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HomeMy WebLinkAboutAAA Transportation Assistance ProgramCOUNTY OF SUFFOLK Steve Levy COUNTY EXECUTIVE OFFICE FOR THE AGING Holly S. Rhodes-Teague DIRECTOR May18,2009 The Honorable Scott A. Russell Supervisor Town of Southold 53065 Main Road, PO Box 1179 Southold, New York 11971 RE: AAA Transportation Program -Apdl 1, 2009 - March 31, 2010L_ Dear Supervisor Russell: I am pleased to inform you that the 2009 Adopted Suffolk County Budget includes $4,571 to expand Essential Transportation activities for seniors (shopping and medical appointments). Funding for this service is being provided by New York State Office for the Aging, and is being offered to the congregate nutrition program sponsors for the period 4/1/09 - 3/31/10. The AAA Transportation Program funds are intended for operation expenses related to transporting the elderly only. Neither administrative costs nor vehicle purchases are allowable. Kindly submit each of the items checked on the list of required forms to Joanne Kandell, Principal Accountant, no later than June 5, 2009. The narrative should include a description of your organization's proposed Transportation Program. Please estimate the number of persons to be served and the number of one-way trips to be provided through these funds. LIVING WAGE LAW REQUIREMENTS · Effective July 1, 2008, the living wage is $10.69 per hour with health benefits and $12.17 per hour without health benefits · Employers are required to provide at least twelve (12) compensated days off per year for full time employees. · Part-time employees tha( work twenty (20) or more hours per week shall accrue compensated time off in increments proportional to that accrued by full time employees. · Contractors are not required to provide compensated time off to employees that work less than 20 hours per week. · Part-time employees earning 200% of the living wage rate may be exempted from receiving compensated time off. OVER 35 YEARS AS THE DESIGNATED AREA AGENCY ON AGING PROVIDING SERVICES FOR OLDER CITIZENS Following review and approval of all documentation, the contract will be prepared and sent to you for signature, Should there be any questions, please do not hesitate to call Anna Prencipe, Food Service Supervisor, at 631-853-8227, Thank you for your prompt attention to this matter, Very truly yours, Holly Rhodes-Teague ~ Director HRT:MP:sal Enc, cc: Maureen Porta Joanne Kandell Mary-Valerie Kempinski Therese Blumenauer Anna Prencipe Karen McLaughlin Con~'actor Name: Town of Southold Agreement No. 001-XXXX-49$0-XX-XXXXX Program Name: AAA Transportation Pseudo Code: 2009 Budget Amount $4,571 CHECKLIST OF REQUIRED ITEMS FOR NOT-FOR-PROFIT CORPORATIONS EACH ITEM CHECKED OFF BELOW MUST BE RETURNED & APPROVED BY THE DEPARTMENT: Union Organizing Certification/Declaration-Subject to Audit (Form DOL-LOI) Complete and sign this form. Note: Not-for-Profit status is no~t a reason for non-applicability. Living Wage Requirements Complete all applicable attached forms. Lawful Hiring Compliance Requirements Complete Application and Affidavit of Compliance and notarize Affidavit. Statement of Other Contracts Complete the form; if not applicable mark as N/A. Certification Regarding Lobbying Complete and sign the required form on all contracts involving any type of State or Federal funding over $100,000. Budget and Narrative Submit a budget and program narrative applicable to the services provided in the Agreement. Proof of Not-for-Profit Status Current copy of your 501 (c)(3) Certificate. __ List of Names o~' all persons on Board of Directors Attach letterhead listing all current board members, or a listing on a plain sheet of paper. Certificate of Incorporation Submit a current copy. Declaration Page Submit a current copy for each required insurance policy. This document differs from a certificate of insurance. Certificate of Insurance Gen. Liability, Auto, Prof. Liability, Workers' Comp. & Disability Listing Suffolk County as Add'l Insured & Certificate Holder W-9 Complete and sign one copy. This is required for new contractors only. Copy of the IRS letter assigning an employer ID number. Signature Authorization Forms Individual(s) responsible for signing agreement(s) and/or vouchers, etc. Sign Payee Certification section. Department check with County Comptroller for confirmation of Date Complete/ Retumed by ' Approved If No, Explain; Give Date Contractor (Y or N) of Completion PLEASE RETURN THIS CHECKLIST WITH ITEMS REQUESTED. SuffOlk County, New York Deparonent of Labor SUFFOLK COUNTY DEPARTIVlENT OF LABOR- LABOR