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Home My WebLink About _ 4.6(a)--Accept Grant Agreement from the California State Library GI �" Y C� F � � �- ' � ° � � i � CITY OF REDDING �� REPORT TO THE CITY COUNCIL MEETING DATE: November 4, 2025 FROM: Travis Menne, Director of ITEM NO. 4.6(a) Community Services ***APPROVED BY*** e , -� -��H� � ,��..w� � �w�� ;+�°"'� � �.�� Trt�ves"[��i��e Lzrccor�a#�t�tr7munity��rr=ice� 1�/2312��5 tt;ve � �, t1t e l�d/��7/Zi�2,`+ :�;a tmenne@cityofredding.org sbade@cityofredding.org SUBJECT: 4.6(a)--Accept Grant Agreement From The California State Library To Support The Shasta Public Libraries Libra Literac Services Pro rams. Recommendation Authorize and approve the following: (1) The City of Redding, serving as the Fiscal Agent for the Redding Municipal Library Board pursuant to Redding Municipal Code Tit1e 2 (Administration and Personnel), Chapter 2.42 (Redding Municipal Library), to accept the grant from the California State Library; (2) Adopt Resolution approving and adopting the 15th Amendment to City Budget Resolution No. 2025-049 appropriating $66,190 in grant funds from the California State Library for Adult and Family Literacy services; and (3) Authorize the City Manager, or designee, to execute all subsequent documentation relative to the grant. Fiscal Impact There is no match required for this California State Library Grant and there is no impact to the General Fund. Alternative Action The City Council (Couneil) could ehoose not to accept the $66,190 grant from the California State Library. This would further limit adult and family literacy services at the R�dding, Anderson, and Burney libraries. The Council could provide staff with alternate direction. Background/Analysis Per City Manager's Policy (CM Policy) CM 97-1, grant applications under $70,000 that do not require matching funds or involve a financial commitment on the part of the City of Redding (City) may be submitted by staff without prior approval by the Couneil. Therefore, as this grant is under$70,000 and did not require any matching funds, staff did not seek Council's approval to apply for the Grant. Report to Redding City Council October27,2025 Re: 4.6(a)--Accept GrantAgreement from the Catifornia State Library Page 2 Due to the award amount, in excess of$35,000, and also per CM Policy 97-1, staff is requesting Council's approval to accept the award. The California Library Literacy Services (CLLS) campaign was created in 1984 as the first state- wide library-based adult literacy service to help reduce the high 1eve1 of illiteracy in California and connect more Californians with public libraries. Programs through CLLS reach and support English-speaking adults with low literacy skills who have yet to succeed in the traditional classroom environment. These no-cost programs help adults improve their basic reading, writing, math, and speaking skills, connect them to resources and provide additional programming to support their families. Shasta Public Libraries currently provide adult and �amily literacy services at the Redding, Anderson, and Burney libraries. Adults receive one-on-one tutoring in reading, writing, math, and fmances using a learner-centered approach. The libraries also offer high school equivalency certificate preparation, assistance with attaining U.S. citizenship, and job skills development. This year, Shasta Public Libraries will add Career Online High School (COHS)—an educational service through Smart Horizons Career Online Education that allows adults to simultaneously earn an accredited high school diploma and credentialed career certificate—to its current adult programming. They will also expand reading and tutoring services for children by partnering with Shasta County schools serving children of low-literate families. Should the City Council accept the funds from the California State Library, Shasta Public Libraries wi11 be able to enhance adult Ziteracy services at the Redding, Anderson, and Burney libraries with the addition of COHS and new programs for children of low-literate families. Such funding would help Shasta County adults achieve an accredited high school diploma and credentialed career certificate, improve skills toward employability, establish the value of family learning, and increase community participation. Expanded reading and tutoring services to children will complement the existing adult programs, thereby creating a positive family learning experience. The City Attorney's office has reviewed and approved the language of the Agreement. Envir�onmental Review This is not a project defined under the California Environmental Quality Act and no further action is required. Council Pr�iority/City Manager Goals � Budget and Financial Management – "Achieve balanced and stable 10-year Financial Plans for all funds." � Government of the 21St Century – `Be relevant and proactive to the opportunities and challenges of today's residents and workforce. Anticipate the future to make better decisions today." Attachments ^Budget Resolution Award Letter and Agreement RESOLUTION NO. 2025 - A RESOLUTION OF THE CITY OF REDDING APPROVING AND ADOPTING TI3E 15TH AMENDMENT TO CITY BUDGET RESOLUTION NO. 2025-049 APPROPRIATING $66,190 IN GRANT FUNDS FROM THE CALIFORNIA STATE LIBRARY FOR ADULT AND FAMILY LITERACY SERVICES BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF REDDING THAT Budget Resolution No. 2025-049 be and is hereby amended as follows: FUND DNISION DESCRIPTION 1NCREASE DECREASE 181 5301 Library $66,190 THAT account titles and numbers requiring adjustments by this Resolution are as follows: USE SOURCE OF FUNDS OF FUNDS Increase(Decrease)Revenue 181-5301-3622604-00000 Adult Literacy State Grant $ 66,190 Increase Expenditures 181-5301-6500127-00000 Adu1t Literacy Program-State $ 66,190 Total $ 66,190 $ 66,190 THAT the purpose is to appropriate $66,190 in grant funds from the California State Library for Adult and Family Literacy services. I HEREBY CERTIFY that the foregoing Resolution was introduced at a regular meeting of the City Council of the City of Redding on the 4th day of November, 2025, and was duly adopted at said meeting by the following vote: AYES: COUNCIL MEMBERS: NOES: COUNCIL MEMBERS: ABSENT: COUNCIL MEMBERS: ABSTAIN: COUNCIL MEMBERS: JACK MUNNS, Mayor ATTEST: FORIYI APPROVAL: SHARLENE TIPTON, City Clerk CHRISTIAN M. CURTIS, City Attorney Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C ; ��r��'� �� ` � � 16 September 2025 Travis Menne Shasta Public Libraries 1 100 Parkview Ave. Redding, CA 96001-3239 Dear Travis Menne, We are pleased ta provide funds to support your California Library Literacy Services pragram and the important work that yau, your staff, and your volunteers do in your community. Your total award amount for the 2025-2026 fiscal year beginning July 1, 2025, is: • Adult Literacy and Family;Literacy Servic�s: $66,190 • Total Award: $66,190 CLLS programs with Family �iteracy Serviees will receive one award total, referred to as a "block grant," far the 2025-2026 project period. Your library is responsible for allocating award funds between Adult Literacy Services and Family Literacy Services to respond to community needs and for adhering to the following requirements: • At least 51 percent of the block grant award must be allocated to Adult Literacy Services. • At least 26 percenfi of the block grant award must be allocated to Family Literacy Services. • Programs who requested a fixed award for Family Literacy Services may adjust their request by +/- 25 percent. Contact your state team for support. The block grant model does not apply to English as a Second Language Services funds far the 2025-2026 project period. Your award will be claimed in two stages. The claim form included in this award packet will allaw you to request the first 90� of your total award: • Tatal Initial Award mount: $59,571 Infarmation about claiming the rest af your award is included in the payment schedule at the end of your award packet. You must encumber your funds by Jvne 30, 2Q26. You must fully expend funds by September 30, 2026, or by the final report due date, in accordance with your approved budget on file with the State Library. Encumbered funds are those that hav�: been deposited in the �ibr�r�r—��a�r�s ��aifdi�� 916-�?�-97�9 P.C�. �c��4��37 csl-�d�u��l€br�ry.��o�c��r ��cr�r�n��stc�, �,��4��7-t�OU�. �r�av�oloEar�ry.��.�ca� Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C ; ��r��'� �� ` � � grantee's accounting system and for which a budget has been provided to and approved by the State Library. Review the California �i�ara�y Li�eracy S�rvices Allowable ar�d Unallc�w�bl� �x er�s�s guidelines to ensure project expenditures are consistenfi with the California Library Literacy Services allowable expenses. If you have questions about expenses or expending award funds, contact Allyson Jeffredo at CLi�SCa?library__.cae ov. We strongly encourage your program staff to develop and maintain community partners to strengthen your program, attend regular regional library literacy network meetings, participate in your local Adult Education Consorfiium/a, and participate in library lifieracy training oppartunities offered by the regianal networks and the State Library to meet the CalifQrnia Librar�Literac�rvices Missior�, Yalues, and Pro ra�Essentials. Additional California Library Literacy Services resources can be found on the Calife�rnic� Librc�ry Li�erc�c� Services wekasi�e. The payment process begins when we receive your completed and signed claim form, certificatian form, and State Funded Grants Award Agreement and Certificate of Compliance included in this packet. All forms shauld be completed and signed through Docusign to be processed for payment. Our library literacy staff are available to assist you throughout the y�;ar. Contact your Program Consultant �isa �indsay and your Grant Monitor Allyson Jeffredo at CLLSC�?library.ca.c�ov with any questions. Thank you for your willingness to do so much for those in your community. Best wishes far a successful year. Respectfully yours, Signed by: �� 10/11/2025 BDA50981C41C416... Greg Lucas California State Librarian Cc: Lisa Lindsay, Iisa.lir�dsaY@librc�ry,ca.� Allyson Jeffreda, all�sc�n.`�e�fr�c�a�lik�rar�ca.e�ov_ State �ibrary Fiscal Office, stateqrar�ts.fiscalCa:�li�rary.cc�. .c�av Julia Parsons, JuliaPC�sh�sficalibrari�s.c�rc� Shae Darling, Shca�dc�?shas�alEbraries var Enc: Re: CLLS25-84: Claim form, certification form, and State Funded Grants Award Agreement and Certificate of Compliance �ibr�r�r--��G�rt� ��rildi�s� ��6-�23-�37�J P.C2, �ax 342��7 c:sl-�c�ca��lobrary.��.�c�� cr�rrr�nt��, �,Q�4�.�7-OG�U� �uv�rvv.lobr�ry.��.��a Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C ��,� !