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AGENDA STAFF REPORT
°4 IFQRN�P'.
DATE: April 25, 2016
TO: Honorable Mayor and City Council
THRU: Jill R. Ingram, City Manager
FROM: Jim Basham, Interim Director of Public Works
SUBJECT: SENIOR MOBILITY PROGRAM
SUMMARY OF REQUEST:
That the City Council adopt Resolution 6634 approving the Agency Service Plan
with the Orange County Transportation Authority.
BACKGROUND AND ANALYSIS:
Orange County Transportation Authority (OCTA) has a program that offers
transportation services to seniors. These services include Dial-A-Ride, Orange
County Transit District and Consolidated Transportation Services Agency. In the
1990's, OCTA developed a program called the Senior Mobility Program in which
local agencies are provided with grant funds to operate their own bus program.
The idea behind the program is for each municipality to structure their own
program which caters to the needs of each respective community.
The City of Seal Beach secured this grant funding and has been successfully
operating the program for the past 20 years with the existing Cooperative
Agreement number C-1-2487 (refer to Attachment C). Cooperative Agreement
Number C-1-2487, dated June 27, 2011 was presented and approved by City
Council at the May 9, 2011 meeting.
Recently, OCTA has contacted all participating agencies in the Senior Mobility
Program informing them that they are in the process of renewing the Cooperative
Agreements. As part of the renewal process, OCTA requires all agencies to
adopt a new Agency Service Plan prior to adopting a new Cooperative
Agreement (refer to Attachment B). Once the Service Plan is approved by the
City, OCTA will prepare an updated Cooperative Agreement and formally submit
to the City of Seal Beach for City Council approval.
Agenda Item G
ENVIRONMENTAL IMPACT:
There is no environmental impact related to this item.
LEGAL ANALYSIS:
No legal analysis is required for this item.
FINANCIAL IMPACT:
There is no financial impact. The City annually receives an estimated $70,000
from OCTA as part of the Senior Mobility Program.
RECOMMENDATION:
That the City Council adopt Resolution 6634 approving the Agency Service Plan
with the Orange County Transportation Authority.
S MITTE BY: NOTED AND APPROVED:
•A 1! . i& it Ma
J m Basham Jig. Ingram, City Ma 41ver
Interim Director of Public Works
Prepared by: Michael Ho, Dep. Dir. PW/City Engineer
Attachments:
A. Resolution 6634
B. OCTA Senior Mobility Program Service Plan
C. Existing COOP C-1-2487 between OCTA and City of Seal Beach
Page 2
Attachment "A"
RESOLUTION NUMBER 6634
A RESOLUTION OF THE SEAL BEACH CITY COUNCIL
APPROVING AGENCY SERVICE PLAN WITH THE ORANGE
COUNTY TRANSPORTATION AUTHORITY REGARDING THE
SENIOR MOBILITY PROGRAM
THE SEAL BEACH CITY COUNCIL DOES HEREBY RESOLVE:
Section 1. The City Council hereby approves the Agency Service Plan between
the City of Seal Beach and Orange County Transportation Authority.
Section 2. The City Council hereby authorizes the City Manager to execute the
Agency Service Plan.
PASSED, APPROVED AND ADOPTED by the Seal Beach City Council at a
regular meeting held on the 25th day of April , 2016 by the following
vote:
AYES: Council Members
NOES: Council Members
ABSENT: Council Members
ABSTAIN: Council Members
Sandra Massa-Lavitt, Mayor
ATTEST:
Robin L. Roberts, City Clerk
STATE OF CALIFORNIA }
COUNTY OF ORANGE } SS
CITY OF SEAL BEACH }
I, Robin Roberts, City Clerk of the City of Seal Beach, do hereby certify that the
foregoing resolution is the original copy of Resolution Number 6634 on file in
the office of the City Clerk, passed, approved, and adopted by the City Council at
a regular meeting held on the 25th day of April , 2016.
Robin L. Roberts, City Clerk
Attachment "B"
rnSenior Mobility Program
OCTA Agency Service Plan
Jurisdictions and agencies participating in the Orange County Transportation Authority
(OCTA) Senior Mobility Program (SMP) must complete the following Service Plan in order to
receive SMP funding. The Service Plan must be developed in accordance with SMP
Guidelines,included as Attachment 1, and submitted to OCTA for review. Upon review from
OCTA,the Service Plan must be formally adopted by the agency's council or governing body
and approved by the OCTA Board of Directors. Any modifications to SMP services will
require submittal of a new Service Plan.
Participant Information:
Agency City of Seal Beach Date 3/28/16
Program Contact Michael Ho, Dep. Dir. PW/City Engineer Phone (562) 431-2527 x1322
Email mho @sealbeachca.gov
Service Description:
1. Program goals and objectives:
To provide safe, reliable and timely transportation for the seniors of the City of Seal
Beach.
