HomeMy WebLinkAbout1991-118
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RESOLUTION NO. 91-118
RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE
PREPARATION AND EXECUTION OF APPLICATIONS AND AGREEMENTS FOR
SAN BERNARDINO COUNTY COMMUNITY SERVICES FOOD DISTRIBUTION
PROGRAM AT DELMANN HEIGHTS COMMUNITY CENTER AND SENIOR
CITIZENS SERVICE CENTER.
BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE
CITY OF SAN BERNARDINO AS FOLLOWS:
SECTION 1.
The Director of Parks, Recreation and
Community Services is hereby authorized and directed to
prepare, execute and submit an application and agreement
for
San
Bernardino
County
Community
Services
Food
Distribution Program at Delmann Heights Community Center and
Senior Citizens Service Center, a copy of which documents are
attached hereto, marked Exhibit "A" and incorporated herein
by reference.
I HEREBY CERTIFY that the foregoing resolution was duly
adopted by the Mayor and Common Council of the City of San
Bernardino at a regular
meeting thereof, held on the
15th day of
April
1991 by the following
vote, to wit:
COUNCIL MEMBERS:
AYES
NAYS ABSTAIN
ESTRADA
x
REILLY
x
FLORES
x
MAUDSLEY
x
MINOR
x
POPE-LUDLAM
x
MILLER
x
3/12/91
~~~
-1-
,
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RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE
PREPARATION AND EXECUTION OF APPLICATIONS AND AGREEMENTS FOR
SAN BERNARDINO COUNTY COMMUNITY SERVICES FOOD DISTRIBUTION
PROGRAM AT DELMANN HEIGHTS COMMUNITY CENTER AND SENIOR
CITIZENS SERVICE CENTER.
The foregoing resolution is hereby approved this
17th
day of
April
, 1991.
----',
/
/ ,,/
" '/ f""..~z/ 7 / ,/
/' / ". ~
,~~~~/ ", -.--//
/'" W. R; H lcomb~ Mayo7
city 0 ,San B~nardino
Approved as to form
and legal content:
James F. Penman
City Attorney
Ii) -?
By: (Jd,,/,i>'-'? j(;7'-Y~,
(:]
(RESO:FOODDIST)
3/12/91
-2-
. FOOD BANK
8.0.,) QI-I.l8
Application
To Distribute U.S.D.A. Cnmrnilities
(Type or Print)
A. Applicant Information:
1. Name of Agency: Parks, Recreation and Community Services Dept.
3. Contact Person: Andrew G. Brown
Zip 92410
Phone: (714) 384-5417
2. Address:
547 North Sierra Wav
4. Title: Center t1anaqer II
Delmann Heiqhts Community Center
5. Applicant is:
A. Government Agency 1L-- B. private/Public Non-Profit ____
Liability Insurance Carrier Citv Self Insured
6. ~ax Exempt #
B. Program Information:
1. Provide a concise description of your agency/program and attach a brochure
or fact sheet if available.
Community Center offers an array of programs and events that include Headstart,
Pre-School, Senior Nutrition, Youth Sports, W.I.C., Teen Club and Special Events.
2. How many households do you plan to serve with the U.S.D.A commodities? 400
3. What days and hours will you distribute the commodities? 4th Monday each month
4. Specific geographic area that will be served: Zip ,-odes 92405, 92407
5. Who is currently eligible for your services? Low income, resident senior citizens
C. Storage Facilities, Transportation and Equipment:
1. Does your agency have storage facilities?
Yes ____ No 1L-- Give dimensions:
Refrigerator:
Freezer:
Dry Storage Area:
2. Do you have adequate transportation to pick up the commodities?
Describe:
City vehicle
3. Number of tables 14
Number of Chairs 200
D. Personnel:
1. Number of paid staff and volunteers that will assist with the distributions.
A. Paid Staff 1
B. Volunteers 6
Return to : San Bernardino County Food Bank
Attn: Herman Pefia
255 East Drake, Bldg. D
San Bernardino, CA 92408
HP/ff 12-17-90
r
f0<:> q H S
SAN BERNARDINO COUNTY FOOD BANK
Agreement For The Distribution of USDA Commodities
1. Distribution Site (DS) agrees to define the specific geographical
area serviced to prevent duplication. Geographical area may be
defined by street boundaries, zip codes, and/or city served.
2. DS will insure that proper storage will be provided for dry, re-
frigerated and frozen commodities as indicated on the containers
of each commodity until distributed and that commodities will be
distributed as soon as possible to ensure greatest possible fresh-
ness and palatability.
