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Home My WebLink About _ 4.6(b)--Accept Grant Agreement from the California State Library GI �" Y C� F � � �- ' � ° � � i � CITY OF REDDING �� REPORT TO THE CITY COUNCIL MEETING DATE: September 1,2026 FROM: Travis Menne, Director of ITEM NO. 4.6(b) Community Services/Airports ***APPROVED BY*** �°' ��H� ,��..w� � �� Ci.s��i�.'��nn,T��irccir�r�,if�C�ixantin�t� ��ivice�lAirpc�rts �J2�r2026 � la�ol u ��In ' ii�h.u,��+;��,Pu1a&ic '�s�kcl3i��sw�c�r R"�trl�(�2� :� tmenne@cityofredding.org mwebb@cityofredding.org SUBJECT: 4.6(b)--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) Authorize the City of Redding, serving as the Fiscal Agent for the Redding Municipal Library Board pursuant to Redding Municipal Code Title 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 54th Amendment to City Budget Resolution No. 2025-049 appropriating $61,460 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 Accepting the grant allows the City of Redding (City) to receive $61,460 in California State Library grant funds for adult and family literacy service programs at the Redding, Anderson, and Burney libraries. There is no match required for this grant and there is no impact to the General Fund. Alternative Action The City Council (Council) could choose not to accept the $61,460 grant. This would limit adult and family literacy s�rvices at the Redding, Anderson, and Burney libraries. The Council could also provide staff with alternate direction. Report to Redding City Council August27,2026 Re: 4.6(b)--Accept GrantAgreement from the California State Library Page 2 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 CounciL The policy also sets the threshold for Council approval of grant award acceptance at $35,000 or above. Therefore, as this grant is under $70,000 and did not require any matching funds, staff did not seek the Council's approval to apply for the Grant,but is now requesting 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 level 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 provides adult and family literacy services at the Redding, Anderson, and Burney libraries, with a focus on literacy tutoring through one-on-one and small- group instruction. The grant funds pay for the staff time and materials required to deliver these services, as the services are not part of the current contract to operate the libraries. Should Council accept funding from the California State Library, Shasta Public Libraries will be able to continue providing essential adult and family literacy services at all three library locations. The annual grant funding will support ongoing literacy tutoring for adults and families while ensuring consistent, accessible literacy services remain available throughout the community. The City Attorney's office has reviewed and approved the language of the Agreement. Environmental Review This is not a project defined under the California Environmental Quality Act and no further action is required. Council Priority/City ManageN 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. 2026 - A RESOLUTION OF THE CITY OF REDDING APPROVING AND ADOPTiNG THE 54Tx AMENDMENT TO CITY BUDGET RESOLUTION NO. 2025-049 APPROPRIATING $61,460 IN GRANT FUNDS FROM THE CALIFORNIA STATE LIBRARY FOR ADULT AND FAMILY LITERACY SERVICES. BE IT RESOL VED B Y THE CITY CO UNCIL 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 $61,460 THAT account titles and numbers requiring adjustments by this Resol�ution are as follows: USE SOURCE OF FUNDS OF FUNDS Increase(Decrease)Revenue 181-5301-3622604-00000 AdultLiteracy State Grant $ 61,460 Increase Expenditures 181-5301-6500127-00000 Adult Literacy Program-State $ 61,460 Total $ 61,460 $ 61,460 THAT the purpose is to appropriate $61,460 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 1 st day of September, 2026 and was duly adopted at said meeting by the following vote: AYES: COUNCIL MEMBERS: NOES: COUNCIL MEMBERS: ABSENT: COUNCIL MEMBERS: ABSTAIN: COUNCIL MEMBERS: MIKE LITTAU, Mayor ATTEST: FORM APPROVAL: SHARLENE TIPTON, City Clerk 1VIARY ANNE WAGNER, Interim City Attorney Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 �a ��t� �� bc�'��^�,,,�� a �� c �� Y�``.,�,��, ��'°:� ��ii ��v'��.��,�.;. .. �.... �1,�1'� �.'i..`°�a.�.".�.�s��. � �"'2L��.�4" *\� �.��`s� . 1 July 2026 Travis Menne Shasta Public Libraries 1 100 Parkview Ave. Redding, CA 96001 Dear Travis Menne, We are pleased to provide funds to support your California Library �iteracy Services program and the important work that you, your staff, and your volunteers do in your community. The state budget continues to provide $7.32 million in California Library Literacy Services funding for Adult Literacy Services;and Family Literacy Services. Your total award amount for the 2026-2027 fiscal year beginning July 1, 2026, is: • Adult Literacy and Family Literacy Services: $61,460 • Totol Award: $61,460 California Library Literacy Services programs with Family Literacy Services will receive one award total, referred to as a "block grant," for the 2026-2027 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 allocafied to Adult Literacy Services. • At least 26 percent 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 yo�r state team for support. Your award will be claimed in two stages. The claim form included in this award packet will allow you to request the first 90� of your total award: • Total Initial Award Amount: $55,314 Information about claiming the rest of your award is included in the payment schedule at the end of your award packet. You must fully expend funds by September 30, 2027, in accordance with your approved budget on file with the State Library. (�i�¢��y---C�s��srts F3�rild�r�� 91�-3��-�7�9 Pat�, E�a��342�37 c�6-�dr��libr�ryo��.�;c��r 5�c:��ruc�r��+�, ��9��37-�C�O�. �on�v�.libr�ry,��.�ca�r Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 �a ��t� �� bc�'��^�,,,�� a �� c �� Y�``.,�,��, ��'°:� ��ii ��v'��.��,�.;. .. �.... �1,�1'� �.'i..`°�a.�.".�.�s��. � �"'2L��.�4" *\� �.��`s� . Review the California Library Literacy Services Allowable and Unallowable Expenses guidelines on the rVtanae�� Yc�ur G�rr�r�� rc�nt �cs�� to ensure project expenditures are consistent with the California Library Literacy Services allowable expenses. If you have questions about expenses or expending award funds, contact your state grant team at �LI�S�librar eca. 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 Consortium/a, and participate in library literacy training opportunities offered by the regional networks and the State Library to meet the �ali�carnie� Librc�r Li�erc�c Servicees Pvlissior� Values c�nd Prea rc�m Essenfiials. Additional California Library �iteracy Services resources can be found on the �'c�lifc�rr�ia �ik�rar L'€t�rac S�rvices w�b�a��. The payment process begins when we receive your completed and signed claim form, certification form, and State Funded Grants Award Agreement and Certificate of Compliance included in this packet. All forms should be completed and signed through Docusign to be processed for payment. Our library literacy staff are available to assist you throughout the year. Contact your Program Consultant Lisa Lindsay and yo�r Grant Monitor Amanda Gamon at �L.�.S�librar oc�o cav with any questions. Thank you for your willingness to do so much for those in your community. Best wishes for a successfiul year. Respectfully yours, Signed by: �'�'� �S 8/10/2026 BDA50981C41C416... Greg Lucas California State Librarian Cc: Lisa Lindsay, lisc�.line�sa C�li�resr ,ea. av Amanda Gamon, c� ancla. ar�c�n@lik�rc�r .cc�a crv Stafie Library Fiscal Office, s�a�e�r�r��s.fiscal@fibrary.ea.c�rav Julia Parsons, JuliaPCshe�sl�alik�rariesoc�re� Rachel Zibaila, Rc��h�IzCshasfalik�r�ries.arc� Enc: Re: CLLS26-86: Claim form, certification form, and State Funded Grants Award Agreement and Certificate of Compliance (�i�s��r��_.C°�a�r�s �s�ilc��r�� ➢26-��-�7��3 P.t�. �3��342��7 csl-�d��libr�a��.��o��o� ��cr��r��cae ��94�37-Ot�C��. �v��r,�ibr�o�y.��o��av Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 � �� . � � � �� y��,�� l�. � �titit�� .