Loading...
HomeMy WebLinkAbout28-Parks and Recreation ORIGINAL CITY OF SAN BERNARDINO -REQUEST FOR COUNCIL ACTION From: Kevin Hawkins, Director Subject: Resolution of the City of San Bernardino ratifying the submittal of a grant application Dept: Parks, Recreation& Community to Kaiser Fontana Community Benefit Services Department Grants Program for funding in the amount of$25,000 to provide the Parks, Recreation Date: July 5, 2011 and Community Services Department Aquatics Program for the 2011 summer season. M/CC Meeting Date: July 18, 2011 Synopsis of Previous Council Action: December 20, 2010 - Council ratified the submittal of a grant application to Kaiser Permanente Regional Community Benefit Operation Splash Grants Program for funding in the amount of $20,000 to provide the Parks, Recreation and Community Services Department Aquatics Program for the 2011 summer season. Recommended motion: Adopt Resolution. Signatu Contact person: Robert Lennox Phone: 384-5031 Supporting data attached Staff Report,Reso.&Application Ward: Ward 1 FUNDING REQUIREMENTS: Amount: $25,000 in Grant Revenues, no match Source: (Acct.No.) 123-xxx-xxxx-xxxx-xxxx (Acct.Description) Grants Finance: Council Notes: v Agenda Item No. p1- 1 e-4 ,611 ..... CITY OF SAN BERNARDINO — REQUEST FOR COUNCIL ACTION Staff Report Subiect• Resolution of the City of San Bernardino ratifying the submittal of a grant application to Kaiser Fontana Community Benefit Grants Program for funding in the amount of$25,000 to provide the Parks, Recreation and Community Services Department Aquatics Program for the 2011 summer season. BacklZround: Due to the City's budget constraints, only the Jerry Lewis Family Swim Center was originally scheduled to open for the 2010 summer season last year. Fortunately, the Department applied for, and was awarded, two grants from Kaiser Permanente Community Benefit programs from the local Fontana Regional Medical Center and from the Kaiser Southern California Regional headquarters. The Grants totaled $45,000 in 2010 and enabled the swimming pools at Ruben Campos/Nunez, Hernandez, and Mill Parks to remain open through August 29, 2010. The grants also provided for limited free swimming lessons for low-income youth at Ruben Campos/Nunez and Hernandez pools. Despite ongoing economic challenges into this fiscal year (FY2011-2012), Kaiser is once again awarding grants for the current summer season. The pursuit of a Community Benefit Grant from Kaiser Permanente Fontana, in the amount of $25,000, will allow the Department to offer the opportunity for low-income youth, ages 6-17 years, to learn how to swim or to advance their swimming skills at no cost at the Ruben Campos/Nunez Pool. It will also allow the Department to continue to offer open swim sessions to qualifying residents at the Ruben Campos/Nunez Pool. Similar to the 2010 Grant allocation, staff had anticipated both the local and regional grant opportunities to continue 2010 program levels. With the increased demand for funding, Kaiser reduced the application period, with notifications sent out at the end of May 2011. Moreover, Kaiser limited the application to those with local Southern California community benefit. Given the short notice of the application period and the necessary revisions of the scope of our anticipated 2011 swim program, staff submitted the application online by the June 27`h deadline. Although Kaiser did not advertise award notice dates, based upon our successful track record and conversations with its representatives, staff anticipates a funding decision within 30 days. Financial Impact: With the award of this grant, funds for this program will be available in the grant account designated by the Finance Department (Account No. 123-xxx-xxxx-xxxx-xxxx). There is no City cash match requirement. Recommendation: Adopt Resolution. 1 1 RESOLUTION NO. 2 3 RESOLUTION OF THE CITY OF SAN BERNARDINO RATIFYING THE SUBMITTAL OF A GRANT APPLICATION TO KAISER FONTANA 4 COMMUNITY BENEFIT GRANTS PROGRAM FOR FUNDING IN THE AMOUNT OF $25,000 TO PROVIDE THE PARKS, RECREATION AND 5 COMMUNITY SERVICES DEPARTMENT AQUATICS PROGRAM FOR THE 2011 SUMMER SEASON. 6 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF 7 THE CITY OF SAN BERNARDINO AS FOLLOWS: 8 SECTION 1. That the Mayor and Common Council hereby ratify the submittal 9 of a grant application to Kaiser Permanente, a copy of which is attached hereto, marked 10 11 Exhibit "A" and incorporated herein by reference as fully as though set forth at length; 12 and 13 SECTION 2. If awarded, authorize the City Manager to accept and administer 14 the grant amount of$25,000. 15 16 17 18 19 20 21 22 23 24 25 26 27 28C� 1 RESOLUTION NO. 2 3 RESOLUTION OF THE CITY OF SAN BERNARDINO RATIFYING THE SUBMITTAL OF A GRANT APPLICATION TO KAISER FONTANA 4 COMMUNITY BENEFIT GRANTS PROGRAM FOR FUNDING IN THE AMOUNT OF $25,000 TO PROVIDE THE PARKS, RECREATION AND 5 COMMUNITY SERVICES DEPARTMENT AQUATICS PROGRAM FOR THE 2011 SUMMER SEASON. 6 7 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the 8 Mayor and Common Council of the City of San Bernardino at a 9 meeting thereof, held on the day of , 2011, by the following vote, to wit: 10 Council Members: AYES NAYS ABSTAIN ABSENT 11 MARQUEZ 12 VACANT 13 BRINKER 14 15 SHORETT 16 KELLEY 17 JOHNSON 18 MC CAMMACK 19 20 City Clerk 21 22 The foregoing resolution is hereby approved this day of , 2011. 23 Patrick J. Morris, Mayor 24 City of San Bernardino 25 Approved as to Form: 26 By: - ", 27 es F. Penman, City Attorney 28 Fontana Medical Center Community Benefit Grants Program Application https://www.grantrequest.com/SID_946/Default.asp?PRINTER=1&SESI.. EXHIBIT A Fontana Medical Center Community Benefit Grants Program Application Introduction Welcome! As the nation's largest nonprofit, integrated health care system, Kaiser Permanente seeks to make positive contributions to health and wellness in the community as part of our social mission. Kaiser Permanente addresses needs and priorities identified locally which affect overall community health and the health care system. This is accomplished, in part, by supporting partnerships with community-based organizations through our community grants p rog ram. The Kaiser Permanente Fontana Community Benefit Grants Program provides opportunities to respond to grant requests from nonprofit organizations, educational institutions, and government agencies whose work aligns with our key funding priorities. Guidelines and application instructions for this funding are provided below. The limited availability of funds restricts our ability to act favorably on many deserving requests. Please review the guidelines carefully to assess the potential fit between your organization's objectives and Kaiser Permanente's funding priorities before submitting a proposal. The deadline for submitting your grant application is Monday, June 27, 2011. Every required document must be submitted by this date. Incomplete applications will not be eligible for funding consideration. All submitted grant proposals and supplemental documents become the property of Kaiser Permanente. You are encouraged to keep copies of all submitted documents for your records. If you have any questions about Kaiser Permanente's grants program, please contact Martha Valencia, Sr. Community Benefit Health Specialist at Martha.R.ValenciaCa_kp.orq. Eligibility To be eligible for a Community Benefit grant, an applicant organization (or fiscal agent), must have operations in California and be a local, state, or federal government agency operating for public purpose, or one of the following types of nonprofit organizations: • 501 (c)(3) tax-exempt organization with a 509 (a) designation indicating that the organization is not a private foundation Fontana Medical Center Community Benefit Grants Program Application https://www.grantrequest.com/SID_946/Default.asp?PRINTER=1&SESI... EXHIBIT A • 501(c)(19) • 501 (c)(8) or 501 (c)(10) operating under a lodge system and only if used solely for charitable purposes and serving the general community • A local, state, or federal government agency, including any of its subdivisions that perform substantial governmental functions In addition, organizations must: • Provide services to disadvantaged and/or underserved populations that address funding priorities identified in the Kaiser Permanente Fontana Needs Assessment • Provide services within the geographic boundaries of the Kaiser Permanente Fontana Medical Center service area, which includes the majority of San Bernardino County and a section of eastern Los Angeles County. Communities include Apple Valley, Banning, Beaumont, Big Bear, Bloomington, Calimesa, Cherry Valley, Chino, Chino Hills, Claremont, Colton, Crestline, Diamond Bar, Fontana, Glen Avon, Grand Terrace, Hesperia, Highland, La Verne, Lake Arrowhead, Loma Linda, Montclair, Mountain View Acres, Muscoy, Ontario, Pomona, Rancho Cucamonga, Redlands, Rialto, Rubidoux, Running Springs, San Antonio Heights, San Bernardino, Victorville, Upland, Wrightwood, and Yucaipa. • Address critical public health needs among vulnerable populations • Have submitted progress and/or final reports for all previous grants Needs Assessment Funding Priorities Kaiser Permanente Fontana provides grants to local nonprofit health and human service organizations that address these needs among vulnerable populations: • Need I: Improve Access to Health Insurance and Health Care Services for the Uninsured and Underserved • Need II: Reduce Obesity Rates • Need III: Improve Social Determinants of Health Funding Restrictions Fontana Medical Center Community Benefit Grants Program Application https://www.grantrequest.com/SID_946/Default.asp?PRINTER=1&SESI... EXHIBIT A Kaiser Permanente Fontana Community Benefit will generally not consider funding requests from international, social, recreational clubs, or for the following: • Sports teams and tournaments (e.g., golf, tennis, walks, and runs) • Individuals • Religious purposes • Partisan political activities • Endowments or memorials • Re-granting purposes to other organizations Kaiser Permanente will not consider requests from organizations that discriminate on the basis of race, color, national origin, religion, sex/gender, sexual orientation, age, physical