2. Indicate how SMP service will be operated: (Please check all that apply)
✓ Directly-Operated Subsidized Taxi Program
✓ Contract Service Provider Other (Please Describe)
✓ Volunteers
3. Eligible trips provided under the SMP are limited to the following categories. Please
indicate the categories of service to be provided by your program: (Please check all
that apply)
✓ Senior Center 1 Personal Care
• Nutrition ✓ Shopping
✓ Medical Social/Recreation (Please Describe)
4. SMP Guidelines restricts trips outside of Orange County to medical trips within
approximately 10 miles of the Orange County border. Do you intend to provide medical
trips outside of Orange County?
Yes 0 No
If yes,please list the trip purpose and destinations: (e.g., medical trips to the VA Hospital
in Long Beach)
The trip purpose is for medical and destinations are for medical related ie doctor's
office and hospital in Long Beach.
5. Fare structure:
None. Seal Beach residents are free.
6. Number of vehicles:
2
7. Projected annual ridership:
12,000
8. Source(s) of 20 percent match funding:
AQMD, General Fund and Private Party
Program Requirements:
1. Jurisdiction/Agency shall follow competitive procurement practices in selection of vendors for
all services which it does not provide using its own work force. Any Request for Proposals (RFP)
for services shall specify the use of vehicles meeting Americans with Disabilities Act (ADA)
accessibility standards.
2. Jurisdiction/Agency will perform, or ensure that a contracted vendor performs, maintenance of
all vehicles used in the Senior Mobility program,including,at a minimum:
a) Daily Pre-Trip Inspections that meet or exceed the guidelines provided in the attached
Pre-Trip Inspection Checklist(Attachment 2)
b) Scheduled preventative maintenance that meets or exceeds the guidelines provided in
the attached PM Checklist, including the maintenance of all accessibility features of the
vehicles.
c) Maintain maintenance records for each vehicle for five (5) years and, if required,
cooperate fully in annual motor coach carrier terminal inspections conducted by the
California Highway Patrol.
3. Jurisdiction/Agency will ensure that its operators, or its contracted vendor's operators, are
properly licensed and trained to proficiency to perform duties safely, and in a manner which
treats its riders with respect and dignity.Disability awareness and passenger assistance will be
included in this training.
4. Jurisdiction/Agency will establish and implement an alcohol and drug program that complies
with 41 U.S.C. sections 701-707, (the Drug Free Workplace Act of 1988), and will produce any
documentation necessary to establish its compliance with sections 701-707.
5. Jurisdiction/Agency will submit a monthly report to OCTA's Community Transportation Services
Department as illustrated in Attachment 3.
6. Jurisdiction/Agency will participate in OCTA marketing and outreach efforts to encourage use of
fixed route transit service by older adults.
7. Jurisdiction/Agency will note OCTA sponsorship in any promotional material for service funded
under this agreement and will display an OCTA Senior Mobility Program logo on vehicles used in
this program (excluding taxis).
8. Jurisdiction/Agency will ensure that it maintains adequate oversight and control over all aspects
of services that are provided by a contracted vendor.
IN WITNESS WHEREOF,has formally adopted the Senior Mobility Program Scope of Work
as written above.
AGENCY REPRESENTATIVE OCTA REPRESENTATIVE
Name: Jill R. Ingram Name:
Title: City Manager Title:
Attachment "C"
• 41 - -
1 COOPERATIVE AGREEMENT C-1-2487
2 BETWEEN
3 THE ORANGE COUNTY TRANSPORTATION AUTHORITY
4 AND
5 THE CITY OF SEAL BEACH
6 FOR
7 SENIOR MOBILITY PROGRAM
8 THIS AGREEMENT is made and entered into this 27 day of -3u.ne , 2011
9 by and between the Orange County Transportation Authority, 550 South Main Street, P.O. Box 14184,
10 Orange, California 92863-1584, a public corporation of the state of California (hereinafter referred to as
11 "AUTHORITY"), and the City of Seal Beach,. 211 Eighth Street, Seal Beach, California 90740
12 (hereinafter referred to as"CITY"). Herein, AUTHORITY and CITY are sometimes individually referred
13 to as the"PARTY" and collectively as the "PARTIES."
14 RECITALS
15 WHEREAS, CITY is desirous of obtaining transportation services for seniors of the City of Seal
16 Beach; and
17 WHEREAS, AUTHORITY and CITY agree to enter into the Senior Mobility Program (SMP)
18 concerning senior transportation services; and
19 WHEREAS, this Cooperative Agreement defines the roles and responsibilities of AUTHORITY
20 and CITY in executing a Senior Mobility Program for senior transportation; and
21 WHEREAS, AUTHORITY and CITY agree to comply with all relevant elements of Orange
22 County Local Transportation Authority Ordinance No. 3; and
23 WHEREAS, AUTHORITY'S Board of Directors approved this Cooperative Agreement on
24 February 14, 2011;
25 NOW, THEREFORE, it is mutually understood and agreed by AUTHORITY and CITY as
26 follows:
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AGREEMENT NO. C-1-2487
1 ARTICLE 1. COMPLETE AGREEMENT
2 A. This Agreement, including all exhibits and documents incorporated herein and made
3 applicable by reference, constitutes the complete and exclusive statement of the term(s) and
4 condition(s) of the agreement between AUTHORITY and CITY and it supersedes all prior
5 representations, understandings and communications. The invalidity in whole or in part of any term or
6 condition of this Agreement shall not affect the validity of other term(s) or condition(s).
