HomeMy WebLinkAbout20-Parks & Recreation
,
CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
From: Lemuel P. Randolph, Director
Dept: Parks, Recreation & Community
Services Department
0,..,,"",
Date: April 2, 2002 t~ " . ~ / ~L
1/ ..., II Vii
Synopsis of Pl'8vious Council Action:
SUbject: RESOLUTION OF THE MAYOR
AND COMMON COUNCIL OF THE CI1Y OF
SAN BERNARDINO AUTHORIZING THE
MAYOR OF THE CI1Y OF SAN
BERNARDINO OR HER DESIGNEE TO
APPLY FOR AND ADMINISTER A GRANT IN
THE AMOUNT OF $113,303.20 FROM
CALIFORNIA DEPARTMENT OF
EDUCATION FOR THE ADMINISTRATION
OF THE SUMMER FOOD SERVICE
PROGRAM FOR YOUTH.
MlCC Meeting Date: May 6, 2002
Resolution 2001-87 was approved for the Summer 2001 program. The Council has authorized
the Parks, Recreation and Community Services Department to submit an application to the
California Department of Education since 1977.
Recommended Motion:
Adopt Resolution.
Contact person: Tom Rolnrs
Phone: 384-5031
Supporting data attached: S"ffR'lIl"" R~ & Appl;."t;nn
Ward: City-wide
FUNDING REQUIREMENTS: Amount:.. - !?21.101. 20
Source: (Acet. No.) Federal Grant
Council Notes:
Qa;Ol.>-QlCOd-ld II
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Agenda Item No. ...l0
,
CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
Staff Report
Subject:
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.
Background:
This federally funded program for youth under the age of 18, has been successfully operating
since 1977. Federal regulations require sponsors to submit a budget for the State agency review
and approval During the summer of2001, thirty-two feeding sites were established at locations
in and around the City of San Bernardino. Between June 25 and August 31, 2001, a daily
average of 1555 lunches and 800 snacks were served within 45 days for a total of 70,000 lunches
and 36,000 snacks. This summer we will serve at 33 sites and estimate serving 83,760 lunches
and 57,840 snacks. (See attached sample press release for sites).This program provided
nutritional help to youth who would otherwise have been deprived. Meal preparation and
delivery are contracted with the San Bernardino City Unified School District.
Financial Impact:
This program is fully funded from the California Department of Education Grant and no general
funds are required. Additionally, $19,788.60 in administrative costs and $15,396 in operational
costs are reimbursed to the city. Reimbursement rates are determined by the United Sates
Department of Agricuhure and based upon the number of meals and snacks served. The
California Department of Education reviews all claims and approves all reimbursements. This
grant application will cover program operations beginning June 24 through August 31, 2002.
This program provides an essential and much needed service to the residents of the City of San
Bernardino
Recommendation:
Adopt Resolution.
PRESS RELEASE:
DATE:
FROM:
PHONE:
IMMEDIATE
JUNE 10,2002
CITY OF SAN BERNARDINO PARKS, RECREATION
AND COMMUNITY SERVICES DEPARTMENT
(909) 384-5070
FREE SUMMER LUNCH PROGRAM FOR YOUTH
The City of San Bernardino Parks, Recreation and Community Services Department
announces the sponsorship of the 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 24 and ends Friday, August 30, 2002. For additional
information call (909) 384-5070.
SITE
Anne Shirrell's Park -'
.
,. Arrowhead Elks Lodge #896
Blair Park.
1f Book of Acts Church -
Boys & Girls Club
Central City Lutheran Mission
Cesar Chavez Park
C.LD.
.
