HomeMy WebLinkAbout15-Parks & Recreation CITY OF SAN BERNARDINO - REQUEST FOR COUNC(C�
From: Kevin Hawkins, Director Subject: RESOLUTION AUTHORIZING THE CITY
MANAGER TO EXECUTE AMENDMENT
Dept: Parks, Recreation& Community NO. 5 TO CONTRACT 02-1166 A-5 WITH
Services Dept. THE COUNTY OF SAN BERNARDINO
PUBLIC HEALTH DEPARTMENT,
Date: February 25, 2008 ACCEPTING THE PROPOSAL AMOUNT
OF $55,000 FOR THE PERIOD OF JULY 1,
2007 THROUGH JUNE 30, 2008, AND
RATIFYING ANY ACTION TAKEN
BETWEEN JULY 1, 2007, AND THE DATE
THAT THIS RESOLUTION IS ADOPTED.
M/CC Meeting Date: March 17,2008
Synopsis of Previous Council Action:
H-6-2006—Council approved Resolution 2006-384 to continue the Mentoring Program for
Fiscal Year 2006-2007.
8-24-2005 —Council approved Resolution 2005-281 to continue the Mentoring Program for
Fiscal Year 2005-2006.
Recommended motion:
Adopt Resolution.
Signature
Contact person: Aaliyah Harkley Phone: 384-5231
Supporting data attached:_Staff Report, Reso,&Agreement Ward: City-wide
FUNDING REQUIREMENTS: Amount: $ 55,000
Source: (Acct. No.) 123-551-xxxx
(Acct. Description)
Finance:
Council Notes:
Agenda Item No. 15
31111
08
CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION
Staff Report
Subiect•
Resolution of the Mayor and Common Council of the City of San Bernardino authorizing the
City Manager to execute Amendment No. 5 to Contract 02-1166 A-5 with the County of San
Bernardino Public Health Department, accepting the proposal amount of$55,000 for the period
of July 1, 2007 through June 30, 2008, and ratifying any action taken between July 1, 2007, and
the date that this Resolution is adopted.
Background:
The Mentoring Program was established in April of 1992 as a project of the Mayor's Youth Task
Force. The initial funding came from the City and the San Bernardino City Unified School
District as a partnership to provide both mentoring and the Late Night Hoops Program. In 1997,
the Parks, Recreation and Community Services Department became a collaborative partner with
San Bernardino County Public Health Department in developing and receiving a FOCUS
Community Challenge Grant through the State of California Department of Public Health
Services. This grant supports 100% of the Mentoring Coordinator salary, benefits, travel and per
diem.
The program serves at-risk youth by providing one-on-one mentoring for 25 kids between the
ages of 12 through 19 years old. The program supports relationships formed between mentors
and mentees, recruits mentors for youth, and provides outreach services to their families with the
goal of preventing teen pregnancy. Mentees are referred to the program from San Bernardino
City Unified School District.
The County Public Health Department received information that the Community Challenge
Grant (FOCUS) has been extended for another year in the amount of$55,000 in July of 2007.
The Parks, Recreation and Community Services Department received the Amendment to the
Contract on February 4, 2008 from the County of San Bernardino Public Health Department.
Due to recent employee turnovers at the County of San Bernardino Public Health Department the
contract was approved but not processed until February of this year. The implementation date of
the Amendment to the Contract is July 1, 2007; therefore, the attached Resolution ratifies any
action taken between that date and the date that the Resolution is adopted.
Financial Impact:
There is no General Fund cash match required. This contract provides 100% funding of the
Mentoring Coordinator as outlined in"Attachment B"of the contract.
Recommendation:
t
Adopt Resolution.
capi,
1 RESOLUTION NO.
2 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF
3 SAN BERNARDINO AUTHORIZING THE CITY MANAGER TO EXECUTE
AMENDMENT NO. 5 TO CONTRACT 02-1166 A-5 WITH THE COUNTY OF SAN
4 BERNARDINO PUBLIC HEALTH DEPARTMENT, ACCEPTING THE PROPOSAL
5 AMOUNT OF $55,000 FOR THE PERIOD OF JULY 1, 2007 THROUGH JUNE 30, 2008,
AND RATIFYING ANY ACTION TAKEN BETWEEN JULY 1, 2007, AND THE DATE
6 THAT THIS RESOLUTION IS ADOPTED.
7 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY
OF SAN BERNARDINO AS FOLLOWS:
8
9 SECTION 1. The City Manager is hereby authorized to execute Amendment No. 5 to
10 Contract 02-1166 A-5 with the County of San Bernardino Public Health Department for the
11 Mentoring Program for FY 2007-2008 a copy of which is attached hereto, marked Exhibit "A"
12 and incorporated herein by reference as fully as though set forth at length.
13 SECTION 2. That the authorization granted hereunder shall expire and be void and of
14
no further effect if the agreement is not executed by both parties and returned to the Office of the
15
City Clerk within 120 days following effective date of the Resolution.
16
17 SECTION 3. That the effective date of Amendment No. 5 to Contract 02-1166 A-5 with
18 the County of Sari Bernardino Public Health Department is July 1, 2007; therefore, any action
19 taken between July 1, 2007, and the date that this Resolution is adopted is hereby ratified.
20
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22
HI
23
24
25
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,� /7-�
RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF
1 SAN BERNARDINO AUTHORIZING THE CITY MANAGER TO EXECUTE
AMENDMENT NO. 5 TO CONTRACT 02-1166 A-5 WITH THE COUNTY OF SAN
2 BERNARDINO PUBLIC HEALTH DEPARTMENT, ACCEPTING THE PROPOSAL
AMOUNT OF $55,000 FOR THE PERIOD OF JULY 1, 2007 THROUGH JUNE 30, 2008,
3 AND RATIFYING ANY ACTION TAKEN BETWEEN JULY 1, 2007, AND THE DATE
THAT THIS RESOLUTION IS ADOPTED.
4
5 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,
6
held on the day of , 2008, by the following vote to wit:
7
8 COUNCIL MEMBERS AYES NAYS ABSTAIN ABSENT
9 ESTRADA
10 BAXTER
11 BRINKER
12
DERRY
13
-
14 KELLEY
1
15 JOHNSON
16 MCCAMMACK
17
Rachel G. Clark, City Clerk
18
19 The foregoing resolution is hereby approved this day of 52008.
20
21 Patrick J. Morris, Mayor
City of San Bernardino
22
23 Approved as to Form:
24 /r
25 es F. Penman, City Attorney
26
27
28
Exhibit "A"
FOR COUNTY USE ONLY
New Vendor Code Dept Contract Number
iR Change
SANBERN772 SC PHL A 02-1166 A-5
""' I County Department Dept. Orgn Contractor's License No
Public Health PHL PHL
County Department Contract Representative Telephone i Total Contract Amount
County of San Bernardino Susan Strong, Prog Mgr (909)335-1084 $290,000
F A S Contract Type
Revenue R Encumbered F Unencumbered 71 Other:
If not encumbered or revenue contract type,provide reason:
STANDARD CONTRACT Commodity Code Contract Start Date Contract End Date Original Amount Amendment Amount
8/1/2002 6/30/2008 $45,000 $55,000
Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No Amount
AAA PHL 0813 200 2445 $55,000
Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No. Amount
Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No. Amount
Project Name Estimated Payment Total by Fiscal Year
FY Amount I/D FY Amount I/D
CCG-FOCUS Project 07-08 $55,000 1
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-Parks& Recreation Department hereinafter called Contractor
Address
547 North Sierra Way
San Bernardino, CA 92410
Telephone Federal ID No.or Social Security No.
(909) 384- 5233
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 payment, time for performance or completion,
determination of satisfactory performance and cause for termination,other terms and conditions,and attach plans,specifications,and addenda,if any.)
Amendment No. 5
It is hereby agreed to amend Contract number 02-1166 as follows:
Section V: Fiscal Provisions
Paragraph A "Maximum Reimbursement," Item 1, is amended to read, "The maximum amount of reimbursement under the
Contract shall not exceed $290,000 ($45,000 for FY 2002-2003; $45,000 for FY 2003-2004; $45,000 for FY 2004-2005;
$45,000 for FY 2005-2006; $55,000 for FY 2006-2007; and $55,000 for FY 2007-20081, and is subject to availability of funds
to the County. The consideration to be paid to the Contractor as provided herein shall be in full payment for all of the
Contractor's services and expenses incurred in the performance hereof, including travel and per diem.
Auditor/Controller-Recorder Use Only -
0 Contract Database 0 FAS
Input Date Keyed By
Page _1_of_3_
''eimbursement of invoices shall be based on items included in Attachment B — Project Budget. All reimbursement to the
.ontractor shall be contingent upon the submission by the Contractor and approval by the County. of the herein required
reports, invoices, and supporting documentation.