7 B. AUTHORITY's failure to insist in any one or more instances upon CITY's performance of
8 any term(s) or condition(s) of this Agreement shall not be construed as a waiver or relinquishment of
9 AUTHORITY's right to such performance or to future performance of such term(s) or condition(s) and
10 CITY's obligation in respect thereto shall continue in full force and effect. Changes to any portion of this
11 Agreement shall not be binding upon AUTHORITY except when specifically confirmed in writing by an
12 authorized representative of AUTHORITY by way of a written amendment to this Agreement and issued
13 in accordance with the provisions of this Agreement.
14 ARTICLE 2. RESPONSIBILITIES OF AUTHORITY
15 A. AUTHORITY agrees to provide funds per the following guidelines:
16 1. Services provided under the Senior Mobility Program are available to individuals
17 60 years of age and older.
18 2. Funds for the program are identified as 1% of Renewed Measure M (M2) net
19 sales tax revenue and will be allocated to all local jurisdictions based upon the participating entity's
20 respective percentage of the senior population for the entire county.
21 3. Senior population will be determined by using the most current official
22 decennial Census information provided by the U.S. Census Bureau.
23 4. All active participants will receive their portion of funding on a bi-monthly
24 basis.
25 B. In the event that the amount of M2 funding provided for this program is less than the
26 amount allocated for this program in Fiscal Year 2010-11 as illustrated in Exhibit B, "Senior Mobility
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AGREEMENT NO. C-1-2487
1 Program Allocation,"AUTHORITY will allocate Transportation Development Act (TDA) Article 4.5 funds
2 to CITY in an amount no greater than FY2010-11 funding levels less M2 SMP revenues for up to three
3 (3) years. Disbursement of TDA funds will occur with the last bi-monthly distribution of M2 funds during
4 the fiscal year.
5 C. Agree that Net Revenues allocated shall be expended or encumbered within three years
6 of receipt. AUTHORITY may grant an extension to the three-year limit, but extensions shall not be
7 granted beyond a total of five years from the date of the initial funding allocation.
8 D. In the event the time limits for use of Net Revenues are not satisfied, then any retained
9 Net Revenues that were allocated to an Eligible Jurisdiction and interest earned thereon shall be
10 returned to AUTHORITY and these Net Revenues and interest earned thereon shall be available for
11 allocation to any project within the same source program at the discretion of AUTHORITY.
12 E. AUTHORITY may provide, at AUTHORITY's sole discretion, a refurbished surplus
13 paratransit vehicle, at no cost to CITY and no further responsibility to AUTHORITY after vehicle
14 donation. CITY may purchase additional vehicle(s) in excess of their vehicle allocation at a cost of Five
15 Thousand Dollars ($5,000) per vehicle, subject to vehicle availability.
16 ARTICLE 3. RESPONSIBILITIES OF CITY
17 A. CITY agrees that all funds received from AUTHORITY as specified in Article 2A
18 above will be used exclusively for providing accessible senior transportation services that do not
19 duplicate AUTHORITY's services as specified in Exhibit A entitled "Scope of Work."
20 B. CITY must satisfy all M2 eligibility criteria in order to receive their formula allocation for
21 this program.
22 C. CITY agrees that Net Revenues allocated shall be expended or encumbered within
23 three (3) years of receipt. AUTHORITY may grant an extension to the three-year limit, but extensions
24 shall not be granted beyond a total of five(5)years from the date of the initial funding allocation.
25 D. In the event the time limits for use of Net Revenues are not satisfied, any retained Net
26 Revenues that were allocated to an Eligible Jurisdiction and interest earned thereon shall be returned to
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AGREEMENT NO. C-1-2487
1 AUTHORITY and these Net Revenues and interest earned thereon shall be available for allocation to
2 any project within the same source program at the discretion of AUTHORITY.
3 E. CITY agrees to match twenty percent (20%) of the total annual formula allocation.
4 Local match may be made up of cash-subsidies, fare revenues, or in-kind contributions.
5 F. CITY may contract with a third-party service provider to provide senior transportation
6 services provided that:
7 1. Contractor is selected using a competitive procurement process; and
8 2. Wheelchair accessible vehicles are available and used when requested.
9 G. CITY shall procure and maintain insurance coverage during the entire term of this
10 Agreement. Coverage shall be full coverage or subject to self-insurance provisions. CITY shall
11 provide the following insurance coverage:
12 1. Commercial General Liability, to include Products/Completed Operations,
13 Independent Contractors', Contractual Liability, and Personal Injury Liability with a minimum limit of
14 $1,000,000.00 per occurrence and $2,000,000.00 general aggregate.
15 2. Automobile Liability Insurance to include owned, hired and non-owned autos with a
16 combined single limit of$1,000,000.00 each accident;
17 3. Workers' Compensation with limits as required by the State of California including a
18 waiver of subrogation in favor of AUTHORITY, its officers, directors, employees or
19 agents;
20 4. Employers' Liability with minimum limits of$1,000,000.00; and
21 5. Professional Liability with minimum limits of$1,000,000.00 per claim.
