https://sleepyhollow.localarchives.org/files/original/59ec0d30679149d5aef790dbf1920003.pdf 1c890dc72283146f076e1815def213f2 PDF Text Text Meeting Date: 11/30/2021 Resolution: 11/148-B/2021 Resolution of the Board of Trustees of the Village of Sleepy Hollow Authorizing Mayor to sign IMA Agreement with the County of Westchester for the Summer Youth Employment Whereas the County of Westchester offers a program to local municipalities to assist in providing a Positive Youth Development program entitled "Summer Youth Employment", and Whereas the Board of Trustees desires to support this program. Now Therefore Be It Resolved the Board of Trustees hereby authorizes the Mayor to execute the attached IMA agreement with the County of Westchester. Moved: Trustee Rodriguez Absent: Trustee Gonzalez Seconded: Trustee Gebler Vote: Unanimous �mm J YTH2147. Village of Sleepy Hollow INTERMUNICIPAL AGREEMENT T H I S INTER M U N I C I P A L A G R E E M E N T ("Agreement"), made the , 20 i by and between: day of T H E COUNTY O F W E S T C H E S T E R , a municipal corporation of the State of New York, having an office and place of business in the Michaelian Office Building, 148 Martine Avenue, White Plains, New York 10601, (hereinafter referred to as the "County"), V I L L A G E O F SLEEPY H O L L O W , a municipal corporation of the State of New York, having an office and place of business at 28 Beekman Avenue, Sleepy Hollow, New York 10591 (hereinafter referred to as the "Municipality"). WITNESSETH: W H E R E A S , the County, acting by and through its Youth Bureau, desires that the Municipality provide a Positive Youth Development program entitled "Summer Youth Employment" (the "Program"); W H E R E A S , the Municipality is willing to provide such Program, upon the terms and conditions set forth herein. N O W , T H E R E F O R E , in consideration of the promises and the covenants and agreements herein contained, the parties hereto agree as follows: FIRST: The Municipality shall provide the Program, as more fully described in Schedule "A" attached hereto and made a part hereof. In consideration for providing the Program, the County shall reimburse the Municipality an amount not to exceed Two Thousand Seven Hundred Thirteen ($2,713.00) Dollars, as budgeted in accordance with Schedule "B," which is attached hereto and made a part hereof, payable upon full contract execution and approval of the same as to form and manner by the Office of the Westchester County Attorney. Except as otherwise expressly stated in this Agreement, no payment shall be made by the County to the Municipality for out of pocket expenses or disbursements made in connection with the services rendered or the work to be performed hereunder. The Municipality shall provide the County with a report to be submitted within thirty (30) days of the expiration of this Agreement which shall set forth in detail the services performed under the Agreement, the activities, progress and accomplishments under the Agreement, the amount of funds �YTH2147. Village of Sleepy Hollow established for the Agreement have been met by the Municipality. The above report shall be certified by an officer or director of the Municipality. The County shall have the right, at its option and at its sole cost and expense, to audit such books and records of the Municipality as are reasonably pertinent to this Agreement to substantiate the basis for payment. The County may withhold payment of funds hereunder for cause found in the course of an audit or because of failure of the Municipality to cooperate with an audit. The County shall, in addition, have the right to audit such books and records subsequent to payment, if such audit is commenced within one (1) year following termination of this Agreement, and to perform random audits during the term of this Agreement. In the event an audit performed by the County reflects overpayment by the County or that monies were not fully expended or that monies were improperly expended, then the Municipality shall reimburse to the County the cost of such audit (if the audit was done by the County or on the County's behalf) and the amount of such overpayment, underpayment or improper payment, within thirty (30) days of notice from the County. The Municipality further agrees to permit designated employees or agents of the County reasonable on-site inspection of the work being performed by the Municipality under this Agreement, its books, accounts, financial audits and records and agrees to keep records necessary to disclose fully the receipt and disposition of funds received under this Agreement. Unless the County shall, in writing, advise the Municipality to the contrary, the Municipality shall retain all financial records related to this Agreement for a period of ten years after the expiration or termination of this Agreement. In no event shall final payment be made to the Municipality prior to completion of all services, the submission of reports and the approval of same by the County Executive or his duly authorized designee. SECOND: The Municipality agrees to procure and maintain insurance naming the County as additional insured, as provided