3. DS will insure that commodities provided under this agreement will
be made available only to those eligible persons as defined by the
most recent eligiblity guidelines and in accordance with the distri-
bution rates established by the State Department of Social Services
(SDSS). (See Exhibit A).
4. DS will verify recipient income eligibility by requesting to see
current evidence of eligibility in another public assistance pro-
gram (i.e., paycheck stubs, tax forms, etc.), or by self-certification
that recipient meets the income guidelines; and in all cases will
require each recipient to sign the eligibility certification form.
(See Exibit B).
5. DS will insure that USDA surplus food received for distribution
shall not be sold, exchanged, bartered or transfered for money,
services, or other products.
6. DS will insure that under no circumstances shall recipients be re-
quired to make any payments, in money, materials, or services for,
or in connection with the receipt of donated foods, nor shall volun-
tary contributions be solicited in connection with the receipt of
donated foods for any purpose. Service will be on a first come,
first served bases and in a fair, equitable and nondiscriminating
manner ..
7. DS understands and acknowleges that the distribution of USDA surplus
food commodities shall not be used for political purposes, and in
connection therewith specifically agrees that any commodities di~tri-
buted under this agreement will not be wrapped or packaged in, or
distributed with any material containing the names or identification.
of any individual elected official, candidate for office, or political
party.
8. DS agrees to promptly investigate all reports of misuse of donated
food within their distribution area and to provide pertinent infor-
mation to the San Bernardino County Food Bank.
Con't
DS Agreement
Page 2 of 3
9. DS agrees to keep an inventory of commodities showing what is on
hand, received, distributed and/or returned to the EFO. A summary
report shall be submitted to the San Bernardino County Food Bank
by the 5th day immediately after a distribution detailing the number
of individuals served, the number of units of each commodity dis-
tributed and the number of units of each commodity remaining.
(See Exhibit C).
10. OS by signing this agreement verifies that it is either a government
agency, or a private/public non-profit entity with tax-exempt status.
11. OS will not reallocate their food allotments to any other agency. If
the DS is unable to distribute the USDA food allocated, the San Ber-
nardino County Food Bank reserves the right to revoke the allocation
and redistribute the food.
12. OS agrees that all USDA distributions will be open and publicized for
all eligible recipients within the designated service area.
13. OS agrees to tranport USDA Commodities in vehicles and under con-
ditions that provide for safe vehicle operation and prevention of
spoliage.
14. OS agrees that no damaged or spoiled food shall be distributed. Any
such food must be returned to the San Bernardino County Food Bank.
15. The Agency agrees to indemnify, defend and hold harmless the County,
its agents, officers and employees from and against any and all lia-
bility, expense, including defense costs, legal fees and claims for
damage of any nature.
16. Upon approval of this agreement by the Community Services Department
it will continue year to year unless it is terminated by either
party. The DS or the San Bernardino County Food Bank may terminate
this agreement by giving thirty (30) days advance notice in writing
to the other party.
17. The San Bernardino County Food Bank reserves the right to monitor
DS distributions, as required by the State Department of Social -
Services.
18. OS agrees to post fliers at strategic locations within the DS dis-
tributing area, e.g., supermarkets, post office, shopping malls,
bulletin boards, etc., or use a public service announcement to en-
sure that all eligible participants are advised of distribution
times and locations. The sites used for distributions must be
accessible to the general public.
19. Allocations of USDA Commodities for distribution will be based on
the number of households and persons served in previous distributions
by the DS. Additional commodities may be allocated (if available)
with a written request and justification submitted two (2) weeks
prior to a distribution.
Con't
DS Agreement
Page 3 of 3
The San Bernardino County Food Bank is administered by the Community
Services Department of San Bernardino County.
The undersigned Non-Profit Agency agrees to comply with the aforemen-
tioned revised conditions for the distribution of USDA Surplus Com-
modities.
CITY OF SAN BERNARDINO PARKS, RECREATION AND COMMUNITY SERVICES DEPARTMENT
Legal Name of Non-Profit Agency (Distribution Site - OS)
Authorized
Representati ve: Annie F. Ramos
(PleaS~ Type or P~)
Signature: ~ 7. ~~
/ Di rector
Title
/ .If - )...t!, -? /
Date
--------------------------------------------------------------------
Agreement approved by Community Services Department and San Bernardino
County Food Bank.
