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HomeMy WebLinkAbout42-Parks, Recreation & Community Services FOR COUNCIL CTI�3NN'l CITY OF SAN BERNARDINO REQUES T O From: Kevin Hawkins, Director Subject: RESOLUTION AUTHORIZING THE CITY MANAGER TO EXECUTE AMENDMENT Dept: Parks, Recreation& Community NO. 5 TO CONTRACT 02-1166 A-5 WITH Services Dept. THE COUNTY OF SAN BERNARDINO PUBLIC HEALTH DEPARTMENT, Date: February 25, 2008 ACCEPTING THE PROPOSAL AMOUNT OF $55,000 FOR THE PERIOD OF JULY 1, 2007 THROUGH JUNE 30, 2008, AND RATIFYING ANY ACTION TAKEN BETWEEN JULY 1, 2007, AND THE DATE THAT THIS RESOLUTION IS ADOPTED. M/CC Meeting Date: April 7,2008 Synopsis of Previous Council Action: 4-01-2008 - Grants Ad Hoc Committee heard the item, and recommended for approval. 3-17-2008 - Council referred Item No. 15 to the Grants Ad Hoc Committee. 11-6-2006 - Council approved Resolution 2006-384 to continue the Mentoring Program for Fiscal Year 2006-2007. 8-24-2005 - Council approved Resolution 2005-281 to continue the Mentoring Program for Fiscal Year 2005-2006. Recommended motion: Adopt Resolution. gnature Contact person: Aaliyah Harkley Phone: 384-5231 Supporting data attached:' Staff Report, Reso,&Agreement Ward: City-wide FUNDING REQUIREMENTS: Amount: $ 55,000 Source: (Acct. No.) 123-551-xxxx (Acct. Description) Finance: Council Notes: �E50 e-IlA '/ �►�itrus� V7-0,F Agenda Item No. q 171d�' CITY OF SAN BERNARDINO - REQUEST FOR COUNCIL ACTION From: Kevin Hawkins, Director Subject: RESOLUTION AUTHORIZING THE CITY MANAGER TO EXECUTE AMENDMENT Dept: Parks, Recreation& Community NO. 5 TO CONTRACT 02-1166 A-5 WITH Services Dept. THE COUNTY OF SAN BERNARDINO PUBLIC HEALTH DEPARTMENT, Date: February 25, 2008 ACCEPTING THE PROPOSAL AMOUNT OF $55,000 FOR THE PERIOD OF JULY 1, 2007 THROUGH JUNE 30, 2008, AND RATIFYING ANY ACTION TAKEN BETWEEN JULY 1, 2007, AND THE DATE THAT THIS RESOLUTION IS ADOPTED. M/CC Meeting Date: March 17,2008 Synopsis of Previous Council Action: 11-6-2006—Council approved Resolution 2006-384 to continue the Mentoring Program for Fiscal Year 2006-2007. 8-24-2005 —Council approved Resolution 2005-281 to continue the Mentoring Program for Fiscal Year 2005-2006. Recommended motion: Adopt Resolution. Sig-nature Contact person: Aaliyah Harkley Phone: 384-5231 Supporting data attached: Staff Report, Reso,&Agreement Ward: City-wide FUNDING REQUIREMENTS: Amount: $ 55,000 Source: (Acct. No.) 123-551-xxxx (Acct. Description) Finance: Council Notes: Agenda Item No. 3 1 DY CITY OF SAN BERNARDINO — REQUEST FOR COUNCIL ACTION Staff Report Subiect• Resolution of the Mayor and Common Council of the City of San Bernardino authorizing the City Manager to execute Amendment No. 5 to Contract 02-1166 A-5 with the County of San Bernardino Public Health Department, accepting the proposal amount of$55,000 for the period of July 1, 2007 through June 30, 2008, and ratifying any action taken between July 1, 2007, and the date that this Resolution is adopted. Background: The Mentoring Program was established in April of 1992 as a project of the Mayor's Youth Task Force. The initial funding came from the City and the San Bernardino City Unified School District as a partnership to provide both mentoring and the Late Night Hoops Program. In 1997, the Parks, Recreation and Community Services Department became a collaborative partner with San Bernardino County Public Health Department in developing and receiving a FOCUS Community Challenge Grant through the State of California Department of Public Health Services. This grant supports 100% of the Mentoring Coordinator salary, benefits, travel and per diem. The program serves at-risk youth by providing one-on-one mentoring for 25 kids between the ages of 12 through 19 years old. The program supports relationships formed between mentors and mentees, recruits mentors for youth, and provides