or mental disability, or veteran status in their programs, services, policies, hiring practices, and administration. In addition, Community Benefit grants will not be awarded for activities, events, or programs organized or solely sponsored by alcohol, tobacco, or pharmaceutical companies. We generally do not provide grants for academic research, capital campaigns, event sponsorships (including community health fairs), or political campaigns. Filing Deadline Grant requests must be submitted on or before Monday, June 27, 2011. All requests for information should be directed to Martha Valencia, Sr. Community Benefit Health Specialist, at Martha.R.Valencia(a_kp.org. Grant Selection Process and Timeline • Grant applications will be reviewed by the Kaiser Permanente Fontana Medical Center's Community Benefit Grant Committee once during the 2011 calendar year. • At the discretion of Kaiser Permanente Fontana Medical Center's Community Benefit Grants Committee additional information may be requested from grant applicants. • All grant applicants will be notified about funding decisions by the beginning of August 2011. Online Submission Process Save or bookmark the link that was sent to you via e-mail after you created your account. For your convenience, it is: https://www.GrantRequest.com/SID 946?SA=AM. Use this to access any Kaiser Permanente Community Benefit applications you started and/or submitted Fontana Medical Center Community Benefit Grants Program Application https://www.grantrequest.com/SID_946/Default.asp?PRINTER=1&SESI... EXHIBIT A through our online application process. In addition to this online grant proposal submission process, you should have received these two documents from Kaiser Permanente via e-mail: • Kaiser Permante Sample Priority Goals and Strategies • Kaiser Permanente Budget Template • Kaiser Permanente FAQs (Responses to Frequently Asked Questions) The budget needs to be completed and attached to your online grant application, along with other required documentation. Please see the last page of this application for a list of all required documents. We suggest that you review the FAQs and requirements of the grant application by viewing a printer-friendly version of the form at the top of this page. When you are working in the online application form, you have the option to save your work and return to the application at a later time through the account you created. In addition you: • Can view a history of submissions • Will receive a submission acknowledgement Prior to submitting your online application, you will be able to review your grant application for completeness. Please note that once a grant application has been submitted, it cannot be edited or resubmitted. Note: If you forget your account password, please follow the onscreen instructions from the account log-in page to retrieve your password. If this method does not work, please send an e-mail to So.Cal.Grants(aDkp.org with "Fontana Online Application Password Reset" in the subject line to reset your password. Select Next to start your online application Organization Information Organization's Legal Name This is the name that appears on your IRS Determination letter, other legal documentation, or Form 990. City of San Bernardino - Parks, Recreation and Community Services Department Organization's Tax ID# (EIN or TIN) Fontana Medical Center Community Benefit Grants Program Application https://www.grantrequest.com/SID_946/Default.asp?PRINTER=1&SESI... EXHIBIT A 95-6000772 Tax Status Select your organization's tax status from the pull-down list below. If you use a fiscal agent, select "Other"and complete the Fiscal Agent information requested later in this application. Government or Public Agency Organization Name Please use the name as it appears on your letterhead. City of San Bernardino - Parks, Recreation and Community Services Department Street Address Please enter a street address. Do not use a post office box. 1350 South E Street C ity San Bernardino State CA Zip Code 9-digit zip code if known -####) 92408 Organization's General Phone Number Please use the following format: (###) ###-#### (909) 384-5233 Organization's General Fax Number Please use the following format: (###) (909) 384-5160 Organization's Main E-mail Address assumma_mi @sbcity.org Organization's Web Address (URL) Please use the following format: www.example.com www.sbcity.org Annual Total Organization Budget Fontana Medical Center Community Benefit Grants Program Application https://www.grantrequest.com/SID_946/Default.asp?PRINTER=1&SESI.. EXHIBIT A 5579171.00 Select Next to continue to the Chief Executive contact information Organization Chief Executivb Contact Information Please enter the following information for your agency's Executive Director, CEO, or President: Prefix Mr. First Name Kevin L. Last Name Hawkins Title Director of Parks, Recreation and Community Services Phone Please use the following format: (###) ###-#### (909) 384-5030 Fax Please use the following format: (###) ###-###I# (909) 384-5160 E-mail Hawkins—Kevin@sbcity.org Fontana Medical Center Community Benefit Grants Program Application https://www.grantrequest.com/SID_946/Default.asp?PRINTER=1&SESI... EXHIBIT A Select Next to continue to Fiscal Agent Information Fiscal Agent Information If your organization will be using a fiscal agent, please complete the following information. If not, please select 'Next' (at the bottom of the page). Fiscal Agent's Legal Name As it appears on the IRS determination letter or Form 990 Fiscal Agent's Tax ID# (EIN or TIN) xx_xxxx xx Fiscal Agent's Mailing Address Street Address, City, State, and Zip Code (9-digit code, if known) Fiscal Agent's Contact Prefix, First and Last Name of the Chief Executive of the Fiscal Agent Fiscal Agent Contact Title Fiscal Agent's Contact Phone Number Please use the following format: (###) ###-#### Fiscal Agent's Contact E-mail Address Fontana Medical Center Community Benefit Grants Program Application https://www.grantrequest.com/SID_946/Default.asp?PRINTER=1&SESI... EXHIBIT A Select Next to continue to Project Contact Information Project Contact Information Please check this box if the project contact for this proposal is the same as the contact previously provided for the Chief Executive (CEO, President, or Executive Director.) If the project contact is not the same as the Chief Executive, please complete the following information for the project contact of this proposal. Prefix Mr. First Name Mitch Last Name Assumma Title Community Recreation Manager Phone Please use the following format: (909) 384-5132 Fax Please use the following format: (909) 384-5160 E-mail - assumma_mi @sbcity.org Fontana Medical Center Community Benefit Grants Program Application https://www.grantrequest.com/SID_946/Default.asp?PRINTER=I&SESI... EXHIBIT A Select Next to continue to Organizational Capacity Organizational Capacity Organization's History Brief summary of your organization's history (300 word max) The City of San Bernardino ("City") is one of Southern California's most historic communities. Incorporated in 1854, it is a city of 205,000 residents in 59.3 square miles at 1,049 feet above sea level. As the county seat of San Bernardino County, it lies in the midst of the booming Inland Empire region. The City was founded early in California's history, and it had recently celebrated its Bicentennial in 2010. Influences of Native Americans, Mexican settlers, Spanish missionaries, Mormon emigrants, and Railroads can still be seen throughout the City today. From 1910 when Franciscan missionary Father Dumetz named the area San Bernardino to the present, San Bernardino has been recognized for its scenic beauty and strategic location, once a resort stop for movie stars and famous entertainers traveling from L.A. to Palm Springs. San Bernardino has a wide variety of recreational attractions and entertainment venues. From playing golf at one of its many public and private golf courses, to a 30-60 minute drive to mountains, skiing, deserts, beaches, resorts, and world-class cultural and sporting events, a variety of activities for all ages is available to residents and visitors. San Bernardino's ethnically diverse, yet below average income, population enjoys some of America's finest temperate weather. The City operates under a hybrid Mayor-Council-City Manager form of government. The Mayor is elected by the voters at large, and is the City's Chief Executive Officer. Each of the seven members of Council is elected by voters within their respective Wards. The City Manager is the Chief Administrative Officer, who directs most City Departments, other than those governed by separate boards (Water Dept., Civil Service, Library) and the office of elected officials. The City of San Bernardino also has an elected City Attorney, City Treasurer, and City Clerk. Date the Organization was Established If you do not know the exact date, please use January 1st of the year of establishment. 01/01/1854 Background Information Fontana Medical Center Community Benefit Grants Program Application https://www.grantrequest.com/SID_946/Default.asp?PRINTER=1&SESI... EXHIBIT A Brief summary of the organization's mission, goal(s), and the communities/localities and populations served. (300 word max) Creating Community through People, Parks, and Programs: The Department of Parks, Recreation and Community Services is committed to providing quality services, programs, and activities for all residents of the City of San Bernardino youth, adult, senior, and challenged populations. Programs include sports and fitness, after-school activities, recreational classes, open gym, nutrition programs, special events, aquatics, trips/tours, volunteer management and outdoor play. Current Programs and Activities Describe the organization's current programs, activities, as well as recent accomplishments and any awards and/or recognition received. (300 word max) The Parks, Recreation and Community Services Department's mission is to provide excellent parks, recreation and cultural opportunities which enhance the quality of life within the San Bernardino community. We create community through people, parks and programs. In the current year we have successfully provided aquatics programs to more than 20000 residents with over 80 swim lessons and 10 water safety and lifeguard certification classes. through the partnership with Operation Splash Kaiser Regional and Local Grants that funded summer aquatics programming (Jr. Life guard, Learn to Swim and free swim passes) our city pools provided a safe and affordable relief to the summer heat for San Bernardino residents. The Department also published four quarterly activity guides advertising anf highlighting the partnership with Kaiser and services offered through aquatics. In addition to pools and community centers, the department has continued to offer after-school programs, senior services, and therapeutic recreation to regional visitors. Select Next to continue to Grant Request Grant Request Fontana Medical Center Community Benefit Grants Program Application https://www.grantrequest.com/SID_946/Default.asp?PRINTER=1&SESI... EXHIBIT A Please provide the following information for the project or program you are proposing: Project Title Please provide a title that describes the project you are proposing (10 words max) Open Swim and Learn-to-Swim at Nunez Neighborhood Pool Project Start Date All grant applicants will be notified about funding decisions by the beginning of August 2011. 