HomeMy WebLinkAbout1987-432
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1 II RESOLUTION NO. 87-432
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2 1IIIi 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
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is hereby authorized and directed to prepare, execute and submit an
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application, agreement and liability release for San Bernardino County
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Community Services Food Distribution Program, a copy of which documents are
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attached hereto, marked Exhibit "A" and incorporated herein by reference.
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I I~EREBY CERTIFY that the foregoing resolution was duly adopted by the
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~,1ayor and Common Council of the City of San Bernardino at a n::>glllrlr
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meeting thereof, held on the
21st
day of
Decemher
, 1987,
14 by the following vote, to wit:
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AYES:
Council Members Estrada, Reilly, Flores, Maudsley, Minor
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Miller
17 NAYS: None
18 ABSENT: Council Member Pope-Ludlam
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, 1987.
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hereby approved th is ,,) ?)A)i day of
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Mayor of the City of San Bernardino
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The foregoing resolution is
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Approved as to legal form and content:
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Y1 ty/A ttorney
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COMMUNITY SERVICES DEPARTMENT
OF SAN BERNARDINO COONTY
FOOD DISTRIBUTION PROGRAM
ADMINISTRATIVE OFFICES/WAREHOUSE
1743 MIRO WAY
RIALTO, CA 92376
(714) 829-3770/829-3771
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APPLICATICE
tmmER AGENCY INFORMATICB SHEET
1. Agency San Bernardino Parks, Recreation & Community Serve Dept. Phone 384-5030
Zip
92418
300 North "0" Street, San Bernardino, CA
2. Address
3. Director
Annie F. Ramos
4. Contact Person Andrew Brown
5. Number of Paid Staff 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
(Specify)
8. Tax Exempt i
9. Liability Insurance (carrier) City Self Insured
10. Parent Organization
11. Days and Hours of Operation Monday-Friday, 8:00am-8:00pm
F(X)D PROC1U\M (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 5~
Other
Dinner
13. Does your organization distribute emergency food boxes? Yes
No xxx
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). %Direct food purchases
%Retail Store Donations
%Food Drive Donations
100 %USDA Conmodities
%Other (Specify)
1 UU %Total
S'IDRAGE FACILITIES:
19. Does your agency have storage facilities?
(Please give dimensions) Refrigerated
No
Frozen
Dry
F(XJ) PICK-UP:
20. Do you have transporation to the foodbank? (Describe) City vehicle
Weekly
xxx
Monthly
21. How often do you prefer to pic~ up f0oC?
n~; 1, 7
...,"-"-......1
22. Persons authorized to pick up food:
1)
Fulton Lee
2)
Andrew Brown
23. Where and to whom should CSD FOP reports and forms be sent. Name Annie F. Ramos
300 North "D" Street, San Bernardino, CA
Zip
92418
Address:
RVH/ff
Revised 2-9-87
COMMUNITY SERVICES DEPARTMENT OF SAN BERNARDINO COUNTY
1743 MIRO WAY
RIALTO, CA 92376
(714) 829-3771
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Agency Agreement for the Distribution of USDA Commodities
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The City of San Bernardino Parks, Recreation & Community Services Dept. agrees
to distribute USDA Surplus Commodities under the following conditions:
1. USDA food shall be distributed ONLY to low-income households whose
total gross income does not exceed the following guidelines. NO households
are categorically eligible: All households Must qualify according
to the following Income Eligibility Table:
INCOME ELIGIBILITY TABLE 1987
Number of Persons
in Household
GROSS INCOME
Monthly
Annual
1
2
3
4
5
6
7
8
9
10
$ 688.00
925.00
1,163.00
1,400.00
1,638.00
1,875.00
2,113.00
2,350.00
2,588.00
2,826.00
$ 8,250.00
11,100.00
13,950.00
16,800.00
19,650.00
22,500.00
25,350.00
28,200.00
31,550.00
33,900.00
a. Persons shall present proof of residency (driver's license,
utility bills, etc.). USDA Surplus Commodities issued through Community
Services Department of San Bernardino County are to be received by
San Bernardino County residents ONLY.
b. Per~ons shall present proof of low-income status (unemployment
check; Social Security check/copy; notice of award letter in State
or Federal programs: AFDC, MediCal, Food Stamps, General Relief, Social
Security, SSI, paycheck stub, W-2 form, etc.). If a person has no
income verification, a signed self declaration may be accepted.
c. Please Note: that distribution rates are to be complied with,
as monthly adjustments are often addressed by the Food Distribution
Program, we will pro~ide distribution charts monthly.
