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Debris Management Plan for Multi-Jurisdictions
RESOLUTION 2015-427 ADOPTED DOC M 10803 TFIIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO.2015427 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MAY 5,2015: RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs Supervisor Scott A. Russell to execute the Intermunicipal Agreement for Services between the Town of Southold and the Suffolk County Department of Fire Rescue and Emergency Services in connection with the coordmahon and development of a multi jurisdictional Debris Management Plan, for the period January 1, 2015 through August 31,2015,with an option to extend to December 31, 2015 at the sole discretion of the County,at no cost to the Town, subject to the approval of the Town Attorney, Elimbeth A.Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Louisa P Evans, Justice SECONDER:Robert Ghosio, Councilman AYES- Ghosio, Dn mio Jr, Ruland, Doherty,Evans, Russell Rev.3/12/2015; Law No. 15-FS-026 Reimbursement for Plaa/Grant Deliverables Intermunicipal Agmement for Services This Agreement("Agreement")is betweca the County of Suffolk("County"),acting through its duly constituted Department of Fire Rescue and Emergency Services("Department"and/or"FRES'), located at Yaphank Avenue,Yaphank,New York 11980, and the Town of Southold ("Municipality,a municipal corporation organized under the State of New York with an office located at 53095 Main Rd,Southold, NY 11971 The Municipality and the Department shall be referred to collectively as the"Parties"or"Party." The Parties hereto desire to coordinate in connection with the coordination and development of a multi- jurisdictional,Debris Management Plan("the Services')as sot forth in Article I,entitled"Description of Scrvices " Term of Agreement January 1,2015 through August 31,2015 with an option to extend to December 31,2015 at the sole discretion of the County upon written notice to the Municipality. Payment Terris: Shall not exceed$8,300.00 to be paid to the Municipality,as set forth in Article I and II. Terms and Conditions: Shall be as set forth m Article I&H and Exhibit 1, attached hereto and incorporated homm In Witness Whereof,the parties hereto have executed this Agreement as of the latest date written below. SvwYho�i1 Town of County of Suffolk By: �'u4s By, Dennis Cohen Date. ��al r 5 Chief Deputy County Executive {a Fod Taxpayer ID No. [I les' 1 Date' hereby certifies under penalties ofja, 4 o��1 perjury that I am an officer of-i o w ot,A that I Department of Fire Rescue and Emergency have read and I am familiar with §A5-7 of Services Article V of the Suffolk County Code,and that Approved: �od, ho(dirieets all requirements to or ption there By: Date Joseph F. Williams Sign Data Commissioner Approved as to Form: Recommended: Dennis Brown, Suffolk County Attorney By, Data Mary Portal', By. Date Thomas F.O'Hara Assistant County Attorney Ptolect Manager I1®DIl11"IMIN Pagel of 16 0032076 Rev.3/1212015;Law No. 15-FS-026 Reimbursement for Plan/Grant Deliverables List of Articles&Fxkibds Article I Description of Services Article H Financial Terms and Conditions 1, Conflicting Provisions 2. General Payment Terms 3. Agreomcnt Subject to Appropriation of Funds 4. Accounting Procedures 5. Audit 6. Comptroller's Ruffles and Regulations for Consultant's Agreements 7. Specific Payment Terms and Conditions Exhibit 1 Suffolk County Legislative Requirements 1. Muniopality's/Vendor's Public Disclosure Statement 2, Living Wage Law 3 Use of Courcy Resources to Interfere with Collective Bargaining Activities 4, Lawful Hiring of Employees Law 5, Gratuities 6, Prohibition Against Contracting with Corporations that Reincorporate 4varseas 7 Child Sexual Abuse Reporting Policy 8. Non Responsible Bidder 9. Use of Funds In Prosecution of Civil Actions Prohibited 10, Youth Sports 11.Work Experionce Participation 12. Safeguardsng Personal Informabon of Minors 13.Suffolk County Local Laws Website,Address Page 2 of 16 Rev.3/1212015; Law No, I5-PS-026 Reimbursement for Plan/Grant Deliverables Article I Description of Services Whereas,the Department of Fire Rescue and Emergency Services Suffolk County(the County) is authorized to receive grant ftuiding from the Federal Emergency Management Agency UASI 2013 Grant program under Resolution 1084-20013 to provide emergency service coordination for the development of intermunicipal agreements with partners municipalities, and Whereas,the County will utilize federal and state grant funds to coordinate with the Mumcipahty m the development of a Multi-Sunsdictional,Debris Management Plan, VMREAS,pursuant to Resolution No, dated ,the Municipahty is audwnzed to enter into this Agreement(See Exhibit"TD, Now,Therefore,m consideration of the mutual covenants herein set forth,the County and the Municipality agree as follows. 1. Conflicting Provisions In the event of any conflict between this Article I and any other provision to this Contract, such other Provision shall prevail unless it is expressly stated that this Article I shall prevail. 2. Purpose of Agreement The Municipality and the County acting through the Department shall coordinate,as more particularly described below in this Article I section 5,entitled"Responsibilities of the Parties," 3. Meanings of Terns As used in the Agreement: A. "Comptroller"moans the Comptroller of the Comity of Suffolk. B. "County"means the County of Suffolk,its departments,and agencies. C "County Attorney"means the County Attorney of the County of Suffolk. D. "FEMA"means the United States Federal Emergency Management Agency E "Federal"means the United States govermuent,its departments and agencies, F. "Force Account Labor"means Force Account Labor Costs. The straight-or regular-tune salaries and benefits of a grantee's or subgrantce's permanently employed personnel as defined Pursuant to 44 C.F Ra §206.228 or any subsequent amendments Q "Fund Source"means any direct or indirect sum payable to the Municipality by the County pursuant to any lawful obligation. Pago 3 of 16 Rev.3/12/2015;Law No. 15-FS-026 Reimbursement for Plan/Grant Deliverables H "State"means the State of New York. I "Suffolk County Payment Voucher"weans the document authorized and required by the Comptroller for release of payment. d. Term This Agreement shall cover the period set forth on page one of this Agreement,unless sooner temrnated as provided in paragraph 6 below. S. Responsibilities of the Parties The Municipality will work with the Department and other federal,state and local agencies to develop a Debris Management Plan("Plan"). At a minimum,the Plan shall have the following 12 basic elements. A. Debris Management Plan Overview. The Plan shall include a discussion explaining the Plan's purpose and its overarching goals.It should also include a brief dascmon about how the Plan was developed;who participated in the Plan development(effort should be made to include all internal departments and external entities that may be involved with the debris removal operations);and,whether the Plan is officially adopted by the governing body. H Events and Assumptions.The Plan shall forecast the type and quantity of debris essential to the debris removal process The Department and'Mumieipality shall cooperate to identify the types and severity of disasters that are most likely to ooau along with the types and anticipated quantities of debris that may be generated The Parties should also identify the type of handling that would be necessary to safely manage the debris. The Plan