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HomeMy WebLinkAbout2002-127 I RESOLUTION NO. 2002-127 2 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AUTHORIZING THE MAYOR OF THE CITY OF SAN BERNARDINO OR HER 3 DESIGNEE TO APPLY FOR AND ADMINISTER A GRANT IN THE AMOUNT OF $223,303.20 FROM CALIFORNIA DEPARTMENT OF EDUCATION FOR THE ADMINISTRATION OF THE 4 SUMMER FOOD SERVICE PROGRAM FOR YOUTH. 5 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY 6 OF SAN BERNARDINO AS FOLLOWS: 7 SECTION 1. The Mayor of the City of San Bernardino or her designee is hereby 8 authorized to apply for and administer on behalf of said City, a grant in the amount of 9 $223,303.20 from the California Department of Education for the administration of the Summer 10 Food Service Program for youth. 11 I I I 12 /II 13 /II 14 /II IS /II 16 /II 17 /II 18 1/1 19 /II 20 /II 21 /II 22 /II 23 /II 24 /II 25 /II 26 /II 27 1/1 28 /II 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 2002-127 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AUTHORIZING THE MAYOR OF THE CITY OF SAN BERNARDINO OR HER DESIGNEE TO APPLY FOR AND ADMINISTER A GRANT IN THE AMOUNT OF $223,303.20 FROM CALIFORNIA DEPARTMENT OF EDUCATION FOR THE ADMINISTRATION OF THE SUMMER FOOD SERVICE PROGRAM FOR YOUTH. I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor and Common Council of the City of San Bernardino at a j t. regular meeting thereot held on the 6th day of May , 2002, by the following vote, to wit: Council Members: NAYS AYES ABSTAIN ABSENT ESTRADA x LIEN x MCGINNIS x DERRY x SUAREZ x ANDERSON x MCCAMMACK x Q,~ h. f!.~kle.. Ra2lrel G. Clark, City Clerk The foregoing resolution is hereby approved this ffTH day of May 2002. "-~~ J i:lith Valles, Mayor ity of San Bernardino Approved as to Form and legal content: JAMES F. PENMAN, City Attar ey By: Ca'ifomia Department of Education Nu:rition SerVices Division , SJMMER FOOD SERVICE PROGRAM .002 RENEWAL APPLICATION/AGREEMENT "SD B041 (1/02) Agreement Number Vendor Number 36-83600V H 133-02 PLEASE PRINT OR TYPE ALL INFORMATION RETURN TO: California Department of Education Nutrition Services Division 560 J Street, Suite 270 Sacramento, CA 95814-2342 Attention: Resources and Information Management Unit 1. NAME OF SPONSOR: , NAME OF CONTACT PERSON: San Bernardino, City of OSCAR J. PERRIER ADDRESS OF SPONSOR (INCLUDE STREET, CITY, COUNTY, AND ZIP PLUS FOUR): TELEPHONE NUMBER: 547 North Sierra Way, San Bernardino, CA 92410-4816 (909) 384-5231 Ext. NAME OF AUTHORIZED REPRESENTATIVE: FAX NUMBER: Lemuel P. Randolnh Director (909) 384-5160 2. Method of meal service (check one or more): Self-preparation No Vended Yes 5. Dates of operation: From: 6/24/02 To: 8/30/02 3. If vended, provide name{s) of vendor and attach a copy of the Food Service Agreement or Invitation for Bid Packet. SBCUSD 1257 Northpark Blvd. San Bdno, CA 92407 6. Would you like to receive an: Operational costs advance? DYes IJ!I No Administrative costs advance? DYes IJ!I No If self-preparation, provide name(s) and address of central kitchen (attach list if necessary): 7. Does the agency receive at least $300,000 in federal funds? If yes, indicate your agency's fiscal year. (Private nonprofit and Indian Tribes oniy) l\lj Yes 0 No 0 N/A Fiscal Year 07/lQ.Q.L 4. Number and type of sites: 8. Do you wish to receive commodity foods? Yes The California Department of Education (CDE) and the Agency whose name and address appear above renew their Agreement to Participate and to comply with 7 CFR Part 225. This includes all requirements developed pursuant to and imposed by those regulations as outlined in the original Agreement between CDE and the Agency, which incorporates all amendments, Schedule A. and the Meal Pattern (Schedule B). The Agency assures CDE it will continue to adhere to all of the requirements and responsibilities as agreed to in the original Agreement and will follow all Nutrition Services Division policies and guidance. The agency will comply with Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1973, Section 504 of the Rehabilitation Act of 1973, Ihe Age Discrimination Act of 1975, and USDA's regulations concerning nondiscrimination (7 CRF Parts 15a and 15b). The agency will comply with applicable Office of Management and Budget Circulars A21, A87, Al02, All0, A122 and A133. The agency will comply with Uniform Federal Assistance (7 CFR Part 3016) and Debarment and Lobbying requirements (7 CFR Parts 3017 and 3018). CDE will hold the agency responsible for all ofthe requirements and responsibilities as agreed to in the original Agreement and as outlined in 7 CFR Part 225. Rural # Urban # 33 I hereby certify all information contained in this document is true and correct to the best of my knowledge. SIGNATURE OF AUTHORIZED REPRESENTATIVE: I TITLE: i Direc tor i DATE: i CALIFORNIA DEPARTMENT OF EDUCATION USE ONLY COMMODITY ELIGIBLE Yes APPROVAL BY NUTRITION SERVICES DIVISION Manager Field Services Unit Nutrition Services Division FROM: I I . 