HomeMy WebLinkAbout2018-10-24 e-packet@7:00Wednesday, October 24, 2018
7:00 PM
City of South San Francisco
P.O. Box 711
South San Francisco, CA
Municipal Services Building, Council Chambers
33 Arroyo Drive, South San Francisco, CA
City Council
Regular Meeting Agenda
October 24, 2018City Council Regular Meeting Agenda
PEOPLE OF SOUTH SAN FRANCISCO
You are invited to offer your suggestions. In order that you may know our method of conducting Council
business, we proceed as follows:
The regular meetings of the City Council are held on the second and fourth Wednesday of each month at 7:00
p.m. in the Municipal Services Building, Council Chambers, 33 Arroyo Drive, South San Francisco, California.
The City Clerk will read successively the items of business appearing on the Agenda. As she completes reading
an item, it will be ready for Council action.
LIZA NORMANDY, Mayor
KARYL MATSUMOTO, Mayor Pro Tempore
RICHARD A. GARBARINO, Councilman
MARK ADDIEGO, Councilman
PRADEEP GUPTA, Councilman
FRANK RISSO, City Treasurer
KRISTA MARTINELLI, City Clerk
MIKE FUTRELL, City Manager
JASON ROSENBERG, City Attorney
PLEASE SILENCE CELL PHONES AND PAGERS
HEARING ASSISTANCE EQUIPMENT AVAILABLE FOR USE BY THE HEARING IMPAIRED AT
CITY COUNCIL MEETINGS
In accordance with California Government Code Section 54957.5, any writing or document that is a public
record, relates to an open session agenda item, and is distributed less than 72 hours prior to a regular
meeting will be made available for public inspection in the City Clerk’s Office located at City Hall. If,
however, the document or writing is not distributed until the regular meeting to which it relates, then the
document or writing will be made available to the public at the location of the meeting, as listed on this
agenda. The address of City Hall is 400 Grand Avenue, South San Francisco, California 94080.
Page 2 City of South San Francisco Printed on 10/22/2018
October 24, 2018City Council Regular Meeting Agenda
CALL TO ORDER
ROLL CALL
PLEDGE OF ALLEGIANCE
AGENDA REVIEW
ANNOUNCEMENTS FROM STAFF
PRESENTATIONS
Presentation regarding South San Francisco Caltrain Station and Electrification
construction projects. (Marian Lee, Assistant City Manager; Brent Tietjen,
Government and Community Relations Officer; and Chuck Bernardo, Caltrain Senior
Project Manager)
1.
Presentation of Certificates of Recognition to the Oyster Point Dragons team members
and coaches for competing in the 11th Club Crew World Championships in Hungary
and demonstrating outstanding sportsmanship, teamwork, and commitment. (Liza
Normandy, Mayor)
2.
Presentation of a proclamation to Francisca Hansen for her longstanding service on the
Library Board. (Liza Normandy, Mayor)
3.
Presentation by San Mateo County Community Collaboration For Children’s Success
(Mike Futrell, City Manager)
4.
PUBLIC COMMENTS
COUNCIL COMMENTS/REQUESTS
ADMINISTRATIVE BUSINESS
CONSENT CALENDAR
Motion to approve the Minutes for the meeting of October 10, 2018.5.
Motion confirming payment registers for October 24, 2018. (Richard Lee, Director of
Finance)
6.
Report regarding resolution approving the acceptance of grant funds from the County
of San Mateo in the amount of $75,600, and amending the Parks and Recreation
Department’s Fiscal Year 2018-19 Operating Budget pursuant to Budget Amendment
No. 19.007. (Sharon Ranals, Parks and Recreation Director)
7.
Page 3 City of South San Francisco Printed on 10/22/2018
October 24, 2018City Council Regular Meeting Agenda
Resolution approving the acceptance of grant funds from the County of San Mateo in
the amount of $75,600, and amending the Parks and Recreation Department’s Fiscal
Year 2018-19 Operating Budget pursuant to Budget Amendment No. 19.007.
7a.
Report regarding a resolution amending the City’s Conflict of Interest Code to update
the List of Designated Positions. (Krista Martinelli, City Clerk)
8.
Resolution amending the City’s Conflict of Interest Code to update the List of
Designated Positions.
8a.
Report regarding a resolution accepting the dedication of Poletti Way from Gateway
Property Owners Association to the City of South San Francisco, for a public purpose
(Tony Rozzi, Principal Planner and Patrick Caylao, Associate Engineer)
9.
Resolution accepting the dedication of Poletti Way from Gateway Property Owners
Association to the City of South San Francisco, for a public purpose.
9a.
Report regarding a resolution approving $10,000 in funding to the Sister Cities
Association to carry out programmatic duties as outlined in the amended guidelines, as
set forth by the City Council. (Sheri Boles, Community Programs Manager)
10.
Resolution approving $10,000 in funding to the Sister Cities Association to carry out
programmatic duties as outlined in the amended guidelines, as set forth by the City
Council.
10a.
Report regarding a resolution approving an agreement with Tristar Risk Management
Services for worker’s compensation claims administration for a total amount of
$496,820 for July 1, 2016 through June 30, 2019, and authorizing a budget
amendment to the self-insurance fund for fiscal year 2018-2019. (Leah Lockhart,
Human Resources Director)
11.
Resolution approving an agreement with Tristar Risk Management Services for
worker’s compensation claims administration services in an amount not to exceed
$496,820 for July 1, 2016 through June 30, 2019, and authorizing a budget
amendment to the self-insurance fund for fiscal year 2018-2019.
11a.
ITEMS FROM COUNCIL – COMMITTEE REPORTS AND ANNOUNCEMENTS
ADJOURNMENT
Page 4 City of South San Francisco Printed on 10/22/2018
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-782 Agenda Date:10/24/2018
Version:1 Item #:1.
Presentation regarding South San Francisco Caltrain Station and Electrification construction projects.(Marian
Lee,Assistant City Manager;Brent Tietjen,Government and Community Relations Officer;and Chuck
Bernardo, Caltrain Senior Project Manager)
RECOMMENDATION
The Caltrain project team will present to City Council an update on the South San Francisco Caltrain
Station and Electrification construction projects.Staff recommends City Council receive the
information. There are no actions requested.
BACKGROUND/DISCUSSION
Caltrain broke ground on two construction projects in the City of South San Francisco;the South San Francisco
Caltrain Station Improvement project and Caltrain Electrification.
There have been significant milestones achieved as well as challenges in moving the projects forward.Caltrain
staff will be at the City Council meeting to present an update on the construction projects and address questions
from City Council and the public.
See attachment for power point presentation slides.
FISCAL IMPACT
There is no fiscal impact.
CONCLUSION
Staff recommends City Council receive the information. There are no actions requested.
Attachment: Caltrain Project Update Presentation
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South San Francisco Station
Improvement Project
South San Francisco City Council
October 24, 2018
Project Scope
2
Renderings of Completed Station
3
Center Platform, Looking North
Downtown Plaza, Looking East
Original Construction Contract
Schedule and Budget
•Contract advertised April 2017 to maintain PCEP Schedule
•Contract awarded in August 2017
•Construction Contract = $32.2 million with 10% Contingency
•$1.5 mil on behalf of Electrification (OCS Foundations)
•Construction began in January 2018
•Contract completion intended for June 2019
4
5
Project Challenges
•Portion of Work is adjacent to active rail yard, requiring
increased coordination with both commuter and freight
operators
•Utility Relocation and Station Construction cannot be done
concurrently.
•Work activities need to be coordinated with Peninsula
Electrification Project. Planned activities may need to be
modified to allow activities to be done concurrently.
6
Utility Relocation Work
Red = Existing Utility; Same location as Underpass
Green = Relocated Utility; Away from Underpass
7
Utility Relocation Work
•Three different utilities need relocation
•Requires large temporary excavation support
•Limits areas to stage and store materials
8
Underpass Construction
•Precast box installation
•Avoid activity during utility relocation and wet
season (Estimated Duration = 7mos)
Caltrain Electrification
Update
South San Francisco City Council
October 24, 2018
Upcoming Caltrain Electrification Activities
•Pole and Wire Installation
•Traction Power Substation Construction
•Traction Power Interconnection
•Bridge Protection Barriers
•Oyster Point Blvd. and Grand Ave.
•Traction Power Facility Screening
•Caltrain Station Parking Lot
•Caltrain Bike Parking Management Plan
Additional City Coordination Items
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-938 Agenda Date:10/24/2018
Version:1 Item #:2.
Presentation of Certificates of Recognition to the Oyster Point Dragons team members and coaches for
competing in the 11th Club Crew World Championships in Hungary and demonstrating outstanding
sportsmanship, teamwork, and commitment. (Liza Normandy, Mayor)
City of South San Francisco Printed on 10/17/2018Page 1 of 1
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City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-949 Agenda Date:10/24/2018
Version:1 Item #:3.
Presentation of a proclamation to Francisca Hansen for her longstanding service on the Library Board. (Liza
Normandy, Mayor)
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CITY OF SOUTH SAN FRANCISCO RECOGNIZES FRANCISCA HANSEN
ON HER LONGTIME SERVICE AS
SOUTH SAN FRANCISCO LIBRARY BOARD OF TRUSTEE
October 24, 2018
WHEREAS, Francisca Hansen has served on the South San Francisco Library Board of
Trustees for 13 years; and
WHEREAS, Francisca has been an active and contributing member of the Library
Board; and
WHEREAS, during Francisca’s terms of service, great strides were made in improving
patron access to technology including the addition of free Wi-Fi at library facilities, the
implementation of 1 Gigabit Ethernet, the move to RFID self-check-out and automated return
systems, and the creation of MakerSpaces in all library facilities; and
WHEREAS, library collections have also changed dramatically during Francisca’s time
in office, including the addition of electronic collections such as e-books, e-audio books, e-
magazines, online classes, and streaming video and audio; and
WHEREAS, new services were added to the Library with the advice and support of the
Library Board including the addition of financial literacy services, the VITA free tax preparation
for low-income residents, and joining the Discover-and-Go network to provide free access to
museums and cultural institutions; and
WHEREAS, annual attendance of Library programs increased 58 percent over the last
five years, and visits to library facilities surpassed 500,000 in a single year; and
WHEREAS, Francisca was an active participant in the 2016 Library Strategic Plan
process, remodels of Main and Grand Avenue Libraries, and has worked diligently on the
planning for the new Library and Parks & Recreation Community Center; and
WHEREAS, Francisca’s colleagues on the South San Francisco Library Board of
Trustees have recognized her distinguished contributions on the completion of her term of
service; and
WHEREAS, Francisca Hansen has served as an excellent representative of the citizens
of South San Francisco since her appointment.
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of South San
Francisco does hereby commend and thank Francisca Hansen for her outstanding service to the
City of South San Francisco.
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-944 Agenda Date:10/24/2018
Version:1 Item #:4.
Presentation by San Mateo County Community Collaboration For Children’s Success (Mike Futrell,City
Manager)
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1
Memo: Community Collaboration for Children’s Success
San Mateo County Health, Human Services, Probation, Office of Education, First Five
October 17, 2018
TO:
Mayor Liza Normandy
Mayor Pro Tempore Karyl Matsumoto
Council Member Mark Addiego
Council Member Rich Garbarino
Council Member Pradeep Gupta
Cc: County Manager Mike Futrell
FROM: County Staff for Community Collaboration for Children’s Success Initiative
SUBJECT:
Community Collaboration for Children’s Success in South San Francisco UPDATE
Dear South San Francisco Mayor and Council Members;
This memo serves as an update to our September 17 memo and update on the Community
Collaboration for Children’s Success process the County is taking on in South San Francisco and 3 other
communities in the County. We have been gathering information about the assets, challenges and
strategies identified by young people in the community and again welcome and invite your participation
in the process.
Background
The Community Collaboration for Children’s Success initiative is a county-level multi-agency initiative to
engage young people and their families in co-creating local plans for young people’s success. Youth and
their families collectively identify community assets, barriers to youth success and potential strategies to
support youth. The initiative is taking place in 4 neighborhoods in San Mateo County in South San
Francisco, North Fair Oaks/Redwood City, East Palo Alto and Daly City.
Place-Based Prevention Approach
The initiative is a County approach to addressing the concentration of large numbers of young people in
high-intensity County systems such as Juvenile Probation, youth Behavioral Health and Recovery
Services and Human Services Agency programs such as the foster care system. An analysis revealed that
across agencies and programs, many of the young people in these programs and systems were coming
from the same neighborhoods in the County. Through focusing planning efforts in particular
neighborhoods, we hope to be responsive to the unique needs of young people and families in each of
the four communities.
2
Memo: Community Collaboration for Children’s Success
As providers of programming and services to youth who have faced multiple challenges, our cross-
agency approach aims to intervene to bolster success in the lives of young people before they become
involved in our high-intensity youth systems. We are using a prevention framework to address youth’s
self-identified challenges using solutions they identify and prioritize.
Details on the methodology for data analysis are available here.
CCCS Engagement Process
Staff has convened a Neighborhood Leadership Group and trained and worked closely with Community
Champions in South San Francisco to identify assets and connect to the community through existing
relationships of trust. At the next meeting, the group will prioritize the final strategies, positioning them
in relation to existing community assets.
Data Collection
Parent Surveys Youth Surveys Conversations Dream Wall
SSF Community
Engaged
126 36 32 9
Total: 203 youth and family members
Preliminary Draft Top Needs
Needs for families and youth were broad-ranging in South San Francisco. They fell into three main
categories: Affordability, Resilience and Services and Activities
Affordability
▪ Cost of living too high
▪ Not enough affordable childcare
Resilience
▪ Not enough time with supportive adults including parents and mentors
▪ Providers don’t have experience with trauma-informed services
Services and Activities
▪ Mental health and substance use not identified or addressed
▪ Not enough affordable/free after school and summer activities
▪ Need more services with flexible hours
Preliminary Draft Top Strategies
Drawing on an extensive list of best practices, ideas generated by agency partners and residents, and
evidence-based practices, the SSF Neighborhood Leadership Group identified top approaches or
strategies to address these top needs. We believe we can use three different approaches for
implementation: cultivate protective spaces, provide education and behavior support, and intervene
early for early prevention. These strategies are still being reviewed and considered by community
members and system leaders.
3
Memo: Community Collaboration for Children’s Success
Protective Spaces
▪ Schools: Restorative Practices; Universal Pre-K
▪ Families: Basic needs are met; have adequate time with children (basic income, childcare, living
wage, legal support)
▪ Neighborhoods: Community/Resource/Youth Center; Community Policing; Civic Engagement;
Complete Communities
▪ Systems Spaces: Create trust and relationships; Assessment and action plans; workforce
development
Education and Behavior support
▪ In Systems: WIC; Pregnancy; Parenting Classes; Clinic
▪ In schools/community: mental health first aid; mentorship; leadership development; know your
rights; consent; bystander training
▪ Workforce training; supports for service providers
Early Prevention
▪ Early Flags: Absenteeism, Adverse Childhood Experiences (ACEs) and developmental screenings,
pregnant woman screening for trauma and basic needs
▪ Promotoras as a connect to families and youth
▪ Various referrals and wrap around supports based on screenings
Next Steps
Initiative staff will continue to review and analyze data collected, then hold one more Neighborhood
Leadership Group meeting:
• NLG Meeting #4: Sunday, December 9, 2-5 pm at SSF High School: 400 B St
This meeting will further hone the priorities established in meeting #3
The South San Francisco plan for children’s success will be available by the end of January 2019.
We are currently working with the County Board of Supervisors to secure funding for implementation in
the next board budget cycle. At the same time, we are working to leverage funds for implementation
with aligned foundations and grantmakers to support plan implementation in the specific areas that will
be identified in the plan.
Feel free to reach out to initiative staff with any questions or for more information:
Maeve Johnston
Management Analyst
San Mateo County Health, Health Policy and Planning
mjohnston@smcgov.org
650.573.2415
SAN MATEO COUNTY
COMMUNITY COLLABORATION FOR CHILDREN’S SUCCESS
COUNTY HEALTH, HUMAN SERVICES, PROBATION, OFFICE OF EDUCATION, F IRST 5
SOUTH SAN FRANCISCO CITY COUNCIL
OCTOBER 24, 2018
CCCS BACKGROUND AND APPROACH
▪Funded with Measure K sales tax dollars
▪Address concentrated youth need across multiple sectors
▪Engage system-involved youth and families
▪Collaborate with existing efforts
▪Use a trauma-informed planning approach
▪Learn as we go
CCCS INITIATIVE PHASES
Fall 2016 -2017 March 2018-June 2019
PHASE III
Implementation
of Neighborhood
Plans
July 2019 and beyond
PHASE II
Planning Process
PHASE I
Conceptualization
and Development
PHASE I
YOUTH NEED
▪Juvenile Probation
▪Youth Behavioral Health
▪Child Abuse allegations
▪Low birthweight
▪Reading proficiency
▪Suspension
▪Poverty
YOUTH PLANNING
READINESS
▪Big Lift School Districts
▪Youth-serving
organizations
▪Youth-serving facilities
4 FOCUS AREAS
Stage I:
▪North Fair Oaks/parts of
Redwood City
▪South San Francisco
Stage II:
▪Daly City
▪East Palo Alto
PHASE II
COMMUNITY PLANNING AND ENGAGEMENT
▪Neighborhood Leadership Groups
▪Review surveys, data collection tools
▪Provide guidance on data collection
▪Connect with community members
▪Review data and prioritize solutions
▪Community Champions
▪Gather surveys, hold conversations and focus groups with youth and families
▪Connect back with initiative to carry through implementation
SSF DATA COLLECTION
▪126 Parent Surveys
▪36 Youth Surveys
▪32 Youth engaged in
conversation
▪9 Dream Wall Respondents
▪Total of 203 provided info
SSF PARTNERSHIPS
▪4 Cs
▪Art of Yoga
▪Aspiranet
▪Big Lift
▪Board of Supervisors District 1
▪Boys and Girls Clubs
▪California Academy of Sciences
▪Community Learning Center
▪Cultural Arts Commission
▪Edgewood
▪Family Services Team
▪Felton Institute
▪First 5
▪Genentech
▪Help Me Grow
▪IHSD
▪Latino Commission
▪NE Mental Health Community Service Area
▪North County Prevention Partnership
▪Peninsula Family Services
▪Planned Parenthood
▪Pre to Three
▪Project Change at College of San Mateo
▪Project Read
▪Second Harvest
▪Service League of San Mateo
▪South City Clinic
▪SSF Asian Alliance
▪SSF Children’s Center
▪SSF Library
▪SSF Mothers Club
▪SSF Parks and Recreation
▪SSF Police Department
▪SSF USD administration and schools
▪StarVista
▪Thrive Alliance
▪Watch Me Grow/Gatepath
▪YMCA
PRELIMINARY (DRAFT) SSF NEEDS
▪Affordability
▪Cost of living too high
▪Not enough affordable childcare
▪Resilience-building
▪Not enough time with supportive adults including parents and mentors
▪Providers don’t have experience with trauma-informed services
▪Services and Activities
▪Mental health and substance use not identified or addressed
▪Not enough affordable/free after school and summer activities
▪Need more services with flexible hours
DRAFT STRATEGIES: PROTECTIVE SPACES
▪Restorative Practices in Schools
▪Universal Pre-K with Restorative Practices
▪Families: Basic needs are met; have adequate time with
children (basic income, childcare, living wage, legal support)
▪Neighborhoods: Community/Resource/Youth Center;
Community Policing; Civic Engagement; Complete
Communities
▪Systems Spaces: Create trust and relationships; Assessment and
action plans; workforce development
DRAFT STRATEGIES: EDUCATION AND BEHAVIOR SUPPORT
▪WIC; pre-natal; parenting classes; clinic
▪In schools/community: mental health first aid;
mentorship; leadership development; know your
rights; consent; bystander training
▪Workforce training; supports for service providers
DRAFT STRATEGIES: EARLY PREVENTION
▪Early Flags: absenteeism, ACES and developmental
screenings, pregnant woman screening for trauma
and basic needs
▪Promotoras as a connect to families and youth
▪Various referrals and wrap around supports based on
screenings
FINAL SSF NEIGHBORHOOD LEADERSHIP GROUP
Sunday, December 9, 2-5 pm
SSF High School, 400 B St, South San Francisco
▪Finalize prioritization of community needs and strategies
▪Implementation and next steps discussion
Implementation
Priorities
Building on
Existing Assets
Identified Need
& Prioritized
Strategies
PHASE III
IMPLEMENTATION
▪Funds for Implementation
from Board of Supervisors
and Others
▪Local Organizational
Leadership
▪Systems Improvements
▪Sustained success will mean
long-term commitment
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-981 Agenda Date:10/24/2018
Version:1 Item #:5.
Motion to approve the Minutes for the meeting of October 10, 2018.
City of South San Francisco Printed on 10/22/2018Page 1 of 1
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City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-972 Agenda Date:10/24/2018
Version:1 Item #:6.
Motion confirming payment registers for October 24,2018.(Richard Lee,Director
of Finance)
The payments shown in the attached payment register are accurate and sufficient
funds were available for payment (payroll items excluded).
Attachment: Payment Register
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Payment Listing by Department for City Council Review
Payments issued between and10/1/2018 10/14/2018
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
CITY ATTORNEY
FRANCISCO J VIEIRA JR 10/5/2018 27106210/04/2018 E 100-04110-5080 10,090.00 CLAIM SETTLEMENT CASE NO. 18-SCS-00944
Payments issued for CITY ATTORNEY $10,090.00
CITY CLERK
BUYONLINENOW.COM OFFICE SUPPLY10/12/2018 271209CC380582 E 100-02110-5062 316.28 GR-BINDERS FROM OFFICE SUPPLY FOR ELECTION
CORODATA RECORDS MANAGEMENT IN10/12/2018 271170RS3016733 E 100-02110-5001 730.13 RECORD STORAGE FROM 09/1/18 THROUGH 09/
DAILY JOURNAL CORPORATION 10/12/2018 271171B3179966 E 100-02110-5024 100.50 ORD SUMMARY - INCLUSIONARY HOUSING POST-
10/12/2018 271171B3179971 E 100-02110-5024 79.50 ORD SUMMARY - DENSITY BONUS POST-ADOPT
10/12/2018 271171B3179988 E 100-02110-5024 99.00 ORD SUMMARY - 180 S AIRPORT ZA POST-ADOPT
10/12/2018 271171B3179990 E 100-02110-5024 78.00 ORD SUMMARY - 180 S AIRPORT ZA POST-ADOPT
INTL INST OF MUNICIPAL CLERKS 10/12/2018 271209CC380584 E 100-02110-5031 100.00 GR-INTERNATIONAL INSTITUTE OF MUNICIPAL CL
LISA MICHELLE POPE 10/12/2018 271194180924 E 100-02110-5024 1,143.75 TRANSCRIPTION SERVICES FOR MARCH 21, 2018
Payments issued for CITY CLERK $2,647.16
CITY COUNCIL
AMOURA 10/3/2018 270991cc379886 E 100-01110-5031 103.79 HE: MEALS FOR 5 CITY COUNCIL MTG 9/12/18
BEN TRE RESTAURANT 10/3/2018 270991cc379883 E 100-01110-5031 64.98 HE: MEALS FOR 4 CITY COUNCIL MTG 8/22/18
MARK ADDIEGO 10/12/2018 2711587/31-9/18/18 E 100-01110-5031 11.50 MA: EXPENSE REIMBURSEMENT 7/31 TO 9/18/18
RICHARD GARBARINO 10/10/2018 2711049/1-9/30/18 E 100-01110-5031 126.44 RG: EXPENSE REIMBURSEMENT SEPT 2018
10/10/2018 2711049/1-9/30/18 E 100-01110-5071 35.24 RG: EXPENSE REIMBURSEMENT SEPT 2018
Payments issued for CITY COUNCIL $341.95
CITY MANAGER
BC BASECAMP 10/3/2018 270991cc379885 E 100-05110-5045 49.00 HE: MONTHLY MEMBERSHIP FOR SEPT 2018
JETBLUE 10/3/2018 270991cc379798 E 100-05110-5032 127.19 MF: FLIGHT TO LEAGUE OF CA CITIES CONF 2018
MIKE FUTRELL 10/10/2018 2711039/22/18-9/26/18 E 100-05110-5031 239.43 MF: EXPENSE REIMBURSEMENT FR 9/22-9/26/18
PACIFIC DISPLAY INC 10/3/2018 2709674635 E 100-05110-5005 9,295.00 CHANGE-OUT OF BANNERS TO FALL THEME 2018
PARTNERSHIP RESOURCES GROUP 10/10/2018 271118PRG #SSF1804 E 101-05101-5005 11,175.00 COMM CIV CAMPUS, PRG FUNDRAISING CONSUL
10/10/2018 271118PRG #SSF1805 E 101-05101-5005 11,175.00 COMM CIV CAMPUS, PRG FUNDRAISING CONSUL
SAN MATEO CTY HARBOR DISTRICT 10/10/2018 271128I18-015 E 100-05110-5005 6,562.00 HARBOR DIST IMPLEMENTATION AGMT MARINA
Monday, October 15, 2018 Page 1 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
CITY MANAGER
UNITED AIRLINES 10/3/2018 270991cc379799 E 100-05110-5032 68.20 MF: RETN FLIGHT FR LEAGUE CONF 2018 LONG B
Payments issued for CITY MANAGER $38,690.82
ECONOMIC & COMMUNITY DEVELOPMENT
ADVANCED BUSINESS FORMS 10/12/2018 27115930560 E 100-10520-5034 91.62 SHIRTS FOR CBO PERRY
ALLISON KNAPP WOLLAM 10/10/2018 27110810-2018 E 270-10413-5005 6,270.00 GENESIS IMPLEMENTATION CONSULTING SVCS 8/
AMAZON.COM 10/10/2018 271145CC380342 E 100-10520-5021 441.27 PP- VARIDESK STANDING CUBE CORNER
AMERICAN PLANNING ASSOCIATION 10/3/2018 270991CC379647 E 100-10410-5031 630.00 MC - 2018 APA CONFERENCE - R. WASSUM
10/3/2018 270991CC379651 E 100-10410-5031 640.00 MC - 2018 APA CONFERENCE - R.THOMPSON
BLUEBEAM INC 10/3/2018 2709191198756 E 100-10520-5045 1,745.00 BLUEBEAM USER LICENSE (5) - BUILDING DIVISIO
CALIFORNIA CITY NEWS 10/5/2018 271060CC380145 E 100-10110-5036 225.00 YM - COMMUNITY DEVELOPMENT COORDINATO
CLEARLITE TROPHIES 10/3/2018 27092883192 E 100-10410-5020 72.11 NAMEPLATES FOR TWO NEW DRB MEMBERS
FEDEX 10/3/2018 2709416-251-14971 E 100-10410-5027 101.00 DRB PACKETS JULY 2018
10/3/2018 2709416-313-84249 E 100-10410-5024 102.40 DRB PACKETS SEPTEMBER 2018
ICC NAPA SOLANO CHAPTER 10/10/2018 271145CC380341 E 100-10520-5022 208.00 PP- CODE BOOKS
LISA MICHELLE POPE 10/3/2018 270973180918 E 100-10410-5025 281.25 MINUTES TRANSCRIPTION FOR PC 9.6.2018
MMANC 10/3/2018 270991CC379650 E 100-10410-5031 75.00 MC - MMANC MEMBERSHIP RENEWAL - T.ROZZI
PLACEWORKS 10/10/2018 27112266411 E 100-10410-5005 2,812.65 MINIMUM LOT SIZE 8/1 THROUGH 8/31/2018
PRODUCTIVE PRINTING & GRAPHICS10/12/2018 27119532563 E 100-10520-5025 180.26 BLDG PERMIT CARDS
RANEY PLANNING & MANAGEMENT 10/3/2018 2709751740E-2 E 270-10413-5005 300.00 GENENTECH CAMPUS MASTER PLAN
SHERATON SAN DIEGO MARINA 10/3/2018 270991CC379648 E 100-10410-5032 243.42 MC - 2018 APA CONFERENCE HOTEL STAY - R. WA
10/3/2018 270991CC379649 E 100-10410-5032 243.42 MC - 2018 APA CONFERENCE HOTEL STAY 2 - R.