� �.. _ �.,,�t � ,,,�: THE BASICS-YOUR GRANT AWARD The following provides all the basic information about your grant and managing your grant. Award #: CLLS26-86 �ibraryJOr anization: Shasta Public Libraries Pro'ect Title: ' California Library Literacy Services Award Arno�nt: ; $61,460 Start Date: Jul 1, 2026 End Date: September 30, 2027 NOTE: It can take six to eight weeks before grant funds are delivered. If you have not received your payment after eight weeks, contact yo�r grant monitor., GRANT AWARD INFORMATION A copy of your approved budget is incl�ded in this packet. You can access your full grant award information and manage your grant through the grant management system, Euna Grants. BUDGET AMENDMENTS You are required to submit a budget amendment for all budget changes regardless of amount. Amendments may be submitted throughout the year but no later than 30 days before a reporting period report is due. The amendment due dates are detailed below: 7/1/2026- 12/31/2026 Financial Report Due November 30, 2026 1/1/2027- 6/30/2027 Financial Report Due May 31, 2027 7/1/2027-9/30/2027 Financial Report Due August 31, 2027 REPORTING California Library Literacy Services participants are required to provide financial and narrative reports as outlined in the grant terms and conditions. The reporting schedule is detailed below: Mid-Year Report Due January 31, 2027 7/1/2026- 12/31/2026 Financial Re ort Final Report Due August 18, 2027 1/1/2027- 6/30/2027 Financial Re ort 7/1/2027-9/30/2027 Financial Report Due October 15, 2027 O tional L�la��ry- ��a�ar�� ai�di�� -�3��-97�� .�. �r�� 4�£��7 ��I��dr�r��li�r��r�.c��.�ca�° ��r�r��te�, �� -��7..00G� vvv�u�alibr�ry.��.c�� Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Reports will be submitted through the Euna Grants grant management system. You can find support documents on the California State Library's Manaqe Your Current Grant page. PAYMENTS Libraries receive 90�0 of their total award amount upon receipt of the award letter. Libraries receive the finai 10� payment of their total award after successful completion of the California Library Literacy Services Mid-Year Report and 7/1/2026- 12/31/2026 Financial Report. NOTE: Libraries have 15 months to spend their California Library Literacy Services award funds, from July 1, 2026, in which the funds are awarded until September 30 of the following year. CONTACT We want your project to be s�ccessful. Please work with your grant monitor and program consultant to implement your project: Grant Monitor: Amanda Gamon Monitor Phone Number: 916-603-6710 Monitor Ernail Address: amanda. amon@library.ca. ov Pro ram Consultant: Lisa Lindsay Consultant Phone Nurnber. 916-603-6708 Cons�ltant Ernail Address. lisa.lindsay@library.ca. ov L�ka��ry-��ri� �3t�i�� 1 t�-��;3�-�7�� .�. �r�� 42��T ��I��dr�r��libr�ry,��ec��v ��r�r��e�, �� 7-�QC�� verv�u�ali�r�r�.��.�c�or Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 �� " � � �� _ �� .. ""�i�,va,��'��.��.� ��.�� :e��'�"3�: � STATE-FUND �D � RANTS AWARD �4GREEMENT ANQ GERTIFICATE OF GQMPLIANCE Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 C�LS26-86 Page 1 of 28 f ��`� � ° � �� .�� ' � '' TABLE OF C4NTENTS PRC�JECT SUMMARY 2 PROCEDURES and REQUIREMENTS 3 A. Term of the Agreement 3 B. Scope of Work ` 3 ` G. Budget Detail 3 D. Narrative and Financial Reports 4 E. Claim Form and Payment 5 EXHIBIT A: TERMS and CONDITIONS 7 EXHIBIT B: CERTIFICATION of COMPLIANCE FQRMS 22 EXHIBIT C: CALIFORNIA LIBRARY �ITERAGY SERVICES 25 GUIDE�INES Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 C�LS26-86 Page 2 of 28 E , ��.�`A�t, . � � � ,� � ` � �:�'�"�,��i; T T T T T LI Y n Sh st u lic Li r ries f r the California �ibrary I.iteracy Services projec#. AWARD AGREEMENT NUMBER CLLS26-86 This Award Agreement ("Agreement") is entered into on July 1 , 2026, by and between the California State Library ("State Library99) and Shasta Public Libraries, ("Grantee"). This Award Agreernent pertains to Grantee's State-funded California Library Literacy Services project. The Library Development Services Bureau (66LDS") of the State Library administers state and federal funds in the form of awards. The Grantee was selecfied by the State Library to receive state grant funds in the amount of $61,460 through the process adopted by the State Library in administering such grants. The State Library and the Grantee, for consideration and under the conditions hereinafter set forth in the Grant Agreement, agree as follows: Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 C�LS26-86 Page 3 of 28 E , ��.�`A�t, . � � � ,� � ` � �:�'�"�,��i; . r ft r t The Granf term begins on the date of execution of the Agreement by both parties, until September 30, 2Q27. If completion of the project occurs prior to the end of the grant period, this will be the end date of the fierm of this agreemen�. Grant eligible program expenditures may begin no earlier fihan the start date. The project period ends on June 30, 2027, and all eligible_program costs must be incurred by this date. B. Scope of Work 1. Grantee agrees fio perform all project activities specifically identified in the Grantee's application and submitted to the State Library in response ta the California �ibrary Literacy Services and any additional provisions detailed in the accompanying award letter. 2. The following activities and deliverables to be performed by fihe 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 Accaunting Practices (GAAP). • Make financial reeords available �o the State Library upon request. • Work with the State Library staff to ensure that funds are disbursed in compliance with the purpose of fihe grant. • Prepare and submit required narrative and financial reports. • Pracure equipment and ather supplies as needed for the project. • Issue contracts far services, personnel, and consultants as needed for the projecfi. Grantees must utilize a contract or agreement when confiracting for goods and services, including consultants, or when issuing a subgrant. • If applicable, make payments for services, including for hours worked and travel reimbursements, to consultants and contractors. • Oversee the implementation of project activities. . 1� The State Library shall provide the Grantee with funding for the expenses incurred in performing the Scope of Work and activities specified in the Grantee's application. The Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 C�LS26-86 Page 4 of 28 Grantee shall request the distribution of grant funding consistent with its proposal and the budgefi worksheet that was included with the application. Under no circUmstances shall payments exceed the total grant amount identified in this Agreement. . rr ti i i I rts 1. The Grantee shall be responsible for submission of interim and final narrative and financial reports on the pragress and activities of the project to the California State Library, using the sample report documents pravided by the California State �ibrary. 2. All the reports must be current, including all required sections 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 Agreemenfi or rejection of the payment request and/or forfeiture by the Grantee of claims for casts incurred that=might otherwise have been eligible for grant funding. Any problems ar delays m�st be reported immediately to the Grant Monitor. The financial reports shall reflect the expenditures made by the Grantee under the Agreement and may be incarporated into the same reporting strueture as the narrative reports. 3. The reports shall be submitted by the following dates: e ortin 'IPerio e` ort ue ate July l - December 31 Mid-Year Report January 31, 2027 7/1/2026- 12/31/2026 Finaneial Report July 1 -June 30 Final Report August 18, 2027 1/1/2027- 6/30/2027 Financial Report July 1 -September 30 T/1/2027-9/30/2027 Financial Report October 15, 2Q27 (Optional) 4. Failure to submit timely reports with the appropriate dacumentation by the due date may result in rejection af the payment request and/or forfeiture by the Grantee of claims for costs incurred that might otherwise have been eligible far grant funding, 5. The Grantee agrees to maintain records and support documentation pertaining to the performance of this grant, subject to possible audifi for a minimum of five (5) years after final payment date ar grant term end date, whiehever 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 Library such periodic reports, updates, documents and any information as deemed Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 C�LS26-86 Page 5 of 28 necessary by the Sfiate Library to monitor compliance and/or perform program evaluation. Any requested data or information shall be submitted in electronic format on a form specified by the State Library. 7. Reporting instructions are detailed in the report forms which are located within and submitted via the State Library's grants management system. Reporting instructions are also included in fihe in the Eu�a Awc�rd r�anac��m�nf Instructie�ns on the Manag€: Ycsur C�rrent �ra�f webpage. . I i r 1. The California State Library shall provide the Grantee payment as outlined in the payment schedule only if all requirements for claiming the funds as oufiline in this document have been met, and only for those activities and costs specified in the approved award applicatian. 2. The Grantee shall complete, sign, and submit Certification af Campliance form (Exhibit B) and the Financial Claim forrn (incl�ded in yaur award packet), to the California State Library within 14 days of receiving this award packet.'These forms wili be issued, signed, and submitted using the anline signature and agreement platform, DocuSign, unless DacuSign is vnallowable or inconsistent with practices and palicies of the local jUrisdiction. If the use of DocuSign is not acceptable fo your organization, please contact your grant monitor regarding alternate options. 