MEDIATION I~NIT UNION ORGANIZING CERTIFICATION/DECLARATION_SUBJECT TO AUDIT If the fogowing definition of "County Contractor" (Union Organizing Lnw Chapter 466-2) applies to the contrnctor's/beneflclary's business or transnction with Suffolk County, the contrnctorfoeneficiary mast complete Sections I, IH, and IV below. If the following de£mitions do not apply, the contractor/beneficiary must complete Sections II, IH and IV below. Completed forms must be submitted to the award!ng agency. County Contractor: "Any employer that receives more than $S0,000 in County funds for supplying goods or services pursuant to a written contract with the County of Suffolk or any of its agencies; pursuant to a Suffolk County grant; pursuant to a Suffolk County program; pursuant to a Suffolk County reimbursement for services provided in any calendar year; or pursuant to a subcontract with an}, of the above." Section I Check if Applicable SeCtion II The Union Organizing Law applies to this contract, l/we hereby agree to comply with all thc provisions of Suffolk County Local Law No. 26-2003, the Suffolk County Union Organizing Law (the law) and, as to the goods and/or services that are the subject of the contract with the County of Suffolk shall not use County funds to assist, promote, or deter tmion organizing (Chapter 46(*-3 A), nor seek reimbursement from the County for costs incurred to assist, promote, or deter union organizing. (Chapter 466-3 B) I/we further agree to take all action necessary to ensure that County funds are not used to assist, promote, or deter union organizing. (Chapter 466-3 H) I/we further agree that I/we will not use County prol~rty to hold meetings to assist, promote, or deter union organizing. (Chapter 466-3E) I/we further agree that if any expenditures or costs incurred to assist, promote, or deter union organizing are made, I/we shall maintain records sufficient to show that no County funds were used for those expenditures end, as applicable, that no reimbursement from County funds has been sought for such costs. I/we agree that such records shall bo made available to the pertinent County agency or authority, the County Comptroller, or thc County Depatewaent of Law upon request. (Chapter 4663 I) I/we further affirm to the following as to the goods and/or services that arc the subject of the contract with the County of Suffolk: · I/we will not express to employees any false or misleading information that is intended to influence the determination of employee preferences regarding union representation; · I/we will not coerce or intimidate employees, explicitly or implicitly, in selecting or not selecting a bargaining representative; · I/we will not require an employee, individually or in a group, to attend a meeting or an event that is intended to influence his or her decision in selecting or not selecting a bargaining representative; · I/we understand my/our obligation to limit disruptions caused by prerecogaition labor disputes through the adoption of nonconfruntational procedures for the resolution of prerecognition labor disputes with employees engaged in the production of goods or the rendering of services for the County; and · I/we have or will adopt any or all of thc above-referenced procedures, or their functional equivalent, to ensure the efficient, timely, and quality provision of goods and services to the County. I/we shall include a list of said procedures in such certification. The Union Organizing Law does not apply to this contract for the following renson(s): Check if Applicable DOL-LOI (3/5108) Suffolk County, New York Department of Labor Section IH Contractor Name: Contractor Address: Contractor Phone #: Federal Employer ID : //- Vendor #: Secdon IV In the event any pan of the Union Organizing Law, Chapter 466 of the Laws of Suffolk COunty, is found by a court of competent jurisdiction to be preempted by federal and/or state law, this certification/declaration shall be void ab ini#o. Section V I declare under j~alty of perjury under the Laws of the State of New York that the undersigned is authorized to provide this Authorized Signature Date Print Name and Title of Authorized Representative DOL-LOI (3/5/08) SUFFOLK COUNTY DEPARTMENT OF LABOR- LIVING WAGE UNIT LIVING WAGE CERTIFICATION/DECLARATION - SUBJECT TO AUDIT If either of the following definitions of 'compensation' (Living Wage Law Chapter 347 - 2) applies to the contractor's/recipient's business or transaction with Suffolk County, the conlractor/recipient must complete Sections 1, 3, 4 below; and Form LW-I (Notice of Application for County Compensation). If