HomeMy WebLinkAbout80-001, - ,.
' Cafi!'orni~ Sta~c 1)ep:,rimcnt c~f l:ducation ~~ ' '
. Stale A~cney !'or Sur~lu~ Nrn;~crty • •
7Z1('aPi1~rlAfail.Sacr:nnrnt~i,CA 95814 •
tiA5!' 1•nnn h<r. 2p2 f l~1-77) . ' ,
~~~'~~~7~~~~~~~5.~~[~:'1 . - . .
• ' R~50LUTION I30. 80-1
"BC IT Rf:SOI.VE?1~ hy t}ie Governing ~3oard, OR by the Ckticf rldministrati~~e Df~icc: of lf~osc oraanizations «~ich do not
ha~~e a gover~Si»g board, and hcreby orc~crzd tft~t the oftici:~l(s) actd/or employec(s) wliose name(s), zitic(s), and •
sign~tu~c(s) arc listed below slial] be :~:ic] is (ar~) }sereby autflc~rized as our regresentali~re(s) to acquire Ecderal surplus
pro~,crty fa~orn t~ic Cali~ornia Statc Age3t~y Car Sur;alus 3'rogcs~fy uncier tl~e 'Ferms and Conditiasls listed on thc reverse side
' of this forn~." ~ , ~ . , ,
' NAtitE TI'i'i.F: . ' SfG~l~TUEi~
. (Prirtt or type.} . • n /} ., , /1 ,. -
Clifton C. Mickelson ~ Countv Administrat3v~,S~~
Tt~omas ~.~ 5truthers Purchasing Off'~Pr~ ~
~L.'.~. B'rad~ield Bu er III -
~'J1SSt;~ f'~\~I~ 11D0~'T'F.i~ Ehis 8th day of Januar ,! 9~_ , t~Y th~ C~o'~CCI]][ln F3oa:-cI of_
~ Butte Count California -
by ih~ fo~lowif~~ voic: 11ycs:_~...__; \c~cs: 0•, AUscs~t:_.~_.._. . ~
/,_ CI~ARK A. NELSON ~ ~_ : C'!r•r~ r~J'!lrt~ (;u~~i~rlrilr,t l~uurd ~J
" COUNTY OF Bi1TTE _cl~~ !rc-rcl~~• r•a~r~iJi~ !lrul rllr J'r,rc'~;u111~,~ i.c u J'rrll. lrrrr. urtc!
cv~rrc~rl C'r3J3S~ r~J' cz rc~sultrfru:r udr,~~lrcl !~r 11rc 1lnurcl ul a zegular r~rrc•li»~ !lrrr~c•uJ~ l~c~lcl u~ i1s rc~,Srrfur ~~lrrcr uf
rrrc~elrrig al 1hc~ clulc~ ulac! hy 11rc° i•r~1c~ a1,r~r<• slulrcl, titi•lrir•I1 rc.sr,ltrrir~ti is ~,1~ frfr rj~ thc~ r~JJtc•r r~f~ t!!c Isr~rtrd.
• ,(aTTES'F:' CLARK A. NELSON, COUN~'Y CLERK-
Coun.ty of• Butre ~ gECQRDE•R and ex-o£fi.cio Clerk of
h:,,,~••~~~~~r~.~~~~~~~~~~° - the But Count Board of Supervisors
' . 25 County Centex Drive _ •
1[~3[in,; sJcSir>. . _
OrovilTe Butte 45965 l~~`~~~~~~1 ~ : ~.__.
I C9ty Cuunsy 111' c~>d~ , ,
~~ " ~ . . .
AUTtIOKI'LCD this day of
Nam<<~1 ~fii~'1 rc~minislsali~~cullic~r
Namc ut ut~ani~.al'sun
rlailin~ adJress ~
, ~ 9 , by:
~-~u~
~ S1~,t]C(j ]
' Citp - ~ Cuunty -- Z1P codc
~ . . ,
lifornia S'tato Department of Educatian • . `
~te R~en~' ~oi•Surplus Praperty - 3TATE OF CALIFORi~1IA ~ .' .
