staff BILLABLE Reaular Time : $ -
Staff Overtime : $ -
EXPENSES
Eauioment (areater than $5,000): $ -
Tools includes eauioment less than $5,000l: $ -
Materials: $ -
Vehicle Operations: $ -
Consultina: $ -
Other: $ -
Second Fiscal Year TOTAL: $ -
•• .": .,.·~-~ I,. )' ~ " ~--~~~;.:.~-~ t~~1 ., •.-:, ./'."',·-:Al'• ·• .. ,.•·;,. . \.~
LABOR Hours Rate/Hr Totals
CM Reaular Time: 0.00 $ 22.00 $ -
CM Overtime: 0.00 $ -$ -
Performance-Based Labor: $ -
. Staff BILLABLE Reaular Time : $ -
Staff Overtime : $ -
EXPENSES
Eauioment (areater than $5,000): $ -
Tools includes equloment less than $5,000): $ -
Materials: $ -
Vehicle O=rations: $ -
Consultina: $ -
Other: $ -
Third Fiscal Year TOTAL: $ -...... I · .' ;-:~'}<::}~•i':e•t~ •:'-.. i, . I~ -l •~:. ~j<~~~~ \:~;,r~~•._ ,• !, >'•~;-~~~\~:~ '"<r:.; ·}··¥:
LABOR Hours Rate/Hr Totals
CM Reaular Time: 0.00 $ 22.00 $ -
CM Overtime: 0.00 $ -$ -
Performance-Based Labor: $ -
Staff BILLABLE Reaular Time : $ -
Staff Overtime : $ -
EXPENSES
Eauioment (areater than $5,000): $ -
Tools includes eauioment less than $5,000l: $ -
Materials: $ -
Vehicle Ooerations:
Consultina: $ -
Other: $ -
Forth Fiscal Year TOTAL: $ -,. '• .. .... , ., . . !,
-i. f,.
The total amount oavable bv Soonsor to CCC under this aareement shall not exceed: $ 100 000.00
State of Cali fornia
California Natural Resources Agency
CALIFORNIA CONSERVATION CORPS PROJECT EVALUATION
R-19-3810-4010
City of Carlsbad Urban Thinning 19/20
Project Data
Project Tille: City of Carlsbad Urban Thinning I 9/20
Center Information: 3810 -San Diego Center
Contract Information: -
Project Description:
Project umber: R-19-3810-4010
Under the authorization and direction of the City of Carlsbad Park and Recreation Department, the CCC will provide
urban forest maintenance, fire fuel reduction, trail construction/repair, falling of dead and dying trees, removal of
dangerous trees that have been marked, and other various assignments. This work will be performed in several wooded
urban forest areas.
CCC will use hand tools. power tools (IE chipper. chainsaws, hedgers and power weed eaters) to accomplish these
tasks. Both parties agree that the decision not to cut or remove a tree due to size, lean, or for personal safety's sake can
be made by either the Sponsor or the CCC representative. It is the intention to complete the project by leaving a urban
forest environment area for public use and enjoyment. At no time will the CCC intentionally clear cut an area. The
CCC will clear the areas of debris while opening up the canopy for a defensible fire safe urban forest.
The City will call as needed and the CCC will respond to the city's request with urgency to the maintenance of the
areas. The city understands that the CCC's mission is to first train Corpsmembers, emergency response and public
safety.
The CCC will make every effort to chip all cut brush on a daily basis, leaving no cut brush on the ground. If there is a
malfunction with the chipper or brush must be left on the ground, the sponsor will be notified immediately and all
further cutting will be suspended until direction is provided by the city.
The CCC will providing the Centers Chipper at the cost of$200.00 per day. The City understands that this chipper may
be needed on other projects. scheduling of projects may be determined by CCC chipper availability. If the CCC chipper
becomes unavailable due to unavoidable circumstances or damage, all future work may need to be postponed up to 60
days until the centers chipper becomes available. and the CCC may need to temporarily rent a chipper to complete
chipping of already cut brush. If needed, chipper rental will not exceed ten days during the term of the agreement. The
cost to the sponsor will not exceed $200.00 per day for rental. Sponsor will be notified in advance if a rental chipper is
needed.
$3000.02 Operating Expenses written into agreement is for daily cost of chipper, chipper rental, if necessary and any
replacement equipment or materials to include bar and chain oil, two cycle fuel mix, replacement chain. or replacement
parts for chainsaws used on the project may be purchased and billed to the City of Carlsbad.