3. Any of the sums appearing under the categories in the approved budget may be adjusted with prior authorization from the Galifornia State Library Grant Monitor. This would be to increase the allofiment with the understanding that there will be corresponding decreases in the other allotments so that the total amount paid by the California State Library to fhe Grantee under this Agre�;ment shall not exceed the awarded amount, which shall be expended/encumbered during the grant period. 4. If the payment amount made by the California State Library exeeeds the actual expenses incurred during the term of this Agreement, as refl�cted 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 contractars and subcontractors for purchased goods and serviees. 6. The Final Payment of 10% (if applicable� will be withheld and retained by the California State Library until all conditions agreed upon in this Agreement, including submission and grant monitor approval of the interim and final narrative and financial reports, have been satisfied. Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 C�LS26-86 Page 6 of 28 7. Pra t Pay ent CI use The California State Library will make payments to the Grantee in accordance with the Prompt Payment Clause under Government Cade, section 927, et. seq. The Grantee may typically expect payment within 45 days from the date a grant payment request is properly submitted and approved by the Grant Monitar. 8. u et Contin ency Clause 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 funds for the program, this Agreemenfi shall no longer be in full force and effect. In this event, the Califarnia State �ibrary shall have no liability to pay any funds whatsoever to the Grantee or to furnish any other considerations under this Agreement and the Grantee shall not be obligated to fulfil any provisions of this Agreemen�. b. If funding for any fiscal year is reduced or deleted by the Budget Act for purposes of this Program, the California State Library shall have the option to either cancel this Agreement with no liabili�y accurring to itself or offer an Agreement amer�dment to the Granfiee ta reflecfi fihe reduced amount. c. The California State Library has the aption ta amend the grant award to reflect any reduction of fUnds. Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 C�LS26-86 Page 7 of 28 E , ��.�`A�t, . � � � ,� � ` � �:�'�"�,��i; 1. Accessibilitv: The State is respansible for ensuring that publie websites are accessible to both the public and state employees, including people with disabilities. Grantee shall assist the State in meeting ifs responsibility. Therefore, all project materials generated by state funded programs must meet fihe �alif�rr�� ssi ilif� St�r��r�s, Additianally, all project materials designed, developed, and maintained shall follow the California Government Code, sections 7405 and 1 1 135, and the eurrent Web Gontent Accessibility Guid�lines, as published by the Web Accessibility Initiative of the World Wide Web Cansortium at a minimum Level AA success criterion. However, if for some reason project material is not generated to comply to meet these standards, please submit it to the Sfiate Library. When submitting the material make sure to note that the material is not accessible by including "NOT ACCESSIBLE„ in the file name. The Califarnia State Library reserves the right to post project materials to its website that follaw these standards. 2. Acknowledcament: The Stat� of California and the California Sfiafie Library shall be acknowledged in all promotianal materials and publieations related to the California Library Literacy Services project. a. Grar�t award recipients must ensure fihat the State af California receives full credit as the source of funds and that the Galifornia State �ibrary, likewise, is acknowledged as the administrator. b. Publications and information releases about the praject must be credited to the State of California. An appropriate statement for a publication or project press release is: "This (publication/project] was supported in whole ar in part by funding provided by the State of California, administered by the ealifornia State Library." Grantees must include the above statement in any publications, vehicle wraps, and promotional materials, including websites. If space is limited the State Library logo and the following shortened acknowledgement statement is acceptable: 66Funding provided by the State of Califarnia." Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 C�LS26-86 Page 8 of 28 c. This credit line on producfis of a project, such as materials, is important to foster support from the public, and state funding sources. d. California Stafie Library Logo: Use of the California State Library logo, which can be downloaded on the Cc�lifornia Stc�f� Lik�rary v�rcbsit�, is required on any publication, vehicle wrap, or promotionai material along with the above stafiement(sj. e. Photo Documentation: Digital photos are a great way to document the happenings of your project. It is recommended that you use a photo release form when taking photos of i�he public. You may use your library's photo release form or cantact your grant mor�itor for the State �ibrary's form. 3. A._qene� In the performance of this Agreement the Grantee and its agents and employees shall act in an independent capacity and not as officers, employees or agents af the California State Library. The Grantee is solely responsible for all activities supported by �he grant. Nothing in this Agreement creates a partnership, agency, joint venture, employment, or any other type of relationship between the parties. The Grantee shall not represent itself as an agent of the California State Library for any purpose and has no authority;to bind the State �ibrary 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. Na oral understanding or agreement not incorporated inta this Agreement is binding on any of the parties. This Agreement may be amended, modified ar augmeni�ed by mutual consent of the parties, subject to the requirements and restrictions of this paragraph. 5. A�plicable law: The laws of the State of California shall govern all proceedings concerning th� validity and operation of this Agreement and the performance af �he 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 Saeramento County, California. 6. Assiqnment, Suceessors, and Assigns: The Grantee may not assign this Agreement or delegate its performance to any third-party person ar entity, either in whole or in part, without the California State Library's priar written cansent. The provisions of this Agreement shall be binding upon and inure to the benefit of the California State Library, the Grantee, and fheir respective suceessors and assigns. 7. Audif and Records Access: The Grantee agrees that the California State Library, the Department of General Services, the State Auditor, or their designated representatives shall have the right �o review, audit, inspect and copy any records and supporting documentatian pertaining to the performance of this Agreement. The Grantee agrees to maintain such records for possible audit far a minimum of five (5) years after the final payment, or grant term end date, whichever is later, unless a longer period af records retention is stipulated, or until Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 C�LS26-86 Page 9 of 28 completion of any action and resolution of all issues which may arise as a result 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 staff in any subcontract related fio performance of this Agreement. Examples of audit documentation may include, but not limited to, competitive bids, grant amendments, if any, relating ta the budget or work plan, capies of any agreements with contractors or subcontractors if utilized, expenditure ledger, payroll register entries, time sheets, personnel expenditure summary form, travel expense log, paid warranls, cantracts and change orders, samples of items and materials developed wifih grant fvnds, invoices and/or cancelled checks. 