1 CaplitoE 11'lail, Sacramento, CA 95814 . . .+
,sP Forni I~o. ial (laa7> APPI-iCATiON FOR ELIGiBiLITX .. .
. FEDERAL SURPLUS PERSONAL PROPERTY PIt~GRAM ~ .
fare preparing this apPlication, please read car~full}c the dsfinitions given under Part B. FiIl out all appiicable sections. . ~ ^
rtA. ~ County of B~t~e ' Telephone ~916)534-42b1
g59 5
ga! rsame of orgagixation Orovi3.le County $utte Z3P
idress Adm~n~.stration Center City
25 Cou~ty Center Drive
ppplication is being rr~ade as a(please check one) (a)1'ub~ic agency ~7 or (b) Private, nonprofit and tax~xempt educational or public
hea~th arganizatioa ^. Please provide evidence t,hat the ore~nization is a public agency or enc~ase a copy of the letter or certificate fron
the LTni#ed States Intemal Revenue Service evidencing tax-exempcion under Section SOI of the Internal Revenue Code of 1954.
Check type of a~ertcy or organization and attach a supple ~4 ~ti nsis pe 1uLjeidn~a~sFa~ ~u ationalinstitut ons~ nc~deaa de crip ~o
private, nanpro~t organizatians, the fotiewing addrrtoiral i q
of the curriculum, tha number of days in the schaol year, arrd the number and qual,i#`ications af the faculty or staff; {b) If a public healt~
institutian or organization, include a descri~tion af the health services offered, quali#"icatiorts oF staff and, if applicable, the r~umbcr a
heds, number af resident physicians, and numi~er of re~stered nurses an the s#aff. . _
PUBLIC AGEI~rCIES: Check either state ~ or lacal ~
~ ^ Conservatioa ~
^ Ecanomic development .
^ Educaiioa •
- Grade level ~ ~
~ . (Pccsci~aa~, univc.r.atY)
Enroilment . • '
Na: of schaol site5 . ~. _
- ~ ^ Parks and recreation , ~ ~ ~ ~
^ Public health • ' ~ . • . ~
^ Public safecy " ~ .'
' C~ Two or more of abo~e
.p Other (specify) .
T1pI~Ip~tQFIT IN5'FITU'TI~I~T OR ORGANIZATIaN:
^ Education _.
Grade Ievel ~
(Yreschooi, university)
Enro~lmes~t .
Na. of school sites ~
C3 5chool far the mentally or p~ysicaliy haadicapped .
^ Educational xadio or televisian station -
~ Muse~sm. ' ~ ~ ~ ~ •
• ' ~ ~ ~ Library . ~
~ ~ p Medical institutioa .
^ HospitaI . ~ . ~ .
^ Hea~th center , •
~ Clinic ~
^ Other {specafy}
3. Check if #he applicant pragram is approved ^; aceredited ^~ ; or licensed ^. ~nctase eviden.ce of such approvai, accreditaiion, c
Iicensiag. If the applicant Iaclcs evidence of forrnsl appcoval, accreditation, or licensing, et~eck heie ^ and refer ta the enctase
instxuctions. ~
4. Are the app~icant's senrices available to the pub~ic at iarge? Y~s . I#' anly a specified gzoup of peopte is sezved, p~ease indicate wt
camprises this group. ~
5_ Checklist of attachments submitted with ii~is application: , ~ °
^ Evidence that applicant's program is a public a~ency or exempt from paYing taxes under Section 501 of the 1RS Code of I~54
0 Description of pragram operations and activities
^ Evidence of approval, accreditation, ar Iicensing or information subrrutted in Iieu ihereof .
[~ SASP Farrt No. 202, "Resolution," prflperly signe~~ onal~roliertrepresentatives aushorized to bind ihe agplicant to tf~e terms a
canditians ga~erning the transfer of federai surplus pers p p Y .