Sponsor Information
Agency ame: CITY OF CARLSBAD -PARKS AND RECREATION Agency Code: 40008
Mailing Address
1200 Carlsbad Village Dr.
Page I of 4
Mailing City
Carlsbad
Mailing State
CA
Mailing ZIP Code
92008
State of California
California Natural Resources Agency
CALIFORNIA CONSERVATION CORPS PROJECT EVALUATION
R-19-3810-4010
City of Carlsbad Urban Thinning 19/20
1200 CARLSBAD VILLAGE DR CARLSBAD CA 92008
s ,ponsor C on tact I Ii n ormat1on:
Contact type Title First Last name Phone Email address name number
Technical Advisor Inspector I Sean Lyon (760) sean.lyon@carlsbadca.gov 434-2950 ~,~__..·1,,;-:1 ..... F"'--:""~ ; • ~-,~ .. : ·' .. . . -~
'-'-8'.-a:."· -,;·~,,,... ...... t-' '• ' ",,. , .... , •r• • I _.._ .. ~~-•-··• ~~~ ,:.. ~ ~ . ,.-~-,.. ..... .._ .
Estimate Information
Estimated umber of Hours: 4,409 Estimated Start and End Dates: 7/1/19-6/30/20
Work Site Information:
Address City State ZIP code Geolocation latitude Geolocation longitude
Carlsbad CA 92008
Direction to site location Special instructions
Various locations within the City of Carlsbad
Fiscal Summary
TotalOE&E Total CM labor amount Total fiscal summary amount
$3,000.02 $96,999.98
Equipment, Materials and Labor
Sponsor Supplied Materials, Equipment and Labor:
$1 00,000.00
Materials: Fire prevention recommendations. Technical supervison. maps or flagging of work areas if needed. and
payment per contract
Equipment:
Labor:
BY SIGNING THIS DOCUMENT:
The CCC Representative agrees to the following:
• A Sponsor Agreement (CCC 96 or, where applicable, an Inter Agency Agreement or other Master
Agreement) is on file at I leadquarters (HQ).
Page 2 of 4
State of California
California Natural Resources Agency
CALIFORNIA CONSERVATION CORPS PROJECT EVALUATION
R-19-3810-4010
City of Carlsbad Urban Thinning 19/20
• If the Sponsor is a non-profit entity, a Private Property/Sponsor Authorization form has been submitted to HQ.
• If the Sponsor is a for-profit entity, a Private Property/Sponsor Authorization form has been submitted to HQ.
• The project conforms to the CCC's Inj ury and Illness Prevention Program (IIPP).
• The signing CCC Representative has the authority to enter into a contractual agreement of this amount with the
Sponsor.
The Sponsor Representative agrees to the following:
• Hazardous Materials
0 If there are hazardous materials present, the Sponsor has provided the location, identity, and amounts
of any hazardous substances at the worksite and provided all Material Safety Data Sheets (MSDS) for
hazards that are present at the worksite.
o OR
0 To the best knowledge of the Sponsor, the worksite is free of any known hazardous materials.
• All applicable local, state, and federal permits, approvals, and clearances have been obtained.
• The Sponsor agrees to reimburse the CCC for estimated costs in accordance with the fiscal details shown in
this document.
• The signing Sponsor Representative has the authority to enter into a contractual agreement of this amount with
the CCC.
Sponsor Representative Approves the Scope of Work of the project:
Print Name: _l:::LA/-=-..,' :C.......C"'-'-N..:.Ce=--_U)=-'--'-1<£--='-1-------
::~: .. "': (f;f-~~ offi~
!)ate: 6~2e I f q ·--------~----------
Sponsor Representative Approves the Fjscal Details of the project:
Print Name: 8-A/ ~ f.JJ/tJ::1/
,,.,,, ~/~<2>,(!. tffl~
s,,,.,mre, 6 <A] · lr~=
Date:
Page 3 of 4
APPROVED AS TO FORM
Celia A. rewer, C~ Attomei
State of California
California Natural Resources Agency
CALIFORNIA CONSERVATION CORPS PROJECT EVALUATION
R-19-3810-4010
City of Carlsbad Urban Thinning 19/20
ccc Representative:
Print Name: ~o'oet-lro L~a\vo
Title: _C_o.....e.n=S=u'-'v'-"a,..../2-'-"v'-'-.!111.:...:,JCJ.-_S_u._,_flv"V __ 1=:.S'-o_r __
Signature: _f___._.~~=~=---------
Date: 6,/2,/ 19 7 7
ccc Representative:
Print Name: _ _.S=-=.~-=:..._::.x.___!M~e=a'-.!v~«=.:... ___ _
Title: _..c.../)..c..::/$....:...;_/n....:....;;1 'J'-'---_:...,:_D-'-'-/l'i-=~.=:....:t,~_~ __
Signature: __ y==-+---H--""----------
Date:_---""Y>J.~~_,__...lj_._q ___ _
Page 4 of 4
SPONSOR ACREEMENT (CCC-96)
(for Covernmental Entity-Locan
This Sponsor Agreement (Agreement) is entered into by the California
Conservation Corps (CCC), State of California and
Sponsor's Name: City Of Carlsbad , a State of
California Local Public Entity (Sponsor).
