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HomeMy WebLinkAbout2004-06-07 City Council (14)City of Palo Alto City Manager’s Report TO:HONORABLE CITY COUNCIL 8 FROM:CITY MANAGER DEPARTMENT: UTILITIES DATE:JUNE 7, 2004 CMR:271:04 SUBJECT:ADOPTION OF A RESOLUTION OF THE COUNCIL OF THE CITY OF PALO ALTO AUTHORIZING THE EXECUTION OF A DIRECT PAYMENT SERVICES AGREEMENT WITH THE STATE DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT - HOME ENERGY ASSISTANCE PROG1L&M RECOMMENDATION Staff recormnends that the City Council adopt a resolution authorizing the entering and execution of the direct paylnent services a~eement with the State Department of Community Services and Development (CSD) - Home Energy Assistance Prouam (HEAP) to memorialize the City’s participation in the State funded pro~am. BACKGROUND The City of Palo Alto has offered low-income families energy assistance since 1981 by working with the State to participate in HEAP through the development of the City’s Low Income Home Energy Assistance Program (LIHEAP). The City has an agreement with the State of California for the State to provide direct credit to the accounts for low- income energy customers that have been identified by the California State Department of Community Services and Development (CSD) as payment recipients under the CSD Low-Income Energy Assistance Prod’am (HILEAP), which includes the Home Energy Assistance Pro~arn (HEAP). DISCUSSION In October 2003, the State made changes which affect all public utility companies beginning with the new conta’act term of July 1, 2003 through June 30, 2006. The most significant change within the direct payment services ageement is the requirement for public utility CMR:271:04 Page 1 of 2 companies to provide a copy of a resolution, motion, or ordinance authorizing both the entering and execution of the direct payment ageement. The contract provides the means for low-income families who meet federal poverty guidelines to receive energy assistance by means of a direct credit. The State will provide the City with a printout or transmittal that lists applicants determined eligible for assistance and the amount of assistance. Payment, in the form of a State wan’ant, and a direct payment summary, will be sent to the City which will represent the total amount of benefits contained on each transmittal. RESOURCE IMPACT The contract is a $0 agreement and continuation represents no resource impact to the City. POLICY IMPLICATIONS This recommendation is consistent with the Council approved Utilities Strategic Plan Strategy No. 4; to deliver products and services valued by our customers. ATTACHMENTS A: Resolution B: A~eement PREP.~RED BY: Dee Zic Administa’ative Assistant DEPARTMENT HEAD: ~f Utilities CITY MANAGER APPROVAL: Assistant City Manager CMR:271:04 Page 2 of 2 ****NOT YET APPROVED**** RESOLUTION NO. RESOLUTION OF THE COUNCIL OF THE CITY OF PALO ALTO AUTHORIZING THE ENTERING AND EXECUTION OF THE DIRECT PAYMENT SERVICES AGREEMENT WITH THE STATE DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT -HOME ENERGY ASSISTANCE PROGRAM WHEREAS, the City of Palo Alto ("City") offers low-income families energy assistance through the City’s Low income Home Energy Assistance Program ("LIHEAP") ; WHEREAS, the City wishes to enter into a direct payment services agreement, whereby the State Department of Community Services and Development Home Energy Assistance Program wil! provide zero dollars to the City to defray the cost of providing energy services to low-income families; WHEREAS, the State Department of Community Services and Development requires the governing body of a municipa! utility to authorize by ordinance or resolution the entering and execution of the direct payment services agreement and designate an individua! who is authorized to execute such agreement on the City’s behalf; NOW, THEREFORE, the Council of the City of Palo Alto hereby RESOLVE as follows: SECTION I. The Council hereby approves and authorizes the City to enter and execute the direct payment services agreement with the State Department of Community Services and Deve!opment in connection with its Home Energy Assistance Program. The City Manager is hereby authorized to sign the agreement on behalf of the City of Palo Alto. // // // // // // // // // // 040512 cl 0072371 ****NOT YET APPROVED**** SECTION 2. The Counci! finds that the adoption of this resolution does not constitute a project under the California Environmental Quality Act and no environmental assessment is required. INTRODUCED AND PASSED: AYES: NOES: ABSENT: ABSTENT!ONS: ATTEST: City Clerk Mayor APPROVED: APPROVED AS TO FORM:City Manager Senior Asst. City Attorney Director of Administrative Services Director of Utilities 040512 cl 0072371 Direct Payment City of Palo Alto Agreement No. 03-1177 STATE OF CALIFORNIA AGREEMENT This Direct Payment Ageement cancels and supersedes the Agreement mailed on July 2, 2003 and consists of this signature page, Exhibits