CFDA #84.126 Contract #

Accounting Codes: 0001 283 I67Fund Agency Approp Organization

MENU OF SERVICES - EMPLOYMENT SERVICES CONTRACT

This Services Contract is dated ________________, 2016, between Iowa Vocational Rehabilitation Services and ________________. The parties agree as follows.

1. Parties.

1.1 Iowa Vocational Rehabilitation Services (IVRS) is an entity of the State of Iowa. Its address is 510 E. 12th Street, Des Moines, Iowa, 50319.

A. Agency contact person is Lee Ann Russo.B. Contact person phone number is (515) 281-4144.

1.2 ______________________ (Contractor) is authorized to do business in the State of Iowa. Contractor’s address is ______________________________________________.

A. Contractor contact person is _________________________.B. Contact person phone number is _____________________.C. Federal Tax ID or Social Security Number ___________________.

2. Purpose.The purpose of this Contract is for Contractor to provide certain employment services to IVRS job candidates in ____________________________________________________________________________ counties.

3. Scope of services, performance standards, and monitoring.Contractor agrees to perform those employment services listed in Attachment A, incorporated into this Contract, at the rates of pay listed on Attachment A.

3.1 Performance standards. IVRS will use the following performance standards when measuring Contractor’s performance under this Contract:

A. The performance standards for each employment service is contained in Attachment B, incorporated into this Contract.

3.2 Monitoring and reviewing Contractor’s performance. IVRS will monitor and review Contractor’s performance by doing the following:

A. IVRS will monitor and review Contractor’s performance to ensure that contractor performs the services described in paragraph 3. through communication as required by each employment service and reports which outline the IVRS Job Candidate’s progress.

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4. Compensation.

4.1 Amount of compensation. IVRS will pay Contractor for each service performed pursuant to Attachment A. The State of Iowa does not pay sales tax. The total value of this contract shall not exceed $XXX.xx.

4.2 Payment of invoices. IVRS will review each invoice for compliance with this Contract and applicable laws, rules, regulations, and policies, including but not limited to, 2 CFR Part 200. It will approve all or a portion of the amount sought in the invoice and will pay the approved amount within sixty (60) days as required by Iowa Code § 8A.514 and Iowa Administrative Code r. 701-201.1. IVRS’ payment of an invoice in less than sixty (60) days does not constitute a waiver of Iowa Code § 8A.514 and Iowa Administrative Code r. 701-201.1.

4.3 Withholding payments. IVRS may withhold paying all or a portion of any invoice if Contractor fails to comply with this Contract, including problems identified during IVRS’s monitoring of Contractor’s performance.

4.4 Payment is no waiver. By paying all or a portion of an invoice, IVRS does not waive its ability to challenge any reimbursement for failing to comply with this Contract at a later date.

4.5 Offset and set off. If IVRS reimburses Contractor for costs that fail to comply with this Contract, IVRS may offset any payments to Contractor under this Contract to recoup the costs. If there are insufficient funds under this Contract to offset, Contractor authorizes IVRS to this amount being set off from money owed Contractor by the State of Iowa or any other agency of the State of Iowa under any other contract.

5. Term.

5.1 Initial term. The initial term of this Contract is from January 1, 2016, through September 30, 2016, unless terminated earlier in accordance with the terms of the Contract.

5.2 Renewal terms. IVRS may renew this Contract for five (5) additional one (1) year terms by giving Contractor written notice at least thirty (30) days before the end of the initial term or any renewal term.

6. Termination.

6.1 Termination on notice by either party. Following thirty (30) days’ written notice, either party may terminate this Contract in whole or in part for convenience without the payment of any penalty or incurring any further obligation to the non-terminating party. Following termination upon notice, IVRS will pay Contractor, upon

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submission of invoices and proper proof of claim, for services provided under this Contract up to and including the date of termination.

6.2 Termination for cause by IVRS. IVRS may declare Contractor to be in default of its obligations under this Contract and may terminate this Contract when any of the following events occurs:

A. Contractor fails to observe and perform any covenant, condition or obligation created by the Contract;

B. Contractor fails to make substantial and timely progress toward performance of the Contract;

C. Contractor’s work product and services fail to conform with the requirements of this Contract; or

D. Contractor’s work product or services infringe on any patent, trademark, copyright, trade dress, or any other intellectual property right.