WHEREAS, the CCC is statutorily mandated to provide job skills training,
educational opportunities and an increasing awareness of the State's natural
resources to young adults;
WHEREAS, the CCC is authorized to work on projects in rural and urban areas
that, provide a benefit to the public by, among other things, preserving,
maintaining and/or enhancing the lands and water of the State of California,
directly contributing to the conservation of energy and/or assisting in fire
prevention and suppression;
WHEREAS, the CCC is authorized pursuant to the California Public Resources
Code Section 14306 to execute contracts for furnishing the services of the CCC
to any federal, state or local public entity, any local or statewide private
organizations, and any person, firm, partnership, or corporation concerned with
the objectives of the CCC program as specified in California Public Resources
Code Sections 14000 and 14300;
WHEREAS, the Sponsor can provide opportunities for public service through
meaningful and productive work projects;
WHEREAS, each party to this Agreement is duly authorized to enter into this
Agreement; and
WHEREAS, the parties to this Agreement find and determine that it would be
to their mutual advantage and the public benefit to join together to
accomplish the purpose herein, and coordinate their power, authority and
expertise for the CCC to use its corpsmembers and employees to accomplish
projects specified by Sponsor and agreed to by the CCC;
CCC-96 GE (rev. 02/2019)
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NOW THEREFORE, in consideration and recognition of the above, the Sponsor
and CCC (collectively referred to herein as "the partiesn) agree as follows:
A. Documentation of Projects
1. Sponsor will submit project proposals to the CCC.
2. The CCC shall work with Sponsor to include details of project proposals
in a CCC Project Evaluation and/or other appropriate forms and
documentation where applicable.
3. No project work will begin without CCC Project Evaluation
documentation being signed by the parties' representatives.
4. The documentation for any project necessarily incorporates into it this
Agreement.
5. Unless otherwise specified in the project documentation, the parties
agree to accept documents that are electronically signed in accordance
with Government Code Section 16.5.
B. Parties Obligations:
1. Sponsor agrees:
a. To pay for all costs, including but not limited to, labor, material and
supply costs negotiated and agreed to by the parties that are directly
related to and necessitated by the project and that are set forth in
the project documentation;
b. To make available to the CCC adequate plans, specifications,
materials, supplies, equipment and/or special labor requirements to
complete the project as determined and agreed to by the parties as
specified in the project documentation;
c. To provide adequate technical supervision as determined and
agreed to by the parties;
d. To obtain approvals and permits required by any local, state or
federal entity;
e. To the extent any project involves the CCC performing work on
private property, it shall obtain and/or has obtained all necessary
approvals, authorizations and/or permits from the owners of said
private property before the CCC begins project work on said property
and that the CCC is authorized to perform the project work on said
private property;
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CCC-96 LG (rev. 02/2019)
f. To obtain clearances and/or meet requirements, if any, of trade
unions or other labor organizations occasioned by the participation
of the CCC in the project;
g. To provide project sites that, to the best of the Sponsor's knowledge,
are free of any known hazardous materials, but if there are any
known hazardous materials present, the Sponsor shall provide the
location, identity, and amounts of such hazardous materials as well
as the associated Safety Data Sheets;
h. To provide or reimburse the CCC for acceptable temporary living
accommodations for CCC personnel engaged in working on a project
if: (1) the project is located at a site that is more than a one-hour drive
from the designated CCC base center; and, (2) provision of such living
accommodation is determined necessary by the parties;
i. To conduct an orientation with CCC personnel at the
commencement of each project to explain the technical aspects,
safety requirements and other relevant information necessary for the
CCC to successfully complete the project including the identification
of restroom facilities or alternatives;
j. To work with the CCC to conduct an educational or training
presentation at the CCC base center or project site to CCC
Corpsmembers; and,
k. To consider authorizing the CCC to place a sign, plaque or emblem
on the project site that presents the CCC's contribution to the
project.