06/13/2011 Project End Date 09/05/2011 Total Project Budget Please enter the total cost of the project you are proposing in whole dollar amounts. 25000.00 Amount of funding you are requesting Please enter the amount of funding you are requesting whole dollar amounts. 25000.00 Is this project new or continuing work? Continuing Proposal Narrative In the sections below, please describe the need or problem your project or program addresses, what capacity your organization has to address this need, your proposed project or program, and challenges and/or barriers that may impede the work you are proposing. If data is used to highlight and/or justify the need for this program, please cite the references used. EXHIBIT A PARKS,RECREATION & COMMUNITY SERVICES DEPARTMENT MviN L.HAWKI NS-DIRECTOR 1350 South'E"street-San Bernardino-CA 92408-2725 909.384.5233-Fax;909.384,5160 www,sbeity.org San Benar ino VA June 27,2011 Kaiser Permanente Fontana Medical Center Jennifer Resch-Silvestri, Director Public Affairs Department 9961 Sierra Ave.,Fontana,CA 92335 Dear Jennifer Resch-Silvestri, This cover letter attachment will confirm the Organization's Contact Information regarding the Grant Application for the Kaiser Permanente Fontana Medical Center Community Benefit Grants Program. The project for consideration is the Nunez Pool Open Swim and Learn-To-Swim activities as part of the City of San Bernardino's 2011 Summer Aquatics Swim Program. We are again gracious for the opportunity to keep fit the residents of our great City who are hard-pressed to afford access to water play, physical fitness,and safety. As stated in the Letter of Intent, we are extremely pleased to report a growth in visitation at the Nunez Pool this past summer season, which had been slated for closure due to budget reductions. The neighborhood also benefited from no interruption in the cycle of learn-to-swim; again, this is a crucial element in reducing the incidence of drowning. This next summer we intend to reach out more to the low-income Hispanic patron to participate more in water play activities in an effort to improve their overall health and fitness as part of a campaign to reduce childhood obesity. I'm sure you will agree that the project outlined in the grant application is most identifiable to Need H. Reduce Obesity Rates as identified in your Needs Assessment report. Thank you for consideration of our proposal and for the continued commitment Kaiser makes toward the health and wellness of the Southern California community. Sincer ly, Robert Lennox Deputy Director of Parks,Recreation and Community Services CC. Charles McNeely,City Manager CITY OF SAN BERNARDINO COMMUNICATE,COORDINATE,COOPERATE EXHIBIT A Operation SPLASH City of San Bernardino—PRCSD PROGRAM BUDGET NARRATIVE Project Description: Aquatics activity planning and facilities management are an essential part of municipal recreation and leisure services delivery. Operation SPLASH funding allows the Department of Parks, Recreation and Community Services to increase the public's access to the Nunez Pool at Nunez Park and the Ruben Campos Community Center, which is located in a disadvantaged area of the City. The Department will also offer the opportunity for low-income youth (ages 6-17 years) to learn how to swim at the Nunez Pool. The bulk of the grant funds are to pay for the part-time staff lifeguard services,who also serve as swim instructors. Narrative Justification: Open Swim: Personnel Expenses cover the cost for one Pool Manager, one Senior Lifeguard, and two Lifeguards at the Nunez Pool. (See attached document of Job Descriptions) These aquatics staff members also serve as cashier (as needed), office management, and custodian during operational hours. Two open swim sessions will be offered Monday through Saturday from 1:00pm-3:00pm & 3:30pm-5:30pm for a 10-week summer season only. Basic custodial supplies (toiletries, cleaning) and office supplies (swim passes, forms/reporting sheets, reg. materials) are included, along with expendable first aid supplies for routine care (stubbed toes, bumped heads, cut finger). 5,000 visitations are projected, both daily sessions combined, in this 10-week season. Learn-to-Swim: The Nunez Pool is located in the southwest corner of San Bernardino and serves a"walking" clientele. The staff at the Nunez Pool (1 Pool Manager, 1 Senior Lifeguard, 2 Lifeguards) are certified swim instructors. Learn-to-swim classes will be taught from 6:00pm- 6:45pm, following open swim. Four 2-week swim sessions, M-Th, will be taught to two classes of 8-10 students each session (96 novice swimmers). Office supplies include reporting/recording materials and certificates of completion for each student. Other expenses are to replace kick boards as needed and other basic training materials and for routine custodial supplies (toiletries and cleaning supplies) for increased use of bathhouse facilities. Additional Funding: A minimal user fee (50 cents -$2.00 per visit)will be collected from all users. Based on previous years attendance, we predict an income of$5,300 from open swim only; learn-to-swim classes will be free to scholarship-qualifying applicants. (We have found that free swim not only encourages a more aggressive clientele with more deviant behavior patterns, but it also presents a false image of"low-quality"that hinders participation by other users.)Note: $20,000 has already been received from the Kaiser Foundation Hospitals Southern California Region to assist in providing healthy water play activities, learn-to-swim classes, and a Junior Lifeguard Program at other low-income areas within the City of San Bernardino. Sustainability: As with all public agencies, private businesses, and not-for-profit organizations, a depressed economy hampered by a high unemployment rate and reduced home property values has significantly reduced revenues for operating many public services. The City of San Bernardino has developed a plan to weather these circumstances. Unfortunately, revenues are not realistically projected to improve much in the next three fiscal years. It is hoped that at that time (2014) that aquatics programs will be fully funded again. Other sources of revenue will be needed until that time. EXHIBIT A W rE. Organization Name: City of San Bernardino-PRCSD Project Title: Nunez Pool Open Swim&Learn-To-Swim Date: 27-Jun-11 Request from In-Kind Other TOTAL Kaiser Foundation Contribution Sources BUDGET Hospitals of Income PERSONNEL/STAFFING EXPENSES List title and%on project) 1 15%-Aquatics Recreation Supervisor $ 1,763.00 $ 5,300.00 $ 7,063.00 2 100%-Pool Manager $ 4,175.00 $ 4,175.00 3 100%-Senior Lifeguard $ 7,192.00 $ 7,192.00 4 100%-Lifeguard $ 6,831.00 $ 6,831.00 5 100%-Recreation Leader Cust.&Maint. $ 1,105.00 $ 3,100.00 $ 4,205.00 6 100%-Recreation Leader Cashier $ 2,349.00 $ 2,349.00 Subtotal,Personnel/Staffing Expenses $ 23,415.00 $ $ 8,400.00 $ 31,815.00 Benefits( 5.3 %of Personnel) $ 1,241.00 $ 1,241.00 TOTAL,PERSONNEL $ 24,656.00 $ $ 8,400.00 $ 33,056.00 PROGRAM/OPERATING EXPENSES Office Supplies $ 50.00 $ 50.00 Communications(e.g.,printing,copying) $ - $ - First Aid Supplies $ 50.00 $ 50.00 Custodial Supplies $ 144.00 $ 144.00 Swim Class Supplies $ 100.00 $ 100.00 Other: $ - TOTAL,PROGRAM EXPENSES $ 344.00 $ - $ - $ 344.00 INDIRECT/OVERHEAD EXPENSE* (_%of Expenses) $ TOTAL EXPENSES Personnel+Program+Indirect $ 25,000.00 1 $ $ 8,400.00 1 $ 33,400.00 NARRATIVE:City pays all utilities cost(water,electric,gas),all pool chemical costs,licenses and fees for commercial pool operation,and equipment maintenance and replacement(chemical feed system,filtration,deck&grounds) Narrative:The Staff at the Nunez Pool(1 Pool Manager,2 Senior Lifeguards,2 Lifeguards,1 Cashier,1 P!T Rec.Ldr.