22 H. Proof of such coverage, in the form of an insurance company issued policy
23 endorsement and a broker-issued insurance certificate, must be received by AUTHORITY prior to
24 commencement of any work. Proof of insurance coverage must be received by AUTHORITY within ten
25 (10) calendar days from the effective date of this Agreement with AUTHORITY, its officers, directors,
26 employees and agents designated as additional insured on the general and automobile liability. Such
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AGREEMENT NO. C-1-2487
1 insurance shall be primary and non-contributive to any insurance or self-insurance maintained by
2 AUTHORITY.
3 I. CITY shall include on the face of the Certificate of Insurance the Cooperative Agreement
4 Number C-1-2487; and, the Senior Contract Administrator's Name, Pia Veesapen.
5 J. CITY agrees to provide AUTHORITY with monthly summary reports of CITY's Senior
6 Mobility Program. CITY shall submit monthly summary report within fifteen (15) calendar days as
7 specified in Exhibit C "Senior Mobility Program Monthly Reporting Form," included in this
8 Agreement, which is incorporated into and made part of this Agreement.
9 K. CITY shall adopt an annual Expenditure Report to account for Net Revenues and
10 funds expended by the Eligible Jurisdiction, which satisfy the Maintenance of Effort requirements.
11 The Expenditure Report shall be submitted by the end of six (6) months following the end of the
12 jurisdiction's fiscal year and include the following:
13 1. All Net Revenue fund balances and interest earned.
14 2. Expenditures identified by type (i.e. capital, operations, administration, etc.) and
15 program or project.
16 L. In the event CITY obtains a retired AUTHORITY vehicle for Senior Mobility Program
17 services, CITY agrees to transfer vehicle title and registration within fourteen (14) days from taking
18 possession of the vehicle. CITY also agrees to provide documentation to AUTHORITY confirming
19 transfer of vehicle title and registration from AUTHORITY to CITY within thirty (30) days from taking
20 possession of the vehicle.
21 ARTICLE 4. TERM OF AGREEMENT
22 This Agreement shall commence on July 1, 2011 and shall continue in full force and effect
23 through June 30, 2016, unless earlier terminated or extended as provided in this Agreement.
24 AUTHORTITY, at its sole discretion, retains the right to extend this Agreement through June 30, 2021.
25 /
26 /
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AGREEMENT NO. C-1-2487
1 ARTICLE 5. NOTICES
2 All Notices pertaining to this Agreement.and any communications from the PARTIES may be
3 made by delivery of said notices in person or by depositing said notices in the U.S. Mail, registered
4 or certified mail, return receipt requested, postage prepaid and addressed as follows:
5 To CITY: To AUTHORITY:
6 City of Seal Beach Orange County Transportation Authority
7 211 Eighth Street 550 South Main Street
8 P.O. Box 14184
9 Seal Beach, California 90740 Orange, California 92863-1584
10 ATTENTION: Sean P. Crumby ATTENTION: Pia Veesapen
11 (562)431 -2527 ext. 1318 (714) 560- 5619
12 ARTICLE 6. FEDERAL, STATE AND LOCAL LAWS
13 AUTHORITY and CITY agree that in performance of their obligations under this Agreement,
14 they shall comply with all applicable federal, California State and local laws, statutes and ordinances
15 and all lawful orders, rules and regulations promulgated thereunder.
16 ARTICLE 7. ORDER OF PRECEDENCE
17 Conflicting provisions hereof, if any, shall prevail in the following descending order of
18 precedence: (1) the provisions of this Agreement, including all exhibits; (2) all other documents, if any,
19 cited herein or incorporated by reference.
20 ARTICLE 8. AUDIT AND INSPECTION OF RECORDS
21 CITY shall provide AUTHORITY, or other agents of AUTHORITY, such access to CITY's
22 accounting books, records, payroll documents and facilities as AUTHORITY deems necessary. CITY
23 shall maintain such books, records, data and documents in accordance with generally accepted
24 accounting principles and shall clearly identify and make such items readily accessible to such parties
25 during CITY's performance hereunder and for a period of four (4) years from the date of final payment
26 by CITY. AUTHORITY's right to audit books and records directly related to this Agreement shall also
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AGREEMENT NO. C-1-2487
1 extend to all first-tier subcontractors. CITY shall permit any of the foregoing parties to reproduce
2 documents by any means whatsoever or to copy excerpts and transcriptions as reasonably necessary.
3 ARTICLE 9. TERMINATION
4 AUTHORITY or CITY may, for its own convenience, terminate this Agreement at any time in
5 whole or in part by giving the other PARTY written notice thereof of not less than ninety (90) days in
6 advance of the specified date of termination.
7 ARTICLE 10. INDEMNIFICATION
8 A. CITY shall indemnify, defend and hold harmless AUTHORITY, its officers, directors,
9 employees and agents from and against any and all claims (including attorney's fees and
10 reasonable expenses for litigation or settlement) for any loss or damages, bodily injuries, including
11 death, damage to or loss of use of property caused by the negligent acts, omissions, or willful
12 misconduct by CITY, its officers, directors, employees, agents, subcontractors or suppliers in
13 connection with or arising out of the performance of this Cooperative Agreement .