2. CCC agrees to:
a. Review project proposals submitted by the Sponsor and work with
Sponsor to prepare project documentation for those proposed
projects that are covered by the CCC's statutory mandate, consistent
with the CCC's organizational priorities and within the CCC's
operational capabilities;
b. Provide CCC personnel, equipment and materials to perform the
obligations specified in the project documentation. The CCC will
only use personnel who have received adequate prior training and
are sufficiently equipped for and alerted to the general nature of the
hazards inherent in the scope of work; and,
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CCC-96 LC (rev. 02/2019)
3
c. Provide its personnel with Workers' Compensation coverage and
benefits that are administered by the State Compensation Insurance
Fund in accordance with the California Labor Code.
3. The Sponsor and CCC mutually agree to the following:
a. This Agreement is not intended to affect the legal liability of
either of the parties by imposing any standard of care other
than the standard of care imposed by law;
b . Mutual Indemnification:
i. To the extent permitted by law including Article XVI,
sections land 6 of the California Constitution, and the
California Claims Act, the CCC agrees to hold harmless and
indemnify the Sponsor against any liability, damage, or loss
legally determined to have occurred as a result of
performance or failure to perform under this Agreement
and/or the project documentation caused by the acts
and/or omissions of any person directly employed by,
enrolled in or under the control or supervision of the CCC
while performing the work set forth in this Agreement
and/or the project documentation; and,
ii. The Sponsor agrees to hold harmless and indemnify the
CCC against any liability, damage, or loss legally
determined to have occurred as a result of performance or
failure to perform under this Agreement and/or the project
documentation caused by the acts and/or omissions of any
person directly employed by or under the control or
supervision of the Sponsor while performing the work set
forth in this Agreement and/or the project documentation;
c. Insurance:
i. The State of California has elected to cover its motor
vehicle and general liability exposure through claims
procedures instituted in accordance with the California
Government Code provisions and the other provisions of
the law relating to such liability. Pursuant to those
procedures, tort liability claims should be presented as a
government claim to the Government Claims Program,
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CCC-96 LG (rev. 02/2019)
4
P.O. Box 989052 MS 414, West Sacramento, CA 95798-
9052; http://www.dgs.ca.gov/orim/Programs/GovernmentClajms.aspx
in accordance w ith the California Government Code and
the other provisions of the law governing submission of
such claims. In addition, unless notified otherwise or on
behalf of the CCC, motor vehicle liability claims should be
presented to the Office of Risk and Insurance Management
(ORIM), P.O. Box 989052 MS-403, West Sacramento, CA
95798-9052, (800) 900-3634, claims@dgs.ca.gov. If your
motor vehicle liability claim is not resolved within six
months from the date of loss, California law requires you to
file a formal claim with the Government Claims Program,
P.O. Box 989052 MS 414, West Sacramento, CA 95798-9052
(l ink above). It should be noted, however, that the
willingness of ORIM to receive such motor vehicle liability
claims does not constitute a waiver by the State of
California or the CCC of the time limits or procedures
provided by law or the filing of claims relating to such
motor vehicle liability. It also should be noted that the
addresses set forth in this paragraph are subject to change;
any claimant is advised to verify the accuracy of and
currency of the addresses for filing claims, and by setting
forth addresses in this paragraph, neither the State of
California nor the CCC is waiving any time limits or
procedures provided by law for filing claims related to
alleged motor vehicle or general liability or any other
alleged liability.
ii. The California Department of Human Resources has
entered into a Master Agreement with the State
Compensation Insurance Fund to administer Workers'
Compensation benefits for State employees and
Corpsmembers as required by the California Labor Code.