COMMUNITY SERVICES DEPARTMENT OF SAN BERNARDINO COUNTY
Agency Agreement for the Distribution of USDA Commodities
Page 2
2. The agency shall have each recipient of food sign the "Participant
Eligibility Certification For Receipt of USDA Commodities" form (Exhibit
A). The recipient's address shall also be included on"this form.
The Agency shall complete the section of the form indicating:
a. Food Stamp Recipient
b. Low Income
c. Household Size
d. Handicap-/shut-In
e. Seniors
f. All foods Issued: Indicating Number of Packages issued
g. Total all colums.
Complete instructions are printed on the reverse side of the form.
The White copy is to be returned to CSD, the pink copy is to be
retained by the Agency for a period of three (3) years from the close
of the Federal Fiscal Year to which they pertain.
3. Distribution totals should reflect the quantity of U.S.D.A. Commodi-
ties that your agency picked-up. Discrepancies must be explained.
Failure to account for all U.S.D.A. commodities can be cause for your
agency to be held liable for missing items and/or discontinued from
this program. (Exhibit B & C)
4. Every reasonable measure to prevent duplications will be taken
by the distributing agency; to this end, CSO is requiring that distri-
buting agencies describe their service area by street boundaries,
zip codes and/or city served.
5. All USDA Surplus Commodities Must be distributed FREE OF CHARGE**
to eligible households on a first come, first served basis and in
a fair, equitable and nondiscriminatory manner. (*Free of charge:
no payments of money, materials or services, no contributions,
no bartering).
6. All USDA Surplus Commodities Must be stored as indicated on the
containers of each commodity until distributed.
7. To avoid misinformation, minimize confusion, and to reduce unrealis-
tic public expectation, NO information may be released to the media
without prior approval or-the Community Services Department Food Distri-
bution Program Manager at (714) 829-3770/829-3771.
8. If the Agency is unable to distribute the USDA food allocated
to said Agency, Community Services Department reserves the right to
revoke the allocation and redistribute the food. UNDER NO CIRCUMSTANCES
SHALL THE AGENT REALLOCATE THEIR FOOD ALLOTMENT.
9. The Agency will deliver all required forms by the fifth (5th)
day of the month following each month's distribution to:
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Community Services Department
of San ~ernardino County
FOOD DISTRIBUTION PROGRAM
1743 Miro Way
Rialto, CA 92376
COMt1UNITY SERVICES DEPARTMENT OF SAN BERNARDINO COUNTY
Agency Agreement for the Distribution of USDA Commodities
,I . Page 3
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10. This contract shall be valid for the period October 1, 198~through
~eptember 30, 1988, provided that U.S.D.A. commodities remain avail-
able to CSD for distribution.
11. The agency agrees to indemnify, defend and hold harmless the
County, its agents, officers and employees from and against any and
all liability, expense, including defense costs, legal fees and claims
for damage of any nature.
12. V.S.D.A. commodities shall be transported in vehicles and under
conditions that provide for safe vehicle operation and prevention
of spoilage. ·
13. No damaged or spoiled food shall be distributed. Any such food
must be returned to Community Services Department.
The undersigned Non-Profit Agency agrees to comply with the aforementioned
revised conditions for the distribution of USDA Surplus Commodities:
Delmann Heights Community Center
~~~~~~~~~~ti:::a~~~~-~ncY
Slgnature
Nov. 18~ 1987
Date
Director of Parks, Recreation
/ and Community SerVlces Department
Title Position
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AGREEMENT APPROVED BY COMMUNITY SERVICES DEPARTMENT-FOOD DISTRIBUTION
PROGRAM:
Authorized
Signature:
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Date
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Authorization Code
Attachments: Information Sheet
Exhibit A
Exhibit B
Exhibit C
Commodity Administrative Manual
TEFAP Monitor Review