Paragraph C, `-Invoices," Item 2, is amended to read, "The Contractor shall maintain documentation for all expenditures
claimed for reimbursement from the County under the Contract. The Contractor shall only be reimbursed for expenses that
are substantiated by the supporting documentation submitted. Invoices shall be submitted to the address below. All other
notices shall be mailed to the address shown in Section X (A).
County of San Bernardino
Department of Public Health
Reproductive Health
800 E. Lugonia, Suite F
Redlands, CA 92374
Contractor shall accept all payments from County via electronic funds transfer (EFT) directly deposited into the Contractor's
designated checking or other bank account. Contractor shall promptly comply with directions and accurately complete forms
provided by County required to process EFT payments.
Section VIII: Contract Term
The term is amended to read, "This Contract is effective as of August 1, 2002 and is being extended from its amended
expiration date of June 30, 2007 to expire on June 30, 2008, but may be terminated earlier in accordance with provisions of
Section IX, "Early Termination."
sction X: General Provisions
Paragraph A. County contact information, is amended to read,
"COUNTY: County of San Bernardino
Department of Public Health
Reproductive Health Program
Attention: Susan Strong, Program Manager
800 E. Lugonia, Suite F
Redlands, CA 92374"
ATTACHMENT A:
Workman: Add Attachment A, titled "Workplan for Fiscal Year 2007-2008."
ATTACHMENT B:
Proiect Budget: Add Attachment B, titled "FOCUS Project Budget."
Auditor/Controller-Recorder Use Only
❑Contract Database ❑FAS
Input Date Keyed By
Page _2_of_3_
fTACHMENT C:
CDPH Budget Summary: Add Attachment C, titled "Budget Summary CDPH 05-45320."dated November 2, 2007.
All other terms and conditions of the Contract shall remain in full force and effect.
COUNTY OF SAN BERNARDINO City of San Bernardino
(Print or type name of corporation, company, contractor,etc.)
► By ►
Paul Biane, Chairman, Board of Supervisors (Authorized signature-sign in blue ink)
Dated: Name Fred Wilson
(Print or type name of person signing contract)
SIGNED AND CERTIFIED THAT A COPY OF THIS
DOCUMENT HAS BEEN DELIVERED TO THE Title City Manager
CHAIRMAN OF THE BOARD (Print or Type)
Dena M. Smith Dated:
Clerk of the Board of Supervisors
of the County of San Bernardino
By Address 300 North "D" Street
Deputy
San Bernardino, CA 92418
Approved gal F m / Reviewed by Contract Compliance Presented to BOS for Signature
► ► ►
Charl s L in,Deputy gAty Counsel Jim Lindley,Interim Director
Date �y Date Date
Auditor/Controller-Recorder Use Only
❑Contract Database ❑FAS
Input Date Keyed By
Page –3—of–3—
ATTACHMENT A
MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health
CCG ❑ I&E ❑ MIP Grant Number: 05-45320
FISCAL YEAR: 2007-2008
WORKPLAN
GOAL: Promote and support the development of self-assured,future-oriented youth contributing positively to society
Objective Number: 5
Strategy: Mentoring Sub-Strategy: Formal Adult to Youth Mentoring
PARTICIPANTS TO BE SERVED ACTIVITIESITASKS NEEDED TO COMPLETE THIS OBJECTIVE
Projected/Target 25 Steps needed to complete objective by Projected Staff Assigned
Number of Participants: June 30 . Timeframe
By Gender 1. Recruit adult mentors for at least 25 07/07-12/07 Mentoring Coordinator
❑ Females ❑ Males Both mentees via community presentations, print (MC)(Sub)
By Age Group and telecast ads, and personal contacts.
❑ 11 and younger 2. Attend regular FOCUS collaborative 07/07-06/08 MC (Sub)
0 12—14 meetings with Public Health (Lead Agency).
015-19
❑ 20—25 3. Screen volunteer mentors, including 07/07-12/07 MC (Sub)
❑ 26 and older fingerprinting and background checks.
By Ethnic Group
0 African American 4.Accept referrals for youth mentees from 07/07-06/08 MC (Sub)
0 Anglo/White San Bernardino City Unified School District
❑Asian and collaborative partners.
❑ Filipino
0 Latino/Hispanic 5. Provide initial and on-going training for 07/07-06/08 MC(Sub)
❑ Native American mentors, including but not limited to,
❑ Pacific Islander information on mentoring program rules&
m Other regulations, related legal issues,
INTERVENTION appropriate mentoring activities, and
reporting requirements.
0 Multi-Session Intervention
• Number of sessions: 24 6. Collaborate with Public Health to provide 07107-06/08 MC (Sub)/HES I
• Minutes per session: 60 teen pregnancy prevention (TPP)training
workshops to any new mentors.
❑ Single Session/Other Intervention
7. Match at least 25 mentees with mentors. 07/07-06/08 MC (Sub)
CURRICULUM DESCRIPTION
[For Multi-Session intervention] 8. Mentors and mentees will complete a 07/07-06/08 MC (Sub)
Relationship Goals Contract to establish 3
Title(s): general life goals to work on together for
N/A(No curriculum for mentoring activities) one hour a week for a six month period.
9. Provide quarterly support meeting for 07/07-06/08 MC (Sub)
mentors.
10. Provide TPP education to parents of 07/07-06/08 MC (Sub)/HES I/HEA
❑ Evaluated or ❑ Non-Evaluated mentees. Plan and conduct 1 parent
❑ Original or ❑ Modified educational workshop for parents of
mentees in collaboration with Public Health.
Is this strategy part of the Statewide 11. Maintain documentation of mentor/ 07/07-06/08 MC (Sub)
Evaluation? mentee contact hours and activities. Submit
❑ Yes 0 No documentation quarterly to Public Health.
TPP(CCG, I&E, MIP]Workplan Template(06-07-2007) Page 11
Page 1 of 3
ATTACHMENT A
MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health
0 CCG ❑ I&E ❑ MIP Grant Number: 05-45320
Objective Number: 5 FISCAL YEAR: 2007-2008
ACTIVITIESITASKS NEEDED TO COMPLETE THIS OBJECTIVE
Steps needed to complete objective by June 301h Projected Staff Assigned
Timeframe
12. Mentees will complete a pre-survey. Pre-surveys will be submitted quarterly to Public 07/07-06/08 MC (Sub)
Health.
13. Mentees will complete a post-survey. Post-surveys will be submitted quarterly to Public 07/07-06/08 MC (Sub)/HES I/
Health. Data will be analyzed. Evaluator(Sub)
14. Review data analysis with Public Health and make changes to improve program 07/07-06/08 MC (Sub)/HES II/
effectiveness. HES 1
15. Quarterly reports will be submitted on forms provided by Public Health and reviewed 07/07-06/08 MC (Sub)/HES II
by Public Health.
16. Quarterly invoices for actual expenditures will be submitted with copies of back-up 07/07-06/08 MC (Sub)/HES II
documentation, and will be reviewed by Public Health.
1
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I
I
I
I
l
TPP[CCG, I&E, MIPI Workplan Template(06-07-2007) Page 1 2
Page 2 of 3
ATTACHMENT A
MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health
CCG ❑ I&E ❑ MIP Grant Number: 05-45320
Objective Number: 5 FISCAL YEAR: 2007-2008
SITES OF SERVICE FOR THIS INTERVENTION
City of San Bernardino Parks, Recreation Community Services
1 7'
Department, Mentoring Program.
2 San Bernardino City Unified School District Schools 8
3. 9.
4. 10.
5. 11.
6. 12.
DOCUMENTATION AND EVALUATION
Process and Outcome Measures:
1. From pre/post-surveys, 80% of established mentees regularly participating in the program, will indicate progress on at least 1
life goal, relative to their Relationship Goals Contract.
2. From pre/post-surveys, 80% of established mentees regularly participating in the program,will demonstrate higher
perceptions of(a)mentor support, (b)self-worth, & (c)general future thinking and life goals.
Workplan Revision Date: 08/30107
TPP[CCG, I&E, MIP]Workplan Template(12-14-06) Rev 05-30-07 Pagel3
Page 3 of 3
ATTACHMENT B
FOCUS PROJECT BUDGET
CITY OF SAN BERNARDINO
DEPT. of PARKS, RECREATION, AND COMMUNITY SERVICES
JULY, 1 2007 THROUGH JUNE 30, 2008
PERSONNEL
Mentor Coordinator 100% 42,000
SUBTOTAL PERSONNEL 42,000
FRINGE BENEFITS @29.21% 12,268
TOTAL PERSONNEL $ 54,268
TRAVEL AND PER DIEM $ 732
1
SUNCONTRACTS $ -
OTHER COSTS
TOTAL OTHER COSTS $ -
INDIRECT COSTS $ -
TOTAL PROJECT COSTS $ 55,000
Page 1 of 2
ATTACHMENT B
FOCUS PROJECT BUDGET
CITY OF SAN BERNARDINO
DEPT. of PARKS, RECREATION, AND COMMUNITY SERVICES
JULY 1, 2007 THROUGH JUNE 30, 2008
Budget Justification
PERSONNEL.......................................................................................... $42,000
Mentor Coordinator - $42,000. $3,500 per month x 100% x 12 months for Salary and
Holiday pay. Under direction, directs, managers, supervises and coordinates the activiities
and operations of the Mentor Program; coordinates assigned activiites with other divisions,
departments and outside agencies; and perfomrs related work as required. Attends and
schedules all meetins and makes presentations of the FOCUS Project as required.
