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HomeMy WebLinkAbout1991-375 1 2 3 4 5 6 7 8 9 10 11 RESOLUTION NO. 91-375 RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE DIRECTOR OF PARKS, RECREATION AND COMMUNITY SERVICES DEPARTMENT TO MAKE APPLICATION FOR AND ACCEPT A GRANT FROM SAN BERNARDINO COUNTY OFFICE ON AGING FOR THE SENIOR NUTRITION PROGRAM FOR THE PERIOD OF JULY 1, 1991 THROUGH JUNE 30, 1992. 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 Department of the City of San Bernardino is hereby authorized and directed to submit an application to accept on behalf of the City a grant from San Bernardino County Office on Aging for the Senior Nutrition Program for the 12 period of July 1, 1991 through June 30, 1992. 13 SECTION 2. The authorization granted hereunder shall 14 expire and be void and of no further effect if the agreement is 15 not executed by both parties and returned to the office of the 16 City Clerk within sixty (60) days following the effective date 17 of the resolution. 18 I HEREBY CERTIFY that the foregoing resolution was 19 duly adopted by the Mayor and Common Council of the City of San 20 Bernardino at a 21 19th day of 22 vote, to wit: 23 II 24 II 25 II 26 II 27 II 28 8/7/91 reQu1ar meeting thereof, held on the Auallst: , 1991, by the following 1 2 3 RE: RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE DIRECTOR OF PARKS, RECREATION AND COMMUNITY SERVICES DEPARTMENT TO MAKE APPLICATION FOR AND ACCEPT A GRANT FROM SAN BERNARDINO COUNTY OFFICE ON AGING FOR THE SENIOR NUTRITION PROGRAM FOR THE PERIOD OF JULY 1, 1991 THROUGH JUNE 30, 1992. 13 14 15 16 17 18 19 Approved as to form and legal content: ~~k~ The foregoing resolution is hereby approved this 19th day of Auaust , 1991. </~ -:--;/ /.~ /' /'"Y'.' <C >. / W: R. HOlcomb, Mayor city of San Bernardino 20 James F. Penman City(t.ttorney .1 22 By: i"ftZ~ 7 >Jc~ (f ,/ 21 23 -2- , OoA; Inc. Cities: San Bdno.; Senior Citizens; Agree. 91-906 MINUTES OF THE BOARD OF SUPERVISORS' OF SAN BERNARDINO COUNTY, CALIFORNIA / . September 9, 1991 FROM: KATHRYN H. PICHETTE, Director Office on Aging SUBJECT: CONTRACT FOR NUTRITION SERVICES BETWEEN THE COUNTY ANll THS C1'l'Y OF SAN BERNARDINO FOR FY 1991-92 (OoA) RECOMMENDATION: Approve contract between the County Office on Aging and the City of San Bernardino in the amount of $196,240 for the administration of a senior nutrition program in the City of San Bernardino from July 1, 1991 through June 30, 1992. BACKGROUND: The Office on Aging has recently received its annual cal;fornia Department of Aging funding allocations for FY 1991-92. State funds are annually allocated to nutrition and other social services contractors for the provision of services for senior citizens. The City of San Bernardino successfully administered a nutrition program during FY 1990-91 and has applied for $196,240 to operate the program in FY 1991-92. This action would approve a contract between the County and the City of San Bernardino during FY 1991-92 which would continue congregate meal service in various city locations. REVIEW BY ADVISORY BOARD/OTHER DEPARTMENTS: The Senior 13, 1991. Compliance, Affairs Conunission approved the contract at its meeting on June This contract has also been reviewed and approved by Contract Risk Management and Deputy County Counsel Ruth E. Stringer. FINANCIAL DATA: Adequate appropriations and revenue have been included in the Department' s FY 1991-92 budget to meet the cost of this contract. There is no local cost to the County. PRESENTER: Kathryn H. pichette, Director, Office on Aging , \ cc: OoA-Kay Pichette w/agreemen City of San Bernardino w/ag e. c/o OoA Auditor w/agreement Purchasing-Contract Complia e DPSS Admin.