HomeMy WebLinkAbout1988-415
1
RESOLUTION NO. 88-415
2 RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING THE PREPARATION
AND EXECUTION OF AN APPLICATION, AGREEMENT AND LIABILITY RELEASE FOR SAN
3 BERNARDINO COUNTY COMMUNITY SERVICES FOOD DISTRIBUTION PROGRAM.
4 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINO AS FOLLOWS:
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6
SECTION 1. The Director of Parks, Recreation and Community Services
7 is hereby authorized and directed to prepare, execute and submit an
8 application, agreement and liability release for San Bernardino County
9 Community Services Food Distribution Program, a copy of which documents are
10 attached hereto, marked Exhibit "A" and incorporated herein by reference.
11 I HEREBY CERTIFY that the foregoing resolution was duly adopted by the
12 Mayor and Common Council of the City of San Bernardino at a regular
13
November , 1988, by the
meeting thereof, held on the
7th
day of
14 following vote, to wit:
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16
17
18
19
20
21
22
23
24
25
26
27
28
AYES:
Council Members Estrada. Reillv. Flores. Maudsley. Minor.
Pope-Ludlam, Miller
NAYS:
None
ABSENT:
None
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/ City Cl erk
The foregoing resolution is hereby approved this 5?~ day of
November
, 1988.
Evlyn Wile x, Mayor
City of San Bernardino
APp_r.o;1~~. V;z:~a;_d L~gal Content:
C~
10/17/88
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COMMUNITY SERVICES DEPARTMENT
OF SAN BERNARDINO COUNTY
FOOD DISTRIBUTION PROGRAM
ADMINISTRATIVE OFFICES/WAREHOUSE
1743 MIRa WAY
RIALTO, CA 92376
(714) 829-3770/829-3771
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APPLICATION
MEMBER AGENCY INFORMATION SHEET
1. Agency San Bernardino Parks, Recreation & Community Servo Dept. Phone 384-5030
2. Address 547 North Sierra Way, San Bernardino, CA
Zip 92401
3. Director Anni e F. Ramos
4. Contact Person
Andrew Brown
5. Number of Paid Staf f 0
6. Number of Volunteer Staff 3
7. 'Agency Status Indentification:
A. Private Non-Profit
B. Public Non-Profit
C. Profit
Inc.
Inc.
Inc. D. Other
....
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8. Tax Exempt #
(Specify)
9. Liability Insurance (carrier) City Self-Insured
10. Parent Organization
11. Days and Hours of Operation Monday-Friday, 8:00 a.m. 8:00 p.m.
FOOD PROGRAM(S) SERVICES:
12. Does your organization provide meals on your premises? Yes
xxx
No
If yes, how often'? Daily XXX Weekly
Number of people served? Breakfast
Monthly
Lunch 55
Other
Dinner
13. Does your organiz?tion distribute emergency food boxes? Yes
No X XX
14. How many families do you distribute food to? Weekly
B i_Monthly 1400
15. Specific geographic area served: 92405, 92407
16. Other services provided:
Recreation~ referral
17. Who is eligible for your service? Low-income, resident senior citizens.
18. Current sources of food obtained for your program(s).
100
100
%Direct food purchases
%Retail Store Donations
%Food-Drive Donations
%USDA Commodities
%Other (Specify)
%Total
STORAGE FACILITIES:
19. Does your agency have storage facilities?
(Please give dimensions) Refrigerated
No
Frozen
Dry
FOOD PICK-UP:
20. Do you have transporation to the foodbank? (Describe)
City vehicle
Monthly
21. How often do you prefer to pick up food? Weekly
XXX
22. Persons authorized to pick up food:
1)
Fulton Lee
2)
Andrew Brown
23. Where and to whom should CSD FDP reports and forms be sent. Name Annie F. Ramos
Address: 547 North Sierra Way, San Berr}ardino, CA
Zip 92401
RVH/ff
Revised 2-9-87
. _ pog'e 2 -:Applipation
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MEMBER AGENCY AGREEMENT FORM
Agency San Bernardino Parks~ Recreation and Community Services Department
Address547 North Sierra Way, San Bernardino, CA
92401
The above named Agency agrees to and will comply with the following criteria of a
Member Agency for participation in Community Services Department Food Distribution
Program.