Authorized
Representative: Herman Pefia
r2;<;L~~ Tn'~:r ('Ai:)
Signature: ~ ~.::./
/ Manager II
Title
/J-t,-'1/
Date
ATTACHMENTS
Exhibit A
Exhibit B
Exhibit C
HP/ff
Revised i2-l4-90
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TEMPORARY EMERGENCY FOOD ASSISTANCE PROGRAM
K:lNTHLY REPORT OF HOUSEHOLD PARTICIPATION
AND INVEN'l'ORY CONTROL
EXHIBIT C
~O--, ql-II~
FOR THE IO'n'H OF:
Repocting Agency:
Addcess:
City & Zip Code:
Contact Pecson:
Telephone (
)
Distcibution Date:
Nuobec of Bouseholds Secved:
INVENTORY CONTROL
Date Re<;:eived:
Wt. Units Units Left t people In Units Units
Units CoIIInodites Received Ovec Bouseholds Secved Retucned Unacconnted
11 Buttec
21 Rice
51 Cocn Meal
51 Flouc
51 Cheese
11 Veg. Beans
21 Peanut Buttec
290z. Pock
11 Applesauce
Inventory, not accounted foc IllUSt be explained t>elow.
CoIIment:.s:
The infocmation pcovided is true and accucate to the best of JJrf knowledge.
Authocized Signatuce Date
.
,.
. SAN BERNARDINO COUNTY FOOD BANK
Rr-0 q 1118
Application
To Distribute U.S.D.A. Coamodities
(Type or Print)
A. Applicant Information:
1. Name of Agency:
Parks, Recreation and Community
3. Contact Person: Oscar Perrier
Zip 92410
Phone: 714/384-5231
2. Address:
547 N. Sierra Way
4. Title: Senior Recreation Supervisor
5. Applicant is:
A. Government Agency ____ B. private/Public Non-Profit
Liability Insurance Carrier City is self insured
6. Tax Exellll?t #
B. PrograJl! Information:
1. Provide a concise description of your agency/program and attach a brochure
or fact sheet if available.
Senior Citizens Service Center (See attached)
2. How many households do you plan to serve with the U.S.D.A commodities? 800-1200
3. What days and hours will you distribute the commodities? Mondays- 8 times per year
4. Specific geographic area that will be served: City of San Bernardino
5. Who is currently eligible for your services? Low income residents and Senior Citizens
C. Storage Facilities, Transportation and Equipnent:
1. Does your agency have storage facilities?
Yes
No ~ Give dimensions:
Refrigerator:
Freezer:
Dry Storage Area:
2. Do you have adequate transportation to pick up the commodities?
Describe:
City Vehicle
3. Number of tables 1 n
Number of Chairs 100
D. Personnel:
1. Number of paid staff and volunteers that will assist with the distributions.
A. Paid Staff 4
B. Volunteers 4
Return to : San Bernardino County Food Bank
Attn: Herman Pena
255 East Drake, Bldg. D
San Bernardino, CA 92408
HP/ff 12-17-90
I.
R.c,. CII-II'iS
SAN BERNARDINO COUNTY FOOD BANK
Agreement For The Distribution of USDA Commodities
1. Distribution Site (DS) agrees to define the specific geographical
area serviced to prevent duplication. Geographical area may be
defined by street boundaries, zip codes, and/or city served.
2. DS will insure that proper storage will be provided for dry, re-
frigerated and frozen commodities as indicated on the containers
of each commodity until distributed and that commodities will be
distributed as soon as possible to ensure greatest possible fresh-
ness and palatability.
3. DS will insure that commodities provided under this agreement will
be made available only to those eligible persons as defined by the
most recent eligiblity guidelines and in accordance with the distri-
bution rates established by the State Department of Social Services
(SDSS). (See Exhibit A).
4. OS will verify recipient income eligibility by requesting to see
current evidence of eligibility in another public assistance pro-
gram (i.e., paycheck stubs, tax forms, etc.), or by self-certification
that recipient meets the income guidelines; and in all cases will
require each recipient to sign the eligibility certification form.
(See Exibit B).
5. OS will insure that USDA surplus food received for distribution
shall not be sold, exchanged, bartered or transfered for money,
services, or other products.
6. OS will insure that under no circumstances shall recipients be re-
quired to make any payments, in money, materials, or services for,
or in connection with the receipt of donated foods, nor shall volun-
tary contributions be solicited in connection with the receipt of
donated foods for any purpose. Service will be on a first come,
first served bases and in a fair, equitable and nondiscriminating
manner.