-John Michaelson Risk Management CAD-Van Mouwerik File w/agreement Action of the Board of Supervisors AGREEMENT NO. 91-906 mll Motion 5 14.9507.000 Rev. 10/81 ITEM 78 ., , ,~\\ll'llf~/ .....,~t~ ... - - -- ~ - -::::- ..:::- -~ ~..... /1fllll'\\\"i' E New M Change X Cancel County Department OFFICE ON AGING FOR COUNTY USE ONi Y Vendor Code Dept. Contract Number \ , sc A '1/- 'ftJ' Dept. Orgn. Contractor's License No. County of San Bernardino FAS STANDARD CONTRACT County Department Contract Representative PICHETTE, Organization Amount of Contract $196,240 GRC/PROJIJOB Number FY Estimated Payment Total by Fiscal Year Amount 110 FY Amount I/O City Res. 91-375 Project Name Nutrition for Seniors THIS CONTRACT is entered into in the State of California by and between the County of San Bernardino, hereinafter called the County, and Name CITY OF SAN BERNARDINO Address hereinafter called CONTRACTOR 547 N. SIERRA WAY SAN BERNARDINO, CA 92401-1211 Phone Birth Date (714) 384-5231 FederallD No. or Social Security No. 95-6000772 IT IS HEREBY AGREED AS FOLLOWS: (Use space below and additional bond sheets. Set forth service to be rendered, amount to be paid, manner of p~yment, time for performance or completion, determination of satisfactory performance and cause for termination, other terms and conditions, and attach plans, specifications, Bnd addenda, if any.) THIS AGREEMENT, is entered into on the 1991, by and between the County of San Bernardino Agency on Aging, hereinafter called the Office on Ci ty of San Bernardino, direct service provider, "Contractor." 1st day of July, acting as the Area Aging or "OoA" and hereinafter called WHEREAS, the Older Americans provides for assistance to state and nutri tion and social supportive services persons; and Act of 1965, as Amended, local agencies to develop to meet the needs of older WHEREAS, the California Department of Aging has allocated funds to the Office on Aging for the purpose of administering a certain portion of said funds pursuant to said act; and for the purpose of planning service programs and activities for older persons; and WHEREAS, the OoA desires to use California Department of Aging monies to fund, and the Contractor desires to operate and execute a Senior Nutrition Program, this contract is executed to reduce to writing, the specific terms and conditions covering the funding, execution and operation of the program provided by this contract. covenants follows: THEREFORE, contained in consideration herein, the OoA of and the the mutual promises and Contractor agree as 02-12311.000 Rev. 11f90 Page 1 of 9 . . .' 1. DEFINITIONS: CDA PM means "Title III Program Manual for Area Agencies on Aging." This manual is based on Federal regulations for Title III published March 31, 1980 (CFR, Chapter 8, Subchapter C, Par 1321). Pertinent parts of 45 CFR Sub-title A, Part 74, published June 3, 1980, have also been used. A copy of the manual is available for review at the Office on Aging during regular office hours. . 2. WORK TO BE PERFORMED: The Contractor shall, in a satisfactory manner as determined by the OoA, conduct, administer and provide nutrition and ombudsman services for the elderly as defined in the attached WORK PROGRAM Exhibit "A-l" and PROGRAM BUDGET Exhibit "B" and "B-1" which is attached hereto and incorporated therein by reference. The aforementioned and all other exhibits are, by this reference, made a part of this contract as fully set forth here. 3. PERFORMANCE STANDARDS AND REMEDIES: If for any reason the Contractor's service falls below 90% of the contracted level during any calendar quarter, the Contractor will submit to the Office on Aging wi thin 30 calendar days an analysis of the problem and the actions being taken to correct the problem. If the problem persists and at the sole discretion of the OoA, the Office on Aging and the Contractor may jointly prepare a written corrective plan with time lines for completion. If the Contractor fails to carry out the corrective action and does not meet a 100% contract level within the required time frame, sanctions will be invoked as described in the OoA Sanction Policy. Continued lack of corrective action will be cause for immediate termination of contract. If, after all appropriate actions have been taken, the service level still falls below 90% of the contracted level, the OoA may in its sole discretion reduce the contracted level of service and the budget, as appropriate. 4. of July however, TERM: Term of this agreement will begin on the 1991, and terminate on the 30th day of June 1992, to early termination as herein provided. 