d. The California Labor Code Section 1720.4(c) specifically exempts the
CCC from paying state prevailing wages to Corpsmembers when
engaged in public works projects. The CCC is not subject to the
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CCC-96 LG (rev. 02/2019)
5
federal prevailing wage requirements set forth in the Davis-Bacon
Act (Title 40 USC 276A et seq.) when providing labor on federal
government contracts. Title 29 of the Code of Federal Regulations
(CFR), Section 5.2(h) specifically provides that a State is not
considered a contractor under statutes providing loans, grants, or
other federal assistance in situations where construction is
performed by its own employees and/or personnel;
e. The California Business and Professions Code, Section 7040 exempts
the State of California from contractor licensing requirements. The
CCC is a state entity subject to the exemption;
f. Improvements and Land Use:
i. All improvements constructed in whole, or in part by the CCC on
lands owned or controlled by the Sponsor will remain the
property of the Sponsor;
ii. Permission to camp and/or perform work on lands owned or
controlled by Sponsor does not in any way convey to the CCC, its
staff or any person or persons working with the CCC in the
performance of said work, employee status that would extend to
them the benefits afforded to permanent employees of Sponsor;
g. Emergency Services and Possible Delays:
i. The CCC is required to provide emergency services when
directed by the Governor of the State of California pursuant to an
Executive Order, the Office of Emergency Services (Cal OES),
Department of Forestry and Fire Protection (CAL FIRE) and other
agencies charged with responding to emergencies throughout
California arising from fire, flood, wind, and other natural and
man-caused disasters.
ii. The CCC may be required to temporarily suspend or permanently
cease work on projects due to required emergency response or
emergency conditions. The parties agree that any delay in
completing the work by the CCC due to response to an
emergency shall be excused and costs incurred by the delay shall
be the responsibility of the Sponsor.
iii. The resources of the CCC are limited and the public service
conservation work of the CCC may be altered in priority from
time-to-time. The parties agree that other than delays caused by
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CCC-96 LG (rev. 02/2019)
the CCC's response to an emergency, all other delays by either
party shall be excused and costs caused by delays shall be the
responsibility of the party incurring such costs.
h. All contracts relating to the construction or operation of a project will
contain a clause prohibiting discrimination and/or harassment
against any person, employee or employee applicant engaged in the
project work on the basis of race, religious creed, color, national
origin, ancestry, physical disability, mental disability, medical
condition, genetic information, marital status, sex, gender, gender
identity, gender expression, age, sexual orientation, or military and
veteran status, and denial of family care leave;
i. Budget Contingencies:
i. 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 of
California and the CCC shall have no liability to pay any funds
whatsoever to Sponsor or to furnish any other considerations
under this Agreement or related project documentation and
Sponsor shall not be obligated to perform any provisions of this
Agreement or related project documentation; and,
ii. If funding for any fiscal year is reduced or deleted by the Budget
Act for purposes of this program, the State of California and the
CCC shall have the option to either cancel this Agreement w ith
no liability occurring to the State of California or CCC, or offer an
amendment to the Agreement reflecting the reduced amount;
j. Subject to the provisions herein, all remedies allowed by law are
available to either party for enforcement of this Agreement. Any
waiver of rights by either party or any matter relating to this
Agreement shall not be deemed to be a waiver unless in writing and
approved by both parties and shall not be a waiver to any other
provision or matter relating to this Agreement;
k. If any part of this Agreement is found to be invalid the remainder of
the Agreement shall continue in full force and effect;
I. Neither the CCC nor the Sponsor may assign this Agreement or any
interest therein without the written consent of the other party;
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CCC-96 LG (rev. 02/2019)
7
m . No amendment or variation of the terms of this Agreement shall be
valid unless made in writing, signed by the parties and approved as
required. No oral understanding or Agreement not incorporated in
the Agreement is binding on any of the parties;
n. This Agreement is governed by and shall be interpreted in
accordance with the laws of the State of California;
o. This Agreement shall remain in effect unless terminated upon thirty
(30) days written notice from either party; and,
CONTINUED ON NEXT PAGE
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CCC-96 LC (rev. 02/2019)
8
p. Each Party and its respective agents executing this Agreement
warrants and represents that it has the full power and authority to
execute, deliver and perform the obligations under this Agreement
and that each Party's performance hereunder has been duly
authorized by all requisite actions on the part of that Party.
Sponsor Information:
Sponsor Name: Sponsor Department:
City Of Carlsbad
Address:
Contact Person:
Email Address:
SIGNATURES
In Witness Whereof, the parties have agreed to the conditions of this
Agreement as of the date shown below.
Print Name: Date:
fE;tAf rV!::, (_,(J kf;
CCC District Director/Region Depu Signature:
Print Nam . ~ 1_ 1_
.....>A~.-f weAJE.YL.-Date: S 2...1 I 1
APPROVED AS TO FORM
I « (916) 341-3144 I e ccc.ca.gov
{,,/;2__ 1/1 ~
CCC-96 LG (rev. 02/2019)
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J