,
DeIrnann Heights Center
"'lIE: Fontana Boys & <!irIs Club
Hernandez Community Center
ADDRESS
Corner of Baseline & Califurnia
1073 North Mt. Vernon
1466 W. Marshall Blvd.
7480 Sterling Avenue
1180 W. 91h Street
1354 N. "0" Street
670 Colton Ave., Colton
8088 Palm Lane
2969 N. Flores Street
7723 Ahneria, Fontana
222 N. Lugo
TIME
Lunch 12 - 1
Snack 2:30 - 3
Lunch 12:30 -1:30
Lunch 12 - 1
Snack 2:30 - 3
Lunch 12-1
Snack 3:30 - 4
Lunch 12 - 1
Snack 4 - 4:30
Lunch 12 - 1
Snack 3:15 - 3:45
Lunch 11:30- 12:30
Snack 3:15-3:45
Lunch 11 :30 - 12:30
Snack 3:30-4
Lunch 12 - 1
Snack 3:30 - 4
Lunch 11:30-12:30
Snack 3:30 - 4
Lunch 12-1
Snack 3:30 - 4
Home of Neighborly Services 839 N. Mt. Vernon Lunch 11 :30 - 12:30
Snack 3:45-4:15
Johnson Hall Center . 906 N. Wilson Lunch 12 - 1
Snack 4 - 4:30
Little Zion Manor 2000 Jubilee Court Lunch 12 - 1
Lytle Creek Center . 380 S. "K" Street Lunch 12-1
Snack 3:30 - 4
Mentone Elementary School 1320 Crafton Avenue, Mentone Lunch 12 - I
Mill Community Center 503 E. Central Ave. Lunch 12 - 1
Snack 4 - 4:30
Neighborhood Spirit Center 2204 Sunrise Lane Lunch 12 - I
Nicholson Community Center 2750 W 2nd Street Lunch 11 :30 - 12:30
Snack 3:30 - 4
North Fontana Parks & Reereation 6396 Citrus Ave., Fontana Lunch 12:15 - 1:15
Snack 3:15-3:45
PAL Center 2450 W. Blake Street, Muscoy Lunch 12 - 1
Perris Hill Park 607 E. Highland Ave. Lunch 12 - I
Snack 2:30 - 3
*" Possessing the Land Church 200 West Foothill Blvd, Riaho Lunch 12 - 1
Ramona Drop In Center 1524 W. 71b Street Lunch 11 :30 - 12:30
* Redlands Adult School 1235 North Orange, Redlands Lunch 12 - 1
Snack 3:15-3:45
*' Rialto Community Center 214 North Palm, Room 204, Rialto Lunch 12 - 1
Snack 3 :30 - 4
Ruben Campos Centtr 1717 W. 51b Street Lunch 11 :30 - 12:30
Set Free Christian Fellowship 473 West Baseline Lunch 12 - 1
Temple Community Outreach 808 Ramona Street Lunch 12 - 1
United Pentecostal Church 615 North Harris Lunch 11:30 -12:30
Waterman Gardens 403 Alder Street Lunch 11 :30 - 12:30
Snack 3:45 -4:15
Wildwood Park Corner of 401b & Waterman Lunch 12 - 1
Snack 2:30 - 3
Y.W.C.A. 567 N. Sierra Way Lunch 11 :30 - 12:30
Snack 3:45-4:15
TIDS INSTITUTION IS AN EQUAL OPPORTUNITY PROVIDER.
IIII
Submitted By:
Approved By:
Lynn Knutson
Recreation Supervisor
Tom Boggs
Acting Superintendent of
Recreation
-+ ~ew .s\te-s OcdJ~ i+1is yeo.J'.
* SFSP *
SUMMER FOOD SERVICE PROGRAM
REIMBURSEMENT RATES
JANUARY 1, 2002 THROUGH DECEMBER 31, 2002
OPERATING COSTS
Operating costs are defined as costs incurred by the sponsor for preparing or
serving meals. These costs include, but are not limited to, cost of food used,
salaries and wages for food service personnel, non-food supplies, and space for food
service.
The 2002 reimbursement rates for operating costs are:
Meal
Maximum Reimbursement
Der Meal Served
$1.32
$2.30
$0.53
Breakfast
Lunch or Supper
Supplements
ADMINISTRATIVE COSTS
Administrative costs are defined as costs incurred by the sponsor for activities
related to planning, organizing, and administering the SFSP. These costs include,
but are not limited to, labor for administrative activities, rent for office space, or
equipment, travel, insurance, communications, and audits.
The 2002 reimbursement rates for administrative costs are:
. Rural sites and all self-preparation sites:
Meal
Maximum Reimbursement
Der Meal Served
$0.1300
$0.2400
$0.0650
Breakfast
Lunch or Supper
Supplements
. Vended urban sites:
Meal
Maximum Reimbursement
per Meal Served
$0.1025
$0.2000
$0.0525
Breakfast
Lunch or Supper
Supplements
D-APPENDIX-10
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RESOLUTION NO.