A through D, and Attachments 1-4, which are attached hereto and incorporated herein by this reference, and is entered into between the State Agency, Department of Community Services and Development, and the Utility Company named below: Utility Company: City of Palo Alto The term of this Agreement is: July 1st 2003 through June 30th 2006. The maximum amount of this Agreement is: $ -0- Agreed to and approved: By: Authorized Signature Date Signed Printed Name and Title of Person Signing Address: Telephone: Facsimile: STATE OF CALIFORNIA, DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT By: Authorized Signature Date Signed Timothy M. Dayonot, Director Printed Name and Title of Person Signing Address: Telephone: Facsimile: 700 North Tenth Street Sacramento, CA 95814-0338 (916) 341-4200 (916) 327-3153 \\Cobra\Shared\ContractskDirect Payment\Cancels and Supersedes Agreement Coversheet.doc Direct Payment SCOPE OF WORK Exhibit A (Agreement) The purpose oftkis Agreement between the Department of Community Services and Development, hereinafter referred to as CSD, and the City of Palo Alto Utilities, hereinafter referred to as Contractor, is for the purpose of making direct credit to the accounts of low-income energy customers of the Contractor that are identified by CSD as payment recipients under CSD’s Low-Income Home Energy Assistance Program (LIHEAP), which includes the Home Energy Assistance Program (HEAP) and Energy Crisis Intervention Program - Fast Track (ECIP-FT). CSD will process applications and make a determination of applicant’s eligibility for assistance based upon preestablished criteria pursuant to the LKIEAP. CSD will provide the Contractor with a printout or transmittal (Attachment 2) that lists applicants determined eligible for assistance and the amount of assistance. Payment, in the form of a State of California warrant, and Direct Payment Summary (Attachment 3), shall accompany the printout, and shall represent the sum total of benefits contained on said transmittal. Contractor wil! process payments contained on aforementioned printout in accordance with the provisions of the enclosed LIHEAP Direct Payment instructions (Attachment 1). Contractor will provide notification of LIHEAP payment to each customer for whom a credit is made. The wording of said notification must contain the words "LIHEAP credit." The contractor shall attempt to credit the accounts of qualified low-income customers by the subsequent billing cycle following the receipt of the transmittal and State of California warrant. 1)Contractor is responsible for completing and returning to CSD, the Direct Payment Summary that accompanies each transmittal, within ten (10) working days of processing and handling the batch run of eligible low- income utility customers receiving LKtEAP assistance. Contractor shall complete the Direct Payment Summary by indicating: 1) the total number of customer accounts where the Contractor was successful in crediting full amount of eligible LIHEAP benefit; 2) the customer accounts where the Contractor was only able to credit a partial amount of the eligible LIMEAP benefit, also referred to as Partial Payment Return; and 3) the customer accounts where the Contractor was unable to credit any of the eligible LIHEAP assistance amount, also referred to as Full Payment Return. A1 2) Direct Payment 3.Disbursements Exhibit A (Agreement) Contractor shall return any undeliverable LIHEAP benefits to CSD during the course of this Agreement. Funds provided under this Agreement shall be disbursed and applicant accounts credited in accordance with the provisionsof the L]k-IEAP Direct Pabnnent instructions. 4.Assurances No Contractor shall charge the eligible household, in the normal billing process, the difference between the actual cost of the home energy and the payment amount made by the Department. The actual costs of the home energy shall be consistent with applicable utility company tariffs as approved by the CPUC. 5.Reports Contractor assures that no household receiving assistance under this process will be treated adversely because of such assistance under applicable provisions of State Law regarding public regulatory requirements. Reports required under this Agreement are detailed in the LIMEAP Direct Payment instructions and the attachments thereto. \\Cobra\Shared\ContractskDirect Payment\Cancels and Supersedes Exhibit A.doc Direct Pay-ment Exhibit B (Agreement) BUDGET DETAIL AND PAYMENT PROVISIONS 1.Payment Contractor will not receive any direct financial consideration under this Agreement. Address for the State Unless otherwise required by the LII-IEAP Direct Payrnent Instructions and the attachments thereto, Contractor shall send notes and/or correspondence to: Department of Community Services and Development Attn. Jason Wimbley, Manager, Program Services and Support Unit 700 North Tenth Street, Room 258 Sacramento, California 95814-0338. o CSD’s Proiect Manager The Manager of the Program Services and Support Unit is designated as the Department’s Project Coordinator. The Department may, at any time, desig-nate a substitute Project Coordinator. 