and described in Schedule "C," entitled "Standard Insurance Provisions," which is attached hereto and made a part hereof. In addition to, and not in limitation of the insurance provisions contained in Schedule "C," the Municipality agrees: (a) that except for the amount, if any, of damage contributed to, caused by, or resulting from the sole negligence of the County, the Municipality shall indemnify and hold harmless the County, its officers, employees, agents and its elected officials from and against any and all liability, damage, claims, demands, costs, judgments, fees, attorney's fees or loss arising directly or indirectly out of the performance or failure to perform hereunder by the Municipality or third parties under the direction or control of the Municipality; and �YTH2147. Village of Sleepy Hollow (b) to provide defense for and defend, at its sole expense, any and all claims, demands or causes of action directly or indirectly arising out of this Agreement and to bear all other costs and expenses related thereto; and (c) In the event the Municipality does not provide the above defense and indemnification to the County, and such refusal or denial to provide the above defense and indemnification is found to be in breach of this provision, then the Municipality shall reimburse the County's reasonable attorney's fees incurred in connection with the defense of any action, and in connection with enforcing this provision of the Agreement. THIRD: The term of this Agreement will commence January 1, 2021 and terminate December 31,2021, unless terminated earlier as provided herein. F O U R T H : (a) The County reserves the right to cancel this Agreement on thirty (30) days' prior written notice to the Municipality when it deems it to be in its best interests to do so. In such event, the Municipality shall be compensated and the County shall be liable only for payment for services already rendered under this Agreement prior to the effective date of termination at the rates specified in Schedule In the event of a dispute as to the value of the services rendered by the Municipality prior to the date of termination, it is understood and agreed that the County shall determine the value of such services rendered by the Municipality. Such reasonable and good faith determination shall be accepted by the Municipality as final. (b) In the event the County determines that there has been a material breach by the Municipality of any of the terms of the Agreement and such breach remains uncured for ten (10) days after service on the Municipality of written notice thereof, the County, in addition to any other right or remedy it might have, may terminate this Agreement and the County shall have the right, power and authority to complete the services provided for in this Agreement, or contract for their completion, and any additional expense or cost of such completion shall be charged to and paid by the Municipality. Notice hereunder shall be effective on the date of receipt. FIFTH: The parties recognize and acknowledge that the obligations of the County under this Agreement are subject to annual appropriations by its Board of Legislators pursuant to the Laws of Westchester County. Therefore, this Agreement shall be deemed executory only to the extent of the monies appropriated and available. The County shall have no liability under this Agreement beyond funds appropriated and available for payment pursuant to this Agreement. The parties understand and intend �YTH2147. Village of Sleepy Hollow that the obligation of the County hereunder shall constitute a current expense of the County and shall not in any way be construed to be a debt of the County in contravention of any applicable constitutional or statutory limitations or requirements concerning the creation of indebtedness by the County, nor shall anything contained in this Agreement constitute a pledge of the general tax revenues, funds or moneys of the County. The County shall pay amounts due under this Agreement exclusively from legally available funds appropriated for this purpose. The County shall retain the right, upon the occurrence of the adoption of any County Budget by its Board of Legislators during the term of this Agreement or any amendments thereto, and for a reasonable period of time after such adoption(s), to conduct an analysis of the impacts of any such County Budget on County finances. After such analysis, the County shall retain the right to either terminate this Agreement or to renegotiate the amounts and rates set forth herein. If the County subsequently offers to pay a reduced amount to the Municipality, then the Municipality shall have the right to terminate this Agreement upon reasonable prior written notice. This Agreement is also subject to further financial analysis of the impact of any New York State Budget (the "State Budget") proposed and adopted during the term of this Agreement. The County shall retain the right, upon the occurrence of any release by the Governor of a proposed State Budget and/or the adoption of a State Budget or any amendments thereto, and for a reasonable period of time after such release(s) or