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· CITY OF SAN BERN(1IDINO - REQUEST lOR COUNCIL ACTION
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From: ANNIE F. RAMOS, DIRECTOR Subject: RESOLUTION AUTHORIZING A SENIOR NUTRITION
PROGRAM CONTRACT BETWEEN THE CITY OF SAN
Dept: PARKS, RECREATION & COMMUNITY SERVICES BERNARDINO AND THE COUNTY OF SAN
BERNARDINO FOR THE BUDGET YEAR OF 1991-92
Date: AUGUST 7, 1991
Synopsis of Previous Council action:
Nutrition contract for senior citizens executed or amended since 1977. The most recent
actions are Res. 90-172 (I~ay 21, 1990) and Res. 91-177 (May 6, 1991).
Recommended motion:
Adopt resolution
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Contact person: John Kramer
Phone: 384-5031
Supporting data attached: Staff Report; Contract & Reso 1 ut i on Ward:
FUNDING REQUIREMENTS: Amount: $15.470
Source: (Acct. No.! 001-387-52040
(Acct. Description) Senior Citizens Service Center Budget
Finance:..~~4~---
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Council Notes:
75-0262
Agenda Item No S - 1 ./
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CITY OF SAN BERNORDINO - REQUEST IDR COUNCIL ACTION
RESOLUTION TO AMEND RESOLUTION STAFF REPORT
90-173 AUTHORIZING A CONTRACT
WITH COUNTY OF SAN BERNARDINO
FOR SENIOR NUTRITION PROGRAM
TO INCLUDE AN ADDITIONAL ONE
TIME GRANT OF $20,000.
The Senior Nutrition Program 1991-92 contract represents a
continuance of an existing program that has been ongoing
since 1977. The new contract compares to the 1990-91 cont-
ract as follows:
Current
Amended
Number of Nutrition
sites
8
8
Federal Grant
$197,190
$ 14,855
$196,240
$ 15,470
City Match (In-Kind)
For the year 1991/92, the City of San Bernardino Senior
Nutrition Program will serve at the following sites:
Senior Service Center
Hernandez Center
Lytle Creek
Public Enterprise Center
Nicholson Center
Highland Senior Center
perris Hill Senior Center
community Hospital Adult Day Care Center
Justification for Supplemental Aqenda
The contract was received from the Office
August 6, 1991, and requires that all funds
June 30, 1992.
on Aging on
be expended by
(STAFFRE:SEN.NUT)
8/6/91
75-0264
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RESOLUTION NO.
7 SECTION 1. The Director of Parks, Recreation and
8 Community Services Department of the City of San Bernardino is
9 hereby authorized and directed to submit an application to
10 accept on behalf of the City a grant from San Bernardino County
11 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 meeting thereof, held on the
21 day of , 1991, by the following
22 vote, to wit:
23 II
24 II
25 II
26 II
27 II
28 8/7/91
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1
RE: RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE
2 DIRECTOR OF PARKS, RECREATION AND COMMUNITY SERVICES DEPARTMENT
TO MAKE APPLICATION FOR AND ACCEPT A GRANT FROM SAN BERNARDINO
3 COUNTY OFFICE ON AGING FOR THE SENIOR NUTRITION PROGRAM FOR THE
PERIOD OF JULY 1, 1991 THROUGH JUNE 30, 1992.
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NAYS
ABSTAIN
COUNCIL MEMBERS
AYES
ABSENT
ESTRADA
REILLY
HERNANDEZ
MAUDSLEY
MINOR
POPE-LUDLUM
MILLER
City Clerk
The foregoing resolution is hereby approved this
day of
, 1991.
W. R. Holcomb, Mayor
city of San Bernardino
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X Cancel
County Department
OFFICE ON AGING
FOR COUNTY U
Vendor Code
Contract Number
sc
A
Dept.
Orgn.
Contractor's License No.
County of San Barnardino
FAS
STANDARD CONTRACT
County Department Contract Representative
KATHRYN H. PICHETTE,
Fund Dept. Organization
SBG 00 OOA
Commodity Code
Amount of Contract
$196,240
GRC/PROJ/JOB Number
FY
Estimated Payment Total by Fiscal Year
Amount I/O FY Amount 110
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
Neme
CITY OF SAN BERNARDINO
Address
hereinafter called
CONTRACTOR
547 N. SIERRA WAY
SAN BERNARDINO, CA 92401-1211
Phone
Birth Date
(714) 384-5231
FedersllD No. or Social Security No.
95-6000772
IT IS HEREBY AGREED AS FOLLOWS:
(Use space below and additional bond sheets. Set fonh 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.)
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
Contractor agree
and
as
02.12311.000 Rev. 11/!M)
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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-I" 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 I 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 def ined in the program budget. In addition, USDA
funds will be paid at the prevailing rate for each reimbursable meal
served.
Page 2 of 9
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6.
be equal
liB-I. II
PROJECT INCOME: Project or grant related income should
to 40% of the total expenditures shown in Exhibit "B" and
7. MATCHING CONTRIBUTIONS: The Contractor will provide a
cash matching contribution of $-0- and/or in-kind matching
contributions of $15,470. The determination 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'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 claim 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
_III
- Errors and Omissio
of $1,000,000 for b
Liabilit Insurance - Obined single limits
~ly 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, except 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. Within 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 ~s
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
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11. LICENSURE: ~ere the State or locaQpublic 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 OoA statements~ records, reports, data
and information as OoA may request pertaining to Contractor performance
of services hereunder and other matters covered by this agreement.