the following definitions do not apply, the contractor/recipient must complete Sections 2, 3 and 4 below. Completed forms must be submitted to the awarding agency. "Any grant, loan, tax incentive or abatement, bond financing subsidy or other form of compeusation of more that $50,000 which is realized by or provided to an employer of at least ten (10) employees by or through the authority or approval of the County of Suffolk," or "Any service contsaet or subconm~et let to a contractor with ten (10) or more employees by the County of Suffolk for the furnishing of services to or for the County of Suffolk (e/~cept contrects where services are incidental to the delivery of products, equipment or commodities) which involve an expenditure equal to or greater than $10,000. For the pmposas of this definition, the amount of expenditure for more than one contract for the same service shall be aggregated. A contract for the pusehase or lease of goods, products, equipment, supplies or other properly is not 'compensation' for the purposes of this definition." Section I The Living Wage Law applies to this contract. I/we hereby agree to comply with all the provisions of Suffolk County Local Law No. 12-2001, the Suffolk County Living Wage Law (the Law) and, as such, will provide to all full, pa~t-time or temporaO, [-~ employed persons who perform work or render services on or for a projcet, matter, contract or subcontract when: Offs company has received compensation, from the County of Suffolk as defined in the Law (compensation) a wage rate of no less than $10.69 ($9.25 for child ease providers) per hour worked with health benefits, as described in the Law, or Check if otherwise $12.17 ($10.50 for child care providers) per hour or the rates as may be adjusted annually in accordance with the Law. applicable (Chapter 347-3 B) I/we further agree that any tenant or leaseholder of this company that employs at least tan (10) persons and occupies property or uses equipment or property that is improved or developed as a result of compensation or any centraator or subcontractor of this company that employs at least ten (10) persons in producing or providing goods or services to this company that are used in the project or matter for which this company has received compensation shall comply with all the provision~ of the Law, including those specified above. (Chapter 347-2) I/we timber agree to permit access to work sites and relevant payroll records by authorized County representatives for the purpose of monitoring compliance with regulations under this Chapter of the Suffolk County Code, investigating employee complaints of noncompliance and evaluating the operation and effects of this Chapter, including the produetinn for inspection & copying of payroll records for any or all employees for the term of the eontrect or for five (5) years, whichever period of compliance is longer. All payroll and benefit records required by the County will be maintained for inspection for a similar period of time. (Chapter 347-7 D) The County Deparmaent of Labor shall review the records of any Covered Employer at least once every three years to verify compliance with the provisions of the Law. (Chapter 3474 C) The Living Wage Law does not apply to this contract for the following reason(s): Section H Check if applicable Section IH Contractor Name: Town of Southold Federal Employer ID#: t 1 ~6001939 Contractor Address: 53095 Main Road/PO Box 1179 Amount of Assistance: $4,57t Southold, NY 11971 Vendor#: Contractor Phone #: Description of project or service: ~ Transportation Program Section IV I declare under penaityffperj ury under the Laws of the State of New York that the undersigned is authorized to provide Offs certification, and that the above istme~tid correct. LW 38 (revised 4-05, replaces forms LW2, LW3, and LW33) SUFFOLK COUNTY DEPARTMENT OF LABOR-LIVING WAGE UNIT 1 1) NAME: NOTICE OF APPLICATION FOR COUNTY COMPENSATION (Contract) Living Wage Law, Suffolk County Code, Chapter 347 (2001) To Be Completed By Applicant/Employer/Contractor Town of Southold 2) VENDOR #: 11-6001939 (If K~wn) 4) CONTACT: /~_/~/ ~,~ 6) ADDRESS: 53095 Main Road/PO Box 1179 3) CONTRACT ID #: 5) TELEPHONE #: (If Known) Southold, NY 11971 7) TERM OF CONTRACT (DATES) 41112009-313112010 8) PROJECT NAME: (IF DIFFERENT FROM #1) AAA Transportation Program 9) AMOUNT: $4,571 10) AWARDING AGENCY: Suffolk County Office for the A~lin~l BRIEF DESCRIPTION OF PROJECT OR SERVICE: AAA Transportation Program 12) PROJECTED EMPLOYMENT NEEDS: (Attach a statement listing, by job classification, the total workforce dedicated to performing this contract or service, including calculation of estimated net increase or decrease in jobs as a result of this funding). 