adoption(s), to conduct an analysis of the impacts of any such State Budget on County finances. After such analysis, the County shall retain the right to either terminate this Agreement or to renegotiate the amounts and rates approved herein. If the County subsequently offers to pay a reduced amount to the Municipality, then the Municipality shall have the right to terminate this Agreement upon reasonable prior written notice. SIXTH: All notices given pursuant to this agreement shall be in writing and effective on mailing. All notices shall be sent by registered or certified mail, return receipt requested and mailed to the following addresses: To the County: Executive Director - Youth Bureau 112 E. Post Road, 3 rd floor White Plains, New York 10601 with a copy to: County Attorney Michaelian Office Building, Room 600 148 Martine Avenue White Plains, New York 10601 �YTH2147. Village of Sleepy Hollow to the Municipality: Village of Sleepy Hollow 28 Beekman Avenue Sleepy Hollow, N Y 10591 or to such other addresses as may be specified by the parties hereto in writing. SEVENTH: This Agreement constitutes the entire agreement between the parties hereto with respect to the subject matter hereof and shall supersede all previous negotiations, comments and writings. It shall not be released, discharged, changed or modified except by an instrument in writing signed by a duly authorized representative of each of the parties. EIGHTH: This Agreement is entered into solely between, and may be enforced only by, the County and the Municipality and shall not be deemed to create any rights in third parties, or to create any obligations of a party to any such third parties. NINTH: The Municipality shall not delegate any duties or assign any of its rights under this Agreement without the prior express written consent of the County. The Municipality shall not subcontract any part of the Work without the express written consent of the County, subject to any necessary legal approvals. Any purported delegation of duties, assignment of rights or subcontracting of Work under this Agreement without the prior express written consent of the County is void. All subcontracts that have received such prior written consent shall provide that subcontractors are subject to all terms and conditions set forth in this Agreement. It is recognized and understood by the Municipality that for the purposes of this Agreement, all Work performed by a County-approved subcontractor shall be deemed Work performed by the Municipality and the Municipality shall insure that such subcontracted work is subject to the material terms and conditions of this Agreement. All subcontracts for the Work shall expressly reference the subcontractor's duty to comply with the material terms and conditions of this Agreement and shall attach a copy of the County's contract with the Municipality. The Municipality shall obtain a written acknowledgement from the owner and/or chief executive of subcontractor or his/her duly authorized representative that the subcontractor has received a copy of the County's contract, read it and is familiar with the material terms and conditions thereof. The Municipality shall include provisions in its subcontracts designed to ensure that the Municipality and/or its auditor has the right to examine all relevant books, records, documents or electronic data of the subcontractor necessary to review the subcontractor's compliance with the material terms and conditions of this Agreement. �YTH2147. Village of Sleepy Hollow T E N T H : The Municipality expressly agrees that neither it nor any contractor, subcontractor, employee, or any other person acting on its behalf shall discriminate against or intimidate any employee or other individual on the basis of race, creed, religion, color, gender, age, national origin, ethniMunicipality, alienage or citizenship status, disability, marital status, sexual orientation, familial status, genetic predisposition or carrier status during the term of or in connection with this Agreement, as those terms may be defined in Chapter 700 of the Laws of Westchester County. The Municipality acknowledges and understands that the County maintains a zero tolerance policy prohibiting all forms of harassment or discrimination against its employees by co-workers, supervisors, vendors, contractors, or others. E L E V E N T H : The Municipality shall comply, at its own expense, with the provisions of all applicable state and municipal requirements and with all state and federal laws applicable to this Agreement and the Municipality. T W E L F T H : The Agreement shall not be enforceable unless signed by the parties and approved as to form and manner by the Office of the County Attorney. IN WITNESS W H E R E O F , the County and the Municipality have caused this Agreement to be executed: COUNTY O F W E S T C H E S T E R By: Kenneth W. Jenkins Acting County Executive Approved by the Westchester County Board of Legislators of the County of Westchester by Act No. 2021 - 160. Approved as to form and manner of execution: Assistant County Attorney The County of Westchester �WORKERS* COMPENSATION LAW Section 57 Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Please Note: This Certificate is valid only through the policy dates indicated above, OR a maximum of one year after this form is approved by the authorized representatives of the Group Self-Insurer. At the expiration of those dates, if the business continues to be named on a permit or contract issued by the above government entity, the business must provide that government entity with a new Certificate. The business must also provide a new Certificate upon notice of cancellation or change in status of the policy. GSl-105.2 (2-02) Reverse �Additional Instructions for Form DB-120.1 By signing this form, the insurance carrier identified in Box 3 on this form is certifying that it is insuring the business referenced in box "1 a" for disability and/or paid family leave benefits under the New York State Disability and Paid Family Leave Benefits Law. The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in Box 2. The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is cancelled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from coverage indicated on this Certificate. (These notices my be sent by regular mail.) Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in Box 3c, whichever is earlier This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Disability and/or Paid Family Leave Benefits contract of insurance only while the underlying policy is in effect. Please Note: Upon the cancellation of the disability and/or paid family leave benefits policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of NYS Disability and/or Paid Family Leave Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability and Paid Family Leave Benefits Law. DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in employment as defined in this article, and not withstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand and twenty-one, the payment of family leave benefits for all employees has been secured as provided by this article. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b) The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits and after January first, two thousand eighteen, the payment of family leave benefits for all employees has been secured as provided by this article. DB-120.1 (10-17) Reverse �YTH2147. Village of Sleepy Hollow Where an applicant claims to not be required to carry either a Workers' Compensation Policy or Disability Benefits Policy, or both, the employer must complete NYS form CE-200, available to download at: http://www.wcb.ny.gov. If the employer is self-insured for Workers' Compensation, he/she should present a certificate from the New York State Worker's Compensation Board evidencing that fact (Either SI-12, Certificate of Workers' Compensation Self-Insurance, or GS1-105.2, Certificate of Participation in Workers' Compensation Group Self-Insurance). b) Commercial General Liability Insurance with a combined single limit of $1,000,000 (c.s.l) per occurrence and a $2,000,000 aggregate limit naming the "County of Westchester" as an additional insured on a primary and non-contributory basis. This insurance shall include the following coverages: i.Premises - Operations. ii.Broad Form Contractual. iii.Independent Contractor and Sub-Contractor. iv.Products and Completed Operations. c) Commercial Umbrella/Excess Insurance: $2,000,000 each Occurrence and Aggregate naming the "County of Westchester" as additional insured, written on a "follow the form" basis, NOTE: Additional insured status shall be provided by standard or other endorsement that extends coverage to the County of Westchester for both on-going and completed operations. d) Automobile Liability Insurance with a minimum limit of liability per occurrence of $1,000,000 for bodily injury and a minimum limit of $100,000 per occurrence for property damage or a combined single limit of $1,000,000 unless otherwise indicated in the contract specifications. This insurance shall include for bodily injury and property damage the following coverages and name the "County of Westchester" as additional insured: (i) Owned automobiles. (ii) Hired automobiles. (iii) Non-owned automobiles. 3. All policies of the Municipality shall be endorsed to contain the following clauses: (a) Insurers shall have no right to recovery or subrogation against the County (including its employees and other agents and agencies), it being the intention of the parties that the insurance policies so effected shall protect both parties and be primary coverage for any and all losses covered by the abovedescribed insurance. (b) The clause "other insurance provisions" in a policy in which the County is named as an insured, shall not apply to the County. (c) The insurance companies issuing the policy or policies shall have no recourse against the County (including its agents and agencies as aforesaid) for payment of any premiums or for assessments under any form of policy. (d) Any and all deductibles in the above described insurance policies shall be assumed by and be for the account of, and at the sole risk of, the Municipality. �YTH2147. Village of Sleepy Hollow SCHEDULE"A" PROGRAM TITLE- Summer Programs PROJECTED TOTAL