14 B. CITY shall maintain adequate levels of Insurance, or self-insurance to assure full
15 indemnification of AUTHORITY.
16 ARTICLE 11. ALCOHOL AND DRUG POLICY
17 A. CITY agrees to establish and implement an alcohol and drug program that complies with
18 41 U.S.C. sections 701-707, (the Drug Free Workplace Act of 1988), which is attached to this
19 Agreement as Exhibit D. CITY agrees to produce any documentation necessary to establish its
20 compliance with sections 701-707.
21 B. Failure to comply with this Article may result in nonpayment or termination of this
22 Agreement.
23 ARTICLE 11. CONFLICT OF INTEREST
24 CITY agrees to avoid organizational conflicts of interest. An organizational conflict of interest
25 means that due to other activities, relationships or contracts, CITY is unable, or potentially unable to
26 render impartial assistance or advice to AUTHORITY; CITY's objectivity in performing the work
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AGREEMENT NO. C-1-2487
1 identified in the Scope of Work is or might be otherwise impaired; or CITY has an unfair competitive
2 advantage. CITY is obligated to fully disclose to AUTHORITY in writing Conflict of Interest issues as
3 soon as they are known to CITY. All disclosures must be submitted in writing to AUTHORITY
4 pursuant to the Notice provision herein. This disclosure requirement is for the entire term of this
5 Agreement.
6 ARTICLE 12. CODE OF CONDUCT
7 CITY agrees to comply with the AUTHORITY's Code of Conduct as it relates to Third-Party
8 contracts, which is hereby referenced and by this reference is incorporated herein. CITY agrees to
9 include these requirements in all of its subcontracts.
10
ARTICLE 13. FORCE MAJEURE
11
Either PARTY shall be excused from performing its obligations under this Agreement during
12
the time and extent that it is prevented from performing by a cause beyond its control, including, but
13
not limited to: any incidence of fire, flood; acts of God; commandeering of material products, plants
14
or facilities by the federal state or local government; national fuel shortage; or a material act of
15
omission by the other PARTY; when satisfactory evidence of such cause is presented to the other
16
PARTY, and provided further that such nonperformance is unforeseeable, beyond the control and is
17
not due to the fault or negligence of the PARTY not performing.
18
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19
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23
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AGREEMENT NO. C-1-2487
1 Upon execution by both PARTIES, this Cooperative Agreement shall be made effective on
2 July 1, 2011.
3 IN WITNESS WHEREOF, the PARTIES hereto have caused this Cooperative Agreement No.
4 C-1-2487 to be executed on the date first above written.
5 CITY OF SEAL BEACH ORANGE COUNTY TRA PORTATION AUTHORITY
6 By .41I 12. ¼:rMfrda).YY1By Ai Wit
Jil I ! -m Will Kempton
7 City Manager (Acting) Chief Executive Officer
8
9 APPR VEDAS TO FORM:
10 By
Kennard R. Smart, Jr.
11 General Counsel
12
13 APPRO
B y
14 Beth McCormick
15 General Manager, Transit
16
17
18
19
20
21
22
23
24
25
26
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L:Kamm GLERICALWNORDPROCAGREEAG12487.do«
• AGIAMENT NO. C-1-2487
EXHIBIT A
SCOPE OF WORK
Senior Mobility Program
The City of Seal Beach (City) shall utilize funding provided by the Orange County
Transportation Authority (OCTA) and its local match to provide the following
services:
• Curb to curb paratransit service for Seal Beach senior residents age 55 and
older and persons with disabilities.
• Service shall be provided as available with one bus operating and within the
permitted budget.
• The service shall run from 8:00 a.m. to 5:00 p.m.
• The service shall run from Monday through Friday.
• Expanded Dial-A-Ride Services, providing one vehicle and one driver Monday
through Friday 8:00 a.m. to 5:00 p.m. transporting eligible Seal Beach
residents to and from any location within the City and within a three-mile
radius outside the City's corporate boundaries.
2. The City shall follow competitive procurement practices in selection of vendors
for all services which it does not provide using its own workforce. Any Request
for Proposals (RFP) for services shall specify the use of vehicles meeting ADA
accessibility standards.
3. The City wishes to obtain the following retirement eligible OCTA ACCESS
vehicles:
• One (1) bus donated by OCTA,
• One (1) additional vehicle which it will purchase from OCTA for $5,000. The
cost of any additional vehicles shall be deducted from the next fiscal year
allocation. City must register the vehicle and maintain title for at least one
year after transfer of title from OCTA.