9/30/02 Effective Dates Approved California Department of Education Nutrition Ser:vices Division Program Resources. Education and Policy Unit . NSD 8040-C (1(02) Agreement Number: 36-83600V Vendor Number: H133-02 SUMMER FOOD SERVICE PROGRAM 2002 I 2003 BUDGET INFORMATION Fiscal Year Federal regulations require sponsors to submit a budget for Slate agency review and approval. In the event that costs exceed anticipated revenue, sponsors should have other funding sources to pay the difference. Sponsors may submit a revised budget for administrative costs as needed. The sponsor is reimbursed lesser of the two: actual cost or The sponsor is reimbursed least of the three: actual cost, meals times the ooeratino rate. meals times the administrative rate, or the soonsor's budoet. GENERAL OPERATING COSTS ADMINISTRATIVE COSTS Food $ 207 907.20 Salaries/wages $14 712. n n Food labor $ 11 520.00 Office supplies $ 1 200.( 0 Facilities/utililies In-kind $ 57.652.00 Facilities/utilities In-kind $4 970.00 Food transportation to sites $ Transportation Milea"e $ 1 800. Nonfood supplies $ 3 876.00 Other (specify): Printin" & banners $ 1 07n < Other (specify): $ 'Indirect Cost %: 16.67% Teleahane $ 106.00 'Indirect Cost %: $ $ TOTAL $ 223 303.20 TOTAL $, 0 7"" "., PROGRAM COSTS o 'NOTE: Attach indirect cost documentation for costs that are associated with the above operating and administrative budgets. * "IN-KIND NOT INCLUDED IN THE ADMINISTRATIVE CONTRACTS COSTS BOTTOM LINE." Is there a rental agreement, lease, or contract associated for any of the costs listed above? 0 Ves . No If yes, list and attach a copy: INCOME Will meals be sold to adults who are not SFSP staff? 0 Ves . No If yes, list price to be charged for each meal: Breakfast: Snack: Lunch: Dinner: Wili your SFSP receive income from other sources other than the SFSP reimbursement? If yes, list type and amount: Donations/Grant: N / A Administration: Operational: Unspecified Income: Other: Number of operatinQ days {OOl X averaae dailv participati OPERATING RATES 00 X AOP X MR = TOTAL Breakfast X X = $ Snack 48 X 1205 X .51 = $ 30 655.20 Lunch 48 X 1745 X 2.30 = $192 648.00 Dinner X X = $ TOTAL $221_101.70 REIMBURSEMENT RATES Formula for rate projections: on I (ADPl X meal (MR\ I administrative (AR\ rales = totai ADMINISTRATIVE RATES 00 X AOP X AR = TOTAL Breakfast X X = $ Snack X X .O"?< = $1.016.60 48 1205 Lunch 48 X 174< X .2000 = $11' 7<7 0 Dinner X X = $ TOTAL $19.788.61 t;8lJfOmla uepanment Of I:.ducat10n Nutrition Services Division Program Resources, t.aucatlon ana ...OllCY unit Renewal NSO 80408 (1102) SUMMER FOOD SERVICE PROGRAM MANAGEMENT PLAN 1. Staffing Pattern: List below all administrative staff who will be involved with management, food services, training, and monitoring of the SFSP. PRINT EMPLOYEE NAME AND POSITION SPECIFIC DUTIES SFSP TRAINING DATES Administer the SFSP Prepare app. packet, supv. ~taff Lvnn Knutson-Rec. SUDV. & monitors, OVersee day to day oper. 3-20-02 Nacy Marley-Rec. Leader Assist with office duties related Bettv Uribes-Sr. Rec. Ldr. t" ll1n"h proeram operation 3/20. 6/10. . ( , Monitor site operations for 6 Mon1tors not yet identihed) compliance 6/10. 11. 12 3-20-02 Oscar Perrir-Sr. Rec. Suny. 11. 12 & 19/02 & 19/02 By signing this Renewal Application/Agreement you are agreeing to do the following: 2. Conduct a preoperational visit at each new site, and sites that had problems during the previous year to determine the adequacy and suitability for food service? All preoperational visits must be documented and kept on file for California Department of Education (CDE) to review. 3. Visit all sites at least once during the first week of operation. 4. Review all sites at least once during the first 4 weeks of program operation, If a site operates less than 4 weeks, conduct at least one review. 5. You will conduct additional monitoring visits to sites as necessary to assure compliance with program requirements, Documentation must be kept on file for CDE to review. 