PROGRAM ENROLLMENT : 350 PROGRAM SUMMARY: During the summer months we run a free camp program, some parents are still hesitant to send their children to the local camps, it is necessary to get these children out of their houses and playing in a safe environment. The diverse community and need for inexpensive care have increased the participants in our programs and therefore our expenses have increased also. The increase in our population in Sleepy Hollow has increased the need for our youth to have summer activities. Our summer camp is in the local park and we provide arts and crafts, sports, and outdoor activities for our children to participate in. PROGRAM SITES- Most significant (3 Maximum! Type Park Senior Cente Address (Street. City, State Zip) 25 Andrews Lune 55 Elm ST Assembly District U NYS Senate District # Local Planning Board City Council District 95th 35th Sleepy Hollow Board of Trustees 95th 35th Sleepy Hollow Board of Trustees PLEASE DESCRIBE HOW THE PROGRAM FOR WHICH YOU ARE APPLYING FOR FUNDING ADDRESSES EACH OF THE FOLLOWING 8 FEATURES OF POSITIVE YOUTH DEVELOPMENT SETTINGS (These eight features ot effective youth development settings serve as quality standards for youth programs) 1. Physical & Psychological Safety: Safe and hea th-promoting facilities, practices that increase safe peer group interaction and decrease unsafe or confrontational peer interactions. Our programming includes a I ages and backgrounds from the local area in Sleepy Hollow We believe having these children interacting together as well as with our staff provides them with a safe and nurtunng environment There is no competition durng our camp hours we promote team worfc and help provide a creative learning experience. Under the circumstances we feel compelled to provide extra hours and extend the programming for as long as we could This will stils be a challenging summer for sure but we know the children will be nappy to participate with their friends. Social interaction was difficult dur'ng this covid school year Our programs al:ow the children to return to some sort of normalcy 2. Appropriate Structure: Limit setting; clear and consistent rules and expectations, firm enough control continuity and predictability; clear boundanes. age appropriate monitoring. We have daily routines and guidelines to follow, which makes it very dear what our expectations are for the children. We have several staff to he p dunng the da ly activities. We are using a sign in sheet so we can keep track of the children participating daily We explain to each child and caretaker what our program is about and the rxiles and guidelines to participate. �Y T H 2 1 4 7 . Village of Sleepy Hollow 3. Supportive Relationship: Warmth closeness, connectedness, good communication; caring; support; guidance; secure attachment; responsiveness. All staff are trained to support these kids in any situation. A Friendly and safe atmosphere helps to bring confidence between the children and the staff. We communicate to the parents whenever necessary. We have the capability to email all parents involved in our summer programming. This summer these children were very happy to just be outside and involved in activities. 4. Opportunities to Belong: Opportunities for meaningful inclusion regardless of one's gender; ethnicity; sexual orientation, or disabilities; social inclusion; social engagement, and integration, opportun.ties for socio cultural identity formation, support for cullurat and bicultural competence. We welcome any child to participate, we have bi-lingual staff to help and support the needs of every individual. We include all celebrations and diverse cultures. The goal is to get as many at risk youth as we can, involved in our summer programming so they are not left home alone, and they get to play and be outside daily. The pandemic has these children stuck home for many months. We let kids come on their own sometimes, so we could play with them and make sure they were ok. 5. Positive Social Norms: Rules of behavior; expectations, injunctions; ways of doing things; values and morals, obligations far service. We teach by example, and expect all participants know our rules and abide by our guidelines. We verbally discusi the tu with the children attending We were super strict about mask wearing and hand sanitizing. Also seating children wilh family as much as possible. 6, Support for Efficacy & Mattering: Youth-based empowerment practices that support autonomy, mak'ng a real difference in one's community, and being taken seriously. Practices that include enabling, responsibility granting, and imean-ngful challenge. Practices that focus on improvement rolher than on relative current performance levels We promote fairness and good sportsmanship as well as being kind to those around you Team work and communication are key to being successful. 7, Opportunities for Skill Building: Opportunities to leam physical, intellectual, psychologeal, emotonal and social skills, exposure to intentional learning experiences, opportunities to leam cultural literacy, communication ski Is and good habits of mind preparation for adult employment, and opportunities to develop social and cultural capital Getting along wilh others and how to share and be kind to one another Respecting each other and the nature aruund tnem They have definitely learned how to respect each other's space during this summer. 