should describe the general terrain types,land use, and accessibility for the areas which would most likely be impacted by the disaster and how these charactensucs may affect debris operations C. Debris Collection and Removal.Tina Parties shall develop a debris collection strategy and Include Identification and priontization of facilities that will be impacted by disaster debris, The Plan should also define the priorities during both the response and recovery phase operations and describe the 000rdination process with other entities responsible for managing debris The Plan should identify roles and responsibilities for all functions involved(e.g,Public Worlcs,Finance, Solid Waste Departments, etc.),Additionally,the Plan should address the mednods that will be used to remove debris(i.e,,curbside collection,community drop-off bins,etc.), D. Temporary Debris Management Sites and Disposal Locations.The Plan shall identify locations where the disaster debris will be segregated,reduced and disposed and/or whether it will be recycled. The Plan should address traffic circulation at each of the disposal sites,disposal capacity and how debris will be managed if there is a lack of landfill capacity. E. Debris Removal on Private Property. Debris removal from private property is generally the responsibility of the individual property owners;however,when it is In the public interest to remove debris,the Parties may act to abate the threat, The Plan should identify the circumstances under which the Department or Municipality will take such action and identify the enabling laws that allow goveriiment to intercede in private property matters.The Plan should also provide discussion on the Page 4 of 16 Rev.3/12/2015;Law No. 15-FS-O26 Reimbursement for PlawGirant Deliverables specific steps it will undertake to obtain permissions to enter on the private property and how it will recoup costs(such as insurance proceeds)for the debris removal. F. Use and Procurement of Contracted Services,The Plan should discuss the eimumstancos when contracted services will be required and describe the types of debris operations that will be conbuted The Plan should describe the process and procedure for acquiring competitively procured contracted services The Plan will be developed with an understanding that all contracts must comply with Federal procurement requirements(i.e,,completive bidding), as outlined in Title 44 Code of Fedaral Regulations (CFR)§13.36;Federal requirements may be more stringent than State or local requirements(See also Recovery Fact Sheet 9580.201 Debris Contracting Guidance). G Use of Force Account Labor. The Plan should clearly define the types of work that will be performed by force account labor in the event that the Debris Management Plan is utilized. II Monitoring of Debris Operations Debris monitoring helps ensure that the debris removal performed by contractors arc for the agreed upon scope of work as per the plan and/or contract and helps to mairitain the required documentation for FEMA reimbursement.The Plan should include details as to how the Department or Municipality will monitor its debris removal contractor at pickup sites,Debris Management SitesTemporary Debris Storage and Reduction sites and final disposal arew Speoifically, the Plan should discuss who will perform the monitoring and describe each monitoring tank. I. Health and Safety Rests, Debris operations involve the use of heavy equipment and numerous types of trucks,which can pose safety hazards to emergency workers and the public,In addition to safety hazards,exposure to certain types of debris can pose potential health risks to emergency workers and the public.The Plan should include specific details as to how workers and the public will be protected and discuss the specific measures for adherence to safety rules and procedures. J. Environmental Considerations and Other Regulatory Requirements. The removal and disposal of certain types of debris can impact human health and the physical environment, Successful debris operations depend on compliance with Federal, State and local environmental laws, The Plan should identify+all debris operations that may trigger compliance with environmental.and historic preservation laws.It should also Identify how compliance will be attained, K. Public Information, The dissemination of debris removal information is critical to the effective and efficient removal of disaster debris,The Plan should include a public information strategy to ensure that residents receive accurate and timely mformation about the parameters,rules,and guidelines for debris removal, L. Identification of Debris Removal Contractors.The Parties must identify at least one or more debris oomtraetor(s)that it has Pre-qualified to perform debris operations.A pre-qualified contractor is one that has been idantifred and evaluated by a local government and has been determined to be capable to perform debris removal work(e 9, capabilities,bonding,insurance,availability).Identification of these qualifications should be done in eorgunction with drafting the debris management plan,which should include specific contract requirements and explain how contractor's qualifications are established, The purpose of having a pre-qualified contractor is to have a list of qualified contractors to compete the work.A pre-qualified contractor does not constitute a stand-by contractor.The Department, Municipality,and contractor must still comply with Federal procurement requirements(i,e.,completive bidding),as outlined in 44 CFR §13.36 Page 6 of 16 Rev.3/1212015;Law No, 15-FS-OU Reimbursement for PhWGrant Deliverables 6. Termination A. Thirty Days Termination The County shall have the right to terminate the Agreement without cause,for any reason, at any time,upon such terms and conditions it deems appropriate,provided,however,that no such termination shill be effective unless the Municipality is given at least thirty(30) days notico. B. Termination Notice Any notice providing for termination shall be delivered as provided for in paragraph 21 of this Agreement, C Duties upon Termination i.) The Municipality shall discontinue the Services as directed in the termination notice ii.) Subject to any defenses available to it,the County shall pay the Municipality for the Services rendered though the date of termination,provided that Federal or State ftmds originally untended to pay for the services are available for such payment. iii.) The County shall be released from any and all liability under the Agreement,effective as of the date of the termination notice iv) Upon termination,the Municipality shall reimburse the County the balance of any funds advanced to the Municipality by the County no later than thirty(30)days after termination of the Agreement, The provisions of this subparagraph shall survive the expiration or termination of the Agreement. 