4.Contractor’s Proiect Coordinator o is designated as the Contractor’s Project Coordinator. The Contractor may, at any time, designate a substitute Project Coordinator. Notification to CSD of any change in the Project Coordinator will be made in writing and will not require an amendment to this agreement. Budget Contingency Clause It is mutually agreed that if the Budget Act of the current year and/or any subsequent years covered under this Agreement does not appropriate sufficient funds for the program, this Agreement shall be of no further force and effect. In this event, CSD shall have no liability to pay any funds whatsoever to Contractor or to furnish any other considerations under this Agreement and Contractor shall not be obligated to perform any provisions of this Agreement. If funding for any fiscal year is reduced or deleted by the State of California Budget Act for purposes of this program, the CSD shall have the option to either cancel this Agreement with no liability occurring to the CSD, or offer an agreement amendment to Contractor to reflect the reduced amount. B1 Exhibit B (Agreement) Direct Pa}qnent o Notwithstanding the language in Sections 5.A. or 5.B. above, if CSD believes that funds ~vill be insufficient to allow the State to make LDIEAP payments to Contractor i.e., for the reasons described in Section 5.A. or 5.B. above, then CSD shall promptly notify Contractor’s Project Coordinator. The CSD and Project Coordinator shall attempt to amend this Agreement so the LDIEAP payments can continue to the extent possible ~ven the nature of the shortage or unavailability of funding for LDtEAP. The parties agree that it is undesirable to terminate this Agreement for any short-term unavailability of LIHEAP funds and that it would be preferable._ if Federal funds are not available for LDIEAP, to suspend LIHEAP until CSD is able to obtain sufficient funding to resume credits to qualified low- income energy customers, as provided for under LDIEAP. Provisions for Federally Funded Contracts D° It is mutually understood between the parties that this contract may have been wwitten for the mutual benefit of both parties before ascertaining the availability of Congressional appropriation of funds, to avoid program .and fiscal delays that would occur if the contract were executed after that determination was made. This contract is valid and enforceable only if sufficient funds are made available to the CSD by the United States Government for the purpose of this program. In addition, this contract is subject to any additional restrictions, limitations, or conditions enacted by the Congress or to any statute enacted by the Congress that may affect the provisions, terms, or funding of this contract in any manner. The parties mutually agree that if Congress does not appropriate sufficient funds for LIHEAP, this contract shall be amended to reflect any reduction in funds. CSD has the option to void the contract under the 30-day cancellation clause or to amend the contract to reflect any reduction for funds. CSD will notify Contractor’s Project Coordinator if federal funds are insufficient for LDIEAP to continue as expected during the next fiscal year or if restrictions, limitations or conditions have been imposed by Congress on the LIHEAP or funding for it as soon as the Federal grant award letter has been issued with some constraint. CSD further agrees that Contractor’s willing-hess to suspend the LDIEA_P, as described herein and in Section 5.C. above, does not constitute an agreement by Contractor that: (i) funding for LDIEAP is unimportant or (ii) a delay in crediting a customer with LDIEAP funds is acceptable, to either Contractor or its customers. \\Cobra\Shared\Con~racts~d3irect Payment\Cancels and Supersedes ExJxibit B.doc B2 Direct Pa?~’nent Exhibit C (Agreement) GENERAL TERMS AND CONDITIONS Approval This Agreement shall become a valid, enforceable agreement only after both parties sign it. 2.Amendment No amendment or variation of the terms of this Agreement shall be valid unless made in writing, signed by the parties, and approved as required. No oral understanding or Agreement not incorporated in the Agreement is binding on any of the parties. Assi~wtrnent This Agreement is not assignable by the Contractor, either in whole or in part, without the consent of the State in the form of a formal written amendment. 