8. Integration of Family, School, & Community Efforts: concordance, coordination and synergy among family, school, and community. We interact with the other organizations using our parks daily We also nleract with babysitters. Nannies, and parents who come and participate in our programs. We communicate to the local schoo s if they are using our facilities We have Parties in the Park as well as Movie Nights for the Sleepy Hollow Community. This summer we Have done a Ninja warrior program and have other special teen trips planned. Monitoring and Evaluation Methods �Y T H 2 1 4 7 . Village of Sleepy Hollow 9. Monitoring Method»: Monitoring is defined as a systematic review ol a funded program based upon the requirements of a contract, rules, regulations policies and/or State and Local Laws. It identifies the degree to which a program or operation accomplishes the activities specified in a contract* application, and how it complies with requirements. Describe your process to be used to monitor on a regular basis Include who will be responsible, frequency, and documentation of monitoring activities. Staff wi:l be responsible for monitoring the activities in the grant We have a sign in sheet/sign out sheet so we can monitor the daily attendance and secure pick-ups. We keep an accident report-'.og to record any incidents We had a family sign in sheet with phone numbers lor contact tracing purposes. 10. Evaluation Msthods; Evaluation methods are the process to determine the value or amount of success in achieving a predetermined program or operational goal. Evaluations can identify program strengths and weaknesses in order to improve the program. Evaluations can verify if the program is realty running as originaly planned. Describe the process to be used to eva uote the attainment of the objectives. Include what will be measured, who wiLl conduct the evaluation, when it will be conducted, and how the results will be used. Our evaluation is based on the amount of children who attend throughout the summer. Our staff as well as Supenntendent will record all the information from the daily attendance and make a determination if we have succeeded in achieving our goals. Parent feedback wil be considered as well at the end of the program The results will help us to make any necessary changes for the next year We anticipate a good turn out even though the formal camps are back running Our results will help decide what to add for next year or what not to do oontinue next year NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES INDIVIDUAL PROGRAM APPLICATION Program Summary-Program Components IMPLEMENTING AGENCY :Sleepy Hollow PROGRAM TITLE: Summer Programs LIFE AREA: (Enter Code) OBJECTIVE: (Enter Code) 21 GOAL: (Enter Code} Performance Measures: (Enter Code) How much: 232A.1 How well:232B.1 Better off:232C.1 2PEH 211/212 SOS: 0232/ 0424 Use whole numbers when entering information for Gender, Ethnicity, Ages, and Target Population areas, NOT percentages. I GENDER OF PROGRAM PARTICIPANTS: iEnter number psrtdparis oer center: ETHNICITY: WHITE BLACK OR AFRICAN 150 AMERICAN (Enter number of participants AMERICAN INDIAN OR ALASKAN NATIVE per ethnic NATIVE HAWAIIAN OR OTHER PACIFIC group) ISLANDER IS TARGET POPULATION SERVING DISCONNECTED YOUTH: (Enter number of participants per population described) IF "YES", Youth aging out of foster care Youth in the juveni e justice system whore-enterthe community MALE 1 HISPANIC OR LATINO 1 FEMALE 150 ASIAN TWO OR MORE RACES No S3 Yes • Children of incarcerated parents Runaway and Homeless Youth _ .1 �YTH2147. Village of Sleepy Hollow SCHEDULE "B" For the Period of Operation 1 1.2021 - 12'"31.'2021 Contract a AgencyMun cipa'ily Name Program Title Village of Sleepy Hollow Summer Programs 1. PERSONAL SERVICES TOTAL SALARIES AND WAGES TOTAL FRINGE BENEFITS TOTAL PERSONNEL SERVICES (1) 2. CONTRACTED SERVICES AND STIPENDS Rate of Pay Type of Service or Consultant Tit's Base (S M.HR) Total Program Amount $ TOTAL CONTRACTED SERVICES AND STIPENDS (2) 3. MAINTENANCE & OPERATION Complete Attachment "E" t'otfli Program Amount TOTAL MAINTENANCE AND OPERATION (3) TOTAL PROGRAM AMOUNT $2287.00 TOTAL WCYB FUNDS REQUESTED $2287.00 ""If fees are charged to program participants provide a description of the cost, its purpose and include the total List Other Funding Sources $ $ Approved 00 Reimbursable Total Municipai Funding Other Sources �YTH2147. Village of Sleepy Hollow SCHEDULE"C" STANDARD INSURANCE PROVISIONS (Municipality) 1. Prior to commencing work, and throughout the term of the Agreement, the Municipality shall obtain at its own cost and expense the required insurance as delineated below from insurance companies licensed in the State of New York, carrying a Best's financial rating of A or better. Municipality shall provide evidence of such insurance to the County of Westchester ("County"), either by providing a copy of policies and/or