7. Indemnification and Defense A, The Municipality shall protect,indemnify, and hold harmless the County,its agents,servants, officials,and employees from and against all liabilities,fines,penalties, actions, damages,claims, demands,judgm,erits,losses,suits or actions, costs,and expenses caused by the negligence or any acts or omissions of the Municipality,including reimbursement of the cost of reasonable attorneys'fees incurred by the County,its agents,servants,officials,and employees in any action or proceeding arising out of or in connection with the Agreement B. The Municipality hereby represents and warrants that it will not infringe upon any copyright in performing the Services, The Municipality agrees that it shall protect,indemnify, and hold harmless the County, its agents, servants,officials,and employees from and against all liabilities, fines,penalties, actions,damages,claimv,demands,judgments,losses,suits or actions,costs,and expenses arising out of any claim assorted for infringement of copyright, including reimbursement of the cost of reasonable attomeys'fees in=ed by the County, its agents, servants, officials, and employees in any action or proceeding arising out of or in connection with any claim asserted for infringement of copyright, C The Municipality shall defend the County, its agents,servants, officials,and employees in any Page 6 of 16 Rev.311212015;Lav No. 15-FS-M Reimbursement for PLWGrant Deliverables proceeding or action,including appeals,arising out of,or in connection with,the Agreement,and any copyright infringement proceeding or action, Alternatively,at the County's option,the County may defend any such proceeding or action and require the Municipality to pay reasonable attorneys' fees or salary costs of County employees of the Department of Law for the dofense of any such suit. S. Non-DiscrLmmation in Services A. The Municipality shall not,on the grounds of race,creed, color,national origin,sex,age, disability,sexual orientation,military status,or marital status. I.) deny any individual the Services provided pursuant to the Agreement;or ii.) provide the Services to an individual that is different,or provided in a different manner, from those provided to others pursuant to the Agreement; or iii) subject an individual to segregation or separate treatment in any matter related to the individual's receipt of the Services provided pursue to the Agreement or iv.) restrict an individual in any way from any advantage or privilege enjoyed by others receiving the Services provided pursuant to the Agreement,or 'v.) treat an individual differently from others in determining whether or not the individual satisfies any eligibility or other requirements or conditions which individuals must meat in order to receive the Services provided pursuant to the Agreement. B. The Muwcipahty shall not utilize critoria or methods of administration which have the effoet of subjecting individuals to discrimination because of their race,creed,color,national origin,sex, age, disability, sexual orientation,military status,or marital status,or have the effect of substantially impairing the Agreement with respect to individuals of a particular race,creed,color,national origin, sex, age,disability,sexual orientation,military status,or marital status, in detamuning, i.) the Services to be provided,or Ii.) the class of individuals to whom,or the situations in which,the Services will be Provided;- or Ili) the class of individuals to be affordod an opportunity to receive the Services. 9. Nonseetnrian Declaration The Services performed under the Agreement are secular in nature No funds received pursuant to the Agreement shall be used for sectarian purpow or to Rather the advancement of any religion The Services will be available to all eligible individuals regardless of religious belief or aeration 10. Governing Law The Agreernent shall be governed by and construed in accordance with the laws of the State of New York,vnthout regard to conflict of laws. Venue shall be designated in the Supreme Court,Suffolk County,the United States District Court for the Eastern District of New York,or,if appropriate,a court of inferior Jurisdiction in Suffolk County. Page 7 of 16 Rev.3/12/2015; Law No, 15-FS-026 Reimbursement for Plan/Grant Deliverables 11. No Waiver It shall not be construed that any failure or forbearance of the County to enforce my provision of the Agreement in any particular instance or instances is a waiver of that provision. Such provision shall otherwise remain in full foroe and effort,notwitbstanding any such failure or forbearance. 12. Conflicts of Interest The Municipality shall not,during the Terra,pursue a course of conduct which would cause a reasonable person to believe that he or she is likely to be engaged in acts that create a substantial conflict between its obligations under the Agreement and its private interests, The Municipality Is charged with the duty to disclose to the County the existence of any such adverse interests,whether existing or potential This duty shall continue as long as the Term. The determination as to whether or when a conflict may potentially exist shall ultimately be made by the County Attorney after full disclosure is obtained 13. Cooperation on Claims The Municipality and the County shall render diligently to each other,without compensation,any and all cooperation that may be required to defend the other party, its employees and designated representatives against any clam,demand or action that may be brought against the other party,its employees or designated representatives angrng out of,or in connection with,the Agreement. 14. Coafldendahty Any document of the County,or any document created by the Municipality and used in rendering the Serviow,shall remain the property of the County and shall be kept confidential in accordance with applicable laws,rules,and regulations, 15. Anignment and Subcontracting A. The Municipality shall not delegate its duties under the Agreement,or assign,transfer,convey, subcontract,sublet,or otherwise dispose of the Agreement,or any of its nght,title or interest therein,or its power to execute the Agreement, or assign all or any portion of the monies that may be due or become due hereunder, (collectively referred to in this paragraph 23 as"Assignment"),to any other person,entity or thing without the prior written consort of the County, and any atbetupt to do any of the foregoing without such consent shall be void ab mitio. B. Notwitbatanding the County's consent, r.) the terms and conditions of the Agreement shall in no way be deemed to have been waived or modified, and nt.) such consent shall not be deemed consent to any further transfers, 16. No Intended Third Party Beneficiaries Page 8 of 16 Rev.3/12/2015; Law No, 15-FS-026 Reimbursement for Plan/Grant Deliverables The Agreement is entered into solely for the benefit of the County and the Municipality No third party shall be deemed a beneficiary of the Agreement and no third party shall have the right to make any claim or assert any nght under the Agreement 17. Publications Any book,article,report,or other publication related to the Services provided pursuant to this Agreement shall contain the following statement in clear and legible print: "This publication is fully or partially funded by the County of Suffolk," 18. Copyrights A Any and all materials generated by or on behalf of the Municipality while performing the Services(including,without lmmrtation,designs,images,video,reports,analyses,manuals,films,tests, tutorials, and any other work product of any kind)and all intellectual property rights relating thereto ("Work Product")are and shall be the sole property of the County, The Municipality hereby assigns to the County its entire right,title and interest,if any,to all Work Product,and agrees to do all acts and execute all documents,and to use its best efforts to ensure that its employees,consultants,,vendors and agents do all acts and execute any documents,necessary to vest ownership in the County of any and all Work Product. The Mummrpalnty may not secure copyright protection. The County reserves to rts4 and the Municipality hereby gives to the county,and to any other person designated