�;,�� , � ,� ' '' __ �� R�� THE BASICS-YOUR GRANT AWARD The following provides all the basic information about your grani� and managing your grant. Award #: CLLS25-84 Libra /Or anization: Shasta Public �ibraries Pra'ect Titie: California L.ibrary Literacy Services Award Arnount: $66,190 Start Date: ` July 1, 2025 End Date: September 30, 2026 NOTE: It can take six fio eighfi weeks before grant funds are delivered. If you have nat received your payment after eight weeks, contact your grant monitor. GRANT AWARD INFORMATI4N You can access your full grant award informafiion and manage yaur grant through the grant management system, Am IiFune�. NOTE: You are required to submit a budget amendment for all budget changes regardless of amaunt. Amendments may be submitted throughout the year but no later than May 31 of the project period. EP TI California Library Literacy Services participants are required to provide financial and narrative reparts as outlined in the grant terms and conditions. The reporting schedule is detailed below: Mid-Year Report Due January 31, 2026 Final Report Due September 30, 2026 Reports will be submitted through the �m IiFund grant management system. You can find support documents on the Califarnia State Library's Me�nac�e Ycaur��rrent �rant page. P Y E TS �.ibraries receive 90�0 of their total award amount upan receipt of the award letter. �ibraries receive the final 10� payment of their total award after successful completion of the California Library Literacy Services Mid-Year Report form. Lik�r�ry- �o�art� ��ailc�ir�� 91��3��3-97�9 F�.�, ��a� �42�37 ��I-�drr��libr��y�.c�.gca�r ��cr�rrl�r�tc�, �A �42�T-OQQ1 �nrv�v�.lrkae�ry,c�e�o� Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C NOTE: Libraries have 15 months to spend their California Library Literacy Services award funds, from July 1, 2025, in which the funds are awarded until September 30 of the following year or when the final report is due. C T CT We want your project to be successful. Please work with your grant monitor and program consultant to implement your project: Granf Monitor: Allyson Jeffredo Monitor Phone Number: 916-6Q3-6709 Monitor Ernail Address: allyson.'effredo@library.ca. ov Pro ram Consultant: Lisa Lindsay Consultant Phone Nurnbec: 916-603-6708 Cc�nsultant Ernail Address: lisa.lindsay@library.ca. ov Library— �o�rfi� �e�ildir�c� 9'€6p323m97�� F�.C3, �ca� 94��3T c�l-adm�libr�ry,�a.�� r�m�ro�c�p �� 94237-OC201 wwene.libr�ry.c�.gc�v Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C � ��a,�,'.�� 4 �5i�' � .. . �':i .._. ��.��L`.�' 3 .•��1��.�a �� ;�Y'3a ... Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 1 of 29 �w�,� �� . � _ e�1 !�! � �� IQ TABLE OF GONTENTS PROJECT SUMMARY 2 PROCEDURES and REQUIREMENTS 3 A. Term of the Agreement 3 B. Scope of Work 3 C. Budget Detail 3 D. Narrative and Financial Reports 4 E. Claim Form and Payment 5 EXHIBIT A: TERMS and CONDITIONS 7 EXHIBIT B: CERTIFICATIQN of CQMPLIANCE FORMS 22 EXHIBIT C: CALIFORNIA LIBRARY LiTERAGY SERVICES 26 GUIDELINES Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 2 of 29 ___ `��''��,�� ,�� PROJECT SUMMARY T T T ST T LI Y n st u iic ti r ri s for the California Library Literacy Services project. AWARD AGREEMENT NUMBER CLLS25-84 This Award Agreement ("Agreement") is entered infio on July 1, 2025, by and between the California State Library ("State Library") and Shasta Public Libraries, ("Grantee"). This Award Agreement pertains to Grantee's State-funded California Library Literacy Services project. The Library Development Services Bureau ("LDS") of the State Library administers state and federal funds in the forrn of awards. The Grantee was selected by the State Library to receive state grant funds in the amount of $66,190 through the process adopted by the State Library in administering such granfis. The State Library and the Grantee, for the consideration and under the conditions hereinafter set forth in the Grant Agreement, agree as follows: Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 3 of 29 ��,�� ,�� ___ � � PROCEDURES and REQUIREMENTS . r t r t The Grant term begins July 1, 2025, and ends June 30, 2Q26. The project's final expenditure dafie is September 30, 2026. If completion of the projecfi occurs prior to the end of the grant period, this will be the end date of the term of this agreement. Grant eligible program expenditures may begin no earlier than the start date. The praject period ends on June 30, 2026, and all eligible program costs must be incurred by this date. B. Scope of Work 1. Grantee agrees to perform all activities specifically identified in the Granfiee's application and submitted i�o the Stai�e �ibrary in respanse to the Califarnia Library Literacy Services project. 2. The following activities and deliverables to be performed by the Grantee include, but are not limited to the following: • Maintain and keep records of expenditures related to the grant that are cansistent with Generally Acceptable Accounting Practices (GAAP). • Make financial records available to the State Library upon request. • Work wifih the Sfate Library staff fio assure that funds are disbursed in compliance with the purpose of the grant. • Prepare and submit reqUired narrative and financial reports. • Procure equipment, and other supplies as needed for the project. • Issue cantracts for services, personnel, and consulfiants as needed for the project. • If applicable, make payments for services, including for hours worked and travel reimbursements, to consultants and contractors. • Oversee the implemenfiation of project activifiies. . t t il The State Library shall provide the Grantee funding for the expenses incurred in performing the Scope af Work and activities specified in the Grantee's application. The Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 4 of 29 Grantee shall request the distribution of grant funding consistent with its proposal and the budget worksheet that was included with the application. Under no circumstances shall payments exceed the tatal grant amount identified in this Agreement. . rr iv i i 1 rts 1. The Grantee shall be responsible for submission af interim and final narrative an fin ncial reports an the progress and activities of the project, to the California State Library, using the sample report documents provided by the California State Library. 2. All the reports must be current, include all required seetions and documents, and must be approved by the Grant Monitor before any payment request can be processed. Failure to comply with the specified reporting requirements may be considered a breach of this Agreement and result in the termination of the Agreement or rejection of the payment request and/or forfeiture by the Grantee of claims far costs incurred that mighfi c�therwise have been eligible for grant funding. Any prablems or delays must be reported imrnediately to the Grant Monitor. The financial reports shall reflect the expenditures made by the Grantee under the Agreement and may be incorporated into the same reporting strueture as the narrative reports. 3. The reports shall be submitted by the following dates: e ortin Peria e' ort ue ate July l - December 31 Mid-Year Repart Due Jan�ary 31, 2026 July 1 - June 30 Final Report Due September 30, 2026 4. Failure to submit timely reports with the appropriate documentation by the due dafie may result in rejection of the paymenf request and/or forfeiture by the Grantee of claims for costs ineurred that might otherwise have been eligible for grant funding. 5. The Grantee agrees to maintain records and supporting documentation pertaining to the performance of fihis granf, subject to possible audit for a minimum of five (5) years after final payment date or grant term end date, whichever is later. Please refer to Exhibit A, Terms and Conditions for more information. 6. In addition to the foregoing, the Grantee shall submit to the State �ibrary such periadic reports, updates, documents and any information as deem necessary by fhe State Library to monitor compliance and/or perform program Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 5 of 29 evaluation. Any requested data or information shall be submitted in electronic format on a form specified by the State �ibrary. . I i r f 1. The California State Library shall provide the Grantee payment as outlined in the paymenfi schedule only if all requirements for claiming the funds as outline in this document have been met, and only for those activities and costs specified in the approved award application. 2. The Grantee shall complei�e, sign, and submit Certificatior� of Compliance form (Exhibit B) and the Financial Claim form (included in your award packet), to the California State Library wifhin 14 days of receiving this award packet. These forms will be issued, signed, and submitted using the online signature and agreement platform, DocuSign, unless DocuSign is unallowable or inconsistent with practices and policies of the local jurisdiction. If the use of DocuSign is not acceptable ta your organization, please contact your grant monitor regard'ing alternate options. 3. Any of the sums appearing under the categories in the approved budget may be adjusted with prior authorization from i�he California Sfiate Library Grant Monitor. This would be to increase the allofinent with the understanding that there will be corresponding decreases in the other allotments so that the total amount paid by the California State I�ibrary i�o the Grantee under this Agreement shall not exceed the awarded amount, which shall be expended/enc�mbered during the grant period. 4. If the payment amounfi made by the California Sfiate Library exceeds the actual expenses incurred during the term of this Agreement, as reflected in the financial reports to be filed by the Grantee, the Grantee shall immediately refund the excess payment amount to the California State Library. 5. The Award payments will only be made to the Grantee. It is the Grantee's responsibility to pay all contractors and subcontractars for purchased goods and services. 6. The Final Payment of 10�0 (if applicable) will be withheld and retained by the California State I�ibrary unfiil all conditians agreed upon in this Agreement, including submission and grant monitor approval of the interim and final narrative and financial reparts, have been satisfied. 7. Pro t Pay ent Clause The California State Gibrary will make payments i�o the Grantee in accordance with the Prompt Payment Clause under Government Code, section 927, et. seq. The Grantee may typically expect payment within 45 days from the date a grant paymeni� request is properly submitted and approved by fihe Grant Monitor. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 6 of 29 8. Budget Conting�ncy Glavse a. It is mutually agreed that if the Budget Act of the current fiscal year or any subsequent years covered under this Agreement does not appropriate sufficient f�nds for the program, this Agreement shall no longer be in full force and effect. In this event, the California State Library shall have no liability to pay any funds whatsaever to the Grantee or to furnish any ather considerations under this Agreement and the Grantee shall not be obligated to perform any provisions of this Agreement. b. If f�nding for any fiscal year is reduced or deleted by the Budget Act for purposes of this Program, the Galifornia State Library shall have the option to either cancel this Agreement with no liability occurring to itself or offer an Agreement amendment to the Grantee to reflect the reduced amount. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 7 of 29 ��,�� ,�� _ �� i�� EXHIBIT A: TERMS and CQNDITIC)NS l. Accessibilitv: The State is responsible for ensuring that public websites are accessible to both the general public and state employees, including persons with disabilities. Grantee shall assist the State in meeting its respansibility. Therefore, all project materials generated by state funded programs must meet the Ccsli�e�rnia A�cessikailit Stc�r�c�c�rds. Additionally all projeet materials designed, developed, and maintained shall be in compliance wifih the California Government Cade, sections 7405 and 1 1135, and the current Web Content Accessibility Guidelines, as published by the Web Accessibility Initiative of the World;Wide Web Cansortium at a minimum Level AA success criteria. However, if for some reason praject material is not generated to be in compliance to meet these standards, please still submit it to the State Library. When submitting the material make sure to note that the material is not accessible by including 66NOT ACCESSIBLE" in the file name. The California State Library reserves the right to post project materials to ii�s website that are in compliance with these standards. 2. Acknowledqment: The State of California and the Galifornia State Library shall be acknowledged in all promotional materials and publications related ta the California Library Literacy Services project. a. Grant award recipients must ensure that the State of California receives full credit as the source of funds and that the California State Library, likewise, is acknowledged as the administrator. b. Publications and information releases about the project must credit the State of California. An appropriate statement for a publication ar praject press release is: "This (publication/project] was supparted in whole or in part by funding provided by the State of California, administered by the California State Library." Grantees must inelude the above statement in any publications, vehicle wraps, and promotional materials, including websites. If space is limited the Stafie Library logo and the following shortened acknowledgement statement is acceptable: Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 8 of 29 "Funding provided by the State of California." c. This credit line on products of a project, such as materials, is important to foster support from the public, and state funding sources. d. Galifornia State �.ibrary �ogo: Use of ihe California State Library logo, which can be downloaded on fihe �a(ifarnia Stat� Libr�ry v�rebsit�, is required on any publication, vehicle wrap, or promotional material along with the above stafiement(s). e. Photo Documentation: Digital photos are a great way to document �he happenings of your project. It is recommended that you use a photo release form when taking photos af the public. You may use your library's photo release form or contact your grant monitor for the State Library's form. 3. A_caenc� In the performance of fhis Agreement the Grantee and ifis agents and employees shall act in an independent capacity and not as officers, employees ar agents of the California State �ibrary. The Grantee is solely responsible far all activities supported by the grant. Nothing in this Agreement creates a partnership, agency,joint venture, employrnent, or any ather type of:relationship between the parties. The Grantee shall not represent itself as an agent of the Galifornia State Library for any purpose and has no authority to bind the State Library in any manner whatsoever. 4. Amendment: No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by the parties, and approved as required. No oral understanding or agreement not incorporated into this Agreement is binding on any of the parties. This Agreement may be amended, modified or augmenfied by mutual consent of fhe parties, subject to the requirements and restrictions of this paragraph. 5. Applicable law: The laws of fihe State of Califarnia shall gavern all proceedings concerning the validity and operation of this Agreement and the performance of the obligations imposed upon the parties hereunder. The parties hereby waive any right to any other venue. The place where the Agreement is entered into and place where the obligation is incurred is Sacramento Caunty, California. 6. Assiqnment, Successors, and Assigns: The Grantee may not assign this Agreement or delegate its performance to any third-party person or entity, either in whole or in part, without the Galifornia State �ibrary's prior written consent. The provisions of this Agreement shall be binding upon and inure to the benefit of the Galifornia State �ibrary, the Grantee, and their respective successors and assigns. 7. Audit and Recards Access: The Grantee agrees that the Galifornia State �ibrary, the Department of General Services, the State Auditor, or their designated represenfiatives shall have the right to review, audit, inspect and copy any records and supporting documenfation pertaining to fihe performance of this Agreement. The Grantee agrees to maintain such records for possible audit far Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 9 of 29 a minimum of five (5) years after the final payment, or grant term end date, whichever is later, unless a longer period of records retention is stipulated, or until completion of any action and resolution of all issues which may arise as a resulfi of any litigation, dispute, or audit, whichever is later. The Grantee agrees to allow the auditor(s) access to such records during normal business hours and to allow interviews of any employees who might reasonably have information related to such records. Further, the Grantee agrees to include a similar right of the State to audit records and interview staffi in any subcontract related to performance of this Agreement. Examples of audit documentation may include, but not limited to, competitive bids, grant amendments, if any, relating to the budget or work plan, copies of any agreements with contractors or subconi�ractors if utilized, expenditure ledger, payroll register entries, time sheets, personnel expenditure summary form, travel expense log, paid warrants, contracts and change orders, samples of items and maferiais developed with grant funds, invoices and/or cancelled checks. 8. Authorized Representative: Grantee and the California State Library mUtually represent that their authorized representatives have the requisite legal authority to sign on their organizatian's behalf. 9. Communication: All communications from either party, including an interim check-in at any time during the grant term, shall be directed to the respective grant manager or representative of the California State (�ibrary or Grantee. For this purpose, the fallowing contact informatian is provided below: Shasta Pu lic Li raries Galifornia State I.i rary Julia Parsons Allyson Jeffreda 11 P rkview ve. 9 Street e in , 96 1-3239 Sacra ento, G 95 14 Julia @shastalibraries.or AII�s�r�m��ffr��C�?li�r�ryo��, �v 916-6 3-67 9 Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 10 of 29 10. Confidentiality: Grantee will maintain as confidential any material it receives or produces that is marked Confidential or is inherently confidential or is protected by privilege. Grantee agrees to alert the State Library to this status in advance, and State �ibrary agrees to maintain this status in conformity with the Public Reeords Act. 1 >. Contractor and Subcontractors: Nothing contained in this Grar�t Agreement or otherwise shall create any contractual relatian between the Stafie and any contractor or subcontracfiors, and no contract or subcanfiract shall relieve the Grantee of his or her responsibilities and obligations hereunder. The Grantee agrees �o be as fully responsible to the State for fihe acfis and omissions of its contractors, subeontractors, volunteers, student interns and of persons either directly or indirectly employed by any of them as it is for the acts and omissions of persons directly employed by the Grantee. The Grantee's obligation to pay its contractars and subcontractors is an independent obligatian fram the State's obligation to rnake payments to fihe Grantee. As a result, the State shall have no obligation to pay or to enfarce the payment of any monies to any contractor ar subcontractor. 12. Copyriaht: Grantee c�wns and retains titles to any copyrights or copyrightable material from any original works that it creates within the scope of this Agreement in accordance with the federal Copyright Act. (17 U.S.C. 101, et seq.) Grantee is responsible for obtaining any necessary licenses, permissions, releases or authorizations to use text, images, or other materials owned, copyrighted, or trademarked by third par�ties and for exfiending such licenses, permissions, releases, or authorizations fo the Galifornia State Library pursuanf to this section. Also, the California State �ibrary may upload, post or transmit copyrighted material produced or purci�ased with grant funds on a California State Library websifie for public aceess and viewing. 13. Discharqe of Grant Obliqatians: The Grantee's obligations under this Agreement shall be deemed discharged only upon acceptance of the final reporf by California Stafe Library. If the Grantee is a non-profit entity, fhe Grantee's Board of Directors shall accept and certify as accurate the final report prior to its submission to California State Library. 14. Dis�ute Resolution: In the event of a dispufie, Grantee will discuss the problem informally with the Grant Monitor. If unresolved, the Grantee shall file a written "Notice of Dispute" with the State Library Grant Monitor within ten (10) days of discovery of the problem. Within ten (1Q) days of receipt, the Grant Monitor shall meet with the Grantee for purposes of resolving the dispute. Any dispute arising under the terms of this Agreement which is not disposed of within a reasonable period of time, the Grarrtee may bring it to the attention of the State Librarian or the designated representative. The decision of the State �ibrarian or designated representative shall be final. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 1 1 of 29 Unless otherwise instructed by the Grant Mor�itor, the Grantee shall continue with its responsibilities under this Agreement during any dispute. 