-Maint.)are budgeted to serve as thelifesaving services for the open swim program and as swim instructors.Two swim sessions are offered Monday through Saturday from 1:00pm-3:00pm&3:30pm-5:30pm for a 10-week summer season only.Learn-to-swim classes are taught 12:00pm-12:45pm on M-Th just prior to open swim.Four 2-week swim sessions are taught to three classes of 8.10 students each session.Operating supplies include toiletries and sanitation supplies(staff also serve as custodians during daily use),routine first aid supplies,minor repair items(chemical tubing replacement or hardware for signs),and kickboards as teaching aids. EXHIBIT A City of San Bernardino 11. Audited Financial Statement- Fiscal Year 2009-2010 Comprehensive Annual Financial Report Due to document file size, the full audited financial statement could not be uploaded with the application. However, the required document is posted on the Agency website for public access at any time: http://www.ci.san-bernardino.ca.us/civica/filebank/blobdload.asp?Blob ID=10661 City of San Bernardino -Elected Officials Pagel of 3 EXHIBIT A City of San Bernardino Elected Officials Mayor Patrick J. Morris Mayor Patrick J. Morris grew up in Needles, California. He is a graduate of the University of Redlands, cum laude, Phi Beta Kappa, and Stanford University School of Law. Read more about Patrick J. Morris Council Member-Ward 1 Virginia Marquez Read more about Virginia Marquez Council Member- Ward 2 Vacant Council Member-Ward 3 Tobin Brinker Tobin Brinker was elected in a special election in November 2006 to serve the one remaining year of Gordon McGinnis'term. Mr. Brinker previously served one term as a Colton School Board Member from 2001-2005. Read more about Tobin Brinker Council Member-Ward 4 Fred Shorett Fred Shorett, a 3rd-generation San Bernardino resident and small businessman, was elected to represent the citizens of the City of San Bernardino -Elected Officials Page 2 of 3 EXHIBIT A 4th Ward in a Special Election in March of 2009. He received more than 72% of the total vote. Read more about Fred Shorett Council Member-Ward 5 Chas A. Kelley Councilman Chas A. Kelley was elected to the City Council in November 2003 and was sworn in to represent the residents of the Fifth Ward of the City of San Bernardino on March 1, 2004. His term will expire in March 2008. He currently serves on the Legislative Review Committee. Read more about Chas A. Kelley Council Member -Ward 6 r. Rikke Van Johnson �S7 F Rikke Van Johnson is a 40 year resident of the City of San V., Bernardino. He is a graduate of Eisenhower High School in Rialto, CA and has an Associate of Arts Degree from San Bernardino Valley College. Read more about Rikke Van Johnson Council Member -Ward 7 Wendy McCammack Wendy McCammack is presently serving her second term on the San Bernardino City Council. Her current term continues to the year 2008. Read more about Wendy McCammack City Attorney James F. Penman Jim Penman missed being a native son of the Golden West when his Mississippi-born mother refused to "give birth to a damn Yankee" and flew back to Jackson, Mississippi from San Bernardino for the occasion.Approximately two months later, Jim became a resident of San Bernardino County. City of San Bernardino - Elected Officials Page 3 of 3 EXHIBIT A Read more about James F. Penman City Clerk Rachel Clark The City Clerk's Office consists of four divisions: Administration, Business Registration, Elections, and Records Management. The Elections Division is mobilized only during the period when elections are conducted. Read more about the Clerk's Office City Treasurer David C. Kennedy The City Treasurer is a part-time position elected at large to a four-year term. The City Treasurer is responsible for overseeing City investments and related policies as established by the Common Council. Read more about David C. Kennedy N' T CC Department of the Treasury IRS Internal Revenue Service EXHIBIT A P.O. Box 2508 In reply refer to : 0248221235 Cincinnati OH 45201 Oct . 30 , 2009 LTR 4076C EO 95-6000772 000000 00 00014241 BODC: TE CITY OF SAN BERNARDINO CITY HALL Y. MICHAEL GOMEZ 300 N D ST - � SN BERNRDNO CA 92418-0001 003426 Federal Identification Number : 95-6000772 Person to Contact : April Howard Toll Free Telephone Number : 1-877-829-5500 Dear Taxpayer : This responds to your request for information about your federal tax status . Our records do not specify your federal tax status . However , the following general information about the tax treatment of state and local governments and affiliated organizations may be of interest to you . GOVERNMENTAL UNITS Governmental units , such as States and their political subdivisions , are not generally subject to federal income tax . Political subdivisions of a State are entities with one or more of the sovereign powers of the State such as the power to tax. Typically they include counties or municipalities and their agencies or departments . Charitable contributions to governmental units are tax-deductible under section 170 (c) ( 1) of the Internal Revenue Code if made for a public purpose . ENTITIES MEETING THE REQUIREMENTS OF SECTION 115(1) An entity that is not a governmental unit but that performs an essential government function may not be subject to federal income tax, pursuant to Code section 115( 1) . The income of such entities is excluded from the definition of gross income as long as the income ( 1) is derived from a public utility or the exercise of an essential government function, and (2) accrues to a State, a political subdivision of a State, or the District of Columbia . Contributions made to entities whose income is excluded income under section 115 may not be tax deductible to contributors . TAX-EXEMPT CHARITABLE ORGANIZATIONS An organization affiliated with a State , county, or municipal government may qualify for exemption from federal income tax under section 501 (c) (3) of the Code , if ( 1) it is not an integral part of the government , and (2) it does not have governmental powers inconsistent with exemption (such as the power to tax or to exercise enforcement or regulatory powers) . Note that entities may meet the requirements of both sections 501 (c) (3) and 115 under certain circumstances . See Revenue Procedure 2003-12, 2003-1 C. B. 316 . EXHIBIT A 0248221235 Oct . 30 , 2009 LTR 4076C EO 95-6000772 000000 00 00014242 CITY OF SAN BERNARDINO CITY HALL MICHAEL GOMEZ 300 N D ST SN BERNRDNO CA 92418-0001 Most entities must file a Form 1023 , Application for Recognition of Exemption Under Section 501 (c) ) (3) of the Internal Revenue Code , to request a determination that the organization is exempt from federal income tax under 501 (c) (3) of the Code and that charitable contributions are tax deductible to contributors under section 170 (c) (2) . In addition , private foundations and other persons sometimes want assurance that their grants or contributions are made to a governmental unit or a public charity. Generally, grantors and contributors may rely on the status of governmental units based on State or local law. Form 1023 and Publication 4220 , Applying for 501 (c) (3) Tax-Exempt Status , are available online at www. irs . gov/eo . We hope this general information will be of assistance to you . This letter , however , does not determine that you have any particular tax status . If you are unsure of your status as a governmental unit or state institution whose income is excluded under section 115( 1) you may seek a private letter ruling by following the procedures specified in Revenue Procedure 2007-1 , 2007-1 I .R. B. 1 (updated annually) . If you have any questions , please call us at the telephone number shown in the heading of this letter . Sincerely yours , Michele M. Sullivan , Oper . Mgr . Accounts Management Operations I EXHIBIT A CITY OF SAN BERNARDINO RECREATION SUPERVISOR Class specifications are intended to present a descriptive list of the range of duties performed by employees in the class. Specifications are not intended to reflect all duties performed within the job. SUMMARY DESCRIPTION Under general supervision, plans, organizes, and implements assigned City-wide recreation, social or cultural programs of average difficulty; supervises assigned full-time, part-time and grant funded staff; and performs related work as required. ORGANIZATIONAL RELATIONSHIPS The class of Recreation Supervisor is the journey level in the recreation series. Supervision is received from a Senior Recreation Supervisor. Supervision is exercised over full-time ,part-time, grant funded, and volunteer staff. REPRESENTATIVE DUTIES The following duties are typical for positions in this classification. Any single position may not perform all of these duties and/or may perform similar related duties not listed here: 1. Provides courteous and expeditious customer service to the general public and City department staffs. 2. Ability to supervise multiple recreation facilities/centers;multiple city-wide recreation program areas; and/or supervise a major recreation/soccer complex/facility. 3. Evaluates adequacy of recreational,social or cultural services. 4. Plans, organizes and implements assigned City-wide social, cultural and recreational programs;plans and directs periodic events such as tournaments, City-wide programs and festivals; establishes schedules and methods for providing assigned recreation services. 5. Instructs recreation participants in one or more activities. 6. Directs the work of assigned staff and volunteers; provides vacation and temporary relief to subordinates as required. 7. Participates in the selection of assigned recreation staff; trains part-time volunteers and recreation leaders in the methods and procedures of programs and activities; demonstrates methods of organizing and teaching programs and activities; works with employees to correct deficiencies; implements discipline procedures. 8. Responds to requests for information and assistance from the public regarding assigned recreation programs and facility use and rental procedures; interprets City recreation policy to participants and the general public. 9. Communicates with school district and college officials regarding facility use. 10. Maintains a variety of logs and records including records of team standings in leagues; prepares reports concerning activities and attendance; develops staff manuals and program guides. 11. Collects, counts,receipts,and transmits cash. 12. Requisitions materials and equipment. Page- 1 EXHIBIT A CITY OF SAN BERNARDINO Recreation Supervisor(Continued) 13. Secures the interest and support of neighborhood community groups; promotes and publicizes social, cultural and recreational programs through public speaking engagements or public information media; 14. Routinely adheres to and maintains a positive attitude towards City and Department goals. 