1st day subject, 5. COMPENSATION/SCHEDULE OF PAYMENTS: The maximum amount of funds awarded under this contract shall be $196,240, and shall be subject to availability of funds from the California Department on Aging. Contractor will be provided a payment advance equal to 10% of the Title III portion of the total contract amount under this agreement for start-up purposes. Said advance shall be liquidated by applying the May and June reimbursements to Contractor toward the outstanding balance. Payment advances made by the OoA are subject to availability of funding. Contractor shall be compensated monthly in arrears based upon the Federal Share of Cost incurred and the performance level for the month. Performance levels below 100% will result in an equivalent reduction in the Federal Share of Cost reimbursement with the withheld funds being applied toward advance liquidation. Performance levels at or above 100% will result in 100% reimbursement as defined in the program budget. In addition, USDA funds will be paid at the prevailing rate for each reimbursable meal served. Page 2 of 9 6. be equal liB_I. II PROJECT to 40% INCOME: Project or grant related income of the total expenditures shown in Exhibit should liB II and 7. MATCHING CONTRIBUTIONS: The Contractor will provide a cash matching contribution of $-0- and/or in-kind matching contributions of $15,470. The determina'tion method shall be the Title III portion of the contract multiplied by 0.1 and divided by 0.9 which is equal to a contribution rate of approximately 11.11%. Allowable match shall be in compliance with CDA Program Manual, Part I, Section 200, Non-Federal resources. 8. FISCAL RESPONSIBILITY: The Contractor agrees to strictly adhere to the approved budget, listed in Exhibit "B" and "B-1." Contractor will ensure that all expenditures are supported by properly executed payroll, time records, invoices, contracts, vouchers, orders and any other accounting documents pertaining in whole or in part to this contract. Such documents shall be clearly identified and readily accessible to OoA staff, as may be required. 9. AUDIT: Within 90 days after the termination of this contract, Contractor shall perform a financial and compliance audit and submit information as required in the OoA Final Program Report. Requirements of the Final Program Report will be in accordance with instructions found in the OoA Contractor I s Manual. In the event of an audit exception, all documents referred to in Paragraph 8, FISCAL RESPONSIBILITY, shall be maintained and kept available until every exception has been cleared to the satisfaction of OoA. 10. INDEMNIFICATION AND INSURANCE: The Contractor agrees to indemnify, defend and hold harmless the County and its authorized agents, officers, volunteers and employees against any and all claims or actions arising from Contractor's acts, errors or omissions in performing services pursuant to this contract and for any costs or expenses incurred by the County on account of any cl.aim therefore. In order to accomplish the indemnification herein provided for, but without limiting the indemnification, the Contractor shall secure and maintain throughout the term of the contract the following types of insurance issued by companies acceptable to the Risk Manager with limits as shown: Workers' Compensation - A program of Workers' Compensation insurance or a state-approved Self-Insurance Program in an amount and form to meet all applicable requirements of the Labor Code of the State of California, including Employer's Liability with $250,000 limits, covering all persons providing services on behalf of the Contractor and all risks to such persons under this Agreement. Comprehensive General and Automobile Liability Insurance This coverage to include contractual coverage and automobile liability coverage for owned, hired and non-owned vehicles. The policy shall have combined single limits for bodily injury and property damage of not less than one-million dollars ($1,000,000). Page 3 of 9 :... Errors and Omissions Liability Insurance - Combined single limits bf $1,000,000 for bodily injury and property damage, or - Professional Liability - Professional liability insurance with limits of at least $1,000,000 per claim and in the aggregate. ADDITIONAL NAMED INSURED All policies, ~xcept for the Workers' Compensation coverage and Errors. and Omissions or Professional Liability, shall contain additional endorsements naming the County employees, agents, volunteers and officers as additional named insured with respect to liabilities arising out of the performance