STAPLES BUSINESS ADVANTAGE 10/10/2018 2711388051263568 E 100-10410-5020 66.40 PLANNING OFFICE SUPPLIES
THE SWENSON GROUP, INC. 10/3/2018 270987225579 E 100-10110-5074 100.51 COPIER STAPLES - KONICAL MINOLTA
Payments issued for ECONOMIC & COMMUNITY DEVELOPMENT $14,829.31
FINANCE
ADVANCED BUSINESS FORMS 10/5/2018 27100630554 E 100-06210-5021 464.71 ENVELOPES
ADVANTAGE LASER PRODUCTS INC 10/5/2018 271060cc380201 E 100-06210-5020 129.16 RL-PAYROLL CHECK STOCK
CITYGATE ASSOCIATES LLC 10/10/2018 27108524610 E 100-06110-5005 1,543.50 FIRE SERVICES REVIEW STUDY
10/10/2018 27108524624 E 100-06110-5005 4,137.00 FIRE SERVICES REVIEW 09/01/2018 - 09/30/2018
CSMFO 10/10/2018 271145cc380205 E 100-06110-5032 370.00 RL-2019 CSMFO ANNUAL CONFERENCE REGISTRA
Monday, October 15, 2018 Page 2 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
FINANCE
FLATIRON WEST INC 10/5/2018 271029prenote E 100-06110-5020 0.01 TEST EFT INITIAL DEPOSIT
LINKEDIN 10/5/2018 271060CC380131 E 100-06210-5036 160.64 YM - FINANCIAL SVCS MANAGER JOB POSTING O
10/5/2018 271060CC380136 E 100-06210-5036 2.04 YM - FINANCIAL SVCS MANAGER JOB RECRUITME
PERSONNEL DATA SYSTEMS, INC. 10/10/2018 271121040483 E 100-06110-5005 3,330.00 VISTA HRMS IMPLEMENTATION - SVCS RENDERE
10/10/2018 271121040604 E 100-06110-5005 971.25 VISTA HRMS IMPLEMENTATION - SVCS RENDERE
10/10/2018 271121040660 E 100-06110-5005 925.00 VISTA HRMS IMPLEMENTATION - SVCS RENDERE
10/10/2018 271121040736 E 100-06110-5005 1,896.25 VISTA HRMS IMPLEMENTATION - SVCS RENDERE
10/10/2018 271121040803 E 100-06110-5005 1,202.50 VISTA HRMS IMPLEMENTATION - SVCS RENDERE
READYREFRESH 10/3/2018 27097608I0030587083 E 100-06210-5021 8.73 WATER COOLER RENTAL -FINANCE 08/21/18-09/
REDWOOD CITY PARKING 10/5/2018 271060cc380203 E 100-06110-5031 2.75 RL - RDWC PARKING BOARD OF SUPERVISORS MT
10/12/2018 271209CC380221 E 100-06110-5031 3.00 RL - REDWOOD CITY PARKING - SAMFOG MEETIN
RENAISSANCE PALM SPRINGS HOTEL10/12/2018 271209CC380210 E 100-06110-5032 255.99 RL-CSMFO ANNUAL CONFERENCE HOTEL 1 NIGHT
SAN MATEO COUNTY TRANSIT DISTR10/12/2018 271199SA-26454 E 110-06210-5075 420.00 SAMTRANS TOKENS
SPECIALTY'S CAFE & BAKERY 10/5/2018 271060CC380157 E 100-06210-5036 110.98 YM - FINANCIAL SVCS MANAGER ORAL BOARD - 6
Payments issued for FINANCE $15,933.51
FIRE
ADVANCED BUSINESS FORMS 10/3/2018 27090730551 E 100-11210-5020 46.60 FIRE MARSHAL BUSINESS CARDS
AIRGAS USA, LLC 10/12/2018 2711609956756839 E 100-11610-5021 447.95 EMS SUPPLIES
10/12/2018 2711609956756840 E 100-11610-5021 200.95 EMS SUPPLIES
AMAZON.COM 10/10/2018 271145cc380037 E 100-11223-5020 25.05 KA - RAIL KIT FOR EOC DRAWER
10/10/2018 271145cc380039 E 100-11110-5020 130.01 KA - DEPARTMENT AMAZON PRIME
10/10/2018 271145cc380108 E 100-11110-5021 69.68 KA - IPAD COVERS
10/12/2018 271209cc380507 E 100-11710-5021 9.95 SM- VEHICLE EQUIPMENT PURCHASE 508
APPLE STORE 10/3/2018 270991cc379631 E 100-11110-5021 52.44 BA-OPERATING SUPPLIES IPAD CHARGER
AYAR PRODUCE MARKET 10/10/2018 271145cc380049 E 100-11310-5021 19.66 KA - EOC EXERCISE FRUIT (61)
10/12/2018 271209cc380044 E 100-11310-5021 13.48 KA - FRUIT FOR ICS CLASS (35)
BEST BUY 10/10/2018 271145cc380034 E 100-11310-5021 108.74 KA - IPAD COVER
10/10/2018 271145cc380035 E 100-11110-5021 108.74 KA - IPAD COVERS WITH KEYBOARDS FOR CHIEFS
10/10/2018 271145cc380035 E 100-11210-5021 217.48 KA - IPAD COVERS WITH KEYBOARDS FOR CHIEFS
BOUND TREE MEDICAL LLC 10/10/2018 27107382984925 E 100-11610-5021 40.60 EMS SUPPLIES
BOX.COM 10/10/2018 271145cc380109 E 100-11310-5021 45.00 KA - EOC WEB BUSINESS LICENSE
Monday, October 15, 2018 Page 3 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
FIRE
BRENT DUBOIS 10/10/2018 27109509182018 E 100-11610-5033 200.00 STAFF DEVLEOPMENT - PARAMEDIC RECERTIFICA
CHAVARRIA'S MARKET 2 10/10/2018 271145cc380173 E 100-11310-5021 17.00 KA- EOC EXERCISE REFRESHMENTS (61)
CHEVRON 10/12/2018 271209cc380504 E 100-11710-5021 50.00 CC-FUEL ON OES DEPLOYMENT
COMCAST CABLE COMMUNICATION IN10/10/2018 2710878155200440364083 E 100-11310-5021 165.60 DISASTER PREPAREDNESS/CERT
COUNTY OF SAN MATEO 10/3/2018 2709313509 E 100-11110-5002 99,925.00 FY 18-19 HAZARDOUS MATERIALS RESPONSE PR
10/3/2018 2709321YSS21806 E 100-11610-5021 956.00 MONTHLY RADIO TRUNKED SYSTEM
CPS HR CONSULTING 10/5/2018 271020SOP47520 E 100-11110-5036 781.00 TEST MATERIAL & EXAM FEES - FIRE ADMIN ASST
FAILSAFE TESTING 10/12/2018 2711769976 E 100-11710-5051 485.75 LADDER TESTING AND MAINTENANCE
FASTRAK 10/10/2018 271145cc380110 E 100-11610-5020 25.00 KA - FASTRAK
10/10/2018 271145cc380111 E 100-11610-5020 30.00 KA - FASTRAK
FEDEX 10/3/2018 2709416-314-44611 E 100-11610-5027 61.93 POSTAGE FEES
10/10/2018 2710996-321-96421 E 100-11610-5027 61.83 EMS SUPPLIES
FOLSOM LAWN & POWER EQUIPMENT 10/12/2018 271209cc380558 E 100-11710-5051 159.47 PM-EQUIPMENT MAINTENANCE ON CHAIN SAW
FREMONT RUBBER STAMP CO INC 10/3/2018 270945160597 E 100-11210-5021 311.89 STAMPS FOR PLAN REVIEW
10/10/2018 271102161152 E 100-11210-5021 33.71 FIRE PREVENTION STAMPS
FULL SOURCE LLC 10/12/2018 271209cc380556 E 100-11710-5021 197.39 PM-OPERATING SUPPLIES BARRICADE TAPE
ITUNES STORE 10/12/2018 271209cc380505 E 100-11710-5021 29.99 CC-OPERATING SUPPLIES - IPAD MAPPING
L N CURTIS & SONS 10/10/2018 271109INV198086 E 100-11710-5061 923.16 SAFETY CLOTHING
10/10/2018 271109INV216024 E 100-11710-5061 450.11 PERSONAL PROTECTIVE CLOTHING
10/10/2018 271109INV216499 E 100-11110-5036 278.59 RECRUIT PPE
10/10/2018 271109INV216603 E 100-11710-5021 1,123.09 OPERATING SUPPLIES
10/10/2018 271109INV217950 E 100-11710-5061 445.74 SAFETY CLOTHING
10/12/2018 271184INV217177 E 100-11710-5061 2,971.60 SAFETY CLOTHING
10/12/2018 271184INV217323 E 100-11710-5061 81.94 SAFETY CLOTHING
10/12/2018 271184INV217363 E 100-11110-5036 690.46 NEW HIRE WILDLAND PPE
10/12/2018 271184INV218012 E 100-11710-5061 3,474.15 SAFETY CLOTHING TURNOUTS FOR NEW HIRE
10/12/2018 271184INV218154 E 100-11110-5036 273.13 NEW HIRE WILDLAND EQUIPMENT
10/12/2018 271184INV220925 E 821-11755-5051 2,195.49 STATION 63 - COMMERCIAL DRYERS PERSONAL P
10/12/2018 271184INV220925 E 100-11710-5021 6,380.64 STATION 63 - COMMERCIAL DRYERS PERSONAL P
LIFE-ASSIST INC 10/10/2018 271111877199 E 100-11610-5021 517.85 EMS SUPPLIES
10/10/2018 271111877200 E 100-11610-5021 514.24 EMS SUPPLIES
10/10/2018 271111877270 E 100-11610-5021 29.25 EMS SUPPLIES
Monday, October 15, 2018 Page 4 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
FIRE
LIFE-ASSIST INC 10/10/2018 271111877814 E 100-11610-5021 525.67 EMS SUPPLIES
10/10/2018 271111878042 E 100-11610-5021 293.66 EMS SUPPLIES
10/10/2018 271111879158 E 100-11610-5021 262.20 EMS SUPPLIES
10/10/2018 271111879672 E 100-11610-5021 989.43 EMS SUPPLIES
10/10/2018 271111879678 E 100-11610-5021 998.13 EMS SUPPLIES
10/10/2018 271111879719 E 100-11610-5021 716.31 EMS SUPPLIES
10/12/2018 271185880062 E 100-11610-5021 1,435.50 EMS SUPPLIES
LOWE'S CREDIT SERVICES 10/10/2018 271113915827 E 100-11730-5021 106.10 STATION SUPPLIES
10/10/2018 271113915828 E 100-11720-5021 134.88 TRAINING SUPPLIES
10/10/2018 271113915829 E 100-11710-5021 227.68 VEHICLE SUPPLIES
MOBILE CALIBRATION SERVICES LL10/12/2018 27118718-002590 E 100-11710-5051 359.58 GAS MONITOR MAINTENANCE
NORCAL PORTABLE SERVICES, INC.10/10/2018 27111598433 E 100-11720-5033 250.00 PORTA -POTTY CLEANOUT USE FOR CITY EVENT
OFFICE DEPOT INC 10/12/2018 271188135742471001 E 100-11223-5020 20.98 OPERATING SUPPLIES
10/12/2018 271188135742471001 E 100-11310-5020 64.18 OPERATING SUPPLIES
10/12/2018 271188135742471001 E 100-11110-5020 91.73 OPERATING SUPPLIES
10/12/2018 271188187865025001 E 100-11223-5020 56.57 OPERATING SUPPLIES
10/12/2018 271188189340611001 E 100-11210-5020 8.12 OPERATING SUPPLIES
10/12/2018 271188189340611001 E 100-11110-5020 45.70 OPERATING SUPPLIES
PENINSULA UNIFORMS & EQUIP INC10/3/2018 270972149360 E 100-11710-5034 727.20 NEW HIRE UNIFORM - CLASS A -
10/10/2018 271120153387 E 100-11110-5036 1,310.88 FIRE RECRUIT UNIFORMS
10/12/2018 271192155033 E 100-11611-5021 127.57 OPERATING SUPPLIES
10/12/2018 271192155725 E 100-11210-5034 229.33 UNIFORM ALLOWANCE
PREFERRED ALLIANCE, INC 10/10/2018 2711230142454-IN E 100-11110-5039 65.00 SEPTEMBER 2018 PRE-EMPLOYMENT & RANDOM
READYREFRESH 10/3/2018 27097618H5711311000 E 100-11710-5021 212.10 WATER SERVICES
10/12/2018 2711961815711311000 E 100-11110-5021 218.05 OPERATING SUPPLIES
ROYAL PIN DONUTS 10/10/2018 271145cc380041 E 100-11310-5021 20.00 KA -SNACKS FOR ICS CLASS (35)
10/10/2018 271145cc380051 E 100-11310-5021 87.34 KA - EOC EXERCISE (61)
SAFEWAY STORE 10/10/2018 271145cc380042 E 100-11310-5004 22.06 KA- CERT SUPPLIES
SAN MATEO CO FIRE CHIEFS ASSOC10/3/2018 270980113 E 100-11110-5031 750.00 FY18-19 SAN MATEO COUNTY FIRE CHIEFS ASSOC
SAN MATEO REGIONAL NETWORK INC10/12/2018 27120122743 E 100-11710-5071 1,006.75 STATION ALERTING CABLE SERVICES
SATCOM GLOBAL, INC. 10/12/2018 271209cc380499 E 100-11310-5021 42.75 JM-MONTHLY SATELLITE BILLING DIASTER PREPA
SCHOOL HOUSE GROCERY 10/3/2018 2709828956 E 100-11310-5021 536.01 FOOD EOC EXERCISE (61) YELLOW COMMAND GR
Monday, October 15, 2018 Page 5 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
FIRE
SCHOOL HOUSE GROCERY 10/10/2018 271145cc380045 E 100-11310-5021 29.00 KA - EOC EXERCISE VOLUNTEER MEALS (6)
10/10/2018 271145cc380048 E 100-11310-5021 5.07 KA - EOC EXERCISE VOLUNTEER SNACKS(6)
SHELL OIL 10/12/2018 271209cc380175 E 100-11711-5021 29.85 SC - DEF FOR DIESEL EMISSIONS
10/12/2018 271209cc380506 E 100-11710-5021 99.00 CC-FUEL - OES DEPLOYMENT
SOUTH CITY LUMBER AND SUPPLY 10/10/2018 271130957251 E 100-11710-5021 176.34 OPERATING SUPPLIES
STAPLES CREDIT PLAN 10/3/2018 270991cc379632 E 100-11210-5021 12.01 BA-OPERATING SUPPLIES - FRAME
STARBUCKS 10/10/2018 271145cc380053 E 100-11310-5021 67.80 KA - EOC EXERCISE (61)
SUPPLY CACHE INC, THE 10/10/2018 271145cc380113 E 100-11310-5004 202.75 KA - SAND BAG STAKES
TARGET 10/10/2018 271145cc380036 E 100-11310-5004 28.26 KA - CERT SUPPLIES
TELECOMMUNICATIONS ENG ASSOC 10/12/2018 27120745609 E 100-11710-5051 1,059.00 STATION ALERTING CABLE MAINTENANCE
TOGO'S 10/12/2018 271209cc380552 E 100-11710-5021 136.50 PM-OPERATING SUPPLIES - FOOD FOR CREWS AF
WELLS FARGO BANK, NA 10/3/2018 27099818080089219 E 100-11610-5005 498.40 AUG 2018 AMBULANCE LOCKBOX SERVICE
WITMER PUBLIC SAFETY GROUP INC10/10/2018 271153E1752040.001 E 100-11710-5061 300.99 OPERATING SUPPLIES
WITTMAN ENTERPRISES, LLC 10/3/2018 2710031807745 E 100-11610-5005 9,289.50 CONTRACTUAL AMBULANCE BILLING SVC-JUL 201
10/12/2018 2712121808745 E 100-11610-5005 12,297.05 CONTRACTUAL AMBULANCE BILLING
ZOLL MEDICAL CORPORATION 10/10/2018 2711562748360 E 100-11610-5021 378.55 EMS SUPPLIES
10/10/2018 2711562751036 E 100-11610-5021 252.37 EMS SUPPLIES
Payments issued for FIRE $162,181.23
HUMAN RESOURCES
ALASKA AIR 10/10/2018 271145CC380406 E 100-09110-5032 203.40 MM - AIRFARE - CALPERS EDUC. FORUM - 10/21
B&B CUSTOM DESIGNS 10/5/2018 27101417397 E 100-09110-5020 66.15 DEPARTMENT POLO SHIRT
CALPELRA 10/5/2018 271060CC380204 E 100-09110-5033 350.00 MM - 2018-2019 CALPELRA MEMBERSHIP FOR LE
10/5/2018 271060CC380206 E 100-09110-5033 782.00 MM - CALPELRA CONFERENCE FOR LEAH LOCKHA
CALPERS 10/10/2018 271145CC380302 E 100-09110-5033 399.00 MM - CALPERS EDUCATIONAL FORUM 2018 - M.
CORODATA RECORDS MANAGEMENT IN10/10/2018 271145CC380413 E 100-09110-5026 38.87 MM - MONTHLY SHREDDING SVCS
EQUIFAX 10/10/2018 271145CC380409 E 100-09110-5001 21.96 MM - EQUIFAX MONTHLY ADMINISTRATIVE FEE
ORBITZ 10/10/2018 271145CC380405 E 100-09110-5032 409.14 MM -LODGING -CALPERS EDUC. FORUM - 10/21-1
PREFERRED ALLIANCE, INC 10/10/2018 2711230142454-IN E 100-09110-5001 346.39 SEPTEMBER 2018 PRE-EMPLOYMENT & RANDOM
THE E GROUP, LLC 10/5/2018 27105711133 E 100-09110-4320 500.00 UNEMPLOYMENT CLAIMS ADMINISTRATION SVC
Payments issued for HUMAN RESOURCES $3,116.91
Monday, October 15, 2018 Page 6 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
INFORMATION TECHNOLOGY
AMAZON WEB SERVICES, INC. 10/5/2018 271010150808347 E 785-16110-5040 299.45 CLOUD BACKUP SERVICES FOR 9/18
CIVIC LLC 10/3/2018 2709271754 E 785-16110-5005 200.00 MONTHLY MAINTENANCE MYCIVIC APP - OCT 20
CIVICPLUS 10/5/2018 271019177906 E 785-16110-5040 37,844.00 CIVICREC ANNUAL MAINTENANCE FEE
KELSO COMMUNICATIONS 10/3/2018 270954I2018130 E 785-16110-5005 2,867.39 TELECOMMUNICATIONS ASSIST/MAINTENANCE
MARY L GOSSMAN 10/5/2018 271031SSF-003 E 785-16110-5061 337.50 REPORT WRITING FOR PERMITTING SYSTEM
READYREFRESH 10/5/2018 27105318I0023270820 E 785-16110-5020 90.66 BOTTLE WATER AND CUPS
SSP DATA, INC 10/12/2018 27120658201 E 785-16110-5040 4,203.00 EMAIL ARCHIVER ANNUAL MAINTENANCE 11/8/
WAVEDIVISION HOLDINGS, LLC 10/3/2018 27099606585411 E 785-16110-5040 900.00 NETWORK SVCS.- DISASTER RECOVERY SITE W. SA
WEBQA, INC. 10/3/2018 2709971117-181001 E 785-16110-5040 6,990.00 ANNUAL RENEWAL 11/18 - 10/19
Payments issued for INFORMATION TECHNOLOGY $53,732.00
LIBRARY
360TRAINING.COM 10/12/2018 271209CC380183 E 100-15999-5999 -165.00 KB-REGISTRATION REFUND
10/12/2018 271209CM380084 E 100-15999-5999 -12.60 AP - REFUND: REGISTRATION FEE
ADAFRUIT 10/5/2018 271060CC380142 E 100-15110-5021 54.08 EM - OPERATING SUPPLIES
AMAZON CAPITAL SERVICES, INC 10/3/2018 2709101M6Y-QRLV-LKDV E 100-15999-5022 307.62 BOOKS, LEARNING WHEELS
10/5/2018 2710091C47-FCG1-X7XV E 100-15430-5021 27.04 OPERATING SUPPLIES
10/5/2018 2710091JC3-VR3X-4TWT E 100-15110-5021 29.99 PROGRAM SUPPLIES - OPERATING
10/5/2018 2710091WWW-RNKY-1HLR E 100-15999-5022 103.23 BOOKS, LEARNING WHEELS
10/5/2018 2710091WWW-RNKY-7RWH E 100-15220-5030 12.98 PROGRAM SUPPLIES - YOUTH SERVICES
AMAZON.COM 10/12/2018 271209cc380184 E 100-15999-5999 4,399.68 KB - BOOKS / SUPPLIES, VOICES
BAKER & TAYLOR INC 10/3/2018 270915L1123914 E 100-15999-5999 17.75 BOOKS
10/3/2018 270915L1123914 E 100-15310-5022 2,062.59 BOOKS
10/3/2018 270915L1123914 E 100-15210-5022 4,901.91 BOOKS
10/12/2018 271163L1105694 E 100-15999-5022 103.97 BOOKS
BART-BAY FAIR 10/10/2018 271145CC380226 E 100-15110-5032 20.00 AT - TRAINING TRANSPORTATION IN SAN FRANCI
BEST BUY 10/5/2018 271060CC380154 E 100-15110-5020 54.57 AE - OFFICE SUPPLIES - MEMORY CARDS
CALIFORNIA LIBRARY ASSOCIATION10/5/2018 271060CC380106 E 100-15110-5031 225.00 VS - 2018 CLA CONFERENCE REGISTRATION
CONTRACT OFFICE GROUP 10/3/2018 27092952815 E 100-15110-5021 150.22 FURNITURE REPAIR - GRAND AVE. LIBRARY
COSTCO 10/5/2018 271060CC379955 E 100-15999-5999 578.86 LA-PROGRAM SUPPLIES/REAL
10/5/2018 271060CC379956 E 100-15999-5999 527.13 LA-PROGRAM SUPPLIES/REAL
10/5/2018 271060CC379957 E 100-15999-5999 223.34 LA- PROGRAM SUPPLIES /SPRUCE
Monday, October 15, 2018 Page 7 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
LIBRARY
COSTCO 10/5/2018 271060cc380091 E 100-15999-5999 1,094.57 AP - AFTERSCHOOL PROGRAM REFRESHMENTS
10/10/2018 271145CC380216 E 100-15320-5030 22.97 AT - PROGRAM SUPPLIES
10/10/2018 271145CC380216 E 100-15220-5030 16.37 AT - PROGRAM SUPPLIES
EVENTBRITE 10/10/2018 271145CC380224 E 100-15110-5033 104.99 AT - INTENTIONAL PLAY SUMMIT; M. MENDOZA
FNA SAFETY 10/5/2018 271060cc380179 E 100-15999-5031 219.00 AP - REGISTRATION FEE, P. BUCKLEY
GE MONEY BANK/AMAZON 10/3/2018 2709470010 3871 E 100-15210-5022 421.25 BOOKS/ AV
10/3/2018 2709470010 3871 E 100-15110-5021 46.67 BOOKS/ AV
10/3/2018 2709470010 3871 E 100-15210-5043 55.22 BOOKS/ AV
INDEED 10/10/2018 271145cc380232 E 100-15430-5030 147.68 KB - ADVERSTING, JOB ANNOUNCEMENT
INDIA CLUB INC 10/10/2018 27110597 E 100-15210-5022 285.30 INTERNATIONAL LANGUAGE BOOKS
LECTURA BOOKS 10/10/2018 271145cc380182 E 100-15999-5999 508.90 KB - BOOKS, VOC
LOS CUATES TAQUERIA 10/5/2018 271060cc380086 E 100-15410-5021 73.53 AP - PROGRAM REFRESHMENTS
MASE GROUP LLC 10/5/2018 27103900068A E 100-15110-5001 1,198.50 CATALOGING SERVICE
10/5/2018 27103900319 E 100-15110-5001 220.45 DVD LABELING SERVICE
NATIONAL RESTAURANT ASSOCIATIO10/5/2018 271060cc380093 E 100-15999-5031 15.00 AP - TRAINING REGISTRATION FEE
OCLC WESTERN 10/5/2018 2710430000623883 E 100-15110-5001 501.22 CATALOGING AND METADATA SUB-MONTHLY
OSMO 10/5/2018 271060CC380130 E 100-15110-5021 104.89 EM - CHILDREN'S LEARNING TOOLS
PAYPAL 10/10/2018 271145CC380153 E 100-15110-5031 45.00 AE - BAYNET MEMBERSHIP DUES
10/10/2018 271145CC380212 E 100-15110-5021 7.50 ABS - HISTORY TIMELINE
PEET'S COFFEE & TEA 10/10/2018 271145cc380284 E 100-15430-5031 23.00 KB - PROGRAM REFRESHMENTS
PENINSULA LIBRARY SYSTEM 10/5/2018 27104712532 E 100-15110-5021 541.77 PRINTER THERMAL PAPER
PIONEER WOMAN 10/10/2018 271145cc380162 E 100-15210-5022 18.00 AP - MAGAZINE SUBSCRIPTION
SAFEWAY INC 10/12/2018 271197125129 E 100-15999-5999 94.33 PROGRAM REFRESHMENTS
10/12/2018 271197125129 E 100-15999-5021 28.77 PROGRAM REFRESHMENTS
10/12/2018 271197125129 E 100-15430-5021 48.00 PROGRAM REFRESHMENTS
10/12/2018 271197125129 E 100-15410-5021 36.12 PROGRAM REFRESHMENTS
SAFEWAY STORE 10/10/2018 271145CC380223 E 100-15220-5030 35.14 AT - PROGRAM SUPPLIES
SURVEY MONKEY 10/5/2018 271060CC380152 E 100-15110-5033 37.00 AE - SURKEY MONKEY MONTHLY PLAN
TARGET 10/5/2018 271060cc380071 E 100-15410-5021 500.00 AP -MOTIVATIONAL TOOLS
10/5/2018 271060CM380081 E 100-15410-5021 -500.00 MOTIVATIONAL TOOLS
THE GALE GROUP, INC 10/5/2018 27105865167606 E 100-15310-5022 275.81 BOOKS - GRAND
10/5/2018 27105865186745 E 100-15310-5022 57.31 BOOKS - GRAND
Monday, October 15, 2018 Page 8 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
LIBRARY
THE GALE GROUP, INC 10/5/2018 27105865234907 E 100-15210-5022 29.55 BOOKS - MAIN
TRADER JOE'S 10/5/2018 271060CC380105 E 100-15110-5031 7.27 VS - MEETING REFRESHMENTS
USPS 10/5/2018 271060cc380095 E 100-15410-5027 6.70 AP - POSTAGE
10/5/2018 271060CC380129 E 100-15110-5027 11.21 EM - POSTAGE FOR CONTRACTS
10/5/2018 271060CC380143 E 100-15110-5027 7.10 EM - POSTAGE; LIBRARY BOARD PACKETS
Payments issued for LIBRARY $19,968.45
NON-DEPARTMENTAL
AMERICAN AIRLINES 10/5/2018 271060CC380198 E 851-07110-5032 200.00 MM - AIRFARE R. LEE 2018 NAGDCA CONF. PHILA
AT&T 10/3/2018 2709129391060752 E 781-07210-5071 331.53 PHONE CHARGES
10/3/2018 2709129391060817 E 781-07210-5071 98.81 PHONE CHARGES
10/3/2018 2709129391060821 E 781-07210-5071 300.22 PHONE CHARGES
10/3/2018 2709129391060848 E 781-07210-5071 72.96 PHONE CHARGES
10/3/2018 2709129391060973 E 781-07210-5071 219.36 PHONE CHARGES
10/3/2018 2709139391060753 E 781-07210-5071 2,718.83 PHONE CHARGES
10/12/2018 271162650 829 1947 221 7 E 781-07210-5071 201.11 PHONE CHARGES
BLUE SHIELD OF CALIFORNIA 10/10/2018 271072182600002246 E 783-00000-4341 412,770.79 OCTOBER 2018 HEALTH INSURANCE PREMIUM A
10/10/2018 271072182600008744 E 783-00000-4342 196,203.97 OCTOBER 2018 HEALTH INSURANCE PREMIUM RE
CALIFORNIA WATER SERVICE 10/10/2018 2710793779544444 E 781-07210-5073 62,186.44 WATER SERVICE
CALIFORNIA WATER SERVICE CO 10/10/2018 2710800165444444 E 781-07210-5073 316.16 WATER SERVICE
10/10/2018 2710803194444444 E 781-07210-5073 34.48 WATER SERVICE
10/10/2018 2710803310807997 E 781-07210-5073 37.80 WATER SERVICE
10/10/2018 2710805187444444 E 781-07210-5073 218.58 WATER SERVICE
10/10/2018 2710807733252569 E 781-07210-5073 52.81 WATER SERVICE
10/10/2018 2710807807444444 E 781-07210-5073 22.63 WATER SERVICE
10/10/2018 2710809639955148 E 781-07210-5073 37.80 WATER SERVICE
DKS ASSOCIATES 10/3/2018 2709370067739 E 784-07511-5005 490.00 ON CALL TRAFFIC ENGINEERING SERVICES FY 17-1
DU-ALL SAFETY LLC 10/10/2018 27109420116 E 100-07110-5001 8,600.00 AUGUST 2018 SAFETY PROGRAM CONSULTING SE
EMPLOYEE BENEFIT SPECIALISTS 10/5/2018 2710270090282-IN E 783-00000-4342 2,700.00 SEPTEMBER 2018 WORKTERRA ADMIN FEES
10/5/2018 2710270090282-IN E 783-00000-4341 1,553.00 SEPTEMBER 2018 WORKTERRA ADMIN FEES
KAISER FOUNDATION HEALTH PLAN 10/10/2018 271107OCT 2018 E 783-00000-4341 245,962.64 KAISER PERMANENTE HEALTHCARE PREMIUMS O
10/10/2018 271107OCT 2018 E 783-00000-4342 134,799.06 KAISER PERMANENTE HEALTHCARE PREMIUMS O
Monday, October 15, 2018 Page 9 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
NON-DEPARTMENTAL
LYFT 10/12/2018 271209CC380228 E 851-07110-5032 19.77 RL- TRANSPORTATION FR CITY HALL TO SFO - NA
PACIFIC GAS & ELECTRIC COMPANY10/3/2018 2709680455280904-0 E 781-07210-5070 10.52 GAS/ELECTRIC SERVICE
10/3/2018 2709685446039888-3 E 781-07210-5070 49.68 GAS/ELECTRIC SERVICE
10/3/2018 2709685561797483-1 E 781-07210-5070 1,880.63 GAS/ELECTRIC SERVICE
10/3/2018 2709688767824245-1 E 781-07210-5070 267.44 GAS/ELECTRIC SERVICE
10/3/2018 2709688955325440-3 E 781-07210-5070 50.42 GAS/ELECTRIC SERVICE
10/3/2018 2709688996992104-1 E 781-07210-5070 79.38 GAS/ELECTRIC SERVICE
10/5/2018 2710445616338496-1 E 781-07210-5070 101,426.99 GAS/ELECTRIC SERVICE
10/10/2018 2711160211654236-2 E 781-07210-5070 29.34 GAS/ELECTRIC SERVICE
10/10/2018 2711162814692974-1 E 781-07210-5070 95.69 GAS/ELECTRIC SERVICE
10/10/2018 2711165548997000-8 E 781-07210-5070 2,959.20 GAS/ELECTRIC SERVICE
10/10/2018 2711166152070396-0 E 781-07210-5070 26.35 GAS/ELECTRIC SERVICE
10/10/2018 2711168286202617-4 E 781-07210-5070 151.22 GAS/ELECTRIC SERVICE
10/10/2018 2711168923172305-0 E 781-07210-5070 49.83 GAS/ELECTRIC SERVICE
PENINSULA CONFLICT RESOLUTION 10/3/2018 2709711478 E 100-07110-5035 21,490.35 SSF COMMUNITY MEDIATION SVCS 2018/2019
PRIORITY 1 PUBLIC SAFETY EQUIP10/3/2018 2709746886 E 784-07511-6008 5,366.45 GARAGE- VEH 140 ALTERATIONS
READYREFRESH 10/10/2018 27112608I0030587158 E 100-07110-5021 231.96 08/07/18-09/06/18 WATER COOLER REFILL 1ST FL
SPECIALTY'S CAFE & BAKERY 10/5/2018 271060CC380151 E 851-07110-5005 240.12 YM - DEFERRED COMP QUARTERLY MTG 9/12/18
SST BENEFITS CONSULTING & 10/10/2018 271135137673 E 851-07110-5005 2,500.00 DEFERRED COMP PROF SVCS - QRTLY TRAINING (
STANDARD INSURANCE CO 10/10/2018 271136338329 E 783-00000-4349 30,948.41 OCTOBER 2018 MONTHLY LIFE INSURANCE ACTIV
TOWNE FORD SALES 10/10/2018 27114481336 E 784-07511-6008 33,045.95 PURCHASE OF ONE (1) 2018 FORD UTILITY VEHICL
10/10/2018 27114481337 E 784-07511-6008 29,631.89 PURCHASE OF ONE (1) 2018 FORD UTILITY EXPLO
10/10/2018 27114481396 E 784-07511-6008 33,045.95 REPLACEMENT PURCHASE OF ONE (1) 2018 FORD
10/10/2018 27114481397 E 784-07511-6008 30,899.19 PURCHASE OF THREE (3) 2018 FORD UTILITY EXPL
10/10/2018 27114481398 E 784-07511-6008 30,899.19 PURCHASE OF THREE (3) 2018 FORD UTILITY EXPL
Payments issued for NON-DEPARTMENTAL $1,395,524.90
PARKS & RECREATION
4IMPRINT, INC. 10/10/2018 271145CC380245 E 100-17110-5061 1,102.30 GM: CONCERT GLASSES
A-1 TRUCK DRIVING SCHOOL 10/10/2018 271145CC380218 E 100-17310-5033 2,050.00 JR: PARKS - DRIVERS TRAINING
