HomeMy WebLinkAbout21-Parks and Recreation
CIT'... OF SAN BERNARDlh~ - REQUE.... r FOR COUNCIL ACl ..4lN
From: Annie F. Ramos, Director
Subject: RESOLUTION AUTHORIZING ApPLICATION FOR
FOOD DISTRIBUTION PROGRAM WITH COUNTY
COMMUNITY SERVICES.
Dept: Parks, Recreation & Community Services
Date: October 17, 1988
~
Synopsis of Previous Council action:
April, 1986 - Council authorized application for food distribution program for 1986.
December, 1987 - Council authorized application for 1987.
Recommended motion:
Adopt the resolution.
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Signature iJ
Contact person:
John A. Kramer
Phone:
5031
6th
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Supporting data attached: Staff Report
Ward:
FUNDING REQUIREMENTS:
Amount: N / A
Source: (ACCT. NO.)
(ACCT. DESCRIPTION)
Finance:
Council Notes:
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CIT. OF SAN BERNARDI~~ - REQUE", r FOR COUNCIL AC1..~N
RESOLUTION AUTHORIZING APPLICATION FOR STAFF REPORT
FOOD DISTRIBUTION PROGRAM WITH COUNTY
COMMUNITY SERVICES
The authorization of the director to execute an application for food
distribution program will allow for the continued provision of this
service through Delmann Heights Community Center. This program provides
USDA commodities for distribution to low income families in the Delmann
Heights area. There is no cost for the commodities and distribution is
handled through the center operations.
Approval is recommended.
October 17, 1988
75-0264
1 RESOLUTION NO.
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:
5
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 toiayor and Common Council of the City of San Bernardino at a
13
meeting thereof, held on the
day of
, 1988, by the
14 following vote, to wit:
15
AYES:
Council Members
16
17 NAYS:
18 ABSENT:
19
20
21
City Cl erk
22
The foregoing resolution is hereby approved this
day of
23
, 1988.
24
25
Evlyn Wilcox, Mayor
City of San Bernardino
26
27
Approved _~d Legal
~ ~
Ci Attar
Content:
28
10/17/88
. .,
(y lNITY SERVICES DEPAR'l'W".~
SAN BERNARDINO COUN'.r:
FOOD DISTRIBUTIOO PROGRAM
ADMINISTRATIVE OFFICES/WAREHOUSE
1743 MIRO WAY
RIALTO, CA 92376
(714) 829-3770/829-3771
/
,.
APPLlCA'l'IQi
MEMBER AGI!2iCY D1I!'QUtA'l'IQi S8BB'r
1. Agency San Bernardino Parks, Recreation & Community Servo Dept. Phone 384-5030
2. Address 547 North Sierra Way, San Bernardino, CA
3. Director Anni e F. Ramos
4. Contact Person
Zip 92401
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 II
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.
l'OOD 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 XXX
Ri- Monthly 1400
14. How many families do you distribute food to? Weekly
15. Specific geographic area served: 92405, 92407
16. Other services provided:
Recreation. referral
17. Who is eligible for your service? Low-income. resident senior citi7en~
18. Current sources of food obtained for your program(s). %Direct food purchases
-----%Retail Store Donations
-----%F~Drive Donations
100 %USDA Commodities
%Other (Specify)
100 %Total
STORAGE FACILI'l'IES:
19. Does your agency have storage facilities?
(Please give dimensions) Refrigerated
No
Frozen
Dry
l'OOD PICK-UP:
20. Do you have transporation to the foodbank? (Describe)
21. How often do you prefer to pick up food? Weekly
XXX
City veh i cl e
Monthly
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
Address: 547 North Sierra Way. San Bernardino. CA
Zip 92401
RVH/ff
Revised 2-9-87
Page 2 - Application
.I{
MEMBER AGENCY AGREEMENT FORM
Agency San Bernardino Parks. Recreation and Community Services Deoartment
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 Pood Distribution Program.
2. Must be an Agency that serves low-incom~, needy individuals/households
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 APPLtcABLE DOCUMENT
MUST BE ATTACHED.
WE, THE UNDERSIGNED REPRESENTATIVES OF THE APPLYING AGENCY, ACKNOWLEDGE THAT WE'VE READ
THE AF'OREMENTIONED 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.
SIGNED: AUTHORIZED REPRESENTATIVE
CSD FOOD PROGRAM(S) MANAGER
Signature
Signature
Director
Title
October 17. 1988
Date
Date Approved
RVH/fa
Revised 10/85
{,
Page 3 - Application
MElffiER 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".
2. Community Services Department Food Distribution Program and the original
donor expressly disclaim any implied warranties of merchantability or
~ fitness for"a particular use.
3. There have ~een 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 originctl 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.
"
SIGNED: AUTHORIZED REPRESENTATIVE
CSD FOOD PROGRAM(S) MANAGER
Signature
Signature
Director
Title
October 17, 1988
Date
Date Approved
RVH/fa
Revised 10/85