of services hereunder. For Professional Liability coverage the County shall be named as a designated person referencing this Agreement's contract number on the policy. WAIVER OF SUBROGATIONS RIGHTS - Contractor shall require the carriers of the above required coverages to waive all rights of subrogation against the County, its officers, volunteers, employees, contractors and subcontractors. POLICIES PRIMARY AND NON-CONTRIBUTORY - All policies required above are to be primary and non-contributory with any insurance or self- insurance programs carried or administered by the County. PROOF OF COVERAGE - Contractor shall immediately furnish certificates of insurance to the Department evidencing the insurance coverage above required prior to the commencement of performance of services hereunder. These certificates shall provide that such insurance shall not be terminated or expire without thirty (30) days written notice to the County. Wi thin sixty (60) days of the commencement of this Agreement the Contractor shall furnish certified copies of the policies and endorsements. INSURANCE REVIEW - The above insurance requirements are subject to periodic review by the County. The County's Risk Manager is authorized, but not required, to reduce or waive any of the above insurance requirements whenever the Risk Manager determines that any of the above insurance is not available, is unreasonably priced, or is not needed to protect the interests of the County. In addition, if the Risk Manager determines that heretofore unreasonably priced or unavailable types of insurance coverage or coverage limits become reasonably priced or available, the Risk Manager is authorized, but not required, to change the above insurance requirements to require additional types of insurance coverage or higher coverage limits, provided that any such change is reasonable in light of past claims against the County, inflation, or any other item reasonably related to the County's risk. Any such reduction or waiver for the entire term of the Agreement and any change requiring additional types of insurance coverage or higher coverage limits must be made by amendment to this Agreement. Contractor agrees to execute any such amendment wi thin thirty (30) days of receipt. , Page 4 of 9 11., LICENSURE: Where the State or local public jurisdiction wi thin the State requires licensure for the provision of services, . the Contractor will, in performing the services required under this contract, obtain all necessary licenses and/or permits, and maintain such licenses and permits for the full term of the contract. 12. REPORTS: Contractor, at such times and in such forms as OoA may require, shall furnish OoAstatements', records, reports, data and information as DoA may request pertaining to Contractor performance of services hereunder and other matters covered by this agreement. 13. INSPECTIONS: Contractor shall make available to DoA, State or Federal officials, its records and data with respect to all matters covered by this agreement for inspection and audit. Said inspection and audit may be made at any time, during normal business hours after reasonable notice has been given to the Contractor (CDA PM, Part G, Section 93.21 N 8). 14. MONITORING AND ASSESSMENT: Contractor shall permit OoA, State or Federal officials to monitor, assess or evaluate Contractor's performance under this agreement. Said monitoring, assessment or evaluation shall include, but shall not be limited to project site visits and interviews with Contractor's employees and agents providing the service under this agreement and recipients thereof. Contractor will ensure cooperation and shall attend all meetings mandated by the DoA. 15. PROPERTY MANAGEMENT SYSTEM: All equipment, materials, supplies or property of any kind purchased with OoA funds provided herein shall be in accordance with CDA PM, Part G, Section 93.19, and if not fully expended or consumed prior to the termination of this contract shall be the property of the OoA, unless otherwise directed by the DoA Director. The Contractor shall be held liable for all losses of or damage to non-expendable equipment or material resulting from negligence or improper implementation of safeguards. The disposal, loss and/or destruction of property or equipment shall be fully