15. Performs related work as required. QUALIFICATIONS Knowledge of: Methods and techniques of developing and organizing group recreation and social activities; Rules,practices and equipment involved in a variety of social,cultural and recreational activities; Methods and techniques of recreation program development and implementation; Basic principles of supervision,training and performance evaluation; Record keeping methods; Public relations principles and techniques; Basic budgetary principles and procedures; Business math. Ability to: Analyze and evaluate community needs and work with community organizations in developing recreation programs; Formulate and execute a variety of programs; Prepare and administer recreation program budgets; Schedule and supervise the work of part-time staff; Prepare comprehensive written reports; Speak effectively before groups of people; Listen to complaints and take appropriate action; Understand and carry out oral and written instructions; Communicate clearly and concisely,both orally and in writing; Establish and maintain effective relationships with those contacted in the course of work. Minimum Qualifications: Those employees hired after July 1, 2003, the minimum qualifications are a Bachelor's degree in the area of recreation,physical education,sociology or a closely related field and one(1)year of full-time experience in social, cultural, and/or recreation services and supervision; or in lieu of above education requirements,four(4)years as a Community Center Manager with the City of San Bernardino. License or Certificate: Possession of a valid Class"C"California Drivers' License is required. For out-of state applicants,a valid driver's license is required. A valid Class"C"California's Driver's License must be obtained within ten(10)days of appointment(CA Vehicle Code 12405c). PHYSICAL DEMANDS AND WORKING ENVIRONMENT The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions. Environment: Normal office setting; occasional work indoors and out in a variety of environmental conditions including hot, cold or damp weather with exposure to noises, vibrations, odors or dust; some travel to attend meetings. Page-2 EXHIBIT A CITY OF SAN BERNARDINO Recreation Supervisor(Continued) Physical: Incumbents require sufficient mobility to work in an office setting and operate office equipment;to travel to various locations; transport materials and supplies weighing up to 50 pounds. Vision: See in the normal visual range with or without correction; vision sufficient to read small print, computer screens and other printed documents. Hearin: Hear in the normal audio range with or without correction. APPROVED: DATE: Director of Human Resources CSB APPROVED DATE: HR/Job Descriptions/Class&Comp App:Recreation.Supv.20912 Page-3 EXHIBIT A POOL MANAGER I (Part-Time) JOB DESCRIPTION Under general supervision, plans and supervises the operation of a public swimming pool; accomplishes specialized work in protecting life,preventing accidents,enforcing safety regulations and providing instructions; and,performs related work as required. REPRESENTATIVE DUTIES Provides courteous and expeditious customer service to the general public and City department staffs. Assists the Recreation Supervisor in scheduling and programming swimming pool facilities; serves as a pool lifeguard; instructs classes in fundamentals of swimming; supervises swimming activities in and around a City pool to ensure that policies, rules and regulations are observed and enforced and that no hazard to safety is created;warns swimmers of improper activities or danger. Enforces pool regulations and water safety policies; rescues swimmers in distress or danger of E drowning; administers first aid in the event of injury; administers artificial respiration if required; inspects pool facilities, equipment and water to ensure that they are safe and usable. Supervises and assists in cleaning the pool and related facilities and equipment; instructs classes in fundamentals of swimming; accomplishes chlorine residual or other water tests; maintains records and charts of water test results and records of accidents;adds chemicals to pool water. Maintains effective public relations with users of the pool and surrounding park grounds; supervises all pool personnel at a specified pool facility; ensures implementation of all policies and procedures related to the management and operation of facilities and program. Routinely adheres to and maintains a positive attitude towards City and Department goals; and, performs other related work as required. MINIMUM QUALIFICATIONS Age 18 or older and graduation from high school or GED equivalent and a minimum of one (1) year full-time paid experience in instructing or supervising water recreational activities. Additional qualifying experience may be substituted for the required education on a year-for-year basis to a maximum of two(2)years. Possession of a valid Red Cross Lifeguard Training, YMCA Lifeguard or Ellis and Associates Lifeguard Certificate and Red Cross Water Safety Instructor's (WSI) Certificate or YMCA SKIPPERS/Progressive Instructor Certificate and a Red Cross Standard First Aid Certificate or American Red Cross Community First Aid and Safety Certificate or National Safety Council Page 1 of 3 EXHIBIT A Standard First Aid Certificate or Medic First Aid Certificate and American Heart Association CPR Level "C" BLS (Basic Life Support) Certificate or American Red Cross Community CPR Certificate or American Red Cross CPR for the Professional Rescuer Certificate are required. All certificates must be valid for the duration of employment. Possession of a valid Class "C" California Driver's License is required. For out of State applicants, a valid driver's license is required. A valid Class "C" California Driver's License must be obtained within (10)days of appointment(CA Vehicle Code 12405c). GENERAL QUALIFICATIONS Knowledge of: Water hazards, lifesaving techniques and rescue methods; First aid as applied to accidents in water and surrounding area; Policies,rules and regulations governing swimming pool operation. Ability to: Swim with proficiency and endurance for possible rescues; R Evaluate situations and adopt intelligent methods of action; Remain calm and efficient in stressful situations; Maintain constant observation of an assigned area and note any sign of impending trouble; Prevent dangerous situations from arising; Recognize emergencies and take appropriate action; Supervise subordinate lifeguards, volunteers or support staff, Maintain records and prepare reports; Establish and maintain effective working relationships with those contacted in the course of work; Effectively instruct persons in the techniques of swimming and water safety; Follow oral and written instructions; Transport materials and supplies weighing up to 40 pounds; See in the normal visual range with or without correction; Hear in the normal audio range with or without correction; Work indoors and outdoors in a variety of environmental conditions, including high temperatures, humidity, moisture and distracting noises. Page 2 of 3 EXHIBIT A ORGANIZATION RELATIONSHIPS The Pool Manager I is a working supervisory position in the Recreation Division of the Parks, Recreation and Community Services Department. Works under the supervision of a Recreation Supervisor. Supervises subordinate lifeguards at a specified location. APPROVED: DATE: Director of Human Resources CSB APPROVED: HR/Job Descriptions/Class&Comp App:Pool.Manager.I.00331 Page 3 of 3 EXHIBIT A POOL MANAGER II (Part-Time) JOB DESCRIPTION Under general supervision, plans and supervises the operation of a large or year-round public swim center; accomplishes specialized work in protecting life, preventing accidents, enforcing safety regulations and providing instructions;and,performs related work as required. REPRESENTATIVE DUTIES Provides courteous and expeditious customer service to the general public and City department staffs. Assists the Recreation Supervisor in scheduling and programming swimming pool facilities: serves as a pool lifeguard; instructs classes in fundamentals of swimming; supervises swimming activities in and around a City pool to ensure that policies,rules and regulations are observed and enforced and that no hazard to safety is created; warns swimmers of improper activities or danger. Coordinates swim class registration; assigns and coordinates instructions; coordinates and supervises lifeguard duties; enforces pool regulations and water safety policies; rescues swimmers in distress or danger of drowning; administers first aid in the event of injury; administers artificial respiration if required; inspects pool facilities, equipment and water to ensure that they are safe and usable. Supervises and assists in cleaning the pool and related facilities and equipment; accomplishes chlorine residual or other water tests; maintains records and charts of water test results and records of accidents;adds chemicals to pool water. Maintains effective public relations with users of the pool and surrounding park grounds; supervises all pool personnel at a specified pool facility; ensures implementation of all policies and procedures related to the management and operation of facilities and program. Routinely adheres to and maintains a positive attitude towards City and Department goals; and, performs other related work as required. MINIMUM QUALIFICATIONS Age 18 or older and graduation from high school or GED equivalent and a minimum of two (2) years full-time paid experience in instructing or supervising water recreational activities. Additional qualifying experience may be substituted for the required education on a year-for- year basis to a maximum of two(2)years. Possession of a valid Red Cross Lifeguard Training, YMCA Lifeguard or Ellis and Associates Lifeguard Certificate and Red Cross Water Safety Instructor's (WSI) Certificate or YMCA Page 1 of 3 EXHIBIT A SKIPPERS/Progressive Instructor Certificate and a Red Cross Standard First Aid Certificate or American Red Cross Community First Aid and Safety Certificate or National Safety Council Standard First Aid Certificate or Medic First Aid Certificate and American Heart Association CPR Level "C" BLS (Basic Life Support) Certificate or American Red Cross Community CPR Certificate or American Red Cross CPR for the Professional Rescuer Certificate are required. All certificates must be valid for the duration of employment. Possession of a valid Class "C" California Driver's License is required. For out-of-state applicants, a valid driver's license is required. A valid Class "C" California Driver's License must be obtained within(10)days of appointment(CA Vehicle code 12405c). GENERAL QUALIFICATIONS Knowledize of: Water hazards,lifesaving techniques and rescue methods; First aid as applied to accidents in water and surrounding areas; Policies,rules and regulations governing swimming pool operation; Swim