15. Drua-free Warkplace: The Grantee certifies under penalty of perjury under the laws af California, that the Grantee will comply with the requirements of the Drug-Free Workplace Act of 199Q (Gav. Code, § 8350 et. seq.) ar�d will provide a drug-free workplace by taking the following actions: a. Publish a stai�emenfi notifying employees that unlawful manufacture, distribution, dispensatian, possession or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations. b. Establish a Drug-Free Awareness Program to inform emplayees about all of the following: 1) The dangers of drug abuse in the workplace. 2) The Grantee's policy of maintaining a drug-free workplace; 3) Any available counseling, rehabilitation and ernployee assistance pragrams. 4) Penalties that may be imposed upon employees for drug abuse violations. c. Require that every employee wha works on the Agreement will: 1) Receive a copy of the Grantee's drug-free workplace policy statement. 2) Agrees �o abide by the terms of the Grantee's statement as a conditian of employment on the Agreement. Failure to comply with these requirements may result in suspension of payments under the Agreement or fiermination of the Agreement or both and grantee may be ir�eligible for award of any future stafie agreements if the California State �ibrary determines that the grantee has made a false certification or violated the certification by failing to carry out the req�irements as noted above. 16. Effectiveness of Agreement: This Agreement is of no force or effect until signed by both parties. 17. Entire Agreement: This Agreement supersedes all prior agreements, aral or written, made with respect to the subject hereof and, together with all attachments hereto, contains the entire agreement of the parties. 18. Exclusive A�reement: This is the entire Agreement between the California State Library and Grantee. 19. Executive C�rder N-6-22-Russia Sanctions: The Grantee shall comply with Executive Order N-6-22 (the EO) regarding Ecanomic Sanctians against R�ssia and Russian entities and individuals. "Economic Sanctions" refers to sanctions imposed by the U.S. government in response to Russia's actions in Ukraine, as well as any sanctions imposed under stafie law. The EO directs state agencies to terminate grant agreements with, and to refrain from entering any new grant agreements with, individuals or entities fihat are Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 12 of 29 determined fio be a target of Economic Sanctions. Accordingly, should the State determine Grantee is a target of Economic Sanctions or is canducting prohibited transactions with sanctianed individuals or entities, fihat shall be grounds far termination of this agreement. The State shall pravide Grantee advance written notice of such termination, allowing Grantee at least 30 calendar days to provide a written response. Termination shall be at the sole discretion of the Stafie. 20. Extension: The State Librarian or designee may extend the final deadline far good cause. The Grantee's request for an extension of the grant period must be made in wrifing and received by the California State Library at least 30 days prior to fihe final deadline. 21. Failure to Perform: The grant being utilized by the Grantee is to benefit the California Library Literacy Services project. If the Grant Monitor determines the Grantee has not complied with this Agreemer�t, the Grar�tee may forfeit the right to reimbursement of any grant funds not already paid by the California State Library, including, but not limited to, the fen percent (l 0�0) withhold. 22. Federal and State Taxes: The State �ibrary shall nofi: a. Withhold Federal Insurance Con�tributions Act (FICA) payments from Grantee's payments or make FICA payments on the Grantee's behalf; or b. Make Federal or State unemplayment insurance contributions on Grantee's behalf; or c. Withhald Federal or State income taxes from Grantee's payments Grantee shall pay all taxes required on payments made under this Agreement including applicable income taxes and FICA. 23. Force Majeure: Neither the California State Library nar the Grantee, its contractors, vendors, or subcontractors, if any, shall be responsible hereunder for any delay, default, or nonperformance of this Agreement, to the extent that such delay, default, or nanperformance is caused by an acfi of God, weather, accident, labor strike, fire, explosion, riot, war, rebellion, sabotage, flood, or other contingencies unforeseen by the California Stafie �ibrary or the Grantee, ifis contractors, vendors, or subconfiractors, and beyond the reasonable control of such party. 24. Forfeit of Grant Funds and Re�aaXment of Funds Improperly Ex�ended: If grant funds are not expended, or have not been expended, in accordance with this Agreement, the State Librarian or designee, at his or her sole discretion, may take appropriate action under this Agreement, at law or in equity, including requiring the Grantee to forfeifi the unexpended portion of the grant funds, including, but not limited to, the ten percent (10�) withhold, andfor to repay to the California State �ibrary any funds improperly expended. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 13 of 29 25. Frinae Benefit In�li ibilit� Grantee agrees that neither the Grantee nor its employees and contract personnel are eligible fo participate in any employee pension, health benefit, vacation pay, sick pay or other fringe benefit plan of the State af California or the State Library. 26. Generall� Accepted Accounting Principles: The Grantee is required to use Generally Aceepted Accour�ting Principles in documenting all grant expenditures. 27. Grant Manitor: The Grant Monitar's responsibilities include monitoring grant progress and reviewing and appraving Grant Payment Requests and other documents delivered to the Califarnia State Library pursuant to this Agreement. The Grant Monitor may moni�or Grantee performance to ensure Grantee expends grant funds appropriately and, in a manner, consistent with the terms and conditions contained herein. The Grant Monitor does not have the autharity fio approve any deviation from or revision to the Terrns and Gonditions (Exhibit Aj or the Procedures and Requirements unless such autharity`is expressly stated in the Procedures and Requirements. 28. Grantee: the government or legal entity ta which a grant is awarded, and which is accountable to the California State Library for the use of the funds provided. a. The grantee will make reports to the State Librarian in such form and containing su�h information as may be required to ensure the proper used ofi funds consistent with the grantee's application and award agreement. The grantee will keep such records and afford such aceess as the California State Library may find necessary to assure the correctness and verification of such reports. 29. Grantee Accountabilitv: The Grantee is ultimately respansible and accountable for the manner in which the grant funds are utilized and accounted for and the way the grant is administered, even if the Grantee has contracted with another organizatian, public or private, to administer or operate its grant program. In the even�t an audit should determine that grant funds are owed to fihe California State Library, the Grantee is responsible for repayment af the funds to the California State Library. 30. Grantee Funds: It is mutually agreed that the Grantee is responsible for furnishing funds beyand the grant award that may be necessary to complete the project. 31. Independent Actian: Grantee reserves the right to fulfill its obligations under this Agreement in an independent manner, at any location and at any time within the agreed-upon timeline. Grantee's employees ar contract personnel shall perform all services required by this Agreement, but their time need nat be devoted solely to fulfilling obligations under this Agreement. Grantee shall furnish all equipment and materials used fa meefi its obligations and camplete the Project. The Sfiate Library shall not provide Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 14 of 29 any personnel or other resources beyond the grant award and is not required to provide training in connection with this Agreement. 32. Indemnification: Grantee agrees to indemnify, defend and save harmless the State of California, the California State Library and its officers, employees, and agents, from any and all claims, lasses, and liabilities accruing ar resulting to any and all contraetors, subcantractors, suppliers, laborers and any other person, firm or corporation furnishing or supplying work services, materials, or supplies in connection with the perfarmance of this Agreement, and from any and all claims and losses accruing or resulting to any person, firm or corporation who may be injured or damaged by Grantee in the performance of this Agreement. 33. License to Use: The Galifornia State Library reserves a fully paid-up, royalty- free, nonexclusive, sub-licensable'and irrevacable license to reproduce, publish, prepare derivative warks, distribute or otherwise use, and to authorize third parfiies to use, any material received or maintained by Grantee in cor�r�ection with fihis Agreement. This includes intellectual property, with or without third-party rights. All such usages will be for public library and State governmental purposes: a. The copyright in any work developed under this grant, sub-grant, or contract under this grant or sub-grant; and b. Any rights of copyright to which a Grantee, sub-grantee, ar a contractor purchases ownership with grant s�pport. 34. �imitation of Ex�enditure: Expendit�re for all projects must conform to the grantee's approved budget and with applicable State laws and regulations. The tatal amount paid by the California Sfiate Library to fihe Grantee under this agreement shall not exceed $66,190 and shall be expended/encumbered in the designated award period. During the award period, the grantee may find that the awarded budget may need to be madified. Budget changes, requests for additional funds, or requests for reductions in award funding must be discussed with the assigned State Library Grant Monitor and a Grant Award Modification may be required to be submitted according to the instructions. Approval is by the State Librarian or their designee. Adjustments should be reported on the next financial report. Any adjustments in approved budgets must be documented and documentation retained in project accounts. 35. Lobbyinq: Grantee confirms that the grant fUnds will not be used for the purposes of lobbying or otherwise attempting to influence legislation, as those purposes are defined by the U.S. Internal Revenue Code of 1986. 