documented by the Contractor with copies thereof provided to the OoA with the monthly report for the month in which it occurred. Loss by vandalism or theft must be immediately reported to the police. The DoA Director shall be notified of the loss wi thin seventy-two (72) hours discovery of the loss. Equipment that is worn beyond economical repair may be turned in to the OoA for accountability purposes. It shall also be the Contractor's responsibility when disposing of worn vehicles to insure that all identifying lettering, signs, etc. are removed prior to disposal. Replacement of all items shall require OoA authorization. Any equipment purchased with OoA funds will be subject to review over the life of the equipment, and if not used, under-used or misused, may be claimed by the OoA for redistribution to other OoA projects. Vehicles purchased with DoA funds shall also have the following language painted or affixed by other means: Vehicle purchased with "Older Americans Act funds." Page 5 of 9 16. AMENDMENTS TO THE CONTRACT: Any contract change requires ini'tiation of an amendment to the contract in writing and signed by . both parties. 17. CONDITIONS AND GROUNDS FOR SUSPENSION OR TERMINATION: a) If the Contractor fails to comply ~ith part or all of the provisions of this agreement or such other statutes, executive order, OoA and California Department of Aging, and other directives as may become generally applicable at any time, the OoA shall thereupon have the right to suspend or terminate the contract by giving written notice to the Contractor specifying the effective date thereof. Contents of the written notice shall be specified in the OoA Contractor's Manual. A determination as to noncompliance on the part of the Contractor shall include but is not limited to: (1) failure to fulfill in a timely and proper manner, its work program requirements: ( 2) submission of .incorrect or incomplete reports or late submission: (3) improper or ineffective use of the funds provided or derived under this contract, as determined by the OoA: (4) failure to comply with California Department of Aging rules and regulations. b) agreement whole. without the prior written consent of the County, this is not assignable by the Contractor either in part or in c) If the grant is made is terminated, terminate this contract. to the Contractor. or other the OoA Notice of funding under which this contract shall have cause to immediately the termination shall be in writing d) Reclamation and Closure: In the event of termination, all funds, property, finished or unfinished documents, data, supplies and reports obtained or prepared by the Contractor under this contract shall, at the option of the OoA be returned to OoA. e) Notwithstanding any other provisions of the contract, either party may terminate this contract without cause upon thirty (30) days written notice to the other party. 18. TRAINING AND MANPOWER DEVELOPMENT: The Contractor agrees to participate in appropriate staff training and development provided by the OoA, the California Department of Aging and the Administration on Aging. 19. CONFIDENTIALITY: The Contractor will take steps to ensure that no information about, or obtained from .an individual, and in the possession of the Contractor, will be discussed in a form identifiable with the individual, without the individual's informed consent. Lists of older persons compiled pursuant to California Information Practices Act (CA Civil Code, Title 1-8, Section 1798) will be used solely for the purpose of providing nutrition services, and only with the informed consent of ieach individual on such list (CDA PM, Part B, Section 19.1). l_ Page 6 of 9 -. 20. PUBLICATIONS: Any books, reports, pamphlets, papers, or articles, including newspaper reports, based on activities funded by this contract, must contain an acknowledgement of funding by the San Bernardino County Office on Aging. The following language should be used: "These services are due, in part or in whole, to funds provided by the OoA through the Older Americans Act, Title III, 1965 as amended." 21. COPYll.IGHTS: If the contract. results in a book or other copyrightable materials. the author is free to copyright the work, but the OoA reserves a royalty-free. non-exclusive and irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, all copyrighted material which can be copyrighted resulting from the contract (CDA PM, Part G, Section 93.19 x. 1. and 2.). 