ALERT DOOR SERVICE INC 10/10/2018 27106880131 E 100-17410-5005 300.00 SPRUCE SIDE GATE
ALL INDUSTRIAL ELECTRIC SUPPLY10/10/2018 2710695191600 E 100-17420-5050 100.02 PK - SUPPLY
Monday, October 15, 2018 Page 10 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PARKS & RECREATION
ALWAYS GREAT SERVICE QUALITY 10/5/2018 271060CC380456 E 100-17110-5061 117.00 MM - LINENS FOR CONCERT IN THE PARK
AMAZON FRESH 10/10/2018 271145CC380252 E 100-17320-5050 62.57 GM: COASTAL CLEANUP SNACKS
10/10/2018 271145CC380254 E 100-17310-5021 5.00 GM: COASTAL CLEANUP SNACKS
AMAZON MKTPLACE 10/5/2018 271060CC379987 E 100-17110-5061 47.96 LA-CONCERT IN THE PARK SUPPLIES
10/5/2018 271060CC380148 E 100-17240-5021 98.31 MM - TRIPOD TRAINER
10/10/2018 271145CC380246 E 100-17310-5021 43.98 GM: ARBORIST TRAINING BOOK
10/12/2018 271209CC380298 E 100-17230-5020 111.07 DS - PRINTER RIBBON FOR OMR POOL
AMAZON.COM 10/12/2018 271209CC380331 E 100-17210-5061 99.99 DS - CIVIC REC SCANNER
AMERICAN SIGN LETTERS 10/10/2018 271145CC380258 E 100-17970-5061 1,117.00 GM: LIBERTY PARK SIGN LETTERS
AMERICOVER 10/5/2018 271060cc379986 E 100-17275-5061 52.77 LA-PROGRAM SUPPLIES
ARAMARK UNIFORM SERVICES 10/10/2018 271070758819304 E 100-17410-5034 38.02 PK - UNIFORMS
10/10/2018 271070758831078 E 100-17410-5034 38.02 PK - UNIFORMS
10/10/2018 271070758831081 E 100-17320-5034 347.98 PK - UNIFORMS
10/10/2018 271070758842845 E 100-17320-5034 64.56 PK - UNIFORMS
10/10/2018 271070758854763 E 100-17320-5034 426.15 PK - UNIFORMS
B&B CUSTOM DESIGNS 10/3/2018 27091417381 E 100-17110-5061 531.64 CONCERT IN THE PARK WRISTBANDS
CA PARK & RECREATION SOCIETY 10/10/2018 271075CAPRCBM 2019 E 100-17110-5031 225.00 2018-2019 DUES FOR COMMISSIONERS/BOARD
CHARLES SECURITY 10/3/2018 2709257583 E 100-17110-5061 630.00 SECURITY FOR CONCERT IN THE PARK 2018
CINTAS CORPORATION LOC 464 10/12/2018 271168464209759 E 100-17230-5051 230.17 OMP POOL MAINTENANCE SUPPLIES
CINTAS FIRST AID & SAFETY 10/10/2018 2710838403803333 E 100-17410-5005 631.24 SAFETY SUPPLIES
CITY MECHANICAL INC 10/10/2018 27108449225 E 100-17420-5050 1,700.36 COMMUNITY LEARNING CENTER SVC
10/10/2018 27108449314 E 100-17420-5050 798.99 COMMUNITY LEARNING CENTER SVC
10/10/2018 27108449315 E 100-17420-5050 858.40 8/16/18 - "ARRIVED ON SITE, GAINED
10/10/2018 27108449386 E 100-17420-5050 3,586.37 8/20/18 - "ARRIVED ON SITE. GAINED
10/10/2018 27108449423 E 100-17971-5061 8,607.28 POOL SVC
10/10/2018 27108449432 E 100-17420-5050 1,714.21 ORANGE PK SVC
COLE SUPPLY COMPANY, INC. 10/10/2018 271086270466 E 100-17420-5021 1,385.71 PK - RESTROOM SUPPLIES
10/10/2018 271086271075 E 100-17420-5021 1,472.33 RESTROOM SUPPLIES
10/10/2018 271086271075-1 E 100-17420-5021 88.96 PK - SUPPLY
10/10/2018 271086271075A E 100-17420-5021 106.35 PK - SUPPLIES
10/10/2018 271086271182 E 100-17420-5021 38.62 PK - SUPPLIES
10/10/2018 271086272007 E 100-17420-5021 4,795.81 PK - RESTROOM SUPPLIES
Monday, October 15, 2018 Page 11 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PARKS & RECREATION
COLE SUPPLY COMPANY, INC. 10/10/2018 271086272007-2 E 100-17420-5021 94.48 PK - SUPPLIES
10/10/2018 271086272270 E 100-17420-5021 730.64 PK - SUPPLIES
10/10/2018 271086272270-2 E 100-17420-5021 461.21 CUSTODIAL
10/10/2018 271086272759 E 100-17420-5021 588.77 PK - SUPPLIES
10/10/2018 271086272759-2 E 100-17420-5021 461.21 CUSTODIAL
10/10/2018 271086CM263159C E 100-17420-5021 -50.47 CITY FAC - CUSTODIAL SUPPLIES
10/10/2018 271086CM264072C E 100-17420-5021 -36.62 CITY FAC - CUSTODIAL SUPPLIES
10/10/2018 271086CM271075C E 100-17420-5021 -180.10 CITY FAC - CUSTODIAL SUPPLIES
COMCAST CABLE COMMUNICATION IN10/12/2018 2711698155 20 044 0252494 E 100-17240-5021 37.34 MONTHLY CABLE BILL FOR TERRABAY BLDG FOR
CONSTANT CONTACT, INC. 10/10/2018 271145CC380244 E 100-17110-5050 195.00 GM: E-MARKETING MONTHLY SERVICE
COSTCO 10/5/2018 271060cc379943 E 100-17275-5021 596.28 LA-PROGRAM SUPPLIES
10/5/2018 271060CC379944 E 100-17275-5021 264.47 LA- PROGRAM SUPPLIES
10/5/2018 271060CC379945 E 100-17275-5021 272.33 LA-PROGRAM SUPPLIES
10/5/2018 271060CC379954 E 100-17275-5021 733.58 LA-PROGRAM SUPPLIES
10/5/2018 271060cc379965 E 100-17275-5021 327.20 LA- PROGRAM SUPPLIES
10/5/2018 271060CC380012 E 100-17110-5061 153.49 LA-PROGRAM SUPPLIES FOR CONCERT IN THE PA
10/5/2018 271060CC380149 E 100-17110-5061 163.84 MM - CONCERT IN THE PARK SUPPLIES
10/12/2018 271209CC380296 E 100-17230-5061 54.57 DS - AQUATIC PROGRAM SUPPLIES
10/12/2018 271209CC380297 E 100-17230-5061 10.91 DS- AQUATIC PROGRAM SUPPLIES
10/12/2018 271209CC380299 E 100-17110-5061 115.88 DS - CONCERT PROGRAM SUPPLIES
CRAIGSLIST 10/10/2018 271145CC380247 E 100-17310-5021 150.00 GM: GROUNDSPERSON JOB ANNOUNCEMENT
DANELE DIXON 10/5/2018 27102610/3/18 E 100-17275-5021 584.27 PROGRAM SUPPLIES REIMB
DANIELLE SANDERSON 10/10/2018 2711299/7-9/27/2018 E 100-17110-5021 18.02 STAPLES - ENVELOPES FOR LIBERTY PARK DEDICA
10/10/2018 2711299/7-9/27/2018 E 100-17110-5031 20.54 STAPLES - ENVELOPES FOR LIBERTY PARK DEDICA
DAN'S DRILLING & FENCING INC 10/10/2018 27108991118 E 100-17970-5061 22,200.00 CENTENNIAL WAY BRIDGE FENCE REPLACEMENT
DEA SECURITY SYSTEMS CO INC 10/10/2018 271091C091120182 E 100-17410-5005 743.00 SECURITY SVC @ CITY MANAGER OFFICE
10/10/2018 271091C091820182 E 100-17971-5061 507.50 SECURITY SVC @ CITY MANAGER OFFICE
10/10/2018 271091C09620182 E 100-17410-5005 568.00 SECURITY ACCESS CARDS @ CITY MANAGER OFFI
10/10/2018 271091C101201817 E 100-17410-5005 195.00 FIRE ALARM SERVICE @ CORP YARD
DHARMA TRADING COMPANY 10/5/2018 271060CC379993 E 100-17275-5061 259.91 LA- PROGRAM SUPPLIES
DOLLAR TREE STORE 10/5/2018 271060CC379958 E 100-17275-5021 16.64 LA-ART SHOW SUPPLIES
ENVIROSAFETY PRODUCTS 10/10/2018 271145CC380225 E 100-17340-5021 120.59 JR: PARKS OPER SUPPLIES
Monday, October 15, 2018 Page 12 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PARKS & RECREATION
EWING IRRIGATION PRODUCTS INC 10/10/2018 2710986168685 E 100-17320-5050 2,003.59 PK- SUPPLIES
10/12/2018 2711756251607 E 234-17530-5050 786.00 PARKS DIV - SUPPLIES
10/12/2018 2711756251607 E 231-17531-5050 785.15 PARKS DIV - SUPPLIES
10/12/2018 2711756251607 E 232-17532-5050 300.00 PARKS DIV - SUPPLIES
FACEBOOK 10/10/2018 271145CC380249 E 100-17110-5061 11.07 GM: CONCERT ADVERTISEMENT
FASTSIGNS 10/5/2018 271060CC380140 E 100-17110-5061 229.99 EO - STAGE/SPONSOR BANNER FOR CONCERT
10/5/2018 271060CC380159 E 100-17110-5061 126.00 EO - SIGNAGE FOR RECREATION ICE CREAM CART
FLOWERS ELECTRIC & SVC CO INC 10/10/2018 27110121804019 E 100-17971-5061 2,957.00 FIRE STATION 61 - ELECTRICAL SUPP
10/10/2018 27110121806016 E 100-17971-5061 4,453.00 FIRE STATION 61 - ELECTRICAL SUPP
FOSSIL INDUSTRIES, INC. 10/10/2018 271145CC380256 E 100-17970-5061 819.00 GM: OMP INTERPRETIVE SIGNAGE
FULLY INC. 10/10/2018 271145CC380236 E 100-17110-5021 721.05 MP: OFFICE SUPP FOR D.SANDERSON
GRAINGER 10/12/2018 271209CC380407 E 100-17970-5061 1,430.63 MM - JOBOX FOR YOUTH SOCCER PROGRAM
HUB INTERNATIONAL INSUR SVCS 10/12/2018 271180HubInsSept18 E 100-17210-5004 1,788.52 INSURANCE PAYMENT FOR FACILITY RENTALS - SE
JOANN FABRICS 10/5/2018 271060CC379998 E 100-17110-5061 76.43 LA-CONCERT IN THE PARK SUPPLIES
K-119 OF CALIFORNIA 10/10/2018 27110674782 E 100-17320-5050 284.00 PK - TOOLS & EQUIPMENT
KIM MORRISON 10/5/2018 2710429/21/18 E 100-17110-5061 83.93 SMART & FINAL/CONCERT IN THE PARK SUPPLIES
LINCOLN EQUIPMENT INC 10/12/2018 271186EW017010 E 100-17230-5021 1,225.23 CHLORINE AND ACID FOR OMP POOL
LOWE'S CREDIT SERVICES 10/10/2018 271113901525 E 100-17420-5050 29.22 MSB - SUPPLIES
10/10/2018 271113901557 E 100-17420-5050 10.37 CITY HALL - SUPPLIES
10/10/2018 271113901609 E 100-17420-5050 51.85 GRAND LIB - SUPPLIES
10/10/2018 271113901703 E 100-17420-5050 23.64 CITY HALL - SUPPLIES
10/10/2018 271113902108 E 100-17320-5050 188.71 PK - SUPPLIES
10/10/2018 271113902119 E 100-17320-5050 58.97 PK - SUPPLIES
10/10/2018 271113902157 E 100-17420-5050 24.89 TERRABAY GYM - SUPPLIES
10/10/2018 271113902167 E 100-17420-5050 137.17 FIRE STATION #61 - SUPPLIES
10/10/2018 271113902418 E 100-17420-5050 16.79 MSB - SUPPLIES
10/10/2018 271113902491 E 100-17420-5050 60.96 CITY HALL - SUPPLIES
10/10/2018 271113902945 E 100-17420-5050 30.08 BURI BURI'S PORTABLE
10/10/2018 271113903773 E 100-17420-5050 59.26 MSB - SUPPLIES
10/10/2018 271113903894 E 100-17320-5050 842.16 OMP CONCERT
10/10/2018 271113916462 E 100-17420-5050 826.16 FIRE 61 - SUPPLIES
MACBEATH HARDWOOD COMPANY 10/10/2018 271145CC380255 E 100-17320-5050 377.78 GM: LUMBER FOR SIGN HILL
Monday, October 15, 2018 Page 13 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PARKS & RECREATION
MAIN STAR PRODUCTIONS 10/3/2018 2709621636 E 100-17110-5061 675.00 CANOPIES FOR CONCERT IN THE PARK 2018
MICHAEL'S 10/5/2018 271060CC380006 E 100-17110-5061 66.10 LA- CONCERT PROGRAM SUPPLIES
PENINSULA SPORTS OFFICIALS 10/12/2018 271191101897 E 100-17240-5001 355.00 UMPIRE GAMES FEES FOR SPORTS PROGRAMS
PRODUCTIVE PRINTING & GRAPHICS10/12/2018 27119532930 E 100-17240-5021 191.19 MIDDLE SCHOOL FLAG FOOTBALL FLYERS
10/12/2018 27119533125 E 100-17240-5021 114.71 MIDDLE SCHOOL BASKETBALL FLYERS
QUALITY MANU 10/3/2018 270991CC379931 E 100-17970-5061 2,383.05 SR - GOPHER X BURROWING RODENT CONTROL D
READYREFRESH 10/3/2018 27097608I0030587026 E 100-17110-5021 44.63 MONTHLY BOTTLED WATER SERVICE FOR MSB -
ROYAL PIN DONUTS 10/10/2018 271145CC380240 E 100-17310-5021 118.30 MP: COASTAL CLEANUP (200 PEOPLE)
SAFEWAY STORE 10/10/2018 271145CC380234 E 100-17420-5021 47.45 MP: RECRUITMENT PANEL - SNACKS
SCHOOL HOUSE GROCERY 10/3/2018 2709828975 E 100-17110-5061 179.66 CONCERT CONCESSIONS
10/12/2018 2712038976 E 100-17110-5061 785.98 MALO - LUNCH AND REFRESHMENTS
SHARON RANALS 10/5/2018 2710528/7/18-10/1/18 E 100-17110-5021 125.75 EMPLOYEE REIMB. OFFICE SUPPLIES
SHARPTEKSUPPLY.COM 10/10/2018 271145CC379468 E 100-17420-5050 32.07 AH: CITY FAC - OPER SUPPLIES
SMART & FINAL STORES LLC 10/5/2018 271060CC380002 E 100-17110-5061 70.36 LA- PROGRAM SUPPLIES
10/5/2018 271060CC380009 E 100-17110-5061 344.08 LA-CONCERT IN THE PARK SUPPLIES
10/12/2018 271209CC380300 E 100-17110-5061 95.65 DS - CONCERT IN THE PARK PROGRAM SUPPLIES
SNAP GEOFILTERS 10/12/2018 271209CC380408 E 100-17110-5061 51.97 EO SNAPCHAT FILTER - CONCERT IN THE PARK
SOUTH CITY LUMBER AND SUPPLY 10/10/2018 271130951931 E 100-17420-5050 -2.94 EOC - OPER SUPP
10/10/2018 271130953172 E 100-17420-5050 -217.41 OMP SCULPTURE - OPER SUPP
10/10/2018 271130954589 E 100-17420-5050 -12.62 MAGNOLIA - OPER SUPP
10/10/2018 271130955658 E 100-17420-5050 3.32 MSB
10/10/2018 271130955660 E 100-17420-5050 34.72 FIRE STATION 61
10/10/2018 271130955952 E 100-17420-5050 23.93 TERRABAY GYM
10/10/2018 271130956015 E 100-17420-5050 15.28 FINANCE
10/10/2018 271130956027 E 100-17420-5050 17.02 FINANCE
10/10/2018 271130956030 E 100-17420-5050 14.95 MSB GARAGE
10/10/2018 271130956104 E 100-17420-5050 35.48 FIRE 61
10/10/2018 271130956147 E 100-17420-5050 14.19 MAG CENTER
10/10/2018 271130956309 E 100-17420-5050 5.75 MAG CENTER
10/10/2018 271130956310 E 100-17420-5050 24.01 MAIN LIBRARY
10/10/2018 271130956319 E 100-17420-5050 5.45 CITY HALL
10/10/2018 271130956441 E 100-17420-5050 16.37 FIRE STATION 65
Monday, October 15, 2018 Page 14 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PARKS & RECREATION
SOUTH CITY LUMBER AND SUPPLY 10/10/2018 271130956463 E 100-17420-5050 18.55 MSB TRUCKS
10/10/2018 271130956464 E 100-17420-5050 9.71 CITY HALL
10/10/2018 271130956468 E 100-17420-5050 4.89 FIRE STATION 61
10/10/2018 271130956544 E 100-17420-5050 7.64 FAC - SUPPLY
10/10/2018 271130956571 E 100-17420-5050 7.64 FAC - SUPPLY
10/10/2018 271130956886 E 100-17420-5050 3.81 MONTE VERDE
10/10/2018 271130956895 E 100-17420-5050 19.74 FIRE STATION 61
10/10/2018 271130956908 E 100-17420-5050 8.18 SEIBECKER
10/10/2018 271130956995 E 100-17420-5050 2.72 MSB
10/10/2018 271130957163 E 100-17420-5050 7.61 SELICK PARK WB - SUPPLIES
10/10/2018 271130957236 E 100-17320-5050 11.68 PK - SUPPLY
10/10/2018 271130957269 E 100-17420-5050 20.51 MAG CENTER- SUPPLIES
10/10/2018 271130957271 E 100-17420-5050 16.69 OPM RESTROOM BY BASKETBALL COURT
10/10/2018 271130957325 E 100-17420-5050 15.37 MAG CENTER 2.0
10/10/2018 271130K55762 E 100-17420-5050 28.39 FAC - SUPPLY
10/10/2018 271130K55785 E 100-17420-5050 2.60 MAG CENTER 2.0 FLOOR
10/10/2018 271130K55866 E 100-17420-5050 27.17 GRAND LIB
10/12/2018 271205957371 E 100-17320-5050 32.64 PK - SUPPLY
10/12/2018 271205957385 E 100-17320-5050 14.06 PK- SUPPLIES
10/12/2018 271205958034 E 100-17320-5050 14.84 PK - SUPPLIES
10/12/2018 271205958049 E 100-17320-5050 3.27 PK - SUPPLY
SPECIALTY'S CAFE & BAKERY 10/5/2018 271060CC380141 E 100-17310-5036 107.53 YM - PARKS & REC PERFORMANCE EXERCISE - 6 P
STANDARD PLUMBING SUPPLY CO 10/10/2018 271137HRW210 E 100-17420-5050 48.94 MAIN LIB SUPPLY
STAPLES BUSINESS ADVANTAGE 10/10/2018 2711388051263596 E 100-17420-5021 156.69 CORP YARD OFFICE SUPPLIES
10/10/2018 2711388051263596 E 100-17320-5050 156.68 CORP YARD OFFICE SUPPLIES
10/10/2018 2711388051263608 E 100-17110-5020 256.69 OFFICE SUPPLIES FOR MSB ADMIN OFFICE
STAPLES CREDIT PLAN 10/5/2018 271060cc379984 E 100-17275-5020 117.96 LA-OFFICE SUPPLIES
10/5/2018 271060CC380150 E 100-17110-5061 14.77 MM - SUPPLIES FOR CONCERT IN THE PARK
10/5/2018 271060CC380155 E 100-17110-5061 33.85 MM - SUPPLIES FOR CONCERT IN THE PARK
10/10/2018 271145CC380235 E 100-17110-5021 356.49 MP: OFFICE SUPP FOR D.SANDERSON
STARBUCKS 10/10/2018 271145CC380238 E 100-17310-5021 119.45 MP: COASTAL CLEANUP (200 PEOPLE)
SUSAN FILERETO 10/3/2018 2709439-28-2018 E 100-17110-5021 18.02 EMPLOYEE REIMBURSENT FOR OFFICE SUPPLIES
Monday, October 15, 2018 Page 15 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PARKS & RECREATION
THE CONTAINER STORE 10/5/2018 271060CC380134 E 100-17275-5020 84.43 LA- OFFICE SUPPLIES
TRADER JOE'S 10/10/2018 271145CC380241 E 100-17310-5021 61.24 MP: TOWN HALL MTG 9/19/18 - 80 PEOPLE
TREETOPIA 10/5/2018 271060CC380135 E 100-17275-5061 108.74 LA- PROGRAM SUPPLIES
UNITED SITE SERVICES OF CA 10/10/2018 271146114-7398897 E 100-17320-5001 275.96 PK - SUPPLIES
UNIVERSAL FOAM PRODUCTS 10/10/2018 271145CC380222 E 100-17970-5061 4,849.37 JR: PARKS OPER SUPPLIES
W.W. GRAINGER INC. 10/10/2018 2711519900838146 E 100-17320-5050 258.23 PK - SUPPLIES
WALMART 10/5/2018 271060cc379960 E 100-17275-5061 58.98 LA-PROGRAM SUPPLIES
WESTERN CHAPTER ISA 10/10/2018 271145CC380219 E 100-17340-4024 260.00 JR: PARKS TRAINING FOR J. MOLINA & Z. KUST
10/10/2018 271145CC380242 E 100-17310-5033 130.00 GM: ISA ARBORIST TRAINING
WESTERN EXTERMINATOR CO 10/10/2018 2711526320160 E 100-17410-5005 260.00 PEST CONTROL-MSB
10/10/2018 2711526348776 E 100-17410-5005 178.00 PEST CONTROL-CLC
YOURMEMBER-CAREERS 10/10/2018 271145CC380251 E 100-17310-5021 160.00 GM: GROUNDSPERSON JOB POSTING
Payments issued for PARKS & RECREATION $98,828.40
POLICE
ADAM PLANK 10/12/2018 27119309/24-09/28/18 AP E 100-12720-5033 164.18 CAHN CONF EXPENSES
ADVANCED BUSINESS FORMS 10/12/2018 27115930565 E 100-12720-5021 1,102.67 PARKING CITATIONS - 2,500
ALASKA AIR 10/12/2018 271209CC380524 E 100-12720-5033 213.41 LS - AIRFARE CNOA CONF - MAHON
AMAZON.COM 10/5/2018 271060CC380094 E 100-12110-5020 180.34 KW - CAMERA SUPPLIES
AMERICAN MESSAGING SERVICES 10/5/2018 271011M7175147SJ E 100-12410-5071 18.57 PAGER SERVICE - PD & WQCP 9/18
AMY SARIOTTI 10/12/2018 27120209/24-09/28/18 AS E 100-12720-5033 167.00 CAHN CONF EXPENSES
ARAGON VETERINARY CLINIC 10/12/2018 271161166486 E 100-12720-5001 308.02 CANINE VET EXAMS - DIESEL
10/12/2018 271161167322 E 100-12720-5001 328.74 VET EXAMS - GROOT, BLITZ, ACE
BAY AREA OIL SUPPLY 10/5/2018 271060CC380085 E 100-12110-5031 22.00 JA - GAS FOR CITY VEH
BEST WESTERN 10/12/2018 271209CC380514 E 100-12999-5999 242.74 LS- ARIDE CLASS/HOTEL STAY - ARENAS
10/12/2018 271209CC380514 E 100-12720-5033 67.16 LS- ARIDE CLASS/HOTEL STAY - ARENAS
BRIAN BLAKE 10/12/2018 27116509/24-09/28/18 BB E 100-12720-5033 317.76 FIELD OFFICER TRAINING - EXPENSES
CALIFORNIA NARCOTIC OFFICERS 10/12/2018 271209CC380518 E 100-12720-5033 585.00 LS - CA NARC ASSOC - ANNUAL CONF
CRIME SCENE CLEANERS INC 10/5/2018 27102269593 E 100-12210-5001 245.00 CLEANING & DISINFECTING DRYING CABINET
D&M POLYGRAPH 10/5/2018 27102530 SEPT 2018 E 100-12720-5036 900.00 PRE-EMPLOYMENT POLYGRAPHS (3)
DFS GREEN, INC 10/12/2018 27117326849-4 E 100-12210-5001 235.00 CARPET CLEANING
10/12/2018 27117327806-1 E 100-12210-5001 398.00 CARPET CLEANING
Monday, October 15, 2018 Page 16 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
POLICE
DIRECTV 10/12/2018 271209CC380520 E 100-12410-5001 91.99 LS - MONTHLY DIRECTV CHARGE
FASTRAK 10/12/2018 271209CC380510 E 100-12110-5031 50.00 LS - FASTRAK REPLENISHMENT
HOT JUNIOR CO. 10/5/2018 271034244 E 100-12110-5030 470.33 GATE PATH ACADEMY SHIRTS
INTIME SERVICES INC. 10/5/2018 2710369381 E 100-12720-5001 7,200.00 ISELINK ANNUAL RENEWAL NOV 18- OCT 19
10/12/2018 271209CC380513 E 100-12720-5033 554.00 LS - INTIME U CONF - KALLAS
INTOXIMETERS 10/12/2018 271182608232 E 100-12720-5051 219.50 GAS FOR P.A.S. CALIBRATION
KATHLEEN WALSH 10/12/2018 27121109/24-09/28/18 KW E 100-12720-5033 204.06 CAHN CONF EXPENSES
KEN CHETCUTI 10/5/2018 27101709/24-09/26/18 KC E 100-12720-5033 214.58 SLI MEAL EXPENSES
LAURA SOTO 10/5/2018 27105510/03/2018 LS E 100-12110-5033 110.89 NOTARY RENEWAL FEES
PENINSULA PET RESORT INC 10/12/2018 271190120001 E 100-12720-5001 617.40 CANINE KENNELING - ACE/FINNEGAN 14 DAYS
PET FOOD EXPRESS 10/5/2018 27104809/14/18 MM E 100-12720-5001 195.72 CANINE FOOD - MAHON
10/5/2018 27104809/17/18 BM E 100-12720-5001 163.46 CANINE FOOD - MOLYNEUX
PREFERRED ALLIANCE, INC 10/10/2018 2711230142454-IN E 100-12720-5036 86.00 SEPTEMBER 2018 PRE-EMPLOYMENT & RANDOM
READYREFRESH 10/12/2018 27119618I5709746001 E 100-12720-5021 154.56 WATER COOLER RENTAL 08/11-09/10/18
SAN MATEO MEDICAL CENTER 10/12/2018 2712001490 E 100-12720-5002 3,800.00 MEDICAL EXAMS - JULY 2018
SOUTHWEST AIRLINES 10/12/2018 271209CC380512 E 100-12720-5033 530.88 LS - AIRFARE FOR CAHN CONF - (3)
TELECOMMUNICATIONS ENG ASSOC 10/12/2018 27120745614 E 100-12410-5001 4,735.00 MONTHLY RADIOS MAINT SEPT 2018
10/12/2018 27120745618 E 100-12410-5005 16,583.33 PROF. MONTHLY SERVICES - FY 18/19
TURBO DATA SYSTEMS, INC. 10/12/2018 27120828737 E 100-12720-5021 437.00 NFORCER PARKING CITATION ROLLS
VERIZON WIRELESS 10/12/2018 271210323020271-00001 E 100-12410-5071 1,543.44 DATA CARD SERVICES FOR LAPTOPS IN PATROL C
WILLIAM J. FEISTER 10/12/2018 2711782018-30 E 100-12720-5036 400.00 PRE-EMPLOYMENT PSYCH EXAM - PASSMORE
YEAMAC OUT OF BURLINGAME 10/12/2018 271209CC380509 E 100-12720-5021 50.00 SC - VICTIM IPHONE REPAIR - CASE
Payments issued for POLICE $43,907.73
PUBLIC WORKS
ABEGAIL PARTIN 10/10/2018 2711179/27/2018 E 710-13951-5031 121.68 TNI TRAINING SESSION 2 FEE AND MILEAGE FOR
ADIBEH FARAH QUTAMI 10/10/2018 271124010-223-180 E 710-13315-5061 76.00 LOW INCOME SEWER SERVICE REBATE PROGRAM
AIRGAS USA, LLC 10/5/2018 2710079080521261 E 710-13942-5051 57.04 WELDING GAS RESTOCK
AIRPORT AUTO PARTS INC 10/3/2018 270908389245 E 781-13610-5021 24.38 GARAGE OPER SUPPLIES VEH 770
10/3/2018 270908390372 E 781-13610-5021 68.73 GARAGE OPER SUPPLIES VEH 312
ALL INDUSTRIAL ELECTRIC SUPPLY10/5/2018 2710085192817 E 710-13941-5051 52.42 ELECTRICAL SUPPLIES
ALPHA ANALYTICAL LABORATORIES 10/3/2018 2709098092374-MD_SSF E 710-13953-5004 55.00 FY 2018-2019 ANALYTICAL SERVICES
Monday, October 15, 2018 Page 17 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PUBLIC WORKS
ALPHA ANALYTICAL LABORATORIES 10/3/2018 2709098092412-MD_SSF E 710-13953-5004 15.00 FY 2018-2019 ANALYTICAL SERVICES
10/3/2018 2709098092413-MD_SSF E 710-13953-5004 58.00 FY 2018-2019 ANALYTICAL SERVICES
10/3/2018 2709098092414-MD_SSF E 710-13953-5004 58.00 FY 2018-2019 ANALYTICAL SERVICES
10/3/2018 2709098092999-MD_SSF E 710-13953-5004 58.00 FY 2018-2019 ANALYTICAL SERVICES
10/3/2018 2709098093000-MD_SSF E 710-13953-5004 58.00 FY 2018-2019 ANALYTICAL SERVICES
10/3/2018 2709098093001-MD_SSF E 710-13953-5004 58.00 FY 2018-2019 ANALYTICAL SERVICES
10/3/2018 2709098093002-MD_SSF E 710-13953-5004 58.00 FY 2018-2019 ANALYTICAL SERVICES
10/3/2018 2709098093019-MD-SSF E 710-13951-5005 163.00 FY 2018-2019 ANALYTICAL SERVICES
10/3/2018 2709098093034-MD-SSF E 710-13951-5005 3,153.00 FY 2018-2019 ANALYTICAL SERVICES
10/3/2018 2709098093060-MD-SSF E 710-13951-5005 80.00 FY 2018-2019 ANALYTICAL SERVICES
AMERICAN MESSAGING SERVICES 10/5/2018 271011M7175147SJ E 710-13910-5071 77.78 PAGER SERVICE - PD & WQCP 9/18
AMERICAN TRAINCO INC 10/5/2018 271012192811 E 710-13942-5051 1,100.00 REG. FREE ELECTRICAL TROUBLESHOOTING & PM
ANDREA DENISE VILLA 10/3/2018 270994012-023-250 E 710-13310-5061 76.00 LOW INCOME SEWER SERVICE REBATE PROGRAM
ANDREW WEMMER 10/3/2018 2709997/2-9/26/2018 E 710-13953-5033 692.40 CWEA TRI-STATE SEMINAR EXPENSES FOR ANDRE
ARAMARK UNIFORM SERVICES 10/3/2018 270911758831077 E 100-13410-5001 90.27 STREET DIVISION UNIFORMS
10/3/2018 270911758831077 E 710-13315-5001 90.28 STREET DIVISION UNIFORMS
10/3/2018 270911758831079 E 781-13610-5001 15.95 GARAGE DIVISION UNIFORMS
10/3/2018 270911758831080 E 781-13610-5001 35.95 GARAGE - SHOP TOWELS & FENDER SEAT COVERS
10/3/2018 270911758842841 E 100-13410-5001 40.77 STREET DIVISION UNIFORMS
10/3/2018 270911758842841 E 710-13315-5001 40.78 STREET DIVISION UNIFORMS
10/3/2018 270911758842843 E 781-13610-5001 15.95 GARAGE DIVISION UNIFORMS
10/3/2018 270911758842844 E 781-13610-5001 40.35 GARAGE FENDER SEAT COVERS
10/5/2018 271013758831075 E 710-13910-5001 229.85 WEEKLY UNIFORM SERVICE
10/5/2018 271013758842838 E 710-13910-5001 144.48 WEEKLY UNIFORM SERVICE
10/5/2018 271013758842839 E 710-13910-5001 247.90 WEEKLY UNIFORM SERVICE
10/5/2018 271013758854756 E 710-13910-5001 144.48 WEEKLY UNIFORM SERVICE
10/5/2018 271013758854757 E 710-13910-5001 229.85 WEEKLY UNIFORM SERVICE
BAY AREA BUS REPAIR INC 10/3/2018 27091645082 E 781-13610-5021 53.40 GARAGE OPER SUPPLIES VEH 904
BAY AREA UPHOLSTERY 10/3/2018 2709178325 E 781-13610-5001 243.70 GARAGE - REPAIRS TO STOCK
10/3/2018 2709178326 E 781-13610-5001 404.72 GARAGE - VEH 240 REPAIRS
BOB JR'S TOWING INC 10/3/2018 27092031177 E 781-13610-5001 85.00 VEH 10 FLAT TIRE CHANGE
C H BULL CO 10/10/2018 271074R12574 E 710-13941-5051 1,740.00 ALUMINUM GANTRY & TROLLEY RENTAL
Monday, October 15, 2018 Page 18 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PUBLIC WORKS
C H BULL CO 10/10/2018 271074R12575 E 710-13941-5051 1,740.00 ALUMINUM GANTRY & TROLLEY RENTAL
