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Home My WebLink About2001-087 I. . RESOLUTION NO, 2001-87 2 RESOLUTION AUTHORIZING THE MAYOR OF THE CITY OF SAN BERNARDINO OR HER DESIGNEE TO APPLY FOR AND ADMINISTER A GRANT IN THE AMOUNT OF $225,000 3 FROM USDA FOR THE ADMINISTRATION OF THE SUMMER FOOD SERVICE PROGRAM FOR YOUTH. 4 5 6 7 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AS FOLLOWS: 8 9 10 11 12 SECTION 1. The Mayor of the City of San Bernardino or her designee is hereby authorized to apply for and administer on behalf of said City, a grant in the amount of $225,000 from USDA for the administration of the Summer Food Service Program for youth. SECTION 2. The authorization granted hereunder shall expire and be void and of no further effect if the agreement is not executed by both parties and returned to the office of City Clerk within one hundred twenty (120) days following effective date of the resolution. //1 13 //1 14 1// 15 //1 16 //1 17 //1 18 //1 19 //1 20 //1 21 //1 22 //1 23 //1 24 III 25 //1 26 //1 27 III 28 I.-.~., - 2001-87 RESOLUTION AUTHORIZING THE MAYOR OF THE CITY OF SAN 1 BERNARDINO OR HER DESIGNEE TO APPLY FOR AND ADMINISTER A GRANT IN THE AMOUNT OF $225,000 FROM USDA FOR THE ADMINISTRATION OF THE 2 SUMMER FOOD SERVICE PROGRAM FOR YOUTH, 3 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor wit: AYES NAYS ABSTAIN ABSENT x x x x x 15 DEAN-ANDERSON 16 MC CAMMACK 17 x x 18 19 20 21 22 ~~ f!11WJ ;~~~~~~iDifJ'Ai;L-- The foregoing resolution is hereby appf:!ed this 2m / day of May ,L2;~L JUDIT V ALLES, MAYOR City, San Bernardino 23 Approved as to form And Legal content: 24 James F. Penman 25 City ttorney 26 1 I I By: '. ~t:,~v~ 27 / 04452-01 dlb -Reso. Summer Lunch Program for youth 28 2001-87 California Department of Education Nutrition Services Division Agreement Number Vendor Number 36-83600V H133~2 SUMMER FOOD SERVICE PROGRAM 2001 RENEWAL APPLICATION/AGREEMENT NSD 8041 (1/01) RETURN TO: California p~ea~']1"nt oLJ:;qVG<\ti\," Nutrition sfu-.llfe$ b~isloh ' ' , 560 J Street, Suite 270 Sacrament? CA ~~~1il.-f34i1 .' Attention: ~tou~ aNl1InfBht,a(,on Management Unit PLEASE PRINT OR TYPE ALL INFORMATION 1. NAME OF SPONSOR: NAME OF CONTACT PERSON: San Bernardino, City of Parks Recreaction & Comm. Servs. Oscar J. Perrier SFSP ADDRESS OF SPONSOR (INCLUDE srREET, CITY. COUNTY. AND ZIP PLUS FOUR): TELEPHONE NUMBER: 547 North Sierra Way, San Bernardino, CA 92410-4816 (909) 384-5231 NAME OF AUTHORIZED REPRESENTATIVE: FAX NUMBER: ANN 11' F (909) 384-5160 2. Method of meal service (check one or more): No Self-preparation Yes Vended 5. Dates of operation: From: (,17S/01 To: Rlll101 6. Would you like to reGeive an: Operational Gosts advance? D Yes ~ No Administrative costs advance? 3. If vended, provide name(s) of vendor and attaGh a GOPy of the Food Service Agreement or Invitation for Bid PaGket. S.B,C,U,S.D. !257 NORTHPARK BLVD. DYes Qll No SAN RFRNARDTNO rA Q?An7 If self-preparation. provide name(s) and address of Gentral kitGhen (attaGh list if neGessary): 7. Does the agenGY reGeive alleast $300,000 in federal funds? If yes. indicate your agenGY's fisGal year. (Private nonprofit and Indian Tribes only) H Yes D No D NIA Fiscal Year -112-1 .Dfi...