by the County, consem to produce,reproduce,publish,translate,display or otherwize use the Work Product. This Paragraph shall survive any completion,expiation or termination of this Agrounait B. The County shall be deemed to be the author of all the Work Product, The Municipality acknowledges dges that all Work Product shall constitute"work made for hire"under the U.S. copyright laws. To the extent that any Work Product does not constitute a"work made for Dire,,'the Municipality hereby assigns to the County all right,title and interest,including the nght,title and interest to reproduce, edit, adapt,modify or otherwise use the Work Product,that the Municipality may have or may hercaftor acquire in the Work Product,including all intellectual property rights therein, in any manner or medium throughout the world m perpetuity without compensation. This includes,but is not limited to,the right to reproduce and distribute the Work Product in electmruc or optical media, or in CD-ROM, on-lino or similar forma# 19, Record Retention The Mumcmpality shall retain all accounts,books,records,and other documents relevant to the Agreement for seven(7)years after final payment is made by the Courcy, Federal, State,and/or County auditors and any persons duly authorized by the County shall have full access and the right to examine any of said materials during said period Such access is granted notwithstanding any exemption from disclosure that may be cleaned for those records which are subject to nondisclosure agreements,trade secreta and commercial information or financial information that is privileged or confidential.'Without limiting the generality of the foregoing,records directly related to Agreement expenditures shall be kept for a period of tan(10)years because the statute of limitations for the New York False Claims Act(New Page 9 of 16 Rev.3/12/2015;Law No. 15-FS-026 Reimbursement for Plan/Grant Deliverables York False Claims Act§ 192) is ten(10)years, 20. CordUcation Regarding Lobbying Together with this Agrectrnent and as a condition precedent to its execution by the County,the Munfcipaiity shall have executed and delivered to the County the Certification Regarding Lobbying(if payment under this Agreement may exceed$100,000)as required by Federal regulations,and shall promptly advise the County of any material change in any of the information reported on such Certification,and shall otherwise comply with,and shall assist the County in complying with,said regulations as now in effect or as amended during the term of this Agroerneut. 21. Notice Unless otherwise fly provided herein,all notices shall be in writing and shall be domed suPHciontly given if sant by regular first class mail and certified mail,or personally delivered during btushms hours as follows: l )to the Municipality at the address on page 1 of the Agre=ont and 2.)to the County at the Department,or as to either of the foregoing,to such other address as the addressee shall have indicated by prior written notice to the addressor. All notices received by the Municipality relatnng to a legal claim shall be immediately sent to the Department and also to the County Attorney at I00 Veterans Memorial Highway, P.O.Box 6100, (Sixth Floors Hauppauge,New York, 11788-0099. End of Text for Article I Page 10 of 16 Rev.3/1212015;Law No. 15-FS-026 Reimbursement for Plan/Grant Deliverables Article II Financial Terms and Conditions 1. Conflicting Provisions In the event of any conflict between any provision in this Article 11 and an exhibit to this Agreement,the exhibit shall prevmI unless it is expressly stated in the conflicting provision in this Article 11,that it shall prevail over the exhibit. 2. General Payment Terms a. Presentation of Suffolk County Payment Voucher In order for payment to be made by the County to the Municipality for the Services,the Municipahty shall prepare and present a Suffolk County Payment Voucher(Voucher),which shall be documented by sufficient,competent and evidertial matter. Each Suffolk County Payment Voucher submitted for payment is subject to Audit at any tune during the Term or any extension thereof. This provision shall survive expiration or termination of this Agreement for a period of not less than seven( )years, and access to records shall be as set forth in paragraph 31 of Exhibit 1,and paragraph 4(b)of Article H. b. Voucher Documentation The Suffolk County Payment Voucher shall list all information regarding the Services and other it=s for which expenditures have been or will be made in accordance with the Agreement. Either upon execution of the Agreement(for the Semces already rendered and expenditures already made),or not more than thirty(30)days after the expenditures were made,and in no event after the 31 n day of January following the end of each year of the Agreement,the Municipality shall furnish the County with detailed documentation in support of the payment for the Services or expenditures under the Agreement,e.g,dates of the Service,worksite locations, activities,hours worked,pay rates for all Services. no Suffolk County Payment Voucher shalt include time records,certified by the Municipality as true and accurate, of all personnel for whom expenditures are claimed during the period All Suffolk County Payment Vouchers must bear a signature as that term is do$ned pursuant to Now York State General Construction Law 06 by duly authorized persons. Disbursements made by the Municipality in accordance with the Agreement and submitted for reimbursement must be documented and must comply with accounting procedures as set forth by the Suffolk County Department of Audit and Control c, Payment by County Payment by the County shall be made within thirty(30)days after approval of the Voucher by the Comptroller. d. Final Voucher The acceptance by the Municipality of payment of all billings made on an approved voucher shall operate as and shall be.a release of the County from ali claims by the Municipality through the Page 11 of 16 Rev.3/12/2015; Larry No. 15-FS-026 Reunbarsement for PIan/Grant Deliverables date of the Voucher, 3. Subject to Appropriation of Funds a. The Agreement is subject to the amount of Rinds appropriated each fiscal year and any subsequent modifications thereof by the County Legislature,and no liability shall be rncun-ed by the County beyond the amount of fluids appropriated each fiscal year by the County Legislature for the Services b. If the County fails to receive Federal or State funds originally intended to pay for the Services,or to reimburse the County,in whole or in part,for payments made for the Services,the County shall have the sole and exclusive right to. L) determine how to pay for the Services, ii,) detmmine ftiture payments to the Municipality;and UP determine what amounts,if any,are reimbursable to the County by the Municipality and the terms and conditions under which such reimbursement shall be pard, 4. Accounting Procedures a. The Municipality shall maintain accounts,books,records,documents,other evidence,and accounting procedures and practices which sufficiently and properly reflect all direct and indirect costs of any nature expendod in the performance of the Agreement, in accordance with generally accepted accounting principles aad with rules,regulations and financial directives,as may be promulgated by the Suffolk County Department of Audit and Control and the Department, The Muniorpahty shall permit inspection and audit of such accounts,books,records, documents and other evidence by the Department and the Suffolk County Comptroller,or their representatives, as often as,in their judgment,such inspection is deemed necessary, Such right of inspection and audit as set forth in subparagraph(b)below shall exist during the Term and far a period of seven (7)years after expiration or termination of the Agreement, b. The Municipality shall retain all accounts,books,reaorda, and other documents relevant to the Agreement for seven(7)years after flual payment is made by the County, Federal,State,and/or County auditors and any persons duly authorized by the County shall have full access and the right to examine any of said materials during said period.Such access is granted notwithstanding any exemption from disclosure that may be claimed for those records which are subject to nondisclosure agreements,trade secrets and commercial information or financial information that is privileged or confidential. 