HomeMy WebLinkAbout2020-10-27 - SkillSource - General Agreements / General Service Agreements 1
Application for Incumbent Worker Training
Business Name: City of East Wenatchee
Address: 271 9th St., East Wenatchee, WA 98802
Business Contact Name: Josh Toftness Phone: 509-884-1829
Title: Public Works Street Manager Email: jtoftness@eastwenatcheewa.gov
Type of Business: ☐ Private For-Profi ☐ Private Non-Profit ☒ Other: Public
Number of Employees: ☒ Fewer than 100 (25% employer cost match)
☐ 100 or more (50% employer cost match)
Training: Briefly describe the proposed incumbent worker training and how it will improve labor market competiveness of
employee and employer, such as improved workplace efficiency, customer service, safety etc. (Attach detail course description
or provide a hyperlink in the description below.)
CDL training will benefit the city by increasing workplace efficiency in vital operational departments such as
street maintenance. The employee in the maintenance position will increase their responsibilities and wages
with this training. Obtaining a CDL will allow the employee to expand his duties in street maintenance work with
the ability to drive the larger vehicles for maintenance and construction activities.
Training at MTZ CDL Academy will consist of 160 hours of instruction for the Class A Commercial Driver’s License
(see attached program description). The cost of the training is $4000. The city will pay the employee wages
while training. The employee will pay for his own permit and license fee (upon completion of the class).
http://www.careerbridge.wa.gov/Detail_Program.aspx?program=12564
MTZ is chosen as a provider because of the location, length of training, and graduation success rate.
Training Provider Information:
Name of Training Provider: MTZ CDL Academy
Contact Person: Gabe Martinez
Street/Mailing Address: PO Box 1039
City/State/ZIP: Quincy, WA 98848
Phone #: 509-787-0653 Ext. #: E-Mail: mtzcdlacademy@gmail.com
Training Considerations: (Please check all that apply)
☐ Training will be provided to employees who face barriers to employment
Briefly explain:
☐ Training will avert layoffs
Briefly explain:
☒ Training will increase wage and benefit levels of the employees trained
Describe the increase: $16.43 to $23.90 per hour - $7.47 per hour
☒ Training will result in credentials or certificates for the employees trained
List credential or certificate: CDL Class A Certification
Trainees: (Add sheet as necessary)
Amount of IWT funds
td $4000 Amount of Employer Match: $2629
Anticipated Training Start date: 1/2/21 Training End date: 1/30/21
Training will be provided: ☐ On-site; ☒ at Training Institution; ☐ Online; ☐ Other site (specify): _
Exhibit A
DocuSign Envelope ID: 6E05DC22-3B39-4B2A-AB20-7A5A7ABE7E88
Category Direct Training Costs 1 Employer Match 2 Explanation Employee Paid
Costs
Fee/Tuition $ 4,000.00 $ - Tuition - CDL Training -$
Instructor Wages & Benefits (if
not included in fee/tuition) $ - $ - (Describe cost)-$
Instructor Travel $ - $ - (Describe cost)-$
Employee Travel $ - $ - (Describe cost)-$
Manuals / Textbooks $ - $ - (Describe cost)-$
Materials / Supplies $ - $ - (Describe cost)-$
Certification / Testing $ - $ - (Describe cost)-$
Training Equipment Purchase $ - $ - (Describe cost)-$
Empl Pd Wages & Benefits $ 2,629.00 160 hours x $16.43/hr during training -$
Meals / Refreshments $ - $ - (Describe cost)-$
On-site facility usage $ - $ - (Describe cost)-$
Off-site Training Space (e.g.,
classroom rental, etc.) $ - $ - (Describe cost)-$
Other (Specify) $ - $ - permit, test, and license fees 310.00$
TOTAL: $ 4,000.00 $ 2,629.00 310.00$
Enter Employer Size:Employer’s Non-Federal
Match (%):
Required Employer
Match:
Total Eligible IWT Reimbursement
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48 25% $ 1,000.00 $ 4,000.00
Incumbent Worker Training Budget Worksheet
DocuSign Envelope ID: 6E05DC22-3B39-4B2A-AB20-7A5A7ABE7E88
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Name Date of Hire
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* For data entry purposes
Employer Certifications:
☒ If training an employee cohort that includes employees with fewer than 6 months of employment, employer certifies
that at least 51% of the cohort has been employed 6 months or longer.
☒ Employer certifies that all listed employees meet the Fair Labor Standards Act requirements for an employer-employee
relationship, and are not in managerial or professional positions within the organization.
☒ Employer certifies they are committed to retain or avert the layoffs of the incumbent worker(s) trained.
☒ Employer certifies that requested training does not supplant training that is routinely offered by employer.
☒ Employer certifies they have not relocated from another US labor market within the past 120 days which caused any
employee layoffs.
☒ Employer certifies they are current in unemployment insurance, workers’ compensation taxes, penalties and/or
interest or related payment plan.
☒ Employer understands false information or misrepresentations will result in cancellation and non-payment.
☒ Employer will adhere to all reporting requirements and to respond to a Customer Satisfaction Survey(s) if asked;
☒
The employer will not discriminate against any individual on the basis of race, color, religion, sex (including pregnancy,
childbirth, and related medical conditions, sex stereotyping, transgender status, and gender identity), national origin
(including limited English proficiency), age, disability, or political affiliation or belief, or, against any beneficiary of,
applicant to, or participant in programs financially assisted under Title I of the Workforce Innovation and Opportunity
Act, on the basis of the individual's citizenship status or participation in any WIOA Title I-financially assisted program or
activity. The nondiscrimination assurances at 29 CFR Part 38.25 apply to this contract
DocuSign Envelope ID: 6E05DC22-3B39-4B2A-AB20-7A5A7ABE7E88
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As the authorized representative of the employer submitting this application, I hereby certify the information
contained in this application is true and accurate and reflects the intentions of the IWT program:
Employer Signature:
Printed Name:
Title:
Date:
FOR INTERNAL USE ONLY
Training occupation is: ☐ In Demand ☐ Balanced ☐ In Decline (justification attached)
Proposal Review Date: ☐Approve ☐Disapprove
Approved Funding
Amount: $
Approved by: Date:
Notes:
DocuSign Envelope ID: 6E05DC22-3B39-4B2A-AB20-7A5A7ABE7E88
10/27/2020
Mayor
Jerrilea Crawford