certificates as may be required and approved by the Director of Risk Management of the County ("Director"). The policies or certificates thereof shall provide that ten (10) days prior to cancellation or material change in the policy, notices of same shall be given to the Director either by overnight mail or personal delivery for all of the following stated insurance policies. All notices shall name the Municipality and identify the Agreement. If at any time any of the policies required herein shall be or become unsatisfactory to the Director, as to form or substance, or if a company issuing any such policy shall be or become unsatisfactory to the Director, the Municipality shall upon notice to that effect from the County, promptly obtain a new policy, and submit the policy or the certificate as requested by the Director to the Office of Risk Management of the County for approval by the Director. Upon failure of the Municipality to furnish, deliver and maintain such insurance, the Agreement, at the election of the County, may be declared suspended, discontinued or terminated. Failure of the Municipality to take out, maintain, or the taking out or maintenance of any required insurance, shall not relieve the Municipality from any liability under the Agreement, nor shall the insurance requirements be construed to conflict with or otherwise limit the contractual obligations of the Municipality concerning indemnification. All property losses shall be made payable to the "County of Westchester" and adjusted with the appropriate County personnel. In the event that claims, for which the County may be liable, in excess of the insured amounts provided herein are filed by reason of Municipality's negligent acts or omissions under the Agreement or by virtue of the provisions of the labor law or other statute or any other reason, the amount of excess of such claims or any portion thereof, may be withheld from payment due or to become due the Municipality until such time as the Municipality shall furnish such additional security covering such claims in form satisfactory to the Director. In the event of any loss, if the Municipality maintains broader coverage and/or higher limits than the minimums identified herein, the County shall be entitled to the broader coverage and/or higher limits maintained by the Municipality. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the County. 2 The Municipality shall provide proof of the following coverage (if additional coverage is required for a specific agreement, those requirements will be described in the Agreement): a) Workers' Compensation and Employer's Liability. Certificate form C-l 05.2 or State Fund Insurance Company form U-26.3 is required for proof of compliance with the New York State Workers' Compensation Law, State Workers' Compensation Board form DB-120.1 is required for proof of compliance with the New York State Disability Benefits Law. Location of operation shall be "All locations in Westchester County, New York." �YTH2147. Village of Sleepy Hollow MUNICIPAL ACKNOWLEDGMENT (Municipal Corporation) STATE OF NEW YORK ss.: COUNTY OF WESTCHESTER) On this day f s i w t i h G . o f - p I / U i a s ^ instrument, )fU*£th&'(A)^ who being 202^ before me personally to me known, and known to me to be the uJ/ ^ of A ^ O ^ j (JKL~ he corporation described in and which executed the within f i by came me resides at duly sworn did depose and ^ d l J ^ p / l O ^ J , say that he/she, fJ the said and that he/she _ of said corporation and knows the corporate seal of the said corporation; that the seal affixed to the within instrument is such corporate seal and that it was so affixed by order of the Board of Directors of said corporation, and that he/ah©*signed his name thereto by like order. PAULA A MCCARTHY Notary Public - State of New York NO. 01MC6198640 Qualified in Westchester County My Commission Expires Z-J hip • w ^ r ^ �certifyATr ™ m„nrTnT (Municipality) - G x n r c t f c * . - i ^ o (Officer other thaii/officer signing contract) certify that I am the (the " M u n , d p a l i t y ^ p o r a B o ^ o r g a n ^ h > u n o e r ^ o r 9 a n i r e d e ' an(f „ ^ ~ ^ ^ ^ *< named in theforegoingagreement; that I j H a . inerson executing a g r a m ^ j ^ 3 ^ u T c Z S T T Z ^ ' ^ ^ ^ ^ ' of execution that such authority Is In fullforceand effect at thedate hereof, q STATE OF NEW YORK ) COUNTY OF WESTCHESTER) as ^r.of ^ ^ g ^ J M k u the municipal aaporadon described ,n and w h l t t S X v ^ l n l n s m - m e n t County i ~ r> m m m PAULA A MCCARTHY Notary Public - Stale of New York NO. 01MC6198640 Qualified in Westchester County My Commission E ^ r e s Z f S ' f ^ S " ) � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Board of Trustees Meeting Minutes & Resolutions-2021 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource MINS_TRUST_2021-11-30-RES-148-B Subject The topic of the resource Board of Trustees Minutes-2021 Date A point or period of time associated with an event in the lifecycle of the resource 2021 Rights Information about rights held in and over the resource Village of Sleepy Hollow All Rights Reserved. Type The nature or genre of the resource Text