22. CONTRACTOR INDEPENDENCE: The Contractor and the agents and employees of the Contractor in the performance of this agreement shall act in an independent capacity and not as officers, or employees or agents of the State of California, County of San Bernardino or the OoA. 23. UNAUTHORIZED ACTIVITIES: All activities not expressly authorized by this agreement shall be prohibited without the express written permission of the OoA Director or his authorized agent. 24. BINDING CONTRACT: In the event any portion of this contract is found to be invalid, the remaining portions shall continue to constitute a valid and binding contract. 25. PLANNING EFFORT: The Contractor agrees to cooperate with the OoA in its efforts toward developing a comprehensive and coordinated system of services for the elderly by participating in joint planning efforts and other activities mutually agreed upon to meet this goal (CDA PM, Part H, Section 107.5). 26. CONTRIBUTIONS: The Contractor will provide mechanisms for older persons rece~v~ng services to contribute to help defray costs of all services provided. No older person will be denied service because of his/her failure to contribute. No fee shall ever be required of recipients. Methods of receiving contributions from recipients shall be handled in such a manner so as not to differentiate among individual's contributions publicly (CDA PM, Part H, Section 111.1). Contractor will periodically encourage participants to increase their donations if they can afford it. 27. GREATEST ECONOMIC OR SOCIAL NEED: The Contractor understands that one of its responsibilities under this contract is to insure that "preference will be given to providing services to older individuals with greatest economic or social needs (Older Americans Act of 1965 as Amended, Amendments of 1988, Public Law 98-459, 306 (a) (5) (A) (u) (I) (II) ).tI "The term 'greatest economic need' means the need resulting from an income level at or below the poverty threshold established by the Bureau of the Census, and the term 'greatest social need' m~ans the need caused by non-economic factors Page 7 of 9 which include physical and mental disabilities, language barriers, and cultural or social isolation including that caused by racial or . ethnic status which restricts an individual's ability to perform normal daily tasks or which threatens his or her capacity to live independently. (Older Americans Act of 1965 as Amended, Amendments of 1988, Public Law 98-459, 306 (a) (5) (B) )." Minimum program goals relating to minorities within this contrac~ have been established by computing the percentage of min'ority elderly over 60 within the geographic area served by the Contractor. 28. RELIGIOUS ACTIVITY PROHIB~TED: worship, instruction, or proselytization with, the performance of this contract. Tnere shall be no religious as part of, or in connection 29. OTHER STATUTORY REQUIREMENTS: The Contractor agrees to fully comply with the laws and programs (including regulations issued pursuant thereto) which are listed following this paragraph. Such compliance is required to the extent that such laws, programs and their regulations are by their own terms, applicable to this contract. Contractor warrants that he will make himself thoroughly familiar with the applicable provisions of said laws, programs and regulations prior to commencing performance of the contract. Copies of said laws, programs and regulations are available upon request from San Bernardino County Contract Compliance Officer, 686 E. Mill Street, San Bernardino, California 92415-0640. To the extent applicable the provisions of said laws, programs and regulations are deemed to be a part of this contract as if fully set forth herein. A. The San Bernardino County Affirmative Action Compliance Program (See Exhibit D). B. and 1974, L-93-508, Vietnam Era as amended. Title IV, as Veterans' Readjustment Assistance Acts of Pub. L. 92-540, Title V, Section 503 (a), amended, Section 402. (38 USCA 2011-2013). 