8. Authorized Re�resentative: Grantee and the California State �ibrary mutually represent that their authorized represenfiative� have the requisite legal authority to sign on their organization's behaif, 9. Gomm�nication: 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 Library or Grantee. For this purpose, the fallowing contact information is provided below: Shasta Pu lic Li raries California State Ci rary Travis Menne Amanda Gamon 11 Parkview ve. 9 Street Redding, CA 0 Sacramento, CA 95$14 tmenne@cityofredding.org amanda.gamon@library.ca.gov 416-603-6710 Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 10 of 28 1. Confider�tialitv: Grantee will maintain as canfidential any material it receives or produces that is marked Ganfidential or is inherently confidential or is profiected by privilege. Grantee agrees to alert the State Library to this status in advance, and State Library agrees to maintain this status in conformity with the Public Recards Act. 2. Contractor and Subcontractors: Nothing contained in this Grant Agreement or otherwise shall create any contracfual relation befiween the State and any contractor or subcontractors, and no contract or subcontract shall relieve the Grantee of his or her responsibilities and obligations hereunder. The Grantee agrees to be fully responsible to the State for the acts and omissiar�s of its contractors, subcontractars, 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 emplayed by the Grantee. The Grantee's obligation to pay its contractors and subcontractors is an independent obligation from the State's obligation ta make payments to the Granfiee. As a result, the State shall have no obligatior� to pay or to enforce the payrnent of any monies to a`ny cantractor or subcantractor. 3. Copyriaht: Grantee owns and retains titles to any copyrights or copyrightable material from ar�y original works that it creates within the scope of this Agreement in accordance with the federal Copyright Act. (17 IJ.S.C. 1 Ol, 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 parties and for extending such licenses, permissions, releases, or authorizations to the California State Library pursuant to this seci�ion. Also, the California State Library may upload, post or transmit copyrighted material produced or purchased wii�h grant funds an a California State Library website for public access and viewing. 4. Discharae of Grant Obliaations: The Grantee's obligations ur�der this Agreement shall be deemed discharged only upon acceptance of the final report by California State Library. If the Grantee is a non-profit entity, the Grantee's Board of Directors shall accept and cer�ify as aecura�e the final report prior to its submission to California State Library. 5. Dis�ute Resolution: In fihe event of a dispute, Grantee will discuss the problem informally with the Grant Monitor. If unresolved, the Grantee shall file a wri�ten 6dNotice of Dispute" with the State Library Grant Monitor within ten (10) days of discovery of the problem. Within ten (10) days of receipt, the Grant Monitor shall meet with the Granfiee for purposes of resolving the dispute. Any dispute arising under the terms of this Agreement which is not disposed af within a reasonable period, the Grantee may bring it ta the attention of the State Librarian or the designafied representative. The decisian of the State Librarian or designated representative shall be final. Unless otherwise instructed by the Grant Manitor, the Grantee shall continue with its responsibilities under this Agreement during any dispute. Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 1 1 af 28 6. Druq-free Workplace: The Grantee certifies under penalty of perjury under the laws of California that the Grantee will comply with the requirements of the Drug-Free Workplace Act of 1990 (Gov. Code, § 8350 et. seq.) and will provide a drug-free workplace by taking the fallowing acfiions: a. Publish a statement r�otifying employees that unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited and speeifying actions to be taken against employees for violations. b. Establish a Qrug-Free Awareness Program to inform employees about all 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 employee assistance programs. 4� Penalfiies thafi may be impased upon employees for drug abuse violations. c. Require that every employee who works on the Agreernent wilL• 1) Receive a copy of the Grantee's drug-free workplace policy statement. 2) Agrees to abide by the terms of the Grantee's statement as a condifion of emplayment on the Agreement. Failure to comply wifh these requirements may result in suspension of payments under the Agreement ar termination af the Agreement or both and grantee may be ineligible for award of any future state agreements if the California State Library determines that the grantee has made a false certification or violated the certification by failing to carry out the r�:quirements as nofied above. 7. Effectiveness of Aareement: This Agreement is of no force or effect until signed by both parties. 8. Entire Aqreement: This Agreement supersedes all prior agreements, oral or written, made with respect to fihe subject hereof and, together wifih all attachments hereto, contain the entire agreement of the parties. 9. Exclusive Aqreement: This is the entire Agreemenfi between the California State l.ibrary and Grantee. 10. Exeeutive Order N-6-22-Russia Sanctions: The Grantee shall comply with Executive Order N-6-22 (the EO) regarding Economic Sanctions against Russia and Russian entities and individuals. "Econamic Sanctions" refers to sanctions imposed by the U.S. government in response ta Russia's actions in Ukraine, as well as any sanctions imposed under s�ate law. The EO direcfis state agencies to terminate grant agreements with, and to refrain from entering any new grant agreements with, individuals or entities that are determined to be a target of Economic Sanctions. Accordingly, should the State determine Grantee is a fiarget of Economic Sanctions or is conducting prohibited transactions with sanctioned individuals or entities, that shall be Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 12 af 28 grounds for termination of this agreement. The State shall provide Granfiee 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 Sfate. 1 1 . Extension: The State Librarian or designee may extend the final deadline for good cause. The Grantee's request for an extension of the grant period must be made in writing and received by the California State Library at least 30 days prior to the final deadline. 12. Failure to Perform: The grant being utilized by the Grantee is to benefit the California �ibrary Literacy Services project. If the Grant Monitor determines the Grantee has not complied wifih this Agreement, the Grantee may forfeit the rigl�t to reimbursemenf of any granf funds not already paid by the California Stafie Library, ineluding, but not limited to, the ten percent (10�) withhold. 13. Federal and State Taxes: The State`Library shall;not: ' a. Withhold Federal Insurance Contributions Act (FICA) payments from Grantee's payments or make FIGA payments on the Grantee's behalf; or b. Make Federal or State unemplayment insurance contributions on Grantee's behalf; or c. Withhold 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. 14. Force Majeure: Neither the California State Library nor 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 nonperformance is caused by an act of God, weather, accident, labor strike, fire, explosion, riot, war, rebellion, sabotage, flood, or other contingencies unforeseen by the Galifarnia State Library or the Grantee, its contractars, vendors, or subcontractors, and beyond the reasonable control of such party. 15. Forfeif of Grant Funds and Repayment of Funds Im�roperly Expended: If grant funds are not expended, or have not been expended, in accordance with this Agreement, the State Librarian or designee, at his ar her sole discretion, may take appropriate action under this Agreement, at law or in equity, including requiring fihe Grantee to forfeit the unexpended portion of the grant funds, including, but not limited to, the ten percent (1 Q%) withhold, and/or to repay to the California State Library any funds improperly expended. 16. Frinae Benefit Ineliqibilitv: Grantee agrees that n�ither the Grantee nor its employees and contract personnel are eligible to participate in any employee pension, health benefit, vacation pay, sick pay or other fringe benefit plan of the State of California or the Sfate Library. Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 13 of 28 17. Generally Accepted Accountinq Principles: The Grantee is required to use Generally Accepted Accounting Principles in documenting all grant expenditures. 18. Grant Monitor: The Grant Monitor's responsibilities include monitoring grant progress, and reviewing and approving Grant Paymenf Requesfis and other documents delivered to the California State Library pursuant to this Agreement. The Grant Monitor may monitor Grantee performance to ensure Grantee expends grant funds apprapriately and, in a manner, consistent with the terms and conditions contained herein. The Grar�t Monitar does not have the authority to approve any deviation from our revision to the Terms and Conditians (Exhibit A) or the Procedures ar�d Requirements unless such aufharity is expressly stated in the Procedures and Requirements. 