Fringe Benefits: Approximately 29.21% of Total Personnel......................... $12,268
TOTAL PERSONNEL............................................................................... $54,268
TRAVEL AND PER DIEM.......................................................................... $732
Estimated Mentor Coordinator to travel approximately 29 miles per week, for 52 weeks a
year. Traveling includes outreach. to the San Bernardino Unified School District schools,
Community Centers, Family Visitation, Advisory Board Meetings, Focus Meetings, Event
Planning, and visiting local Community Business for Sponsorship/Donations. 29 miles per
week @ $0.485 per mile for 52 weeks = $731.38 for the year.
TOTAL PROJECT COSTS........................................................................ $55,000
1
Page 2 of 2
C Budget Summary CDPH 05-45320
Page 1 of 5
State . 0,ilifornia—Health and Human ServiC *Au�i1cy
California Department of Public Health
�)CDPH
MARK 8 HORTON,MD,MSPH ARNOLD SCHWARZENEGGER.
Direecr Govemcr
November 2, 2007
Ms. Kelly Hoffman
Project Director
San Bernardino County Department of Public Health
799 E. Rialto Avenue
San Bernardino, CA 92+15-0011
Dear Ms. Hoffman:
ALTERNATE YEAR AGREEMENT FUNDING APPLICATION (AFA) APPROVAL FOR
AGREEMENT#05-45320 for Fiscal Year 07-08.
The Maternal, Child and Adolescent Health/Office of Family Planning (MCAH/OFP)
Branch of the California Department of Public Health (CDPH) approves your Annual
Alternate Year Agreement Funding Application package as submitted for fiscal year
(FY) 07-08 for administration of the MCAH/OFP Programs.
The Alternate Year AFA submission process allows you to annually update your
MCAH/OFP Program(s)AFA documents to reflect current funding and staff levels for
.each new fiscal year.
In order to carry out the program(s) outlined in your approved Work plan and the
enclosed budget document, during the period of July 2007 through June 2008, the
MCAH/OFP Branch will reimburse expenditures to the program(s) below up to the
following amount:
Community Challenge Grant $210;000
Matemal,Child and Adolescent Health/Office of Family Planning Branch/Center for Family Health
1615 Capitol Avenue,MS 8305,P.O.Box 997420 Sacramento,CA 95899-7420
(916)650-0275 .
Internet Address: www.cdphLca.gov
Attachment C - l3 dget Summary CDPH 05-45320
Page 2 of 5
L Ms. Kelly Hoffman
November 2, 2007
Page 2
The availability of State General Funds is based upon the appropriation of funding in the
Governor's FY 2007-2008 budget. Reimbursement of invoices is subject to compliance
with all federal and state requirements pertaining to the State MCAH/OFP Program and
adherence to all applicable regulations and CDPH MCAH/OFP Branch policies and
procedures.
Please ensure that all necessary individuals within your Agency are notified of this
approval and that the enclosed documents are carefully reviewed. This approval letter
constitutes a binding agreement.
If any of the information contained in the enclosed Annual Alternate Year AFA
submission documents are incorrect or different from that negotiated, please contact
your Contract Manager me, at (916) 650-0347 within 14 calendar days from the date of
this letter. Non-response constitutes acceptance of the enclosed documents.
Sincerely,
OVA,^-
Gloria Gastelum
Contract Manager
Maternal, Child and Adolescent Health/
Office of Family Planning Branch
Enclosures
cc: Paul Biane
Executive Director
San Bernardino County Department of
Public Health
351 N..Mountain Ave., 3`d Floor
San Bernardino, CA 92415-0010
Martha Torres-Montoya
Program Consultant
Maternal Child and Adolescent Health/ f
Office of Family Planning Branch
MS 8400
P.O. Box 997420
Sacramento, CA 95899-7420
CENTRAL FILE
i
Attachment C.-Budget Summary CDPH 06-45320
Page 3 of 5
�r No Data FntryRequued
(Dates'transfersaitomaticat(}Jnfrom Workstiee�t)k.;y1
Programl Community Challenge Grant
Grantee Name: San Bernardino County Department of Public Health
_.... .
Grant Number 05-:5320
Grant', 3 cf 5
Fiscal Year: 2007-2008
Budget Period: 711107-6130108
Initial Allotment: 0
W*114 �JlJR X 'Et1Sc'CAl°GO QRIGll19a $t1 G>=
1 PERSONNEL ll 87,310
.. r -.. t :-. -' i-i: r nl'"�. �;tea 2 Z a � � c:...t_r,.•.,1F� 'L ......�_�r,••y�
ter,.`.., •.:_
2 OPERATING EXPENSES 13,454
_:;+.. '._ .-.. ....;:�.}. .,i%.. . ..° .;3iti �.:x.1.;•i.3 .,-c L�.�:r' 'iyr`.I:.>
3 SUBCONTRACTORS 93,000
x
� r c;7ti+ri � `w.;Y.-. ,.
.. . . �: :,,......vet.. y�+� '
.�r> )Iri.4F..1. .....i. �'l _.i....w...-.no.uv).s.. .»..-S,6 R.I Ori�l!V.4K
4 OTHER COSTS 7,505
,.r •c4.:.c,� _ ^'1+;i' �,�.:.� :�j:, a'3-_:24
��i� `9"�nlrP � . 1 ��'`•: "�i •`��-}';"_ �t1�,,..�, '.W Y
5 INDIRECT COSTS(10%MAX) -- -.._-. 10.00%
8,731
TOTAL FXPENDITURES 210,000
OnfYr Evaluation -�--
�'' 'u. peslCodes' f' ' � 21,n•'G
Total Evaluation Costs
rEst
'omf, ,t x ` -- %of Budgst
Mk Budget Summary
7/1312007 V:Oi.07.V, 1 of 3
Attachment C-- Budget Summary CDPH 05-45320
Page 4 of 5
Program Community Challenge Grant
Grantee Name:iSan Bernardino County Department of Public Health
l� Grant Number: 05-45320
Grant Year: 3 of 5
Fiscal Year: 2007-2008
Budget Period.,7/1107-6/30/08
2. v �eSl�°cat 1�=� DETAIL+ ANNUA —
r
. L ' , iflClticfi .._It�l. x _LA
1 ; S ci list!I i 5.900
atKH He
2 IEG H,—,,Ith Eri.ica,,i n Specialist 1 51,119 70.0% 35,783
3 YS k-ieaw, Education Ass,stant 45.552 50.0% 22,776
6 10 0 — _-- 0 0.0%
7 10 10 __—..------ -----�— 0 0.0%I
s �0 0 I 01 O.O%
- 0 0.0%
I0 — 0 0.0;5
11 0 0 0 0.0°iu l
12 10 0 0 0.0°,0
TOTAL I ACES 64,459
AVERAGE FP.INGE E=NEFI T P AT=
TOTAL BENEFITS 22,851
. IOTr,L PEP.SONNE jgyC,p V—,W 'r�"&r 87,310
n°CNTtFA
1 Training-Project Staff _ 2,413
2 General Expense--Office Supplies 1,913
3 Copying/Printing/Duolicating 2,415
4 Travel-Project Sta" 6,713
5 0 0
0 —_ - --- 0
`c - - --- i 0
IO 0
'0 10 —_ ( 0
0
0
T. 13,454� }}
Budgct S-m rzr7
,,-,;2 V 01.07.0? 2 of 3
Attachment C - Budget Summary CDPH 05-45320
Page 5 of 5
Program Community Challenge Grant
Grantee Name: San Bernardino County Department of Public Health
(� Grant Num!�or: 05-45320
Grant Year: 3 of 5
Fiscal Ycar: 2007-2008
Budget Perin d:17/1/07---6/30/08
".SU T F.-`,C TO4ST.A�1_J?"`ti F ~!G3 IODEt7'^�
_ u
1 Program 55,000
Arts Council _28,000
37M,eu:,Consul'ing- I',ch!e iaatti:r:". ------ J 10.000
F
0
�0
0 0
6 10 0
7 1 o j e
D 0 0
----------
10 10 0
0
11 0 _
12 0 0
L 5t1ECC? iTR4r EpcNS � 93,000
OT DE!To! z t l �Ri ! L 1 lei
oft
1 educational MY aterials 1,789
2 Incentives 1,958
3 Food I 2,100
4 (Transportation-F,,%•Bc! Par!: io n s - — 1,658
5 i� G
!0 0
u 0
9 0 0
10 1 0 0
11 0 0
12 101 0
G'ykTC� F.L GTFic :COST'FPEiSSrYwas� xr�t �l:I 7,505
or Budget Summary
7/13/2007 V:01.07 0,1 3 of,,
Exhibit "A"
FOR COUNTY USE ONLY
EL New Vendor Code Dept. Contract Number
UN 9E Change
Cancel SANBERN772 SC PHL A 02-1166 A-5
County Department Dept. Orgn. Contractor's License No.