lesson organization,administration and implementation procedures; Effective personnel management and motivation. Ability to: Swim with proficiency and endurance for possible rescues; Evaluate situations and adopt intelligent methods of action; Remain calm and efficient in stressful situations; Maintain constant observation of an assigned area and note any sign of impending trouble; Prevent dangerous situations from arising; Recognize emergencies and take appropriate actions; Supervise subordinate lifeguards,volunteers or support staff; Establish and maintain effective-working relationships with those contacted in the course of work; Effectively instruct persons in the techniques of swimming and water safety; Follow oral and written instructions; Transport materials and supplies weighing up to 40 pounds; See in the normal visual range with or without correction; Hear in the normal audio range with or without corrections; Work indoors and outdoors in a variety of environmental conditions, including high temperatures,humidity,moisture and distracting noises. Handle and account for cash deposits of daily recreational swim and swim lesson receipts. Page 2 of 3 EXHIBIT A ORGANIZATION RELATIONSHIPS The Pool Manager 11 is a working supervisory position in the Recreation Division of the Parks, Recreation and Community Services Department. Works under the supervision of a Recreation Supervisor. Supervises subordinate lifeguards and swim instructors at a specified location. APPROVED: DATE: Director of Human Resources CSB APPROVED: 5 18 101 , Deleted:_ J 1R/lob f)escriptions/('lass&C'omp AI-n:Pool.N4anaser.IL00;;3 Deleted:HR/Job Descriptions:POO L.MANAGER.II 04/06/01 dp Page 3 of 3 EXHIBIT A SENIOR LIFEGUARD (Part-Time) JOB DESCRIPTION Under general supervision, assists in supervising the operation of a public swimming pool; accomplishes specialized work in protecting life,preventing accidents, enforcing safety regulations and providing instructions; and performs related work as required. May supervise site during absence of Pool Manager. REPRESENTATIVE DUTIES Provides courteous and expeditious customer service to the general public and City department staffs. Serves as Pool Lifeguard; instructs classes in fundamentals of swimming; supervises swimming activities in and around a City pool ensure that policies, rules and regulations are observed and enforced and that no hazard to safety is created; warns swimmers of improper activities or danger; enforces pool regulations and water safety policies; rescues swimmers in distress or danger of drowning; administers first aid in the event of injury; administers artificial respiration, if necessary. Inspects pool facilities,equipment and water to ensure that they are safe and usable; supervises and assists in cleaning the pool and related facilities and equipment; instructs classes in fundamentals of swimming; assists the Pool Manager and other Senior Lifeguards with chlorine residual and other water tests. Assists with records and charts of water test results and records of accidents; adds chemicals to pool water; maintains effective public relations with users of the pool and surrounding park grounds; ensures the implementation of all policies and procedures related to the management and operation of the facilities and program. Routinely adheres to and maintains a positive attitude towards the City and Department goals; and performs other related work as required. MINIMUM QUALIFICATIONS Possession of a valid Red Cross Lifeguard Training, YMCA Lifeguard or Ellis and Associates Lifeguard Certificate and Red Cross Water Safety Instructor's (WSI) Certificate or YMCA SKIPPERS/Progressive Instructor Certificate and a Red Cross Standard First Aid Certificate or American Red Cross Community First Aid and Safety Certificate or National Safety Council Standard First Aid Certificate or Medic First Aid Certificate and American Heart Association CPR Level "C" BLS (Basic Life Support) Certificate or American Red Cross Community CPR Certificate or American Red Cross CPR for the Professional Rescuer Certificate are required. Must be 17 years of age or older. All certificates must be valid for the duration of employment. EXHIBIT A GENERAL QUALIFICATIONS Knowledge of: Water hazards, lifesaving techniques and rescue methods; First aid as applied to accidents in water and surrounding area; Policies,rules and regulations governing swimming pool operation. Abili to: Swim with proficiency and endurance for possible rescues; Evaluate situations and adopt intelligent methods of action: Remain calm and efficient in stressful situations; Maintain constant observation of an assigned area and note any sign of impending trouble; Prevent dangerous situations from arising; Recognize emergencies and take appropriate action; Supervise subordinate lifeguards,volunteers or support staff; Maintain records and prepare reports; Establish and maintain effective working relationships with those contacted in the course of work; Effectively instruct persons in the techniques of swimming and water safety; Follow oral and written instructions; Transport materials and supplies weighing up to 40 pounds; See in the normal visual range with or without correction; Hear in the normal audio range with or without correction; Work indoors and outdoors in a variety of environmental conditions, including high temperatures,humidity,moisture and distracting noises. ORGANIZATION RELATIONSHIPS The Senior Lifeguard is a working supervisory position in the Recreation Division of the Parks, Recreation and Community Services Department. Works under the supervision of a Pool Manager or Recreation Supervisor. May supervise subordinate lifeguards. APPROVED: DATE: Director of Human Resources CSB APPROVED: HR/Job Descriptions-New:00283.Seniorlifeguard.PT 4/22/97 EXHIBIT A LIFEGUARD (Part-Time) JOB DESCRIPTION Under general supervision, accomplishes specialized work in protecting life, assisting in instructions, and assisting in the operation of public swimming pools; and performs related work as required. REPRESENTATIVE DUTIES Provides courteous and expeditious customer service to the general public and City department staffs. Supervises swimming activities in and around a City pool to ensure that policies, rules and regulations are observed and enforced and that no hazard to safety is created; warns swimmers of improper activities or danger; enforces pool regulations and water safety policies. Rescues swimmers in distress or danger of drowning; administers first aid in the event of injury; administers artificial respiration if required. Assists in cleaning the pool and related facilities, and equipment; and assists in instructing classes in fundamentals of swimming. Routinely adheres to and maintains a positive attitude towards City and Department goals; and performs other related work as required. MINIMUM QUALIFICATIONS Possession of a valid Red Cross Lifeguard Training Certificate, YMCA Lifeguard or Ellis and Associates Lifeguard Certificate, Red Cross Standard First Aid Certificate or American Red Cross Community First Aid and Safety Certificate or National Safety Council Standard First Aid Certificate or Medic First Aid Certificate and American Heart Association CPR Level "C" BLS (Basic Life Support) Certificate or American Red Cross Community CPR Certificate or American Red Cross CPR for the Professional Rescuer Certificate are required. Must be 16 years of age. All certificates must be valid for the duration of employment. GENERAL QUALIFICATIONS Knowledge of- Water hazards, lifesaving techniques and rescue methods; First aid as applied to accidents in water and surrounding area; Policies, rules and regulations governing swimming pool operation. EXHIBIT A Abili to: Swim with proficiency and endurance for possible rescues; Evaluate situations and adopt intelligent methods of action: Remain calm and efficient in stressful situations; Maintain constant observation of an assigned area and note any sign of impending trouble; Prevent dangerous situations from arising; Recognize emergencies and take appropriate action; Supervise volunteers and support staff; Maintain records and prepare reports; Establish and maintain effective working relationships with those contacted in the course of work; Effectively instruct persons in the techniques of swimming and water safety; Follow oral and written instructions; Transport materials and supplies weighing up to 40 pounds; See in the normal visual range with or without correction; Hear in the normal audio range with or without correction; Work indoors and outdoors in a variety of environmental conditions, including high temperatures, humidity,moisture and distracting noises. ORGANIZATION RELATIONSHIPS The Lifeguard is an entry-level position in the Recreation Division of the Parks, Recreation and Community Services Department. Works under the supervision of a Senior Lifeguard, Pool Manger of Recreation Supervisor. APPROVED: DATE: Director of Human Resources CSB APPROVED: 5/13/97 HR/Job Descriptions/Class&Comp App:Lifeguard.PT.00133 EXHIBIT A LIST OF CITY OF SAN BERNARDINO POOLS Mill Pool Hernandez Center Pool 533 E. Central Ave 222 N. Lugo Ave. (909) 384-5422 (909) 384-5420 Delmann Heights Center Pool Nunez Pool 2969 N. Flores Ave 1717 W. 5th St (909) 384-5418 (909) 384-5421 Boys & Girls Club Pool Center for Individual Development 1180 West Ninth Street 8088 Palm Lane (909) 888-6751 (909) 384-5426 Jerry Lewis Family Swim Center 831 East Highland Avenue (909) 384-5419 Note: All pools are maintained by the City of San Bernardino, except according to a JPA the C.I.D. is maintained by the San Bernardino City Schools and managed by City of San Bernardino PRCSD. In addition,the Boys& Girls Club of San Bernardino manages the aquatics programs of the Delmann Heights Pool and the Boys& Girls Club Pool (91h Street Community Center). — � @ / \ ƒ�l ..= m y § § � 2 » k § LL O § v \ ® k ui 5 a CO ) \ / 5 % ) .§ § CL u 0 2 \ w � j / o O C. m w � U � o _ e c � m \ _ Q ! 