Agreement - YMCA of Silicon Valley - CDBG CARES Act Healthy Meal Delivery Program - Signed 2023-01-11City of Gilroy
Agreement/Contract Tracking
Today’s Date: December 7, 2022 Your Name: Sandra Nava
Contract
Type:
Other (Non-Standard contracts
must be reviewed by the City
Administrator prior to initiating)
Phone Number: 408.846.0290
Contract Effective Date:
(Date contract goes into effect)
7/1/2022
Contract Expiration Date: 3/31/2023
Contractor / Consultant Name:
(if an individual’s name, format as
last name, first name)
YMCA of Silicon Valley
Contract Subject:
(no more than 100 characters)
CDBG CARES Act Healthy Meal Delivery Program
Contract Amount:
(Total Amount of contract. If no
amount, leave blank)
$107,668
By submitting this form, I confirm
this information is complete:
➢Date of Contract
➢Contractor/Consultant name and complete address
➢Terms of the agreement (start date, completion date or “until
project completion”, cap of compensation to be paid)
➢Scope of Services, Terms of Payment, Milestone Schedule and
exhibit(s) attached
➢Taxpayer ID or Social Security # and Contractors License # if
applicable
➢Contractor/Consultant signer’s name and title
➢City Administrator or Department Head Name, City Clerk
(Attest), City Attorney (Approved as to Form)
Routing Steps for Electronic Signature
Risk Manager
City Attorney Approval As to Form
City Administrator or Department Head
City Clerk Attestation
Sharon Goei, Community Development Director
DocuSign Envelope ID: E2830111-9D2E-44BC-8E5F-0CBBB247BF80
-1- 4845-8215-5540v1
MDOLINGER\04706083
FIRST AMENDMENT TO AGREEMENT WITH YMCA OF SILICON VALLEY
WHEREAS, the City of Gilroy, a municipal corporation (“City”), and YMCA of Silicon
Valley, a California non-profit public benefit corporation (“Corporation”), entered into that certain
agreement entitled CDBG CARES Act Healthy Meal Delivery Program Agreement, effective on
September 21, 2021, hereinafter referred to as “Original Agreement”; and
WHEREAS, City and Corporation have determined it is in their mutual interest to amend
certain terms of the Original Agreement.
NOW, THEREFORE, FOR VALUABLE CONSIDERATION, THE PARTIES AGREE AS
FOLLOWS:
1. Paragraph 2 in the “Witnesseth” section of the Original Agreement shall be amended to read as
follows:
WHEREAS, CITY has agreed to the use by CORPORATION of funds from CITY’S CDBG
CARES Act allocation (CDBG-CV), in an amount not to exceed One Hundred Seven Thousand,
Six Hundred and Sixty-Eight Dollars ($107,668), during the time period July 19, 2021 through
March 31, 2023 for the purpose of implementing the CDBG CARES Act Healthy Meal Delivery
Program (hereinafter “PROGRAM”) as more particularly described in Exhibit A, Scope of Services,
Exhibit B, Performance Measures/Numeric Goals, and Exhibit C, Budget, which PROGRAM
shall be operated within CITY and shall primarily benefit low and very low income households who
have been impacted by COVID-19 as described herein.
2. Exhibit “B” (Scope of Services) of the Original Agreement is hereby added with the attached
Exhibit “B”.
3. Exhibit “C” (Budget and Attachment to Exhibit C Direct Cost Plan) of the Original Agreement
is hereby added with the attached Exhibit “C”.
4. This Amendment shall be effective retroactively on July 1, 2022.
5. Except as expressly modified herein, all the provisions of the Original Agreement shall remain
in full force and effect. In the case of any inconsistencies between the Original Agreement and this
Amendment, the terms of this Amendment shall control.
6. This Amendment may be executed in counterparts, each of which shall be deemed an original,
but all of which together shall constitute one and the same instrument.
IN WITNESS WHEREOF, the parties have caused this Amendment to be executed as of the
dates set forth besides their signatures below.
CITY OF GILROY YMCA OF SILICON VALLEY
By: By:
Signature Signature
Jimmy Forbis Jim Hori
Employee Name Name
City Administrator President / CEO
Title Title
DocuSign Envelope ID: E2830111-9D2E-44BC-8E5F-0CBBB247BF80
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MDOLINGER\04706083
Date: Date:
Approved as to Form ATTEST:
City Attorney City Clerk
DocuSign Envelope ID: E2830111-9D2E-44BC-8E5F-0CBBB247BF80
12/13/20221/11/2023
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EXHIBIT B
CITY OF GILROY
PERFORMANCE MEASURES/NUMERIC GOALS FOR FY 2022-2023
1.01 Unduplicated Participants.
Proposed total number of unduplicated participants to be served by this PROGRAM only.