4. Audit Contractor agrees that the awarding department, the Department of General Services, the Bureau of State Audits, or their designated representative shall have the right to review and to copy any records and supporting documentation pertaining to the performance this Agreement. Contractor agrees to maintain such records for possible audit for a minimum of three (3)’years after final pabq-nent, unless a longer period of records retention is stipulated. Contractor agrees to allow the auditor(s) access to such records during normal business hours and to allow interviews of any employees who might reasonably have information related to such records. Further, Contractor agrees to include a similar right of the State to audit records and interview staff in any subcontract related to performance of this Agreement. (Government Code Section 8546.7, Public Contract Code Section 10115 et seq., California Code of Regulations Title 2, Section 1896). Indemnification o Each party is responsible for its own acts, omissions, conduct, and failure to act in the performance of this Agreement. Disputes Contractor shall continue with the responsibilities under this Agreement during any dispute. C1 Direct Pa)~-nent Termination for Cause Exhibit C (Agreement) o The State may terminate this Agreement and be relieved of any payments should the Contractor fail to perform the requirements of this Agreement at the time and in the manner herein provided. In the event of such termination the State may proceed with the work in an?, manner deemed proper by the State. All costs to the State shall be deducted from any sum due the Contractor under this Agreement and the balance, if any, shall be paid to the Contractor upon demand. Independent Contractor Contractor, and the agents and employees of Contractor, in the performance of this Agreement, shall act in an independent capacity and not as officers or employees or agents of the State. Nondiscrimination Clause 10. During the performance of this Agreement, Contractor and its subcontractors shall not unlawfully discriminate, harass, or allow harassment against any employee or applicant for employment because of sex, race, color, ancestry, reli~ous creed, national origin, physical disability (including HIV and AIDS), mental disability, medical condition (cancer), age (over 40), marital status, and denial of family care leave. Contractors and subcontractors shall insure that the evaluation and treatment of their employees and applicants for employment are free from such discrimination and harassment. Contractor and subcontractors shall comply with the provisions of the Fair Emp!oyment and Housing Act (Government Code Section 12990 (a-f et seq.) and the applicable regulations promulgated thereunder (California Code of Regulations, Title 2, Section 7285 et seq.). The applicable reg-ulations of the Fair Employment and Housing Commission implementing Government Code Section 12990 (a-f), set forth in Chapter 5 of Division 4 of Title 2 of the California Code of Regulations, are incorporated into this Agreement by reference and made a part hereof as if set forth in full. Contractor and its subcontractors shall give written notice of their obligations under this clause to labor organizations with which they have a collective bargaining or other agreement. Contractor shall include the nondiscrimination and compliance provisions of this clause in all subcontracts to perform work under the Agreement. Certification Clauses The Contractor Certification Clauses contained in the document CCC 103 are hereby incorporated by reference and made a part of this Agreement by this reference as if attached hereto. [See Exhibit D., Sections 7. through 11.] C2 Direct Pa),Tnent 11. 12. 13. 14. Exhibit C (Agreement) Timeliness Time is of the essence in this A~eement. Comr) ensation The consideration to be paid Contractor, as provided herein, shall be in compensation for all of Contractor’s expenses incurred in the performance hereof, including travel, per diem, and taxes, unless otherwise so provided. Governino. Law This A~eement is governed by and shall be interpreted in accordance with the laws of the State of California. Unenforceable Provision In the event that any provision of this A~eement is unenforceable or held to be unenforceable, then the parties a~ee that all other provisions of this Ageement have force and effect and shall not be affected thereby. \\Cobra\Shared\ContractsLDirect Payment\Cancels and Supersedes Exhibit C.doc C3 Direct Payment Exhibit D (Agreement) ADDITIONAL TERMS AND CONDITIONS 1.Cancellation Either party may terminate this Agreement without cause, by giving thirty (30) days written notice to the other party and may be amended upon mutual consent. 