4 = D x � O U ................. © � 2rA § $ ( ® / 22 � ƒ « E � •§ \9 & \ / w ® 24 2 2 � k D —w w V w \ k ° ® % � . « I j ® ' � ` +2 I .5 `mCd = C � otfa m r E c m e �' ` p V p d O c� tai W d ;� O O ` �J a. NaN m •G U G C a q � U Q CL C 7 L cu I ,y J tu CL m � c _ s ron O X Q N rn v L11 �a)=.d o -U ` p•C J W a r v 4a O _'O O M"= N CL O b N ca Z)t Q.Y C �J� n O �_ 4) Z —0 a) d O d N ( W v Y t6 rn-0 C 0 � 0 . .J � SO EL (D >. ^--N_ d_ E 0o E v E � 'o in N � LU C d N 3d 'a C HU RM C. 0 U)00E 3 c M � �M r 0. mz �cn c o � U O E a a °' LL v� a EXHIBIT A Form W-9 Request for Taxpayer Give form to the (Rev.November 2005) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service N Name(as shown on your income tax return) m m m Q- Business name,if different from above C O fA �a p Individual/ ❑ Exempt from backup Check appropriate box: ❑ Sole proprietor El corporation ❑ Partnership ❑ Other► withholding 0 cAddress(number,street,and apt.or suite no.) Requester's name and address(optional) ac City,state,and ZIP code U d a U) a) List account number(s)here(optional) m FM Taxpayer Identification Number (TIN) _ Enter your TIN in the appropriate box.The TIN provided must match the name given on Line 1 to avoid Social security number backup withholding. For individuals,this is your social security number(SSN). However,for a resident alien, sole proprietor, or disregarded entity,see the Part I instructions on page 3. For other entities, it is your employer identification number(EIN). If you do not have a number, see How to get a TIN on page 3. or Note.If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number number to enter. Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me), and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding, and 3. 1 am a U.S. person (including a U.S. resident alien). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. (See the instructions on page 4.) Sign Signature of Here U.S.person ► Date ► Purpose of Form • An individual who is a citizen or resident of the United A person who is required to file an information return with the States, IRS, must obtain your correct taxpayer identification number • A partnership, corporation, company, or association (TIN) to report, for example, income paid to you, real estate created or organized in the United States or under the laws transactions, mortgage interest you paid, acquisition or of the United States, or abandonment of secured property, cancellation of debt, or • Any estate (other than a foreign estate) or trust. See contributions you made to an IRA. Regulations sections 301.7701-6(a) and 7(a) for additional U.S. person.Use Form W-9 only if you are a U.S. person information. (including a resident alien), to provide your correct TIN to the Special rules for partnerships.Partnerships that conduct a person requesting it(the requester) and, when applicable, to: trade or business in the United States are generally required 1. Certify that the TIN you are giving is correct (or you are to pay a withholding tax on any foreign partners' share of waiting for a number to be issued), income from such business. Further, in certain cases where a 2. Certify that you are not subject to backup withholding, or Form W-9 has not been received, a partnership is required to 3 presume that a partner is a foreign person, and pay the . Claim exemption from backup withholding if you area withholding tax.Therefore, if you are a U.S. person that is a U.S. exempt payee. partner in a partnership conducting a trade or business in the In 3 above, if applicable, you are also certifying that as a United States, provide Form W-9 to the partnership to U.S. person, your allocable share of any partnership income establish your U.S. status and avoid withholding on your from a U.S. trade or business is not subject to the share of partnership income. withholding tax on foreign partners' share of effectively connected income. The person who gives Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding Note. If a requester gives you a form other than Form W-9 to withholding on its allocable share of net income from the request your TIN, you must use the requester's form if it is partnership conducting a trade or business in the United substantially similar to this Form W-9. States is in the following cases: For federal tax purposes,you are considered a person if you • The U.S. owner of a disregarded entity and not the entity, are: Cat.No.10231X Form W-9 (Rev.11-2005) EXHIBIT A Page 2 Form W-9(Rev.11-2005) fa"�,• * The U.S. grantor or other owner of a grantor trust and not 3.The IRS tells the requester that you furnished an the trust, and incorrect TIN, The U.S. trust (other than a grantor trust) and not the 4.The IRS tells you that you are subject to backup beneficiaries of the trust. withholding because you did not report all your interest and dividends on your tax return (for reportable interest and Foreign person. If you are a foreign person, do not use dividends only), or Form W-9. Instead, use the appropriate Form W-8 (see 5.You do not certify to the requester that you are not Publication 515, Withholding of Tax on Nonresident Aliens subject to backup withholding under 4 above (for reportable and Foreign Entities). interest and dividend accounts opened after 1983 only). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the Certain payees and payments are exempt from backup withholding. See the instructions below and the separate terms of a tax treaty to reduce or eliminate U.S. tax on Instructions for the Requester of Form certain types of income. However, most tax treaties contain a provision known as a "saving clause." Exceptions specified Also see Special rules regarding partnerships on page 1. in the saving clause may permit an exemption from tax to penalties continue for certain types of income even after the recipient has otherwise become a U.S. resident alien for tax purposes. Failure to furnish TIN. If you fail to furnish your correct TIN If you are a U.S. resident alien who is relying on an to a requester, you are subject to a penalty of$50 for each exception contained in the saving clause of a tax treaty to such failure unless your failure is due to reasonable cause claim an exemption from U.S. tax on certain types of income, and not to willful neglect. you must attach a statement to Form W-9 that specifies the Civil penalty for false information with respect to following five items: withholding. If you make a false statement with no 1. The treaty country. Generally, this must be the same reasonable basis that results in no backup withholding, you treaty under which you claimed exemption from tax as a are subject to a $500 penalty. nonresident alien. Criminal penalty for falsifying information. Willfully 2. The treaty article addressing the income. falsifying certifications or affirmations may subject you to 3. The article number (or location) in the tax treaty that criminal penalties including fines and/or imprisonment. contains the saving clause and its exceptions. Misuse of TINs. If the requester discloses or uses TINS in 4. The type and amount of income that qualifies for the violation of federal law, the requester may be subject to civil exemption from tax. and criminal penalties. 5. Sufficient facts to justify the exemption from tax under Specific Instructions the terms of the treaty article. Example.Article 20 of the U.S.-China income tax treaty Name allows an exemption from tax for scholarship income If you are an individual, you must generally enter the name received by a Chinese student temporarily present in the shown on your income tax return. However, if you have United States. Under U.S. law, this student will become a ed your last name, for instance, due to marriage resident alien for tax purposes if his or her stay in the United chahangng without informing the Social Security Administration of the States exceeds 5 calendar years. However, paragraph 2 of name change, enter your first name, the last name shown on the first Protocol to the U.S.-China treaty(dated April 30, your social security card, and your new last name. 1984) allows the provisions of Article 20 to continue to apply If the account is in joint names, list first, and then circle, even after the Chinese student becomes a resident alien of the name of the person or entity whose number you entered the United States. A Chinese student who qualifies for this p y exception (under paragraph 2 of the first protocol) and is in Part I of the form. relying on this exception to claim an exemption from tax on Sole proprietor. Enter your individual name as shown on his or her scholarship or fellowship income would attach to your income tax return on the "Name" line. You may enter Form W-9 a statement that includes the information your business,trade, or"doing business as (DBA)" name on described above to support that exemption. the "Business name" line. If you are a nonresident alien or a foreign entity not subject Limited liability company (LLC).If you are a single-member to backup withholding, give the requester the appropriate LLC(including a foreign LLC with a domestic owner)that is completed Form W-8. disregarded as an entity separate from its owner under What is backup withholding?Persons making certain Treasury regulations section 301.7701-3, enter the owner's payments to you must under certain conditions withhold and name on the"Name" line. Enter the LLC's name on the pay to the IRS 28% of such payments(after December 31, "Business name" line. Check the appropriate box for your 2002). This is called "backup withholding." Payments that filing status(sole proprietor, corporation, etc.), then check may be subject to backup withholding include interest, the box for"Other" and enter"LLC" in the space provided. dividends, broker and barter exchange transactions, rents, Other entities.Enter your business name as shown on royalties, nonemployee pay, and certain payments from required federal tax documents on the "Name" line. This fishing boat operators. Real estate transactions are not name should match the name shown on the charter or other subject to backup withholding. legal document creating the entity. You may enter any You will not be subject to backup withholding on payments business, trade, or DBA name on the "Business name" line. you receive if you give the requester your correct TIN, make Note.You are requested to check the appropriate box for the proper certifications, and report all your taxable interest your status (individual/sole proprietor, corporation, etc.). and