CAL SIGNAL CORP 10/3/2018 2709237340 E 100-13450-5021 4,233.44 SIGNALS OPER SUPPLIES
CITY AUTO SUPPLY 10/3/2018 2709263-560469 E 781-13610-5021 420.61 GARAGE OPER SUPPLIES VEH 256
10/3/2018 2709263-560674 E 781-13610-5021 29.39 GARAGE STOCK OPER SUPPLIES
10/3/2018 2709263-560823 E 781-13610-5021 398.47 GARAGE OPER SUPPLIES VEH 256
10/3/2018 2709263-560826 E 781-13610-5021 34.96 GARAGE STOCK OPER SUPPLIES
10/3/2018 2709263-563132 E 781-13610-5021 37.75 GARAGE OPER SUPPLIES VEH 12
10/3/2018 2709263-563338 E 781-13610-5021 345.77 GARAGE STOCK OPER SUPPLIES
10/3/2018 2709263-563341 E 781-13610-5021 146.05 GARAGE OPER SUPPLIES VEH 258
10/3/2018 2709263-563818 E 781-13610-5021 86.50 GARAGE OPER SUPPLIES VEH 106
10/3/2018 2709263-564600 E 781-13610-5021 95.09 GARAGE OPER SUPPLIES VEH 209
10/3/2018 2709263-565649 E 781-13610-5028 24.43 GARAGE - VEH 235
COOPER SAFETY SUPPLY 10/3/2018 2709307012328 E 710-13941-5021 123.70 SAFETY SUPPLIES
10/3/2018 2709307012333 E 710-13910-5021 109.55 SAFETY SUPPLIES
10/10/2018 2710887012344 E 710-13910-5061 340.53 SAFETY SUPPLIES
CRANE & HOIST SERVICES 10/5/2018 2710214093 E 710-13931-5051 266.67 QUARTERLY CRANE INSPECTION
10/5/2018 2710214093 E 710-13941-5051 266.67 QUARTERLY CRANE INSPECTION
10/5/2018 2710214093 E 710-13930-5051 266.66 QUARTERLY CRANE INSPECTION
CULLIGAN SANTA CLARA 10/5/2018 2710230090993 E 710-13941-5051 202.40 WATER SOFTENER SERVICE
CWEA - SANTA CLARA VALLEY SECT10/5/2018 27102411/13/2018 E 710-13951-5033 130.00 REG. FEE FOR TNI 2016 STANDARD, SESS. 5
D&M TRAFFIC SERVICES, INC. 10/3/2018 27093360372 E 100-13430-5021 2,854.87 SIGNS OPER SUPPLIES
DAVID SAFRADIN 10/10/2018 27112710/3-10/4/18 E 710-13910-5031 113.03 TPC TRAINING SEMINAR MILEAGE FOR DAVID SAF
DEA SECURITY SYSTEMS CO INC 10/3/2018 270936C092820183 E 720-13720-5005 532.50 FIRE ALARM @ MPG
DYSERT ENVIRONMENTAL INC 10/3/2018 27093813722 E 710-13953-5005 350.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813723 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813725 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813726 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813727 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813728 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813729 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813730 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813731 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
Monday, October 15, 2018 Page 19 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PUBLIC WORKS
DYSERT ENVIRONMENTAL INC 10/3/2018 27093813732 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813733 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813734 E 710-13951-5005 445.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813735 E 710-13951-5005 302.50 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813736 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813737 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813738 E 710-13953-5005 440.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813753 E 710-13953-5005 350.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813754 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813755 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813756 E 710-13953-5005 155.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813757 E 710-13953-5005 400.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813758 E 710-13953-5005 245.00 FY 2018-2019 SAMPLING SERVICES
10/3/2018 27093813759 E 710-13951-5005 302.50 FY 2018-2019 SAMPLING SERVICES
EAST BAY TIRE CO. 10/3/2018 2709391478743 E 781-13610-5021 410.36 GARAGE OPER SUPPLIES VEH 281
10/3/2018 2709391479411 E 781-13610-5021 136.79 GARAGE OPER SUPPLIES VEH 283
EBI AGGREGATES 10/3/2018 270940300-17747 E 710-13315-5021 175.49 SEWER MAINT OPER SUPPLIES
FEDEX 10/3/2018 2709416-250-85447 E 100-13210-5027 66.55 ON CALL CONSULTANT AGREEMENT FOR MARK T
10/3/2018 2709416-265-04478 E 100-13210-5027 113.70 ATP GRANT APPLICATION
10/3/2018 2709416-286-42183 E 100-13210-5027 30.20 150 AIRPORT MAINTENANCE AGREEMENT (E18-0
10/10/2018 2710996-328-21434 E 100-13210-5027 33.35 MARK THOMAS ON CALL AGREEMENT DOCUMEN
FLYERS ENERGY LLC 10/3/2018 27094418-767772 E 781-13610-5028 1,543.60 FS 61 FUEL
10/3/2018 27094418-767773 E 781-13610-5028 1,972.72 FS 61 DIESEL
10/3/2018 27094418-770016 E 781-13610-5028 2,954.78 FS 63 FUEL
10/3/2018 27094418-770017 E 781-13610-5028 1,067.66 FS 64 FUEL
10/3/2018 27094418-773422 E 781-13610-5028 1,404.83 FS 65 FUEL
10/5/2018 271030CFS1676285 E 781-13610-5028 11,903.07 CITYWIDE CARDLOCK FUEL
GCS ENVIRONMENTAL EQUIPT SVCS 10/3/2018 27094618176 E 781-13610-5021 503.76 GARAGE STOCK OPER SUPPLIES VEH 312
10/3/2018 27094618215 E 781-13610-5001 7,852.64 GARAGE - VEH 310 REPAIRS
GOLDEN GATE TRUCK CENTER 10/3/2018 270948F005874109:01 E 781-13610-5021 94.78 GARAGE OPER SUPPLIES VEH 503
GOLDEN STATE CHEMICAL & SUPPLY10/3/2018 270949101048 E 710-13910-5021 80.36 OPERATING SUPPLIES
GRANITEROCK COMPANY 10/3/2018 2709501131029 E 100-13411-5021 335.11 STREET MAINT OPER SUPPLIES
Monday, October 15, 2018 Page 20 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PUBLIC WORKS
HARRINGTON INDUSTRIAL PLASTIC 10/5/2018 271033003M7010 E 710-13942-5051 1,527.14 PVC SHOP SUPPLY RESTOCK
HI-TECH EMERGENCY VEHICLE SVC 10/3/2018 270952161861 E 781-13610-5021 40.95 GARAGE OPER SUPPLIES VEH 509
10/3/2018 270952161941 E 781-13610-5021 501.90 GARAGE STOCK & VEH 510
HOWARD GRAY 10/3/2018 2709519/18-9/20/18 E 710-13315-5031 258.33 MILEAGE REIMBURSEMENT FOR H.GRAY
INTERNATIONAL TRAINING & REHAB10/5/2018 27103520180828S E 710-13315-5033 950.00 NASSCO TRAINING FOR H.GRAY
JACQUELINE WILLIAMS 10/3/2018 271001242 LONGFORD E 710-13310-5061 76.00 LOW INCOME SEWER SERVICE REBATE PROGRAM
JOAN OLIVE BROBAK 10/3/2018 270921014-124-190 E 710-13310-5061 76.00 LOW INCOME SEWER SERVICE REBATE PROGRAM
JUSTIN LOVELL 10/3/2018 2709619/22-9/26/18 E 100-13410-5032 226.87 TRAVEL EXPENSE REIMBURSEMENT J.LOVELL
KAMAN INDUSTRIAL TECHNOLOGIES 10/3/2018 270953O106781 E 710-13941-5051 49.29 MAINTENANCE SUPPLIES
KEN GRADY COMPANY INC 10/5/2018 2710373255 E 710-13964-5051 657.31 DECHLORINATION ANALYZER REBUILD PARTS
10/5/2018 2710373286 E 710-13964-5051 669.28 REPLACEMENT SULFITE SENSOR
LARRY WALKER ASSOCIATES, INC. 10/5/2018 27103800516.05-13 E 710-13951-5005 7,113.00 FY 2018-2019 WASTEWATER REGULATORY ASSIST
10/5/2018 27103800516.06-3 E 710-13951-5005 12,737.00 NPDES REISSUANCE REGULATORY ASSISTANCE
LARRY YAN 10/10/2018 2711559/26/18 E 710-13315-5031 8.72 STANDBY MILEAGE 9/20-9/26/18 - LARRY YAN
LOWE'S CREDIT SERVICES 10/10/2018 271113902430 E 740-13820-5021 25.46 STORM MAINT OPER SUPPLIES
10/10/2018 271113910348 E 740-13820-5021 61.95 STORM MAINT OPER SUPPLIES
10/10/2018 271113920212 E 710-13951-5050 53.52 PAINT SUPPLIES & WINDOW FILM
MCCAIN INC 10/3/2018 270963INV0233604 E 100-13450-5021 5,238.39 SIGNALS OPER SUPPLIES
10/3/2018 270963INV0233606 E 100-13450-5021 5,238.39 SIGNALS OPER SUPPLES
10/5/2018 271040INV0233651 E 100-13450-5021 11,871.14 SIGNALS OPER SUPPLIES
MCMASTER-CARR SUPPLY CO 10/3/2018 27096473106086 E 100-13430-5021 351.82 SIGNS OPER SUPPLIES
10/5/2018 27104174350861 E 710-13962-5051 2,974.95 MAINTENANCE SUPPLIES - SHOP HARDWARE RES
10/5/2018 27104174712801 E 710-13944-5051 69.43 MAINTENANCE SUPPLIES
MOBILE CALIBRATION SERVICES LL10/3/2018 27096518-002583 E 710-13910-5061 211.50 GAS DETECTOR CALIBRATION
OLE'S CARBURETOR & ELEC INC 10/3/2018 270966424268 E 781-13610-5021 105.83 GARAGE STOCK OPER SUPPLIES
10/3/2018 270966424473 E 781-13610-5021 104.41 GARAGE OPER SUPPLIES VEH 14
10/3/2018 270966424817 E 781-13610-5021 55.12 GARAGE OPER SUPPLIES VEH 503
10/3/2018 270966424857 E 781-13610-5021 208.81 GARAGE OPER SUPPLIES VEH 4 & 16
PARKING COMPANY OF AMERICA 10/5/2018 271045INVM0012682 E 100-13999-5999 19,706.40 SOUTH CITY SHUTTLE 7/1/18 - 7/31/18
10/5/2018 271045INVM0012805 E 100-13999-5999 24,537.31 SOUTH CITY SHUTTLE 8/1/18 - 8/31/18
PC&N CONSTRUCTION INC. 10/3/2018 270969110085 E 100-13411-5021 6,478.68 STREET MAINT OPER SUPPLIES
PENINSULA BATTERY CO 10/3/2018 270970126245 E 781-13610-5021 147.40 GARAGE OPER SUPPLIES VEH 276
Monday, October 15, 2018 Page 21 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PUBLIC WORKS
PENINSULA BATTERY CO 10/3/2018 270970126704 E 781-13610-5021 313.36 GARAGE OPER SUPPLIES VEH 770
10/3/2018 270970126741 E 100-13450-5021 899.63 SIGNALS OPER SUPPLIES PACIFIC HEIGHTS/SHARP
10/5/2018 271046126060 E 781-13610-5021 -19.67 GARAGE OPER SUPPLIES
10/5/2018 271046126842 E 710-13910-5051 132.05 96R-60 BATTERY
POLYDYNE INC 10/5/2018 2710491282549 E 710-13943-5021 15,880.58 FY 2018-2019 POLYMER (CLARIFLOC) SUPPLY
PREFERRED ALLIANCE, INC 10/10/2018 2711230142454-IN E 710-13310-5039 65.00 SEPTEMBER 2018 PRE-EMPLOYMENT & RANDOM
ROBERT FRANKLIN RICHARDSON 10/3/2018 270977014-131-220 E 710-13310-5061 76.00 LOW INCOME SEWER SERVICE REBATE PROGRAM
ROYALTY AUTO COLLISION CTR INC10/3/2018 27097821235 E 781-13610-5001 1,082.04 GARAGE - REPAIRS TO VEH 258
ROZZI REPRODUCTION & SUPPLY IN10/3/2018 270979147489 E 710-13315-5021 175.62 SEWER MAINT OPER SUPPLIES
SAFETY-KLEEN SYSTEMS INC 10/5/2018 27105477849005 E 710-13943-5051 633.17 PARTS CLEANER SERVICE
SAN MATEO LAWNMOWER INC. 10/3/2018 270981185188 E 781-13610-5021 55.42 GARAGE STOCK OPER SUPPLIES VEH 797
SERRAMONTE FORD INC 10/3/2018 270983630595 E 781-13610-5021 26.40 GARAGE OPER SUPPLIES VEH 6
10/3/2018 270983630835 E 781-13610-5021 60.07 GARAGE STOCK OPER SUPPLIES VEH 138
10/3/2018 270983631580 E 781-13610-5021 386.87 GARAGE OPER SUPPLIES VEH 28
10/3/2018 270983631780 E 781-13610-5021 108.09 GARAGE STOCK OPER SUPPLIES
10/3/2018 270983631808 E 781-13610-5021 361.38 GARAGE STOCK OPER SUPPLIES VEH 12
10/3/2018 270983631826 E 781-13610-5021 257.22 GARAGE OPER SUPPLIES VEH 258
10/3/2018 270983632105 E 781-13610-5021 27.49 GARAGE STOCK OPER SUPPLIES
10/3/2018 270983632383 E 781-13610-5021 37.25 GARAGE OPER SUPPLIES VEH 9
10/3/2018 270983632472 E 781-13610-5021 280.40 GARAGE OPER SUPPLIES VEH 6
10/3/2018 270983632668 E 781-13610-5021 220.45 GARAGE OPER SUPPLIES VEH 16
SHIVA AUTO REPAIR 10/3/2018 27098439768 E 781-13610-5001 56.75 GARAGE - VEH 240 SMOG INSPECTION
10/3/2018 27098439771 E 781-13610-5001 56.75 GARAGE - SMOG INSPECTION
10/3/2018 27098439788 E 781-13610-5001 56.75 GARAGE - VEH 225 SMOG INSPECTION
10/3/2018 27098439789 E 781-13610-5001 56.75 GARAGE- VEH 247 SMOG INSPECTION
SOUTH CITY LUMBER AND SUPPLY 10/5/2018 271056956071 E 740-13820-5051 27.62 STORM MAINT OPER SUPPLIES
10/5/2018 271056956551 E 710-13315-5021 12.99 SEWER MAINT OPER SUPPLIES
10/5/2018 271056958092 E 710-13943-5051 14.51 CABLE CONNECTORS, ASSORTED SCREWS & FAST
STAPLES BUSINESS ADVANTAGE 10/10/2018 2711388051263596 E 710-13315-5021 156.68 CORP YARD OFFICE SUPPLIES
STEVEN'S BAY AREA DIESEL SER I10/3/2018 27098544189 E 781-13610-5001 7,498.88 GARAGE- VEH 515 TRANSMISSION REPAIR
STEWART CHEVROLET 10/3/2018 270986114486 E 781-13610-5021 149.28 GARAGE OPER SUPPLIES VEH 232
10/3/2018 270986114540 E 781-13610-5021 374.99 GARAGE OPER SUPPLIES VEH 247
Monday, October 15, 2018 Page 22 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PUBLIC WORKS
THOMAS FISH COMPANY 10/5/2018 27105922982 E 710-13951-5021 138.50 BIOASSAY SPECIMEN
TIL FONG WON 10/10/2018 271154014-123-020 E 710-13310-5061 76.00 LOW INCOME SEWER SERVICE REBATE PROGRAM
TRACTION-GENUINE PARTS CO. 10/3/2018 2709881801P107846 E 781-13610-5021 123.57 GARAGE STOCK OPER SUPPLIES
10/3/2018 2709881801P108280 E 781-13610-5021 148.08 GARAGE STOCK OPER SUPPLIES
10/3/2018 2709881801P108509 E 781-13610-5021 137.76 GARAGE STOCK OPER SUPPLIES
10/3/2018 2709881801P108546 E 781-13610-5021 76.47 GARAGE STOCK VEH 770
10/3/2018 2709881801P108903 E 781-13610-5021 17.18 GARAGE STOCK OPERATING SUPPLIES
10/3/2018 2709881801P109129 E 781-13610-5021 76.56 GARAGE STOCK OPER SUPPLIES
TRAPS TIRE & AUTO CENTER 10/3/2018 270989000062667 E 781-13610-5001 238.24 GARAGE - VEH 6 TIRES
UNITED LABORATORIES 10/3/2018 270992INV234249 E 100-13411-5021 909.70 STREET MAINT OPER SUPPLIES
UNIVAR USA INC 10/3/2018 270993SJ903481 E 710-13964-5021 5,682.76 FY 2018-2019 SODIUM BISULFITE
10/3/2018 270993SJ903741 E 710-13944-5021 3,633.10 FY 2018-2019 SODIUM HYPOCHLORITE
10/3/2018 270993SJ904713 E 710-13944-5021 3,563.47 FY 2018-2019 SODIUM HYPOCHLORITE
10/10/2018 271148SJ905439 E 710-13944-5021 3,563.19 FY 2018-2019 SODIUM HYPOCHLORITE
10/10/2018 271148SJ905670 E 710-13964-5021 5,512.27 FY 2018-2019 SODIUM BISULFITE
UPS FREIGHT 10/5/2018 2710610000V52111378 E 710-13922-5021 25.19 OUTGOING SHIPPING- RETURN OF GOLF CART TIR
VICTORIA ABELLANA DOMINGO 10/10/2018 271093012-043-010 E 710-13310-5061 76.00 LOW INCOME SEWER SERVICE REBATE PROGRAM
VWR INTERNATIONAL LLC 10/5/2018 2710638083761624 E 710-13951-5021 288.78 LABORATORY SUPPLIES
10/5/2018 2710638083773080 E 710-13951-5021 274.20 LABORATORY SUPPLIES
10/5/2018 2710638083775786 E 710-13951-5021 149.91 LABORATORY SUPPLIES
10/5/2018 2710638083788634 E 710-13951-5021 24.13 LABORATORY SUPPLIES
10/5/2018 2710638083831508 E 710-13951-5021 132.67 LAB SUPPLIES
W.W. GRAINGER INC. 10/3/2018 2709959884172280 E 710-13315-5051 304.23 SEWER MAINT OPER SUPPLIES
10/3/2018 2709959886055269 E 710-13315-5051 156.97 SEWER MAINT OPER SUPPLIES
10/3/2018 2709959894112342 E 781-13610-5028 15.73 GARAGE -0858
10/3/2018 2709959903154160 E 100-13460-5021 44.40 STREETLIGHTING OPER SUPPLIES
10/3/2018 2709959903781855 E 100-13460-5021 135.98 STREETLIGHTING OPER SUPPLIES
10/3/2018 2709959907792866 E 740-13820-5021 1,534.55 STORM MAINT OPER SUPPLIES
10/5/2018 2710649900291874 E 710-13941-5051 38.28 OPERATING SUPPLIES
10/5/2018 2710649905678877 E 710-13941-5051 810.88 OPERATING SUPPLIES - REPLACEMENT EAR MUFF
10/5/2018 2710649909833734 E 710-13922-5050 315.51 OPERATING SUPPLIES-REPLACEMENT LED LIGHTI
10/5/2018 2710649912925618 E 710-13942-5051 1,961.26 OPERATING SUPPLIES- INSTRUMENTATION
Monday, October 15, 2018 Page 23 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
PUBLIC WORKS
W.W. GRAINGER INC. 10/10/2018 2711519915647730 E 710-13922-5050 370.70 OPERATING SUPPLIES
10/10/2018 2711519916944565 E 710-13941-5051 25.20 OPERATING SUPPLIES
WEST COAST POWDER COATING 10/3/2018 2710000399181 E 720-13720-5005 1,925.00 POWDER COATING OF PARKING METERS
WINGFOOT COMMERCIAL TIRE SYSTM10/3/2018 271002184-1084406 E 781-13610-5021 723.19 GARAGE OPER SUPPLIES VEH 212
10/3/2018 271002184-1084501 E 781-13610-5021 364.32 GARAGE OPER SUPPLIES VEH 212
WORLD OIL ENVIRONMENTAL SVCS 10/3/2018 271004I500-00370414 E 781-13610-5028 120.00 GARAGE - USED OIL DISPOSAL
ZAP MANUFACTURING INC 10/3/2018 2710051779 E 100-13430-5021 1,185.67 SIGNS OPER SUPPLIES
Payments issued for PUBLIC WORKS $225,445.57
BALANCE SHEET
AAFP INC 10/12/2018 271157E18-0949 B 270-21703 500.00 ENCROACH DEPOSIT, 108 ARDEN AVE
ALLISON KNAPP WOLLAM 10/10/2018 2711081-2018 B 100-21742 7,875.00 40 AIRPORT 8/28 THROUGH 9/23/2018 - A. KNAP
CABLECOM LLC 10/3/2018 270922E18-0858 B 270-21703 576.00 ENCROACH DEPOSIT, 687 EL CAMINO
10/12/2018 271166E17-0274 B 270-21703 400.00 ENCROACH DEPOSIT, 601 GATEWAY BLVD
10/12/2018 271166E18-0677 B 270-21703 500.00 ENCROACH DEPOSIT, 329 OYSTER POINT
CALIFORNIA BANK OF COMMERCE 10/5/2018 27101610032018 B 720-21208 70,528.19 5% RETENTION TO ESCROW ACCOUNT FOR ST130
CENTRAL ROOFING INC 10/12/2018 271167B18-0641 B 270-21724 200.00 C & D DEPOSIT REFUND 771 PARK WAY
CITY OF BURLINGAME 10/5/2018 2710183RD QTR 2018 B 280-21204 50,145.30 BID ASSESSMENTS PASS THROUGH
DAILY JOURNAL CORPORATION 10/3/2018 270935B3167869 B 100-21742 96.00 NOTICE OF PUBLIC HEARING FOR PC MTG 9-6-18
10/3/2018 270935B3177015 B 100-21742 145.50 NOTICE OF PUBLIC HEARING FOR PC MTG 10-4-18
JK PRO ROOFING INC 10/12/2018 271183B18-1412 B 270-21724 200.00 C & D DEPOSIT REFUND 180 SOUTHCLIFF
LAMPHIER-GREGORY 10/3/2018 27095611240 B 100-21742 427.50 CEQA ANALYSIS FOR 201 HASKINS THROUGH 9/7/
LARRY'S PLUMBING 10/3/2018 270957E18-0907 B 270-21703 500.00 ENCROACH DEPOSIT, 1288 MISSION ROAD
PROVEN MANAGEMENT INC 10/5/2018 27105117109-04 B 720-21208 -70,528.19 SOUTH AIRPORT BLVD & NORTH ACCESS RD SAN
SERVICES BY MEDALLION 10/12/2018 271204E18-0926 B 270-21703 500.00 ENCROACH DEPOSIT, 180 OYSTER POINT BLVD
Payments issued for BALANCE SHEET $62,065.30
CAPITAL IMPROVEMENTS
AECOM TECHNICAL SERVICES, INC.10/10/2018 2710662000113897-13 E 510-99999-5999 45,901.62 PA & ED FOR THE US 101/PRODUCE AVE INTERCH
ARROW SIGN COMPANY 10/10/2018 271071103649B E 510-99999-5999 25,186.00 INSTALLATION OF 1 HORIZONTAL AND 1 VERTICA
10/10/2018 271071103650 E 510-99999-5999 9,937.31 TCP AND PERMITTING FOR INSTALLATION OF TW
BAYSIDE STRIPE & SEAL, INC. 10/5/2018 2710154342 E 510-99999-5999 20,436.45 AVALON TRAFFIC CALMING
Monday, October 15, 2018 Page 24 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
CAPITAL IMPROVEMENTS
BCDC 10/3/2018 2709181998.008.08 E 710-99999-5999 6,000.00 BCDC APPLICATION FEES - PS#4
CALIFORNIA NEWSPAPER PARTNERS 10/10/2018 2710780001154432 E 510-99999-5999 1,100.90 NEWSPAPER ADVERTISEMENT FOR STREET REHA
CAROLLO ENGINEERS, PC 10/3/2018 2709240170151 E 710-99999-5999 14,274.75 ON CALL WATER RESOURCES SERVICES FY 18-19
10/3/2018 2709240170489 E 710-99999-5999 92,678.92 ESDC - WET WEATHER AND DIGESTER IMPROVEM
10/10/2018 2710810170886 E 710-99999-5999 2,018.00 ON CALL WATER RESOURCES SERVICES FY 18-19
DAVEY RESOURCE GROUP INC 10/10/2018 27109072252 E 510-99999-5999 3,650.00 URBAN FOREST MASTER PLAN
10/10/2018 27109072539 E 510-99999-5999 11,200.00 URBAN FOREST MASTER PLAN
10/10/2018 27109073612 E 510-99999-5999 10,150.00 URBAN FOREST MASTER PLAN
DKS ASSOCIATES 10/3/2018 2709370067087 E 510-99999-5999 17,898.75 SPRUCE AVE PEDESTRAIN SAFETY IMPROVEMENT
10/3/2018 2709370067358 E 510-99999-5999 2,555.25 SPRUCE AVE PEDESTRAIN SAFETY IMPROVEMENT
10/10/2018 2710920067744 E 510-99999-5999 97.31 SPRUCE AVE PEDESTRAIN SAFETY IMPROVEMENT
10/10/2018 2710920067785 E 510-99999-5999 5,210.75 ON CALL TRAFFIC ENGINEERING SERVICES FY 17-1
ENGIE SERVICES US INC 10/5/2018 27102812134 E 510-99999-5999 50,000.00 ENERGY SAVINGS PROGRAM - DEVELOPMENTSER
FEDEX 10/3/2018 2709416-257-12477 E 710-99999-5999 31.95 CONTRACT FOR WQCP DIGESTER DESIGN
10/3/2018 2709416-279-20281 E 510-99999-5999 27.90 AWARD PACKAGE FOR CITY HALL ROOF REPLACE
10/3/2018 2709416-292-86970 E 510-99999-5999 44.00 CALTRANS DOCUMENTS FOR SOUTH AIRPORT BRI
10/3/2018 2709416-321-38903 E 510-99999-5999 27.90 CIP DOCUMENTS (AVALON-BRENTWOOD PARK N
FEHR AND PEERS 10/3/2018 270942125005 E 510-99999-5999 13,473.26 2019-T1 - Oak Avenue Extension Project
I PRINT N MAIL 10/12/2018 27118114379 E 740-99999-5999 3,825.00 MAILING & PRINTING OF OMP STORM CAPTURE
KENNEDY/JENKS CONSULTANTS, INC10/3/2018 270955124243 E 710-99999-5999 29,498.75 CM & Inspection Services: WQCP Wet
LC GENERAL ENGINEERING & CONST10/3/2018 2709581A E 510-99999-5999 75,470.47 GBI PHASE II: KAISER WAY TO BART - CONSTRUCT
10/3/2018 2709581B E 510-99999-5999 34,689.30 GBI PHASE I: CHESTNUT TO ARROYO - CONSTRUC
LORAL HORTICULTURAL SERVICES 10/3/2018 2709608601 E 710-99999-5999 5,062.20 REPAIR OF DAMAGED IRRIGATION LINES IN SEVE
LOTUS WATER 10/10/2018 2711122944 E 740-99999-5999 44,354.45 ORANGE PARK STORM WATER CAPTURE
PROVEN MANAGEMENT INC 10/5/2018 27105117109-04 E 510-99999-5999 1,410,563.71 SOUTH AIRPORT BLVD & NORTH ACCESS RD SAN
SWA GROUP 10/10/2018 271141174579 E 510-99999-5999 17,027.60 GRAND AVE STREETSCAPE DESIGN
TJKM 10/10/2018 2711430047662 E 510-99999-5999 412.00 OP-E. Grand Ave Corridor Improvements
TRC ENGINEERS INC 10/3/2018 27099021820A E 510-99999-5999 4,728.95 CM SERVICES FOR EL CAMINO REAL GBI - PHASE I
10/3/2018 27099021820B E 510-99999-5999 10,288.37 CM SERVICES FOR EL CAMINO REAL GBI - PHASE II
Payments issued for CAPITAL IMPROVEMENTS $1,967,821.82
Monday, October 15, 2018 Page 25 of 26
VENDOR NAMEDATE CHECK #INVOICE #ACCOUNT #AMOUNT DESCRIPTION
Payments issued between and10/1/2018 10/14/2018 -City of South San Francisco
DESIGNATED FUND BALANCE
CONSTRUCTION EXAM CENTER 10/10/2018 271145CC380344 B 280-27465 1,445.00 PC-CEC-ICC MISC EXAM PREPS-LAM/PENCE
COSTCO 10/10/2018 271145CC380216 B 280-27408 87.52 AT - PROGRAM SUPPLIES
DOLLAR TREE STORE 10/10/2018 271145CC380230 B 280-27414 33.78 MP: CAC BBQ
FAIRFIELD INN & SUITES 10/12/2018 27117710/14-10/19/18 B 280-27465 722.40 CEC HOTEL ACCOMMODATIONS LAM
GOURMET COFFEE SOLUTIONS INC. 10/5/2018 27103209041801 B 280-27408 64.16 WATER FILTER REPLACEMENT - PUBLIC COFFEE M
ICC NAPA SOLANO CHAPTER 10/10/2018 271145CC380345 B 280-27465 139.00 PC-MM MANAGEMENT TESTING FOR LAM
PRODUCTIVE PRINTING & GRAPHICS10/5/2018 27105033096 B 280-27409 245.81 RAFFLE TICKETS- TRIVIA
SAFEWAY STORE 10/10/2018 271145CC380223 B 280-27408 39.39 AT - PROGRAM SUPPLIES
SMART & FINAL STORES LLC 10/10/2018 271145CC380227 B 280-27414 413.09 MP: CAC BBQ - 190 GUESTS
10/10/2018 271145CC380229 B 280-27414 5.92 MP: CAC BBQ
TRADER JOE'S 10/10/2018 271145CC380220 B 280-27408 16.06 AT - SUMMER LEARNING CHALLENGE STAFF APPR
10/10/2018 271145CC380231 B 280-27414 81.41 MP: CAC BBQ
Payments issued for DESIGNATED FUND BALANCE $3,293.54
REFUNDS/REIMBURSEMENTS
BRIAN FITZMAURICE G.C 10/10/2018 2711007/12/2018 R 100-10520-32101 874.71 REFUND OVERPAYMENT FOR BLDG PERMIT SYSTE
DAGUPENOS CHARITABLE FOUNDATIO10/3/2018 2709341059710 R 100-17250-35301 200.00 REFUND OF DEPOSIT FOR USE OF ORANGE PARK
GINA BALIGAD 10/12/2018 2711641059779 R 100-17250-35301 200.00 REFUND OF DEPOSIT FOR RENTAL OF WEST. SHEL
MARK PENAS 10/12/2018 2711891059778 R 100-17250-35301 200.00 REFUND OF DEPOSIT FOR USE OF ORANGE PARK
MARTA FIGUEROA 10/12/2018 27117941006562 R 100-12720-33001 38.00 CITATION DISMISSAL
ROBERT DITO 10/12/2018 27117411528175 R 100-17260-35306 26.00 REFUND FOR CANCELLED COOKING FOR KIDS CLA
ROSARIO DEANG 10/12/2018 2711721059773 R 100-17250-35301 200.00 REFUND OF DPOSIT FOR USE OF ORANGE PARK S
SAN MATEO COUNTY CONTROLLER'S 10/12/2018 271198SEPT 2018 R 100-12720-33001 19,696.50 ALLOCATION OF PARKING PENALTIES - SEPT 2018
SAN MATEO COUNTY TRANSIT DISTR10/12/2018 271199SA-26454 R 100-00000-38302 -12.60 SAMTRANS TOKENS
SILVIA VALENCIA 10/10/2018 27115011470013 R 100-17260-35306 19.00 REFUND -CHILD NO LONGER WANTS TO ATTEND
TRISHA LIM 10/3/2018 2709591059011 R 100-17260-35306 30.00 REFUND FOR MUSIC CLASS
Payments issued for REFUNDS/REIMBURSEMENTS $21,471.61
TOTAL PAYMENTS FOR PERIOD $4,139,890.21
Monday, October 15, 2018 Page 26 of 26
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-729 Agenda Date:10/24/2018
Version:1 Item #:7.