') 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.
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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 GRA1'T
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
meeting thereof. held
on the
day of
. 2002, by the following vote, to wit:
Council Members:
AYES
NAYS
ABSTAIN
ABSENT
ESTRADA
LIEN
MCGINNIS
DERRY
SUAREZ
ANDERSON
MCCAMMACK
Rachel G. Clark. City Clerk
day of
The foregoing resolution is hereby approved this
20 2002.
21
22
23
24
25
26
27
28
Judith Valles, Mayor
City of San Bernardino
Approved as to
Form and legal content:
JAMES F. PENMAN.
City Altor ey
By:
California Department of Education
. Nutrition.~~rvices Division
Agreement Number 36-83600V
Vendor Number H133-02
SUMMER FOOD SERVICE PROGRAM
2002 RENEWAL APPLICATION/AGREEMENT
NSD 8041 (1/02)
RETURN TO:
Califomia Department of Education
Nutrition Services Division
560 J Street, Suite 270
Sacramento, CA 95814-2342
Attention: Resources and Information Management Unit
PLEASE PRINT OR TYPE ALL INFORMATION
1. NAME OF SPONSOR: NAME OF CONTACT PERSON:
San Bernardino, City of OSCAR J. PERRIER
ADORESS OF SPONSOR (INCLUDE STREET, CITY, COUNTY, AND 21P 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 I.l!I No
Administrative costs advance?
DYes
I.l!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 only)
a Yes 0 No 0 NIA Fiscal Year ill I 2Qlll.
4. Number and type of sites:
Rural #
Urban #
33
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/he Rehabilitation Act of 1973, the 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 Circutars
A21, A87, M02, Al10, M22 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 of the requirements and responsibilities as
agreed to in the original Agreement and as outlined in 7 CFR Part 225.
I hereby certify all information contained in this document is true and correct to the best of my knowledge.
SIGNATURE OF AUTHORIZED REPRESENTATIVE: TITLE: DATE:
Director
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
Califomia Department of Education
Nutriti~n Services Division
Program Resources, Education and Policy Unit
NSO 804o-C (1102)
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 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 least of the three: actual cost,
meals times the operatinll rate. meals times the administrative rate, or the sponsor's budllet.
GENERAL OPERATING COSTS ADMINISTRATIVE COSTS
Food $ 207 907.20 Salarieslwages $14 712.00
Food labor $ 11 'i20.00 Office supplies $ 1 200. 0
FacUnies/utiinies In-kind $ 57 652.00 Facilities/utilities In-kind . $4 970.00
Food transportation to sites $ Transportation Mi1~~ae $ 1 800.
Nonfood supplies $ 3 876.00 Other (specify): Printina & banners $ 1 0711 ~
Other (specify): $ "Indirect Cost %: 16.67% Telenhone $ 106.00
"Indirect Cost %: $ $
TOTAL $ 223 303.20 TOTAL $19 7RR In
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
COSTS BOTTOM LINE."
CONTRACTS
Is there a rental agreement, lease, or contract associated for any of the costs listed above? 0 Yes . No
If yes, list and attach a copy:
INCOME
Will meals be sold to adults who are not SFSP staff? 0 Yes . No
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 amount:
Donations/Grant:
Administration:
Operational:
N/A
Unspecified Income:
Other:
Number of operatina da.. IDOl X averaae dailv oarticipati
OPERATING RATES
OD X ADP 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 $721.101.70
REIMBURSEMENT RATES
Formula for rate projections:
o
n (AOP) X meal CMR\ I administrative CARl rates = total
ADMINISTRATIVE RATES
OD X ADP X AR = TOTAL
Breakfast X X = $
.
Snack "8 X X Il'd'i = $, 1111;. 6c
1205
Lunch 48 X 17t.'i X .2000 = $ln.7",7r
Dinner X X = $
TOTAL $19 788.6)
Califomla Department of Education
Nutrition Services Division
Program Resources, Education and Policy Unit
Renewal NSD 8040B (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 ofthe SFSP.