36. Non-Discrimination Clause: During this grant period, �he Grani�ee and the Grantee's contractors, and subcontractors shall not unlawfully discriminate, Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 15 of 29 harass, or allow harassment against any employee or applicant for employment because of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic infarmafion, marital status, sex, age, sexual orientation, ar military and veteran status. Grantee shall insure that the evaluation and treatment of contractors, employees and applicants far emplayment are free from such discrimination and harassment. Additianally, Grantee, cantractors, and subcontractors, if applicable, shall comply with the provisions of the Fair Employment and Housing Act (Gov. Gode §12900 et seq.J, the regulations promulgated thereunder (Cal. Gode Regs., tit. 2, §1 1000 et seq.), the provisions of Article 9.5, Chapter 1, Part 1, Division 3, Title 2 of the Government Code (Gov. Code §§ 1 1 1 35-1 1 1 39.5), and the regulations or standards adopted by the Califarnia State Library ta implement such'article. Grantee shall permit access by representatives of the Department of Civil Rights and the California State Library upon reasonable notice at any time during the normal business hours, but in no case less than 24 hours' notice, to such of its books, records, accounts, and all other sources of information and its facilities as said Department or the California State Library shall require ascertaining compliance with this clause. Grantee, and its contractors, and subcontractors shall give written notice of their obligations under this clause to labor organizatians with which they have a collective bargaining or other agreement. (See Cal. Code Regs., ti�. 2, §1 1 105.) Grantee shall include the non-discrimination and compliance provisions of this clause in all cantracts and subcontracts to perform work under the Agreement. 3T. Notices: All notices and other communications in connection with this Agreement shall be in writing, and shall be considered delivered as follows: a. Electronic ail (E- ail): When sent by e-mail to th� last e-mail address of the recipient known to the party giving notice. Notice is effective upon transmissian. b. ocuSi n (e-si nature latfor ): When sent via DocuSign a notification will be sent ta fihe last e-mail address of the recipient knawn to the party giving notice. Notice is effective upon transmission. c. rants ana e ent Syste : When sent via / uploaded to the California State Library's Grants Management System a notification will be sent to the last e-mail address of the recipient known to the party giving notice. Notice is effective upon transmission. d. Personally: When delivered personally fio the recipient's physical address as stated in this Agreement. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 16 of 29 e. .S. ail: Five days after being deposited in the U.S. Mail, postage prepaid, and addressed to recipient's address as stated in this Agreement. 38. Order of Precedenee: The performance of this Agreement shall be conducted in accordance with the Terms and Conditions, Procedures and Requirements, Certificate of Compliance, Project Summary, Activities Timeline, and Budget, of this Agreement, or other combination of exhibits specified on the Grani� Agreement Coversheet attached hereto (collectively referred to as "Terms"). Grantee's California State �ibrary- approved Application (Grantee's Application� is hereby incorporated hereir� by this reference. In the event of conflict or inconsistency between the articles, exhibits, attachments, specifications or provisions that constitute this Agreement, the following order of precedence shall apply: a. Grant Agreement Ca�ersheet ar�d any Amendrnents thereto b. Terms c�nd Conditions c. Pracedures and Requirements d. Certificate of Compliance e. Project Summary f. Grantee's Applicai�ion (including Budget ar�d Activities Timeline) g. All other attachments hereto, including any that are incarporated by reference. 39.�ment: a. The approved Budget, if applicabl�:, is attached hereto and incarporated herein by this reference and states the maximum amount of allowable costs for each of the tasks identified in the Projeci�Summary and Activity Timeline ir�cluded in the project application. California Sfiate Library shall provide funding to the Grantee for only the work and tasks specified in the Grantee's Application at only those costs specified in the Budget and incurred in the term of the Agreement. b. The Grantee shall carry ou� the wark described in the Work Plan or in the Grantee's Application in accordance with the approved Budget and shall obtain the Grant Monitor's written approval of any changes or modificatians i�o the Work Plan, approved project as described in the Grantee's Application, or the approved Budget prior to performing the changed work or incurring the changed cost. If the Grantee fails fio obtain such prior written approval, the State Librarian or designee, at his or her sole discretion, may refuse to provide funds to pay for such work or costs. c. The Grantee shall request funds in accordance with the funding schedule included in this agreement. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 17 of 29 d. Ten percent (10�0) will be withheld from the Payment Request (if applicable) and paid at the end of the grant term, when all reports and conditions stipulated in this Agreement have been satisfactorily completed. Failure by the grantee to satisfactorily complete all reports and conditions stipulated in this Agreement may result in forfeiture of any such funds withheld. e. �odgings, Meals and Incidentals: Grantee's eligible costs are limited to the amounts authorized in the GalifQrr�ies S�a�� Administraiiv� l�rlanuc�l (see Exhibit C or contact the Grant Monitor for more information). f. Paymeni�will be made anly to the Grantee. g. Reimb�rsable expenses shall not be incurred unless and until the grantee receives a Notice to Praceed as described in the Procedures and Requirements. 40. Personal Jurisdicfion: The Grantee consents fio'personal jurisdiction in the State of California for all proceedings concerning the validity and aperation of this Agreement and the performance of the obligations imposed upon the parties. Native American Tribal grantees expressly waive tribal sovereign immunity as a defense to any and all proceedings concerning the validity and operatian of this Agreement and the performance af the obligations imposed upon the parties. 4i. Persannel Costs: Any personnel expenditUres to be paid for with grant funds must be computed based on actual time spent on grant-related activities and on the actual salary or equivalent hourly wage the employee is paid for their regular job duties, including a proportionate share of any benefits to which the employee is entitled. 42. Ple� This Agreement shall nofi be infierpreted to create any pledge or any commitment by the State Library to make any other ar further grants or confributions to Grantee, or ar�y ofiher person or entify in cannection with the Project. It is mutually agreed that Grantee is respor�sible for furnishing funds beyond the grant award that may be necessary to complete autcomes or deliverables. 43. Privacy Proteci�ion: Both parties agree to protect the confidenfiiality of any non-publie, personal information that may be contained in materials received or produced in connection with fihis Agreement, as required by Civil Code, section 179&, et. seq. 44. Prohibited Use: The expenditure under this program shall not be used ta sUpplant Grantee efforts in other grant programs provided by the Galifornia State Library. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 1& of 29 45. Public Records Act: Material maintained or used by the California State �ibrary is cansidered "public record" under the Public Records Act (PRA) at Government Cade, sections 6250, et. seq. This includes the Interim and Final reports, and any other written communications between the parties. Grantee agrees to ensure that all content contained in its written reports are appropriate for publication. Said material, along with all other reports, documentation and data collected during the ferm of the Agreement, will be subject to disclosure unless it qualifies for exemption under the PRA in whole or in part. Grantee agrees to alert the State Library as fio a basis for exemption, if any exists. 46. Publicitv Obliqations: Grantee will notify the State Library of any promotional materials or publicatians resulting from the grant no later than five (5) days in advance of distribution, whether fhey are print, film, electronic, or in any other format or medium. Capies of aLl promotional materials will be provided to the State Lik�rary. Grantee will ackr�owiedge the State �ibrary's support as noted above. Grantee agrees that the State Library may include informafion about this grant and its outcomes in its own annual reports, with specific reference to Grantee, and may distribvte such infarmation to third parties. 47. Records: Communications, grant related documents, data, ariginal receipts, and invoices must be maintained by Grantee and shall be made available to the Stafe Library upon request. Grantee agrees to mainfain adequate grant program records and adequate financial records consistent with generally accepted accounting practices, and to retain all records for at least five (5) years affier the end-of-term. The State Library may monitor or conduct an ansite evaluation of Grantee's operation to ensure compliance with this Agreement, with reasonable advance notice. 48. Red��tion of Waste: In the performance of this Agreement, Grantee shall take all reasonable steps to ensure that materials purchased or utilized in the course of the project are not wasted. Steps should include, but not be limited to: the Use of used, reusable, ar recyelable produc�s; discretion in the amount of materials used; alternatives to disposal of materials consumed� and the practice of other waste reduction measures where feasible and appropriate. 49. Reimbursement Limitations: Under no circumstances shall the Grantee seek reimbursement pursuant ta this Agreement far a eost or acfiivity thafi has been or will be paid for through another funding source. The Granfee shall not seek reimk�ursement for any costs used to meet cost sharing or matching requirements of any other California State Library funded program. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 19 of 29 50. Re�orts and Claims: It is the responsibility of the grantee make the required reparts and claims to the California State �ibrary. a. The grantee shall be responsible for submitting to the State �ibrary Narrative Reports detailing progress and activities. The reports are due on the dates specified in the reporting schedule detailed in the Procedures and Requirements section. b. The grantee shall be responsible for submitting to the State Library Fir�ancial Reports reflecting grantee expenditure activity. The reparfs are du� on the dates specified in the reporting schedule detailed in the Procedures and Requirements section. c. To obtain payment hereur�der the grantee shall submit authorized claims provided by the State Library for tha� purpose, on each of the following mentioned dates for payment, and the California State �ibrary agrees to reimburse the Library as soon thereafter as State fiscal procedures will permifi. d. The final 10% of the grant award (if applicable) is payable only upon approval of all final reports and receipt af claim form. Failure to provide timely reports is a serious breach of an award recipient's administrative duty under the award. e. Payment will be provided to cover the expenditures incurred by the grantee far the praject in the following manner: o $59,571 upon exec�tion of the agreement and submission of claim by fihe grantee organization. o A second paymenfi will be made after the submission and approval af the first reports and receipt of claim form in the amount of $6,619. 