5. Audit a. All payments made under the Agreement are subject to audit by the Comptroller pursuant to Article V of the Suffolk County Charter, The Municipality further agrees that the Comptroller and the Department shall have access to and the right to examine,audit,excerpt,copy or Page 12 of 16 Rev.3/12/2015;Law No.15-FS-026 Reimbursement for Plan/Grant Deliverables transcribe any pertinent transactions or other records relating to Services under the Agreement If such an audit discloses overpayments by the County to the Municipality,within thirty(30)days after the issuance of an official audit report by the Comptroller or his duly designated representatives,die Municipality shall repay the amount of such overpayment by check to the order of the Suffolk County Treasurer or shall submit a proposed plan of repayment to the Comptroller. If there is no response, or if satisfactory repayments are not made,the County may recoup overpayments from any amounts due or becoming due to the Municipality from the County under the Agreement or any other Fund Source b. The provisions of this paragraph shall survive the expiration or termination of the Agreement for a period of seven(7)years,and access to records shall be as set forth in paragraph 31 of Exhibit 1,and paragraph 4(b)of Article II. 6. Comptroller's Rules and Regulations for Consultant's Agreements Tbo Municipality shall comply with the"Comptroller's Rules and Regulations for Consultant's Agreements"as promulgated by the Department of Audit and Control of Suffolk County and any amendments thereto during the Term of the Agreement. The"Comptroller's Rules and Regulations for Consultant's Agreements"may be viewed online at the County's website, SuffolkCountyny.gov;go to "Government,"then"Comptroller,"then"Consultant's Agreements," 7. Specific Payment Terms and Conditions In addition to Suffolk County voucher documentation required under Section 2(b)of Article H above, the Municipality shall provide FEMA's Force Account Labor Summary Record,FEMA Form 90-123,to document labor expenditures to SC FRES each month no later than the tenth(10`)day of the following month These labor charges will include the labor expanses attributed to the development and approval of the pian. They are to be recorded on FEMA's Force Account Labor Summary Reoord,FEMA Form 90-123. The expenses paid for under this Agreement will be limited to: n.) Overtime costs for staff in development of the Plan; ii) Overtime costs associated with staff replacement labor to offset normal,lob Amcuons while the Plan is being completed,or min.) Outside Consultant costs to develop the Plan End of Text for Article II Page 13 of 16 Rev. 3/12/2015; Law Na 15-PS-026 Reimbunemeut for PlaWGrant Deliverables Exhibit I Suffolk County Legislativs Requhvn U NOT&THb CONTRACTOR'S COMPLETED LWISLATME Suffolk County Llvmg Wage Farm LW-38;endued REQUIRED FORMS REMRENCED HUREIN ARE "Srrflolk County Drat of Labor—Living Wage Unit AVAILABLE ON FILE AT THE COUNTY ATTORNEY'S Laving Wage CortrficatrowDedwation—Subject To OFFICX AND THE DEPARTMENT NAMED ON TH$ Audit" SIGNAIVU PAGE OF THIS CONTRACT, 3. Use of County Remurcem to Interfere with 1, CoatraetorIVYmdor's Public Disclosure CoUecdvm Har phdwy ActivWes Statement It"I be the duty of the Contractor to read,bowmo It than be the duty of the Contractor to road,become hillier wldL and comply with the requiremo u of Ardole I tinnier with,and comply with the roquumoats of section of Chapter 9M of the Suffolk County Coda A5-7 ofArtde V of the Suffolk County Code County Contractors(civ deffaed by vection 803.1)shall Unless certified by an ofl3cor of the Contractor as being amply with all requiremcn%of Chapter 803 of the SUMN mcml)t ftom the n*lrmnanta of mcdon A5.7 of Article V City Code,moluding the following probibltions of the Suf7blk County Code,the Contractor represents and a, Tic Contractor mall not use County flits to warrants that It has Sled with the Comptroller the verified amsast,prornoto,or deter union organizing public dmlosure statemont required by Suffolk County Adminietnttivo Code Article V,Section A5-7 and shall file b, No County Mads shall be used to roimburse the an update of such sthttement with the Comptrollor on or Cmmwtw for any coats hicarrod to assist,promote,or betbre the 31 st day of Amusay In each year of the decor union organhdng Coptram's duradon Tie Contractor acknowledges that such tiling is a material,contractual and statutory duty and C. No employer shall use Cmuo property to hold a that the failure to file mach smemont shall cons uft"a mecting with omployaw or supervisors if the purpose of material breach of the Corrtraot,for which the County shall auoh meeting Is to aaalst,promocte,or dolor anion be entitled,upon a dotm=natron that such breach has Organizing ocouned,to damages,In eddiaon to aU other legal ramedros,of fifteen percent(15%)of the amount of the if the Services era pm*rmod on County property,the Conlilict' Contractor must adopt a ressotaablo acoesa agreement,a Regained Perron noutmlq agreorneat,ft communication agreement,non- Required agmemait.and a rn�orfty authorization pard Sufrolk Coua;v Form SCEX 22,wa tled a9mment "Cootraotor's/Vondor's Public Disolosure Statement" If the Sorvloas are for the provision of bunun services and Z. Living wage Law aro not to be porformad on County property,the Contraotor must adopt,at the!oast,a neutrality agreement It shall be the duty of tiro Contract"to read,become flnmilrar with,and comply wM the requirenmits of Ciaptor Undcr the provialow of Chapter 803.the County shall tmve 575,of the Suffolk County Coda the authority,under gVroN sato cinwrmatanoos,to termurato the Contract and to sods other rerno&m as sot firth therein, This Contract Is subject to the Living Wage Law of the for violations ofthls Law County of Suffolk The law rNuires that,unless specific amnptions a*y,all miplayus(as defined)under service Oontraots and rocipionts of County finanoW assistance,(as Requlred Forms dofiaad)ahall provide pW=t of a miafnxum wage to Suffolk County Labor Law Form DOL-LO 1.entitled employow as mot firth In the Living Wage Law, Such rate "Suffblk County Department of Labor—Labor Mediatlm shall be Ousted emrually pursuant to the terms of the Unit Union CTrgsmWng -Subject Sutiblk County Living Wage Law of the County of Suffolk. to Audit." Under the provistom of the Living Wage Law,The County shall have the authority,under appropnate ciroumatamem, 4. Lawful Hiring of Employees Law to terminate the Contract and to nock other roraedles as act forth tberaln,for violations of this Law It shall be the duty of the Contractor to road,bocamo Requh-ed Forms. fiimmMar with,and comply with the