Public Health PHL PHL
County Department Contract Representative Telephone Total Contract Amount
County of San Bernardino Susan Strong, Prog Mgr (909)335-1084 $290,000
F A S Contract Type
Revenue 0 Encumbered 7 Unencumbered M Other:
STANDARD CONTRACT If not encumbered or revenue contract type, provide reason:
Commodity Code Contract Start Date Contract End Date Original Amount Amendment Amount
8/1/2002 6/30/2008 $45,000 $55,000
Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No Amount
AAA PHL 0813 200 2445 $55,000
Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No. Amount
Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No. Amount
Project Name Estimated Payment Total by Fiscal Year
FY Amount I/D FY Amount I/D
CCG- FOCUS Project 07-08 $55,000 1
THIS CONTRACT is entered into in the State of California by and between the County of San Bernardino, hereinafter called
ne County, and
Name
City of San Bernardino- Parks&Recreation Department hereinafter called Contractor
Address
547 North Sierra Way
San Bernardino, CA 92410
Telephone Federal ID No.or Social Security No.
(909) 384-5233
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 payment, time for performance or completion,
determination of satisfactory performance and cause for termination,other terms and conditions,and attach plans,specifications,and addenda,if any.)
Amendment No. 5
It is hereby agreed to amend Contract number 02-1166 as follows:
Section V: Fiscal Provisions
Paragraph A, "Maximum Reimbursement" Item 1, is amended to read, "The maximum amount of reimbursement under the
Contract shall not exceed $290.000 ($45,000 for FY 2002-2003; $45,000 for FY 2003-2004; $45,000 for FY 2004-2005;
$45,000 for FY 2005-2006; $55,000 for FY 2006-2007; and $55,000 for FY 2007-2008), and is subject to availability of funds
to the County. The consideration to be paid to the Contractor as provided herein shall be in full payment for all of the
Contractor's services and expenses incurred in the performance hereof, including travel and per diem.
Auditor/Controller-Recorder Use Onl
❑Contract Database ❑FAS_J
I input Date i Keyed By
I Page _1_of_3_
'eimbursement of invoices shall be based on items included in Attachment B – Project Budget. All reimbursement to the
–ontractor shall be contingent upon the submission by the Contractor and approval by the County, of the herein required
reports, invoices, and supporting documentation.
Paragraph C, "Invoices,'" Item 2, is amended to read, "The Contractor shall maintain documentation for all expenditures
claimed for reimbursement from the County under the Contract. The Contractor shall only be reimbursed for expenses that
are substantiated by the supporting documentation submitted. Invoices shall be submitted to the address below. All other
notices shall be mailed to the address shown in Section X(A).
County of San Bernardino
Department of Public Health
Reproductive Health
800 E. Lugonia, Suite F
Redlands, CA 92374
Contractor shall accept all payments from County via electronic funds transfer (EFT) directly deposited into the Contractor's
designated checking or other bank account. Contractor shall promptly comply with directions and accurately complete forms
provided by Count} required to process EFT payments.
Section VIII: Contract Term
The term is amended to read, "This Contract is effective as of August 1, 2002 and is being extended from its amended
expiration date of June 30, 2007 to expire on June 30, 2008, but may be terminated earlier in accordance with provisions of
Section IX, "Early Termination."
ClIction X: General Provisions
Paragraph A, County contact information, is amended to read,
"COUNTY: County of San Bernardino
Department of Public Health
Reproductive Health Program
Attention: Susan Strong, Program Manager
800 E. Lugonia, Suite F
Redlands, CA 92374,"
ATTACHMENT A:
Workplan: Add Attachment A,titled"Workplan for Fiscal Year 2007-2008."
ATTACHMENT B:
Project Budget: Add Attachment B,titled"FOCUS Project Budget."
Auditor/Controller-Recorder Use Only
❑Contract Database ❑FAS
Input Date Keyed By
Page –2—of–3—
ATTACHMENT C:
CDPH Budget Summarv: Add Attachment C, titled `Budget Summary CDPH 05-45320." dated November 2, 2007.
All other terms and conditions of the Contract shall remain in full force and effect.
COUNTY OF SAN BERNARDINO City of San Bernardino
(Print or type name of corporation,company,contractor,etc.)
► By No-
Paul Biane, Chairman, Board of Supervisors (Authorized signature-sign in blue ink)
Dated: Name Fred Wilson
(Print or type name of person signing contract)
SIGNED AND CERTIFIED THAT A COPY OF THIS
DOCUMENT HAS BEEN DELIVERED TO THE Title City Manager
CHAIRMAN OF THE BOARD (Print or Type)
Dena M. Smith Dated:
Clerk of the Board of Supervisors
of the County of San Bernardino
By Address 300 North "D" Street
Deputy
San Bernardino, CA 92418
Approved to al For Reviewed by Contract Compliance Presented to BOS for Signature
► ► ►
Ch s L i eputy Cou Counsel Jim Lindley,Interim Director
Date / J y O Date Date
ATFD AS TO FORM:
fames F. Penman,
City A.tturney
By: -t
z.
A..
Auditor/Controller-Recorder Use Onl
0 Contract Database 0 FAS
Input Date Keyed By
Page _3_of–3—
ATTACHMENT A
MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health
CCG ❑ I&E ❑ MIP Grant Number: 05-45320
FISCAL YEAR: 2007-2008
WORKPLAN
GOAL: Promote and support the development of self-assured,future-oriented youth contributing positively to society
Objective Number: 5
Strategy: Mentoring Sub-Strategy: Formal Adult to Youth Mentoring
PARTICIPANTS TO BE SERVED ACTIVITIES/TASKS NEEDED TO COMPLETE THIS OBJECTIVE
Projected/Target 25 Steps needed to complete objective by Projected Staff Assigned
Number of Participants: June 30th. Timeframe
By Gender 1. Recruit adult mentors for at least 25 07/07-12/07 Mentoring Coordinator
❑ Females ❑ Males Both mentees via community presentations, print (MC)(Sub)
By Age Group and telecast ads,and personal contacts.
❑ 11 and younger. 2. Attend regular FOCUS collaborative 07/07-06/08 MC (Sub)
012- 14 meetings with Public Health (Lead Agency).
015-19
❑20—25 3. Screen volunteer mentors, including 07/07-12/07 MC (Sub)
❑ 26 and older fingerprinting and background checks.
By Ethnic Group
m African American 4. Accept referrals for youth mentees from 07/07-06/08 MC (Sub)
0 Anglo/White San Bernardino City Unified School District
❑Asian and collaborative partners.
❑ Filipino
® Latino/Hispanic 5. Provide initial and on-going training for 07/07-06/08 MC (Sub)
❑ Native American mentors, including but not limited to,
❑ Pacific Islander information on mentoring program rules&
® Other regulations, related legal issues,
INTERVENTION appropriate mentoring activities, and
reporting requirements.
® Multi-Session Intervention
• Number of sessions: 24 6. Collaborate with Public Health to provide 07/07-06/08 MC (Sub)/HES
• Minutes per session: 60 teen pregnancy prevention (TPP)training
workshops to any new mentors.
❑ Single Session/Other Intervention
7. Match at least 25 mentees with mentors. 07/07-06/08 MC (Sub)
CURRICULUM DESCRIPTION
[For Multi-Session Intervention] 8. Mentors and mentees will complete a 07/07-06/08 MC (Sub)
Relationship Goals Contract to establish 3
Title(s): general life goals to work on together for
N/A(No curriculum for mentoring activities) one hour a week for a six month period.
9. Provide quarterly support meeting for 07/07-06/08 MC (Sub)
mentors.
10. Provide TPP education to parents of 07/07-06/08 MC (Sub)/HES I/HEA
❑ Evaluated or ❑ Non-Evaluated mentees. Plan and conduct 1 parent
❑ Original or ❑ Modified educational workshop for parents of
mentees in collaboration with Public Health.
Is this strategy part of the Statewide 11. Maintain documentation of mentor/ 07/07-06/08 MC (Sub)
Evaluation? mentee contact hours and activities. Submit
❑Yes 0 No documentation quarterly to Public Health.
TPP[CCG, I&E, MIPj Workplan Template(06-07-2007) Page 11
Page 1 of 3
ATTACHMENT A
MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health
Wf CCG ❑ I&E ❑ MIP Grant Number: 05-45320
Objective Number: 5 FISCAL YEAR: 2007-2008
ACTIVITIESITASKS NEEDED TO COMPLETE THIS OBJECTIVE
Steps needed to complete objective by June 30th Projected Staff Assigned
Timeframe
12. Mentees will complete a pre-survey. Pre-surveys will be submitted quarterly to Public 07/07-06/08 MC (Sub)
Health.