outreach services to their families with the goal of preventing teen pregnancy. Mentees are referred to the program from San Bernardino City Unified School District. The County Public Health Department received information that the Community Challenge Grant (FOCUS) has been extended for another year in the amount of$55,000 in July of 2007. The Parks, Recreation and Community Services Department received the Amendment to the Contract on February 4, 2008 from the County of San Bernardino Public Health Department. Due to recent employee turnovers at the County of San Bernardino Public Health Department the contract was approved but not processed until February of this year. The implementation date of the Amendment to the Contract is July 1, 2007; therefore, the attached Resolution ratifies any action taken between that date and the date that the Resolution is adopted. Financial Impact: There is no General Fund cash match required. This contract provides 100% funding of the Mentoring Coordinator as outlined in"Attachment B" of the contract. Recommendation: Adopt Resolution. 't f 0 j C 0 7 1 RESOLUTION NO. 2 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF 3 SAN BERNARDINO AUTHORIZING THE CITY MANAGER TO EXECUTE AMENDMENT NO. 5 TO CONTRACT 02-1166 A-5 WITH THE COUNTY OF SAN 4 BERNARDINO PUBLIC HEALTH DEPARTMENT, ACCEPTING THE PROPOSAL 5 AMOUNT OF $55,000 FOR THE PERIOD OF JULY 1, 2007 THROUGH JUNE 30, 2008, AND RATIFYING ANY ACTION TAKEN BETWEEN JULY 1, 2007, AND THE DATE 6 THAT THIS RESOLUTION IS ADOPTED. 7 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN BERNARDINO AS FOLLOWS: 8 9 SECTION 1. The City Manager is hereby authorized to execute Amendment No. 5 to 10 Contract 02-1166 A-5 with the County of San Bernardino Public Health Department for the 11 Mentoring Program for FY 2007-2008 a copy of which is attached hereto, marked Exhibit "A" 12 and incorporated herein by reference as fully as though set forth at length. 13 SECTION 2. That the authorization granted hereunder shall expire and be void and of 14 no further effect if the agreement is not executed by both parties and returned to the Office of the 15 City Clerk within 120 days following effective date of the Resolution. 16 17 SECTION 3. That the effective date of Amendment No. 5 to Contract 02-1166 A-5 with 18 the County of San Bernardino Public Health Department is July 1, 2007; therefore, any action 19 taken between July 1, 2007, and the date that this Resolution is adopted is hereby ratified. 20 21 22 23 24 25 26 HI 27 S- 311-7/0 a 28 # �Z �/-/o� e RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF 1 SAN BERNARDINO AUTHORIZING THE CITY MANAGER TO EXECUTE AMENDMENT NO. 5 TO CONTRACT 02-1166 A-5 WITH THE COUNTY OF SAN 2 BERNARDINO PUBLIC HEALTH DEPARTMENT, ACCEPTING THE PROPOSAL AMOUNT OF $55,000 FOR THE PERIOD OF JULY 1, 2007 THROUGH JUNE 30, 2008, 3 AND RATIFYING ANY ACTION TAKEN BETWEEN JULY 1, 2007, AND THE DATE THAT THIS RESOLUTION IS ADOPTED. 4 5 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor and 6 Common Council of the City of San Bernardino at a Meeting, thereof, held on the day of , 2008, by the following vote to wit: 7 8 COUNCIL MEMBERS AYES NAYS ABSTAIN ABSENT 9 ESTRADA 10 BAXTER 11 BRINKER 12 DERRY 13 KELLEY 14 15 JOHNSON 16 MCCAMMACK 17 Rachel G. Clark, City Clerk 18 19 The foregoing resolution is hereby approved this day of , 2008. 