1. Must be an established Agency and approved by the Community Services
Department Food Distribution Program.
2. Must be an Agency that serves low~incom~, needyindividuals/househblds
residing within San Bernardino County (in accordance with eligibility
guidelines provided). (Exhibit E)
3. Must provide food to its clients consistent with funding source
guidelines.
4. Must not offer for sale, charge for meals, transfer nor barter or
hoard food supplied by Community Services Department Food Distribution
!~. Program in exchange for money, other properties or services.
5. Must have adequate refrigeration and storage space to insure the
wholesomeness of- the food until used and/or distributed.
6. Must provide transportation to pick up food at Community Servies Depart-
ment Food Distribution Program Warehouse .
7. Must be licensed by the State and/or City as a food service establishemnt
according to the service it provides. (where applicable)
8. Must provide required reports.
(Exhibit E)
9. Must secure and maintain complete eligibility records on clients served
for the purpose of documentation and recall. Information will be disclosed
to Community Services Department Food Distribution Program by the member
Agency. Confidentiality will be maintained by Community Services Department
Food Distribution Program.
10. Must provide names, addresses and telephone numbers of all volunteers
utilized with food programs within Agency. (Exhibit D)
11. Must be agreeable to monitoring by the Community Services Department
Food Distribution Program personnel or a panel of the Advisory Committee.
12. Must be a non-profit organization. COpy OF 501 (C) (3~ TAX EXEMPT
STATUS WITH THE INTERNAL REVENUE SERVICE OR OTHER APPL!CABLE DOCUMENT
MUST BE ATTACHED.
WE, THE UNDERSIGNED REPRESENTATIVES OF THE APPLYING AGENCY, ACKNOWLEDGE THAT WE'VE READ
THE AFOREMENTIONED CONDITIONS AND UNDERSTAND THAT THEY HAVE BEEN INCORPORATED INTO
THIS APPLICATION. VIOLATION OF ANY OF THESE CONDITIONS MAY BE CAUSE FOR IMMEDIATE
TERMINATION OR SUSPENSION FROM PARTICIPATION IN THE COMMUNITY SERVICES DEPARTMENT
FOOD DISTRIBUTION PROGRAM. SHOULD SUSPENSION OCCUR, PARTICIPATION WILL NOT RESUME
UNTIL SUCH TIME AS VIOLATION(S) IS CORRECTED.
Director
Title
October 17. 1988
Date
RVH/fa
Revised 10/85
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Page 3 - Application
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IlffiHBER AGENCY LIABILITY RELEASE
The undersigned authorized Agent of San Bernardino Parks~ Recreation and Community Services
(Name of Agency) Department
hereby warrants that during active membership assorted foods will be received
from .the Community Services Department Food Distribution Program. Said agent
further warrants that the above described food will be duly inspected upon
delivery and found fit for human consumption~
It is further agreed between the Community Services Deparment Food Distribution
Program and San Bernardino Parks, Recreation & Community Services
(Name of Agency)
That:
1. The Food is accepted "as is".
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2. Community Services Department Food Distribution Program and the original
donor expre~sly disclaim any implied warranties of merchantability or
fitness for a particular use.
3. There have been no express warranties in relation to this gift of
food.
4. Said Agency releases both the original donor and Community Services
Department Food Distribution Program from any liability resulting
from the condition of the donated food and further agrees to indemnify
and hold Community Services Department Food Distribution Program and
the original donor free and harmless against all and any liabilities,
damages, losses, claims, causes of action and suits or law or in
equity or any obligation whatsoever arising out of or attributed to
any action of said Agency or any personnel employed by said Agency
in connection with its storage and use of the dopated food.
5. Must not offer for sale, charge for meals, transfer nor barter or hoard
the food supplied by Community Services Department Food Distribution
Program in exchange for money, other properies or services.
Director
Title
October 17, 1988
Date
~ Signature
oV. I?,
D te Approved (
/7~~
RVH/fa
Revised 10j85