1972 Pub. C. Rehabilitation Act of 1973, as amended (handicapped) Pub. L. 93-112, as amended. D. California Fair Employment and Housing Act, Government Code Section 12900 et. seq. E. Civil Rights Act of 1964, as amended (42 USCA 2000a to 2000h- 6) and Executive Order No. 11246, September 24, 1965, as amended by Executive Order 11375 and as supplemented in Department of Labor regulations (41 CFR, Part 60). (See Exhibit C.) F. Clean Air Act of 1970, Section 306, (USC 1858(h) and the Federal Water Pollution Control Act, Section 508 eq. seq.) as amended, 1368, Executive Order 11738, Environment Protection Agency regulations (40 CFR Part 15). G. provisions against lobbying are as follows: The following statutory provision (part of Sec. 407 of Pub. L. 95-480, 92 Stat. 1589) has applied to al;l Health and Human Services appropriations beginning with those for Fiscal Year 1979 and is likely to continue to apply to any future appropriations. et. (33 and seq. USC, U.S. Page 8 of 9 "No part of any appropriation contained in this Act shall be used to pay the salary or expenses of any grant or contract or contract recipient or agent acting for such recipient to engage in any activity designed to influence legislation or appropriation pending before the Congress." This means that the costs of a~tempting to influence legislation pending before Congress may not be charged either a direct or indirect costs to any HHS grant awarded from funds subject to the provision. Attempting to influence legislation is commonly called lobbying. This notice concerns only the charging of certain costs to Older Americans Act (OAA) grants including the matching share. Nothing in this notice is intended in any way to inhibit or discourage any party from exercising its lawful rights to attempt to influence legislation pending before Congress as long as the costs are not charged to an OAA grant. 30. ENTIRE AGREEMENT: This Agreement constitutes the entire agreement between the Contractor and the OoA with respect to the subject matter of this Agreement. There are no other or further wri tten or oral understandings or agreements with respect to this Agreement. No variation or modification of this Agreement and no waivers of its provisions shall be valid unless in writing and signed by the parties. Attest: ~Adl~.~ City Cler Approved as to form and legal content: James F. Penman, City Attorney By:~~j ./ Dated SEP 0 9 1991 CITY OF SAN BERNARDINO (State if corporatiOn, company, etc.) I / / / ' //>/ ... /" B~' , '/,(' / '- ,.----.... W r.... 1 9 13~uthorized Signstur{) O d ..Uv ate Title w. R. Holcomb, MAYOR Address 547 N. SIERRA WAY SAN BERNARDINO, CA 92401-1211 Reviewed as to Affirmative Action Reviewed for Processing ~ ~ Agency Administrator/CAO Date Date 02.1231'.000 Rev. "'90 Page q of q ... ..... ; : ! i . _ . 0 ~ i ~ ~ c ~ :I .. 8z8:' .. '6 Q) ::E ... W . 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IOOa: CITY OF SAN BERNARDINO EXHIBIT "B" BUDGET SUMMARY , " FY 1991-92 FY 1991-92 FUNDING Expenditures: $196,240 Revenues: Title III, Older Americans Act as amended C-l C-2 $139,230 -0- 139,230 U.S. Department of Agriculture C-l C-2 57,010 -0- $57,010 TOTAL $196,240 ~~:lj~~Jl'B~I!m[J1oo'm~r;!lil~mmmmijlll;ll;I:II;IIIII,:III>:1'111,.;;;.;.... Expenditure Category L~~r~~~Ch L.osh In-Kind Total 1 SALARIES AND WAGES 1 ? 4 . fi? 0 1 ? 4 fi:W 2. PAYROLL TAXES 3,475 3,475 3. FRINGE BENEFITS 17 , 637 17 . 637 4. CONFERENCEfTRAINING 3.000 " .000 5 LOCAL STAFF TRAVEL 1 200 1 .200 6. EOUIPMENT. EXPENDABLE 3 000 ., .000 7. EOUIPMENT - NON EXPENDABLE e. RAW FOOD * D. CATERED FOOD * 10 ACCOUNTING/AUDITS 11 ADVERTISING 12 COUNSULTANTS/OUTSIDE SERVICES 13 CONSUMABLE SUPPLIES * 14 EOUIPMENT RENTAL 15 INSURANCE 16 LEGAL SERVlr:I'''' 17 LINENS * 18 MEMBERSHIP&SUBSCRIPTIONS 19 OTHER SUPPLIES ~o PRINTING 21 PURCHASING * 22 REPAIRS & MAINTENANCE SPACE 23 REPAIRS & MAINTENANCE OTHER 24 RENT/BUILDING SPACE 25 TAXES & LICENSES 26 TELEPHONE 27 UTILITIES 28 VEHICLE OPI'RATION'" 29 VOLUNTEER EXPENSE 30 14<; . 000 A""" 'AO """ 764 764 ? nnn ? nnn 3,000 2 000 5 000 15 000 1 <; .000 ? 