20 21 Patrick J. Morris, Mayor 22 City of San Bernardino 23 Approved as to Form: 24 1 — �41;11-sl 2 ht� 25 �'�es F. Penman, City Attorney 26 27 28 Exhibit "A" FOR COUNTY USE ONLY New Vendor Code Dept Contract Number tBEP�A O ! Change SANBERN772 SC PHL A 02-1166 A-5 � Cancel County Department Dept. Orgn. Contractor's License No Public Health PHL PHL County Department Contract Representative Telephone I Total Contract Amount County of San Bernardino Susan Strong, Prog Mgr (909)335-1084 $290,000 F A S Contract Type Revenue M Encumbered f7 Unencumbered 7 Other: If not encumbered or revenue contract type, provide reason: STANDARD CONTRACT Commodity Code Contract Start Date Contract End Date Original Amount Amendment Amount 8/1/2002 6/30/2008 $45,000 $55,000 Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No Amount AAA PHL 0813 200 2445 $55,000 Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No. Amount Fund Dept. Organization Appr. Obj/Rev Source GRC/PROD/JOB No. Amount Project Name Estimated Payment Total by Fiscal Year FY Amount I/D FY Amount 110 CCG- FOCUS Project 07-08 $55,000 1 THIS CONTRACT is entered into in the State of California by and between the County of San Bernardino, hereinafter called the County, and Name City of San Bernardino- Parks& Recreation Department hereinafter called Contractor Address 547 North Sierra Way San Bernardino, CA 92410 Telephone Federal ID No.or Social Security No. (909) 384 - 5233 IT IS HEREBY AGREED AS FOLLOWS: (Use space below and additional bond sheets. Set forth service to be rendered, amount to be paid, manner of payment, time for performance or completion, determination of satisfactory performance and cause for termination, other terms and conditions,and attach plans,specifications,and addenda,if any.) Amendment No. 5 It is hereby agreed to amend Contract number 02-1166 as follows: Section V: Fiscal Provisions Paragraph A "Maximum Reimbursement" Item 1, is amended to read, "The maximum amount of reimbursement under the Contract shall not exceed $290,000 ($45,000 for FY 2002-2003; $45,000 for FY 2003-2004; $45,000 for FY 2004-2005; $45,000 for FY 2005-2006, $55,000 for FY 2006-2007, and $55,000 for FY 2007-2008), and is subject to availability of funds to the County. The consideration to be paid to the Contractor as provided herein shall be in full payment for all of the Contractor's services and expenses incurred in the performance hereof, including travel and per diem. Auditor/Controller-Recorder Use Only ❑Contract Database O FAS Input Date Keyed By Page _I_of_3_ Reimbursement of invoices shall be based on items included in Attachment B – Project Budget. All reimbursement to the 'ontractor shall be contingent upon the submission by the Contractor and approval by the County. of the herein required reports, invoices, and supporting documentation. Paragraph C. "Invoices." Item 2, is amended to read, "The Contractor shall maintain documentation for all expenditures claimed for reimbursement from the County under the Contract. The Contractor shall only be reimbursed for expenses that are substantiated by the supporting documentation submitted. Invoices shall be submitted to the address below. All other notices shall be mailed to the address shown in Section X (A). County of San Bernardino Department of Public Health Reproductive Health 800 E. Lugonia, Suite F Redlands, CA 92374 Contractor shall accept all payments from County via electronic funds transfer (EFT) directly deposited into the Contractor's designated checking or other bank account. Contractor shall promptly comply with directions and accurately complete forms provided by County required to process EFT payments. Section VIII: Contract Term The term is amended to read, "This Contract is effective as of August 1, 2002 and is being extended from its amended expiration date of June 30, 2007 to expire on June 30, 2008, but may be terminated earlier in accordance with provisions of Section IX, "Early Termination." ection X: General Provisions Paragraph A. County contact information, is amended to read, "COUNTY: County of San Bernardino Department of Public Health Reproductive Health Program Attention: Susan Strong, Program Manager 800 E. Lugonia, Suite F Redlands, CA 92374" ATTACHMENT A: Workplan: Add Attachment A, titled "Workplan for Fiscal Year 2007-2008." ATTACHMENT B: Proiect Budget: Add Attachment