51. Self-Dealing and Arm's Lenath Transaetions; All expenditures for which reimbursement pursuant to this Agreement is sought shall be the result of arm's-length transactions and not the result of, or motivated by, self-dealing an the part of the Grantee or any employee or agent of the Grantee. For purposes of this provision, "arm's-length transactions" are those in which both parties are on equal footing ar�d fair market forces are at play, such as when multiple vendars are invited to compete for an entity's business and the entity chooses the lawest of the resulting bids. "Self-dealing" is involved where an individual or entity is obligated to act as a trustee or fiduciary, as when handling public funds, and chooses to act in a manner that will benefit the individual or entity, directly or indirectly, ta the detriment of, and in conflict with, the public purpase for which all grant monies are to be expended. 52. Severability: If any part of this Agreement is found to be unlawful or unenforceable, such provisions will be voided and severed from this Agreement, but the remainder of the provisians in the Agreement will remain in full force and effecfi. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 20 of 29 53. Site Visits: The Grantee shall allow the Galifornia State Library to access and conduct site visits, with reasonable notice, at which grant funds are expended and related work being performed at any time during the performance of the work and for up to ninety (90) days after completian of the work, or until all issues related to the grant project have been resolved. A site visit may inclvde, but nofi be limited fio, monifioring the use of grant funds, provide technical assistanee when needed, and to visit the State funded project. 54. Termination: The Agreement shall be subject to termination by the State �ibrarian or designee upon notice to the Grantee at least thirty (30) days pricar to the effective date of terminatian. In the event this agreemen� is terminated, the Grantee shall deliver to the State �ibrarian copies of all reports, accounting, data, and materials prepared up to the date of termination. The State Librarian shall determine c�nd;pay the Granfiee for necessary and apprapriate expend�tures and abligatior�s up to the`date of termination which have not been eavered by prior instailments previously paid to the Grantee. Upon such termination, the �nused portion of the grant award must be returned to the California State Library within 45 days. If funding has been advanced to the Grantee, any unobligated balances, as determined by the State Librarian, shall be returned to the State Library within 45 days of the notice of termination. 55. Timeline: Time is of the essence to this Agreement. It is mutually agreed between the parties that the grant application and the timeline included therein are pari- of the Agreement. 56. Unused Funds: At the end-of-term Grantee agrees to return any unexpended or unaccounted for funds to the State Library, or to submit a written request for an extension of the grant period. Funds will be considered unexpended or unaccounted if they were: (1) not used for their intended purpose, or (2) used inconsistent with the terms of this Agreement. Funds will also be considered unaccounted for, and must be returned, if the proposal outcomes or deliverables are materially incomplete by the end-of- term or earlier termination, as determined by the State Library in its sole discretion. 57. Waiver of Ric�hts: California State Library shall not be deemed to have waived any rights under fihis Agreement unless such waiver is given in writing and signed by California State Library. No delay or omission on the part of California State Library in exercising any rights shall operai�e as a waiver of such right or any other right. A waiver by Califarnia State Library of a provisian of this Agreemer�t shall not prejudice or constitute a waiver of California State Library's right o�herwise to demand strict compliance with Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 21 of 29 that provision or any other provision of this Agreement. No prior waiver by California State Library, nor any course of dealing between California State Library and Grantee, shall constitute a waiver of any of California State �ibrary's rights or of any of grantee's obligations as to any future transactions. Whenever the consent of California State Library is required under this Agreement, the granting of such consenfi by California State �ibrary in any instance shall not constitute continuing consent to sUbsequent instances where such consent is required and in all cases such consent may be granted or withheld in the sole discretion af California State Library. 58. Work Products: Grantee shall provide California State Library with copies of all final products identified in the Work Plar� ar�d Application. Grantee shall also provide the State Library with copies of all public education and advertising material produced pursuant to this Agreement. 59. Worker's Com�ensatic�n: The Stafie,of Califarnia will r�ot pravide Workers' Compensation insurance for Grantee or Grantee's employees or contract personnel. If Grantee hires employees to perform services required by this Agreement, Grantee shall provide Workers' Compensation insurance for them. The Grantee is aware of Labor Code Sectian 370Q, which requires every employer to be insured against liability for Workers' Compensation or to undertake self-insurance in accardance with fhe Labor Gode, and the Grantee agrees to comply with such provisions before commencing the performance of the wark of this Agreement. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 22 of 29 ��` �� a��'� � '�� ' �. EXHIBIT B: GERTIFIGATION of CC3MP�IANCE FORM 1. T IZE REPRES� T TIVE: I certify that the authorized representative named below is the legally designated representative of the Grantee for this Grant Agreement and project and is authorized to receive and expend funds in order to administer this grant program. 2. I certify that all information provided to the California State Library for review in associatior� with fhis award''is correct and complete to the best of my knowledge, and as the authorized representative of the Grantee, I commit to the conditions of fihis award, and I have fihe legai authority to do so. 3. I certify that any or all other participants or contractors in the grant program have agreed to the terms of the application/grant award and have entered into an agreement(s) concerning fihe final disposition of equipment, facilifiies, and materials purchased for this program from fihe funds awarded for the activities and services described in the attached, as appraved and/or as amended in the application by the California State Librarian. 4. The autharized representative, on behalf of the Grantee, certifies that the Grantee will comply with ali applicable requirements of State and Federal laws, regulations, and policies governing this program, to include the requirements listed below in this Certification of �ompliance Form. 5. The authorized representative, on behalf of the Grantee, hereby certifies to the California State Library, for an award of funds in the amount $66,190. This award will provide library services as set forth in the Project Applicafiion as approved andlor as amended by the California State Librarian. 6. STATEMENT OF G�3MPLIANCE: Grantee has, unless exempted, complied with the non-discrimina�ian prcagram requirements. (Gov. Code §12990 (a-f) and CCR, Title 2, Section 1 1 102). 7. DRUGFREE WORKPLACE REQUIREMENTS: Grantee will comply with the requirements of the Drug-Free Workplace Act of 1990 and will provide a drug-free workplace by taking the following actions: a. Publish a statement notifying employees that unlawful manufacture, distributian, dispensation, possession or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations. b. Establish a Drug-Free Awareness Program to inform employees about: 1) the dangers af drug ab�se in the workplace; Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 23 of 29 2) the person°s or organization's policy of maintaining a drug-free workplaee; 3) ar�y available counseling, rehabilitatian and employee assistance programs; and, 4) penalties that may be imposed upon emplayees for drug abuse violations. c. Every employee who works on the propased Agreement will: 1) receive a copy of the company's drug-free workplace policy statement; and, 2) agree to abide by the terms of the company's statement as a condition of employment on the Agreement. Failure to comply with these requirements may result in suspension af payments under the Agreement or termination of the Agreement or both and Grantee may be ineligible for award of any future Sfiate agreements if the departmenf d�termines i�hat any of the following has occurred: the Grantee has made false certification or violated the'certification by failing ta carry out the requirements as noted above. (Gov. Code § 8350 et. seq.) 8, CONFLICT OF INTEREST: Grantee needs to be aware of the fallowing provisions regarding current or former stai�e employees. If Grantee has any quesfiians on the status of any person rendering services or involved with the Agreement, the Galifornia State Library must be contacted immediately for clarification. Current State E loyees (Pub. Contract Gode 1 1 ): a. No officer or employee shall engage in any employment, activity or enterprise from which the officer or employee receives compensation or has a financial interest, and which is sponsared or funded by any state agency, unless the employment, activity or enterprise is required as a condition af regular state employment. b. No officer or employee shall contract on his or her own behalf as an independent contractor with any state agency to provide goods or services, For er State E loyees (Pu . Contract Gode 1 411): a. For the twa-year period from the date he or she left state emplayment, no former state officer or employee may enter inta a contract in which he or she engaged in any of the negotiations, transactions, planning, arrangements or any part of the decision- making process relevant to the contract while employed in any capacity by any state agency. b. For the twelve-month period from the date he or she left state employment, no former state officer or employee may enter into a contract with any state agency if he or she was employed by that state agency in a policy-making position in the same general subject area as the praposed contract within the 12-month �aeriod prior to his or her leaving state service. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 24 of 29 If Grantee violates any provisions of above paragraphs, such action by Grantee shall render this Agreement void. (Pub. Contract Code § 10420). Members of boards and commissions are exempt from this section if they do nat receive payment other than payment of each meeting of the board or commission, payment for preparatory time and payment for per diem. (Pub. Contract Code § 10430 (ej). 9, C C E/ KE S' C P S TI : Grantee needs to be aware of the pravisions which require every employer ta be insured against liability for Worker's Compensation or to undertake self-insurance in accordance with the pravisions, and Grantee affirms to comply with such provisions before commencing the performance of the work of this Agreement. (Labor Code § 3700). 10. E 1 A S IT ISA ILITI S T: Grantee assures the State that it complies with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrirnination on the basis of disability, as weli as all applicable regulations and guideLines issued pursuant ta fihe ADA. (42 U.S.G. 121 Q1 et. seq.) 11. RES LUTI : For awards totaling $350,000 or mare, a county, city, district, or other local public body must provide the State with a copy of a resolutian, order, mation, or ordinance of the lacal governing body which by law has authority to eni�er ini�o an agreement, authorizing execution of the agreement. 12. P YE T EC F ST . 2 4: This form must be completed by all Grantees that are not another state agency or other governmental entity. 13. RU F E KPC C : a. Continue to provide a drug-free workplace by complying with the requirements in 2 C.F.R. part 3186 (Requirements for Drug-Free Workplace (Financial Assistance)). In parficular, the recipient must comply with drug- free workplace requirements in subpart B of 2 C.F.R. part 3186, which adopts the Government-wide implementation (2 C.F.R. part 182) of sections 5152-5158 of the Drug- Free Workplaee Act of 1988 (P. L. 100-69Q, Title V, Subtitle D; 41 IJ.S.G. §§ 701-707). b. This includes but is nof limited to: making a good faith efforfi, on a continuing basis, to maintain a drug-free workplace; publishing a drug-free workplace statement; establishing a drug-free awareness program for the employees; taking actions concerning employees who are convicted of violating drug statUtes in the workplaee. 14. CCESSI ILITY: The organization receiving this award, as listed in the certification section below, and all program staff, will ensure all project materials will meet California accessibility standards. 15. NON-DISCRIMINATION: The organization receiving this award, as listed in the certification section below, and all program staff, agree to comply with all California non-discrimination laws. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 25 of 29 16. G LE E E T: The organization receiving this award, as listed in the certification section below, and all program staff, agree to comply with California State Library acknowledgement requirements. Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 26 of 29 � � �t�� , �� EXHIBIT C: CALIFORNIA LIBRARY LITERACY SERVICES GUIDELINES 1. California Library Literacy Services programs shall comply with the requirements in Sectior�s 1��0-1�883 of the California Education Cade. 2. Galifarnia Library Literacy Serviees programs shall train and recruit volunteers to serve as tutors. Volunteer tutors are the primary instructors for the program. 3. California Library i�iteracy Services programs shall seek loeal government and camm�nity resources and develop caoperative relations with other local literacy services providers. 4. California Library Literacy Services programs will provide a base level of lacal and private fiscal support ta be established by the California State �ibrary. 5. In response to an expressed and recognized need from the field for specific program requirements, the California State Library and related stakeholders created a framework and program essentials. The framework and essentials describ� what constitutes an effective program: a. California Library I�iteracy Services programs must use the Roles and �caals frc�mew�rk to implement and evaluate their literacy services. b. California Library �iteracy Services programs' staff must attend their regional Library Literacy Network Meetings. c. Tutor training for volunteers should include, ai� a minimum, a program orientation, tutaring basics, and instruction on learner-driven services. d. California Library Literacy Services programs must align with the following �roqram values: i. California Library Literacy Services is library based� ii. California Library Giteracy Services is a core library service; iii. California Library �iteracy Services is learner-driven; iv. California Library Literacy Services is community-focused; v. California Library �iteracy Services is valunteer-supported; vi. California Library �iteracy Services staff is professionally engaged; and vii. California Library �iteracy Services supports families. 6. California Library Literacy Services Family Literacy programs (if applicable) shall provide services ta prevent illiteracy thraugh coordinated literacy and preliteracy services to families. Recruitment of parenfis not previously Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 C�LS25-84 Page 27 of 29 included in public library literacy programs is a high priority. Family Literacy programs are implemented and evaluated using the Fc�rnil �i�erac Evc�lvc�fi�r� Fr�mewc�rk. ertific ti C)RGANIZATION a e: ress (afficial and complete): PRC.�JECT CC�ORQINATOR a e: E aiL• Phone: GRANTTEE RUTHORIZED REPRESENTATIUE p �°Travis Menne TItle: a''� tmenne@cityofredding.org PhOnee Si nqture: te: Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 28 of 29 � � �t�� , �� Authorized Representative Signature c��a�iz��io� a e: dress (official and camplete): AUTHORIZED R�PRES�NTATIUE' Si nature: ate: Prinfied Name of Person Signing: Title: STAT� OF CALIFORNIA ' ency a e: ��I;fi�r��i�:� `�� i��a��s:�� ress: 900 N S�reet, Sacramento, CA 95814 Signature: ��^ �� Date: �oi��2025 �V� Printed a e o erson Si nin : Title: C��I��r5i� ��,3� £..i�.a��:�ri�.�� Greg Lucas Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C Shasta Public Libraries California Library Literacy Services 2025-2026 CLLS25-84 Page 29 of 29 � � �t�� , �� 15 September 2025 RE: Contractor and Grantee Compliance with Economic Sanctions Imposed in Response to Russia's Actions in Ukraine Dear Grantee, Yau are receiving this notification because yau currently have an active grant through the California State Library. On March 4, 2022, Governor Gavin Newsam issued'Executive Order N'-6 22 (EO} regarding sanctians in response to Russian aggression in Ukraine. The �O is'lacated at ht��a�:/1v��nrvv.�av,�a,�ca�/�v�-ccrnt�r�t/��I��d�/2022/Q3/3.4.��R�a��i�-tJkr�i��-��fiiv�- �rd�r.�df. The EO directs all agencies and departments that are subject to the Governor's authority to take cerkain immediate steps, including notifying all contractors and grantees of their obligatians to comply with existing ecanomic sanctions imposed by the U.S. government in response to Russia's actians in Ukraine, as well as any sancfiions imposed under state law. This correspondence serves as a natice under the EQ that as a contractor or grantee, compliance with the econamic sanctions imposed in response to Russia's actions in Ukraine is required, including with respect to, but not limited to, the federal executive orders identified in the EO and the sanctions identified on the U.S. Department of the Treasury website (htt��:f/he�r��;,fr��ur�.c��or/�eali��-i��t��ffe��i�l-��ti�a��l��r�c:ti�n�- rc�e�r�m�-�r�d-�c�ur�tr�r-ir�fcarrr��t��n/�akr�i��-ru��i�-r�lat�d-��r��ti��). Failure to comply may result in the termination of contracts or grants, as applicable. Please note thafi for any agreements or grants valued at $5 million or more, a separate notificatian will be sent outlining additional requirements specified under the EC?, Annly Roman California State Library 900 N Street Sacramento, GA 95$14 Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C s � �^j� `„�� ,^��, ��hw�;�S\.Y ��`�`��a�,��,�`�`�� .. ... ''\'\\�� a��ti�,�Y i.'� �i,"��,�."a"44`��"�\��',.,,`a'.:'„��. i S i� �,��4s��ti�� ,,.. .. . . . ... CA LIBRARY LITERACY AND ENGLISH ACQUISITION SERVICES FINANCIA� C�AIM 1St PAYMENT Grant Award #: CLLS-25-84 Date: Invoice #: CLLS-25-84-01 PO #: Payee Name: City of Redding (Legal name of authorized agency to receive, disburse and account for funds�) Complete Address: Street Address, City, State,Zip Code(Warrant will be mailed to this address) Amount Claimed: $59,571 Type of Payment: (Payable Upon Execution of Agreement) � PROGRESS Grantee Name: Shasta Public �ibraries ❑ FINAL (Name on Award Letter and Agreement) ❑ IN FU�L Project Title: California Library Literacy Services ❑ AUGMENT For Period From: upon execution to end of grant period CERTIFICATION I hereby certify under penalty of perjury: that I am the duly authorized representative of the claimant herein; that this claim is in all respects true, correct and in accordance with law and the terms of the agreement; and that payment has not previously been received for the amount claimed herein. By (Signature of the Authorized Representative) Travis Menne (Print Name) (Title) *Legal payee name must match the payee's federal tax return. Warrant will be made payable to payee name. Payee discrepancies in name and/or address may cause delay in payment. If you need to change payee name and/or address, please contact Fiscal Services at st�t�c�r�nts.fi��l(c�libr�rv.ca. c�v. State of California, State Library Fiscal Office ENY: 2025 ITEM NO: 6120-213-0001, Chapter 4, Statutes of 2025 PURCHASING AUTHORITY NUMBER: CSL-6120 REPORTING STRUCTURE: 61202000 COA: 5432000 PROGRAM #: 5312 FAIN: LS or N/A By Date (State Library Representative) .1�r�n#Fn�m Re��#Fc�rim, Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C PAYEE DATA RECORD (Required when receiving payment from the State of California in lieu of IRS W-9 or W-7) STD 204(Rev.03/2021) �,*.' i� ee`...I r 1 .. .:<: • . • � +�t n '1 -=°�a . r� � r��t ctr� Y '� NAME�(This is requir�de�Do not Peave fhis line blank. Must match the payee's federal tax return) �l9�BIV��S IV�lM�, ��e�6V��elE o�'�I s��GAFfCPE� �i6VC'a�E M�Ni��Ft��C R4AM� (If differenk from above} MAILING ADDRESS (number, street, apt.or suite no.) (See instructions on Page 2) CITY, STATE,ZIP CODE E-MAIL ADDRESS .••�i .