- 4. Number and type of sites: Rural # 8. Do you wish to receive commodity foods? Yes Urban # JJ 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. Comply with Title VI of the Civil Rights Act of 1964, Titfe IX of the Education Amendments of 1973, Section 504 ofthe Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and USDA's regulations concerning nondiscrimination (7 CRF Parts 15a and 15b). Comply with applicable Office of Management and Budget Circulars A21, A87, A 102. A 110, A122 and A133, Comply with Uniform Federal Assistance (7 CFR Part 3015) and Debannent and Lobbying requirements (7 CFR Parts 3017 and 3018). CDE will continue to adhere to all of the requirements and responsibilities as agreed to in the original Agreement and as outlined in 7 CFR Part 225. I herebv certify all infonnation contained in this document is true and correct to the best of my knowledae. SIGN~AUTHORIZEO REPRESENTATIVE: TITLE: IOATE: ~/;tt/u' J. at,<~ DIRECTOR 1",- /...I--c7 / CALIFORNIA DEPARTMENT OF EDUCATION USE ONLY COMMODITY ELIGIBLE DYes DNo APPROVAL BY NUTRITION SERVICES DIVISION Manager Field Services Unit Nutrition Services Division APPROVED DATE California Department of Education Nutrition Services Division 2001-87 Summer Food Service Program . Renewal NSD 8040B (1/01) 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 Oscar Perrier- Sr. Rec.. SIlDrv. Adrninistpr thp S'FSP !J. ?t; nl Prepare packet, claims, suprv. ~-25-01 ~~~!~ ~ ~nn~~n~~. n~F9rr~g dai to a; ep9FatisRG ASS1St w1th off1ce duties re ated to l11nrh prog:r,qrn oppr,qt';nn~ F./R/Ol filll Inl Monitor all site operations fnr i'nmp'; ::lni'A Lvnn Knutson - Rpr. Sl1pr'''' Shaunte' Hudson - Rec. Ldr. f./14 I. 6/2 6 Monitors(not vet identified) h IA h/11 . . r... /1/. > r...1?n . 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 than4 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. Nutrition Services Division 2001-87 .miU ~U41l-G (4/01) Agreement Number. 36-83bUUV Vendor Number. l.:rl1.1._n? SUMMER FOOD SERVICE PROGRAM 2001/...1Qm BUDGET INFORMATION Fscal Year Federal regulations require sponsors to submit a budget for State 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 lesser of the three: actual cost, meals times the ooeratino rate. meals times the administrative rate, or the soonso~s budoel. GENERAL OPERATING COSTS ADMINISTRATIVE COSTS Food $ 200 963.70 Salarieslwages $12 644. Food labor $12,820.00 Office supplies $ 1 200.0 Facilities/utilities inkind $57,652.00 Facilities/utilities inkind $4,970.0 Food transportation to sites $ 0 Transportation mileape $2,235.8 Nonfood supplies $6,361.05 Indirect Cost %: 16.67% telephone $106.00 Other (specify): $ 0 Other (specify): printing & Banners $ 3,064.4 $ $ TOTAL 220,144.75 TOTAL $19,250. PROGRAM COSTS o 6 "NOTE: Attach indirect cost documentation for costs that are associated with the above operating and administrative budgets. CONTRACTS Is there a rental agreement. lease, or contract associated for any of the costs listed above? 0 Yes ;:a No If ves. list and attach cooies: INCOME Will meals be sold to adults who are not SFSP staff? 0 Yes UNo If yes, list price to be charged for each meal: Breakfast: Snack: Lunch: Dinner: Will your SFSP receive income from other sources other than the SFSP reimbursement? If yes. list type and mount: Donations/Grant: Administration: Operational: Unspecified Income: Other: Number of operatina days (00) X averaae dailv nartici a OPERATING RATES 00 X ADP X MR = TOTAL Breakfast X X = $ Snack 49 X 985 X .52 = $25,097.80 Lunch 49 X 1785 X 2.23 = $ 195,046.95 Dinner X X = $ TOTAL $ 220,144.75 REIMBURSEMENT RATES Formula for rate projections: t ion (ADP) X meal (MR) / administrative CARl rates = lotal ADMINISTRATIVE RATES 00 X ADP X AR = TOTAL Breakfast X X = $ Snack 49 X 985 X .05 = $ 2,413.25 Lunch 49 X 1785 X .192 = $[6,837.01 Dinner X X = $ TOTAL $ 19,250.2 VCIl1l0mla ueparunem OT I:.UUt;GIllUII Nutrition Services