Report regarding resolution approving the acceptance of grant funds from the County of San Mateo in the
amount of $75,600,and amending the Parks and Recreation Department’s Fiscal Year 2018-19 Operating
Budget pursuant to Budget Amendment No. 19.007.(Sharon Ranals, Parks and Recreation Director)
RECOMMENDATION
It is recommended that the City Council adopt a resolution approving the acceptance of grant funds
from the County of San Mateo in the amount of $75,600,and amend the Parks and Recreation
Department’s Fiscal Year 2018-19 Operating Budget pursuant to Budget Amendment No. 19.007.
BACKGROUND/DISCUSSION
San Mateo County voters approved a half-cent general sales tax in November 2012 (Measure A),which was
subsequently reauthorized by voters in November 2016 (Measure K).On May 16,2017,the Board approved
the Fiscal Year 2017-19 Measure K allocation plan in which the County anticipated Measure K receipts of
approximately $81.6 million annually.The plan included $7 million in one-time loans or grants during Fiscal
Year 2017-19, divided equally among the five supervisorial districts, for district-specific needs and projects.
Upon learning that these funds would be appropriated to local jurisdictions and other organizations for
meaningful projects at the discretion of the Board of Supervisors,Parks and Recreation staff submitted a
funding proposal for an invasive plant eradication and habitat restoration project on Sign Hill Park in the fall of
2017.The proposal was accepted by Supervisor Dave Pine’s Office and forwarded to the Board of Supervisors
for final authorization. The Board of Supervisors approved funding for this project in July 2018.
Sign Hill,geographically located in South San Francisco and geologically a part of San Bruno Mountain,is
home to over 70 endangered and ecologically critical species of botanical life.The presence of several species
of invasive plants threatens the existence of the existing Sign Hill ecosystem,which also is a habitat for several
species of endangered butterfly.Threats to biodiversity are compounded by consequences of drought,
inappropriate species planted by volunteers in years past,and impassable terrain.A team of volunteers in
coordination with the Parks and Recreation Department worked to mitigate the spread of these invasive species
but lacks sufficient resources to adequately conserve and protect threatened vegetation;thus,in its current
condition, the spread of invasive species is largely uncontained.
The awarded proposal appropriates $75,600 over two years -$37,800 in Year 1 and $37,800 in Year 2 -in
Measure K grant funding to restore and maintain the Sign Hill habitat with the aid of a naturalist and/or
biologist.In addition to funding the acquisition of 1,000 native plants to replace invasive species,Measure K
funding would also cover the purchase of necessary non-mechanized equipment and tools for staff and
City of South San Francisco Printed on 10/22/2018Page 1 of 2
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File #:18-729 Agenda Date:10/24/2018
Version:1 Item #:7.
volunteers.
Parks staff will oversee the hiring of a project coordinator responsible for the identification of species to be
replaced and a park aide to conduct maintenance and complete the removal of invasive species and planting of
natives.These part-time employees hired to complete the project will be paid using grant funding.All
administrative functions will be managed by existing Parks staff as an in-kind service.It is anticipated a corps
of volunteers will supplement paid staff.
ENVIRONMENTAL IMPACT
The proposed project has been determined to be categorically exempt from environmental review under the
provisions of CEQA,Class 4,Section 15304(d)which provides an exemption for projects that involve a minor
public alteration in the condition of land,water,and/or vegetation on existing officially designated wildlife
management areas that would result in improvement of habitat for wildlife resources.Additionally,the
proposed project qualifies for a Class 33 categorical exemption under CEQA Guidelines Section 15333 because
the project will not exceed five acres in size and will assure the maintenance,restoration,enhancement,or
protection of habitat for native plant species and wildlife,because the habitat restoration or enhancement will
be carried out principally with hand labor and not mechanized equipment under the guidance of a naturalist
and/or biologist.
FISCAL IMPACT
Funding in the amount of $75,600 over two years was awarded by the County to fund this project.There will be
no impact to the General Fund.
CONCLUSION
It is recommended that the City Council adopt a resolution approving the acceptance of grant funds from the
County of San Mateo in the amount of $75,600,and amending the Parks and Recreation Department’s Fiscal
Year 2018-19 Operating Budget pursuant to Budget Amendment No. 19.007.
City of South San Francisco Printed on 10/22/2018Page 2 of 2
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City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-730 Agenda Date:10/24/2018
Version:1 Item #:7a.
Resolution approving the acceptance of grant funds from the County of San Mateo in the amount of $75,600,
and amending the Parks and Recreation Department’s Fiscal Year 2018-19 Operating Budget pursuant to
Budget Amendment No. 19.007.
WHEREAS,San Mateo County voters approved a half-cent general sales tax in November 2012 (Measure A),
which was subsequently reauthorized by voters in November 2016 (Measure K) for a total of 30 years; and
WHEREAS,the San Mateo County Board of Supervisors approved the Fiscal Year 2017-19 Measure K
allocation plan in which the County anticipated Measure K receipts of approximately $81.6 million annually,of
which $7 million will be allocated for one-time loans and grants; and
WHEREAS,the City of South San Francisco Parks and Recreation Department submitted a funding proposal in
the amount of $75,600 over two years for invasive plant eradication and habitat restoration work on Sign Hill
Park; and
WHEREAS,the aforementioned funding proposal was approved by the San Mateo County Board of
Supervisors at their July 24, 2018 Meeting; and
WHEREAS,Sign Hill is a habitat for over 70 endangered and ecologically critical species of botanical life,
including several species of endangered butterflies,that have been threatened by the spread of invasive plant
species; and
WHEREAS,the receipt of grant funds for invasive plant eradication and habitat restoration work is an activity
directly undertaken by a public agency and subject to California Environmental Quality Act (CEQA)as a
project under Section 21065 of CEQA and section 15378 of the State CEQA Guidelines,which may cause
either a direct physical change in the environment,or a reasonably foreseeable indirect physical change in the
environment; and
WHEREAS,the project qualifies for a Class 4 categorical exemption under CEQA Guidelines Section 15304
(d)of CEQA as a minor public alteration in the condition of land,water,and/or vegetation on existing officially
designated wildlife management areas that would result in improvement of habitat for wildlife resources; and
WHEREAS,the project also qualifies for a Class 33 categorical exemption under CEQA Guidelines Section
15333 because the project will not exceed five acres in size and will assure the maintenance,restoration,
enhancement,or protection of habitat for native plant species and wildlife,because the habitat restoration or
enhancement will be carried out principally with hand labor and not mechanized equipment under the guidance
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File #:18-730 Agenda Date:10/24/2018
Version:1 Item #:7a.
enhancement will be carried out principally with hand labor and not mechanized equipment under the guidance
of a naturalist and/or biologist.
NOW,THEREFORE,BE IT RESOLVED,that based on the entirety of the record before it,which includes
without limitation,the California Environmental Quality Act,and the CEQA Public Resources Code §21000,et
seq.(CEQA)and the CEQA Guidelines,14 California Code of Regulations §15000,et seq.;and all reports,
minutes,and public testimony submitted as part of the City Council’s duly noticed October 24,2018 meeting;
and any other evidence (within the meaning of Public Resources Code Section 21080(e)and Section 21082.2),
the City Council of the City of South San Francisco hereby finds that the foregoing recitals are true and correct
and made a part of this resolution and approves the acceptance of grant funds from the County of San Mateo in
the amount of $75,600,and amends the Parks and Recreation Department’s Fiscal Year 2018-19 Operating
Budget pursuant to Budget Amendment No. 19.007.
BE IT FURTHER RESOLVED that the City Manager is hereby authorized to execute the project funding
agreement and any other necessary documents on behalf of the City,subject to approval as to form by the City
Attorney.
*****
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Agreement No. Board Resolution #076025
Page 1
MEASURE K GRANT AGREEMENT
BETWEEN THE COUNTY OF SAN MATEO AND
CITY OF SOUTH SAN FRANCISCO
This Agreement is entered into this 23 day of August, 2018 by and between the County of San Mateo, a
political subdivision of the state of California, hereinafter called “County,” and City of South San
Francisco, hereinafter called “Grantee.”
* * *
WHEREAS, the Grantee has applied to the County seeking a grant for the purpose of funding the
matters set forth in its Project described in Exhibit A (the “Grant”);
WHEREAS, the County has approved the grant of certain funds to Grantee pursuant the terms
set forth in this Agreement;
NOW, THEREFORE, it is agreed by the parties to this agreement as follows:
1. Exhibits and Attachments
The following exhibits and attachments are attached to this Agreement and incorporated into this
Agreement by this reference:
Exhibit A—Project Description
Exhibit B—Reporting
2. Grant
County hereby grants to Grantee a sum not to exceed SEVENTY FIVE THOUSAND SIX HUNDRED
DOLLARS ($75,600) in consideration of and on the condition that the sum be expended for the sole
purpose of carrying out the objectives of Grantee’s Project as identified in Exhibit A, and in no event shall
the County’s total fiscal obligation under this Agreement exceed this amount. Grantee agrees to assume
any obligation to secure and furnish any additional funds that may be necessary to carry out its Project.
Funds granted under this Agreement shall not be disbursed until execution of this Agreement by County
and Grantee.
County shall disburse grant funds to Grantee upon receipt of invoices. Invoices should be accompanied
by back up documentation (e.g., receipts for professional services rendered, salary and benefits back up,
etc.) and submittal of any required summary reports outlined in Exhibits A or B. The County reserves the
right to change the disbursement method during the term of this Agreement.
The disbursement schedule is as follows:
Payment 1- Invoice for up to 50% of the grant ($37,800), upon submission of
receipts/invoices showing expenditures on items funded by the grant.
Payment 2- Invoice for remainder of the grant ($37,800), upon submission of
receipts/invoices showing expenditures on items funded by the grant, including photographs
and use of Measure K logo as approved by the County.
INVOICES: Requests for grant disbursement should be (1) on the organization’s official letterhead, (2)
include date of invoice, amount requested, and Agreement number, and (3) submitted to the attention of:
Alicia Garcia, Management Analyst
400 County Center, 1st Floor, Redwood City, CA 94063
(650) 363-4634
Email: agarcia@smcgov.org
Agreement No. Board Resolution #076025
Page 2
3. Term & Termination
Subject to compliance with all terms and conditions, the term of this Agreement shall begin on the date of
execution by the Parties through June 30, 2020. This Agreement will not automatically renew, nor shall it
create any reliance on the possibility of future grants.
County may terminate this Agreement based upon the unavailability of Federal, State, or County funds by
providing written notice to Grantee within a reasonable time after County learns of said unavailability of
funding. Grantee acknowledges that this Agreement may be subject to approval of the Board of
Supervisors, and assumes all risk of possible non-appropriation and non-approval of funds.
County may suspend and/or terminate this Agreement if Grantee fails to comply with the terms of this
Agreement and may, in its sole discretion, withhold or cancel pending and future disbursements of grant
funds and/or require Grantee to return some or all funds disbursed under this Agreement.
4. Relationship of Parties
Notwithstanding any publicity or other references to the County required to be made in connection with
the Project as set forth in Exhibit A, Grantee understands and agrees that the Project performed under
this Agreement is not performed by Grantee as an independent contractor of the County or as an
employee of County and that neither Grantee nor its employees acquire any of the rights, privileges,
powers, or advantages of County contractors or County employees. Grantee acknowledges and agrees
that it is not, and will not hold itself out as, an agent, partner, or co-venturer of the County, and that this
Agreement is not intended and does not create an agency, partnership, joint venture between the Parties
5. Project Administration
The Parties agree that the Project as described in Exhibit A shall not be altered without a written
amendment to this Agreement, signed by both the County and the Grantee. Grantee shall provide written
reports to the County’s authorized representative in accordance with Exhibit B.
6. Hold Harmless
Grantee shall indemnify and save harmless County and its officers, agents, employees, and servants
from all claims, suits, or actions of every name, kind, and description resulting from this Agreement, the
performance of any work or services performed of Grantee in furtherance of the Project under this
Agreement, or payments made pursuant to this Agreement brought for, or on account of, any of the
following:
(A) injuries to or death of any person, including Grantee or its
employees/officers/agents/volunteers;
(B) damage to any property of any kind whatsoever and to whomsoever belonging;
(C) any sanctions, penalties, or claims of damages resulting from Grantee’s failure to comply with
any applicable federal, state, or local laws or regulations; or
(D) any other loss or cost, including but not limited to that caused by the concurrent active or
passive negligence of County and/or its officers, agents, employees, or servants. However,
Grantee’s duty to indemnify and save harmless under this Section shall not apply to injuries or
damage for which County has been found in a court of competent jurisdiction to be solely liable
by reason of its own negligence or willful misconduct.
The duty of Grantee to indemnify and save harmless as set forth by this Section shall include the duty to
defend as set forth in Section 2778 of the California Civil Code.
Agreement No. Board Resolution #076025
Page 3
7. Insurance
a. General Requirements
Prior to its receipt of any funds pursuant to this Grant Agreement, Grantee shall obtain all insurance
required under this Section and such insurance shall be subject to the approval by County’s Risk
Management, and Grantee shall use diligence to obtain such insurance and to obtain such approval.
Grantee shall furnish County with certificates of insurance evidencing the required coverage, and there
shall be a specific contractual liability endorsement extending Grantee’s coverage to include the
contractual liability assumed by Grantee pursuant to this Agreement. These certificates shall specify or
be endorsed to provide that thirty (30) days’ notice must be given, in writing, to County of any pending
change in the limits of liability or of any cancellation or modification of the policy.
b. Workers’ Compensation and Employer’s Liability Insurance
Grantee shall have in effect during the entire term of this Agreement workers’ compensation and
employer’s liability insurance providing full statutory coverage. In signing this Agreement, Grantee
certifies, as required by Section 1861 of the California Labor Code, that (a) it is aware of the provisions of
Section 3700 of the California Labor Code, which require every employer to be insured against liability for
workers’ compensation or to undertake self-insurance in accordance with the provisions of the Labor
Code, and (b) it will comply with such provisions before commencing or continuing the performance of
Project work for which it would receive grant funds.
c. Liability Insurance
Grantee shall take out and maintain during the term of this Agreement such bodily injury liability and
property damage liability insurance as shall protect Grantee and all of its employees/officers/agents while
performing work covered by this Agreement from any and all claims for damages for bodily injury,
including accidental death, as well as any and all claims for property damage which may arise from
Grantee’s operations under this Agreement, whether such operations be by Grantee, any subcontractor,
anyone directly or indirectly employed by either of them, or an agent of either of them. Such insurance
shall be combined single limit bodily injury and property damage for each occurrence and shall not be
less than the amounts specified below:
X Comprehensive General Liability… $1,000,000
(Applies to all agreements)
☐ Motor Vehicle Liability Insurance… $1,000,000
(To be checked if motor vehicle used in performing services)
☐ Professional Liability………………. $1,000,000
(To be checked if Grantee is a licensed professional)
County and its officers, agents, employees, and servants shall be named as additional insured on any
such policies of insurance, which shall also contain a provision that (a) the insurance afforded thereby to
County and its officers, agents, employees, and servants shall be primary insurance to the full limits of
liability of the policy and (b) if the County or its officers, agents, employees, and servants have other
insurance against the loss covered by such a policy, such other insurance shall be excess insurance only.
In the event of the breach of any provision of this Section, or in the event any notice is received which
indicates any required insurance coverage will be diminished or canceled, County, at its option, may,
notwithstanding any other provision of this Agreement to the contrary, immediately declare a material
breach of this Agreement and suspend any further payment pursuant to this Agreement.
Agreement No. Board Resolution #076025
Page 4
8. Assignability and Subcontracting
Grantee shall not assign this Agreement or any portion of it to a third party. Except as set forth in Exhibit
A, Grantee shall not subcontract with a third party to perform the Project. Any such assignment or
subcontract without County’s prior written consent shall give County the right to automatically and
immediately terminate this Agreement without penalty or advance notice and the County shall have the
right to a refund of all funds disbursed under this Agreement.
9. Compliance With Laws
All services to be performed by Grantee in connection with the Project shall be performed in accordance
with all applicable Federal, State, County, and municipal laws, ordinances, and regulations, including, but
not limited to, any laws related to payment of prevailing wages pursuant to the California Labor Code. In
connection with the Project, Grantee bears responsibility to obtain, at Grantee’s expense, any license,
permit, or approval required from any agency.
10. Merger Clause; Amendments
This Agreement, including Exhibits, constitutes the sole Agreement of the parties regarding the Grant,
and correctly states the rights, duties, and obligations of each party as of this document’s date. In the
event that any term, condition, provision, requirement, or specification set forth in the body of this
Agreement conflicts with or is inconsistent with any term, condition, provision, requirement, or
specification in any Exhibit and/or Attachment to this Agreement, the provisions of the body of the
Agreement shall prevail. Any prior agreement, promises, negotiations, or representations between the
parties concerning the Grant that are not expressly stated in this document are not binding. All
subsequent modifications or amendments shall be in writing and signed by the parties.
11. Controlling Law; Venue
The validity of this Agreement and of its terms, the rights and duties of the parties under this Agreement,
the interpretation of this Agreement, the performance of this Agreement, and any other dispute of any
nature arising out of this Agreement shall be governed by the laws of the State of California without
regard to its choice of law or conflict of law rules. Any dispute arising out of this Agreement shall be
venued either in the San Mateo County Superior Court or in the United States District Court for the
Northern District of California.
12. Notices
Any notice, request, demand, or other communication required or permitted under this Agreement shall
be deemed to be properly given when both: (1) transmitted via facsimile to the telephone number listed
below or transmitted via email to the email address listed below; and (2) sent to the physical address
listed below by either being deposited in the United States mail, postage prepaid, or deposited for
overnight delivery, charges prepaid, with an established overnight courier that provides a tracking number
showing confirmation of receipt.
In the case of County, to: In the case of Grantee, to:
Invoices should be submitted to the attention of:
Alicia Garcia, Management Analyst
400 County Center, 1st Floor
Redwood City, CA 94063
agarcia@smcgov.org
(650) 363-4634
Mike Futrell, City Manager
City of South San Francisco
400 Grand Ave
South San Francisco, CA 94080
mike.futrell@ssf.net
(650) 829-6609
Agreement No. Board Resolution #076025
Page 6
Exhibit A
The County and Grantee agree that the grant funds shall only be used to further the goals of the following
Project, described below and in the July 24, 2018 Board transmittal and Resolution, attached hereto:
To provide for the payment and acquisition of resources for the Sign Hill Habitat Restoration
Project.
In addition to covering the acquisition of 1,000 native plants to replace invasive species,
Measure K funding would also cover the purchase of various necessary equipment, gear, and
tools for staff and volunteers, and would pay for the part-time employment of a Project
Coordinator and Park Aide to oversee the remediation process.
The project will be divided into two phases, each to be conducted in 50 week, twice a week,
three hours per day increments.
Agreement No. Board Resolution #076025
Page 7
Exhibit B
In accordance with the terms of this Grant Agreement, Grantee will provide, or cause to be provided the
services for the Project detailed in Exhibit A and will report back to the County regarding various
performance measures including, but not limited to, those noted below. Such reporting data shall be
delivered to the County no later than June 30, 2020.
Performance Measure Target
Number of volunteers trained per year 15
Number of volunteer labor hours invested per year 540
Number of volunteer sessions per year 12
Native species planted in remediation area 1,000
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-909 Agenda Date:10/24/2018
Version:1 Item #:8.
Report regarding a resolution amending the City’s Conflict of Interest Code to update the List of Designated
Positions.(Krista Martinelli, City Clerk)
RECOMMENDATION
It is recommended that the City Council approve a resolution amending the City’s Conflict of Interest
Code to update the List of Designated Positions.
BACKGROUND/DISCUSSION
At its September 26,2018 Regular Meeting,the City Council accepted,by Motion,the 2016 Biennial Notice
(Notice)pursuant to the California Political Reform Act,as regulated by the Fair Political Practices
Commission (FPPC)and issued by the City Clerk.The Notice specified that the City’s Conflict of Interest Code
was in need of amendment.The amendments are required due to changes to the City’s organizational structure,
elimination of positions and re-named positions,addition of positions and changes in duties and
responsibilities.Accordingly,the City is obligated to revise the City’s Conflict of Interest Code by Tuesday,
December 24, 2018 or 90 days from the filing of the Notice.
Conflict of Interest Code Requirements and Recent History
State law requires the City to adopt a Conflict of Interest Code (COI).The COI obligates a person holding a
designated position in the City to file a Statement of Economic Interest Form 700 with the City Clerk;this is
included as Attachment 1,Form 700.The COI includes a list of designated positions and identifies disclosure
categories,which are the portions of the Form 700 applicable to each position.To inform the City’s
determination as to which positions to include,the FPPC requires inclusion of all agency positions that involve
the making or participation in the making of decisions that may foreseeably have a material effect on any
financial interest.
In 1987,the City Council adopted its initial COI pursuant to Resolution 129-87.The COI was amended on
several occasions.In 2009,the disclosure categories were updated by Resolution 22-2009 to reflect changes to
the Form 700 schedules;this is included as Attachment 2,Disclosure Categories.The most recent amendment
to the COI came in November of 2016 and was accomplished in Resolution 123-2016,included as Attachment
3,Resolution 123-2016.The 2016 amendment reflected changed positions and did not revise disclosure
categories for established positions.
Current Recommended Amendments
Because on recent changes in the organization,new positions have been created and others have been
eliminated.Additionally,there have been changes to titles and responsibilities for certain positions.As a result,
the recommended changes to the COI’s List of Designated Positions are set forth in Attachment 4,proposed
revisions to the List of Designated Positions in the City’s Conflict of Interest Code
There have been no changes to the Form 700 schedule titles since 2009.Accordingly,no changes to the
disclosure categories are recommended at this time.
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File #:18-909 Agenda Date:10/24/2018
Version:1 Item #:8.
CONCLUSION
It is recommended that the City Council approve the proposed resolution amending the City’s Conflict of
Interest Code to update the List of Designated Positions.
Attachments:
1.Form 700
2.Current Disclosure Categories Listing
3.Resolution No. 123-2016
4.Proposed revisions to List of Designated Positions
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DISCLOSURE CATEGORIES
A.APPROPRIATE FORMS
All persons holding offices or positions specified in Government Code Section 87200 shall file
FPPC Form 700 for purposes of complying with the financial disclosure requirements of the
Conflict of Interest Code. All other positions and offices designated in Resolution 32-2008 shall file
FPPC form 700 based on the disclosure categories listed below.
B.DISCLOSURE CATEGORIES
Category 1:All investments, sources of income, interests in real property or business positions
in which the designated employee or official is a director, officer, partner, trustee,
employee or holds any position of management. (Schedules All A-E)
Category 2:All interest in real property located in the City of South San Francisco, within two
(2) miles of the City of South San Francisco or within two (2) miles of any land
owned or used by the City of South San Francisco. (Schedules B & C)
Category 3:All investments, interests in real property or sources of income subject to the
regulatory, permit or licensing authority of the department, board or commission,
or agency. (Schedules All A-E)
Category 4:Investments in business entities and sources of income which engage in land
development, construction or the acquisition or sale of real property. (Schedules A,
C, D, E)
Categories 5 : Investments in, income from and positions held in business entities of the types
which, within the past two (2) years, have contracted with the City of South San
Francisco to provide services, supplies, materials, machinery or equipment.