2.Subcontracts o No subcontracts shall be permitted under this Agreement. Since no subcontracts will be associated with this Agreement, references to subcontractors or subcontract as part of standard provisions that have been included herein shall have no applicability. Complete A_,zreement This Agreement, which includes any supplemental documents attached hereto, sets forth the entire Agreement between the Contractor and the Department, and supersedes all other oral or written provisions. No modification of any of the provisions shall be binding on the Contractor or the Department unless expressly agreed to in wq-iting. Americans with Disabilities Act o Contractor assures the State that it complies with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on the basis of disability, as well as all applicable r%malations and guidelines issued pursuant to the ADA. (42 U.S.C. 12101 et seq.) Records No Contractor shall make available to the Department, or its representative, all appropriate books, documents, papers, and records for examination, copying or mechanical reproduction on or off its premises as the Department may require. Contractor shall preserve and make available the items listed above for a period of three (3) years from the date of the final disbursement under this Agreement. In the event any record must be maintained for a period longer than three (3) years, the Department will send Contractor appropriate notification. Right to Monitor, Audit, and Investigate The Federal Government, State Government, or duly authorized representative of the State Govermnent, xvhich includes, but is not limited to, the Bureau of State Audits, shall D1 Direct Payment Exhibit D (Agreement) have the right to monitor and audit all parties to this A~eement and all subcontractors providing services under this A~eement through on-site inspections, audits, and other means deemed necessary for a period of three (3) years from the date of the final payments under this contract. Doin~ Business with the State of California The following laws apply to persons or entities doing business with the State of California: No Conflict of Interest: Contractor needs to be aware of the following provisions regarding current or former state employees. If Contractor has any questions on the status of any person rendering services or involved with the A~eement, the awarding agency must be contacted immediately for clarification. 1)Current State Employees (PCC ! 0410): ao No officer or employee shall engage in any employment, activity or enterprise from which the officer or employee receives compensation or has a financial interest and which is sponsored or funded by any state agency, unless the employment, activity or enterprise is required as a condition of regular state employment. No officer or employee shall contract on his or her own behalf as an independent contractor with any state agency to provide goods or services. 2)Former State Employees (PCC 10411): For the two-year period from the date he or she left state employment, no former state officer or employee may enter into a contract in which he or she engaged in any of the negotiations, transactions, planning, arrangements or any part of the decision- making process relevant to the contract while employed in any capacity by any state agency. bo For the twelve-month period from the date he or she left state employment, no former state officer or employee may enter into a contract with any state agency if he or she was employed by that state agency in a policy-making position in the same general subject area as the proposed contract within the 12-month period prior to his or her leaving state service. D2 Direct Pa.vment 10. Exhibit D (Agreement) If Contractor violates any provisions of above paragraphs, such action by Contractor shall render this Agreement void. (PCC ! 0420) Members of boards and commissions are exempt from this section if they do not receive payment other than payment of each meeting of the board or commission, payment for preparatory time and payment for per diem. (PCC 10430 (e)) Labor Code/Workers’ Compensation Contractor needs to be aware of the provisions which require every employer to be insured against liability for Worker’s Compensation or to .undertake self-insurance in accordance with the provisions, and Contractor affirms to comply with such provisions before commencing the performance of the work of this Agreement. (Labor Code Section 3700) Contractor Name Chan~e An amendment is required to change the Contractor’s name as listed on this Agreement. Upon receipt of legal documentation of the name change CSD will process the amendment. Payment of invoices presented with a new name cannot be paid prior to approval of said amendment. Corporate Qualifications to do Business in California No When agreements are to be performed in the state by corporations, the contracting agencies will be verifying that the contractor is currently qualified to do business in California in order to ensure that all obligations due to the state are fulfilled. "Doing business" is defined in R&TC Section 23101 as actively engaging in any transaction for the purpose of financial or pecuniary gain or profit. Although there are some statutory exceptions to taxation, rarely will a corporate contractor performing within the state not be subject to the franchise tax. Both domestic and foreigna corporations (those incorporated outside of California) must be in good standing in order to be qualified to do business in California. Agencies will determine whether a corporation is in good standing by calling the Office