6.3 Contractor’s remedies if IVRS terminates the Contract due to lack of funds or change in law. If IVRS terminates this Contract for any reason, Contractor’s exclusive, sole, and complete remedy is the payment for services completed prior to and including the date of termination.

6.4 Contractor’s duties on termination. When the Contractor receives IVRS’s notice of termination, the Contractor must:

A. Cease all work under the Contract except any work that IVRS directs Contractor to perform;

B. Comply with IVRS’s instructions for the timely transfer of any active files and related work product; and

C. Cooperate in good faith with IVRS during the transition period between the notification of termination and the substitution of any replacement contractor.

7. Indemnification.

7.1 Contractor’s indemnification of IVRS. Contractor shall indemnify and hold the State of Iowa and IVRS harmless from any and all liabilities, damages, settlements, judgments, attorney fees, and expenses, related to or arising from:

A. Contractor’s violation of this Contract;

B. Contractor’s negligent acts or omissions;

C. Contractor’s performance or attempted performance of the Contract;

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D. Contractor’s failure to comply with all local, state, and federal laws and regulations; orE. Contractor’s failure to make all reports, payments, and withholdings required by Federal and State law with respect to social security, employee income and other taxes, fees or costs required by Contractor to conduct business in the State of Iowa.

7.2 Survives termination. All indemnification obligations imposed by this section survive the termination of this Contract.

8. Insurance

A. Coverage. At its sole expense, Contractor shall maintain in full force and effect, with reputable insurance companies authorized to do business in the state, insurance of the types and in the amounts necessary to cover claims and liability arising out of its performance or failure to perform its obligations under this Contract. The insurance policies shall remain in full force and effect for the entire term of this Contract, including any renewal terms, and shall not be canceled or changed except after thirty (30) days’ written notice to IVRS.

B. Claims provisions. All insurance policies required by this Contract shall provide coverage for all claims arising from activities occurring during the term of the policy, regardless of the date the claim is filed or the expiration of the policy.

C. Certificates of insurance. Contractor shall submit certificate(s) of insurance evidencing insurance coverage to IVRS for approval prior to execution of the Contract.

D. No limitation of liability. IVRS’s acceptance of the insurance certificates shall not relieve Contractor nor operate as a waiver of any obligation imposed by this Contract.

9. Fiscal procedures.

A. Audit exceptions. If an authorized federal or state audit takes exception to the services provided under this Contract for which federal or state reimbursement has been paid, Contractor shall refund the reimbursement if the audit exception is due solely to the Contractor’s error. If the audit exception is due solely to the IVRS, IVRS shall be responsible for the reimbursement. If the audit exception is a joint responsibility, the parties will work together to achieve an equitable resolution.

10. Compliance with laws and audit requirements.

A. Compliance with anti-discrimination laws. Contractor shall comply with all applicable laws regarding unlawful discrimination including without limitation, all laws prohibiting discrimination on the basis of race, color, national origin, age, religion, sex,

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sexual orientation, gender identity, disability, or veteran status in the delivery of services or benefits.

B. Compliance with laws. Contractor assures that its services shall comply with all applicable federal, state, and local laws, regulations, and ordinances in effect during the term of this Contract, including, without limitation, applicable provisions of Section 508 of the Rehabilitation Act of 1973, as amended.

C. Compliance with audit requirements. Contractor shall comply with the audit requirements of 2 CFR Part 200. Contractor shall give the state, the United States Comptroller General, and the United States Department of Education, through any authorized representative, access to and the right to examine all records, books, or documents related to this Contract or any projects funded pursuant to this Contract. Copies shall be provided at no cost the state or United States.

11. Contract administration.

11.1 Compliance with laws. Contractor must comply with all applicable federal, state, and local laws rules, when performing services under this Contract. Contractor represents that it has complied with all federal, state, and local laws regarding any business permits and licenses that may be required to carry out the work to be performed under this Contract.

11.2 Amendments. No supplement, modification, or amendment of this Contract will be binding unless it is in writing and signed by both parties.