13) PROJECTED WAGE LEVELS: (Attach a statement listing projected wage levels, -~ compensated days off and medical benefits for total workforce dedicated to fulfilling the terms of this contract, broken down annually for each year of the term of the contract). LW-1 (revised 4/05) 'Town of Southold Programs for the Aging 2009 Staffing Program / Title:_ Administrative: Senior Clerk Typist Senior Citizen Ctr. Mgr. Account Clerk Typist Caseworker Senior Citizen Aide H HI C Nutrition Mini Bus Driver M/ni Bus Driver Mini Bus Driver Mini Bus Driver Mini Bus Driver Mini Bus Driver Mini Bus D ~ver FOod Service Worker Food Service Worker Food Service'Worker Cook AssiStant Cook CSE Residential Repair · Maintenance. MeChanic 2009 Hourly Rate $29.45 34.64 2T95 25,95, 14~46 $22.56 19.74 . 19.04 15.65 15:66 15.66 15.66 13.18 .13.03 13.03 25,84 19.44 $16.11 Status FT/PT FT .FT FT FT PT PT PT FI' PT FT FT PT Eligible for Health Benefits YES YES YES YES YES NO NO NO YES NO NO YES YES NO ' ..~ .- -t : . i,., ',, , - . . ..'...::.:.. '-... ' ' ' ',-, .' ' .' '" :~', :" :~ . ::. - -'3. . ~- '"' =CiO.' "i~'. : '-" ' '-. "!:i', .: '-'-.. " .:' -..",": r.. 6/13/08 the day of SUch jury duty, regardless of shift. 16. BEREAVEM~.NT !6.1 Full-time emlAoye.~ shatI be enfiflZd to four (4)-days leave o£abse~cc ~ pay~for the,purPose.of ~ging and'attending the funeral of the spo~e,.child~ paren!,~bro~er~' sister, paront~in~laW~ soh,in-law,.or daUgh~inqaw of SUch'.employe~. A fu~l~me employee shall b~gralited-one worlcing day ~ pay toattend thc fimeral on the ~mPloyee's working d~y of the empl0yee~s grandparents, brofl~n'S-in-hnk, ~ters~in-I~w, half-brothers or lmlf-dsters, or other relatives,living in the hon~ehold of the employee un~s additional 6r~e is m~d~orized by'the'SUpC-rvisor~ pu~Oses ~hall'be in addition.~o any. other leave, of absence~to Wl~ich suo~h · zntitled'U~der auy~other Provisi°n ofthis A~ent. The Town 'Su_~isor. sl~_o ~also 'have,the sol% nongrieYable'discretion to grant bereave~en~[~leave fo~ the loss0~o~er persons. SEC.~17. UNAUTHOl~I77E. D ABSENCE - - ' 1 ?.J. A~ c~pl6ye0 who shall be ab~t without autho~fion ~fo~; for which no · Satisfactory eXPlanation,is givei~, sh~di,n°t'bo compon~,d.for such ~r~ed of.al~ene~' and if such absen~ shall continue for ten (10) continuous Wofldn~ dayz, s~ch · ' unauthorized absence'shall,bo deemed to constitute just cause for dismissal.in ~ccordanc~ with'aPPlicable rules ofthe Suffolk 'County. Ciyit Service .Rules and Regulations~ SEC. 18. LEAV~.(~F ABSENCE 18.1- Upon request, f~ll~time emp!oyees maybe granted a ~hild. ca~e leave ofabsence not ex~ding two (2)' Years wifl~out pay by reason of the-birth ~o 'or adOption o£a child by th~c'~Pl0yee. Su~hempl0yee, upon the e0cpirafion of such pexiod of leave of abs~,e, . ~ht~l be r~storod'to same or comparable posiiion of employment, if'tho sam~is'~vailable. 'Part.- 'tm~ employees m~y be granted<a.leave of absence W/thout pay for th~se reasonsl at the discretion of the Town Board. 18.2 Upon reque~t~ fo]J-time employees ~nay be granted a leave of absenc~ w/thout pay not ~Xce~ding one (1) ~car for reasons of personal he, aRh or that Of their imme, di~te family, provided, however, that ifle necessiW.~erefor i~' certified.i~ Writing to ~e Town' Board.by a physician. ' - 7 6/13/08 for futura absences. 19'.8' Upon~r0tii~ment~ a fuH-tlmo omployeo shall, be ontitled t~o paym~mt for tlio fil~t 40' · . days of ac~mUlated unUSed ~ick leave~ For days accumulated over40,, a~tditi°ual '. ' "' ' payment wiil be mado attho rate of one day fore. adh thteo 0) accumulated ~wr 40. Inao evant shaBtho grand total payment'exceed 120' days~ Effeotive Jaa, ary 15. 2008,in Order t0bo gaid for unUSed acenmulated slck'ieave. 'th~ emptoyso must.notify ~the. Town Coat~!ler, on a .TOWn provide~l fonn~ ~!'the .emplOyOe~s n0~binding intention to retire no fewer than 45 0al~dar days priOr to tho.'. dato 9'f, th6 adepti0n of,thd~budgot, {~xt in no event tat~c.!han.Ootob23r 1 "'. 'Tlio~ shall ~0ivo,tho m~ios due provided, that the requixa~-noiiee was provided. If the reauired n~..w.a~ not.~v,d~ then ~h.e p~,ym~t.~viU no~ belo~ ~ut aaU ~oeonm i~Y~bi~,~O, caiemtar.~ ~ thd commen~4maent of lhe.. rise. at y0ar {'o1~ Whi~ -&e ToWa li~{{g0ted .for ..~:sa~o ~r laid aa opPortunity;tO;d0 so: ·" ~.~.