13. INSPECTIONS: Contractor shall make available to OoA, 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 OoA.
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 OoA 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 OoA Director shall be notified of the loss within 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 OoA
funds shall also have the following language painted or affixed by
other means: Vehicle purchased with "Older Americans Act funds."
Page 5 of 9
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16. AMENDMENTS Q THE CONTRACT: Any coDact change requires
initiation 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 I 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 1 (2)
submission of .incorrect or incomplete reports or late submissionl
(3) improper or ineffective use of the funds provided or derived under
this contract, as determined by the OoAl (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 or other funding under which this contract
is made is terminated, the OoA shall have cause to immediately
terminate this contract. Notice of the termination shall be in writing
to the Contractor.
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 i each individual on such list (CDA PM, Part
B, Section 19.1).
Page 6 of 9
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20. PUBLICATIO~ Any books, reports, ~Phlets, 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. COPYRIGHTS: 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 receiving 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) (AI (u) (I) (II) ).n "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
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which include physicO and mental disabilitieO 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) ).n Minimum program goals
relating to minorities within this contract, have been established
by computing the percentage of minority elderly over 60 within the
geographic area served by the Contractor.
28. RELIGIOUS ACTIVlTY PROHIBITED:
worship, instruction, or proselytization
with, the performance of this contract.
There 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 l858(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
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"No part of ~y appropriation containO 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.
COUNTY OF SAN BERNARDINO
Approved as to form and legal content:
James F. Penman, City Attorney
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;;..-_ 7 ~
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Chairman, Board of Supervisors
CITY OF SAN BERNARDINO
IState if corporation, company, etc.)
Dated
By ~
(Authorized Signature)
SIGNED AND CERTIFIED THAT A COPY OF THIS
DOCUMENT HAS BEEN DELIVERED TO THE CHAIRMAN
OF THE BOARD.
Clerk of the Board of Supervisors of the County of San
Bernardino.
Dated
Title
Address 547 N. SIERRA WAY
By
SAN BERNARDINO. CA 92401-1211
Approved as to Legal Form
Deputv
Reviewed as to Affirmative Action
Reviewed for Processing
~-
County Counsel
Date
~
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Agency Administrator/CAO
Date
Date
02-123'1.000 Rev. 11190
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CITY OF SAN BERNARDINQ
EXHIBIT "B"
BUDGET SUMMARY
,
'!
FY 1991-92
FY 1991-92
FUNDING
Expenditures:
$196,240
Revenues:
Title III, Older Americans Act
as amended
C-1
$139,230
-0-
139,230
C-2
U.S. Department of Agriculture
C-l
C-2
57,010
-0-
$57,010
TOTAL
$196,240
--
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Expenditure Category
Funding
Less Malch
124 <;?"
3,475
17,637
3 000
1.200
3 000
cosh
In-Kind
Total
l?A <;?"
3.475
17 637
~ - rI()(l
,~
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1 SALARIES AND WAGES
2. PAYROLL TAXES
3. FRINGE BENEFITS
4. CONFERENCE/TRAINING
5. LOCAL STAFF TRAVEL
6. EOUIPMENT. EXPENDABLE
7 ~OUIPM"NT. NON EXP"NI'lAaLl:
R aAW Fnnn *
a. CATERED FOOD *
10 ACCOUNTING/AUDITS
11 ADVERTISING
12 COUNSULTANTSlOUTSIDE SERVICES
13 CONSUMABLE SUPPLIES *
14 EOUIPMENT RENTAL
15 INSURANCE
"' '''''A' "~I'IV"'~"
17 LINENS *
18 MEMBERSHIP&SUBSCRIPTIONS
19 OTHER SUPPLIES
~n "'RINTI""
~1 PURCHASIN" *
22 REPAIRS & MAINTENANCE SPACE
23 REPAIRS & MAINTENANCE OTHER
24 RENT/BUILDING SPACE
25 TAXES & LICENSES
26 TELEPHONE
~7 UTI' ITIES
~8 ' ," ,.,p"R4Tln....
29 VOLUNTEER EXPENSE
"30
14<; """
764
A "nn
1 A 0 onn
'7<;4
-:)'n""
5 000
3,000
? """
2 000
15 000
--,--.,: -()()"
? 1 A e
2 145
enn
"""
? """
1 000
8 000
3,000
49,000
1 onn
700
.,., nnn
~ nnn
2.000
TOTAL EXPENDITURE
323,296
15,000
86,145
424,441
FUNDING SOURCES
LESS: PROJECT INCOME~I" ~~..
l~!:!:' NON. ""'U X .5676
LESS: NON.MATCH OTH~R
1"7 """
<;7 .nl"
1""7 """
e., nln
FEDERAL SHARE
139,230
15,000
86,145
240,375
Provider Name CITY OF SAN BERNARDINO
Contract .
SAN BERNARDINO COUNTY
OoA Form 312
Revls8d 0711ll19O
Date of Submission
- -
o
o
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.
[Xl Has an "Approved" Affirmative Action Program as demon-
strated by the Annual Qualifying Report for a period
begining Januarv 1. 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 ~ender 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:
!At
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