11.3 Third-party beneficiaries. This Contract has no third party beneficiaries; it benefits only IVRS and Contractor.

11.4 Choice of law and forum. Iowa law governs this Contract without regard to its choice-of-law provisions. Any litigation arising out of or related to this Contract must be brought in Polk County District Court in Des Moines, Iowa, or Federal District Court for the Southern District of Iowa, Des Moines, Iowa.

11.5 Integration. This Contract represents the entire agreement between the parties and none of the parties are relying on any representations that may have been made that are not included in this Contract.

11.6 Record retention and access. Contractor must maintain books, records, and documents that sufficiently and properly document and calculate all charges billed to IVRS throughout the term of this Contract for a period of at least five (5) years following the date of final payment or completion of any required audit, whichever is later. Contractor must permit the Auditor of the State of Iowa or any authorized representative of the State of Iowa and where federal funds are involved, the Comptroller General of the United States or any other authorized representative of the United States government, to access

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and examine, audit, excerpt, and transcribe any directly pertinent books, documents, papers, electronic or optically stored and created records or other records of Contractor relating to orders, invoices, or payments or any other documentation or materials pertaining to this Contract. Contractor may not impose a charge for audit or examination of Contractor’s books and records.

11.7 Confidentiality. While performing its obligations under this Contract, Contractor may have access to or encounter private or confidential data maintained by IVRS. Contractor shall not disseminate any private or confidential data collected, maintained, used, accessed, or encountered while performing under this Contract, except as authorized by statute. Contractor agrees to indemnify IVRS for violating this paragraph.

11.8 Independent contractor. The status of Contractor shall be that of an independent contractor. The Contractor, its employees, agents and any subcontractors performing under this Contract are not employees or agents of the State of Iowa or any agency, division or department of the State. Neither Contractor nor its employees shall be considered employees of IVRS or the State of Iowa for federal or state tax purposes. IVRS will not withhold taxes on behalf of Contractor.

11.9 Professional practices. Contractor assures that all services to be performed under this Contract shall be performed in a professional, competent, diligent, and workmanlike manner by knowledgeable, trained, and qualified personnel, all in accordance with the terms and specifications of this Contract and the standards of performance considered generally acceptable in the industry for similar tasks and projects.

11.10 Electronic signatures. Pursuant to Iowa Code Chapter 554D, the Uniform Electronic Transactions Act (2015), the parties agree to the use of electronic signatures relating to this Contract.

11.11 Attribution. Contractor agrees to acknowledge the sponsorship of IVRS with respect to any public statement, press release, news item, or publication related to a program funded entirely or in part with funds from IVRS.  Contractor further agrees to identify the role of IVRS with respect to any individual highlighted or publicized by or through Contractor, when such individual is an IVRS job candidate.

_______________________________________________ Date: ________________________________David L. Mitchell, IVRS Administrator

________________________________________ Date: ___________________________________ Contractor

___________________________, CRP name

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___________________________, CRP address

___________________________

___________________________

Attachment A

Discovery 48 Units (up to 12 Hours) $9.47/unit$37.88/hour

Workplace Readiness Assessment

60 Units (up to 15 hours) $16.37/unit$65.48/hour

Comprehensive Vocational Evaluation

40 Units (up to 10 Hours) $16.37/unit$65.48/hour

Job Shadowing Assessment 40 Units (up to 10 hours) $9.47/unit$37.88/hour

Career Exploration 40 Units (up to 10 hours) $9.47/unit$37.88/hour

Occupational Skills Training Fee Schedule Varies – see following Attachment for CRP

Work Adjustment Training 80 Units (up to 20 hours)May be authorized twice NTE 160 units, 40 hours

$16.37/unit$65.48/hour

Job Seeking Skills Training 80 Units (up to 20 hours)May be authorized twice NTE 160 units, 40 hours

$9.47/unit$37.88/hour

Transportation Training 20 Units (Up to 5 hours) $9.47/unit$37.88/hour

Job Development 160 Units (up to 40 hours)Can authorize a second time for additional 80 units (20 hours). Total 240 Units/60 hrs.

$16.37/unit$65.48/hour

Customized Employment 40 Units (up to 10 hours) $16.37/unit$65.48/hour

Supported Employment Job Coaching

Initial authorization NTE 320 Units (up to 80 hours). Extension can be done for additional 160 units (up to 40 hours) for a total NTE 480 Units, up to 120 hours, within 2 months, then exception is required.