(Schedules A, C, D, E)
Category 6:Investment in, income from and positions held in business entities of the type
which, within the past two (2) years, have contracted with the designated
employee's department to provide services, supplies, materials, machinery and
equipment. (Schedules A, C, D, E)
Resolution No. -2018
Exhibit 1
DESIGNATION OF POSITIONS AND
APPLICABLE DISCLOSURE CATEGORIES
FOR THE CITY OF SOUTH SAN FRANCISCO
Designated Positions Disclosure
Category
Members of the following
Boards and Commissions
1.1 City Council
1.2 Measure W Citizens’ Oversight Committee
1.3 Design Review Board
1.4 Housing Authority
1.5 Library Board
1.6 Parking Place Commission
1.7 Planning Commission
1.8 Parks & Recreation Commission
1.9 Conference Center Board
1.10 Cultural Arts Commission
1.11 Bicycle and Pedestrian Advisory Committee (BPAC)
1.12 Mosquito Abatement District – SSF Representative
1.13 Colma Creek Advisory Committee – Representatives
_______________________________________________________
2.City Manager
2.1 City Manager
2.2 Assistant City Manager
2.3 Assistant to the City Manager
2.4 Communications Director
2.5 Management Analyst I/II – Community Liaison
_______________________________________________________
3.City Clerk
3.1 City Clerk
3.2 Deputy City Clerk
_______________________________________________________
4.City Attorney
4.1 City Attorney
4.2 Assistant City Attorney
_______________________________________________________
5.City Treasurer
5.1 City Treasurer
Form 700
1, 2, 3, 4, 5, 6
1, 2, 3, 4
1
6
3, 4, 6
Form 700
1, 2, 4, 6
6
1, 2
1, 2, 4, 6
1, 2, 3, 4, 5, 6
1, 2, 3, 4, 5, 6
_____________________
Form 700
1, 2, 4, 6
1, 2, 4
1, 2, 4
1, 2, 4
_____________________
Form 700
6
_____________________
Form 700
1, 2, 3, 4, 5, 6
_____________________
Form 700
5.2 Deputy City Treasurer 1, 2, 3, 4, 5, 6
6.Department of Economic &
Community Development Department
6.1 Economic and Community Development Director
6.2 Economic and Community Development Deputy Director
6.3 Chief Principal Planner
6.4 Senior Planner
6.5 Associate Planner
6.6 Building Plan Reviewer
6.7 Economic Development and Housing Manager
6.7 Community Development Coordinator
6.8 Building Official
6.9 Assistant Building Official
6.10 Senior Building Inspector
6.11 Building Inspector
6.12 Planning Technician
6.13 Senior Permit Technician
6.14 Permit Technician
6.15 Economic Development Coordinator
6.16 Management Analyst I/II
_______________________________________________________
7.Human Resources Department
7.1 Human Resources Director
7.2 Human Resources Manager
7.3 Human Resources Analyst I/II
_______________________________________________________
8.Department of Public Works Department
8.1 Public Works Director City Engineer
8.2 Assistant Public Works Director/City Engineer
8.3 Public Works Deputy Director
8.4 Plant Superintendent
8.5 Assistant Plant Superintendent
8.6 City Principal Engineer
8.7 Senior Civil Engineer
8.8 Associate Civil Engineer
8.8 Public Works Supervisor
8.9 Public Works Inspector
8.10 Laboratory Supervisor
8.11 Plant Maintenance Supervisor
8.12 Maintenance Program Manager - Streets
8.13 Maintenance Program Manager – Elect & Fleet
8.14 Public Works Program Manager
8.12 Environmental Compliance Supervisor
8.13 Senior Environmental Compliance Inspector
8.14 Environmental Compliance Inspector I/II
8.15 Program Manager – Public Works
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
_____________________
6
6
6
_____________________
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
8.16 Public Works Administrator
8.17 Management Analyst I/II
8.18 Code Enforcement Officer
______________________________________________________
9.Finance Department
9.1 Finance Director
9.2 Financial Services Manager
______________________________________________________
10.Fire Department
10.1 Fire Chief
10.2 Deputy Fire Chief
10.3 Battalion Chief
10.4 EMS Battalion Chief
10.5 Fire Marshall
10.6 Fire Captain
10.7 Safety Inspector I/II/and III
10.8 Emergency Services Manager
10.9 Management Analyst I/II
11.Library Department
11.1 Library Director
11.2 Assistant Library Director
11.3 Literary Literacy Program Manager
11.4 Library Program Manager
11.5 Management Analyst I/II
_______________________________________________________
12.Recreation & Community Services Dept
Parks and Recreation Department
12.1 Parks and Recreation Director
12.2 Recreation & Community Services Manager
12.3 Parks Manager
12.4 Facilities Manager
12.5 Parks Program Manager
12.6 Recreation Program Manager
12.2 Program Manager – Facilities
12.3 Program Manager – Parks
12.4 Program Manager – Recreation & Community Services
12.5 Business Manager (Public Works Administrator)
12.6 Landscape Architect
12.7 Facilities Supervisor
12.8 Parks Supervisor
12.9 Recreation and Community Services Supervisor
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
_____________________
1, 3, 4, 5
1, 3, 4, 5
_____________________
6
6
6
6
1, 2, 4, 6
6
1, 2, 4
1, 2, 4, 6
1, 2, 4
6
5
6
6
6
_________________
1, 2, 4, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
_____________________
13.Police Department
13.1 Chief of Police
13.2 Deputy Police Chief
13.3 Police Captain
13.4 Police Lieutenant
13.5 Police Sergeant
13.6 Police Communications & Records Manager
13.7 Management Analyst I/II
_______________________________________________________
14.Consultants
______________________________________________________
15.Housing Authority
15.1 Executive Director
_______________________________________________________
16.Conference Center
16.1 Executive Director
_______________________________________________________
17.Information Technology Department
17.1 Chief Innovation Officer
17.2 Information Technology Manager
6
6
6
6
6
6
6
_____________________
Form 700
_____________________
1, 2, 4
_____________________
1
_____________________
6
6
_____________________
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-908 Agenda Date:10/24/2018
Version:1 Item #:8a.
Resolution amending the City’s Conflict of Interest Code to update the List of Designated Positions.
WHEREAS, pursuant to the Political Reform Act (Article III of Chapter 7 of the Government Code,
commencing with Section 81000), each government agency is required to adopt a Conflict of Interest Code
(Government Code Section 87300 et seq.); and
WHEREAS, pursuant to Government Code Section 87302, the Conflict of Interest Code shall provide for
specific enumeration of the positions within the City, other than those specified in Government Code Section
87200, which involve the making or participation in the making of decisions which may foreseeably have
material effect on any financial interest and for each such enumerated position, the specific types of
investments, business positions, interests in real property, and sources of income which are reportable; and
WHEREAS, by Resolution No. 129-87, as amended most recently by Resolutions 28-2014 and 123-2016, the
City Council previously adopted the City’s Conflict of Interest Code (“COI”) and the list of designated
positions subject to the COI; and
WHEREAS, an update to the list of designated positions subject to the COI is necessary because of recent
additions, deletions, revisions and changed responsibilities related to City positions.
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of South San Francisco hereby
adopts the updated COI, including designation of positions and the applicable disclosure categories for the
positions, as shown in Exhibit 1 and Exhibit 2.
City of South San Francisco Printed on 10/22/2018Page 1 of 1
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Resolution No. -2018
Exhibit 1
DESIGNATION OF POSITIONS AND
APPLICABLE DISCLOSURE CATEGORIES
FOR THE CITY OF SOUTH SAN FRANCISCO
Designated Positions Disclosure
Category
Members of the following
Boards and Commissions
1.1 City Council
1.2 Measure W Citizens’ Oversight Committee
1.3 Design Review Board
1.4 Housing Authority
1.5 Library Board
1.6 Parking Place Commission
1.7 Planning Commission
1.8 Parks & Recreation Commission
1.9 Conference Center Board
1.10 Cultural Arts Commission
1.11 Bicycle and Pedestrian Advisory Committee (BPAC)
1.12 Mosquito Abatement District – SSF Representative
1.13 Colma Creek Advisory Committee – Representatives
_______________________________________________________
2.City Manager
2.1 City Manager
2.2 Assistant City Manager
2.3 Assistant to the City Manager
2.4 Communications Director
2.5 Management Analyst I/II
_______________________________________________________
3.City Clerk
3.1 City Clerk
3.2 Deputy City Clerk
_______________________________________________________
4.City Attorney
4.1 City Attorney
4.2 Assistant City Attorney
_______________________________________________________
5.City Treasurer
5.1 City Treasurer
5.2 Deputy City Treasurer
Form 700
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6.Economic &
Community Development Department
6.1 Economic and Community Development Director
6.2 Economic and Community Development Deputy Director
6.3 Principal Planner
6.4 Senior Planner
6.5 Associate Planner
6.6 Building Plan Reviewer
6.7 Community Development Coordinator
6.8 Building Official
6.9 Assistant Building Official
6.10 Senior Building Inspector
6.11 Building Inspector
6.12 Planning Technician
6.13 Senior Permit Technician
6.14 Permit Technician
6.15 Economic Development Coordinator
6.16 Management Analyst I/II
_______________________________________________________
7.Human Resources Department
7.1 Human Resources Director
7.2 Human Resources Manager
7.3 Human Resources Analyst I/II
_______________________________________________________
8.Public Works Department
8.1 Public Works Director
8.2 Assistant Public Works Director/City Engineer
8.3 Public Works Deputy Director
8.4 Plant Superintendent
8.5 Assistant Plant Superintendent
8.6 Principal Engineer
8.7 Senior Civil Engineer
8.8 Associate Civil Engineer
8.9 Public Works Inspector
8.10 Laboratory Supervisor
8.11 Plant Maintenance Supervisor
8.12 Environmental Compliance Supervisor
8.13 Senior Environmental Compliance Inspector
8.14 Environmental Compliance Inspector I/II
8.15 Program Manager – Public Works
8.16 Public Works Administrator
8.17 Management Analyst I/II
8.18 Code Enforcement Officer
_______________________________________________________
9.Finance Department
9.1 Finance Director
9.2 Financial Services Manager
______________________________________________________
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10.Fire Department
10.1 Fire Chief
10.2 Deputy Fire Chief
10.3 Battalion Chief
10.4 EMS Battalion Chief
10.5 Fire Marshal
10.6 Fire Captain
10.7 Safety Inspector I/II/III
10.8 Emergency Services Manager
10.9 Management Analyst I/II
11.Library Department
11.1 Library Director
11.2 Assistant Library Director
11.3 Literacy Program Manager
11.4 Library Program Manager
11.5 Management Analyst I/II
_______________________________________________________
12.Parks and Recreation Department
12.1 Parks and Recreation Director
12.2 Program Manager – Facilities
12.3 Program Manager – Parks
12.4 Program Manager – Recreation & Community Services
12.5 Business Manager (Public Works Administrator)
12.6 Landscape Architect
12.7 Facilities Supervisor
12.8 Parks Supervisor
12.9 Recreation and Community Services Supervisor
_______________________________________________________
13.Police Department
13.1 Chief of Police
13.2 Deputy Police Chief
13.3 Police Captain
13.4 Police Lieutenant
13.5 Police Sergeant
13.6 Police Communications & Records Manager
13.7 Management Analyst I/II
_______________________________________________________
14.Consultants
______________________________________________________
15.Housing Authority
15.1 Executive Director
_______________________________________________________
16.Conference Center
16.1 Executive Director
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17.Information Technology Department
17.1 Chief Innovation Officer
17.2 Information Technology Manager
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DISCLOSURE CATEGORIES
A.APPROPRIATE FORMS
All persons holding offices or positions specified in Government Code Section 87200 shall file
FPPC Form 700 for purposes of complying with the financial disclosure requirements of the
Conflict of Interest Code. All other positions and offices designated in Resolution 32-2008 shall file
FPPC form 700 based on the disclosure categories listed below.
B.DISCLOSURE CATEGORIES
Category 1:All investments, sources of income, interests in real property or business positions
in which the designated employee or official is a director, officer, partner, trustee,
employee or holds any position of management. (Schedules All A-E)
Category 2:All interest in real property located in the City of South San Francisco, within two
(2) miles of the City of South San Francisco or within two (2) miles of any land
owned or used by the City of South San Francisco. (Schedules B & C)
Category 3:All investments, interests in real property or sources of income subject to the
regulatory, permit or licensing authority of the department, board or commission,
or agency. (Schedules All A-E)
Category 4:Investments in business entities and sources of income which engage in land
development, construction or the acquisition or sale of real property. (Schedules A,
C, D, E)
Categories 5 : Investments in, income from and positions held in business entities of the types
which, within the past two (2) years, have contracted with the City of South San
Francisco to provide services, supplies, materials, machinery or equipment.
(Schedules A, C, D, E)
Category 6:Investment in, income from and positions held in business entities of the type
which, within the past two (2) years, have contracted with the designated
employee's department to provide services, supplies, materials, machinery and
equipment. (Schedules A, C, D, E)
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-965 Agenda Date:10/24/2018
Version:1 Item #:9.
Report regarding a resolution accepting the dedication of Poletti Way from Gateway Property Owners
Association to the City of South San Francisco,for a public purpose (Tony Rozzi,Principal Planner and
Patrick Caylao, Associate Engineer)
RECOMMENDATION
Staff recommends that the City Council adopt a resolution accepting the dedication of Poletti Way to the
City of South San Francisco.
BACKGROUND
The Caltrain Station Improvement Project (Project)is underway and will create a pedestrian and bicyclist
underpass that connects the downtown area with the job rich “East of 101”biotechnology cluster.A key
component of this design includes a robust western plaza facing downtown and an eastern plaza that connects
Caltrain users with a commuter shuttle pickup location (Attachment 1).
As part of the initial design efforts in 2008,the City of South San Francisco negotiated with the owners of a
private roadway,known then as Executive Drive,to dedicate the 40’-0”width private parcel to the City for use,
maintenance and performance as a public road (Subject Site).Improvements to this future public road were
included in the initial 2008 design and updated 2017-2018 design for the Project.Although the road was
renamed to Poletti Way and initial efforts to proceed with the land dedication and recordation process started in
2009,the dedication process was never finalized.Engineering and Planning staff are currently completing this
task in order to proceed with Project improvements along Poletti Way.
The Gateway Property Owners Association is willing to irrevocably dedicate the property,currently referred to
as Poletti Way,to the City at no cost for use consistent with the Caltrain Station’s eastern plaza,as
contemplated in 2009.The Subject Site is defined generally in the draft legal description and land survey
attached to the associated resolution as Exhibit A and A-1 to the draft Irrevocable Offer of Dedication for Public
Purposes.A detailed legal description is currently being finalized and reviewed by the City and Gateway
Property Owners Association and the final terms would be executed by the City Manager,on behalf of the City
Council, if approved.
DISCUSSION
The purpose of the dedication of the Subject Site is to facilitate the development of an upgraded South San
Francisco Caltrain Station in accordance with the intent of the General Plan land use designation,Downtown
Station Area Specific Plan, and adopted project design by the City Council.
The General Plan,as adopted in 1999 and amended through adoption of the Downtown Station Area Specific
Plan identifies the Subject Site in portions as either Transportation Center or Business Commercial.The
proposed land dedication of the Subject Site complies with the existing land use designations that permit for
visitor-oriented and public uses,such as street access for pedestrian,bicyclist and vehicular traffic to access a
regional transportation center.The Planning Commission has adopted a Resolution determining that in
accordance with Government Code Section 65402,the location,purpose,and extent of the proposed dedication
of Poletti Way,formerly named Executive Drive,to the City of South San Francisco conforms with the City’sCity of South San Francisco Printed on 10/22/2018Page 1 of 2
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File #:18-965 Agenda Date:10/24/2018
Version:1 Item #:9.
of Poletti Way,formerly named Executive Drive,to the City of South San Francisco conforms with the City’s
adopted General Plan (Attachment 2).
ENVIRONMENTAL REVIEW
The Subject Site will serve as access to the improved South San Francisco Caltrain Station project,which
underwent both California Environmental Quality Act (CEQA)and National Environmental Policy Act (NEPA)
clearances.Additionally,the Subject Site was previously analyzed under the 1999 General Plan Environmental
Impact Report (EIR)and Downtown Station Area Specific Plan EIR.Accepting the dedication of the Subject
Site does not create any new environmental impacts not previously analyzed and accepted by the City Council.
FISCAL IMPACT
The proposed dedication of the Subject Site from the Gateway Property Owners Association to the City of
South San Francisco will have no fiscal impact on the City’s General Fund immediately.The private road will
need to be upgraded to meet City standards in the future and the Engineering Division is currently evaluating
those cost impacts for incorporation into a future Capital Improvement Project budget.Potential costs will be
shared with the City Council through that separate process.
CONCLUSION
The dedication of the Gateway Property Owners Subject Site to the City will facilitate the successful
implementation of the long-planned Caltrain Station Improvement project.Although the process was authorized
to begin in 2009,project funding and other challenges delayed this effort until now.As such,staff recommends
that the City Council adopt a resolution accepting the dedication of Poletti Way,a Gateway Property Owners
Association owned property, to the City of South San Francisco.
Attachments:
1.Caltrain Station Renderings
2.Planning Commission Resolution finding General Plan Consistency
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RESOLUTION NO. 2830-2018
PLANNING COMMISSION, CITY OF SOUTH SAN FRANCISCO
STATE OF CALIFORNIA
RESOLUTION FINDING THAT THE DEDICATION OF POLETTI WAY, FORMERLY
NAMED EXECUTIVE DRIVE, TO THE CITY OF SOUTH SAN FRANCISCO
CONFORMS WITH THE CITY’S ADOPTED GENERAL PLAN IN ACCORDANCE
WITH CALIFORNIA GOVERNMENT CODE SECTION 65402.
WHEREAS, the City of South San Francisco (“City”) is considering accepting Poletti Way,
formerly named Executive Drive, and described in the attached draft legal description and plat
map (“Subject Site”), for improvements associated with the Caltrain Station Improvement
Project (Exhibit A); and
WHEREAS, in 1999, the City adopted the General Plan, which established general plan
designations for the area: and
WHEREAS, in 2015, the City adopted the Downtown Station Area Specific Plan, which
established general plan designations, zoning standards, and design standards for a portion of the
Subject Site; and
WHEREAS, the Subject Site between East Grand Avenue and the Grand Avenue overpass and
adjacent parcels are designated Transportation Center in the City’s adopted General Plan; and
WHEREAS, the Subject Site between the Grand Avenue overpass and terminus just south of
Oyster Point Boulevard and adjacent parcels are designated Business Commercial; and
WHEREAS, the proposed dedication of the Subject Site and acceptance of it by the City would
comply with the existing General Plan land use designation; and
WHEREAS, Section 65402 of the California Government Code requires that the Planning
Commission determine that the location, purpose, and extent of the proposed dedication of the
Subject Site conforms to the City’s adopted General Plan.
NOW, THEREFORE, based on the facts provided, the Planning Commission of the City of
South San Francisco does hereby resolve as follows:
1. The foregoing recitals are true, correct, and incorporated herein by reference.
2. The proposed dedication conforms with the South San Francisco General Plan for the
following reasons:
a. The Subject Site dedication will allow the City to provide enhanced access to the
completed Caltrain Station east plaza; and
b. The Subject Site and adjacent parcels to which it will be incorporated, are designated
as Transportation Center or Business Commercial in the City’s adopted General Plan,
which permits visitor-oriented and public uses, such as street access for pedestrian,
bicyclist, and vehicular traffic to access a regional transportation center.
BE IT FURTHER RESOLVED that the resolution shall become effective immediately upon its
passage and adoption.
* * * * * * *
I hereby certify that the foregoing resolution was adopted by the Planning Commission of the
City of South San Francisco at a regular meeting held on the 18th day of October, 2018 by the
following vote:
AYES: Chairperson Nagales, Vice Chairperson Murphy, Commissioner Wong, Commissioner
Faria, Commissioner Shihadeh
NOES:
ABSTENTIONS:_ _
ABSENT: Commissioner Tzang, CommissionerEvans
Attest_/s/Sailesh Mehra__________
Secretary to the Planning Commission
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-966 Agenda Date:10/24/2018
Version:1 Item #:9a.
Resolution accepting the dedication of Poletti Way from Gateway Property Owners Association to the City of
South San Francisco, for a public purpose.
WHEREAS,the City of South San Francisco is considering accepting Poletti Way,a Gateway Property Owners
Association owned property,and described in the attached draft legal description and plat map (“Subject Site”),
for improvements associated with the Caltrain Station Improvement Project; and
WHEREAS,in 1999,the City adopted the General Plan,which established general plan designations for the
area: and
WHEREAS,in 2015,the City adopted the Downtown Station Area Specific Plan,which established general
plan designations, zoning standards, and design standards for a portion of the Subject Site; and
WHEREAS,the Subject Site between East Grand Avenue and the Grand Avenue overpass and adjacent parcels
are designated Transportation Center in the City’s adopted General Plan; and
WHEREAS,the Subject Site between the Grand Avenue overpass and terminus just south of Oyster Point
Boulevard and adjacent parcels are designated Business Commercial; and
WHEREAS,the proposed dedication of the Subject Site and acceptance of it by the City would comply with
the existing General Plan land use designation and does not require any changes to the land use designation on
the Subject Site or the adjacent parcel; and
WHEREAS,in compliance with California Government Code Section 65402,the South San Francisco
Planning Commission adopted a resolution finding that the proposed dedication of the Subject Site conforms to
the South San Francisco General Plan; and
WHEREAS,the proposed dedication is for a public purpose that would facilitate the development of the South
San Francisco Caltrain Station Improvement Project.
NOW, THEREFORE, the City Council of the City of South San Francisco does hereby resolve as follows:
1.The foregoing recitals are true, correct, and incorporated herein by reference; and
2.The proposed dedication is for a public purpose that would allow the City to develop the South San
Francisco Caltrain Station Improvement Project; and
3.Accepts an irrevocable dedication of Poletti Way,currently owned by Gateway Property Owners
City of South San Francisco Printed on 10/22/2018Page 1 of 2
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File #:18-966 Agenda Date:10/24/2018
Version:1 Item #:9a.
3.Accepts an irrevocable dedication of Poletti Way,currently owned by Gateway Property Owners
Association, and as more specifically identified in Exhibit A to this Resolution; and
4.Authorizes the City Manager,or his designee,to accept the Irrevocable Offer of Dedication on
behalf of the City Council in substantially the same form as attached hereto as Exhibit A;to make
any revisions,amendments,or modifications,subject to the approval of the City Attorney,deemed
necessary to carry out the intent of this ordinance and which do not materially alter or increase the
City’s obligations thereunder; and
5.Authorizes the City Manager to take any other related actions necessary to carry out the intent of
this resolution.
BE IT FURTHER RESOLVED that the resolution shall become effective immediately upon its passage and
adoption.
*****
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Recording Requested By:
City of South San Francisco
No Fee for recording pursuant to Government
Code Sections 6103 and 27383
When Recorded Mail To:
City Clerk
City of South San Francisco
400 Grand Avenue
South San Francisco, CA 94080
SPACE ABOVE THIS LINE FOR RECORDER’S USE
IRREVOCABLE OFFER OF
DEDICATION FOR PUBLIC PURPOSES
For valuable consideration, the receipt of which is hereby acknowledged, Gateway Property
Owners Association, a California ____________ (the “Grantor”), being the present title
owner(s) of record of the herein described real property, does hereby make an irrevocable offer
of dedication in fee title to the City of South San Francisco, a California municipal corporation
(“City”), for public purposes, that portion of the real property situated in the City of South San
Francisco, County of San Mateo, State of California, as described in Exhibit A and depicted in
Exhibit A-1, attached hereto and incorporated herein (the “Property”).
The City and its successors or assigns shall incur no liability with respect to this offer of
dedication, and shall not assume any responsibility for the Property or any improvements
thereon, until this offer has been accepted by appropriate action of the South San Francisco City
Council.
This Irrevocable Offer of Dedication shall inure to the benefit of and be binding upon the
Grantor and City and their respective heirs, successors and assigns.
IN WITNESS WHEREOF, the Grantor has properly executed this Irrevocable Offer of
Dedication as of _____ day of ____________, 2018.
______________________________
a _____________________________
By:
Name:
Title:
CERTIFICATE OF CONSENT
This is to certify that the City of South San Francisco, a California municipal corporation, hereby
accepts that certain irrevocable offer of dedication to the City of South San Francisco dated
_______________, the provisions of which are incorporated by this reference as though fully set
forth in this certification, and consents to the recordation thereof pursuant to authority conferred
by South San Francisco City Council Resolution No. ______, adopted ___________.
CITY OF SOUTH SAN FRANCISCO
______________________________
By:
Title:
Date: ______________________________
A notary public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the truthfulness,
accuracy, or validity of that document.
STATE OF CALIFORNIA}
COUNTY OF SAN MATEO} S.S.
On ____________________, before me, _______________________________, Notary Public,
personally appeared __________________________________, who proved to me on the basis
of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or
the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the
foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature____________________________________
Notary Seal:
A notary public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the truthfulness,
accuracy, or validity of that document.
STATE OF CALIFORNIA}
COUNTY OF SAN MATEO} S.S.
On ____________________, before me, _______________________________, Notary Public,
personally appeared __________________________________, who proved to me on the basis
of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or
the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the
foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature____________________________________
Notary Seal:
EXHIBIT A
Legal Description
Property Dedication
EXHIBIT A-1
Plat Depicting Property Dedication
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-946 Agenda Date:10/24/2018
Version:1 Item #:10.
Report regarding a resolution approving $10,000 in funding to the Sister Cities Association to carry out
programmatic duties as outlined in the amended guidelines,as set forth by the City Council.(Sheri Boles,
Community Programs Manager)
RECOMMENDATION
It is recommended that the City Council of the City of South San Francisco adopt a resolution approving
$10,000 to fund the Sister Cities Association program.
BACKGROUND/DISCUSSION
The Sister City Program began in 1956,when President Dwight D.Eisenhower initiated the People-to-People
Program.Sister Cities International is a nonprofit citizen diplomacy network creating and strengthening
partnerships between the United States and international communities in an effort to increase global
cooperation at the municipal and city levels,promote cultural understanding,stimulate economic development,
and lead the movement for local community development and volunteer action by motivating and empowering
private citizens,municipal officials,educators,and business leaders to conduct long-term programs of mutual
benefit.
The City of South San Francisco’s sister cities include:
·Atotonilco El Alto, Mexico;
·Kishiwada, Japan;
·Lucca, Italy;
·Pasig City, Philippines; and
·Saint Jean Pied de Port, France.
FISCAL IMPACT
Budget appropriations are already included in the Fiscal Year 2018-19 operating budget,as the City Council
approved Budget Amendment No. 19.001 on July 11, 2018.
CONCLUSION
Approval of the $10,000 in funding will support the Sister Cities Association in reaching its responsibilities as
set forth in the amended guidelines.
City of South San Francisco Printed on 10/22/2018Page 1 of 1
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City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-978 Agenda Date:10/24/2018
Version:1 Item #:10a.
Resolution approving $10,000 in funding to the Sister Cities Association to carry out programmatic duties as
outlined in the amended guidelines, as set forth by the City Council.
WHEREAS, the Sister City Program began in 1956, when President Dwight D. Eisenhower initiated the People
-to-People Program; and
WHEREAS, Sister Cities International is a nonprofit citizen diplomacy network creating and strengthening
partnerships between the United States and international communities in an effort to increase global
cooperation at the municipal and city levels, promote cultural understanding, stimulate economic development,
and lead the movement for local community development and volunteer action by motivating and empowering
private citizens, municipal officials, educators, and business leaders to conduct long-term programs of mutual
benefit; and
WHEREAS, the City of South San Francisco’s sister cities include:
·Atotonilco El Alto, Mexico;
·Kishiwada, Japan;
·Lucca, Italy;
·Pasig City, Philippines; and
·Saint Jean Pied de Port, France; and
WHEREAS,staff recommends $10,000 in funding to support the City of South San Francisco’s participation in
the Sister Cities Program; and
WHEREAS,in recognition of the City’s efforts to promote diversity and cultural awareness,the City Council
approves $10,000 in funding for the Sister Cities Association,consistent with the Sister Cities program
guidelines.
NOW,THEREFORE,BE IT RESOLVED that the City Council of the City of South San Francisco does hereby
approve $10,000 in funding for the Sister Cities Association,consistent with the Sister Cities program
guidelines, in furtherance of the City’s participation in the Sister Cities Program.
*****
City of South San Francisco Printed on 10/22/2018Page 1 of 1
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City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-971 Agenda Date:10/24/2018
Version:1 Item #:11.
Report regarding a resolution approving an agreement with Tristar Risk Management Services for worker’s
compensation claims administration for a total amount of $496,820 for July 1,2016 through June 30,2019,and
authorizing a budget amendment to the self-insurance fund for fiscal year 2018-2019.(Leah Lockhart,Human
Resources Director)
RECOMMENDATION
It is recommended that Council approve a resolution approving an agreement with Tristar Risk Management
Services for worker’s compensation claims administration for a total amount of $496,820 for July 1,2016
through June 30,2019,and authorizing a budget amendment to the self-insurance fund for fiscal year 2018-
2019.
BACKGROUND/DISCUSSION
The City of South San Francisco is a self-insured employer for Worker’s Compensation in accordance with
California law. In order to maintain the program, the City contracts with Tristar Risk Management Services to
administer Worker’s Compensation Claims. Tristar has been the City’s Third-Party Administrator for Worker’s
Compensation since 1997, and staff has built a collaborative relationship with Tristar to work with injured
employees and manage claims proactively and effectively. Past service agreements with Tristar have been
renewed on an annual basis by contract amendment with City Manager approval.
In June, 2018, Tristar notified the City of an increase to their service fees required in order to extend their
existing agreement with the City. Historically, Tristar’s service fees have been established based on the average
number of open indemnity claims (claims that include wage replacement due to work time loss in addition to
medical costs), as well as a cost-of-living adjustment factor. The service fee for the City was last increased in
July 2015. Since that time, the City’s number of open indemnity claims for the City has increased from 120 to
135 (a 12.5% increase), for which Tristar will require an adjustment to their service fee due to increased work
load. A cost-of -living factor of 3.6% per year for 2016, 2017 and 2018 was also included in the new fee. With
both of these factors included, Tristar’s service fee has increased from $152,800 to $191,220 annually.
Although this increase is significant, and warrants a review of alternative service provider options, a one-year
extension is recommended as the City must continue to provide claims administration services while
considering alternative options for next fiscal year.
In the process of developing a contract amendment for a one-year extension with increased rates, staff
discovered the last contract extension with Tristar was for the period of July 2015 to July 2016. Tristar has
continued to provide services since that time under the same terms and rates. However, given the this lapse in
the service agreement, the new agreement was drafted with a term of three years, two of which will cover the
period of July 2016 to June 2018 retroactively with service fees at the $152,800 rate listed in the 2015-2016
extension. The third year will cover the current July 2018-June 2019 year under the new fee of $191,220. Minor
adjustments in ancillary services fees based on the actual costs of those services are also included in the
agreement. These adjustments include required services such as utilization review, bill review, and nurse case
management that are provided by Tristar and/or affiliated vendors. These costs are charged on an as-needed
basis and do not require a separate fund allocation.
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File #:18-971 Agenda Date:10/24/2018
Version:1 Item #:11.
Although the City’s rate of new claims has increased slightly in recent years,the total number of open claims is
partly attributed to an increase in the City’s total number of employees.Between 2015 and 2018,the City’s total
full-time equivalent employee count increased by approximately nine percent (9%).In addition,while the rate
of new injuries has decreased, the rate of cases involving lost work time has increased slightly in recent years.
No later than January 2019,staff will issue a request for proposals (RFP)for a Third-Party Administrator in
order to ensure that the City is receiving the most cost-effective claims administration services possible.A
recommendation will be made to Council in spring of 2019 in anticipation of the new fiscal year,allowing time
to transition between service providers if necessary.
FISCAL IMPACT
The increased service fee for 2018-2019 is $38,420 above the amount allocated in the 2018-2019 budget for
claims administrator service fees.This amount will be absorbed by the total worker’s compensation claim
allocation within the self-insurance fund,therefore no new funds are needed.However,a budget amendment is
necessary to allocate funds from claims losses to claims administration fees,and this action is included in the
resolution.