requlrwnents of Article II of Chapter 353 of the Suffolk County Code Suffolk County Living Wage Form LW-%eathtlod"Suffolk Tib contract la subject to the lAwfbl Ihring of Bmployces County Departrimg of Labor—Livlag Wage Unit Notice of Law of the County of Sultblk.It provides that all covered Appibatlon for County Conipenaation(Contract)" employers,(as deBnod�and the owners th�as the one may be,that aro reolplemb of compeooation ficin the Page 14 of 16 Rev.3/=015;Law No. 15-FS-026 Reimbursement for Plan/Grant Deliverables County through any grant,loan,subsidy,funding, sheeta/regimeMog books to Indicate their preacnee on the appropriation,payment,tax Incentive,contract site during such working hours subcontract,lloorm agroement,low or other flnanclal oomponaitton agreement issued by the County or an Rwhvd Forms. awarding agoticy,where such compensation Is one hundred peroomt(100%)fended by the County,shall submut a suffblk County Lawful Ming of&mployces Law Foran completed sworn affidavit(under ponatty of MurA the LHE,1,ontltlod"Suffblk County Department of Labor— forin of which is attached,certifying that they have Notice Of Applies4on To Certify Compltw=With Federal complied,In good Adth,with the roqutremomts of We 8 of Law(8 U S C,Section 1324a)With RcepoetTo Lawful the United States Code Section 1324a with respect to the hiring of Employees Wring of covered employees(as defined)and with respect to the alien and nationality status of the owners then oof, SuffolkCounty Lawful Hiring of Employees Law Foam Tho affidavit"be executed by an authorized LHS-2,entitled"Affidavit Of Complumoo With Tho reproaomtatfvo of the covered employer or owner,as the Requirements Of 8 U S,C SooUon 1324a With Respect To cue may N6 shall be part of any executed eontrnok Lawflrl Hiring Of Employees" subcontract,licaaao agreement,lease or other financial compensation agrcomeat whtr the County,and shall be S. Gratuities made available to the public upon requost n ahaA be the duty of the Contractor to read,become All contractors and suboonhaators(as defined)of covered famillar with,and oanply with the rem of C qft employers,and tho owners thereof;as the vasa may be,that 664 of the Suffolk County Code ars assigned to pwbm work in oomncatlon with a County contract,subcontract,license agreomtomk low or other The Contractor represents and warrants that it has not flnand*l c oraponafton agreement Issued by tho County or offtrod or given any gisfmlty to any official,employee or awarding agency,v+h=tuoh eompeusation Is one hwWrod agent of the County or the State or of any political parry, pormnt(100%)flntded by the County,shall submit to the crib the purpose,or mtant of scouring art agreement or covered employer a comiplotod sworn affidavit(under securing favorable troatmert with rstpeot to the awarding pooatty of perjury the form of wbich Is attached, or amending of on Bgreemaent or the making of any oertilying that they hzve complied,in good Nth,with the determinations with respect to the pot*rm wm of an rogttlromonts of Iltle 8 of the United Smtos Code Section agreement 1324a with roepeot to the hiring of covered employees and with respect to the alm and manonatity status of the 6. PmbibFtion Agalvd Contracting with owners tho roof,aS the ease may be The affldavtt shall be Corporations brat Rolmeorpornte Overseas executed by an authorized reprosarutativo of the combustor, subcortftutor,or owner,as the cuss may be,shall be part of It shalt be the duty of the Contractor to road,become my imomed contract,subcontract,liconso agroansent,low familiar with,and comply with the requirements of sections or other ftnruxdal cwmpoundon agreement batwm the A4-13 and A4-14 of A tWo IV of the Suffblk County covered omployor and the County,and shall be made Code available to too public upon request The Contractor represents that it Is In eomplianoe with An updated affidavit shall be submitted by each such sections A4-I3 and A4-14 of Article IV of the Suffolk employer,owner,contractor and subooriftctor no lata County Code Such law provides that no contract far than January 1 of cash year for the duration of any contract consulting servicos or goods avid sarvroes shall be awarded and upon the renewal or amendment of the Contract,and by the County to a bushiess previously Incorporated within whonaver a new contractor or subeontraotor Is hired under rho U 8 A.that has mnoorporstod outside the U 8 A. the tams of the Contract. 7. Child Sexual Abuse Repointing Polley T710 Contractor acknowledges that such filings aro n material,oornraatual and statutory duty and that the Auluro It shall be the duty of the Contractor to rand,boconte to file any suoh atatemxeit shall constitute a material broach fhmiliar with,and comply with the roquirarm u of Article of the Contract II of Cfiinpter 880 of the Suffolk County Code. Under the provisions of the Lawful Hiring of Emptoyow The Contractor shall comply with Article IT of Chapter 880, I.aw,the County shall have the authority to tomil to the of the Suflblk County Code,entitled"Child Sacual Abuse Contract for violations of this Law and to seek other Reporting Policy,"as now in of of or amended haval er or romedies available under the law of any other Suffolk County Local Law that may boeomo applloablo during the term of the Contract with regrud to The documentation mandated to be kept by this law shall at child sacral abuse roportmg policy all timet bo kept on site, Employee sign-ur sheets and rogisto flog books shall be kept on arta at all limo during 8. Non Responsible Bldder working hours and all covered employees,as defined in the law,shall be rogmred to sign such sign.in It 3ba4 be tho duty of the Contractor to read,become Page 16 of 16 Rev.3/12/2015; Law No. 15-FS-M Rcuubursement for PIWGrant Deliverables knuiiar with,and comply with the requiramonta of Article II of Chapter 189 of the Suffolk County Coda if the Contivotor is a not-for-profit or govommontal agency or msnnrtlon,each of the Contractor's k►aRlons in the Upon signing the Contrac4 tho Contractor cortfics that It County at which the Sot Am aro provided shall be it work has not been convicted of a aminal oftbaso within the hist atto ibr publiaandstanco clients of Suffblk County pursuant ton(l0)years, The tam"conviction"shall mini a finding to Chapter 281 of the Smh!lblk County Code at all linos of guilty attar a trial or a plea of gunty to an oflbase during the Term of the Contract Uno Momoraadmmn of covered under section 189.3 of the Suffblk County Code Understanding("MOU'with the Suffolk County under"Nonrosponaiblo Bidder" Dopartmont of Labor for work experience is m effect at the beginning of the Term of the Contract,the Contractor,d Lt 9. Use of Farads is Prosecution of Civil Aofiom Is a notthr`profit or yovommontal agency or institution, Probibited shall outer tato such WU as soon as posahblo attar the cxocution of the Contract mad facture to enter into or to It shall be the duty of the Contractor to road,b000me penton In acco farm with such MOU shall bo doomed to fluailiar with,and comply with the rmplremonts ofArtlolc be a WIM to perfbrnr Ic acoordanco with the Contract,flan III of Chapter 893 of the Suffolk Comity Coda which the County may withhold payment,tarabu to the Contract or oxerorse such other remedies as may be no Contractor shall not use any of the morays,in part or epprolmeto m the c roumstanccs In whole,and either directly or Indirectly,reooived under the Contract is connootlon with the prosecution of any civil M Safeguarding Personal ia8sroaton of Mmon action ogst=the County in