This is funded through stabilization, then previously identified supports should take over: natural supports or extended funding supports.

$11.18/unit$44.72/hour

Job Follow-up Exception Required $11.18/unit$44.72/hour

Non-Supported Job Coaching Exception Required $11.18/Unit$44.72/hour

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Unit = 15 minutes Menu of Service Manual has information on documentation requirements and quality indicatorshttp://www.ivrs.iowa.gov/partners/partners.html

Attachment B

CRP Responsibilities for Discovery Services: CRP makes a decision to accept an IVRS job candidate for Discovery services within

three days of team meeting. If denied services, CRP provides an explanation and alternative to direct service provision.

Team members attend initial meeting to detail the environments to be observed, timeframes and responsibilities. Hours needed and locations for observation will be determined for Discovery and reflected in Section II of the Employment Analysis form.

Discovery Plan (Section II front) is completed with CRP, Job Candidate, LEA staff if applicable, Case Manager, parents/guardians when applicable, and other interested parties to outline activities and locations for Discovery to occur within one-two months of CRP’s acceptance.

CRP completes agreed-upon hours (not to exceed 12), taking notes when working on each Discovery activity using the “Positive Personal Profile” form.

Discovery Team Meeting/Dialogue (Section II back) is scheduled by CRP with team members at which time Discovery results are shared.

Provide a written report to IVRS itemizing the time period billed, hours worked, payment amount and achievement of performance measures.

CRP Responsibilities for Workplace Readiness Assessment Services

Receives questions from IVRS counselor and job candidate. Clarifies questions identified by IVRS or job candidate as needed. Arranges for evaluation to occur in an integrated setting within the community at a

business that is representative of the type of work agreed upon. Provides written identification of business, contact person, job assignment and

start date to IVRS. CRP and employer provide training, assessment, and supervision at the worksite to

the job candidate, who works alongside individuals without disabilities. CRP pays a stipend to a job candidate for any real work completed. CRP, in conjunction with employer, assess the job candidate’s strengths and needs

relative to those of a competitive worker, and report results in a team meeting. Tracks number of hours spent at worksite in order to pay job candidate and

submits reimbursement for stipend paid to job candidate to IVRS. Provides written documentation assessing job candidate’s performance; outlining

vocational recommendations to share with IVRS and job candidate at team meeting.

Provides a written report to IVRS itemizing the time period billed, hours worked, payment amount and documentation in achievement of performance measures.

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CRP Responsibilities for Comprehensive Vocational Evaluation Services Receives questions from IVRS counselor and job candidate. Clarifies questions identified by IVRS counselor and job candidate (as needed). Develops assessment plan and timeline which is shared with IVRS and job

candidate. Identifies what methodology and tools will be needed to answer questions, and

identifies vocational options consistent with labor market information and transferable work skills.

Testing is administered by a Certified Vocational Evaluator or an individual certified to administer the tests selected.

CRP staff schedule team meeting to share information and communicate assessment results.

Provides a written report of assessment results to IVRS and contributes to the development of an Individual Plan for Employment.

Provides a written report to IVRS itemizing the time period billed, hours worked, payment amount and documentation in achievement of performance measures.

CRP Responsibilities for Job Shadow Assessment Services Arranges job shadow experiences with local employers/businesses to determine if

a job is consistent with a job candidate’s interests, abilities and aptitudes. Facilitates job Shadow activities with job candidate and employer/business. Prepares a final report that incorporates Job Shadow results which is reported in

meeting they schedule with IVRS and job candidate. Provides a written report to IVRS itemizing the time period billed, hours worked,

payment amount and documentation in achievement of performance measures.

CRP Responsibilities for Career Exploration Services

CRP provides individualized services to identify occupations and training programs compatible with a job candidate’s preferences, strengths, abilities and needs.

CRP staff research, through various media, labor market information, occupational skill requirements, wage data, occupational projections and training providers.

CRP prepares a final report that incorporates results of research and job candidate’s career exploration activities to IVRS.

CRP provides a written report to IVRS itemizing the time period billed, hours worked, payment amount and documentation in achievement of performance measures.

CRP Responsibilities for Occupational Skills Training Services

Submit proposal for training curriculum that includes all required components for IVRS approval.