CONCLUSION
It is recommended that Council approve a resolution approving an agreement with Tristar Risk Management
Services for worker’s compensation claims administration for a total amount of $496,820 for July 1,2016
through June 30,2019,and authorizing a budget amendment to the self-insurance fund for fiscal year 2018-
2019.This action will maintain the continuity of claims administration services while staff reviews alternatives
for claims administration services.
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City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:18-974 Agenda Date:10/24/2018
Version:1 Item #:11a.
Resolution approving an agreement with Tristar Risk Management Services for worker’s compensation claims
administration services in an amount not to exceed $496,820 for July 1, 2016 through June 30, 2019, and
authorizing a budget amendment to the self-insurance fund for fiscal year 2018-2019.
WHEREAS, the City has contracted with Tristar Risk Management Services for worker’s compensation claims
administration services since 1997, in order to maintain a self-insured worker’s compensation program; and
WHEREAS, the current agreement with Tristar was last amended in 2015 for the period of July 1, 2015 to June
30, 2016, attached hereto and incorporated herein as Exhibit 1; and
WHEREAS, based on increased indemnity claims and cost-of-living increases, Tristar’s required service fee
has increased from $152,800 to $191,220 for fiscal year 2018-2019; and
WHEREAS, the last contract extension between the City and Tristar covered only up to the period of July 2015
to July 2016; and
WHEREAS, since then, Tristar has continued to provide services to the City under the rates and terms of the
contract extension covering 2015-2016; and
WHEREAS, the City desires to provide continuous services for worker’s compensation claims through Tristar
during the remainder of the current fiscal year while considering alternative options for cost-effective claims
administration for fiscal year 2019-2020; and
WHEREAS, the City and Tristar agree to enter into an agreement to retroactively cover the period of July 2016
to June 2016 under the $152,800 service fee rate, and continue to cover the current July 2018-June 2019 period
under the $191,220 service fee rate; and
WHEREAS,the increased service fee rate for 2018-2019 is $38,420 above the amount allocated in the 2018-
2019 budget for claims administrator service fees,but no new funding is required as the excess amount will be
covered by the total worker’s compensation claim allocation within the City’s self-insurance fund;however,a
budget amendment is necessary to allocate funds from claims losses to claims administration fees to cover the
excess amount.
NOW THEREFORE BE IT RESOLVED,that the City Council of the City of South San Francisco hereby takes
the following actions:
1.Approves the Agreement for claims management services for the period of July 1,2016 through June
30, 2019, attached hereto and incorporated herein as Exhibit 2.
2.Authorizes the City Manager to execute this agreement and to make any revisions,amendments,or
modifications,deemed necessary to carry out the intent of this resolution which do not materially alter
City of South San Francisco Printed on 10/22/2018Page 1 of 2
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File #:18-974 Agenda Date:10/24/2018
Version:1 Item #:11a.
or increase the City's obligations thereunder, subject to approval as to form by the City Attorney.
3.Approves Budget Amendment number 19.025 to allocate an amount of $38,420 from the City’s Self-
Insurance Fund to claims administration service fees.
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City of South San Francisco Printed on 10/22/2018Page 2 of 2
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TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)page 1
Claims Services Agreement
AGREEMENT made this ___ day of ____________, 2018 by and between TRISTAR Risk
Management, a California corporation having its principal place of business at 100 Oceangate, Suite
700, Long Beach CA 90802 (“TRISTAR”), and City of South San Francisco,a general law city
organized and operating under the laws of the State of California having its principal place of business at
400 Grand Avenue, South San Francisco, CA 98040 (“Customer”).
WHEREAS, Customer, as a qualified self-insured under applicable state law, has a self-insured retention
program with respect to workers’ compensation claims and claim expenses pertaining to Customer’s
business (“SIR Program”) with a retention level as set forth in Schedule A attached hereto (“Retention
Level”); and
WHEREAS,Customer has the sole responsibility to provide for competent claims administration and
claims funding with respect to claims and/or losses and claims expenses arising within the SIR Program;
and
WHEREAS, Customer desires to engage TRISTAR as the claims administrator with respect to those
claims and/or losses arising under the SIR Program, [including certain claims that were previously handled
by Customer or any other entity]; and
WHEREAS,TRISTAR desires to accept such engagement pursuant to the terms and conditions of this
Agreement;
NOW, THEREFORE,in consideration of the terms, conditions and other agreements set forth herein,
TRISTAR and Customer hereby agree as follows:
1.Term
The term (“Term”) of this Agreement shall commence at 12:00 A.M. on July 1, 2016 (“Effective
Date”) and shall remain in effect through June 30, 2019 unless sooner terminated in accordance
with the provisions of Section 9 of this Agreement.
2.Engagement, Duties, and Authority of TRISTAR
2.1 Customer hereby engages TRISTAR and TRISTAR hereby accepts such engagement as the
claims administrator to represent and act for Customer with respect to all claims arising under the
SIR Program, occurring during the Term, reported to TRISTAR during the Term, and assigned to
TRISTAR by Customer (“Claims”). Claims shall consist of:
i)“Takeover Claim(s)”which shall be defined as any Claim reported to TRISTAR that has been
handled by Customer or any preceding manager or administrator prior to being assigned to
TRISTAR and is open and pending as of the Effective Date; and
ii) “Newly Reported Claim(s)”which shall be defined as any Claim other than Takeover Claims.
2.2 The terms and conditions of this Agreement will continue to apply during the Term and during
any period Claims continue to be handled by TRISTAR. In consideration of payment of the
agreed-upon fees as set forth in this Agreement, TRISTAR agrees to perform the following
services (“Services”) during the Service Period as defined in Schedule A and any extension or
renewal thereof, if applicable, with respect to the Claims. Subject to the authority limits stated
below, TRISTAR shall:
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 2
2.2.1 provide to Customer the following basic services (“Basic Services”):
i)establish and maintain an electronic file with respect to each Claim (“Claim File”); such
Claim Files shall include accurate records and accounts of all transactions with respect to
Claims; and be maintained in accordance with prudent standards of record keeping;
ii)conduct analysis of Claims to determine their validity [and compensability] in accordance
with Claims’ guidelines as may be agreed to by TRISTAR and Customer;
iii) establish case-specific reserves, adjust, resist, deny and/or settle Claims as set forth in
Schedule A:
iv) upon approval or at the direction of Customer, use legal counsel where appropriate and assist
legal counsel in the preparation of cases for hearings, trials and/or appeals;
v)comply with the Banking and Funding Schedule attached hereto as Schedule B which
Schedule governs the operation of an account maintained pursuant to Section 4 (“Account”);
vi) pursue, as deemed appropriate by TRISTAR, reasonable possibilities of subrogation,
contribution, or indemnity (not insurance or reinsurance recoveries) on behalf of Customer
and deposit all recovery amounts in the Account;
vii) refer all regulatory complaints to Customer and cooperate with Customer to resolve such
complaints;
viii) report cases involving suspected fraud to the appropriate state mandated agency and when
reporting to the state insurance department is required, use an internal special investigative
unit or contract with an entity to provide such services;
ix) provide TRISTAR’s standard claims reports to Customer; and
x)make payments of valid claims for compensation, rehabilitation expenses, and other required
benefits payable under applicable insurance laws, together with Allocated Loss Adjustment
Expenses, out of funds provided by the Customer pursuant to Section 3 hereof subject to
the limitations and requirements of this Agreement.
2.2.2 provide to Customer information services in accordance with the provisions of Schedule C
attached hereto (“Information Services”);
2.2.3 provide, or use TRISTAR Managed Care, Inc. (“TMC”), an affiliate of TRISTAR, to provide,
utilization management services in accordance with the provisions of Schedule E attached hereto
(“Utilization Management Services”);
2.2.4 provide, or use TMC to provide, case management services in accordance with the provisions of
Schedule F attached hereto (“Case Management Services”); and
2.2.5 provide, or use vendors to provide, all other specialty services (“Other Specialty Services”) such
as early intervention, medical bill review, PPO network, Specialty Carve-out PPO networks for
Diagnostic Services and Durable Medical Equipment, claim call-in reporting (telephonic,
electronic, fax or internet), Special Investigation (SIU), and index bureau reports. Utilization
Management Services, Case Management Services, and Other Specialty Services shall be refereed
to collectively as “Specialty Services.” Specialty Services are charged as Allocated Loss
Adjustment Expenses (as defined in Section 12) or, where required by state law, as loss.
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 3
3.Duties of Customer
3.1 Customer shall:
3.1.1 promptly forward, or cause to be forwarded to TRISTAR, all claims, claim forms, demands,
notices, inquiries or correspondence concerning or related to Claims;
3.1.2 at the time that Claims are assigned to TRISTAR, provide TRISTAR with a copy of any
investigative and pertinent material;
3.1.3 not comment upon, discuss with third parties, or independently adjust, attempt to settle, or
otherwise process Claims without prior written notice to TRISTAR;
3.1.4 comply with the Banking and Funding Schedule as respects the operation of the Account
including Customer’s obligation to provide funds to TRISTAR for the payment of all Claims and
Allocated Loss Adjustment Expenses;
3.1.5 cooperate with TRISTAR with respect to the performance of Claim services, including, but not
limited to: responding promptly to TRISTAR’s requests for information; providing timely
direction to TRISTAR for matters exceeding its authority; meeting with TRISTAR, as may be
needed; and making decisions as required by this Agreement and within such time periods as to
meet all legal requirements applicable to the obligations under this Agreement;
3.1.6 report to any and all insurers, reinsurers or intermediaries all facts, notices, documents, and
information sufficient to comply with reporting requirements of said insurers or reinsurers
regarding the Claims hereunder. TRISTAR shall make no such reports unless specifically
requested in writing by Customer, or as specifically provided in this Agreement. TRISTAR shall
however cooperate with Customer with respect to Customer's obligations to insurers and
reinsurers;
3.1.7 be responsible for managing the vendors (managed care, other third party administrators, and
other services) Customer has contracted with and meeting all requirements in connections
therewith. TRISTAR will have no responsibility or liability for the obligations of vendors or
Customer in connection with the services provided by such vendors and Customer shall
indemnify, hold harmless, and defend TRISTAR against any such liability, except that TRISTAR
shall cooperate with the vendors Customer contracted with and assist Customer with respect to
such vendor requirements;
3.1.8 using Customer’s letterhead, provide written direction to TRISTAR in the event Customer elects
to proceed with Utilization Management Services that do not comply with URAC guidelines as
set forth on Schedule F; and
3.1.9 perform all such other actions and things reasonably necessary or otherwise required to enable
TRISTAR to perform its services under this Agreement.
3.2 Customer represents and warrants that it is and shall remain throughout the Term a qualified self-
insured under applicable state law.
4.Payment of Claims and Allocated Loss Adjustment Expense(s)
4.1 In addition to the invoices for Fees and Expenses (as defined in Subsection 5.5) addressed in
Section 5 below, all Claims obligations, including loss, indemnity, and Allocated Loss
Adjustment Expenses and other Claim-related expenses, are the obligations of Customer and shall
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 4
be funded by Customer as provided in the Banking and Funding Schedule. Customer
acknowledges that at no time will TRISTAR be obligated to make any payments out of TRISTAR
funds.
4.2 Unless otherwise agreed by TRISTAR and Customer, Specialty Services which are listed on
Schedule D attached hereto shall be provided by TRISTAR’s Preferred Provider network, which
may include TRISTAR, its affiliates and subsidiaries (including TMC), or third parties. Specialty
Services will be charged to Customer as Allocated Loss Adjustment Expenses or, where required
by state law, as loss. Customer understands and agrees that TRISTAR may receive compensation
in connection with the Specialty Services, either by retaining a portion of the fees and expenses
charged to the Account, or by receiving fees from preferred providers. The amount TRISTAR
retains or receives will vary depending upon the preferred provider, and may be calculated based
on percentage of savings, percentage of revenue to the provider, or TRISTAR’s mark-up of
provider fees. The amounts retained or received by TRISTAR in connection with Specialty
Services are in addition to the Fees and Expenses paid to TRISTAR by Customer under Section 5
of this Agreement. The fees set forth on Schedule D may be adjusted from time to time without
prior notice.
5.Payment of Fees, Expenses, and Taxes
5.1 For Basic Services and Information Services performed, TRISTAR shall be entitled to and
Customer shall pay the fees and expenses, including Reimbursable Expenses (as defined in
Subsection 5.2), calculated and earned in accordance with this Section 5 and Schedule A.
5.2 TRISTAR shall be reimbursed for those expenses which are incurred by TRISTAR in the
rendering or performance of services and not incorporated in the Basic Fee (“Reimbursable
Expenses”). Reimbursable Expenses include, but are not limited to, any data processing or
telecommunications charges, hotel, travel, living and out-of-pocket expenses related to the
provision of services pursuant to this Agreement.
5.3 For all services other than Basic Services, Information Services, and Specialty Services provided
under this Agreement, Customer shall compensate TRISTAR in accordance with this Section 5
and Schedule A (“Additional Services Fees”), plus Reimbursable Expenses. Additional Services
Fees and expenses charged pursuant to this Subsection 5.3 are in addition to those fees and
expenses charged under Subsections 5.1 and 5.2.
5.4 Customer shall be responsible to pay directly to the applicable taxing authority or to TRISTAR, if
imposed on TRISTAR, all federal, state and local taxes (other than net income taxes) which
TRISTAR may be required to pay or collect or which may be incurred or assessed against
TRISTAR or Customer, under any existing or future law, relating to the sale, delivery, rendering
or provision of services by TRISTAR to Customer (“Taxes”).
5.5 TRISTAR shall submit itemized invoices to Customer for all fees, Reimbursable Expenses, and, if
applicable, Additional Services Fees and Taxes (“Fees and Expenses”) incurred in accordance
with this Section 5 on a monthly basis and such invoice shall be paid by Customer to TRISTAR
upon receipt of same. Amounts which remain unpaid in excess of thirty (30) days from the date
of receipt of the invoice shall be subject to an interest charge of one and one-half (1.5%) percent
per month, such charge to be effective beginning thirty (30) days after the date due until paid.
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 5
6.Records: Inspection, Access, and Ownership
6.1 Customer shall at all times retain the ownership of the Claim Files and Claims data (collectively,
“Claim File Information”). Customer acknowledges that TRISTAR has a right of continuing
possession and access to the Claim File Information, including any accessing software, hardware,
and systems to permit TRISTAR to fulfill all of its obligations under this Agreement, whether
before or after termination, including in the event of any dispute or legal action between the
parties.
6.2 Claim File Information shall, upon thirty (30) days prior written notice to TRISTAR, be available
for on-site audit, review, and/or inspection by duly authorized representatives of Customer and by
regulatory authorities having appropriate jurisdiction. The parties agree that if there are more
than four (4) audits, reviews, and/or inspections including reasonable follow-up of the activities
of TRISTAR by Customer, regulatory authorities or other parties, or any combination thereof
during each twelve (12) month period of the Term, TRISTAR shall be compensated in accordance
with Subsection 5.3 for its involvement with any such additional audit(s), reviews, and/or
inspections.
6.3 At the conclusion of TRISTAR’s obligation to handle Claims and subject to the payment of all
Fees and Expenses due TRISTAR, TRISTAR shall send directly to Customer or a third party
selected by Customer i) an electronic copy in TRISTAR’s then current format of the Claim File
Information, and ii) all open and closed physical Claim Files, if any (collectively, “Transfer
Services”) in accordance with Subsection 9.3. Customer hereby acknowledges that Customer,
such third party selected by Customer, or any succeeding administrator is responsible for retaining
Claim File Information that is transferred to it for the longest of the following time periods:
i)for five (5) years from the closing of the Claim;
ii)for the duration of any applicable regulatory requirement or state law; or
iii) for the duration of the applicable Statute of Limitations.
7.Indemnification, Limitation of Liability, Insurance
7.1 Each Party (“Indemnitor”) agrees to hold the other Party (“Indemnitee”) harmless and indemnify
the Indemnitee against any and all losses, claims, expenses (including reasonable attorneys’ fees),
fines, penalties, damages, judgments or liabilities incurred by the Indemnitee (“Liabilities”) as a
result of an action brought by a third party but only to the extent such Liabilities have been caused
by the actual fraud, negligence or willful misconduct of the Indemnitor with respect to its
obligations under this Agreement.
7.2 Notwithstanding anything in this Agreement to the contrary, UNDER NO CIRCUMSTANCES
AND UNDER NO LEGAL THEORY (TORT, WARRANTY, CONTRACT, OR OTHERWISE)
SHALL A PARTY BE LIABLE TO THE OTHER PARTY, OR ANY OTHER PERSON, OR
ENTITY FOR ANY ACT PERFORMED, OR ANY FAILURE TO ACT, ON BEHALF OF
THAT PARTY OR ANY OTHER PERSON OR ENTITY OR IN THEIR INTEREST, THE
MULTIPLIED PORTION OF ANY MULTIPLIED DAMAGES, INDIRECT, INCIDENTAL,
CONSEQUENTIAL, EXEMPLARY, EXTRA-CONTRACTUAL, PUNITIVE, OR SPECIAL
DAMAGES OF ANY CHARACTER, OR ANY DAMAGES FOR WHICH THE LAW OR
PUBLIC POLICY PROHIBITS INDEMNIFYING OR INSURING EVEN IF THAT PARTY
HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
7.3 As used in this Section 7, the terms “Indemnitor” and “Indemnitee” shall include, respectively, its
directors, officers, employees, contractors, subcontractors, agents and other representatives.
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 6
7.4 The provisions of Sections 7.1 – 7.4 shall survive the termination of this Agreement.
7.5 TRISTAR shall, at all times while obligations under this Agreement remain to be performed by
TRISTAR, maintain in force such insurances as are normal and customary or required by law to
protect itself and its clients, including the following:
i)Workers’ Compensation Insurance under the laws of the states in which operations are
conducted.
ii)Comprehensive General Liability Insurance and automobile liability insurance with limits of
not less than $1 million dollars per occurrence. If a Commercial General Liability Insurance
or an Automobile Liability form or other form with a general aggregate limit is used, either
the general aggregate limit shall apply separately to the work to be performed under this
Agreement or the general aggregate limit shall be at least twice the required occurrence limit.
Such coverage shall include but shall not be limited to, protection against claims arising from
bodily and personal injury, including death resulting there from, and damage to property
resulting from activities contemplated under this Agreement, including the use of owned and
non-owned automobiles.
iii) An Errors and Omissions policy providing coverage in the amount of not less than $3
million.
iv) A Fidelity bond providing coverage for all officers and other employees of TRISTAR
(including “money and securities” coverage) in the amount not less than $1 million.
8.Confidential Information
8.1 The parties acknowledge that in the course of dealings between each other:
8.1.1 each party will acquire from the other information about business activities and operations,
technical information and trade secrets, all of which are highly confidential and proprietary
(“Confidential Business Information”). Confidential Business Information shall not include (i)
information already known to a party; (ii) information which now is or hereafter becomes publicly
known through no wrongful act of a party, (iii) information received by a party from a third party
without similar restriction and without breach of this Agreement; (iv) information independently
developed by a party; (v) information approved for release by written authorization of the other
party; and (vi) information which, after notice to a party providing a reasonable opportunity to
contest disclosure, must be disclosed pursuant to the Public Records Act and other applicable
requirements of a governmental agency or a final binding order of a court of competent jurisdiction;
and
8.1.2 each party may gain access to and/or generate information of Customer’s consumers, customers,
insureds or claimants which may include personally identifiable, financial and/or health
information which may be protected by federal, state and local laws (“Protected Information”).
8.2 In the event a party provides its Confidential Business Information and/or Protected Information
(collectively “Confidential Information”) to the other party (“Receiving Party”), such
Confidential Information shall be provided subject to the following confidentiality terms:
8.2.1 A party’s Confidential Information shall be safeguarded by the Receiving Party with at least as
great a degree of care as the Receiving Party uses to safeguard its own most confidential materials
or information relating to its own business.
8.2.2 The Confidential Information must be circulated, quoted, disclosed, or distributed solely on a
“need to know basis” and only to employees, attorneys, or consultants of the Receiving Party
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 7
(“Representatives”) after such Representatives have been informed of and agreed to be bound by
this duty of confidentiality. Further, a Receiving Party agrees to obligate each of its
Representatives to a level of care sufficient to protect the Confidential Information from
unauthorized use or disclosure.
8.2.3 A Receiving Party and its Representatives shall not further circulate, quote, disclose or distribute
any of the Confidential Information except as permitted under this Section 8.
8.3 The provisions of this Section 8 shall survive the termination of this Agreement.
9.Termination
9.1 This Agreement shall be terminated in accordance with any of the following subsections of this
Section 9:
9.1.1 Either party may terminate this Agreement by giving at least ninety (90) days prior written notice
of termination to the other party, such termination to be effective no sooner than the first (1st)
anniversary of the Effective Date.
9.1.2 Upon a material breach by TRISTAR or Customer in the performance of its duties or
responsibilities as provided in this Agreement, the non-breaching party may advise the breaching
party of said material breach by written notice. Except for breach by Customer for failure to pay
Fees and Expenses or a breach by Customer for failure to fund the Account as required in this
Agreement (“Monetary Breach”), the breaching party shall then have thirty (30) days from the
date of written notice within which to cure said breach. For Monetary Breach, the Customer shall
have five (5) business days from date of written notice within which to pay overdue Fees and
Expenses to TRISTAR or to fund the Account as required. The non-breaching party shall have
the right to terminate this Agreement upon written notice to the breaching party if the breaching
party fails to cure said material breach within the specified time period.
9.1.3 This Agreement shall immediately terminate at the election of either party upon the occurrence of
any of the following events with respect to the other party: its insolvency, its inability to meet its
debts as they mature, its filing of a petition of voluntary bankruptcy under any chapter of the US
bankruptcy laws, institution of proceedings to adjudge it bankrupt in an involuntary proceeding,
filing of a petition for rehabilitation or liquidation, execution of an assignment for the benefit of
creditors, its appointment by a court of a receiver, trustee, rehabilitator or liquidator, or its
dissolution.
9.2 If this Agreement is terminated:
9.2.1 for cause pursuant to Subsection 9.1.2 or 9.1.3, TRISTAR shall cease the handling of all Claims
as of the effective date of termination (“Termination Date”) and TRISTAR shall have no more
obligations with respect thereto.
9.2.2 for convenience pursuant to Subsection 9.1.1, Customer, in its sole discretion, shall exercise one
of the following options:
i)Customer may require TRISTAR to continue the handling of all Claims reported to
TRISTAR before the Termination Date, on the terms, conditions and limitations of this
Agreement; or
ii)Customer may require TRISTAR to cease the handling of all Claims as of the Termination
Date and TRISTAR shall have no more obligations with respect thereto.
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 8
9.3 Upon termination of this Agreement:
9.3.1 TRISTAR and Customer shall perform all of their respective obligations in accordance with the
terms of this Agreement whether to be performed before or after the Termination Date until the
conclusion of TRISTAR’s obligation to handle Claims as set forth in Section 9.2 and Schedule A.
At that time and upon TRISTAR’s receipt of payment of all earned but unpaid Fees and Expenses,
TRISTAR shall provide the Transfer Services in accordance with Subsections 6.3 and 9.3.2.
9.3.2 Unless this Agreement has been terminated by Customer for cause pursuant to either Subsection
9.1.2 or 9.1.3, Customer shall reimburse TRISTAR for all fees and expenses incurred by
TRISTAR (“Transfer Fees”) in connection with the Transfer Services. These Transfer Fees shall
be considered Additional Services Fees and calculated in accordance with Section 5.3. Transfer
Fees shall include, but not be limited to:
i)the actual costs incurred (examples: packing materials and shipping expenses in the event
there are physical Claim Files); plus
ii)TRISTAR’s fees for its services in effecting such transfer (examples: hourly fees for clerical
labor to inventory, sort, pack, and ship such Claim Files; hourly fees for data processing
labor to perform data extract and testing with receiving vendor; fees for production of
notification letters to claimants, attorneys, and medical providers).
9.3.3 As respects all Claims, Customer shall remain liable for the funding of the Account in accordance
with Section 4 and the payment of all Fees and Expenses in accordance with Section 5 that they
would have been liable for had the Agreement not been terminated.
10.Independent Contractor
TRISTAR and its affiliates, shall act as an independent contractor(s) in providing services to
Customer hereunder. Neither this Agreement nor the performance thereof by TRISTAR shall
create nor be deemed to create any employer-employee, joint venture or partnership relationship
between TRISTAR or any of its affiliates, officers, directors or employees, on the one hand, and
Customer or any of its affiliates, officers, directors or employees, on the other hand.
11.Force Majeure
If any cause or condition shall occur beyond the control of TRISTAR which wholly or partially
prevents the performance by TRISTAR of its obligations hereunder, including, without limitation,
any act of God or the public enemy, fire, explosion, flood, earthquake, war, riot, adverse weather
conditions, breakdowns in equipment or facilities, strike, slowdown, work stoppage or other labor
trouble, then TRISTAR shall be excused from its obligations hereunder to the extent made
necessary by such cause or condition and during the continuance thereof, and TRISTAR shall
incur no liability by reason of its failure to perform the obligations so excused. Such cause or
condition shall not, however, relieve Customer of the obligation to pay to TRISTAR fees and
charges due to TRISTAR for services rendered and expenses incurred hereunder prior to such
stoppage.
12.Definition “Allocated Loss Adjustment Expense”
12.1 For the purposes of this Agreement, Allocated Loss Adjustment Expense(s) (“Allocated Loss
Adjustment Expense(s)”) shall mean any fee or expense which is chargeable or attributable to the
investigation, coverage analysis, adjustment, negotiation, settlement, defense or general handling
of any Claim(s) or action(s) related thereto, or to the protection and/or perfection of the
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 9
Customer’s right of subrogation, contribution or indemnification, all as reasonably determined by
TRISTAR.
12.2 Allocated Loss Adjustment Expense(s) may be incurred for services provided by TRISTAR, its
affiliates and subsidiaries, or third parties and include, but are not limited to, the following:
12.2.1 attorney’s fees and disbursements incurred in connection with the determination of coverage
and/or the adjustment, defense, negotiation or settlement of any Claim; attorney's fees incurred for
representation at depositions, hearings, pretrial conferences and/or trials;
12.2.2 fees and expenses incurred for: handling any Alternative Dispute Resolution proceeding
(“ADR”); legal actions, including trials or appeals; pursuing any declaratory judgment action,
including deposition fees; cost of appeal bonds; court reporter or stenographic services, filing
fees, and other court costs, fees and expenses; transcript or printing services and all discovery
expenses; service of process; witnesses’ testimony, opinions, or attendance at hearings or trial;
12.2.3 fees and expenses for attendance at or participation in ADR proceedings, hearings, trials or other
proceedings by TRISTAR personnel or its subcontractors;
12.2.4 statutory fines or penalties; pre- and post-judgment interest paid as a result of litigation, unless
regulatory or reporting requirements define such interest as loss or indemnity payments;
12.2.5 subcontractors’ fees and travel expenses, including independent adjusters, automobile and
property appraisers, to the extent that same are incurred in the adjustment, negotiation, settlement
or defense of any Claim;
12.2.6 fees and expenses incurred in conjunction with the telephonic, web, or other electronic methods
of reporting Claims as set forth on Schedule D;
12.2.7 experts' fees and expenses including reconstruction experts, engineers, photographers,
accountants, economists, metallurgists, cartographers, architects, hand-writing experts,
physicians, appraisers and other natural and physical science experts, plus the fees and expenses
associated with preparation of expert reports, depositions, and testimony;
12.2.8 fees and expenses for surveillance, undercover operative and detective services or any other
investigations;
12.2.9 fees and expenses for: medical examinations, or autopsies, including diagnostic services, and
related transportation services; durable medical equipment; and medical reports and rehabilitation
evaluations, unless regulatory or reporting requirements define such fees and expenses as loss or
indemnity payments;
12.2.10 fees and expenses for any public records, medical records, credit bureau reports, index bureau
reports, and other like reports as set forth on Schedule D;
12.2.11 fees and expenses incurred where TRISTAR determines it is reasonable to pursue the rights of
contribution, indemnification or subrogation of the Customer, including attorney and collection
agency fees and/or expenses;
12.2.12 medical or vocational rehabilitation fees and expenses, and all other medical cost containment
services, including, but not limited to utilization review and management, pre-audit admission
authorization, hospital bill audit or adjudication, provider bill audit or adjudication, and medical
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 10
case management, if applicable, unless regulatory or reporting requirements define such expenses
as loss or indemnity payments as set forth on Schedule D; and
12.2.13 extraordinary travel and related fees and expenses incurred by TRISTAR at the express request of
Customer, which are not otherwise payable under this Agreement.
12.3 With respect to TRISTAR’s determination that a fee or an expense incurred pursuant to this
Agreement is an Allocated Loss Adjustment Expense, TRISTAR makes no representation or
warranty and assumes no responsibility that such determination (i) is in compliance with or meets
the requirements of any statistical plan filing, statutory, regulatory, or insurance industry reporting
scheme or the definition of “Allocated Loss Adjustment Expense” thereunder; (ii) is or could be
characterized as payment of loss or indemnity; or (iii) is or is not subject to insurance or
reinsurance coverage or limits. Customer agrees that it is responsible for making all such
judgments and for complying with any and all such requirements.
13.MMSEA
13.1 Section 111 of the Medicare, Medicaid, and SCHIP (State Children’s Health Insurance Programs)
Extension Act of 2007 (all of which together shall be referred to as “MMSEA”) (P.L. 110-173),
contains mandatory reporting requirements (“MIR”) for group health plan arrangements and for
liability insurance (including self-insurance), no-fault insurance, and workers' compensation (see
42 U.S.C. 1395y(b)(7) & (8)). As respects compliance with MMSEA under this Agreement:
13.1.1 Customer has the obligation to perform MIR requirements as respects Claims, register with the
Centers for Medicare and Medicaid Services (“CMS”) as a Responsible Reporting Entity
(“RRE”), and provide to TRISTAR all relevant information including the RRE Identification
Number(s) assigned. Customer has appointed the reporting agent(s) identified on Schedule A for
the purpose of meeting MMSEA obligations including MIR requirements (“Reporting Agent(s)”).
13.1.2 Reporting Agent services include determining Medicare eligibility, reporting to CMS eligible
Claims using the mandated format for a determination of Medicare eligibility, processing error
corrections, and providing quarterly reports. Where applicable, Reporting Agent should also
respond to all inquiries and requests for conditional payments, comply with settlement approvals,
negotiate and prepare claim set-aside agreements (“CSA’s”) and Medicare set-aside agreements
(“MSA’s”).
13.1.3 Customer consents to the disclosure by TRISTAR of Claims information required by MIR to
Reporting Agent or others for the purpose of providing MIR pursuant to this Agreement.
Customer and TRISTAR agree that Claim data reported to or by CMS is confidential and each
shall take reasonably necessary steps to protect the confidentiality of this data.