Division 2001-87 "'UIIIIIIIICl'I '-'^^' ...aIYI'-'IICl' rlUW1GIII NSD 8050-C (1/01) 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. OPEN SITES: ~ City of San Bernardino Parks,Recreation . Agency name: & r.ommnn; ty Spn,; rPR npp~rtmpnt announces the sponsorship of the SFSP. Free meals will be made available to all attending children who are 18 years of age and younger. The United States Department of Agriculture (USDA) and the California Department of Education, Nutrition Services Division, prohibits discrimination in all their programs and activities on the basis of race, color, national origin, gender, religion, age, or disability. To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326- W, Whitten Building, 14111 and Independence Avenue, SW, Washington, DC 20250-9410 or call (202) 720-5964 (voice and TDD). The USDA and the NSD are equal opportunity providers and employers. Enter site name, address, meal service times and dates below, or attach a list. See attached press release. RESTRICTED-OPEN SITES: o Agency name: announces the sponsorship of the SFSP. Due to: 0 safety 0 security 0 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. The United States Department of Agriculture (USDA) and the Califomia Department of Education, Nutrition Services Division prohibits discrimination in all their programs and activities on the basis of race, color, national origin, gender, religion, age, or disability. To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326- W, Whitten Building, 14111 and Independence Avenue, SW, Washington, DC 20250-9410 or call (202) 720-5964 (voice and TDD). The USDA and the NSD are equal opportunity providers and employers. Enter site name, address, meal service times and dates below, or attach a list. California Department of Education Nutrition Services Division Summer Food Service Program. NSD BOSO.C (1/01) ENROLLED SITES, CAMPS, AND AGENCIES WITH SITES OTHER THAN OPEN SITES: o 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. The United States Department of Agriculture (USDA) and the California Department of Education, Nutrition Services Division prohibits discrimination in all their programs and activities on the basis of race, color, national origin, gender, religion, age, or disability. To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326- W, Whitten Building, 14th and Independence Avenue, SW, Washington, DC 20250-9410 or call (202) 720-5964 (voice and TOO). The USDA and the NSD are equal opportunity providers and employers. Children who are members of households receiving food stamps or benefits from a food distribution program on an Indian reservation, or are recipients of Califomia Work Opportunity and Responsibility to Kids Act (CaIWORKs) are automatically eligible to receive free meal benefits. Children from households with incomes at or below the income eligibility guidelines attached are also eligible for free meal benefits. Enter enrolled site name, address, meal service times and dates below, or attach a list. Income Eligibility Guidelines Effective July 1, 2000 through June 30, 2001 FAMILY SIZE YEAR MONTH WEEK 1 $15,448 $1 ,288 $298 2 20,813 1,735 401 3 26,178 2,182 504 4 31,543 2,629 607 5 36,908 3,076 710 6 42,273 3,523 813 7 47,638 3,970 917 8 53,003 4,417 1,020 For each + 5,365 +448 + 104 additional family member add: 2001-87 300 North "DO' Street. San Bernardino' CA 92418-0001 www.ci.san-bernardino.ca.us ,. PRESS RELEASE: DATE: FROM: IMMEDIATE JUNE 11,2001 CITY OF SAN BERNARDINO PARKS, RECREATION AND COMMUNITY SERVICES DEPARTMENT (909) 384-5070 PHONE: FREE SUMMER LUNCH PROGRAM FOR YOUTH The City of San Bernardino Parks, Recreation and Community Services Department announces the sponsorship ofthe Summer Food Program. Youth are served free nutritionally balanced meals that are prepared by the San Bernardino City Unified School District, and will be made available to all attending children who are 18 years of age and younger. For locations and meal service times, see the listing below. The program begins Monday, June 25 and ends Friday, August 31, 2001. For additional information call (909) 384-5070. SITE ADDRESS Anne Shirrell's Park Corner of Baseline & California Barton Elementary School (closing 8/24) 2214 Purnalo Blair Park 1466 W. Marshall Blvd. Boys & Girls Club 1180 W. 9th Street Brockton Complex 803 W. Brockton Ave., Redlands Burbank Elementary School (closing 8/24) 198 West Mill Street Central City Lutheran Mission 1354 N. "G" Street Cesar Chavez Park 670 Colton Ave., Colton C.I.D. 8088 Palm Lane Delmann Heights Center 2969 N. Flores Street Fairfax Elem. School (closing 8/24) 1362 Pacific Street Hernandez Center 222 N. Lugo Home of Neighborly Services 839 N. Mt. Vernon Johnson Hall Center 906 N. Wilson Lighthouse Ministry Church 16779 Arrow Blvd., Fontana Louise Linton Educational Center 131 E. Lugonia, Redlands Lytle Creek Center 380 S. "K" Street Mentone Elementary School 1320 Crafton Avenue, Mentone Mill Center 603 E. Central Ave. Missions For Jesus Christ 464 S. Sierra Way Neighborhood Spirit Center 2204 Sunrise Lane TIME 12 -I 12 - I 12-1 11:30 -12:30 11 :30 - 12:30 11:30 - 12:30 11 :30 - 12:30 11:30 - 12:30 11 :30 - 12:30 12 - I 12 - I 11:30-12:30 11:30-12:30 12 - I 12 -I 12:15-1:15 12 - I 11:30-12:30 11 :30 - 12:30 11 :30 - 12:30 12 - I Nicholson Center North Fontana Parks & Recreation PAL Center Perris Hill Park Ramona Drop In Center Ruben Campos Center Set Free Christian Fellowship Temple Community Outreach United Pentacostal Church Waterman Gardens Wildwood Park V.W.CA 2001-87 2750 W 2nd Street 6396 Citrus Ave., Fontana 2450 W. Blake Street, Muscoy 607 E. Highland Ave. 1524 W. 7th Street 1717 W. 5th Street 473 West Baseline 808 Ramona Street 615 North Harris 403 Alder Street Corner of 40th & Waterman 567 N. Sierra Way 12 - I 12 - I 12 - I 12 - I 11 :30 - 12:30 11:30-12:30 12 - I 12 - I II :30 - 12:30 II :30 - 12:30 12 - I 11 :30 - 12:30 The United States Department of Agriculture (USDA) and the California Department of Education, Nutrition Services Division, prohibits discrimination in all its programs and activities on the basis ofrace, color, national origin, gender, religion, age, or disability. Persons with disabilities who require alternative means for communication of program information (Braille, large print, audio tape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a discrimination complaint, write USDA, Director, Office of Civil Rights, Room 326- W, Whitten Building, 14th and Independence Avenue, SW, Washington, D.C. 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer. Submitted By: 3(. . ~ ~jr/[?J /fu~u Lynn Knutson Recreation Supervisor IIII Approved By: ~,/!d /dr John A. Kramer Superintendent of Recreation California Department of Education Nutrition Services Division 2001-87 Summer Food Service Program Schedule 0, NSO 8050-0 (1/01) 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, gender, religion, age, or disability. 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). SIGNA~ o. F A~THORIZEO REPRESENTATIVE ~~. '1 -! PI AGENCY NAME DATE City of San Bernardino Par s, Recreation & Community 5-/5--0/ Services Department