Develop a curriculum-based training program that teaches specific work tasks. Provide training that enhances a job candidate’s ability to do a specific job.

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Provide training that teaches job retention skills and improves a job candidate’s ability to perform an identified job within the community.

Share written report of outcomes and recommendations of Occupational Skills Training with IVRS counselor and job candidate.

Address barriers that interfere or prevent vocational success in achieving placement in job candidate’s desired occupation.

CRP provides a written report to IVRS itemizing the time period billed, hours worked, payment amount and documentation in achievement of performance measures.

CRP Responsibilities for Work Adjustment Training Services

Identify negative work habits and behaviors presented by a job candidate. Develop strategies to remedy inappropriate habits and behaviors. Implement training modifying habits and behaviors. Share written report of outcomes and recommendations of Work Adjustment

Training with IVRS counselor and job candidate. Refer job candidate on for additional employment services as appropriate. CRP provides a written report to IVRS itemizing the time period billed, hours worked,

payment amount and documentation in achievement of performance measures.

CRP Responsibilities for Job Seeking Skills Training Services Provides applicable Job Seeking Skills training to the job candidate or in close

coordination with the VR employment plan team. Identify barriers and strategies required for remediation. Provide training in one or more of the following areas:

Writing a resume Interviewing Completing applications Writing follow-up letters Accessing the hidden job market Discussing disability issues Understanding ADA rights in the interview process Making cold calls Practicing interviewing using mock interviews Preparing for work through job readiness, etc.

Share written report of outcomes and recommendations of Job Skills Training with IVRS counselor and job candidate.

Refer job candidate on for additional employment services as appropriate. Provide a written report to IVRS itemizing the time period billed, hours worked,

payment amount and documentation in achievement of performance measures.

CRP Responsibilities for Transportation Training Services

Identify barriers and strategies required for remediation. Train job candidate on appropriate route to successfully navigate mass transit as

demonstrated by independent trials.

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Share written report of outcomes and recommendations of Transportation Training with IVRS counselor and job candidate.

Provides a written report to IVRS itemizing the time period billed, hours worked, payment amount and documentation in achievement of performance measures.

CRP Responsibilities for Job Development Services

Identify available job openings consistent with the job candidate’s disability, interests, preferences, aptitudes, and individual plan for employment.

Maintain a job search log of employers contacted with job candidate. Contact employers to develop a job specific to the job candidate’s IPE. Market the job candidate to the employer. Accompany the job candidate to interviews (if necessary). Assist the job candidate in completing and submitting job applications. Advise the job candidate on interviewing, resume revisions, and follow up. Recommend work station modifications (if necessary). Develop a job for the job candidate with a business or industry that pays

commensurate wage at or above minimum wage and offers benefits (whenever possible).

Complete a job analysis for the specific job that has been developed. Negotiate with the employer the essential functions of the job that will serve the

business by focusing upon the talents of the job candidate. Work with IVRS to develop a supported employment training plan with the

employer, job coach and job candidate identifying job specific skill requirements, soft skill requirements, teaching strategies, timeframes, and responsibilities.

Identify and arrange reasonable accommodations with the employer. Provide disability awareness and training to the employer when it is deemed

necessary. Provide technical assistance to the employer regarding the training progress as

identified on the supported employment training plan. Provide a written report to IVRS itemizing the time period billed, hours worked,

payment amount and documentation in achievement of performance measures.

CRP Responsibilities for Customized Employment Services Connect with employer to understand their needs and analyze worksite. Negotiate with business and industry for customized employment services. Complete job analysis and ideas on job carving. Report on businesses contacted and outcome of development activities are

provided to IVRS monthly. Job is developed that is consistent with job candidate’s informed choice and

Individual Plan for Employment. Schedule staffing within one month to discuss progress with job candidate and

team. Provide job description that documents the job is unique, different, or reflects a

position that did not currently exist.

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Provide a written report to IVRS itemizing the time period billed, hours worked, payment amount and documentation in achievement of performance measures.