any jurbOoton or any judicial or admiiistradw foram it shall be the duty ofthe Contractor to road,beoome bmilrar with,and comply with the requirements of Suffolk Comity 10, Youth Sports Local Law No 20-2013, a Local Law to Safeguard the Pasonal Innxru=of Minora m Suffolk County It shall be the duty of tate Contactor to read,b000me All ooahtract agencies that provide,services to minora aro familiar with,and comply wM AMolo III of Chapter 730 of ro4WW to pmt the privacy of the minors and an strictly the Suffolk County Code ptohnbitad gram wMag or otberwlse providing to any third All mottnact egonates that conduct youth sports programa pwly,in any maz>na whataoovar,the personal or kknt*tng are required to develop and maintain a written plan or raformatloa of any minor participating in their programs policy addressing inchdmu of possible or actual concusdon or other head Nudes among sports program participants Such plan or policy must be mbra tted prior to the award of 13. Suffolk County Local Laws Websits Address a Courtly contract,Want or ftWfng apt of such plan or policy by the Comity does act mprow approval or Shcblk County Loom Lawn,Rules and ondoraomeri of any such plan or policy,nor aball the aunty can be County be subject to any liability to concoction with any aogwsodat on mho homepage of the Suffolk County such plan or policy I'e8� 0 End of Text for Ehthib#t Z 11. Work Xxpsrhucs Partadpatfon Page 16 of 16 Steven Bellorte Samuel Chu Suft'dk County Exewgve Comm6sloner SUFFOLK COUNTY DEPARTMENT OF LABOR,, LICENSING &CONSUMER AFFAIRS LIVING WAGE CERTMCATION/DECLARATION—SUBJECT TO AUDIT If either of the foliowing denaideas of eompeasation'(Living Wqe Law Chapter$75—2)applies to the eoatraetort/reciplent's busfuess or transaction with Suffolk County,the contractorAvcipWa must complete 3eetlow 113,4 belovn and Foran LW-1(Notke of Application for Chanty Cotnpasxdon� If the toliowing dsd>nidorn do not apply,the oontractor/redpimt mat complete Section 2,3 and 4 below, ComnpleW forms most be sabmitted to the awarding ageney "Any dant,loan,tax Incentive or abatement,bond financing subsidy or other form of oompensation ofmorethanS50,000 wtuch Is rostmod by or provided to an employer of at least ten(10)ompJoyeos by or through the authority or approval of the County of Suffolk,"or "Any servioe,contract or subcontract let to a contractor with ten(10)or more employees by the County of Suflblk for the finishing of aerAm to or for the County of Sufiolle(e)(cept eonhxots where services aro laddental to the delivery of products, equipment or oommodlues)whloh involve an wgmdit=oqual to or greater than$10,000 I or the purposes of tlds definition,the amouat of cxporadl m fbr more eontraat fon the same service shall be aggrogated A eontraot for the purchase or lease of goods,products,equipment, supply other property Is not'oornponsaabon'for tato purposes of firs deflnttion" Section I c.u,*if The Llvtng Wage Law applies to thin contract. INM hereby agree to comply with all the provisions of Suffolk County "4-bk Local LawNo 12-2001,the Suffolk County Lhft Wage Law(the Law)and,as such,wall provxie to ail M!,pert-time or wmponuy anploYod pmwm who peffbrm work or reader=vices on or for a proj oat,matter,contract or subcontract whore this company has received oompeaaatlon,from the County of Suffolk as deflued In the Law(oornpensation)a wage rate of no leas than$1191($9.25 for child care prvMers)per hour worked with health bmefld,as described 1n the Law,or odwwiso$13 36($10,50 for child caro Providers)per hour or the rates as may be 4ustod amuaaily In accordance with the Law.(Chapter 575-3 B) I/VM Rather agree that any tenant or leaseholder of this company that employe at least ten(10)persona and oompies pr operty or uses eNulpmcnt or property that Is Improved or developed as a reach ofoow9eruahon or any contractor or subcontractor oftbis oompany that oanploys at least ter(10)persona In producing or providing goods or servteos to this company that are used in the project or matter for which thin company has racoivod compensation sltsll comply w)th ail the provWous of the Law, Including those spoclfied above,(Chapter$75.2) live Atrdw agree to permit novena to work altos and relevant payroll records by authorized County representetivos for rho purpose of monitoring compliwoo with regulations under this Chapter of the Suffolk County Code, bnT3 iga*employee complaints of noncompllartco and evaluating the operation and effects ofthis Chapter,Including the production lbr Inspection©ing ofpayroll records for any or all employees for the term of the contract or for five(5)years,whhehover period of compliance Is longer, All payroll and benefit records required by the County will be maintained for hnspoohoa for a similar porlod ofd= (Chapter$75-7 D) Tho Suffolk County Department of Labor,Lhoensing&Consumer AM=shall review the records of any Covered Hmployer at losat oace avert'three Yom to vor*oomplianee with the provisions of the Law, (Chapter 575-4 C) F-1 Socdon II The Llvtng Wage Law does not appy to Oda ooatraot for the followrmg mtson(s)- Chock If apIjko* Section III Contractor w Federal Employer ID# Contraotor Address Amount ofoompmrsndon 'c 3 CO- or, ( r` vendor#, / Conuutorphon # Descxrptionofp%}ootorswvloo, `— I a.( rl Section IV I declare under penalty of perjury under the Laws of the Stats of Now York that the undersigned ra authorized to provide this 0edfication,and the above is and correct, Autho Dano S (sof print Namo and o of A Reprei DOL-LW38(nvlud ION) Steven Bellone Samuel Chu Suffolk OD+ntY Exeative 19 Commissloner SUFFOLK COUNTY DEPARTMENT OF LABOR,LICENSINt3, Sc CONSUMER AFFAIRS NOTICE OF APPLICATION TO CERTWV COMPLIANCE WITH FEDERAL LAW (8 U.S.C,SECTION 1324A) WITH RESPECT TO LAWFUL HIRING OF EMPLOYEES Suffolk County Code,Chapter 353(2006) To Be CompleW By AppUmut/Covered Employer/Owner EMPIAYBR/CORP/ BUS1141MCOMPANY NAME: So5:�±6oL ADDRE .- D. n - NOT-FOR-PROFIT: 'YES NO (Submit Proof of IRS Not-for-P rftt&atua} VENDOR#(,f known): CONTRACT ID(gn): CONTACT: ` TEL O 4#: — E TERM OF CONTRACTOR EXTENSION(PROVIDE DATES): t 1h BRIEF DESCRIMON OF COMPENSA ON,PR O SERVICE ral f lob L4 Cour s><rBCONTRA ADDRESS: VENDOR#: TELEPHONE M �^ CONTACT: DESCRIPTION OF COMPENSATION,PROJECT OR SERVICE: RVIDENCE OF CO I,,IANC�E• Copies of the following must be maintained by covered employers or the owners thereof for each employee for the time periods set forth in Suffolk County Code, Section 353-14(A): A. United States passport;or B. Resident alien card or alien registration card,or C- Birth eerdfieate indiOwn that person was born in the United States,or D. (1)A driver's license,if it contains a photograph of the individual,and (2)A social seciuity account number card(other than such a card which specifies on its face that the issuance of the card does not authorize ernployment In the United States),or E. Employment authortzatlon documents such as an H-1B visa,H-213 visa,and L-1 visa,or other work visa as may be authorized by the United Status Government at the tune the County contract is awarded for all covered employees DOL- LHL:-I (revised 4/13) Sbeven Belkxle Samuel Chu SufYblk County ewia a Commissioner SUFFOLK COUNTY DEPARTMENT OF LABOR, LICENSING &CONSUMER AFFAIRS AFFIDAVIT OF COMPLIANCE WITH THE REQUEUMONTS OF 8 U.S.C.SECTION 1324& WITH RESPECT TO LAWFUL RMING OF EMPLOYEES State of New York ) County of _SS being duly sworn,deposed and says: (Print Name of Doponent) 1, I am owner orized representative f 1�tit' 5,�6r d (Circle one (Naive of Corp,Business,Company) 2 1 oerh