19. Grantee: the government or legal entity to which a grant is awarded and which is accountable to the Ca(ifornia State �ibrary for the use of the funds provided. a. The grantee will make reporfis to the Sfiate Librarian in such form and contain such informafion as may be required to ens�re the proper use of funds cansistent with fihe grantee's application and award agreement. The grantee will keep such records and afford such access as the California State �ibrary may find necessary to assure the carrectness and verification of such reports. 20. Grantee Accouni-abilitv: The Grantee is ultimately responsible and accountable for the manner in which the granf funds are utilized and accounted for and the way the grant is administered, even if the Grantee has contracted with another organization, public or private, to administer or operate its grant program. In the event an audit should defiermine that grant funds are owed to the California State Cibrary, the Grantee is responsible for repayment of the funds to the California State �ibrary. 21 . Grantee Funds: It is mufually agreed that the Grantee is responsible for furnishing funds beyond the grant award that may be necessary to complete the project. 22. Independent Action: Grantee reserves the right fio fulfill its obligations under this Agreement in an independent manner, at any location and at any time within the agreed-upan timeline. Grantee's employees or contract personnel shall perform all services required by this Agreement, but their time need not be devoted solely to fulfilling obligations under this Agreement. Grantee shall furnish all equipment and materials used to meet its obligations and complete the Project. The Stafie Library shall not provide any personnel or other resaurces beyond the grant award and is not required �o provide training in conr�ection with this Agreement. 23. Indemnificatior�: Grantee agrees ta indemnify, defend and save harmless the State of California, the California State Library and its officers, Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 14 af 28 employees, and agents, from any and all claims, losses, and liabilities accruing or resulting to any and all contractors, subcontractors, suppliers, laborers and any other person, firm or corporation furnishing or supplying work services, materials, ar supplies in conneci�ion with the perfarmance of this Agreement, and from any and all claims and lasses accruing or resulting to any person, firm or corporation who may be injured or damaged by Grantee in the performance of this Agreement. 24. License to Use: The Califarnia State Library reserves a fully paid-up, royalty- free, nonexclusive, sub-licensable and irrevocable license to reproduce, publish, prepare derivative works, distribute or otherwise use, and to authorize third parties to use, any material received or maintained by Grantee in connection with this Agreement. This includes intellectual property, with or withaut third-party rights. All such usages will be for public library and State governmental purposes: a. The capyright in any work developed under fihis grant, sub-grant, ar contract under this grant or sub-granf; and b. Any rights of copyright to which a Grantee, sub-grantee, or a contractor purchases ownership with grant support. 25. Limitation of Expendifiure: Expenditure for all projects must conform to the grantee's approved budget and with applicable State laws and regulations. The total amount paid by the California State I�ibrary to the Grantee under this agreement shall not exceed $61,460 and shall be expended/encumbered in the designated award period. During the award period, the grantee may find that the awarded budget may need fio be modified. 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 ar their designee. Adjustments should be reported on the next financial report. Any adjustments in approved budget must be documented and documenta�ion retained in project accounts. 26. Lobbyina: Grantee confirms thai� the granfi funds will not be used for the purposes of lobbying or otherwise attempting to influence legislatian, as those purposes are defined by the 11.S. Internal Revenue Cade of 1986. 27. Non-Discrimination Clause: During this grant period, the Grantee and the Grantee's cantractors, and subcontractars shall not unlawfully discriminate, harass, or allow harassment against any employee or applicant for employment because of race, religious creed, color, national origin, ancestry, physieal disability, mental disability, medical eonditian, genetic information, marital status, sex, age, sexual orientatian, or military and veteran status. Grantee shall ensure that the evaluation and treatment af Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 15 of 28 contractors, employees and applicants for employment are free from such discrimination and harassment. Additionally, Granfiee, contractars, and subcontractors, if applicable, shall camply with the provisions of fihe Fair Employment and Housing Act (Gov. Code §12900 et seq.j, the regulations promulgated thereunder (Cal. Code Regs., tit. 2, §1 1000 et seq.), the provisions of Article 9.5, Chapter 1, Part 1, Divisian 3, Title 2 af the Government Code (Gov. Code §§ 1 1 1 35-1 1 1 39.5), and the regulatians or standards adopted by the California State �ibrary to implement such article. Grantee shall permit access by representatives af the Department of Civil Rights and the Califarnia State Library upon reasonable notice at any time during the normal business hours, but in no ease 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 Sfate �ibrary shall require ascertaining compliance with this ciause. Grantee, c�nd'its contractors, and subconfiracfiars shall give written notice of their obligations under this clause to labor organizations with which they have a collective bargaining or other agreement. (See Cal. Code Regs., tit. 2, §1 1 105.) Grantee shall include the non-discrimination and compliance provisions of this clause in all contracts and subcontracts to perform work under the Agreement. 28. Notices: All notices and ofi�er communications in connectian with this Agreement shall be in writing, and shall be considered delivered as follows: a. Electronic ail (E- il): When sent by e-mail to the last e-mail address of the recipient known to fihe party giving notice. Notice is effective upon transmission. b. ocuSi n (e-si n ture laffor ): When sent via DoeuSign a notification will be sent to the last e-mail address of the recipient known to the party giving notice. Natice is effective upon transmission. c. Grants Management System: When sent via � uploaded ta the California Sfiate Library's Grants Management System a notification will be sent i�o fihe last e-mail address of the recipient known to the party giving notice. Notice is effective upon transmission. d. Personally: When delivered personally to the recipient's physical address as stated in this Agreement. e. U.S. aila Five days after being deposited in the U.S. Mail, postage prepaid and addressed to recipient's address as stated in this Agreement. 29. Order of Precedence: The performance of this Agreement shall be conducted in accordance with the Terms and Gonditions, Procedures and Requirements, Certificate of Compliance, Project Summary, Activities Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 16 of 28 Timeline, and Budget, of this Agreement, or other combination of exhibits specified on the Grant Agreemenfi Coversheet attached hereto (collectively referred to as "Terms"). Grantee's California State Library- approved Application (Grantee's Application) is hereby incorporated herein by this reference. In the event af conflict or inconsistency between the articles, exhibits, attachments, specifications or provisions that consfiitute this Agreement, the following order of precedence shall apply: a. Grant Agreement Coversheet and any Amendments thereto b. Terms and Canditions c. Procedures and Requirements d. Certificate af Compliance e. Project Summary f. Grantee's Application, including Budget and Activities, Timeline, and any additional provisions detailed in the accompanying award letter. g. All other attachments hereto, including any that are incorporated by reference. 30. Payment: a. The appraved Budget, if applicable, is attached hereto and incorporated herein by this reference and states the maximum amount of allawable costs for each of the tasks identified in the Project Summary and Activity Timeline included in fhe projecf application. California Stafie Library shall provide funding ta the Grantee for only the work and tasks specified in the Granfiee's Application at only those casts speeified in the Budget ar�d incurred in the term of the Agr�;ement. b. The Grantee shall earry out the work 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 modifications to 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 to 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. d. Ten percent (l 0�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 Agreemenfi hav� been satisfactorily campleted. Failure by the grantee to satisfactorily complete all reports and conditions stipulated in this Agreement may result in forfeiture of any such funds withheld. Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 17 af 28 e. Lodgings, Meals and Incidentals: Grantee's eligible costs are limited to the amounts authorized in the Californi� Staf� Rdministra�i�re Manue�l (confiact the Grant Monitor for more information). f. Payment will be made only to the Grantee. g. Reimbursable expenses shall not be incurred unless and until the grantee receives a Notiee to Proceed as described in the Procedures and Requirements. 31 . Personal Jurisdiction: The Grantee consents to personal jurisdictian in the State of California for all proceedings concerning the validity and operation of this Agreement and the performance of the obligations imposed �pon the parties. Native American Tribal grantees expressly waive fribal sovereign immunity as a defense to all proceedings concerning the validity and operation of this Agreement and the performance of the obligations imposed �pon the parties. 32. Personnel Cosfis: Any personnel expenditure tolbe paid for'with grant funds must be compufied based on actual time spent on grant-related activities and on the actual salary or equivalent ho�rly wage the employee is paid for their regular job duties, including a proportionate share of any benefits to which fhe employee is entitled. 33. Pledge: This Agreement shall not be interpreted to create any pledge or any commitment by the State Library to make any other or further grants or contributions to Grantee, or any other person or entity in connec�ion with the Project. It is mut�ally agreed that Grantee is responsible for furnishing funds beyond the grant award thafi may be neeessary �o complete outcomes or deliverables. 34. Privacv Protectian: Both parties agree to protect the confidentiality of any non-public, personal information that may be contained in materials received ar produced in connection with this Agreement, as required by Civil Code, section 1798, et. seq. 35. Prahibited Use: The expenditure under this program shall not be used to supplant Grantee efforts in other grant programs provided by the California State I�ibrary. 36. Public Records Act: Material maintained or used by the California State Library is considered "publie recard" under the Public Reeords Act (PRA) at Government Code, sectians 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 is appropriate for publication. Said ma�erial, along with all other reports, documentation and data collected d�ring the term of the Agreement, will be subject to disclosure unless it qualifies for exemption under the PRA in Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 18 af 28 whole or in part. Grantee agrees to alert the State Library as to a basis for exemption, if any exists. 37. Publicity Obliaations: Grantee will notify the State Library of any promotional materials or publications resulting fram the grant no later than five (5) days in advance of distribution, whether they are print, film, electronic, or in any other format or medium. Copies of all promotional materials will be provided to the State Library. Grantee will acknowledge the State Library's support as nofied above. Grantee agrees that the State Library may include information about this grant and its outcomes in its own annual reports, wifih specific reference fio Grantee, and may distribute such information to third parties. 38. Records: Communications, grar�t-related documents, data, original receipts, and invoices must be maintained by Grantee and shall be made available to fhe'State �ibrary upon request. Grantee agr�es to maintain adequate grant program records and adequate financial recards consistent with generally accepted accounting practices, and to retain all recards for at least five (5) years after the end-of-term. The State �ibrary may monitor ar conduct an onsite evaluation of Grantee's operation to ensure compliance with this Agreement, with reasonable advance notice. 39. Reductian of Waste; In the performance of this Agreement, Grantee shall take all reasonable steps �to ensUre that materials purchased or utilized during the project are not wasted. Steps should include bufi not be limited to the use of used, reusable, or recyclable products; discretion in the number of materials used; alternatives to disposal of materials consumed; and the practice of other waste reduction measures where feasible and appropriate. 4Q. Reimbursement Limitations: Under no circumstances shall the Grantee seek reimbursement pursuant to this Agreement for a cost or activity that has been ar will be paid for through another funding source. The Grantee shall not seek reimbursement for any costs used to meet cost sharing ar match requirements of any other California State Library funded program. 41 . Reports and Glaims: It is �he responsibility of the grantee to make the required reports and claims to the California State Library. a. The grantee shall be responsible for submitting to the State Library Narrative Repor�s detailing progress and activities. The reports are due on the dates specified in the reparting schedule detailed in the Procedures and Requirements section. b. The grantee shall be responsible for submitting to the State Library Financial Reports reflecting grantee expenditure activity. The reports are due on the dates specified in the reporting schedule detailed in the Procedures and Requirements section. Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 19 af 28 c. To obtain payment hereunder the grantee shall submit authorized claims provided by the State �ibrary far that purpose, on each of the following mentioned dates for paymenfi, and the California State Library agrees to reimburse the library as soon thereafter as State fiscal procedures will permit. d. The fir�al �0� of the grant award (if applicable� is payable only upon approval of all final reports and receipt of 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 for the project in the following manner: o $55,314 upon execution of the agreement and submission of claim by the grantee orgar�ization. o A second payment will be made after the submission and approval of the first reports and receipt of claim form in the amaUnt of,$6,146. ` 42. Self-Dealinq and Arm's Lenqth Transactions: All expenditures for which reimbursement p�rsuant to this Agreement is saught shall be the result of arm's-length transactions and not the result of, or motivated by, self-dealing on the parfi of the Grantee or any emplayee or agent of the Grantee. For purposes of this provision, "arm's-length transactions" are those in which bofh parties are on equal footing and fair market forces are at play, such as when multiple vendors are invited to compete for an entity's business and the entity chooses the lowest of the resulting bids. "Self-dealing" is involved where an individual or entity is obligated to act as a trustee ar fiduciary, as when handling pUblic funds, and chooses to act in a manner that will benefit the individual or entity, directly or indirectly, to the detriment af, and in canflict with, the public purpose for which all grant monies are to be expended. 43. Severabilitv: If any part of this Agreement is faund to be unlawful or unenforceable, such provisions will be voided and severed from this Agreement, but the remainder of the provisions in the Agreement will remain in full force and effect. 44. Site Visits: The Grantee shall allow the California State Gibrary to access and canduct site visits, with reasonable notice, at which grant funds are expended and related work being performed at ar�y time during the performance of the work and for up to ninety (9Q) days af�er completian of the work, ar until all issues related to the grant project have been resolved. A site visit may include, but not be limited to, monitoring the use of grani� funds, providing technical assistance when needed, and visiting the State funded project. Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 20 of 28 45. Termination: The Agreement shall be subject to terminatian by the State Librarian or desigr�ee upon notice to the Subrecipient at least thirty (30) days prior to the effective date of termination. In the evenfi this agreement is terminated, the Subrecipient shall deliver to the State �ibrarian, prior to the final termination date's passage, capies of all reports, accounting, data, and materials prepared up to the date of termination as well as final close out reports. The State Librarian shall determine and pay the Subrecipient for necessary and appropriate expenditures and obligafiions up to the date of termination which have not been covered by prior installments {areviously paid to the Subrecipient. a. Upon such terminatian, the unused portion of the grant award must be returned to fhe California Sfafe Library within 45 days. If funding has been advanced to the Subrecipient, any unobligated balances, as determined by the State Librarian, shall be returned to the State Library within 45 days af the notice of termination. b. Mowever, if the California Governor, Legislature, or ar�y ot'her controlling authority takes action to include, but not limited to, rescinding, cancelling, withdrawing or taking away a grant program, award, money, or any other form of compensation for a grant, through legislation, execUtive order, directive or any other type of authority then sub-sectian (a) above is void. Section (b) would control and take precedence over sub-section (a) making the 30 day and 45-day clauses above void. The grantee would be required to immediately submit any reports required i�o close out your grant and return any money, award, or any other type of compensation according to a timeline established by the actian or the State Library. 46. Timeline: Time is of the essenee to this Agreement. Ifi is mutually agreed between the parties that the grant application and the timeline included therein are part of fihe Agreement. 47. Unused Funds: At fihe 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 extensiorr of the grant period. Funds will be considered unexpended or unaccounted if they were: (1) nat used for their intended purpose, or (2) used inconsistent with the terms of this Agreement. Funds will also be considered unaccounfied for, and must be returned, if the proposal outcomes ar deliverables are materially incomplete by the end-of- term or earlier termination, as determined by the State Library in its sole discretion. 48. Waiver of Rights: California State Library shall not be deemed to have waived any rights under this Agreement unless such waiver is given in writing and signed by Califarnia State Library. No delay or omission on the part of Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 21 af 28 California State Library in exercising any rights shall aperate as a waiver of such right or any other right. A waiver by California State Library of a provision of this Agreement shall not prejudice or constitute a waiver of California State Library's right otherwise ta demand strict compliance with that provision or any other provision of this Agreement. No prior waiver by California State Library, nor any course of dealing between Califarnia State �ibrary and Grantee, shall constitute a waiver of any of California State Library's rights or of any of grantee's obligations as to any future transactions. Whenever the eansent of California State Library is required under this Agreement, the granting of such consent by Califarnia State Library in any instance shall nofi 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 of California State Library. 49. Work Products: Grantee shall provide California State Library with eopies of all final products identified in the Wark I'lan and Application. Grantee shall also provide the Stc�te Library`with copies of all'public education and advertising material produced pursuant to this Agreement. 5Q. Worker's Compensation: The State of California will not provide Workers' Compensation insurance for Grantee or Grantee's emplayees or contract personnel. If Grantee hires employees to perform services required by this Agreement, Grantee shall provide Workers' Compensa�ion insurance for them. The Grantee is aware of Labor Code Section 37Q0, which requires every employer to be insured against liability for Workers' Compensation or to undertak� self-insurance in accordance with the Labor Code, and the Grantee agrees to comply with such provisions before commencing the performance of �he work of this Agreement. Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 22 of 28 � � � � � � � '��.�� E��. � � �� ': � � � � � � � EXHIBIT B: CERTIFICATION of COMPLIANCE FORM 1. T RIZE EP ESE T TIVE: I certify that the autharized represeni�ative named below is the legally designated representative of the Grantee for this Grant Agreement and project and is autharized to receive and expend funds to adminis�er this grant program. 2. I certify that all information provided to the California State Library for review in association with this award is correct and complete to the best of my knowledge, ar�d as the authorized representafiive of the Grantee, I commit to the conditians of this award, and i have the;legal autharity to dc�so. 3. I certify that any or all other participants or contractors in the grant pragram have agreed to the terms of the application/grant award and have entered into an agreement(s) concerning the final disposifiion of equipment, facilities, and materials purchased for this program from the funds awarded for the activities and services described in the atfiached, as approved and/ar as amended in the application by the California Sfiate Librarian. 4. The aufihorized representative, on behalf of the Granfiee, certifies that the Grantee will comply with all applicable requirements of State and Federal laws, regulations, and policies governing this program, fio include the requirements listed below in this Certificatian af Compliance Form, 5. The authorized representative, on behalf of the Grantee, hereby certifies ta the California State Library, for an award of funds in the amount $61,460. This award will provide library services as set forth in the Project Application as approved and/or as amended by the California State �ibrariar�. 6. STATEMENT OF COMPLIANCE: Grantee has, unless exempted, camplied with the non-discrimination program requirements. (Gov. Cade §12990 (a-f) and CCR, Title 2, Seetion 1 1 102). 7. DRUG-FREE Wt?RKPLACE REQUIREMENTS: Grantee will comply with the requirements of fhe Drug-Free Workplace Acf of 1990 and will provide a drug-free workplace by taking the following actians: a. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession or use of a contrailed substance is prohibited and specifying actions to be taken against employees for violations. b. Establish a Drug-Free Awareness Program ta inform employees about: 1) the dangers of drug abuse in the workplace. 2) the person's or organizafiion's policy of mainfaining a drug-free workplace. Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 23 of 28 3) any available counseling, rehabilitation and employee assistance programs; and, 4) penalties that may be imposed upon employees for drug abuse violations. c. Every employee who works on the proposed 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 of payments under the Agreement or terminafiion of the Agreement or bath and Grantee may be ineligible for award of any future State agreements if the department determines that any of the following has occurred: the Grantee has made false certification or violated the certification by failing to carry out the requirements as noted above. (Gov. Code § 8350 et. seq.) $. C4NFLICT OF INTEREST: Grantee needs to be aware of the followit�g provisions regardir�g current or former state employees. If Grantee`has any questions on the status of any person rendering services or involved with the Agreement, the California State Library must be contacted immediately for clarificatian. Current State E loyees (Pub. Contract o e 1 1 ): a. No officer or employee shall engage in any employment, activity or enterprise fram which the officer or employee receives compensation or has a financial interest, and which is sponsored or funded by any state agency, unless the employment, activity or enterprise is required as a condition of regular state employment. b. No officer or employee shall contract on his or her own behalf as an independent contracfior wifih any state agency ta provide goods or services. Former State Employees (Pub. Gontract Code § 1 Q411): a. For the two-year period from the date, he or she left state employmeni�, no former state officer or employee may enter into a contract in which he or she engaged in any of the negotiations, transactions, planning, arrangements or any part of �he 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, na 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 posifion in the same general subject area as the praposed confiract within the 12-monfh period prior to his or her leaving state service. If Grantee violates any provisions of above paragraphs, such action by Grantee shall render this Agreement void. (Pub. Contraef Code § 1 Q420). Members of boards and commissions are exempt from this section if they do not receive payment other than payment of each meeting of the board or Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 24 af 28 commission, payment for preparatory time and payment per diem. (Pub. Contract Code § 1043Q (e)). 