4. The City shall perform, or ensure that a contracted vendor performs,
maintenance of all vehicles used in the Senior Mobility program, including, at a
minimum:
• • Daily Pre-Trip Inspections that meets or exceeds the guidelines provided in
the attached Pre-Operation Inspection & Defect Report (Attachment 1)
• Scheduled preventive maintenance that meets or exceeds the guidelines
provided in the attached Senior Mobility P.M. Checklist, including the
maintenance of all accessibility features of the vehicles. (Attachment 2)
The City shall maintain maintenance records for each vehicle for 5 years and
shall cooperate fully in annual Motor coach carrier terminal inspections
conducted by the California Highway patrol
City of Seal Beach
. •
Attachment 1 PUUY DArrSALit-.:
Pre- Operation Inspection & Defect Report
(-line arts describe any damage to a bus on ilia.:;ant
Cl front/rear and:wc sloe views
Bus Nan No. Date:
Peoeral Reguraoons state that no motor vehicle carrying passengers for nira
mi-i&rm sn ail be driven unleSS the driver has determined that fie following parts and I ^uescrl;non accessories are in good working order. Each driver is required to subnit a �0�'� 1 •_„
signed written report daily for each coach anven. .�OZ �J �
Isf Driver: _
Miles Finish: Miles Start Miles Elapsed:
No Detects; C Defects:❑ Signature: _
--. i„ Description:
2nd Driver:
Miles Finish: Miles Start: Miles Elapsed: _
No Defer; 0 Defects:0 Signature: 0 0 -
.3rd Driver.
Mites Finish: Miles Star Miles Elapsed:
No Detects: 0 Defects:❑ Signature:_ t'-,�----�'� Description-
PREOPERATIONS INSPECTIONS I. —_
indicate with an(x)that each diem has been checked.' ti Li
AM/PM AM/PM
r_ Tirestu;Nuts twneels 8 rims) _!_ Emergency Reflectors
_/_ Motor-Guard _I 'rum Signal Swrtcr 1Norn hr.1....
▪ Air System _/__ First Aid Kit P k Description:
_i_ LrgntsRehectors _I_ Radio i
`.r Wheelchair Lifts r Dower's Seat/Beit —O 0
`i_ Wheelchair Lin Cover �I� Door Interlock
_;_ Mirrors r W/C Tie Down Straps —
__ Windsnield Wipers'Washers f_ Manual Litt Bar
_i_ Fire Extinguisher __1_ Conduct Walk Around
_i_. Sleeting Mechanism _r_ Parking/Brakes'Service ,
Brakes OPERATOR(S):
DEFECT'S: Indicate with an(r)detective items only: (Explain in Detail)
IMPORTANT! Help expedite repairs oy providing necessary
BRA O RETARDER rNopit r ,
Brace Fluid Leans _Light On: _Hot Engine/Water Leaks information regarding defects Lease print
_Sof:'Hard Brakes Not Applied –Low OiL'Oil Leaks
_Putt to UR _Light On: _Starts Hard
_Puff
Dragging BrakesApipbd, No Power/Erre.Ck.Light
–Smoking Bus Stopped _Smokes
Emergency Brake –Light Not Orr _Idles RougNVdxation –
_Otter•explain Brakes Appied. _Idles
Exhaust,Vacuum Leaks
77RESMINE£'«S Bus Moving _Fuel!eaSdLPG/Gas
Fiat Air,t NEATINF –Othef-exp an
Emoedoed Object _OH TRANSkessioN
Cut _70o Cold/io _Won't Go Into Gear
_S:Hoot:'Card _Defroster Detect Slips/Grv+as^!urcnes
_Li at Rib RRO tRi 151J _Ventilation(Blowers) _Excessive Noise
Loose Missing Lugs _Fumes _Leaks REPAIRS MADE:
_Other:explain _Other-explain _Drive Line Vocation
,IGNT$ ENTTtANC,E/kx1TDPORSr –Rear End Noise
_Interior WINDOWS ;TEER!iV
_Exterior Slow _Hard/Binds
_Location. _Inoperative _Shimmy
_Leaks Air _Excessive Play
l.sH1CLE ct.EamuwESS _Excessive Play _Deter-cow
Other•explain ECtutPsteirr
_
interior Emergency Releases �'
_Extenor – Generator/S•taner
_Floor WHEELCHAIR LIFT _Turn Signals Flasners
winoows WW Not Fold Out _Horn
Seat Condition _Wit Not Lower/Raise –Fare Box
–
xaiatn. _No Rescairt Dowrvlip _instruments/Gauges
Lift Will Not Fold Into _Fuo-t•Oil,Arno Meter
Bus ALL ITEMS COMPLETED -BUS SERVICED AND RELE-:SED:
i,R_hi^ _Seats _Harorads _Mooesrl Panels
Supervisor's S: nature Date —'--
Attachment 2 • III Inspection
Senior Mobility P.M. Check List
Date l Bus# TERMINAL workorder# _Current Mileage
Last inspection miles
A. Employee must check off all boxes/Note all discrepancies on reverse side Miles between i
B. Check files and open workorders
g g
C. Interior o g E. Under hood o e
1 Entry door operation and seals 1 Check for visible leakage _____
_ 2 Temperature and oil warning devices 2 Engine oil level --
3 Neutral safety system 3 Transmission fluid level and condition
4 Horn,gauges and dash lights 4 Brake fluid
5 Heater,defroster and fan 5 Power steering fluid
—
6 Windshield wipers and washer 6 Check all belts
7 Indicator lights 7 Component and accessory mounting T^
8 Throttle operation 8 Check all hoses and routing
9 Steering free play tn. 9 Coolant level and protection cif ph
10 Applied and unapplied brake test for vacum loss 10 Pressure test cooling system
11 Interior lights 11 Water pump and fan clutch play
12 Windshield and window glass condition 12 Air filter condition•check restriction gauge __
13 Window mechanism and seals 13 Check exhaust system --
14 Seat condition 14 Battery fluid level and mounting
15 Interior body,floor and stantions 15 Clean battery and connections ,
16 Fire extinguisher date and bracket 16 Drain fuel/water separator
17 Road warning devices
18 First aid kits E
19 Emergency exits operation,warning devices and signs F. Under Bus o
20 Interior clean 1 Kingpin and wheel bearing play
21 _Back up alarm 2 Tire wear,condition and matching
3 Leakage at backing plates and wheel seals
4 Steering box,mounting,leakage,looseness and leaks
5 Front shocks and mounting .
6 Front springs,bushings
7 Engine leaks,lines,filters,hoses and engine mounts
8 Starter and connections
g 9 Exhaust system and mounting
D. Exterior o 2 10 Transmission mounted parking brake
1 All exterior lights and signals 11 Transmission leaks
2 Mirror condition and mounting 12 Output shaft play
3 Record body damage 13 Driveshaft guard,U joints and retarder
4 Bumper bolts 14 Body hold downs and insulators
5 Paint lettering and appearance 15 Wiring along frame
6 Emergency exits 16 Differential leaks,fluid level
7 Axle flange and lug nuts,oil hubs 17 Pinion play
8 Tire side wall condition,cracked wheels,valve stem 18 Breather vent ,
Valve stem cap,alignment of rear duels 19 Rear shocks and mounting --
9 Tread depth 20 Rear springs,bushings and U bolts
LF RF LRO 21 Leakage at backing plates and wheel seals
LRI RRO RRI 22 Fuel tank straps and lines
10 Tire inflation:Record and inflate 23 Tail pipe hangers
LF RF LRO 24 Lube entire chassis
LRI RRO RRI 25 Check drag link,tie rods and idler arms
Attachment 2 S 1 Inspection
Senior Mobility P.M. Check List
E 6
•
D. Brakes o o D. Lift Inspection pi
1 Visible and audible leaks 1 Check lift for proper operations .
2 Check all lines along chassis 2 inspect for stress,cracks,mounting and alignment
3 Check brake booster and hoses 3 Check pins
4 Hydraulic lines 4 Check the complete hydraulic system ____
5 Check micro switches and electrical wiring
Remove wheels and check the following items - 6 Check all system covers and warning signs
5 Pads and rotors 7 Check safety barrier
6 Check pins and caliber's 8 Lube complete lift
9 Check wheelchair securements,proper amount and operation
10 Lift door warning device
11 Lift cover in place
•
H. Roadtest
I. Note repairs needed
Signature of Inspecting Mechanic Signature of Supervisor
6,000 miles-inspection/oil change
30,000 Transmission service
60,000 Differential service
0 0 AGREEMENT NO. C-1-2487
EXHIBIT B
FASenior Mobility Program Allocation
OCTA FY 2010-11 Transportation Development Act Article 4.5 Funds
#'w- ,''.« sZ,x a '? ;t 14-'7:'‘7.4141: 47't? L ;FY 2010 11 rVr 'r ¢ . !
Local Jurisdictions } �f rt e e,n,, °t�, :.44 y,
i:1-�_ ,.7a:.-_.2.`411:?:, .„, _:,4, . .t�s.4_ ...-..-;°.,}ice,,,.. 'OCTA'Contribution: e3aa.+
Anaheim $ 194,204
Brea $ 37,766
Buena Park $ 49,457
Costa Mesa $ 83,053
Garden Grove $ 183,225
Huntington Beach $ 164,622
Irvine $ 93,151
La Habra $ 52,413
Laguna Hills $ 34,226
Laguna Niguel $ 46,533
Laguna Woods $ 128,998
Lake Forest $ 45,677
Newport Beach $ 111,163
Placentia $ 38,104
Rancho Santa Margarita $ 14,403
San Clemente $ 50,698
Santa Ana $ 167,850
Seal Beach $ 69,114
Westminster $ 66,902
Yorba Linda $ 40,913
Total (Current Participants) $ 1,672,472
Senior Mtility Program Monthly Reporti GFRoErE MENT NOE.)(CH-11 B-214T8C7 m
Monthly Reporting E-Form
OCTA
14.1:40WataaSeignYto.VaiMeatAnagiifleaiiiiiilliit6irifatibiinnVgagnerittgatinaatlgilir
Service for the Month/Years of i
Program Name:
City or Organization:
Contact Person:
Contact Number:
IFi'4.41.V. 40414galii-SitaWli:gifi4WYKAWSZ.Vijaistfebitiaetailt6.00/WOKAMIIMPPN:ifiTgAQVzitia&Sfilltilg&OIV;4.1i.4-:Mil
Trip Category One-Way Vehicle Service Vehicle Service
Passenger Trip Hours Miles
Nutrition Trips:
•
Medical trips:
Shopping trips:
Other trips:
(Please specify trip type below—)
Totals: o 0 0
I 1::-:':%T.Ii5WMITAllilaYMPARViiettiaeiVIRETSW:d S.0 m m ryg MA,1,;:,74-.FiiliOaMIVagvasIMATM.KVIZMW-1-47VAZ I
OCTA Monthly Contribution Amount:
City Monthly Contribution Amount:
Total Operation Cost for Month:
Source of City Contributions:
**Please specify other trip types being provided to seniors in this space:
Piease provide the requested information and submit the completed Ram to OCTA.