13. Mentees will complete a post-survey. Post-surveys will be submitted quarterly to Public 07/07-06/08 MC (Sub)/HES I/
Health. Data will be analyzed. Evaluator(Sub)
14. Review data analysis with Public Health and make changes to improve program 07/07-06/08 MC (Sub)/HES II/
effectiveness. HES 1
15. Quarterly reports will be submitted on forms provided by Public Health and reviewed 07/07-06/08 MC (Sub)/HES II
by Public Health.
16. Quarterly invoices for actual expenditures will be submitted with copies of back-up 07/07-06/08 MC (Sub)/HES II
documentation, and will be reviewed by Public Health.
TPP[CCG, I&E, MIP]Workplan Template(06-07-2007) Page 12
Page 2 of 3
ATTACHMENT A
MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health
0 CCG ❑ I&E ❑ MIP Grant Number: 05-45320
i
Objective Number: 5 FISCAL YEAR: 2007-2008
SITES OF SERVICE FOR THIS INTERVENTION
City of San Bernardino Parks, Recreation Community Services
1 7'
Department, Mentoring Program,
2 San Bernardino City Unified School District Schools 8
3. 9.
4. 10.
5. 11.
6. 12.
DOCUMENTATION AND EVALUATION
Process and Outcome Measures:
1. From pre/post-surveys, 80% of established mentees regularly participating in the program, will indicate progress on at least 1
life goal, relative to their Relationship Goals Contract.
2. From pre/post-surveys, 80% of established mentees regularly participating in the program,will demonstrate higher
perceptions of(a)mentor support, (b)self-worth, &(c)general future thinking and life goals.
i �%m Workplan Revision Date: 08/30/07
TPP[CCG, I&E, MIP]Workplan Template(12-14-06) Rev 05-30-07 Page13
Page 3 of 3
ATTACHMENT B
FOCUS PROJECT BUDGET
CITY OF SAN BERNARDINO
DEPT. of PARKS, RECREATION, AND COMMUNITY SERVICES
JULY, 1 2007 THROUGH JUNE 30, 2008
PERSONNEL
Mentor Coordinator 100% 42,000
SUBTOTAL PERSONNEL 42,000
FRINGE BENEFITS @29.21% 12,268
TOTAL PERSONNEL $ 54,268
TRAVEL AND PER DIEM $ 732
SUNCONTRACTS $ -
OTHER COSTS
TOTAL OTHER COSTS $ -
INDIRECT COSTS $ -
TOTAL PROJECT COSTS $ 55,000
Page 1 of 2
ATTACHMENT B
FOCUS PROJECT BUDGET
CITY OF SAN BERNARDINO
DEPT. of PARKS, RECREATION, AND COMMUNITY SERVICES
JULY 1, 2007 THROUGH JUNE 30, 2008
Budget Justification
PERSONNEL......................................................................................... $42,000
Mentor Coordinator - $42,000. $3,500 per month x 100% x 12 months for Salary and
Holiday pay. Under direction, directs, managers, supervises and coordinates the activiities
and operations of the Mentor Program; coordinates assigned activiites with other divisions,
departments and outside agencies; and perfomrs related work as required. Attends and
schedules all meetins and makes presentations of the FOCUS Project as required.
Fringe Benefits: Approximately 29.21% of Total Personnel......................... $12,268
TOTAL PERSONNEL............................................................................... $54,268
TRAVEL AND PER DIEM.......................................................................... $732
Estimated Mentor Coordinator to travel approximately 29 miles per week, for 52 weeks a
year. Traveling includes outreach to the San Bernardino Unified School District schools,
Community Centers, Family Visitation, Advisory Board Meetings, Focus Meetings, Event
Planning, and visiting local Community Business for Sponsorship/Donations. 29 miles per
week @ $0.485 per mile for 52 weeks = $731.38 for the year.
TOTAL PROJECT COSTS........................................................................ $55,000
0
Page 2 of 2
..:...]y..]_r...:.aa::a'�',IUSC':.. _:'.L•a.sia�_t1J..ri�4.i.....a�:.�y ..i:-.'i w�._: .:�
_.. 1 A'ttachinent C--Y Budget SummaryCDPH 05-45320
Page 1 of 5
State dlifornia—Health and Human Servk -Aycncy
� - California Department of Public Health
® CDPH
MARK B HORTON,MO,MSPH ARNOLDSCHWARZENEGGER
Diredor Govem:r
November 2, 2007
Ms. Kelly Hoffman
Project Director
San Bernardino County Department of Public Health
799 E. Rialto Avenue
.San Bernardino, CA 92415-0011
Dear Ms. Hoffman:
ALTERNATE YEAR AGREEMENT FUNDING APPLICATION (AFA) APPROVAL FOR
AGREEMENT#05-45320 for Fiscal Year 07-08.
The Maternal,Child and Adolescent Health/Office of Family Planning (MCAH/OFP)
Branch of the California Department of Public Health (CDPH) approves your Annual
Alternate Year Agreement Funding Application package as submitted for fiscal year
(FY) 07-08 for administration of the MCAH/OFP Programs.
The Alternate Year AFA submission process allows you to annually update your
MCAH/OFP Program(s) AFA documents to reflect current funding and staff levels for
.each new fiscal year.
In order to carry out the program(s) outlined in your approved Work plan and the
enclosed budget document, during the period of July 2007 through June 2008, the
MCAH/OFP Branch will reimburse expenditures to the program(s) below up to the
following amount:
Community Challenge Grant $210,000
i
Matemal,Child and Adolescent Health/Office of Family Planning Branch/Center for Family Health
1615 Capitol Avenue,MS 8305,P.O.Box 997420 Sacramento,CA 95899-7420
(916)650-0275 .
Internet Address: www.cdoh_ca.gov
Attachment C- I3`Ud9 et Summary CDPH 05-45320
Page 2 of 5
Ms. Kelly Hoffman
November 2, 2007
Page 2
The availability of State General Funds is based upon the appropriation of funding in the
Governor's FY 2007-2008 budget. Reimbursement of invoices is subject to compliance
with all federal and state requirements pertaining to the State MCAH/OFP Program and
adherence to all applicable regulations and CDPH MCAH/OFP Branch policies and
procedures.
Please ensure that all necessary individuals within your Agency are noted of this
approval and that the enclosed documents are carefully reviewed. This approval letter
constitutes a binding agreement.
If any of the information contained in the enclosed Annual Alternate Year AFA
submission documents are incorrect or different from that negotiated, please contact
your Contract Manager me, at (916) 650-0347 within 14 calendar days from the date of
this letter. Non-response constitutes acceptance of the enclosed documents.
Sincere
Gastelum
Contract Manager
Maternal, Child and Adolescent Health/
Office of Family Planning Branch
I Enclosures
cc: Paul Biane
Executive Director
San Bernardino County Department of
Public Health
351 N..Mountain Ave., 3`d Floor
San Bernardino, CA 92415-0010
Martha Torres-Montoya
Program Consultant
Maternal Child and Adolescent Health/
Office of Family Planning Branch
MS 8400
P.O. Box 997420
Sacramento, CA 95899-7420
CENTRAL FILE
i
i
i
I ws
Attachment C.— Budget Summary CDPH 05-45320
Page 3 of 5
I:i 1 '2 .cR' j`t 5 r ♦Y �4}�,'}wz. tit i .i
��fo tiata,.Entry,�2egwredl��Tt ",'
sirs s^�.iv `^ v..�'Yr n��k�x'i..i'�.,•v+�u+;
Data tr�ris>ersaufotnat�catf (turn Y1'lorkstxe,et)
,,� 4 ..:.'• i!.,.L .K+�..�{.::a.�w A:!/LS,NI.I l..�::..::�'Y.>s41lF..� 1Fr='
Program Community Challenge Grant
Grantee Name: San Bernardino County Department of Public Health
Grant NumL� 05-1 5320
Gant Yenr' 3 cf 5
Fiscal Year: 2007-2008
Budget Period: 711107-6/30/08
Initial Allotment: 0
1 PERSONNEL 87,310
ti3tl''VF 79`r1
2 OPERATING EXPE`,1SES 13,454
3 SUBCONTRACTORS 93,000
E {{�Y.c0 ! Lr r
:±a
...,.:tiv' Yf lk�... .r... _ .. ._ ... ...g1n:?:w Z'�i.a.-+v�1+` -- .w.iss.)Jr.'�x ,K3liR.�''r�.t......n�'�.ir,.•�,'
I 4 OTHER COSTS 7,505
:.�.��r�4 5 r � LF! t�V ra.�47,i ry t' '�7•� ;, ("
.r. 1eF"dU �'r,•' r"t: ♦ 1 L w s i,rta ,'�`1 -c
.'.�.'1,lxy..5_.�. .... ...�."�'� .•'i., .�ti�u..if x;s'}t�wi ,�i., ',.k.. .vscwx .ti..xl.rYy`S�';..