~ SASP Fosm No. 203, nondiscriminatian cojnpli3nce assurance ~ . .
~l Statement coneerning agQiicani's needs,~resources, and abzlity to utilize the propezty
^ Other stacerr~ents or documentation required, as specii'~d in the instructions, fo ~ertain categorzes of applicants.
Date:~~ $0
FOR STAT~ ~ AGENCY USE
, purchasing Officer
AppIicatian appraved• ~ - _ Application ciisapproved: ,
Commencs or additional information: . ~
r,_._. Signed: .,:__..«,..
~ri B•-
DEFINI'FIOPt5
~~~pt~; Approval by a recognized accsediting board or
,s~oeiation on a regional, state, or aationai level. such as staLe baard •
rf education or heafth; the Amesican Hospital Associa~tion; a
~giattal ar naiional accrediting association ~or universitics, colleees,
~t secon~ary scE~oots: or another ~ecoitnized 'accrediti~g assoc~cion.
i[pproved: Rccognitioa and approval by [iee St~te Depaitment of
E3ucatian. State Dep~rtrnent oC Hea[tt~, or other approQria~e
tuthosiry. 1Vith respect to an educatianal insti~ution, approval must
eelate w academic or instructional standards. Ar~ edacacionai
iestitution may be considered as approved if ets credits are accepted
by acciedited or state-agQroved institucions or if it mests the
a~adamic oz irutructional standatds prescribed tor public schools in
the state.
Child ccre eenter: A gublic or nonpro~t facitity whece day case
secvices such as educationai, social, heilth, and nutritiaaal services
aie provided ta childeen throueh age I4 and which is approved ar
licensed by the state or other appropriate authocity.
Cl~nic: An apptovcd pubiic or nongroi3t facility o~ganized and
opesated for lite pzicnarY purpase ot providing autpatient public
heai[is ser+ricas including eustomary reEated services such as labara-
tocies and treatrnent roams. "
College: An appro~ed or accredite~ public ar nonprottt inst'siu-
ts~n of hi~er learning o(fcring organ~ed study courses and credits
leading to a baccalauseate oc hi~h~t cEc~ree. "~
Conservati~n: A Program ur programs carcied oat ar promoted by"
= public apency far public purposes invotvinc,directly or indirectly;
She ptatecEion, maint~nartce, deveiopmenc. and cestoration ai t[~e
statura! resources of a given poiitical arc:a. These xesources includ+:
but ace iiot limited ta tt~e ai[, land, forests, water, iivcrs, sire:cros,
•Ia9ces ancf ponds, mi~eraEs, and animals, fish, and otlt~i w'ildlife.
~ca:oenic development: ~ pro~rarrt or pro,rams cariied out oc
pcomoEed by a public agency for public purposes Khich ir-voi~e~
dircetly ot ind'uectiy,eifor~s to improve the opportuniiies oF ~ Givon
poiitical area fo~ the successi'uf establishment or exQansion of
industrial, commerci3l, or agricultutal p~ants or faci~i[ies and wE~ich
~otherwise assist in the ereation of long term;rnpEoyment o~portun-
iiies in the area nr primarity benefiE the unemployed or those with
- IOW 1riCO7F]l:5. ' ' ~
-~ Edurdtfonal ir~srin~tion: Ar+ otherwise;aligible pubtic~ot~onPro~t •... •• <~
.institutian, facility, enticy, ar organization conducting educatianaE
~programs, [ncluding rescarch far any such pro^ran~s, suc~ as a chilr!