Attention:Jessica Deakyne/Community Transportation Coordinator,by email to jdeakyne@octe.net or by FAX to(714)560-5927.
By the 15th day of the month following the reporting montlr**
Please contact Jessica Deakyne at(714)560-5802 if you have any questions or require assistance with the completion of this form.
Comments:
TR-B0-086.doc(09/18108) Page 1 oi 1
• AGREEONT NO. C-1-2487
EXHIBIT D
National Drug-Free
Workplace Alliance
• DRUG-FREE WORKPLACE ACT OF 1988
THE FEDERAL LAW
This law, enacted November 1988, with subsequent modification in 1994 by the
Federal Acquisition Streamlining Act, (raising the contractor amount from
$25,000 to $100,000), requires compliance by all organizations contracting with
any U. S. Federal agency in the amount of $100,000 or more that does not
involve the acquisition of commercial goods via a procurement contract or
purchase order, and is performed in whole in the United States. It also requires
that all organizations receiving federal grants, regardless of amount granted,
maintain a drug-free workplace in compliance with the Drug-Free Workplace Act
of 1988. The Law further requires that all individual contractors and grant
recipients, regardless of dollar amount/value of the contract or grant, comply with
the Law.
Certification that this requirement is being met must be done in the following
manner:
By publishing a statement informing all covered employees that the unlawful
manufacture, distribution, dispensing, possession, or use of a controlled
substance is prohibited in the covered workplace, and what actions will be taken
against employees in the event of violations of such statement.
By providing ALL covered employees with a copy of the above-described
statement, including the information that as a condition of employment on the
Federal contract or grant, the em_ployee must abide by the terms and conditions
of the policy statement.
For Federal contractors this encompasses employees involved in the
performance of the contract. For Federal grantees all employees must come
under this requirement as the act includes all "direct charge" employees (those
whose services are directly & explicitly paid for by grant funds), and "indirect
charge" employees (members of grantee's organization who perform support or
overhead functions related to the grant and for which the Federal Government
pays its share of expenses under the grant program).
Among "indirect charge" employees, those whose impact or involvement is
insignificant to the performance of the grant are exempted from coverage. Any
other person, who is on the grantee's payroll and works in any activity under the
grant, even if not paid from grant funds, is also considered to be an employee.
Page 1 of 2
Revised.03/03/2010
AGREEONT NO. C-1-2487
EXHIBIT D
Temporary personnel and consultants who are on the grantee's payroll are
covered. Similar workers, who are not on the grantee's payroll, but on the payroll
of contractors working for the grantee, are not covered even if physical place of
employment is in the grantee's workplace.
By establishing a continuing, drug-free awareness program to inform employees
of the dangers of drug abuse; the company's drug-free workplace policy; the
penalties for drug abuse violations occurring in the workplace; the availability of
any drug counseling, rehabilitation, and/or employee assistance plans offered
through the employer.
By requiring each employee directly involved in the work of the contract or grant
to notify the employer of any criminal drug statute conviction for a violation
occurring in the workplace not less than five (5) calendar days after such
conviction.
By notifying the Federal agency with which the employer has the contract or
grant of any such conviction within ten (10) days after being notified by an
employee or any other person with knowledge of a conviction.
By requiring the imposition of sanctions or remedial measures, including
termination, for an employee convicted of a drug abuse violation in the
workplace. These sanctions may be participation in a drug rehabilitation program
if so stated in the company policy.
By continuing to make a "good-faith" effort to comply with all of the requirements
as set forth in the Drug-Free Workplace Act.
All employers covered by the law are subject to suspension of payments,
termination of the contract or grant, suspension or debarment if the head of the
contracting or granting organization determines that the employer has made any
type of false certification to the contracting or grant office, has not fulfilled the
requirements of the law, or has excessive drug violation convictions in the
workplace. Penalties may also be imposed upon those employing a number of
individuals convicted of criminal drug offenses as this demonstrates a lack of
good faith effort to provide a drug-free workplace. The contract or grant officer
may determine the number on a case-by-case basis. Employers who are
debarred are ineligible for other Federal contracts or grants for up to five (5)
years. Compliance may be audited by the Federal agency administering the
contract or grant.
The Drug-free Workplace Act does not require employers to establish an
employee assistance program (EAP) or to implement drug testing as a part
of the program.
Source: Federal Registers April 11, 1988& May 25, 1990& the Federal Acquisition Streamlining
Act of 1994(FASA).
Page 2 of 2
Revised:03/03/2010