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  • Community Agency Contract Forms
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Community Agency Contract Forms

Community agencies who contract with the City of Berkeley to provide services (including housing rehabilitation services) must submit several forms to the City.

Community agencies providing services (including housing rehabilitation services) and entering into contract with the City of Berkeley should use the guidance and forms on this page.

Insurance

Agencies are required to have insurance that meets all the criteria outlined in the checklist below. Refer to the sample insurance for an example of policies that meet the City's criteria.

Document
  • Community Agency Insurance Checklist (152.62 KB)
Document
  • Community Agency Sample Insurance (1.02 MB)

Contract documents

As part of the contracting process with the City of Berkeley, agencies must submit the documents below:

Document
  • Nondiscrimination / Workforce Composition Form (XLS) (57.5 KB)
Document
  • Nuclear Free Disclosure Form (13.93 KB)
Document
  • Sanctuary City Compliance Certification (129.33 KB)
Document
  • Living Wage Certification Form (108.32 KB)
Document
  • Certification of Compliance with the Equal Benefits Ordinance (148.28 KB)
Document
  • ADA Self-Certification Form (15.44 KB)
Document
  • Certification of Anti-Lobbying (10.19 KB)
Document
  • Certification of Drug-Free Workplace (10.44 KB)
Document
  • Evaluation Commitment (33.19 KB)
Document
  • Duplication of Benefits Certification for CARES Act Funds (113.02 KB)

Data collection and reporting

Agencies commit to collecting and reporting on data about how the services they are providing.

Document
  • Attachment A - Income Requirements (101.58 KB)
Document
  • Attachment B - Required Intake Elements (173.73 KB)
Document
  • Attachment C - Required Client Satisfaction Survey Questions (21.33 KB)

Agencies also track equipment and report if staff have any near relatives who also work at the agency.

Document
  • Equipment Tracking (22.5 KB)
Document
  • Near Relative Notification Form (25 KB)

Workforce standards and disability compliance

Agencies must follow City of Berkeley rules for workforce standards and disability compliance.

In this section
Community Services
  • YouthWorks
  • First Source
  • Community Agency Contracts
  • Community Development Block Grant Funding
  • HUD Planning and Performance Reports

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