care center, school. colleye, univeisity, school for the asentalky or
physically hand'ec:~pped, educationai I~~iO or television statinn,
muse~nt, or library. -- ~ - - - ~
Educalioncd ~adio staTions: r~ radio station licenscd by the
~ederal Communirations Comntission and op~taEed e~ciusiveEy far
noncommerciai educatianal p~rposes and w~ich is public or
nonprofiE and tax exarnpt uadcz 5ection 501 of the lnccrnat
Revcnuc Code o!' 195~F. .. ... - •-~ - - '
~'ducQfrarra! televisron statioir: A televisio~ st~Uon ]icensed by the
redera! Communicatinns Comrnission and operated exdctsivrly for
nonco~nmercial educacional purposas and whi~h is public or
nos~pzofit and ta~ exempt under Scction 501 of thc In[cinal
Revenue Code of 1954.
fleafth center: An a~proved public ar nnnorofit Facitity utilizrd
- by a health uniE fot• tlie ptotision of pub~ic hzuitki services, inciudin~
ielated faeifities suci~ as diagnostic and laboratbry facilities ~nd
clinics.
flaspitul: An approved ar accredited public or nonprofit institu-
~. tioe providing pubiic health services primaci[y tor iR~atient inedical
nr surg9cai care of the sic~: and injured, including. relaced facilities
such as labotatories, outpaiient departrnents, training facilities, and
staff ofCices.
Lpbrvey; A pubiic or nonprofit facility praviding libs~ry services
free to a!1 residents oC a comntunily, district, s[ate, or ~ecian.
hlediea! insiitWron: An otheiwise eli2ible publi~ or r-onprofic
institutian, faci[ity, ea[ity, oc or~anization the primary Fu~tction of
~~which is the•furnashing of h~ai~h and' incdica~ scrvices ta tha public
at large or pcomotinc puhlic hcaiti- ttirou~h the conduct of rese~rch
for any such purposes, e~~~~simcnts, tsaining, or demonstz:~tions
~elated to the cause, prevencion, and methods ol' dia~nosis and
treatment of diseases and irtjuries. Thc te~rrt in¢tudcs but is not
limited -to hospitats, clinics. aEcaholic aad druL abuse treatment
' centecs, public heatth or treatment cencers: reseazch ~ and• health
oenters, geriatsic center labot~tories, medic:sl sc3coois, denta!
~
~y
schoois, nursing s~hoois, and similar institutians. '~he term daes ~ot .
inciuda institutions primariiy engaged in domiciiiary care a.ithougha
separaie medical facility withirs such a domitiliarY instiiution may
qualify as a "medicai institncion."
t~fuseum: A pablic or nonprof t Caciiity which is attended by ttie
public free or at a nomina.~ charge and u•hich provides museum
services inciudirtg the preservation aad exhibition of ariistic, .
ce~l;uxal, hisiorical, ai scien[iFc objects.
Nonprofit irrstitutio~: An edncaEionai ac public health institution
ar organ~atios~, no par~ of the net earnings of which inures or may
lawfulfy inure to the lxnetit of any prrr'ate shaxeho[der or individual
aad which hxs been held to be ta.~c exempt c+nder the provisions oC
5cction SOl oF the Intzrnal Reve~ue Code of 1954.
pdrk and recreation: A program or pio~rams carried aut or .
prornoEed by a public agency for public purposes which invnlve
d'uecciy or ind'uectly the acquisitian, deveEopmcnt, improvemes-t,
snaintenance, and protection oF patk and reereational Cacilities fos
t3~e residen[s oC a given pal's~icaE asea. "fhese facilities incEude but are
not Eimited to parks, playgrounds and achletic tieids~ swimming
pools, goif courses, nature faciiities. and nature traiis.