~ ~o~mo ~Ubo ~e~ued dur~g ~aves of~b~n~ and/~ ~on~ wot HOLIDAYS 20.1' · Full4imo employees shall bo ~itled, to,th~ following holidays off with pay, to Wit: ...the first dayof January, known as'Now Year's Day · 'tho third Monday of January, known as Martin Luther King, Jr. Day · tho third Monday in Febmary~ known as PreSidelat's Day · the last'Monday ~n May~ knqwn as Memorial DaY e. ihe fourth day of July, known as ladePeridenOe DaY · the filet Monday in September, known as Libor D~y the second Monday in October, limo.wa, as Columbus Day · the Tuesday.next succeeding the first Monday in Novomber,.kn0wn~as Election Day · tho eleventh day 0fN6vember, known.as Veteran's D~y · the fourthThursdayin.Novealber, known'~ Tlianka..givitig Day - "' · the day after Thanksgiving Day, except for'employees assigned to the · Landfill, who shall receive a floating holiday.to bo.scheduled-as though - itwere a personal day · the twenty-fiih day 0fDecember, knows .as Christmas Day · . the eve OfThanksgiving DaY, ~ day. · -tho ove of Christmas Day, ½ day 6/13/08 ~mployed. . (a) Employees in safety ~msitive po~itiom m~y ~m~e up to but no more ~ 240 hours of'comPen~to~y time, and employee~in non-s~fety sensitive positi°ns may accrue up to,but no more tlum160 hou.~s of c. ompeusatory~o as of each Docembor 31 st.- Except where Otherwise agre~ to,in wrifiUg by the ,De~xtme~t Hea~ the .- employ~ must mquem the use and/0~ lmym~ of 50%.of his/hot COmp~atovj time .ttmt oxo0eds I20.houmby'each 8gptombor~l~ and must make at.lei~t one request for · of .core, ma. tory t~o ~v~two months. Any,a~alof a text~osi..to uae' . t/nm -~rill ~ automatically reviewed, bythe Town. ~or or .d~sigf~.and a written response'learned to the ompl0~e w/th~n 1 ~ :calendar days from.tho ~upC~4su~ or . ~o~ign~'s.roo~ipt of th~ ~ Ii~ ~' tim te~[t of a d~isior, to:deny the U~-of . time~:inovided that.~O omploye~ has mad, ~ good t~ith eff0rt'~o rexraost, sohedul~ and uso. t2fis tim0 as contemPlat~l:by this Agt~nnent. .... .' .::, ' ' ' '" - ' Co) Nothin~ 0ontained in'this A~ntshall be~onstm~ as in any way. ro~tfi, gj~g tho. Town s right to'take any actions required by'the provisions of th~fed~-al Fair4zahox Standards A~t4 'and tho ~s and:rogoJationslately-ting.it, '' ' ~ ' ' ~ SUbject. '" to Town's duty to bargain,, i£ any, withtha'CSEA mgardlng those aatiens. 22~2 All Town .employees aSked to re'port or ~euafn on duty'during a.weathor. emergency when normal Town sorvioe~ am suspended:will receive oompensat0~.tin~ at the straight time rote for ali lioum actually worked 'during their !~ormal shift. 23.1 The~.shall'bo a sic-men& wailing, eligibility poriodieor fiiolusion:into tho Town of .8outhold Employee~ Health Benefit Plan fixrm tlieomploy~'s; date' 23.2 ;The Town Shall confinuo..to pay its. 1'00% prom~m con~bufion towardStt~ ~ost of re.ed/cai and h0~italization benefit~ in' a' ' ' ' -- ¢oordance with. the terms and cond/t~oas as sot tom. in the of'Senth0!d mp!o? .eneat Wan ' O pao So0 0t" -- clatexl May 198v, ~xc, opt as to:~o ~dontity 0f the adminigtrat0r~ Any. emploYee hired..dftor January t5, 2008, shall contrib~t~ 5~ of the ~ oost-towant medical and ' ' hospitalization .benefits. Effective January 1, 2006, the Town's medical plan'benefit package shall .fully and - eomplefely mirror the Empire Core Plus Enhancements Plan as it. existed as of sanuarY.l., 2005. Effective February 1; 2:008, the Town'Smedical plan benefit paekage shall fully and completely mirror the Empire C;ore Plus Bnhaneoments Plan as it existed as of 11 6/13/08 health insurance. . However, during refirement,.the former employee may reinstate'his/her own individual ,heal. th.insurance coverage (or family.coverage,if the employee has dopand/mta as defined in.tho plan) in'the event Of alt emergency causing the loss of the other l~r~oa's ToWn health in.~rance, cbnsisteat with the-.mles and regulations Of the :Town's health insuran~o.pla~ and aPPliCable laws and regulatiom~ -~ 23.5 Health IllmlPauce.De~llnatioll B0mm; F_,mployeea may 0ptout of ~ce ~ ~' whole or ~ ~: f~.a ~ y~by eo~e~g ~e a~o~a~ ~s~by ~e To~. '~ ~oy~ ~g out ~f~ To~s ~ ~ce ~o~ ~ whole.er ~ p~ s~l'~ p~d $0% of ~e ~ ~n~ ~d~ ~e ~1~ ~ ~o ~p~s-~v~ (~in~ OUt) f~ a ~1 y~. Pa~ s~ ~ ~bj~t. '. ~ ~1U~ ~ll'~c~o~,~ ShSfl. be ~de ~ oF about ~ 15 'of ....~Y~ i~g ~':w~ve ~v~ge m~t dose. by fl~g -' -. m my Zom-of sls ~ · . , : . . . -.. . ; .' ~nfinue ~' ~ ~ eft~ ~'~ to y~ ~ ~ ~e.~lo~e el~.~ ~- 'decl~ ~.is ~plete or It ~ ~d~ ~a o~ ~ ~loY~ h~ W~v~ eov~ for a p~l · e e~loy~ ~y not re~te ~ge ~r ~t y~ exc~t'~. .~g ~o 1~ of~ ~u~.~ so~o,~d ~n~St~t ~ ~e.~ ~d ~g~ of ~e To~ 's fle~blo ~n~ng. pl~ ~d ~li~ble~ws '~d .re~a6o~. ~gency sh~-~clude l~ of ~lo~t or ~ina~ .of ins~ce, f~, a' c~ge. of ~y ~ch ~t~afive'.