CRP Responsibilities for Supported Job Coaching Services Connect with employer to understand the training needs of the new hire and

ensure employer satisfaction. Analyze worksite and workstation to arrange appropriate accommodations for the

new hire on the job. Develop job coach plan consistent with individual training needs for IVRS

approval. Train new hire in areas needing additional skills such as social or advocacy. Provide on-the-job training to new hire until job skills are learned and work

performance, habits and behaviors are appropriate. Work with employer and co-workers to ensure understanding of disability-related

issues or training (if needed) for new hire become an integral part of the business. Document discussion with employer once a decision is made that new hire’s job is

stable and suitable. Document time spent with employer and new hire, and provide report that

outlines number of hours devoted to job coaching and training. Provide notice of job stabilization to IVRS for payment indicating plan for

continued job coaching. Submit documentation of employer satisfaction with written report when

stabilization occurs. Provide a written report to IVRS itemizing the time period billed, hours worked,

payment amount and documentation in achievement of performance measures.

CRP Responsibilities for Job Follow-Up Services Develop a plan for Job Follow-Up Services that addresses the needs of the job

candidate and the employer for IVRS approval. Connect with employer to understand the training needs of the new hire and

ensure employer satisfaction. Provide follow-up services to new hire based on the areas of need identified by

employer. Work with employer and co-workers to ensure understanding of disability-related

issues or training (if needed) for new hire become an integral part of the business. Document discussion with employer once a decision is made that new hire’s job is

stable and suitable. Document time spent with employer and new hire, and provide report that

outlines number of hours devoted to Job Follow-Up Services. Provide notice of job stabilization to IVRS for payment indicating plan for

continued job coaching. Submit documentation of employer satisfaction with written report when

stabilization occurs. Provide a written report to IVRS itemizing the time period billed, hours worked,

payment amount and documentation in achievement of performance measures.

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CRP Responsibilities for Non-Supported Employment Job Coaching Services Develop a plan for job coaching consistent with the job candidate’s training needs

for IVRS approval. Work with employer to understand the training needs of the job candidate. Analyze worksite and workstation to arrange appropriate accommodations for the

new hire on the job. Provide one-on-one training to job candidate until job skills are learned and work

performance, habits and behaviors are appropriate. Work with employer and co-workers to ensure understanding of disability-related

issues or training (if needed) for new hire become an integral part of the business. Share training strategies with the employer so that they may provide future

training once the IVRS file is closed. Document discussion with employer once a decision is made that job candidate’s

job is stable and suitable. Provide notice of job stabilization to IVRS for payment indicating plan for

continued job coaching. Provide a written report to IVRS itemizing the time period billed, hours worked,

payment amount and documentation in achievement of performance measures.

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Minority Impact Statement

Pursuant to Iowa Code Section 8.11 (2015), all grant applications submitted to the State of Iowa shall include a Minority Impact Statement. This is the state’s mechanism to require grant applicants to consider the potential impact of the grant project’s proposed programs or policies on minority groups.

Please choose the statement(s) that pertains to this grant application. Complete all the information requested for the chosen statement(s).

The proposed grant project programs or policies could have a disproportionate or unique positive impact on minority persons.

Describe the positive impact expected from this project

Indicate which group is impacted: ___ Women___ Persons with a Disability___ Blacks___ Latinos___ Asians___ Pacific Islanders___ American Indians___ Alaskan Native Americans___ Other

The proposed grant project programs or policies could have a disproportionate or unique negative impact on minority persons.

Describe the negative impact expected from this project

Present the rationale for the existence of the proposed program or policy.

Provide evidence of consultation of representatives of the minority groups impacted.

Indicate which group is impacted: ___ Women___ Persons with a Disability___ Blacks___ Latinos___ Asians___ Pacific Islanders___ American Indians___ Alaskan Native Americans___ Other

The proposed grant project programs or policies are not expected to have a disproportionate or unique impact on minority persons. Present the rationale for determining no impact.

I hereby certify that the information on this form is complete and accurate, to the best of my knowledge:

Name: _____________________________ Date: _____________________________

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Title: ______________________________

CONTRACT CERTIFICATIONSCertification of Compliance with the Pro-Children Act of 1994

Contractor shall comply with Public Law 103-227, also known as the Pro-Children Act of 1994 (Act). The Act requires that smoking not be permitted in any portion of any indoor facility used routinely or regularly for the provision of health, day care, education, or library services to children under the age of 18, if the services are funded by federal programs either directly or through state or local governments. The law also applies to children’s services that are provided in indoor facilities that are constructed, operated, or maintained with such federal funds. The law does not apply to children’s services provided in private residences; portions of facilities used for inpatient drug or alcohol treatment; service providers whose sole source of applicable federal funds is Medicare or Medicaid; or facilities (other than clinics) where WIC coupons are redeemed.