' F~blir agericy: Any state• any poEiticaI subdivisian thereof,
including any unit ot ~ocal eavernment or economic development •
dist~ict; any departmcnt, avency, instrumentality chereof, inciuding
instrumcacaiities create~i by compacL oc otf-er aeieesnent hetween a
state and another state, a political~s` b~lisuaht to ~state1 law,1or any
~ substate .districE estableshed 6y p
Indian tribe, band, group, puebla, or community located on d.state . ,
ieservatiar-. •
Pu6lic litafth: A pro~sam or proera~ns co promote, maintain, and
conserve the publ'sc's hea[th by providing health services to
individuals and by the conduct of reseaicti, inr•estigatiuns, axamina- - -.
tian, training. and dzmonstsations. Pubiic heaith services ~ztay .
inciude but are not limited to irnmunezation, rnaterna! and child
he•rith psoerams, senitary engincerin~, sew•a~e treatmen[ and
disposal. sanitation inspection and supesvision. ti~•ater p~rificatian °.
and distributiaa, air po[lution conEinl, ~arbage and lrash dispossi,
the cantml :irvr~ eEimin~+'te~n nf disFa~e-carsy~ng anjmals and insects, ~-
and the contral of cumrnunica~le diseases. :' ~ •~~ ~.
•~f'ublir safetv: r1'progr;IFn o~ ~+roprams carried out•or:~xomated by -•.~ ~•_-~~
a publit ages,cy for public purposes irtvolvine. dire~tly or indirecily, ~.
the grotc:cUOn, safety, and la~v eni'o~cemcnt activi[ie~ and the
criminaI justice system of a sivcn polit[cal area. Public safety .... ,
programs may include buc are not [irnited to those carried out by
- public poli~e d4p~r[n~ents., slicriifs' oifices, shc covrts, pcnai ancE.
correctionaE institutions including ju~•enile laciliti:s, state and ci~•il
defe3isc orcanizations, ~nd fiee d~parCments and ~cscuc squads
iricludino vohinteer Eiee dc~srtnients and reseue squads suppoTted in
whoEc or in parc ~vith pul~Eic funds.
. Schnol (e~cept schools for tkie mentafty or pt~ysicauy h3ndi- . .
capped): A public or nonprotit, approved or accrec~ieed or~:~nixa-
ti~~nal entity devoted prin~~riiy !o appFO~'ecS academic, ~•oc~tional, or ~•
professional siudy sncE instruction. ~~hich operases p:imari~y For
educationak pur~oses on a Fuil-time basis Eor a minimun~ scliaol year
and employs a full-time siaif of Q~alitiee~ns~[~r Fac~ility oz institution
Schoof for 1he mentafly handicapp
operated psim~rily to provide specialized instruct9on ta sse~dents ot'
limited mcntal capacity. !t must bc public ar nunprot~t anrl mast
aperale on r full-tinzc basis lor thc equir•a[en[ of a mir.i~num schooi
ycar prescribcd foi public schno! insuuction of the mentaiiy
handicapped, h:~~'c a stali oC qua[iCed instrucrors, and demonstrace
that th~ facility maets stat~ a~d locai heaith an~ safety s:2ndards.
5~laool for thc playsicall~• harrdrea~ped: :~ school orcanized,
primarily to - pro~'id~ specialized insirucsion to studcnts ~~•hose
physical handicaps necessetata individual or group in~truction. The
' schools must b~ public or r~onpcofic ~nd operate on a tu31-[imc basis
for the equi~•~lr.ni oF a minisriurri schooE yeai p:~scribzd fai pu4Eic
scE-ooi instruction for ~he physically handicarped, r~4e a stuft af
qualified instrucEors, and demonstrs~e zEias the facility:meecs-stxte;~ ,r: i
and local health and satety startdards.
Tax•supAorted argarrrzation: One u~hich recci~es a ma7or portion
of its firz~nciat support from moneys derived from state or iocal
government reven~es.
Unie•enity: A pablic or nonpraf t, apQIOVCd or aeeseditcd
institu~ion of.•hicher educatian empa~vered to confer degrees in :
spcciai drpar[ments at col[eges. ~
~taCe Agency for Surplus Property
SASP Form No. 203
(~a77) ~.