PRINT EMPLOYEE NAME AND
POSITION
SPECIFIC DUTIES
SFSP TRAINING DATES
Oscar Perrir-Sr. Rec. Suny. Administer the ~FSP 3-20-02
Prepare app. pac et, supv. staff
Lvnn Knutson-Rec. Suny. & mbnitors, OVersee day to dai oper. 3-20-02
Nacy Marl~y-Rec. Leader Assist with of1ice duties re ated
Bettv Uribes-Sr. Rec. Ldr. to lnnr.h DTOllram oneration 3/20. 6/10.
(Monitor site operations for
6 Monitors not yet identified) compl~ance 6/10. 11. 12
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.
,
CalWomia Department of Education
Nutrition Services Division
Program Resources. Education and Policy Un~
NSD 8050-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.
13 OPEN SITES:
Agency name: City of San Bernardino Parks. Rec. & Corom. 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 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. 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 Un~
NSD 8050-C (1/02)
"
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 TDD). 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
1
2
3
4
5
6
7
8
For each additional
family member add:
YEAR
$15,892
21,479
27,066
32,653
38,240
43,827
49,414
55,001
MONTH
$1,325
1,790
2,256
2,722
3,187
3,653
4,118
4,584
WEEK
$306
414
521
628
736
843
951
1,058
+ 5,587
+466
+ 108
r DD
California Department of Education
Nutrition Services Division
o ENROLLED SITES:
Program Resou"",s, Education and Policy Un~.
NSD 805O-C (1102)
. . ~.
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 Califomia 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
1
2
3
4
5
6
7
8
For each additional
family member add:
YEAR
$15,892
21,479
27,066
32,653
38,240
43,827
49,414
55,001
MONTH
$1,325
1,790
2,256
2,722
3,187
3,653
4,118
4,584
+466
WEEK
$306
414
521
628
736
843
951
1,058
+ 5,587
+ 108
I c<>> A-
California Depaitmenl of Education
Nutrition Services Division
Program Resources, Education and Policy Un~
Schedule 0, NSD 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 REPRESENTATIVE
AGENCY NAME DATE
City of San Bernardino
Parks Rec. & rn, = ~"r~Q
. ,
** FOR OFFICE USE ONLY - NOT A PUBLIC DOCUMENT **
RESOLUTION AGENDA ITEM TRACKING FORM
Meeting Date (Date Adopted): 5-(, --0;). Item # [),.O
Vote: Ayes 1-) , -4-1") Nays-e-
Change to motion to amend original documents:
Resolution # 900 :;}-ld I')
Abstain -0 Absent 3
Reso. # On Attachments: L- Contract term:
Note on Resolution of Attachment stored separately: -=-
Direct City Clerk to (circle I): PUBLISH, POST, RECORD W/COUNTY
NulINoid After: -
By:
Date Sent to Mayor: 5 - 'I - 0;)-
Date of Mayor's Signature: 5- jf-o:d
Date of Clerk/CDC Signature: S- q --a d-
Reso. Log Updated: ,/"
Seal Impressed: ~
Date Memo
ent for Signature:
See Attached:
See Attached:
e Attached:
Date Returned:
60 Day Reminder Letter Sent on 30th day:
90 Day Reminder Letter Sent on 45th day:
Request for Council Action & Staff Report Attached: Yes /
Updated Prior Resolutions (Other Than Below): Yes
Updated CITY Personnel Folders (6413, 6429, 6433,10584, 10585, 12634): Yes
Updated CDC Persocnnel Folders (5557): Yes
Updated Traffic Folders (3985, 8234, 655, 92-389): Yes
No By
No L By
No...L. By
No ----7' By
No By
Copies Distributed to:
City Attorney V
Parks & Rec. ,/'
Code Compliance
Dev. Services
EDA
Finance ,/
MIS
Police
Public Services
Water
Others:
Notes:
BEFORE FILING, REVIEW FORM TO ENSURE ANY NOTATIONS MADE HERE ARE TRANSFERRED TO THE
YEARLY RESOLUTION CHRONOLOGICAL LOG FOR FUTURE REFERENCE (Contract Term. etc.)
Ready to File: ~
Date:
Revised 01/12/01