For purposes of this Agreement, UNDUPLICATED PARTICIPANTS shall be defined as
participants who receive services at least once a year but who may not be counted more than
once in that year. CORPORATION shall retain records documenting eligibility. Such records
shall include family size, total household income, female head of household, race, ethnic,
disability data, and date eligibility was determined.
Unduplicated
Participants
Quarter 1 Quarter 2 Quarter 3 Quarter 4 Total
40 60 40 140
1.02 Activities and Outputs (numeric product of activities)
Throughout the term of this Agreement, CORPORATION shall provide the following services
below to participants during the following days and times:
The primary purpose of the Healthy Meal Delivery Program is to conduct the preparation and
dropping off of fully cooked meals to homebound Gilroy seniors who are unable to drive, walk
or make arrangements to pick up meals due to lack of transportation, physical challenges,
recuperation after recent hospitalization, medical issues, or are quarantined due to having
Covid-19 or being exposed to Covid-19. Having meals prepared and dropped off daily to their
homes will help these seniors remain healthy, continue social distancing, maintain their
independence, retain their dignity, and stay safe due to medical vulnerabilities during the
pandemic.
Monday-Friday 11am-1pm meal delivery
July 30, 2022- March 31,2023
40 meals per day Q1
60 meals per day Q2
40 meals per day Q3
Briefly describe activity (e.g. meals, emergency shelter, etc.) and unit of service (e.g. number of meals
served, number of shelter nights. Indicate the proposed quarterly output goal (e.g. # of meals, #of
persons served, etc.).
Activity 1: Meals Distributed
Unit of Service = Number of meals distributed to homebound Gilroy seniors
Quarter 1 Quarter 2 Quarter 3 Quarter 4 Total
Output
Goal 2560 3120 1,680 7,360
DocuSign Envelope ID: E2830111-9D2E-44BC-8E5F-0CBBB247BF80
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EXHIBIT C
CITY OF GILROY
BUDGET
Agency Name: YMCA of Silicon Valley
Program Name: CDBG-CV Healthy Meal Delivery Program
PROGRAM BUDGET SUMMARY (July 1 – June 30) Provide City of Gilroy grant income and expense information for services
to Gilroy residents only, provided solely through this grant.
Total
Annual
Jul. -
Sept.
Oct. -
Dec.
Jan. -
Mar.
Apr. - June
INCOME - Gilroy Grant 40,889.76 17,852.13 18,207.98 12,138.65
Expenditures – Gilroy Grant
Total Annual
Jul. - Sept.
Oct. - Dec. Jan. - Mar.
Apr. - June
Salaries 36,032.47 13,258.04 13,664.66 9,109.77
Fringe Benefits 5,182.87 1,994.45 1,913.05 1,275.37
Supplies
Communications
Printing and Advertising
Travel 2,601.72 976.72 975.00 650.00
Occupancy
Utilities
Insurance
Equipment / Equipment Rental
Audit/Legal/Professional Services (for
CDBG/HTF portion only)
Direct Services (Specify if funding is for
specific service such as meal, ride)
Contractual Services, specify
Other, specify (i.e. participant incentives,
fingerprinting costs, etc.) 4,381.70 1,622.92 1,655.27 1,103.51
Total Gilroy Grant Expenditures 48,198.76 17,852.13 18,207.98 12,138.65
DocuSign Envelope ID: E2830111-9D2E-44BC-8E5F-0CBBB247BF80
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Attachment to Exhibit C
Direct Cost Plan
Agency Name: YMCA of Silicon Valley
Program Name: CDBG-CV Healthy Meal Delivery Program
Direct costs are those that can be identified specifically with a funding source.
Only allowable costs in accordance with 2 CFR Part 200 are billable to the Gilroy grant.
For each line item cost listed on Exhibit B, describe the methods and procedures used by your
agency to bill this grants costs to the City of Gilroy.
Provide Cost Center/Grant Code used to track grant revenue and expenditures: Cost Center
1818 tracks revenue and expenditures for this grant.
2022-2023 grant
budget line item
Describe methodology used to arrive at cost billed Comments
Salaries
Fringe Benefits
Travel
10% Deminimis
Indirect Cost Rate
Staff salary billable for direct client services is
calculated based on actual hours worked reflected on
time sheets and payroll documents.
Payroll Taxes are 7.65% of taxable wages. SUI is
.007% of wages, workers comp. rate varies for these
employees from .019 to .042 of wages, retirement is
10% of wages for qualified employees. Maximum
contribution for dental is $15.50 and medical is
$282.50. Life and LTD coverage vary for qualifying
employees depending on salary and 100% is paid by
YMCA. All these expenses run through ADP and
remitted via EFT. The amount remitted is a combined
total of employer cost plus employee shared cost.
Travel will be charged based on actual miles travelled
at the appropriate rate.
Overhead is charged using the HUD approved 10%
deminimis indirect cost rate.
DocuSign Envelope ID: E2830111-9D2E-44BC-8E5F-0CBBB247BF80