7. DS understands and acknowleges that the distribution of USDA surplus
food c~mmodities shall not be used fo~ polttical purposes, and in
connection therewith specifically agrees that any commodities distri-
buted under this agreement will not be wrapped or packaged in, or
distributed with any material containing the names or identification
of any individual elected official, candidate for office, or political
party.
8. OS agrees to promptly investigate all reports of misuse of donated
food within their distribution area and to provide pertinent infor-
mation to the San Bernardino County Food Bank.
I.
Con't
DS Agreement
Page 2 of 3
9. DS agrees to keep an inventory of commodities showing what is on
hand, received, distributed and/or returned to the EFO. A summary
report shall be submitted to the San Bernardino County Food Bank
by the 5th day immediately after a distribution detailing the number
of individuals served, the number of units of each commodity dis-
tributed and the number of units of each commodity remaining.
(See Exhibit C).
10. DS by signing this agreement verifies that it is either a government
agency, or a private/public non-profit entity with tax-exempt status.
11. DS will not reallocate their food allotments to any other agency. If
the DS is unable to distribute the USDA food allocated, the San Ber-
nardino County Food Bank reserves the right to revoke the allocation
and redistribute the food.
12. DS agrees that all USDA distributions will be open and publicized for
all eligible recipients within the designated service area.
13. DS agrees to tranport USDA Commodities in vehicles and under con-
ditions that provide for safe vehicle operation and prevention of
spoliage.
14. DS agrees that no damaged or spoiled food shall be distributed. Any
such food must be returned to the San Bernardino County Food Bank.
15. The Agency agrees to indemnify, defend and hold harmless the County,
its agents, officers and employees from and against any and all lia-
bility, expense, including defense costs, legal fees and claims for
damage of any nature.
16. Upon approval of this agreement by the Community Services Department
it will continue year to year unless it is terminated by either
party. The DS or the San Bernardino County Food Bank may terminate
this agreement by giving thirty (30) days advance notice in writing
to the other party.
17. The San Bernardino County Food Bank reserves the right to monitor
DS distributions, as required by the State Department of Social
Services.
18. DS agrees to post fliers at strategic locations within the DS dis-
tributing area, e.g., supermarkets, post office, shopping malls,
bulletin boards, etc., or use a public service announcement to en-
sure that all eligible participants are advised of distribution
times and locations. The sites used for distributions must be
accessible to the general public.
19. Allocations of USDA Commodities for distribution will be based on
the number of households and persons served in previous distributions
by the DS. Additional commodities may be allocated (if available)
with a written request and justification submitted two (2) weeks
prior to a distribution.
I.
Con't
DS Agreement
Page 3 of 3
The San Bernardino County Food Bank is administered by the Community
Services Department of San Bernardino County.
The undersigned Non-Profit Agency agrees to comply with the aforemen-
tioned revised conditions for the distribution of USDA Surplus Com-
modities.
CITY OF SAN BERNARDINO PARKS, RECREATION AND COMMUNITY SERVICES DEPARTMENT
Legal Name of Non-Profit Agency (Distribution Site - DS)
Authorized
Representative: Annie F. Ramos
(Please Type or print)
af~t '1. ~"ov
/ Di rector
Title
Signature:
/ 'f-~9-?/
Date
--------------------------------------------------------------------
Agreement approved by Community Services Department and San Bernardino
County Food Bank.
Authorized
Representative:
Signature:
/ Mana
Title
~
/ tJ--t-
Date
ATTACHMENTS
Exhibit A
Exhibit B
Exhibit C
HP/ff
Revised :12-14-90
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. TEMP()RARY EMERGENCY FOOD ASSISTANCE PROGRAM
MJNTHLY REPORT OF HOUSEHOLD PARTICIPATION
AND INVENTORY CONTROL
EXHIBIT C
Rt~. cli-Jlg
FOR THE K)N'l'H OF:
Reporting Agency:
Address:
City & Zip Code:
Contact Person:
Telephone (
)
Distribution Date:
Nunbee of Households Served:
-
INVENTORY CONTROL
Date Received:
Wt. Units Units Left I People In Units Units
Units CooIoodites Received Ovee Bouseholds Served Returned Unaccounted
11 Butter
21 Rice
51 Corn Meal
5' Floue
51 Cheese
Ii Veg. Beans
21 Peanut Buttee
2902. Poek
Ii Applesauce
Inventory, not accounted foe IIIIJSt be explained helow.
CoIIment:.s:
The infocmation provided is tcue and accucate to the best of Ilrf knowledge.
Authorized Signatuce Date