9. �AB4R COQE/WORKERS' COMPENSATION: Grantee needs to be aware of the provisions which require every employer to be insured against liability for Worker's Compensatian or ta undertake self-insurance in accordance with the provisions, and Grantee affirms fio comply with such provisions before commencing the performance of the work of this Agreement. (Labor Code § 37Q0). 1 . E IG S IT IS I�ITIES CT: Grantee assures the State that it complies with the Rmericans with Disabilities Act (ADA) of 1990, which prohibits discrimination based on disability, as well as all applicable regulatians and guidelines issued pursuant to the ADA. (42 U.S.C. 121Q1 et. seq.) 11. ES CUTI : For awards totaling $350,OOQ or more, a county, city, district, or other local public body must provide the State with a copy of a resolution, arder, motion, or ordinance of the I'ocal goverr�ing body which by law has autharity fia er�ter into an agreement, authorizing execution of the agreement. 12. P YEE T REC R F ST . 2 : This form must be completed by all Grantees that are not another state agency or other governmental entity. 13. F EE RKPC CE: a. Continue to provide a drug-free workplace by eomplying with the requirements in 2 C.F.R. part 3186 (Requirements for Drug-Free Workplace (Financial Assistance)). In particular, the recipient rnust comply with drug- free workplace requirements in subpart B of 2 C.F.R. part 3186, which adopts the Government-wide implemen�a�ion (2 C.F.R. part 182) of sections 5152-5158 of the Drug- Free Workplace Act of 1988 (P. L. l OQ-690, Title V, Subtitle D; 41 U.S,C. §§ 701-707). b. This includes bufi is not limited to: making a good faith effort, on a continuing basis, to maintain a drug-free warkplace; publishing a drug-free workplace s�atement; establishing a drug-free awareness program for the employees; faking actions coneerning employees who are convicted af violating drug statutes in the workplace. 1 . CC SSI ILITY: The organization reeeiving this award, as listed in the certification section below, and all program staff, will ensure all project materials will meet Califarnia accessibility standards. 15. N4P1-DISCRIMINATI4N: The arganization receiving this award, as listed in the certification section below, and all program staff agree fio comply with all California non-discrimination laws. 16. ACKNOWLEDGEMENT: The organization receiving this award, as listed in the certification section below, and all program staff agree to comply with California Stafie Library acknowledgement requirements. Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 25 of 28 `. _ �� , � EXHIBIT C: CALIFORNIA I.IBRARY LITERACY SERVICES 1. California Library Literacy Services programs shall comply with the requirements in Sectic�ns 18880-18�8� of the California Education Gode. 2. California Library �iteracy Services programs shall train and recruit volunteers to serve as tutors, Volunteer tutors are the primary instructors for the program. 3. California �ibrary Literacy Services programs shall seek local gaverr�ment and eommunity resources an`d develop cooperative relations with other local literacy services providers. 4. California �ibrary Literacy Services programs will provide a base level of local and private fiscal support ta be established by the California State Library. 5. In response to an expressed and recognized need from the field for specifie program requirements, the Califarnia State Library and related stakeholders created a framework and program essentials. The framework and essentials describe what constitutes an effective program: a. Galifornia Library Literacy Services programs must use fihe Ra6es ar�d �oals firamevvork to implement and evaluate their literacy services. b. California Library Literacy Services programs' staff must attend their regional Library Literacy Netwark Meetings. c. Tutor training for volunteers should include, at a minimum, a program ari�ntation, tutoring basics, and instruction on leamer-driv�n services. d. Ca(ifornia �ibrary Literacy Serviees programs musi- aligr� with the following r�ac�rar�n va�ues: i. Califarnia Library Literaey Services is library based; ii. California Library Literacy Services is a core library service; iii. Galifornia Library Literacy Services is learner-driven; iv. Galifornia Library Literacy Services is community-focused; v. California Library Literacy Services is volunteer-supported; vi. California Library Literacy Services staff is professionally engaged; and vii. California Library Literacy Services supports families. 6. California Library Literacy Services Family Citeracy programs (if applicable) shall provide serviees to prevent illiteracy through coordinated literacy and preliteracy services to families. Recruitment of parents not previously Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS26-86 Page 26 of 28 ertificati ORGANIZATION e: d ress (official and completeJ: PRC�JECT CC�QRDINATC?R a e: E ail: Rachelz@shastalibraries.arg P one: GRANTTEE AUTNORI�ED REPRESENTATIVE a e: .l:��r��}�� 1�tc�r�� Title: E p'I°tmenne@cityofredding.org Phone: Si nqture: ate: Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 27 of 28 `. _ �� , � Autharized Representative Signature ORGANfZATIC?N a e: dress (official and completeJ: AUTHC7RIZED REPRESENTATIVE Si nature: ate: Printed a e of Person Si nin : Tifle: Travis Menne ST/�TE UF CAL1F�?RN1,�, ency a e: �;��(�i��r�� f��(� !i��c�� dress: 900 N Street, Sacramento, CA 95814 S�gnQlUre. Signedby: Dpye. � � 8/10/2026 S Printe a e S�'�'��5��'�i nin : Title: �a:��i�c�.>r�� i�,�� I..i�r��z�i�:�r�� Greg Lucas Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 Shasta Public Libraries California Library Literacy Services 2026-2027 CLLS2b-86 Page 28 of 28 `. _ �� , � April 25, 2022 RE: Cantractor and Grantee Compliance with Economic Sanctions Imposed in Response to Russia's Actions in Ukraine Dear Grantee, You are receiving this notification becaUse you cUrrently have an active grant through the California State �ibrary. On March 4, 2022, Governor Gavin Newsom issued ExecUtive Order N-6-22 (EO) regarding sanctions in response to Russian aggression in Ukraine. The EQ is located at ht��as:/fwww.c�ov.ca, ov/w�-contenfi/uplaacis/2022/03/3e4.22-R�ssia-Ukrc�ine-Execufive- QrcEer.�. The EO directs all agencies and departments that are subject to the Governor's authority to take certain immediate steps, including notifying all contractors and grantees of their abligations �o comply with existing ecanomic sanctions imposed by the U.S. government in response to Russia's actions in Ukraine, as well as any sanctions imposed under state law. This correspandence serves as a notice under the EO that as a eontractor or grantee, compliance with the economic 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 EC? and the sanctions identified on the U.S. Department of the Treasury website (hffps://hcarne.frecssurv.c�ov/pcalicv-issues/fiir�ar�cial-scsnctia�s/sar�ctions- ra rarr�s-and-ccaur�tr -ir��ormatian ukrc�ir�e-rvssia-relatec�-sar�cti�ar�s). Failure to comply may result in the termination of contracfis or grants, as applicable. Please note that for any agr�ements or grants valued at$5 million or more, a s�parate notification will be sent outlining additional requirements specified under the EQ. Annly Roman California State Library 900 N Street Sacramento, CA 95814 Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 _ . . . — udget View Settings Options �Line Items Proposed Budget x ense u et Category GrantFund�d Total udgeted F1.Services(Adult Literacy) ' �43,489':00 $43,489.00 F2.Services(Family Literacy) �17,971.00 $17,971.00 ' Total Expense Budget Cost $61,460.00 $61,460.00 @V C1 @t ra tF n in Award Requested $61,460.00 �61,460.00 Subtatal $61,460.00 $61,460.00 Non-Grant Funding Subtotal $0.00 T t ' eVe @ @t 5t ( 1, . ) t � V 1" �' t St . ,;, f'Lst Docusign Enveiope ID:87A8295A-9456-874E-80EC-DDEBB844D9D7 � � �� ao cc� �� y�� *�.,��` y� � � ��a,Y,, \� �� '�G�� y� @�� ..... 'T�... `�',�,�.Sti::.`��:��Y�� u't,��...."4!��\'�1,��'�,`S'.:'„��. � s ?. ,.-.i�, ' .. � ._ �. . ... �,�,,,�,.w.: � CA LIBRARY LITERACY AND ENGLISH ACQUISITION SERVICES FINANCIA� C�AIM FIRST PAYMENT Grant Award #: CLLS26-86 Date: Invoice #: CLLS26-86-01 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: $55,314 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: Literacy and English Acquisition 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�rants.fis��l(c�libr�ry.ca.c�c�v. State of California, State Library Fiscal Office ENY: 2026 ITEM NO: 6120-213-0001, Chapter 19, Statutes of 2026 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:87A8295A-9456-874E-80EC-DDEBB844D9D7 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) .t. ...@E3<<� 1" 1 <<.;._° .... ��C�II"� "�� 1 1'1't��C1�i �@. "�l1. � NAME(This is required.�Do not Eeave fhis lin�blank. Must match�the payee's federal tax return) �l9�BIV��S IV�lM�, ��A IV�DEVIE �r�I��Gl�I�D�� 16�IG�� I��V1��f2��.� 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:87A8295A-9456-874E-80EC-DDEBB844D9D7 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.