6 You agree to accept final administrative and financial responsibilities for operations of the SFSP at each site. 7. You agree to retain SFSP records for three (3) years after the end of the fiscal year to which they pertain. 8. If you operate an enrolled site, day camp or residential camp, you agree to collect and maintain the income eligibility documentation of participants. If you will not be using the forms provided by the SFSP (Attachment B-1), please submit a copy of your proposed form for approval. \ California Department of Education . Nutrition Services Division Program Resources, Education and Policy Unit NSD B050-C (1102) . SUMMER FOOD SERVICE PROGRAM MEDIA RELEASE CERTIFICATION Use the following format for your media/public release or send this form to announce your site location(s): Check the box(es) that apply and insert the name, address and meal service time(s) of each site in the appropriate section. Attach an additional sheet of paper if necessary. 12!1 OPEN SITES: Agency name: City of San Bernardino Parks. Rec. & Comm. Svrcs. announces the sponsorship of the SFSP. In accordance with Federal law and U.S, Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. (Not all prohibited bases apply to all programs.) To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D.C. 20250- 9410 or call (202) 720-5964 (voice and TOO). USDA is an equal opportunity provider and employer. Enter site name, address, meal service times and dates below, or attach a list. See attached ~ress release o RESTRICTED-OPEN SITES: Agency name: announces the sponsorShip of the SFSP. Due to: 0 safety Q security Q control 0 capacity a limited number of meals will be made available to attending children who are 18 years of age and younger at no cost on a first come, first serve basis. In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. (Not all prohibited bases apply to all programs.) To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D,C. 20250- 9410 or call (202) 720-5964 (voice and TOO). USDA is an equal opportunity provider and employer. Enter site name, address, meal service times and dates below, or attach a list. California Department of Education Nutrition Services Division Program Resources. Education and Policy Unit. NSD 8OSQ-C (1102) , ' .. ~ o ENROLLED SITES: Agency name: announces the sponsorship of the SFSP. Free meals will be made available to all eligible enrolled children who are 18 years of age and younger. In accordance with Federal law and u.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability. (Not all prohibited bases apply to all programs.) To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D.C. 20250- 9410 or call (202) 720-5964 (voice and TOO). USDA is an equal opportunity provider and employer. Children from households with incomes at or below the income eligibility guidelines are eligible for free meal benefits, Children who are members of households receiving food stamps or benefits from a food distribution program on an Indian reservation, Kinship Guardian Assistance Payment (KinGAP), or who are recipients of California Work Opportunity and Responsibility to Kids Act (CaIWORKs), are categorically eligible to receive free meal benefits. Enter enrolled site name, address, meal service times and dates below, or attach a list. Income Eligibility Guidelines Effective July 1, 2001 through June 30, 2002 FAMILY SIZE YEAR MONTH WEEK 1 $15,892 $1,325 $306 2 21,479 1,790 414 3 27,066 2,256 521 4 32,653 2,722 628 5 38,240 3,187 736 6 43,827 3,653 843 7 49,414 4,118 951 8 55,001 4,584 1,058 For each additional + 5,587 +466 + 108 famil member add: I ( " , Califomill Department of Education Nutrition Services Division Program Resources, Education and Policy Unit Schedule 0, NSO 8050-0 (1102) SUMMER FOOD SERVICE PROGRAM FREE MEAL POLICY STATEMENT The authorized representative certifies that all children at the sites described on the site information sheets will be served the same meals at no separate charge regardless of race, color, national origin. sex, age, or disability. (Not all prohibited bases apply to all programs.) The free meal policy statement must be signed by all new sponsors and by any returning sponsors who have substantive changes in their original site document(s) (e.g. changing from "open" to "enrolled" site). SIGNATURE OF AUTHORIZED REPRESENTATNE AGENCY NAME DATE City of San Bernardino Parks Rec. & Comm Svre~.