5 INDIRECT COSTS(10%MAX)
TOTAL EXPENDITURES 2i 0,000
J'4![
` e'l�s`e,' Evaluation �-
eSlC041 21,946
Total Evaluation Costs
13. et' � r,sy�
1 10 ooa 40- � 1r.1.45�!°
( ° t - ,' `�` °a of Budget —
I
Budget Summary
711312007 V:01.07.08 1 0 3
• ♦� YOr�l+ ✓U✓V ...1 VVlfilf li-11\ 1
Attachment C — Budget Summary CDPH 05-45320
Page 4 of 5
Program Community Challenge Grant
Grantee Nam=_: San Bernardino County Department of Public Health
C* Grant Number: 05-45320-
Grant Year: 3 of 5
Fiscal Year: 2007-2008
Budget Period:17/1/07-6/30/08
x> '�uri ` PcF Ot t;E� DETAIL�-'� �`a,. f�1NUA -�1= 21G1Z'
! a ,:tiGztian :le n 'A'LAARY.», DG,�rT�
- - _ -._-R
KH, - -- I 5,900
: - x %c
--- ---—
2 JEG IHealth Educali.n Specialist I 51,119 70.0% 35,783
3 Y5 �He2.ltii Ec.oa:ion Assistant 45.552 50.0-,.1 22,776
4 0 10 0 0.0%,
r1 10 _ ——0 �(-- 0.0%
7 �U 0 0 1 0.0%
8 to to I o o.0%
9 0 0 1 — 0 0.0%
i1!0--- - 0 0 0.0%1
12 0 0 0 0.0°io
TOTAL%'vAGES 64,459
AVERAGE FRINGE SE-NEFI T RATE 35.45%
TOTAL BENEFITS 22,851
I
OTr-, F E O"JIvE hi �CP6 5R-MIEW, 87,310
,r`}e:y,� f��4���i�;.'` �' ��1.7<•f.'+�"' ��.frr�
rt DPEK Tj13 ,°ENSE DEsPFls' r OasG- X.+. {7 GEilte-
1 Training-Project Staff ,_— _- 2,413
2 General Expense-Office Supplies 1,913
3 Copying/Printing/Duolicating 2,415
4 Travel-Project SIP" 6,713
5 0 0
6 0 ( 0
0
70 10
I 0
11 0 i 0
12 0 I 0
ritN" -•",- - ec1
GPERATINGO E�X Et SE I.7 IOOR 13,454
Budget C-m—,ari
7/13/200? b:01.07.0E 2 of 3
Attachment C - Budget Summary CDPH 05-45320
Page 5 of 5
Prog:jmlCommunity Challenge Grant
Grantee Name:ISan Bernardino County Department of Public Health
C* Grant IN m!,or: OS 4532D
Grant Year: 3 of 5
Fiscal Year: 2007-2008
Budget Perin d:I7/1/07-6/30/08
y� �t€r fC v la y , ��'k I*. x
lb� a*t� ' ` J C 'TRACTORSnDEif41M$i�c S' "i
Skn J . �o
���fJ��+�� -7.•:`n
� P c 55,
rogr-jrn 000
2 Arts Council 228,000
3 Nexus Consul';nr}-..;Ch:3,-! iaatthr;�;> -- 10,000
IO ---- 0
5 0 0
6 0 I 0
---
.J 9
10 0 0
0
12 0 ---- - 0
si� ibrxat71+E.L 5�� r ry 1TPAC.IECI? i�''St~$? v'� 93,000
r C0S D�E- t_ ` r3�
T
0111L MN—
1 Educational Nlaterlals 1,789
2 incentives —_ 1,958
3 Food _ 2,100
4 Transportation-F%o`-=-r_!ParGCiaar, s 1,650
5 10 0
IO 0
7 10
8 0 0
0 0 � 0
10 0 0
11 0 0
12 10 0
, G? ' 7,505
Budget Summary
7/13/2007 V:O1.07.08 3 of 3
Exhibit "A"
FOR COUNTY USE ONLY
New Vendor Code Dept. Contract Number
�p o� Change
1l Cancel
SANBERN772 `SC' PHL A 02-1166 A-5
County Department Dept. Orgn. Contractor's License No.
Public Health PHL PHL
County Department Contract Representative Telephone Total Contract Amount
County of San Bernardino Susan Stron g, Pro g Mgr g (909)335-1084 $290,000
F A S Contract Type
Revenue M Encumbered M Unencumbered El Other:
STANDARD CONTRACT If not encumbered or revenue contract type, provide reason:
Commodity Code Contract Start Date Contract End Date Original Amount Amendment Amount
8/1/2002 6/3012008 $45,000 $55,000
Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No Amount
AAA PHL 0813 200 2445 $55,000
Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No. Amount
Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No. Amount
$
Project Name Estimated Payment Total by Fiscal Year
FY Amount I/D FY Amount I/D
CCG- FOCUS Project 07-08 $55,000 1
THIS CONTRACT is entered into in the State of California by and between the County of San Bernardino, hereinafter called
:he County, and
Name
City of San Bernardino- Parks& Recreation Department hereinafter called Contractor
Address
547 North Sierra Way
San Bernardino, CA 92410
Telephone Federal ID No.or Social Security No.
(909) 384- 5233
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 payment, time for performance or completion,
determination of satisfactory performance and cause for termination,other terms and conditions,and attach plans,specifications,and addenda,if any.)
Amendment No. 5
It is hereby agreed to amend Contract number 02-1166 as follows:
Section V: Fiscal Provisions
Paragraph A, "Maximum Reimbursement" Item 1, is amended to read, "The maximum amount of reimbursement under the
Contract shall not exceed $290,000 ($45,000 for FY 2002-2003; $45,000 for FY 2003-2004; $45,000 for FY 2004-2005;
$45,000 for FY 2005-2006; $55,000 for FY 2006-2007; and $55,000 for FY 2007-2008), and is subject to availability of funds
to the County. The consideration to be paid to the Contractor as provided herein shall be in full payment for all of the
Contractor's services and expenses incurred in the performance hereof, including travel and per diem.
Auditor/Controller-Recorder Use Onl
❑Contract Database " ❑FAS_J -
Input Date Keyed By
Page _I_of_3_
-imbursement of invoices shall be based on items included in Attachment B – Project Budget. All reimbursement to the
–ontractor shall be contingent upon the submission by the Contractor and approval by the County, of the herein required
reports, invoices, and supporting documentation.
Paragraph C, "Invoices," Item 2, is amended to read, "The Contractor shall maintain documentation for all expenditures
claimed for reimbursement from the County under the Contract. The Contractor shall only be reimbursed for expenses that
are substantiated by the supporting documentation submitted. Invoices shall be submitted to the address below. All other
notices shall be mailed to the address shown in Section X (A).
County of San Bernardino
Department of Public Health
Reproductive Health
800 E. Lugonia, Suite F
Redlands, CA 92374
Contractor shall accept all payments from County via electronic funds transfer(EFT) directly deposited into the Contractor's
designated checking or other bank account. Contractor shall promptly comply with directions and accurately complete forms
provided by County required to process EFT payments.
Section VIII: Contract Term
The term is amended to read, "This Contract is effective as of August 1, 2002 and is being extended from its amended
expiration date of June 30, 2007 to expire on June 30, 2008, but may be terminated earlier in accordance with provisions of
Section IX, "Early Termination."
action X: General Provisions
Paragraph A, County contact information, is amended to read,
"COUNTY: County of San Bernardino
Department of Public Health
Reproductive Health Program
Attention: Susan Strong, Program Manager
800 E. Lugonia, Suite F
Redlands, CA 92374"
ATTACHMENT A:
Workplan: Add Attachment A,titled"Workplan for Fiscal Year 2007-2008."
ATTACHMENT B:
Project Budget: Add Attachment B,titled "FOCUS Project Budget."
Auditor/Controller-Recorder Use On
❑Contract Database ❑FAS
Input Date Keyed By
Page –2—of–3—
ATTACHMENT C:
CDPH Budget Summarv: Add Attachment C. titled "Budget Summary CDPH 05-45320," dated November 2, 2007.
All other terms and conditions of the Contract shall remain in full force and effect.
COUNTY OF SAN BERNARDINO City of San Bernardino
(Print or type name of corporation, company,contractor, etc.)
► By Do-
Paul Biane, Chairman, Board of Supervisors (Authorized signature-sign in blue ink)
Dated: Name Fred Wilson
(Print or type name of person signing contract)
SIGNED AND CERTIFIED THAT A COPY OF THIS
DOCUMENT HAS BEEN DELIVERED TO THE Title City Manager
CHAIRMAN OF THE BOARD (Print or Type)
Dena M. Smith Dated:
Clerk of the Board of Supervisors
of the County of San Bernardino
By Address 300 North °D" Street
Deputy
San Bernardino, CA 92418
Approve F Reviewed by Contract Compliance Presented to BOS for Signature
► ► ►
Charl s L in, Deputyt ty Counsel Jim Lindley, Interim Director
Date J J Date Date
17ED AS TO FORM:
3213--es F. Penman,
City Attorney
By: Pe,.
r.