of the Secretary of State. D3 Direct PaF’ment 11.Resolution Exhibit D (Agreement) A county, city, district, or other local public body must provide CSD with a copy of a resolution, order, motion, or ordinance of the local governing body which by law has authority to enter into an a~eement, authorizing execution of the a~eement. \\Cobra\Shared\Contracts’©irect Payrnent\Canceled and Superseded Exhibit D.doc D4 Direct Payment LIHEAP Direct Payment Instructions and Samples ¯Attachment 1 - Direct Payment.Instructions ¯Attachment 2- Print out Report ¯Attachment 3 - HEAP Direct Payment Summary ¯Attachment 4 - Match/Error Criteria \\Cobra\Shared\Contracts’~Dixect Payment\Boilerplate Attachment Coversheet.doc ATTACFIMENT 1 LI]-IEAP DIRECT PAYMENTS HOW TO _-MAKE A .-MATCH OPEN ACCOI~’-NTS: If an applicant’s utiliv account is open at the time a LIKEAP payment is received, the full amount of the payment can be applied even flit creates a credit to the account. ¯: .....~’~-~ma,~.= payments to the correct accomqt andIt is m~,,ucm upon your company to -- "~- customer of record to which the LK-IEAP applicant has directed the benefit. For this purpose, both the "Customer of Record" and last name of the LK-IEAP applicant, "Applicant Last Name" has been provided, as well as an account number and service address. CLOSED ACCOUNTS: If., at the time the LII-IEAP benefit is to be applied, and the applicant’s reported utili~ account is closed, you must select and complete one oft_he three options below: 1.)A match can be made with an applicant’s new account within the same utility company. 2.)If the account is CLOSED with an outstanding balance owed, a partial payqnent can be made and the difference refunded to CSD with a notation on your printout. If the account is CLOSED with no outstanding balance, the total amount of LK-tEAP benefit should be returned to CSD with a notation on your printout. HOW TO NOTIFY CSD OF PARTLgJoS AND/OR NON-MATCHES 1 .)PRINTOUTS: ¯Copy the page of the printout upon which the LK-IEAP applicant’s name appears. ¯Circle the name of the customer of record to whose account the partial payment was applied (See Attachment 1). Note beside the LItl-EAP payment the amount that is being returned to CSD (the difference between the CSD payment and the returned amount is the amount which was credited to the customer of record). If there is a 100% refund to CSD, note the total LIHEAP payment amount. ¯Provide an adding machine tape listing the total amount of money to be refunded to CSD. The tape should include both the individual amounts, as weI1 as a total. Return the LIH]~AP DIRECT PAYMENT SU-N~LkRY SHEET, which accompanies each run of selected payment records, with the number of partials and]or non-matches (See Attachment 2). Attach a check made payable to CSD and return your printout (with partials/non-matches information), adding machine tape, and summary page to: The Department of Community. Services and Development Pro~am Services and Support Unit 700 North 10th Street Sacramento, California 95814 Floppy Diskette/File Transfer Protocol (FTP) If you expect to return the "partial or non-match" information to CSD by floppy diskette or File Transfer Protocol (FTP), refer to Attachment 3 for more specific instructions on how to code the record. WT-L’AT IF ALL RECORDS A_KE MATCHES If you fred that all records on a specific run are matches to your client database, you need to notify. CSD on the LK-IEAP Direct Payment Summary. In the case of a 100% match, the figmre in the "Run $ Total" column would be the same amount as the amount in the "Total $ Match" column (Attachment 2). \\Cobra\Shared\ConrractskDirect Pa.vmentkDirect Pa)Tnent Insrrucrions.doc © z < © z © STATE OF CAL!FORNI,~ - HEALTH AND HUMAN SERVICES AGENCy DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT A Quafity Management Department 700 North 10th Street, Room 258 Sacr-amento, CA 95814 (916) 341-4200 (916) 327-3153 (FAX) (916) 327-6318 (TDD) CSD-038 ATTACI:EM~NT 3 2003 HEAP DIRECT PAYMENT SUMM_M:IY PLEASE COM2LETE FOR EACH DI1LECT PA2EV£ENT BATCH CSD RUN DATE (TOP LEFT HAND CORNER OF PRENT-Ob’T) 02/2612002 RL~" S TOTA_L ( S AMOUNT OF CHECK FROM CSD) TOTA_L S .MVIOUNT TO RETURN (s RETU’RN TO CSD - ATTACH CHECK) TOTA.L # tLE TLTI:LN S TOTAL $ MATCH COMPLETED BY: UT~ITY COMPA_NY: PHONE: DATE: I[PLEASE RETURN TillS SUB’E-MA_RY ~,VITtt PRINT-OUTS A_ND CEfECK (FOR NON-NL4.TCEfES) NO LATER TItaN 10 DAYS FOLLO~,VENG RECEIPT FROM CSD PLEASE RETURN SUMMA_RY TO:PATSY ESPOSITO, PROGR~_M SERVECES A_N32 SUPPORT HOME ENERGY ASSISTANCE PROGRAM 700 N 10th STREET SACRAMENTO, CA 95814 IF YOU HAVE M’#Y QUESTIONS ON HOW TO FILL OUT THIS SUMaMARY, PLEASE CONTACT PATSY ESPOSITO (916) 341-4274 or DL4_NA SUAREZ (916) 341-4342 CSD USE ONLY CHECK # $ AMOUNT DATE RECEIVED DATE TO ITS \\Cobra\SharedkProgam Sera4ces & SupportkPa.wnent Resolution UnitkDirect pay, summary, information technology, tracking summary(s),returnsk2003 Direct Pav Surnmary.doc Z Z z Z z Z