13.1.4 Customer agrees that fees and charges by Reporting Agent incurred for compliance with MMSEA
and other related services shall be paid by Customer and charged against the Claim Files as
Allocated Loss Adjustment Expenses. Such fees and charges are listed on Schedule D.
14.Non-Hire
14.1 Without the written consent of the other, Customer and TRISTAR shall not:
i)solicit for employment or employ any employee of the other who is or has been directly
engaged in the performance of this Agreement; and
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CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 11
ii) for a period of six (6) months following the termination of any employee who had been
directly engaged in the performance of this Agreement, solicit for employment or employ
such employee of the other.
14.2 Customer agrees that: (i) the prohibition against solicitation and employment of TRISTAR
employees by Customer in Section 14.1 without TRISTAR’s written consent shall also apply to
any affiliates of Customer; and (ii) that violation of this prohibition by Customer shall be deemed
to be a material breach of this Agreement by Customer. For purposes of this Section 14.2,
“Affiliates of Customer” includes any entity controlling, controlled by, or in common control with
Customer or any entity in which Customer has an interest during the Term or with which
Customer has entered into a contract.
14.3 This provision shall not apply to any offer of employment by TRISTAR or Customer arising from
a general employment solicitation to the public and not specifically directed at any employee of
the other party who is directly engaged in the performance of this Agreement.
14.4 The provisions of this Section 14 shall apply during the Term and the six (6) month period
immediately following the Term.
15.Notices
15.1 All notices or other communications required pursuant to Section 9 shall be in writing and
sufficient if i) delivered personally; ii) sent by a nationally recognized overnight carrier; or iii)
sent by registered or certified mail return receipt requested, postage prepaid and via facsimile; and
addressed as follows:
TRISTAR:TRISTAR Risk Management
100 Oceangate, Suite 700
Long Beach, CA 90802
Attn.: Thomas J. Veale
With a copy to:TRISTAR Insurance Group, Inc.
2540 Route 130, Suite 109
Cranbury, NJ 08512
Attn.: General Counsel’s Office
Customer:City of South San Francisco
400 Grand Avenue
South San Francisco, CA 98040
Attn.:
15.2 When required or issued pursuant to this Agreement, notices shall be deemed to have been given
at the time i) when personally delivered, ii) upon the day following the day sent by overnight
carrier, or iii) if mailed, upon the third (3rd) day after the date such notice is postmarked.
16.State Amendment Requirements
16.1 The Agreement shall be deemed to incorporate any and all provisions required by applicable state
insurance laws, relating to insurance administrators or third party administrators, insofar as such
provisions relate to the services performed by TRISTAR pursuant to the Agreement.
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CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 12
17.General
17.1 This Agreement constitutes the entire agreement of the parties and supersedes all previous
agreements and/or contracts whether oral or written between them with respect to the subject
matter hereof.
17.2 If any provision of this Agreement shall contravene or be invalid under the laws of the United
States, the state in which enforcement is sought, or the regulatory requirements of such state, it is
agreed that such provision shall not invalidate the whole Agreement but the Agreement shall be
construed as if not containing the particular provision or provisions held to be invalid.
17.3 This Agreement may only be amended by a written instrument signed by the parties hereto.
17.4 The parties shall not disclose to any third party the terms and conditions of this Agreement,
except as may be required by law, reasonable advice of its counsel, or the written consent of the
non-disclosing party. Notwithstanding the aforementioned, this Agreement may be disclosed to
the parties’ representatives, accountants, attorneys, and advisors and to insurers of Customer,
including excess insurers to and reinsurers of the SIR Program.
17.5 This Agreement shall be binding upon and inure to the benefit of the parties hereto, their
successors and assigns. A party may not assign this Agreement or the services required herein
without the prior written consent of the other party, which shall not be unreasonably withheld or
delayed.
17.6 Except as otherwise provided herein, nothing in this Agreement is intended or shall be construed
to give any person, other than the parties hereto, their respective successors and permitted assigns,
any legal or equitable right, remedy or claim under or in respect of this Agreement or any
provision contained herein.
17.7 A party hereto shall not be deemed to have waived any rights or remedies accruing to it hereunder
unless such waiver is in writing and signed by such party. No delay or omission by a party hereto
in exercising any right shall operate as a waiver of said right on any further occasion.
17.8 Wherever approval of a party is required under this Agreement, it shall not be unreasonably
withheld or delayed.
17.9 The captions are for convenience of reference only and shall not control or affect the meaning or
construction of any provision of this Agreement.
17.10 This Agreement may be executed in two or more counterparts, each of which shall be deemed to
be an original, but all of which shall constitute one and the same instrument.
17.11 The exchange of copies of this Agreement and of signature pages by e-mail transmission shall
constitute effective execution and delivery of this Agreement and may be used in lieu of the
original for all purposes. Signatures of the parties transmitted by e-mail shall be deemed to be
their original signatures for all purposes.
17.12 This Agreement shall be interpreted and construed in accordance with the internal laws of the
State of California without regard to conflicts of law.
17.13 Each party represents to the other that it is authorized to enter into this Agreement and that its
entry into this Agreement does not and will not violate the terms of any judgment, decree or
ruling or any contract with any third party.
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CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 13
TRISTAR AND CUSTOMER CERTIFY BY THEIR UNDERSIGNED AUTHORIZED OFFICERS THAT
THEY HAVE READ THIS AGREEMENT, INCLUDING ALL SCHEDULES AND EXHIBITS HERETO,
AND AGREE TO BE BOUND BY ITS TERMS AND CONDITIONS.
TRISTAR Risk Management City of South San Francisco
By: _________________________________________By:________________________________________
Name: _________________________________________Name:________________________________________
Title:_________________________________________Title:________________________________________
Date:_________________________________________Date:________________________________________
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 14
Schedule A
General Information; Service Period; Fees and Expenses
This Schedule A shall be effective July 1, 2016 and it shall: i) apply to all Claims reported and
all Information Services provided on or after that date, and ii) remain in effect until the parties
agree on new rates.
The terms and conditions of the Agreement apply unless and to the extent modified or supplemented by
the specific terms and conditions of this Schedule A.
A.1 General Information
A.1.1 Retention Level(s):$500,000
A.1.2 Settlement Authority:$0
A.1.3 Reporting Agent(s):
i)for MMSEA reporting to CMS: TRISTAR;
ii)for MMSEA compliance and other related services: TRISTAR’s Preferred Provider, unless
Customer directs the use of a different vendor.
A.2 Service Period
A.2.1 In consideration of payment by Customer of the fees described in Section A.3, TRISTAR will
provide the Services for the periods set forth below (“Service Period”):
Basic Services. TRISTAR will provide Basic Services for each Claim beginning on the date the
Claim is reported to TRISTAR and ending on the sooner of:
i)the date the Claim is closed; or
ii)the effective date of termination of this Agreement in accordance with any provision of
Section 9.
Information Services. TRISTAR will provide Information Services beginning on the Effective
Date and ending on the date TRISTAR is no longer obligated to provide Basic Services as set
forth above.
A.3 Basic Fees
A.3.1 Annual Services Fee.In consideration for the Basic Services and Information Services for the
first three (3) users performed by TRISTAR during the Service Period, TRISTAR shall be
entitled to and Customer shall pay TRISTAR in accordance with Section A.4, subject to any
adjustments made in accordance with Subsection A.3.3, the following annual fees (“Annual
Services Fee(s)”) each year in twelve (12) equal monthly installments (“Monthly
Installment(s)”):
ANNUAL MONTHLY
ANNUAL PERIOD SERVICES FEE INSTALLMENT
7/1/16 to 6/30/17.................$152,800.....................$12,733
7/1/17 to 6/30/18.................$152,800.....................$12,733
7/1/18 to 6/30/19.................$191,220.....................$15,935
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CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 15
Subject to the following:
The Annual Services Fee is predicated on an open inventory of One Hundred Thirty-Five (135)
indemnity Claims (“Indemnity Threshold”). In the event the actual number of open indemnity
claims varies from the Indemnity Threshold by fifteen percent (15%) or more in either direction,
then Customer and TRISTAR agree to negotiate in good faith a reasonable adjustment to the
Annual Services Fee.
A.3.2 Fees for optional services requested by Customer. In consideration for the services listed
below (collectively, “Optional Service(s)”) rendered during the Service Period upon the request of
Customer and in accordance with this Agreement, Customer agrees to pay TRISTAR at the
following rates (“Optional Rates”) in accordance with Section A.6, subject to any increases made
in accordance with Subsection A.3.3, for as long as the Optional Services are provided:
If requested by Customer:
Initial Term:
i)For each additional user in excess of three (3): Seven Hundred Fifty dollars ($750) per
user (“Additional User Rate”);
ii)OSHA Reports: Four Thousand dollars ($4,000) per year (“OSHA Rate”);
iii)Standard Data File (monthly): One Thousand Two Hundred dollars ($1,200) per year
(“Data File Rate”)
iv)Self-Insured Reports: in accordance with TRISTAR’s rates, which vary by state, then in
effect (“SIR Report Rate”); and
v)Customized Interface: on a Time and Expense basis at the hourly rate of One Hundred
Forty-Five dollars ($145) (“Customized Interface Rate”).
The Additional User Rate, OSHA Rate, and Data File Rate each shall be pro-rated for each
applicable Optional Service added at any time other than as of the Effective Date or a subsequent
Increase Date, as hereinafter defined.
A.3.3 Increases due to Material Change in business terms. In addition to the foregoing, Customer
agrees that TRISTAR, in its sole discretion, reserves the right to make adjustments to the Annual
Services Fees, Data Conversion Fee, and Optional Rates (collectively, “Basic Fees”) as it deems
necessary in the event any of the following occurs:
i)a material discrepancy is discovered in the historical data and any other information provided
to TRISTAR by Customer or its representatives that is used by TRISTAR to develop the
Basic Fees and this Agreement; and
ii)there is a material change in the scope of services to be provided by TRISTAR, including the
use of TRISTAR’s Preferred Provider network.
A.4 Additional Services Fees
A.4.1 The Basic Fees shall apply to Services, other than Specialty Services, rendered during the Service
Period for Claims. Should TRISTAR be engaged by Customer to provide any other service,
Customer shall pay TRISTAR for such services, in accordance with Section A.6, on a Time and
Expense basis at TRISTAR’s then current hourly rates unless other rates are mutually agreed
upon (“Additional Services Fees”).
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CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 16
A.5 Expenses
A.5.1 Reimbursable Expenses. Customer shall reimburse TRISTAR for Reimbursable Expenses.
A.5.2 Taxes. Customer shall pay Taxes.
A.6 Payment
A.6.1 Notwithstanding any expiration or sooner termination of this Agreement:
i)the Annual Services Fee shall be deemed fully earned, due, and nonrefundable upon the first
(1st) day of each twelve (12) month period for which it is incurred; and
ii)the Data Conversion Fee shall be deemed fully earned, due, and nonrefundable as it is
incurred;
Optional Rates (if Optional Services requested by Customer and provided by TRISTAR):
iii) the Additional User Rate, OSHA Rate, and Data File Rate shall be deemed fully earned, due
and non-refundable as of the date a new user is added or an Optional Service is provided, and
each subsequent annual anniversary of the Effective Date; and
iv) the SIR Report Rate and Customized Interface Rate each shall be deemed fully earned, due,
and nonrefundable when it is incurred.
A.6.2 All Fees and Expenses shall be payable by Customer to TRISTAR in accordance with Section 5.5
of the Agreement and invoiced as follows:
i)The Monthly Installment, Data Conversion Fee, Optional Rates (if any), Additional Services
Fees (if any), Reimbursable Expenses (if any), and Taxes (if any) shall be invoiced by
TRISTAR at the end of the month in which they are incurred and/or assessed.
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 17
Schedule B
Banking and Funding
This Schedule B shall be effective July 1, 2016 and it shall: i) apply to all Claims obligations, including loss,
indemnity, and Allocated Loss Adjustment Expenses and other Claim-related expenses, and ii) remain in
effect until the parties agree otherwise.
The terms and conditions of the Agreement apply unless and to the extent modified or supplemented by
the specific terms and conditions of this Schedule B.
1.Account for the Payment of Claims and Allocated Loss Adjustment Expense(s)
1.1 All Claims obligations, including loss, indemnity, and Allocated Loss Adjustment Expenses and
other Claim-related expenses, are the obligations of Customer and shall be paid by Customer.
1.2 Customer acknowledges and agrees that the depository bank for Customer funds provided to
TRISTAR for the payment of Claims and Allocated Loss Adjustment Expenses shall be Citizens
Business Bank (“CBB”).
1.3 Customer hereby authorizes TRISTAR to open an account with CBB in trust for (“ITF”)
Customer to be used as the depository/funding account relating to the payment of Claims and
Allocated Loss Adjustment Expenses (“Account”).
2.Duties of TRISTAR
2.1 Any amounts collected by TRISTAR on behalf of or for Customer and any amounts received from
Customer shall be deposited in the Account. Claims and Allocated Loss Adjustment Expenses for
the Claims will be paid by checks showing the identity of Customer that are issued by TRISTAR
against funds in this Account. CBB shall keep records clearly recording the deposits into and
withdrawals from the Account and the balance held on behalf of Customer. When requested by
Customer, but no more than once each month, TRISTAR shall cause CBB to render an accounting
detailing all transactions with respect to the Account, which accounting shall be provided by
TRISTAR to Customer.
2.2 TRISTAR shall collect, process, and report data in the manner prescribed by the Internal Revenue
Service for the purpose of preparing Customer’s 1099 Miscellaneous Income filing with respect
to the Claims and Allocated Loss Adjustment Expenses payments which are the subject of this
Agreement. As respects the Account, TRISTAR shall file required Unclaimed Property reports.
3.Duties of Customer
3.1 Customer shall:
3.1.1 initially deposit in the Account an initial required balance set forth in Exhibit 1 attached hereto
and made a part hereof (“Target Amount”); thereafter, maintain such required Target Amount by
transferring additional funds to the Account at the interval indicated in Exhibit 1 so that it equals
or exceeds the Target Amount. Customer agrees to increase the Target Amount upon request of
TRISTAR, and in an amount to be determined by TRISTAR, within two (2) business days after
Customer is notified by TRISTAR of the amount of the increase;
3.1.2 maintain a minimum balance equal to or greater than Thirty (30%) percent of the Target Amount
(“Minimum Balance”) in the Account at all times. On any day the Account balance is less than
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CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 18
the Minimum Balance, Customer agrees to transfer sufficient funds to the Account within two (2)
business days after it is notified by TRISTAR so that the balance in the Account equals or
exceeds the Target Amount;
3.1.3 transfer sufficient funds to the Account within two (2) business days of receipt of each request
from TRISTAR to cover each obligation for Claims or Allocated Loss Adjustment Expenses
exceeding Twenty-Five (25%) percent of the Target Amount (“Cash Call”) that have been or are
expected to be paid on behalf of Customer;
3.1.4 be liable for and pay any and all overdraft amounts including bank fees and charges and interest
thereon. In the event TRISTAR pays any such amounts on Customer's behalf pursuant to
TRISTAR’s agreement with the Bank, Customer shall immediately reimburse TRISTAR upon
demand; and
3.1.5 except as provided in Section 3.1.4 above, not be responsible for fees charged by CBB to
administer the Customer transactions and the Account. However, earnings or credits earned are
applied toward such bank fees, with the excess, if any, retained by TRISTAR.
3.2 The Customer shall provide such documents, written authorizations or resolutions, in a form
required or acceptable to the Bank, authorizing TRISTAR and/or the Bank to effect the funding
and payment arrangement agreed to under this Schedule B.
3.3 In the event of any dispute between TRISTAR and Customer regarding the propriety of any
request for additional funds as contemplated by Subsection 3.1 above, or regarding the propriety
of TRISTAR's actions in paying or determining to pay a Claim or Claims or an Allocated Loss
Adjustment Expense, Customer shall nonetheless permit or make the payments to the Account
under a reservation of rights so that Customer may enforce its rights with respect to any such
payments or any other matters relating to this Schedule B.
3.4 The Customer’s obligations under this Section 3 have been duly authorized by all necessary
corporate action of the Customer and do not and will not violate any provision of law or of the
Customer’s charter, or by-laws, or require any consent or result in the breach of any agreement to
which the Customer is a party or by which it may be bound or affected.
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 19
Exhibit 1
To Schedule B
Citizens Business Bank Account #: 47035493
Target Amount: $157,000
Funding Frequency: Customer shall fund the Account through the Federal Reserve:
on any day the Account balance is less than the Minimum Balance; and
upon notification of a Cash Call; and
each month.
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 20
Schedule C
Information Services
The terms and conditions of the Agreement apply unless and to the extent modified or supplemented by
the specific terms and conditions of this Schedule C.
C.1 Scope of Services
In consideration of the payment of the applicable fees calculated in accordance with Schedule A,
TRISTAR shall furnish the following to Customer (“Information Services”):
online access to TRISTAR’s claim system (“TRISTAR System”); and
related materials.
C.2 Limited Warranty
TRISTAR MAKES NO WARRANTY OR REPRESENTATION RELATING TO TRISTAR
SYSTEM, THE INFORMATION SERVICES, OR ANY OTHER SERVICES, OR MATERIALS
PROVIDED IN CONNECTION THEREWITH. THE TRISTAR SYSTEM AND MATERIALS
ARE FURNISHED AND ALL INFORMATION SERVICES ARE RENDERED ON AN “AS IS”
BASIS WITHOUT ANY WARRANTY WHATSOEVER. TRISTAR DISCLAIMS AND
EXCLUDES ANY AND ALL IMPLIED WARRANTIES OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE.
C.3 Limitation of Liability
C.3.1 Customer’s exclusive remedy for damage or loss in any way connected with any Information
Services furnished by TRISTAR, whether by breach of warranty, negligence or any breach of any
other duty, shall be for TRISTAR to refund the amount paid for the Information Services, for
which a claim is made.
C.3.2 Customer assumes sole responsibility for the selection of the Information Services, to achieve its
intended results and for the use made and the result obtained. EXCEPT AS PROVIDED IN THIS
SCHEDULE C, TRISTAR SHALL NOT BE LIABLE FOR DIRECT DAMAGES OR SPECIAL,
INCIDENTAL, INDIRECT OR CONSEQUENTIAL DAMAGES, EVEN IF TRISTAR HAS BEEN
ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. WITHOUT LIMITING THE
FOREGOING, TRISTAR IS NOT RESPONSIBLE FOR ANY COSTS INCURRED AS A
RESULT OF THE USE OF THE INFORMATION SERVICES, INCLUDING WITHOUT
LIMITATION, LOST PROFITS OR REVENUE, LOSS OF DATA, COSTS OF RECREATING
DATA, THE COST OF ANY SUBSTITUTE EQUIPMENT OR PROGRAM, OR CLAIMS BY
ANY THIRD PARTY. TRISTAR’S AGGREGATE LIABILITY ARISING FROM OR
RELATING TO THIS AGREEMENT OR THE INFORMATION SERVICES IS LIMITED TO
THE AMOUNT OF FEES THAT CUSTOMER HAS PAID IN CONNECTION WITH THE
SERVICE FOR WHICH CUSTOMER CLAIMS TRISTAR’S BREACH OF THIS
AGREEMENT. THE PROVISIONS OF THIS AGREEMENT THAT LIMIT TRISTAR’S
WARRANTIES AND CUSTOMER’S REMEDIES REPRESENT AN ALLOCATION OF RISK
BETWEEN TRISTAR AND CUSTOMER. TRISTAR’S PRICING REFLECTS THIS
ALLOCATION OF RISK AND THE LIMITATION OF LIABILITY SPECIFIED HEREIN.
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CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 21
C.4 Proprietary Rights
C.4.1 Customer’s rights to Information Services under this Agreement may not be transferred, leased,
assigned, or sublicensed except by written consent of TRISTAR, which TRISTAR may grant or
withhold at its discretion.
C.4.2 Customer acknowledges that the Information Services contain proprietary and confidential
information and materials of TRISTAR which are protected as TRISTAR trade secrets and as
copyrighted works, and which Customer may not copy, modify, or distribute except as authorized
by TRISTAR. Customer agrees not to remove or deface any titles, trademarks, copyright notices,
“restricted rights” or other proprietary legends affixed to or incorporated in the TRISTAR System
or the Information Services.
C.4.3 All systems created or utilized by TRISTAR in the performance of activities under this
Agreement shall belong to, and shall remain the property of, TRISTAR and its affiliates, and
Customer shall have no ownership interest therein. The term “systems” as used herein shall
include, but shall not be limited to, computer programs, computer equipment, formats, risk data
report formats, procedures, documentation and internal reports of TRISTAR and its affiliates, but
such term shall not include Claims File Information.
C.5 Internet Use
Information transmitted and received through the internet may be neither secure nor confidential
and TRISTAR cannot and does not guarantee the privacy, security, authenticity, and non-
corruption of any information so transmitted or stored in any system connected to the internet.
TRISTAR shall not be responsible for any adverse consequences whatsoever of Customer’s
connection to or use of the internet, and TRISTAR shall not be responsible for any use by
Customer of Customer’s internet connection in violation of any law, rule, or regulation or any
violation of the intellectual property rights of another.
C.6 Privacy
C.6.1 In the course of providing Information Services, TRISTAR may provide to Customer or Customer
may gain access to or generate personally identifiable, financial and/or health information of
consumers, insureds or claimants which may include confidential information (hereinafter
collectively “Protected Information”) which may be subject to federal, state and local laws.
Customer acknowledges and agrees that it (i) shall at all times comply with all federal, state and
local laws and regulations applicable to Protected Information and (ii) shall only use the Protected
Information for the purposes for which it was provided under this Agreement and for no other
purpose. Except as permitted by applicable law or as necessary to carry out its obligations under
this Agreement, Customer shall not disclose, license, sell or otherwise transfer Protected
Information to a third party.
C.6.2 Customer shall immediately notify TRISTAR of any violations of any such law or regulation
applicable to provision of services under the Agreement or of any complaint or judicial or
administrative proceeding initiated concerning any actual or alleged violation of such law or
regulation. Notwithstanding the termination or expiration of the Agreement, Customer shall
comply with this Section 6 with respect to all Protected Information in Customer’s possession or
in the possession of Customer’s subcontractors or any other third party over which it has control.
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 22
Schedule D
Preferred Provider Specialty Services
Schedule D is effective July 1, 2016 to June 30, 2018. These Preferred Provider Specialty Services fees are paid as
Allocated Loss Adjustment Expenses or, where required by state law, as loss.
Bill Review Fees
a) For medical treatment and pharmacy bills reviewed to the Official Medical Fee Schedule or Usual
and Customary database:
The fee is $8.50 per bill.
b) For medical treatment and pharmacy bills that belong to the PPO:
The fee is twenty-five percent (25%) of the PPO savings.
c) For IMFS (Inpatient Medical Fee Schedule):
The fee is $100 per bill of savings.
d) For Specialty Bill Review reductions:
The fee is thirty percent (30%) of savings
Case Management Fees
Utilization Review:In Patient - $95.00 per hour (includes review of treatment guidelines
for appropriateness of care including length of stay and need for
assistant surgeon; directing into PPO and confirmation letters)
Out Patient - $95.00 per hour (includes review of treatment guidelines
for appropriateness of care, directing into PPO and confirmation
letters)
Telephonic Case Management:$95.00 per hour
Field Case Management:$105.00 per hour, plus expenses
Peer Review:$200.00 per hour for record review without MD discussion
$250.00 per hour for record review with MD discussion
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 23
Schedule D
Preferred Provider Specialty Services
Schedule D is effective July 1, 2018 and is subject to change from time to time thereafter without prior notice.
These Preferred Provider Specialty Services fees are paid as Allocated Loss Adjustment Expenses or, where
required by state law, as loss.
Services Fees
Medical Bill Review:
Provider/Ancillary Bill Review $8.75 per bill or $1.50 per line (minimum 4 lines)
Hospital Bill Review (in and outpatient)12% of savings
Implantable Device Review 27% of savings
PPO/Pharmacy/DME 27% of Savings (all savings are post fee schedule or U&C)
Specialty Bill/Out of Network Review 30% of Savings (all savings are post fee schedule or U&C)
e-billing $1.00 per bill
Historical Bill Review Conversion $750-$2000 One Time Fee at Implementation
Duplicate Bills
Duplicate Line Items
Monthly Savings Reporting
No Charge
Utilization Review:
Pre-clinical review $22 per pre-clinical review. Fee waived if case proceeds
to utilization review
Pre-Certification (In- or Out-Patient)$140 per pre-certification
Concurrent Review
(Review during hospitalization or outpatient
treatment, as treatment progresses to ensure
duration and type of treatment meet
appropriate guidelines)
$125 per hour.
Peer Review:
Level 1
(Includes review of medical records and
communication of decision in writing to all
parties)
$250 flat rate for peer review of episodes of care
identified on medical bill review.
Level 2
(Includes review of medical records,
discussion with treating physician and
communication of decision in writing to all
parties)
$295 flat rate when assigned by a nurse case manager
following case manager file review, or receipt of a referral
by adjuster for review.
Enhanced Intake and Nurse Triage:
Enhanced Telephonic First Notice
(Operator service by medical assistants.
Injured employee and/or supervisor calls to
report claims, assistance with PPO direction,
questions and referrals. Optional integration
with nurse triage services.)
$20 per intake call (waived if call moves to triage)
Telephonic Nurse Triage
(Nurse aids injured worker in self-
treatment or sets up appointment with
appropriate provider utilizing medical
triage guidelines/follow up calls)
$120 per intake call
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 24
Nurse Case Management
Telephonic Case Management $105 per hour
OR Duration Based
First 30 days $370 per claim
Second 30 days $285 per claim
Each 30 days until closure $200 per claim
Field Case Management $105 per hour*
*plus Mileage at IRS mileage rate
Field Case Management - Tasks One time visit to provider $475 plus mileage
Two visits to provider $750 plus mileage
Medical record retrieval $135 plus mileage
Job Analysis $475 plus mileage
Catastrophic Case Management
(High level of RN interaction with
immediate response to significant injury,
e.g. severe head injury, severe burns,
gunshot. Available 24x7)
$150 per hour plus mileage
Other Services:
Special Investigations Outsourced, at cost – typically $85 per hour
Central Index Bureau/OFAC/CSE $15 per report
Claim Reporting: Telephonic $20 per report
Claim Reporting: Fax or Internet $10 per report
MMSEA Reporting $10 per claim
Mileage IRS allowance rate
TRISTAR
CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 25
Schedule E
Utilization Management Services
The terms and conditions of the Agreement apply unless and to the extent modified or supplemented by
the specific terms and conditions of this Schedule E.
E.1 Description
E.1.1 Utilization Management Services is the evaluation of requests for treatment and/or procedures by
determining the medical necessity, appropriateness and efficient of the requested services.
E.1.2 Utilization Management Services may include pre-certification and concurrent review which shall
be performed in accordance with the regulations of the pertinent state, as well as under the
guidelines of TRISTAR’s written policies and procedures and URAC guidelines. TMC’s policies
and procedures will meet all state statutes and regulations for workers’ compensation. Telephone
access, hours of operation, level of reviewers, peer review services, time frames and letters may
all be specified by any one or more of the following entities: (i) URAC, or (ii) applicable State
Department of Insurance.
E.2 Scope of Services
E.2.1 TMC will perform Utilization Management Services, which may include the following. TMC
shall:
i)Provide qualified health professionals that operate and complete utilization reviews during
normal business hours;
ii)Employ a credentialed staff of health professionals to perform utilization reviews;
iii) Perform reviews following the prospective requests for review or after the injury to
determine medical necessity. Utilization management that is conducted prior to an injured
workers admission is considered pre-certification. Concurrent reviews occur while treatment
is being delivered to an injured worker. This review assesses the patient’s condition while in
the hospital or for outpatient treatment(s) and/or procedures. Concurrent or prospective
reviews are conducted within five (5) days from the receipt of the necessary medical
information, but in no event more than fourteen (14) days from the treatment
recommendations;
iv) Perform expedited reviews when a) the injured worker faces an imminent and serious threat
to his or her health, including but not limited to the potential loss of life, limb, or other major
bodily function, or b) the normal time frame for the decision-making process would be
detrimental to the injured worker’s life or health or could jeopardize the injured worker’s
permanent ability to regain maximum function. An expedited review will not exceed
seventy-two (72) hours after receipt of the written information reasonably necessary to make
a determination;
v)Complete retrospective reviews at the request of TRISTAR or Customer. Retrospective
reviews must be requested within thirty (30) days from the receipt of all medical information;
vi) Provide peer review services through independent IRO’s that have achieved URAC
accreditation. Any treatment requests that do not meet URAC guidelines cannot be
authorized by TMC and must be referred for peer review. The peer reviewer will review the
information from the treating physician and may contact the provider directly for additional
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CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 26
information. If the peer reviewer agrees with the treatment plan, a recommendation to certify
will be issued and sent to TMC. If the peer reviewer still finds the treatment not within
guidelines, a letter to not certify is issued to the appropriate parties; and
vii) Offer a process whereby an injured worker or provider on behalf of that injured worker may
contest an adverse determination. In order for TMC to respond appropriately to a wide range
of appeal situations, TMC will provide the injured worker and provider with the required
information in order to complete the appeal process.
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CITY OF SOUTH SAN FRANCISCO (9-26-18)Claims Services Agreement - page 27
Schedule F
Case Management Services
The terms and conditions of the Agreement apply unless and to the extent modified or supplemented by
the specific terms and conditions of this Schedule F.
F.1 Description
F.1.1 Case Management Services, which are provided in order to achieve quality healthcare services
and contain costs, begin with injured employee identification and referral, examples of which
include catastrophic injuries or illnesses, injuries associated with invasive treatment (e.g.,
Surgery), and individuals at risk for non-compliance with treatment.
F.2 Scope of Services
F.2.1 TRISTAR, TMC will perform Case Management Services, which may include the following.
TMC shall:
i)Perform a thorough assessment of the injured worker’s situation;
ii)Develop a case management plan including specific, measurable goals that focus on meeting
the injured worker’s needs through utilization of appropriate resources;
iii) Work with all medical service providers and coordinate activity in order to provide the best
response to treatment;
iv) Offer treatment recommendations utilizing nationally recognized evidence-based treatment
guidelines such as Official Disability Guidelines (ODG), American College of Occupational
Environmental Medicine (ACOEM), the Medical Treatment Utilization Schedule (MTUS),
or other evidenced-based guidelines to ensure a cost effective treatment plan is in place;
v)Establish a target date for return to light and/or full duty in coordination with the Customer;
vi) Monitor treatment provided to an injured worker to ensure quality and appropriateness; and
vii) Close case when goals are met and the injured worker has improved medically.
CITY OF SOUTH SAN FRANCISCO
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