Auditor/Controller-Recorder Use Onl
❑Contract Database ❑FAS
Input Date Keyed By
Page –3—of–3—
ATTACHMENT A
MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health
CCG ❑ I&E ❑ MIP Grant Number: 05-45320
FISCAL YEAR: 2007-2008
WORKPLAN
GOAL: Promote and support the development of self-assured, future-oriented youth contributing positively to society
Objective Number: 5
Strategy: Mentoring Sub-Strategy: Formal Adult to Youth Mentoring
PARTICIPANTS TO BE SERVED ACTIVITIESITASKS NEEDED TO COMPLETE THIS OBJECTIVE
Projected/Target 25 Steps needed to complete objective by Projected Staff Assigned
Number of Participants: June 301h. Timeframe
By Gender 1. Recruit adult mentors for at least 25 07/07-12/07 Mentoring Coordinator
❑ Females ❑ Males Both mentees via community presentations, print (MC)(Sub)
By Age Group and telecast ads, and personal contacts.
❑ 11 and younger 2.Attend regular FOCUS collaborative 07/07-06/08 MC (Sub)
012- 14 meetings with Public Health (Lead Agency).
015- 19
❑ 20—25 3. Screen volunteer mentors, including 07/07-12/07 MC (Sub)
❑ 26 and older fingerprinting and background checks.
By Ethnic Group
0 African American 4.Accept referrals for youth mentees from 07/07-06/08 MC (Sub)
m Anglo/White San Bernardino City Unified School District
❑Asian and collaborative partners.
❑ Filipino
® Latino/Hispanic 5. Provide initial and on-going training for 07/07-06/08 MC (Sub)
❑ Native American mentors, including but not limited to,
❑ Pacific Islander information on mentoring program rules&
® Other regulations, related legal issues,
INTERVENTION appropriate mentoring activities, and
reporting requirements.
® Multi-Session Intervention
• Number of sessions: 24 6. Collaborate with Public Health to provide 07/07-06/08 MC (Sub)/HES
• Minutes per session: 60 teen pregnancy prevention (TPP)training
workshops to any new mentors.
❑ Single Session/Other Intervention
7. Match at least 25 mentees with mentors. 07/07-06/08 MC (Sub)
CURRICULUM DESCRIPTION
[For Multi-Session Intervention] 8. Mentors and mentees will complete a 07/07-06/08 MC (Sub)
Relationship Goals Contract to establish 3
Title(s): general life goals to work on together for
N/A(No curriculum for mentoring activities) one hour a week for a six month period.
9. Provide quarterly support meeting for 07/07-06/08 MC (Sub)
mentors.
10. Provide TPP education to parents of 07/07-06/08 MC (Sub)/HES I/HEA
❑ Evaluated or ❑ Non-Evaluated mentees. Plan and conduct 1 parent
❑ Original or ❑ Modified educational workshop for parents of
mentees in collaboration with Public Health.
Is this strategy part of the Statewide 11. Maintain documentation of mentor/ 07/07-06/08 MC (Sub)
Evaluation? mentee contact hours and activities. Submit
❑ Yes 0 No 1 documentation quarterly to Public Health.
TPP(CCG, I&E, MIP]Workplan Template(06-07-2007) Page 11
Page 1 of 3
ATTACHMENT A
MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health
Wf CCG ❑ I&E ❑ MIP Grant Number: 05-45320
Objective Number: 5 FISCAL YEAR: 2007-2008
ACTIVITIESITASKS NEEDED TO COMPLETE THIS OBJECTIVE
Steps needed to complete objective by June 301h Projected Staff Assigned
Timeframe
12. Mentees will complete a pre-survey. Pre-surveys will be submitted quarterly to Public 07/07-06/08 MC (Sub)
Health.
13. Mentees will complete a post-survey. Post-surveys will be submitted quarterly to Public 07/07-06/08 MC (Sub)/HES I/
Health. Data will be analyzed. Evaluator(Sub)
14. Review data analysis with Public Health and make changes to improve program 07/07-06/08 MC (Sub)/HES II/
effectiveness. HES 1
15. Quarterly reports will be submitted on forms provided by Public Health and reviewed 07/07-06/08 MC (Sub)/HES II
by Public Health.
16. Quarterly invoices for actual expenditures will be submitted with copies of back-up 07/07-06/08 MC (Sub)/HES II
documentation, and will be reviewed by Public Health.
TPP[CCG, I&E, MIP]Workplan Template(06-07-2007) Page 12
Page 2 of 3
ATTACHMENT A
MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health
0 CCG ❑ I&E ❑ MIP Grant Number: 05-45320
Objective Number: 5. FISCAL YEAR: 2007-2008
SITES OF SERVICE FOR THIS INTERVENTION
City of San Bernardino Parks, Recreation Community Services
1'Department, Mentoring Program. 7'
2 San Bernardino City Unified School District Schools 8
3. 9.
4. 10.
5. 11.
6. 12.
DOCUMENTATION AND EVALUATION
Process and Outcome Measures:
1. From pre/post-surveys, 80% of established mentees regularly participating in the program, will indicate progress on at least 1
life goal, relative to their Relationship Goals Contract.
2. From pre/post-surveys, 80% of established mentees regularly participating in the program, will demonstrate higher
perceptions of(a)mentor support, (b)self-worth, & (c)general future thinking and life goals.
I
Workplan Revision Date: 08/30/07
TPP[CCG, I&E, MIP]Workplan Template(12-14-06) Rev 05-30-07 Page13
Page 3 of 3
ATTACHMENT B
FOCUS PROJECT BUDGET
CITY OF SAN BERNARDINO
DEPT. of PARKS, RECREATION, AND COMMUNITY SERVICES
JULY, 1 2007 THROUGH JUNE 30, 2008
PERSONNEL
Mentor Coordinator 100% 42,000
SUBTOTAL PERSONNEL 42,000
FRINGE BENEFITS @29.21% 12,268
TOTAL PERSONNEL $ 54,268
TRAVEL AND PER DIEM $ 732
SUNCONTRACTS $ _
OTHER COSTS
TOTAL OTHER COSTS $ _
INDIRECT COSTS $ _
TOTAL PROJECT COSTS $ 55,000
Page 1 of 2
ATTACHMENT B
FOCUS PROJECT BUDGET
CITY OF SAN BERNARDINO
DEPT. of PARKS, RECREATION, AND COMMUNITY SERVICES
JULY 1, 2007 THROUGH JUNE 30, 2008
Budget Justification
PERSONNEL......................................................................................... $42,000
Mentor Coordinator - $42,000. $3,500 per month x 100% x 12 months for Salary and
Holiday pay. Under direction, directs, managers, supervises and coordinates the activiities
and operations of the Mentor Program; coordinates assigned activiites with other divisions,
departments and outside agencies; and perfomrs related work as required. Attends and
schedules all meetins and makes presentations of the FOCUS Project as required.
Fringe Benefits: Approximately 29.21% of Total Personnel......................... $12,268
TOTALPERSONNEL............................................................................... $54,268
TRAVEL AND PER DIEM.......................................................................... $732
Estimated Mentor Coordinator to travel approximately 29 miles per week, for 52 weeks a
year. Traveling includes outreach to the San Bernardino Unified School District schools,
Community Centers, Family Visitation, Advisory Board Meetings, Focus Meetings, Event
Planning, and visiting local Community Business for Sponsorship/Donations. 29 miles per
week @ $0.485 per mile for 52 weeks = $731.38 for the year.
TOTAL PROJECT COSTS........................................................................ $55,000
Page 2 of 2
.--Attachment C--- Budget Summary DDPH 05-45320
Page 1 of 5
State, .California—Health and Human Servk Ay�ocy
'�� ►�- California Department of Public Health
!)CDPH
MARK B HORTON,MD,MSPH ARNOLD SCHVIARZENEGGER
Dir2dor Govemcr
November 2, 2007
Ms. Kelly Hoffman
Project Director
San Bernardino County Department of Public Health
799 E. Rialto Avenue
.San Bernardino, CA 92415-0011
Dear Ms. Hoffman:
ALTERNATE YEAR AGREEMENT FUNDING APPLICATION (AFA) APPROVAL FOR
AGREEMENT#05-45320 for Fiscal Year 07-08.
The Maternal, Child and Adolescent Health/Office of Family Planning (MCAH/OFP)
Branch of the California Department of Public Health (CDPH) approves your Annual
Alternate Year Agreement Funding Application package as submitted for fiscal year
(FY) 07-08 for administration of the MCAH/OFP Programs.