141; 2.145 <;00 fiOO 2 .000 1,000 5.000 3,000 TOTAL EXPENDITURE 323,296 15,000 """ ,;"" ? . nno 1 000 3.000 8 000 3,000 49,000 49,000 1 . Rnn 700 ?? nnn ?? nnn ., """ 2 000 2 000 86,145 424,441 '?7 nl;'; <;7.010 86,145 240,375 1 800 700 7 .000 FUNDING SOURCES LESS: PROJECT INCOME J. ~ I' ' lj :j .. II'''''''' NON-MATCH llSDA x .5676 LESS: NON MATCH OTHER 127..0Sfi 1;7010 FEDERAL SHARE 139,230 15,000 SAN BERNARDINO COUNTY OoA Form 312 Revised om 8190 Date of Submission Instructions for filling out Exhibit B Please check appropriate boxes at the top. If the box named "other" is checked, list funding source on the lllle ."; ,--- immediately following the box. Line Item Descriptio~ of allowable costs 1. Salaries and Wages Should" compw.dforalt slqffpaitf,outofthes.[wuJs Us. Budg.t Narrativ. 0004 Form 320 to iumiz. by posilion. coSt and provide a brief (two or thr.. Iw)posilion description. . Should" co"'J1l'kd 1M FICA (Felkral Insuranc. Contributions Act) for .mploy.rs match and FlTIA (Federa! Unarptoymenl TaxAct). Should" compwed for heaIIh, worler compensation. SDI. CIC. 2. Payroll Taxes 3. Fringe Benefits 4. Conference and Training 5. Local Staff Travel 6. Equipment-Expendable 7. Equipment-Non-Expendable 8. Raw Food Costs . 9. Catered Food . 10. Accounting/Audits 11. Advertising 12. Consultant/Outside Services 13. Consumable Supplies. 14. Equipment Rental 15. Insurance 16. Legal Services 17. Unens . 18. Membership & Subscriptions 19. Other Supplies 20. Printing 21. Purchasing . Should ilu:buf. /ravel/per di.mfor speciDJ training s.ssions or national conf.r.nc.s, cIC. Should b. compw.d at )lour agr..d upon travel rat. and is for normal day.to.day traw:1. Equipment pIP'Chas.dfor under S 300.00 Equipment purchas.dfor ov.r S 300.00. Us. OoA Form 320 to it.mize. Cl and C2 Providers only. CI and C2 Providers only. Accounting and Outside Audit s.rvii:.s if pIP'Chas.d. Includ.s costs for placing ads in newspapers. Ar. purchas.d s.rvii:u such as a Nutritionist, or Purchasing ag.nt, .tc. CI and C2 Providers only. Equipm.nt r.nt.d on a monthly basis or leas.d by the )I.ar. Includ.s insuranc. such as vehU:l. and bonding .IC. Allorncy f..s. courtf.u. etc. CI and C2 Providers only. Should dirccll)l r./al. to the program. Includ.s off~. supplies and postag.. Includes the printing costs for pamphl.ts. brochures, cIC. CI and C2 onl)l. PIP'Chasing Ag.nt for raw food if the provider is using an outside service. 22. Repairs & Maintenance Space Applies to maint.nance on afacility. 23. Repairs & Maintenance Other Applies to mailll.nanc. on .quipmelll 24. RentlBuilding Space R.IIlal!!.cas.f.... 25. Taxes & Ucenses Includes lii:.ns.sfor food handI.rs. businus,vehU:les. cIC. 26. Telephone MOIllh/y tel.phone charg.s 27. Utilities Lights. gas. wat.r and trash. 28. Vehicle Operations !.casu., and maintenance costs for gas, oil, r.pajrs.tins,eIC. 29. Volunteer Expenses Agreed IIpOn pcr diem and travel reimburscmelll rates/or 'l/Obultccrs. 30. Other Dtjine. . For providers of congregate and home-delivcred mcals only. For other allowable costs check with the OoA Accoulllalll. On the lines at the bottom of the form please place your legal name, leave the contract number blank. and the date you are submitting the budget. Please make every efton to comply with the OoA deadline. If you deliver the documents in person hand them to a secretary so they can be logged in. Do not put them on the Contract Officers' desk. -' , . AFFIRMATIVE ACTION COMPLIANCE This is to certify that CITY OF SAN BERNARDINO Name of Contractor [) Has an -Approved" Affirmative Action Program and is in compliance with the San Bernardino county Affirmative Action Compliance Program for the Project. [Jg Has an "Approved" Affirmative Action Program as demon- strated by the Annual Qualifying Report for a period begining January L 1991 through December 31. 1991. [) Is exempt from compliance with the San Bernardino County Affirmative Action Compliance Program for because the Contractor does not conform to the program's definition of contractor for the following reasons: [) Has not met the San Bernardino County Affirmative Action Compliance Program to qualify as a Responsible Bidder. The San Bernardino County Office on Aging Affirmative Action Compliance Coordinator will render all possible assistance to the contractor in establishing an Affirmat- ive Action Program. Address: San Bernardino County Office on Aging Contract Compliance Coordinator 686 East Mill Street San Bernardino, CA 92415-0640 Phone: #h Date Coordinator Note: This form should be attached to the Clerk of the Board's copy and the Auditor's copy only. County of San Bernardino OoA - Form 02 Revised 06-23-88