dividends on your tax return. Payments you receive will be subject to backup Exempt From Backup Withholding withholding if: If you are exempt, enter your name as described above and 1. You do not furnish your TIN to the requester, check the appropriate box for your status, then check the 2. You do not certify your TIN when required (see the Part "Exempt from backup withholding" box in the line following 11 instructions on page 4 for details), the business name, sign and date the form. EXHIBIT A Page 3 Form W-9(Rev.11-2005) Generally, individuals(including sole proprietors) are not part I. Taxpayer Identification exempt from backup withholding. Corporations are exempt Number (TIN) from backup withholding for certain payments, such as interest and dividends. Enter your TIN in the appropriate box.If you are a resident Note.If you are exempt from backup withholding, you alien and you do not have and are not eligible to get an SSN, should still complete this form to avoid possible erroneous our TIN is your IRS individual taxpayer identification number ITIN). Enter it in the social security number box. If you do backup withholding. not have an ITIN, see How to get a TIN below. Exempt payees. Backup withholding is not required on any If you are a sole proprietor and you have an EIN, you may payments made to the following payees: enter either your SSN or EIN. However, the IRS prefers that 1. An organization exempt from tax under section 501(a), you use your SSN. any IRA, or a custodial account under section 403(b)(7) if the If you are a single-owner LLC that is disregarded as an account satisfies the requirements of section 401(f)(2), entity separate from its owner (see Limited liability company 2. The United States or any of its agencies or (LLC)on page 2), enter your SSN (or EIN, if you have one). If instrumentalities, the LLC is a corporation, partnership, etc., enter the entity's 3. A state, the District of Columbia, a possession of the EIN. United States, or any of their political subdivisions or Note. See the chart on page 4 for further clarification of instrumentalities, name and TIN combinations. 4. A foreign government or any of its political subdivisions, How to get a TIN. If you do not have a TIN, apply for one agencies, or instrumentalities, or immediately. To apply for an SSN, get Form SS-5, 5. An international organization or any of its agencies or Application for a Social Security Card, from your local Social instrumentalities. Security Administration office or get this form online at Other payees that may be exempt from backup www,socialsecurity.gov. You may also get this form by withholding include: calling 1-800-772-1213. Use Form W-7, Application for IRS 6. A corporation, Individual Taxpayer Identification Number, to apply for an 7. A foreign central bank of issue, ITIN, or Form SS-4, Application for Employer Identification 8. A dealer in securities or commodities required to register Number, to apply for an EIN. You can apply for an EIN online in the United States,the District of Columbia, or a by accessing the IRS website at www.irs.gov/businesses and possession of the United States, clicking on Employer ID Numbers under Related Topics. You can get Forms W-7 and SS-4 from the IRS by visiting 9. A futures commission merchant registered with the www.irs.gov or by calling 1-800-TAX-FORM Commodity Futures Trading Commission, (1-800-829-3676). 10. A real estate investment trust, If you are asked to complete Form W-9 but do not have a 11. An entity registered at all times during the tax year TIN, write "Applied For" in the space for the TIN, sign and under the Investment Company Act of 1940, date the form, and give it to the requester. For interest and 12. A common trust fund operated by a bank under dividend payments, and certain payments made with respect section 584(a), to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are 13. A financial institution, subject to backup withholding on payments. The 60-day rule 14.A middleman known in the investment community as a does not apply to other types of payments. You will be nominee or custodian, or subject to backup withholding on all such payments until you 15. A trust exempt from tax under section 664 or provide your TIN to the requester. described in section 4947. Note.Writing "Applied For" means that you have already The chart below shows types of payments that may be applied for a TIN or that you intend to apply for one soon. exempt from backup withholding. The chart applies to the Caution:A disregarded domestic entity that has a foreign exempt recipients listed above, 1 through 15. owner must use the appropriate Form W-8. IF the payment is for... THEN the payment is exempt for.. . Interest and dividend payments All exempt recipients except for 9 Broker transactions Exempt recipients 1 through 13. Also,a person registered under the Investment Advisers Act of 1940 who regularly acts as a broker Barter exchange transactions Exempt recipients 1 through 5 and patronage dividends Payments over$600 required Generally, exempt recipients to be reported and direct 1 through 7 sales over$5,000' 'See Form 1099-MISC,Miscellaneous Income,and its instructions. 2However,the following payments made to a corporation(including gross proceeds paid to an attorney under section 6045(f),even if the attorney is a corporation)and reportable on Form 1099-MISC are not exempt from backup withholding:medical and health care payments,attorneys'fees,and payments for services paid by a federal executive agency. EXHIBIT A Form W-9(Rev.11-2005) Page 4 Part II. Certification What Name and Number To Give the To establish to the withholding agent that you are a U.S. Requester person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if items 1, 4, For this type of account: Give name and SSN of: and 5 below indicate otherwise. 1. Individual The individual For a joint account, only the person whose TIN is shown in 2.Two or more individuals Qoint The actual owner of the account Part I should sign (when required). Exempt recipients, see account) or, if combined funds,the first Exempt From Backup Withholding on page 2. individual on the account' Signature requirements.Complete the certification as 3. Custodian account of a minor The minor 2 indicated in 1 through 5 below. (Uniform Gift to Minors Act) 4. a.The usual revocable The grantor-trustee' 1. Interest, dividend, and barter exchange accounts savings trust(grantor is opened before 1984 and broker accounts considered also trustee) active during 1983. You must give your correct TIN, but you b.So-called trust account The actual owner' do not have to sign the certification. that is not a legal or valid 2. Interest,dividend, broker, and barter exchange trust under state law 3 accounts opened after 1983 and broker accounts 5. Sole proprietorship or The owner considered inactive during 1983.You must sign the single-owner LLC certification or backup withholding will apply. If you are For this type of account: Give name and EIN of: subject to backup withholding and you are merely providing 6. Sole proprietorship or The owner 3 your correct TIN to the requester, you must cross out item 2 single-owner LLC n the certification before signing the form. 7. A valid trust,estate, or Legal entity° 3. Real estate transactions.You must sign the pension trust certification. You may cross out item 2 of the certification. 8. Corporate or LLC electing The corporation 4. Other payments. You must give your correct TIN, but corporate status on Form you do not have to sign the certification unless you have 8832 been notified that you have previously given an incorrect TIN. 9.Association, club, religious, The organization "Other payments" include payments made in the course of charitable,educational,or the requester's trade or business for rents, royalties, goods other tax-exempt organization (other than bills for merchandise), medical and health care 10.Partnership or multi-member The partnership services (including payments to corporations), payments to a LLC nonemployee for services, payments to certain fishing boat 11.A broker or registered The broker or nominee crew members and fishermen, and gross proceeds paid to nominee attorneys (including payments to corporations). 12.Account with the Department The public entity 5. Mortgage interest paid by you, acquisition or of Agriculture in the name of ( a public entity(such as a abandonment of secured property, cancellation of debt, state or local government, qualified tuition program payments (under section 529), school district, or prison)that IRA, Coverdell ESA,Archer MSA or HSA contributions or receives agricultural program distributions, and pension distributions.You must give payments your correct TIN, but you do not have to sign the certification. List first and circle the name of the person whose number you furnish.If only one person on a joint account has an SSN,that person's number must be furnished. 2Circle the minor's name and furnish the minor's SSN. 3 You must show your individual name and you may also enter your business or"DBA"name on the second name line.You may use either your SSN or EIN(if you have one). If you are a sole proprietor,IRS encourages you to use your SSN. °List first and circle the name of the legal trust,estate,or pension trust.(Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.)Also see Special rules regarding partnerships on page 1. Note. If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed. Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons who must file information returns with the IRS to report interest, dividends, and certain other income paid to you, mortgage interest you paid, the acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA, or Archer MSA or HSA. The IRS uses the numbers for identification purposes and to help verify the accuracy of your tax return. The IRS may also provide this information to the Department of Justice for civil and criminal litigation, and to cities, states, the District of Columbia, and U.S. possessions to carry out their tax laws. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Payers must generally withhold 28% of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to a payer. Certain penalties may also apply.