Contractor further agrees that the above language will be included in any sub-awards that contain provisions for children’s services and that all subcontractors shall certify compliance accordingly. Failure to comply with the provisions of this law may result in the imposition of a civil monetary penalty of up to $1,000 per day.

Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion – Lower Tier Covered Transactions

Contractor certifies as follows:1. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that Contractor knowingly rendered an erroneous certification, in addition to other remedies available to the federal government, State of Iowa, or IVRS with which this transaction originated may pursue available remedies, including suspension and/or debarment.2. Contractor shall provide immediate written notice to the person to whom this document is submitted if at any time Contractor learns that its certification was erroneous when submitted or had become erroneous by reason of changed circumstances.3. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principle, proposal, and voluntarily excluded, as used in this clause, have the meaning set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this document is submitted for assistance in obtaining a copy of those regulations.4. Contractor agrees by submitting this document that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by IVRS or the agency with which this transaction originated.5. Contractor further agrees by submitting this document that it will include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transaction," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.6. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, ineligible, or voluntarily excluded from covered transactions, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. A participant may, but is not required to, check the List of Parties Excluded from Federal Procurement and Non-procurement Programs.7. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.8. Except for transactions authorized under paragraph 4 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the federal government, the IVRS or the agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.9. Contractor certifies, by submission of this document, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal IVRS or agency.

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10. Where Contractor is unable to certify to any of the statements in this certification, Contractor shall attach an explanation to this document.

Certification Regarding Lobbying

The undersigned certifies, to the best of his or her knowledge and belief, that:

1. No federal appropriated funds have been paid or will be paid on behalf of Contractor to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of the Congress, an officer or employee of the Congress, or an employee of a Member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, or the extension, continuation, renewal, amendment, or modification of any federal contract, grant loan or cooperative agreement.2. If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of the Congress, or an employee of a Member of Congress in connection with this Contract, grant, loan, or cooperative agreement, the applicant shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.3. Contractor shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements) and that all Contractors shall certify and disclose accordingly.4. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S.C.A. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Certification Regarding Drug Free Workplace

Contractor agrees to provide a drug-free workplace by:

1. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance is prohibited in the person’s workplace and specifying the actions that will be taken against employees for violations of such prohibition.2. Establishing a drug-free awareness program to inform employees about: a.) the dangers of drug abuse in the workplace; b.) the employer's policy of maintaining a drug-free workplace; c.) any available drug counseling, rehabilitation, and employee assistance programs; and d.) the penalties that may be imposed upon employees for drug abuse violations.3. Requiring that each employee undertaking activities under this Contract be given a copy of the statement required by paragraph 1. above.4. Notifying the employee in the statement required by paragraph 1. that as a condition of employment under this Contract, the employee will: a.) abide by the terms of the statement, and b.) notify the employer of any criminal drug conviction for a violation occurring in the workplace no later than five days after such conviction; 5. Notifying IVRS within ten (10) days of receiving notice from an employee of that employee's criminal drug conviction;6. Imposing a sanction on, or requiring the satisfactory participation in a drug abuse assistance or rehabilitation program by any employee who is so convicted, as required by 41 U.S.C. § 703; and 7. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs 1. through 6., above.Contractor shall, within 30 days after receiving notice from an employee of a conviction pursuant to 41 U.S.C. § 701(a)(1)(D)(ii) or 41 U.S.C. § 702(a)(1)(D)(ii), take appropriate personnel action against such employee up to and including termination, or require the employee to satisfactorily participate in a drug abuse assistance or rehabilitation program approved for such purposes by a federal, state, or local health, law enforcement, or other appropriate agency.

Contractor certifies that the above certifications are true and accurate, and Contractor has caused a duly authorized representative to execute these Contract Certifications concurrently with the underlying Contract.

_________________________________________ _______________________________Signature and Title Date

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