~ ~m a n~neon~u~.to a ~n~bu~ pl~, ~e vol~ de~a~on o~ ~e ~e-of ~ offo~d by ~e ~°~e~s ~plo~. ~ ~ployeo may ~ cov~go not more ~ 30~ prior to'~L eomis~t ~'~ ml~. ~d ~tafi~ of~e TO~ls heal~ ~ce pl~'by'~ ~uest ~ ~e To~ c~: ~e ev~t"~e ~ploYee r~nt~ ~e h~ ~ce pl~ 30 or few~ ~ prior to ~ ~e d~l~fion, pa~t.s~ Mjus~ a~rdin~y. ~y m0~ ~ ~ed to ~e To~ shall be d~ ~m ~e emplwyee's ~ai~ng paych~k(s) ~ ~ paten~ ~e ~pl~ee ~ be eli~bte for ~t ~ ~e of ~m~L '~ ~. pa~ ~ ~ffi~ t6 me~e ~loy~s a~ ~a~t obli~fio~, ~e ~plq~e sh~l be de~ed to Mvo cemented to mcou~t b~ on t~ ~d ~ ~ be set by ~e To~.at ~e~e of 13 6/13/08 pmminins for the benofitsprovided by the'i'oi'mer.CSEA Benefit Ftind'Package,7 plan for . · each full-tim0 employee. Such paYments ghall be made in advance 'on a bimenthly basis. T~e amount of. °ach P. aymont shall be based on the number of fuiFfime *~mployees shoWn on the 1ast payroll precedin~ SUchpa ont. An ad' ' ' Ym tjustmont shall be made at the end of each ' unonth!y period in increase pay~.~lts (cna ffally bas!S) .for emplOy6~ added to the Pallmll.daring the two' monthperiod subsequent to tile paYment'dat~ to decrease payments. · (o~ a daily basis) f0r emPloye~ Who hgve.been removed from thepaYr~ll dm, ing tho twO- motlth peri~l SUbsequent to the payment datff. Effective January'tS, 20011, this paragraph shalfbe deleted. 24(3 The Town will make payments to the fund in tho amount ofwhate/Cer chin'gels m~ asai~ eaeh Omp~0Yee bythe t~i~'~e':differ~ be~e~ ~i~ am0~t ~d the. cost of tho fund,shall.be deducted for th~ emi~lO~*~ pay cheCk.. EffectiVe. january ~[~' . 2008~ this;section shall be deleted. '. . , 24i CSEA ~ents that the CSEA Employee Benefit Fund isa'.legat!l~'C0m, fftoted entity;, that S~ch entity may legally receive fimds paid to it bl/the'Town'for the.beaiefit 6f--' ' the employees o~the T0wni.and that the emp!oyees'~fthe Town are eligil~le.to,participate in'tho befieiqts provided by such entity. CSEA als0' representS tha(it will obtain and provi'd~ tO the Town such assurance from the.Trustees Of Said Benefit Fund as will .satiSfy · the mpresontatiolls set forth 'in.the preceding .lya~a~h hereof. ' 2~.s' ~t i~. u~t~tooa ~d ~ed by a~d'betw~on,the pmies h~te that asmnnes no liability.or responsibility for the'diSposRion of the timds paid by it to'the ~ouon..... .iq°r .aces-. ule 'l own. assume any liability.or re.sponsibllity.Whatso6ver for. the acts or omtss~ons of the CS-EA B~nefil Fund in the administration of!.ts id/fai~, agamstall of which the CSEA doeS.hereby hold the Town harmless. sv.c. 2s. mh-im~yr 25.1 Subject to the-appliCable provisions oflaw, the Town shall provide tO. Tier 1 and2 employees a neneontfibutory "Impmved,Cai-eer Retirement Plan" in accordance with and subject to the pi'ovisioiis of Section 75-I of the ~e 'ttrement ~d Social 8~cui~ty Law andto pay the entire cost thereof-to the New york state Emp}oyees Retirement System. 25.2 Subject'to the applicable pmvisiens of the law, the'ToWn shali provide to Tier'3 and Tier 4 employees a retirement plan in accOrdance w/th the New York'State Retirement and Social 8bcurity Law. ' '- 15 6/! 3/08 E~o ~anuary.1, 2009~ all part-time and full-time emPloyees,on or off step shall receiv~ a 3.75% increase. Effecti,~o ~miuary I, 2010, all'part, tin3o, and full-l~mo employe~, on o~ off'step .. Shall receive a 3.75%,.in~i~ase. ' 27'.3 An cmplOY~ who is.promoted shall be phced on the ~t~p in,the new position whioh.will enable said.emPloy~ to havean increase ~ to.at least-five ($~. the employees? rate before promotion.._ In no event s'nall any.~ exc~I St~p 5 ~f new position. 27.4.'. Th~ ToWa. shall ~ar~ a.salary SCh~hile of ea~ai~loy~s, as providedqi~rein ahd tho same shall, be annexed berelo - .,. · ~Z5 ~' F_a~iioyees a~Signed to v~ork as "Acting Foreman": fo~ moi-e th~ three'(3)· co~. oca/tive, di~YS shall-be paid foreman'S pay.. . 27.6 All l'eave oredits except personal leave shatl become effeCtive.the fi/stpaYp~-i0d iu fha. mona.Of th~.employee?$'armiversary, date, - - 17.7 When promoted; or .w_hen. grant~d~en ~xtended leave of'absence When not on the !op.st0p when leave co~r~mdn0es, the:employee shall' beplaced;.0n the;section 2?:2 salary. SEC, 28. RECALL 28:1 EmplOYees who are:requireA-to report to Work due to floods~:storms Or other · em~gen0y Shall bo deemed for all purposes-to have commenced Work when notified to report for work When ~l'ble~ in SUch events, suoh employees.WiN be giYen a.period of ' 45 tn nutes vnthin which to. report to work '- ·. 28.2 Such.emP!oy&es, when required to work, shall receive a minimum oi~ four (4) ho .uts compensation at thei~ regular salary scal~. sec. 29; OVERTIME 29.i Empl6ydes who shall !ie'mquired to work in excess of eight (8) hoUrs.in any one day shall be'¢0~ated therefor at the rate Of one and one~half(!