The Alternate Year AFA submission process allows you to annually update your
MCAH/OFP Program(s) AFA documents to reflect current funding and staff levels for
,each new fiscal year.
In order to carry out the program(s) outlined in your approved Work plan and the
enclosed budget document, during the period of July 2007 through June 2008, the
MCAH/OFP Branch will reimburse expenditures to the program(s) below up to the
following amount:
Community Challenge Grant $210;000
Maternal,Child and Adolescent Health/Office of Family Planning Branch/Center for Family Health I
1615 Capitol Avenue,MS 8305,P.O.Box 997420 Sacramento,CA 95899-7420
(916)650-0275 .
Internet Address: vnwa.cdph.ca.gov
Attachment C - l3udget Summary CDPH 05-45320
Page 2 of 5
Ms. Kelly Hoffman
November 2, 2007
Page 2
The availability of State General Funds is based upon the appropriation of funding in the
Governor's FY 2007-2008 budget. Reimbursement of invoices is subject to compliance
with all federal and state requirements pertaining to the State MCAH/OFP Program and
adherence to all applicable regulations and CDPH MCAH/OFP Branch policies and
procedures.
Please ensure that all necessary individuals within your Agency are notified of this
approval and that the enclosed documents are carefully reviewed. This approval letter
constitutes a binding agreement.
If any of the information contained in the enclosed Annual Alternate Year AFA
submission documents are incorrect or different from that negotiated, please contact
your Contract Manager me, at (916) 650-0347 within 14 calendar days from the date of
this letter. 'Non-response constitutes acceptance of the enclosed documents.
Sincerely,
Gloria Gastelum
Contract Manager
j Maternal, Child and Adolescent Health/
�r Office of Family Planning Branch
Enclosures
cc: Paul Biane
Executive Director
San Bernardino County Department of
Public Health
351 N..Mountain Ave., 3"d Floor
San Bernardino, CA 92415-0010
Martha Torres-Montoya
Program Consultant
Maternal Child and Adolescent Health/
Office of Family Planning Branch
MS 8400
P.O. Box 997420
Sacramento, CA 95899-7420
CENTRAL FILE
i
i
1
r
I
.. .......... . ..
Attachment C,— Budget Summary CDPH 05-45320
Page 3 of 5
j (Date:Transfers,automat�calt}�from`1Notks}#ee`'��`�'�
Program Community Challenge Grant
Grantee Name: San Bernardino County Department of Public Health
C:* Grant Number: 05-15320
Grant Yc•c,`' 3 cf
Fiscal Year: 2007-2008
Budget Period: 711107-6/30/08
Initial Allotment: p
�Y+ y,•�y �'� �, d t`' l `raa'',e,`��»"7�.�t�4��1" �� �R"�_ tit-\ .n r�. i ,�"''i�
i !1AJtJR �PENSE GAl IGOpyLi S' ORIO�[ L� G
1 PERSONNEL _ '17,310
ti6�Ff �..<...,-_,`__i'"F ��• a .,�` i;.
'.n
nr..
2 OPERATING EXPENSES 13,454
gz tva,.tl1..yt+.f'l*,
-..` i.M.. .... .. . .. .... ... ... .. ... i ,�.tL•+,..:oRa i.P_.� .,1s.G..:.�::�l.k..1.,ic...�.�-....r�1..,r,, xE�..,s.....s.
•d
3#,SUBCONTRACTORS _ �r 93,000
WS. c »r,...y*i,''.•.
4 OTHER COSTS 7,505
V;r.. ''[:� .R),:�} a��4;'a�' ,t�+F7 s.r.„s^••::..aae.'wxfc':�1�.��].PS�r ,'..wsx`.., rtz.�..:i
5 INDIRECT COSTS(10%MAX) 10,00%
8,731
TOTAL EXPENDITURES 210,000
�3 e7i—C Ohl �. ��( Evaluation
!3 err` -_ `'.:;;y-�.. •.i:rL•l _
peslCocles ' 21,946
M1 �� Total Evaluation Cost..
r C
MF Y r .t7CSL S ti ••t,t P
F"EB u TUrr ��i. _ %oi Budget
Budget Summary
7/1312007 V:01.07.08 1 of 3
Attachment C — Budget Summary CDPH 05-45320
Page 4 of 5
Program Community Challenge Grant
Grantee Name: San Bernardino County Department of Public Health
C=�> Grant Number: 05-45320-
Grant Year: 3 of 5
Fiscal Year: 2007-2008
Budget Period:17/1/07-6/30/08
N `J —
; F.cfZSOt t c DETAIL S, y �A M - �1G taL�
r ;
4igtt�ais ?" L f,a., ificlbattleSh'LARY r' ~� C7� r
1 iKH Health E J al on Specie lest!I 59,000 10.0°Jo r,000
_ _---1-- — -- -
2 +EG JHealth Edt alion Specialist l 1 51,119 70.0%1 35,783
3 YS Health Educ a?ion Assistant 45.552 50.0% 22,776
4 to 0 0.0%
0 0 O.0°%o
6 j0 10 0 1 0.0%
7 0 10 _ 0 0.0% —
8 10 10 0 0.0%
9 0 0 0 0.0%
10 0 10 0 0.0°»
--- —--
11 0 0 0 0.0%
12 0 0.0%
TONAL WAGES 64,459
AVERAGE FRINGE BENEFIT RATE 35.45%
TOTAL BENEFITS 22,851
.ii Cis-,iim- 87,31Q Pi h
e
O�PERrT�t�G nPENSE?� sL'i(2
1 Training-Project Staff 2,413
2 General Expense-Office Supplies 1,913
3 Copying/Printing/Guolicating 2,415
4 Travel-Project S IF. 6,713
0
C, 0
7 0 0
jc I
I 0
g 10 i 0
10 0
11 c _.__..._. : _ 3 0
12 10 0
a.,..,-
, 3c � 07 GPERATINGF,CEMSE 13,454
Budget E..m-rarf
7/13/2307 ,
2 of
Attachment C - Budget Summary CDPH 05-45320
Page 5 of 5
Program Community Challenge Grant
Grantee Name: San Bernardino County Department of Public Health
Grant Num:�or: 05-45320
Grant Year: 3 of 5
Fiscal Ycar 2007-2008
Budget Peri<•d:17/1/07-6/30/08
gw
trzs r JSU 'C PNCTORSDEsTAt ` ;'�y�
II SRI-`
L
�1 s
1 Prograrn 55,000
2 Arts Council -- ---- ----�-- 28,000
3 N?kuS Consul''iMc - .. '.cha-1 Paatti: r:is 10.000
y 10 ---- 0
5 ,0 0
6 n _ n
8 .0 0
In — 0
1D 0 0
12. 0 0
93,000
L CCG tTRAC E�C $ S }
�..
Crs s� Ql =r CC_; C1Efl '1�K �L O 1 '3.
1 Educational klaterials 1,789
2 Incentives I 1,958
3 Food _...._—_.�—.___.._�. 2,100
4 Transportation-F+v'•sct Par^ripar s 1,658
5 i0 0
.3 0 0
7 0
a 0 0
0 0 0
10 0 0
11 0 0
12 0 _ 0
,L OTHER COSI�EaXP � 7,505
Budget Summary
7/13/2007 V:01.07.05 3 of 3
COUNTY OF SAN
DEPARTMENT OF PUBLIC HEALTH =_
<co r+ry-
w+aat+wann+o
..E OF PUBLIC HEALTH ADMINISTRATION
`s-
351 North Mt.View Avenue,Third Floor......... San Bernardino,CA 92415.0010 i JIM LINDLEY
(909)387.9146......... Fax (909)387.6228 Interim Public Health Director
PAULA MEARES-CONRAD
Interim Assistant Director of Public Health
MARGARET BEED,MD,MPN
Health Officer
February 4, 2008
Fred Wilson, City Manager
City of San Bernardino
547 North Sierra Way
San Bernardino, CA 92410
RE: CCG — FOCUS Project
Contract for FY 07-08
Dear Mr. Wilson:
Enclosed are two (2) original contracts between San Bernardino County Department of Public
Health and your agency for the FOCUS Project services.
Please sign and return the two (2) original contracts after your agency approval and signature to:
County Of San Bernardino
Department of Public Health
Contracts/ Special Projects Unit.
351 North Mt. View Avenue, 2nd Floor
San Bernardino, CA 92415
Attn: Yvonne Suarez
A fully executed copy of the Contract will be forwarded to you after all required signatures are
received and it is authorized by the San Bernardino County Board of Supervisors. If you have any
questions or require assistance, please feel free to contact me at (909) 387-6608.
Thank you for your assistance in this matter.
Sincerely,
Suarez
Sta yst II
rtm
Dep nt
of Public Health
MARK UFFER Board of Supervisors
county Administrative Officer BRAD MITZELFELT._........._.First District DENNIS HANSBERGER.....Third District
PAUL BIANE..............Second District GARY C.OVITT...................Fourth District
JOSIE GONZALES.........................Fifth District