fy that I have complied,In good faith,with the requiromonts of Title 8 of the United States Code (U.S.C)section 1324a(Aliens and Nationality)with respect to the hiring of covered employees and wf$i respect to the alien and nationality states of the owners theroo�as set forth in Suffblk County Coda Chapter 353(2006) Z'44AA� (Signature of Deponent) Sworn to bafom me this 11d day of�c�/1 f 20-15- �l (N Publlc) MICHELLE L TOMASZEWSKI NOTARY PUBLIC-STATE OF NEW YORK No 01T06156671 Qualified In Suffolk County My Commlulon LOM NOVOMW 27, 2018 DOL L403.2(mybW 4/13) Steven Bellone Samuel Chu SuflM County L3tecutive ComrNssloner SUFFOLK COUNTY DEPARTMENT OF LABOR,LICENSING &CONSUMER AFFAIRS R0.Box 6100,Hauppauge,NY 11788-0099 (631)853-4600 FAX(631)853-464 UNION ORGANLU NG CERTH ICATTONMECLARATION-SUBJECT TO AUDIT If the following deSnitlon of"Conuty Contr actor"(Union Oreaublu lAw Chapter 803)applies to the co><traetor's/boaefldary's basiuen or tramaetion with Suffolk County,the contractorAmendary must Complete seer om I,Ili, and IV below, If t>ke fbllowh:g deflnitioms do not apply,the centmotor/bonendary mut complete Sections II,III and r'V below Completed dorms must be submitted to the awarding agency. Cc"Contractor."Any employer that reoolvo morn than$30,000 in County Ands for supplying goods or services pursuant to a written contract with the County of Suffolk or ay of its agawies,pursuant to a Suffolk County grant,pursuant to a Suftbilt County program, pursuant to a Suffolk County relmburmenmW for services provided In any oalatdar ye ,,or pursuant to a subcontractwith any of the above," section I The Union Organizing Law appUts to this contract Vwe hereby agree to comply with all the provisions of Suffbik County Loom Law No 26-2003,the Suffolk County Union Organlang Law(the law)and,as to the gooda and/or services that aro the subject of the contract with the county of Suffblk shall not use County Amds to usist,promote, or deter union Check If otganlzing(Chap<tmIlW),nor seek reimbursement ftm the County fbr coats Incurred to assist,promote,or dela union Applicable organizing, VM fatha agree to take all action neowary to ensure that County funds are not used to assist,promote,or doter union I/we Author agree that 1/we will not use County property to hold meetings to aulst,promote,or deter union organizing, Vwve Awthor OV=that If any expondWmoa or costs hound to assist,promote,or doter anion orgmIzIng are made, Uwe wail maintain records sufflciem to show that no County finds wore used ford=wtpmdrt w and,as applicable,that no reimbursement firm County funds baa been sought for such costs. Vwo agree that sacb r000rda shall be made available to the pertinent County agency or wAorlty,the County Comptroller,or the County Deputment of Law upon roquaat IAMB Author affirm to the fbtlowrng as to the goods and/or sorvlcoa that are the=Wcct of the contract with the County of Suffolk: • Vwe will not express W employees any false or misleading hdbrmadon that Is intaded to Influ circ the detorminadon of employee preferences regarding union reprowntwon; • Vwe will not 000roo or intimidate employees,oxplidtly or Implicitly,In w4coting or not seloating a bargaialag repraacatat1 , • Vwe wW not require an employee,lydlAdually or In a group,to attend a meeting or an event that is intended to influu noe his or her dedafon in scleodrig or not selecdng a bargaining ropreseutovo; • Vwo understand my/our obligation to limit disruptions caused by pre-reoognition Labor disputes through the adoptcou of non-oDatmMdonal pr000dures for the rasoluttm ofprojecognition labor disputes with atnployees engaged in the production of goods o the rendering of swWoes for the County,and • Uwe have or wdl adopt any or ail of tho abovogvfbrenoed prooedures,or their fimotionat equlvalen4 to ensiu the of ant,tidy,and quellty provWon of goods and worvkes to the County Vwo shall Include a Ha of sold prooeduroa in auoh certMoatlon Section II nThe Union OrganlanY Law does not apply to thio contract for the following roason(a); Cheek if Applicable Section M Contractor Name, ---roW r l 0� 7 C7Federal Eraployor D# Contractor Address, --_ 1 Z q AmorartofAss<sUmm X70 Ld.�., Contractor Phome#- C23 '7 S— (S C? DesoripUon of project or mvioc Seedon ry In the VMt.any prat of the Unlon Orpniaing Law,Chapter 466 of the Laws of Suffolk County, is Rwad by a oourt of competent iurisdiotion to be preempted by Moral and/or auto law,thus omUoation/dooiaration shall be void ab tnitlo, W sectfon v I declare ardor PMZYofpequry under the Laws ofdw Stabs ofNew York that the umdat3ped is authorized to provide thra cartaficwtron, and that the ab tare and to Authorized Sibr&ure Date c l.f Print Nano and True of zed DOL-wi 3m 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 witl be paid by or on behalf of the undersigned, to any person for Influencing or attempting to IMiuenoe "Wagon or appropriation actlona pending before boat, State and Federal executive and/or leglsladvs bodies in connection with the awarding of any oontraot,the making of any grant, the making of any loan, the entering Into of any cooperative agreement, and the extensfon, continuation, renewal, amendment, or modification of any contract,grant,loan,or cooperative agreement. 2 If any funds other than State of Federal appropriated funds have been paid or will be paid to any person for Influencing or attempdny to Influence legislation or appropriation actions pending before local, State and Federal executive and/or legislative bodies In connection wkh this contract, grant, loan or cooperative agreement, the undersigned shall complete and submlt Standard Form LLL, 'Disclosure Form to Report Lobbylngu,In accordance with Its Instructions 3 The undersigned shall require that the language of this certeficatbn be Included in the award documents for all sub-swarde at all tiers (Including subconbwU, subgranta, and contracts under grants, loans, and cooperative agreements) and that all subreciplents shall certify and dlsobae accordingly This cwMcatfon Is a material representation of fact upon which reaanoe was placed when this transactlon was made or entered into Submission of this cerdflcation Is a prerequisite for making or entering Into this transaction Imposed by Section 1382,Title 31,U.S.Code Failure to ft the required cert floation shall be subJect to civil penalty by the Federal government of riot less than$10,000 and not more than$100,000 for each such failure Provider. G tj Agreement Number Sign: a Nams c Title- Date, (all �j �T Page 1 of 1 I Steven felon 6 Samuel Chu Suffdk County Executive9 Commissloner SUFFOLK COUNTY DEPARTMENT OF LABORr LICENSING &CONSUMER AFFAIRS NOTICE OF APPLICATION FOR COUNTY COMPENSATION (Contract) Living wage Law, Suffolk County Coda,Chapter 575(200 1) To Be Completed By Applicant/Bmployer1Conirador 1) NAME: 2) VENDOR M. 3)CONTRACT ID#: (If known) (If known) 4) CONTACT: �' (� 5)TELEPHONE#: . 63 6-5-- 6) -5 6) ADDRESS: f7 7 7) TERM OF CONTRACT(DATES): S"" % to�l��X`� 8) PROJECT NAME; (W DIFFERENT FROM#1) 1 9> AMOUNT: ,,—30D, 00 10)AWARDING AGENCY: 11)BRIER DESCIMMON OF rROjYdCT OR VI 12)PROJECTED nVLOYMENT NEWS: Attach a statement lasting,by Job elassaficadon,the total workforce dedicated to perfbrmmg this contract or service, including ealeuMon of est mated net Increase or decrease in lobs as a result of f ndmg) /,I,- s .5 i '5 -(mac. /r/- E� Ss ,`�r a ,,- 13)PROJECTED WAGE LEVELS: Attach a statement!:slang 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). cr� 0 /c/cvry tAA � P G{� �'� � o C� ��(.1•�f- AOL LW-1(rwxcd 4/t3) t