-I/2}tlme~' the-normal rate of s.alary or wages, or at the.option'of the employee.shall be g/Yen compensatory time off at the same rate subject to ]aw: The pr6viSions of this paragraph shall nol, however, apply to work performed on-any holiday set forth in this Agreement. 17 6/13108 29,;3 On or-about the I . ot~ eaoh month,: tho department head. of every..department of .the Y!'own Sh~ post in a .conspic-aous.phice wifliln fie depai'iment a list oont,~x~g tho ~. and tho immb~-of hours of overtime worked 'b~/eavh:. ~)logeo of the'de~r~ dtUing thc preceding month. , . : -, ,. - SEC. 30;. LONGEVITY ..-I~pplied to the. alraight~time b~.,e rat~ ogpay), based Upon .te~gth. o'f ~ergi~ in, the Town follows: . ....' : · . a.. EmPloyees.With at-tva_st_ t~n (ioj'~ hu{ £~wer, tha~a' fifle~.(I ' ,: - service slral re~iVe a sida~ ia~ of y~ ..i '- . .. *'- b-'' '""" ' · · '" ': -/ ' --' - "-. . . . . ,~.Hmp!o~e~s:with at l~a~ot~ (t~)yearsbutt~wer than~ ~0).yeat~f: .. '." service.shall receive:asa!a!-yincreaso.o£7~.- ' .., :~:. d. ~mployees with tw~..fy:, five.'(25) years of svridce or more shall r~ceive, a. salary increase of ~%,' .... -' .-: .. · Ai!diti0nal compensation as provideCl m this s~otion shall'commence ~, ,ha 6r~ .. day'of-the month m which, an. empl0Yi~.tiecome~ eligible therefor. . ' 3 ! .! ..A $Itift differ~tial of $1,100 l~r year ahall.bO ~eant~xi' to ~¢h Public.. .. D~spatch~r who works thrU. shif~ at0und ~ clO~k on a regalarlY Sc~hodulod basis. . . . . .... . .. p~ry sba! - 'DJ, sPa.rob., er Who works :two rotatin§.shifts'-on a regularly S~heduled basis~' - - ' 3!'..3 Tho ab~.~.'~e-shiff diff~rentiaJ, s ~hall apply as well to aa~.~an worldn~ ., - shifL .If more than one(!) ~ustodian r,o~ates ont6 tt~enightshiffthe.stdft differential ~H' 'L :granted to each cUstodian' working the rotating ~iight sbii~' - -' ' ' 31.4 '' ' ' .... A shiff.differential.'of $300 ~ y~r'shs!t'be graut~d'to eaohfull-time Bay . Constable. ' t9 STATEMENT OF OTHER CONTRACTS CONTRACTOR NAME Town o~ Southold Senior. Services ADDRESS 750 Pacific' Street, P.O. Box 85, Mattituck, New York 11952 CONTACT Karen McLaughlin, Director. PHONE'NUMBER 631 298-4460 ' AGREEMENT PROGRAM' 'NUMBER *CONTRACT WITH' TERM OF AGREEMENT [ AMOUNT I~I-C-1 Congregate NO-001-6797-4980 Suffolk County Office for. 01/01/09 - 12/3'1/0'9 pending Nutrition Program' 95 284~1792 the.A$'ing 1/i/08 - 12/31/08 · $ 73,094.00 lll-C~2.Home..Delive~d' No-001-6776-3330 Suffolk'County Office for 1/1/08 - 12/31/08 $ i59,.607.00 Meal Program ~95 284-1792. ' ' the Aging 01/01/09 - 12/31/09- pe~ng Transportation NO - 001-68~6 suff61k..Cou~ty Office ~or · Assistance Program ~980-95285-1389' the Aging~ ··4/1/08 - 3/31/09. $ · 10,361.00 CSE Residential Repair' 'No-0'01-6777~4980 .. · Program 95285-0605" ' Suffolk County office for '4/1/08 - 3/31/09 $ 20,400.00 the Aging · *Indicate (a) type of organization - County,'State, Federal or Other and (b) name of Department, Agency or Organization STATEMENT OF OTHER CONTRACTS 05 Certification Regarding Lobbying For Contracts, Grants, Loans and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No State or Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence legislation or appropriation actions pending before local, State and Federal executive and/or legislative bodies in connection with the awarding of any contract, the making of any grant, the making of any loan, the entedng of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any contract, grant loan, or cooperative agreement. (2) If any funds other than State or Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence legislation or appropriation actions pending before local, State and Federal executive and/or legislative bodies in connection With this contract, grant, loan or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure Form to Report Lobbying", in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entedng into this transaction imposed by Section 1352, Title 31, U.S. Code. Failure to file the required certification shall be subject to civil penalty by the Federal government of not less than $10,000 and not more than $100,000 for each such failure. By: __~ Date: ~-/(-~07 Signature of Official Authorized To Sign Application For: Name of Grantee Certification Regarding Lobbying 08 Proposed Budget Town of Southold AAA Transportation Program April 1, 2008 - March 31, 2009 Personnel: Part Time Mini Bus Driver SCOFA/AAA Transportation Grant 17 weeks ~17.5 Hours per week Fringe Gasoline and Oil $4,571.00 $185.00 $500.00 