A'SSUkt~.NCE OF COMPL7ANCE WITH GSA REGT3LA'~ZONS UNDER T~'1'~E V~
0~ ~fiE CIVIL R~GHTS ACT OF 1464, SECTION 60b dF TzT~E V~
OF TH~ ~'EI]ERAI, PROPERTY AND ADMIN~STRATTVE S~RVICES
~1CT Ok' 7.94~9, AS .AMENDEA, AND SEG~~ON 504 Q~` ~HE
REHA3~L~TATION AC~ ~r 1473, AS AMENDED
Caunty of But~e ,{hereir.after ca~~.ed the "donee"},
(Nar~e a~ donee arganiza~i.cn} . ,
H~R~~3Y AGR~ES ~AT the program for or i.n connection with which any property is
donated to ~he rlaitiee wi11 t~a conduc~ed in. cor~pliance witi~, and ehe do~.ee wi.11
comp:y with and wi.J.~ require any other perspn (ar_y i ega], en.~ity) who t.~rou;h
contractua~ ox athe: arrangeme~.ts w~~h ~he donee is authorized tc p~ovide ser- •
vices or bene~its under said pragra:~ ta comply w~.~h, a~ 1 requirer~er_ts Lm~osed
by or puxs~ant to ~he regu~at~ ons of ~he General. ServicPs Administ~a±-~c;~
(41 CFR 3.OI-b.2) issued under thc prov~ sion~ of Ti~-e tJ~ o: the Civi.l ?Za.g31~s
Ace of 1.954, Section 606 0~ ~i~'!c V?' of rhe Federa3~ P~opert~> ar_d Admirc=s~ra~.ive
ServLce€~ Ac~ a~ 1949, ~~ amendec?, a~.~ Sec~ian 5~4 of th~ ~~e;~ab~.~.i~G~io: Act of
1973, as am~.raded, to t~c e:id t'Ra~ no persoa ~.n the Unit~c: 5~a~es s~~al.~. an `~~e
grau~cl o~ xac~, co3oy, natioral. arigzr., or sex, o~ ~l-:ar na other~~t~se qua?i~ie~ ,
handic7pped ~ersan sha~.1 sole?y by reason. af tl~e har:c3zc~p, be excluaed ~rom
~artic,~~a~ian in, be deni.e~ t?--e bene£iLs of, or be s~abjer,t:.ec~ ~o di.scx~.r~i_na~ic~
undex any pragram o~ act:~v~~y ~or ~•,:~~ch the donee receiv~~ ~ ed~~'a1 assisCar.ce
fzon~ ~t:~e Gene,:aZ •Serv~.ces Admiaistration; and H~Rk:~Y GIVES ASS~J,.~t'~?rC~ Tf3~4"' it
wi~~. i.~mediateAy talce any ~ea~ures n.ecessary i.o efiec~Late ~h.ti s a~;~eY;~ent.
Tn~ c~~~~ee ~urt~e~ agrees Lhat tY~is. agreeme~.~ shz7.~ b~ subjeci.: i~: a'sl sesrects
to ~ize provisiar~s af said re~u~atzons; ~1~aC t;~:.s a;reemeni sa~~l o~liga~e ~he
dor_eF: ~or ~he peri~d dur~~g ~aizich it :etai.~.s owne~ship or poss~ssior. of any
such praper~.y; tha~ t~~e Un~,~ed Sta~es shal.~. have ~;~~ r~gtz~ to seek jud~cia~
anforcemen~ o~ this agreemen~; and, tl~is agreemer:t sha13. be ~inciikzg u~o:z ~ny
successor ir, in~e~es~ of the don.ee an.d ~l~e word "cionee" as used 'n~~e~r. inc?udes
ary such successor in in~eres~,
January S, ~.980 ~T Caunty of Be~tte ,~ .---
Da~ed Donee Qr a..' a4;.or~
~ . ~~~
I
_ ~
~~
(~~/ ~a_rman ok tt~~e ~oarci of Superviso
~ ~~~
County of Bu~te
25 Caunty Cen.~er Drive
Orovil].e, CA 95965
Donee Mai.l.zng ~ddress