�" --��t�•. . • : 'S� t� � ...T ...., �: Check one 1 box onl that matches the entit t pe of the Pa ee listed in Section 1 above. See instructions on pa e 2 ❑ SOLE PROPRIETOR 1 INDIVIDUAL CORPORATION(see instructions on page 2) ❑ SINGLE MEMBER LLC Disregarded Entity owned by an individual ❑ MEDICAL (e.g., dentistry, chirapractic, etc.) ❑ PARTNERSHIP ❑ LEGAL (e.g.,attorneyservices) ❑ ESTATE OR TRUST ❑ EXEMPT (e.g., non,arofit) ❑ ALL OTHERS .�,�" x ... ��,...:.:. :�. .. ... ..�:' ` ' :::�... ...i':.: ..� � n � �€��r �I�nn : : ` ��t � � t �c� � °° � � � � � .. ` .• : . .. Enter your Tax Identification Number(TIN) in the appropriate box. The TIN must match the name given in Section 1 of this form. Do not provide more than one(1)TIN. Social Security Number(SSN) or The TIN is a 9-digit number. Note: Payment will not be processed without a TIN. �ndividual Tax Identification Number(ITIN) • For Individuals, enter SSN. • If you are a Resident Alien, and you do not have and are not eligible to get an ___-__-____ SSN, enter your ITIN. • Grantor Trusts (such as a Revocable Living Trust while the grantors are alive)may OR not have a separate FEIN. Those trusts must enter the individual grantor's SSN. • For Sole Pro rietor or Sin le Member��C disre arded entit Federal Employer ldentification Number p g ( g y), in which the �FEIN) sole member is an individual, enter SSN (ITIN if applicable)or FEIN (FTB prefers SSN). • For Single Member LLC (disregarded entity), in which the sole member is a -- ------- business entity, enter the owner entity's FEIN. Do not use the disregarded entity's FEIN. • For all other entities including LLC that is taxed as a corporation or partnership, estates/trusts (with FEINs), enter the entity's FEIN. ...... : .• ,..,.: • ,.:. ��i°.�`t. •:,�P�i° .:.�2..�itl��'t+� .. �"'�°..:. ;...'i't1'trU��liirt5 •. •°. ...::. � �� e � ��'' �� '•' �. ❑ CALIFORNIA RESIDENT—Qualified to do business in California or maintains a permanent place of business in California. ❑ CALIFORNIA NONRESIDENT—Payments to nonresidents for services may be subject to state income tax withholding. ❑No services performed in California ❑Copy of Franchise Tax Board waiver of state withholding is attached. �ect�c��►.�-G�rt�fica�icr� l nereby certify under penalty of perjury that the information provided on this document is true and correct. Shou/d m residenc status chan e, l wi!! rom t! notif fhe state a enc below. NAME OF AUTHORIZED PAYEE REPRESENTATIVE TIT�E E-MAIL ADDRESS SIGNATURE DATE TE�EPHONE (include area code) . ..... . :.'"`��ar�' `��a ii� ,:: t :A ... . ` :::: _ ��+� � S � _ t� � _ . n� .. . Please return com leted form to: STATE AGENCY/DEPARTMENT OFFICE UNIT/SECTION Ca. State �ibrary Admin/Accounting MAILWG ADDRESS FAX TELEPHONE (include area code) 900 N Street 916-603-7157 CITY STATE ZIP CODE E-MAI�ADDRESS Sacramento CA 95814 accounting@library.ca.gov Docusign Enveiope ID:2A28B299-FD50-4ED7-8AB3-B88EA1 F4143C PAYEE DATA RECORD (Required when receiving payment from the State of California in lieu of IRS W-9 or W-7) STD 204(Rev.03/2021) GENERALINSTRUCTIONS Type or print the information on the Payee Data Record,STD 204 form. Sign,date,and return to the state agencyldepartment office address shown in Section 6. Prompt return of this fuliy completed form wili prevent deiays when processing payments. Information provided in this form will be used by California state agencies/departments to prepare Information Returns(Form1099). NOTE:Compietion of this form is optionai for Government entities,i.e.federai,state,local,and special districts. A completed Payee Data Record,STD 204 form,is required for alI payees(non-governmental entities or individuals)entering into a transaction that may lead to a payment from the state.Each state agency requires a compieted,signed,and dated STD 204 on fle;therefore,it is possible for you to receive this form from multiple state agencies with which you do business. Payees who do not wish to complete the STD 204 may elect not to do business with the state. If the payee does not complete the STD 204 and the required payee data is not otherwise provided,payment may be reduced for federal and state backup withholding.Amounts reported on Information Returns(Form 1099) are in accordance with the Internal Revenue Code(IRC)and the California Revenue and Taxation Code(R&TC). ''...��.ct�t�r�°'�..�-F�a e��rif�rn��tic�r�. . . . .�1. . Name—Enter the name that appears on the payee's federal tax retum. The name provided shali be the tax Iiabie party and is subject to IRS TIN matching�(when applicable). . Sole Proprietor/Individual/Revocable Trusts—enter the name shown on your federal tax return. • Single Member Limited Liability Companies(L�Cs)that is disregarded as an entity separate from its owner for federal tax purposes-enter the name of the individual or business entity that is tax liable for the business in section 1. Enter the DBA,�LC name,trade,or fictitious name under Business Name. . Note:for the State of California tax purposes,a Single Member LLC is not disregarded from its owner,even if they may be disregarded at the Federal level. • Partnerships,Estates/Trusts,or Corporations—enter the entity name as shown on the entity's federai tax return. The name provided in Section 1 must match to the TIN provided in section 3. Enter any DBA,trade,or fictitious business names under Business Name. Business Name—Enter the business name, DBA name,trade or fictitious name,or disregarded LLC name. Mailing Address—The mailing address is the address where the payee will receive information returns. Use form STD 205, Payee Data Record Suppiement to provide a remittance address if different from the mailing address for information returns,or make subsequent changes to the remittance address. <. ._ �,..<.$ � �f�.*C�I;„��. ,��1. � ,,. __<.<°< . <.: �= � (f the Pa ee in Section 1 is a n ..: THEN Select the Bax for... Individual•Sole Pro rietorshi •Grantor Revocable�ivin Trust disre arded it�r federal tax ur ases ' Sale Pro rietor/Individual Limited Liabiiit Com an LLC owned b an individual and is disre arded for federal tax ur oses Sin le Member LLC-owned b an individual Partnershi s• Limited �iabilit Partnershi s �LP •and, LLC treated as a Partnershi Partnershi s Estate•Trust other than disre arded Grantor Trust Estate or Trust Corporation that is medical in nature(e.g., medical and healthcare services, physician eare, nursery Corporation-Medical care,dentistr , eta • �LC that is to be taxed like a Cor oration and is medical in nature Corporation that is legal in nature(e.g.,services of attorneys,arbitrators,notary publics involving iegal Corporation-Legal or law related matters,etc. • LLC that is to be taxed like a Gor oration and is le al in nature Cor oration that ualifies for an Exem t status,includin 501 c 3 and domestic non- rofit cor orations. Cor oration-Exem t Corporation that does not meet the qualifications of any of the other corporation types listed above•LLC Corporation-All Other that is to be taxed as a Cor oration and does not meet an of the other cor oration t es listed above � .. ��.. ��;.. < ��,. < � .<.... . .:... :.<. , . ... <. ,...°..� �.:... . �.. �. � � _ � � �.. . �.. ��. .�; \ : � _ \ + � �.. . �.. �. \ � . \ �.. . �.. �. \ � � .� \ � �.. . �.. �. _ \ � � .� \ � 1 =._� I � . � . � �c r► T x � r�t�� r� b+e \ � � \ � � #c� 3 � � �r I�Ium \ . . \.. \ \ �. . . \ � \ .. \\... o\\ � �. . �. � o \\\\\\\\\\\\\\\\\\\\\\\\\\ . \\\\\\\\\\\...., .�� ....�\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\O .��000000� . _ \\\\\\\\\\\\\\\\\\\\\\\\\\\\O ..�0000��00000000000000��00000000000000��00000000000000��0000000000�0�0� The State of California requires that aII parties entering into business transactions that may lead to payment(s)from the state provide their Taxpayer identification Number(TIN). The TIN is required by R&TC sections 18646 and 18661 to facilitate tax compliance enforcement activities and preparation of Form 1099 and other information returns as required by the IRC section 6109(a)and R&TC section 18662 and its regulations. S�cEican ��Payee•R��id��n�y��fius Are you a California resident or nonresident? . A corporation will be defined as a"residenY'if it has a permanent place of business in California or is qualified through the Secretary of State to do business in California. . A partnership is considered a resident partnership if it has a permanent place of business in California. . An estate is a resident if the decedent was a California resident at time of death. • A trust is a resident if at least one trustee is a California resident. o For individuals and sole proprietors,the term"resident"includes every individual who is in California for other than a temporary or transitory purpose and any individuai domiciied in California who is absent for a temporary or transitory purpose. Generaily,an individuai who comes to Caiifornia for a purpose that will extend over a long or indefinite period wili be considered a resident. However,an individual who comes to perform a particular contract of short duration will be considered a nonresident. For information on Nonresident Withholding,contact the Franchise Tax Board at the numbers listed below: Withholding Services and Compliance Section: 1-888-792-4900 E-mail address:wscs.gen@ftb.ca.gov For hearing impaired with TDD,cali: 1-800-822-6268 Website:www.ftb.ca.qov ��C?fi'1'��—��'�IG�'��p#1 � .. Provide the name,title,email address,signature,and telephone number of individual compieting this form and date completed. In the event that a SSN or ITIN is provided,the individual identified as the tax liable party must certify the form. Note:tne signee may differ from the tax liabie party in this situation if the signee can provide a power of attorney documented for the individual. +��'�'CT ':....�5<-� "� �E3 =�.. ° ° ...' ' .. � 1 i"# ''.��'lil"""� c� �1 ��i ': '' .>.. . , . � � � Y . ., ,..... .. . ... . . ,,»�.... This section must be completed by the state agency/department requesting the STD 204. ��_, 'C � � f...... '�i'I�i� .<�i �'� tT14t'1 . �. . << .: < v � ,:< ..�.� : .,,.. ..... Section 7(b)of the Privacy Act of 1974(Public Law 93-579)requires that any federal,state,or Iocal governmental agency,which requests an individual to disclose their social security account number,shall inform that individual whether that disciosure is mandatory or voluntary,by which statutory or other authority such number is solicited,and what uses will be made of it. It is mandatory to furnish the information requested. Federal law requires that payment for which the requested information is not provided is subject to federal backup withholding and state law imposes noncompliance penalties of up to$20,000. You have the right to access records containing your personal information,such as your SSN.To exercise that right,please contact the business services unit or the accounts payable unit of the state agency(ies)with which you transact that business. All questions should be referred to the requesting state agency listed on the bottom front of this form.