Total $5,256.00 Less Participant Income ($685.00) Net Reimbursement (SCOFA) $4,751.00 KAREN McLAUGHLIN Town Director of Human Services Town of Southold 750 Pacific Street P.O. Box 85 Mattituck, NY 11952 Tel. (631 ) 298-4460 Fax (631) 298-4462 Nutrition Pmgxam Home Delivered Meals Case Management Essential Transportation Senior Adult Day Care Katinka House Telephone Reassurance Residential Repair Town of Southold AAA Transportation Services April 1, 2009- March 31, 2010 Southold Town Senior Services currently provides both regular route and demand responsive transportation services to senior residents of Southold Town. Given the rural nature of our area coupled with the lack of other reliable, efficient and affordable transportation alternatives, seniors are often isolated and unable to access services vital to their continued independence, health and well being. Southold Town Senior Services is proposing to increase the current program hours available of demand responsive transportation services for both medical escort assistance and other essential services. For the 4/l/08-3/31/09 program year Southold Town Senior Services has provided 23 I0 one way passenger trips for essential medical and non- medical transportation for 139 senior consumers. We provide medical transportation throughout Suffolk County and do not restrict travel within town boundaries. Given these factors, our current transportation services are maximized~ At present, appointments are scheduled months in advance and seniors new to the program often cannot access our services readily as availability is limited to a first come first serve basis. We have also experienced an increased demand for transportation to ontology, radiation and physical therapy appointments which are usually concentrated over a long period of time. This funding will allow us to supplement our existing program by allocating additional hours of service to enhance availability and reduce the advance scheduling requirements that often limits access to many seniors who need more immediate and/or long term assistance. Our goal for the 2009/2010 program year is to serve 140 unduplicated seniors by providing 2300 one way passenger trips. Priority will be given to low income and low income/minority seniors While we are experiencing a decrease in anticipated funding from SCOFA, we will not be reducing transportation service. AAA Transportation funding will be applied to cover a designated portion of our overall service. The Town Director of Human Services will oversee implementation of the program and program staff will directly supervise transportation staff. Submitted By: /"/ , ' . ~: r::~li:eLc ::rg~ f~u m a n e~r vic e s t DATE (MM~DDA~fYY) A.CORD , CERTIFICATE OF LIABILITY INSURANCE o 1912oo9 PRODUCER Phette: (631)298-4700 Fmc 631-298-3850 THIS CERTIFICATE IS ISSUED AS A MATTER O~= INFORMATION ROY H REEVE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO BOX 54 HOLDER. THiS CERTIFICATE DOES NOT AMEND, EXTEND OR MA'I-rlTUCK NY 11952 ALTER THE COVERAGE AFFORDED DY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAI~: # INSURED INSURER A: US Specialty Ins. Co. TOWN OF SOUTHOLD INSURER B: CIO SOUTHOLD TOWN HALL P.O. BOX 1179 INSURER C: ,SOUTHOLD NY 11971 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD iNDICATED, NOTWffrlSTAND~NG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS. ¢~r;~,AL u~a~Lrr~ PKGB0110255 0tl01109 011011t0 EACH OCCURRENCE $ 1,000,000 ~u~s~s ~. ~) S 300,000 I !:LA,MS M~E ~j OCCUR MED. EX~ (ny o,o ~) $ t 0,000 A __X $50,0~0. DEDUCTIBLE PERSONAL & ADV INJURY $ INCL GENERAL AGGREGATE $ 5,000,000 POL'CY PR°-JEcT I LOC AUTOMOBILE UABlUTY PKG80110255 01/01109 01101110 COMBINED SINGLE LIMIT X ANY AUTO (Ea ~cJde~) $ 1,000,000 A -- IPer accident~ EXCESS lUMBRELLA UAmU~ PKGS0110255 01/0tl09 01101110 EACH OCCURNENCE 10,000,000 X I OCCUR [] C~MS ~DE t 0,000,000 A X RETENTION $ 10,000 O"NE"SCOMPE., O.A.D I t OE$C~i~¥iON OF O~RATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED EY ENDORSEMENT/S~ECIAL ~ROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDIIIGNAL INSURED ~ITH RES~EDT TO GENERAL LIAnlLrl'~ ONLY AS ~ER WRIttEN AGREEMENT. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WiLL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE SUFFOLK COUNTY OFFICE FOR THE AGING TO DO SO SHALL fMPOBE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE iNSURER, P.O. BOX 6100 r~s AGENTS OR REPRESENTATIVES HAUPPAUGE, NEW YORK 11788 Attention: Joann Gallagher ACORD 25 (2001108) Certificate # 13014 © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001/08) Certificate #13014