B,titled "FOCUS Project Budget." Auditor/Controller-Recorder Use Onl ❑Contract Database ❑FAS Input Date Keyed By Page –2—of–3— FTACHMENT C: CDPH Budget Summarv: Add Attachment C, titled "Budget SummarN,CDPH 05-45320." dated November 2, 2007. All other terms and conditions of the Contract shall remain in full force and effect. COUNTY OF SAN BERNARDINO City of San Bernardino (Print or type name of corporation, company,contractor, etc.) ► By Paul Biane, Chairman, Board of Supervisors (Authorized signature-sign in blue ink) Dated: Name Fred Wilson (Print or type name of person signing contract) SIGNED AND CERTIFIED THAT A COPY OF THIS DOCUMENT HAS BEEN DELIVERED TO THE Title City Manager CHAIRMAN OF THE BOARD (Print or Type) Dena M. Smith Dated: Clerk of the Board of Supervisors of the County of San Bernardino By Address 300 North "D" Street Deputy San Bernardino, CA 92418 Approved gal F m / Reviewed by Contract Compliance •Presented to BOS for Signature Charl s L "in, Deputy o"� Yfity Counsel Jim Lindley,Interim Director Date �J Date Date Auditor/Controller-Recorder Use Onl L Contract Database ❑FAS Input Date Keyed By Page 13_of–3— ATTACHMENT A MCAH/ Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health (� CCG ❑ I&E ❑ MIP Grant Number: 05-45320 FISCAL YEAR: 2007-2008 WORKPLAN GOAL: Promote and support the development of self-assured, future-oriented youth contributing positively to society Objective Number: 5 Strategy: Mentoring Sub-Strategy: Formal Adult to Youth Mentoring PARTICIPANTS TO BE SERVED ACTIVITIES/TASKS NEEDED TO COMPLETE THIS OBJECTIVE Projected/Target Steps needed to complete objective by Projected Number of Participants: 25 June 30th. Timeframe Staff Assigned By Gender 1. Recruit adult mentors for at least 25 07/07-12/07 Mentoring Coordinator ❑ Females ❑ Males (d Both mentees via community presentations, print (MC) (Sub) By Age Group and telecast ads, and personal contacts. ❑ 11 and younger 2. Attend regular FOCUS collaborative 07/07-06/08 MC (Sub) 0 12- 14 meetings with Public Health (Lead Agency). 015-19 ❑ 20–25 3. Screen volunteer mentors, including 07/07-12/07 MC (Sub) ❑ 26 and older fingerprinting and background checks. By Ethnic Group —O African American 4. Accept referrals for youth mentees from 07/07-06/08 MC (Sub) 0 Anglo/White San Bernardino City Unified School District ❑Asian and collaborative partners. ❑ Filipino 0 Latino/Hispanic 5. Provide initial and on-going training for 07/07-06/08 MC (Sub) ❑ Native American mentors, including but not limited to, ❑ Pacific Islander information on mentoring program rules& 0 Other regulations, related legal issues, INTERVENTION appropriate mentoring activities, and reporting requirements. 0 Multi-Session Intervention - Number of sessions: 24 6. Collaborate with Public Health to provide 07/07-06/08 MC (Sub)/HES I - Minutes per session: 60 teen pregnancy prevention (TPP)training workshops to any new mentors. ❑ Single Session/Other Intervention I 7. Match at least 25 mentees with mentors. 07/07-06/08 MC (Sub) CURRICULUM DESCRIPTION [For Multi-Session Intervention] 8. Mentors and mentees will complete a 07/07-06/08 MC (Sub) Relationship Goals Contract to establish 3 I Title(s): general life goals to work on together for N/A(No curriculum for mentoring activities) one hour a week for a six month period. 9. Provide quarterly support meeting for 07/07-06/08 MC (Sub) mentors. 10. Provide TPP education to parents of 07/07-06/08 MC (Sub)/HES I/HEA ❑ Evaluated or ❑ Non-Evaluated mentees. Plan and conduct 1 parent ❑ Original or ❑ Modified educational workshop for parents of mentees in collaboration with Public Health. Is this strategy part of the Statewide 11. Maintain documentation of mentor/ 07/07-06/08 MC (Sub) Evaluation? i mentee contact hours and activities. Submit j ID Yes 4 No documentation quarterly to Public Health. TPP[CCG, I&E, MIP]Workplan Template(06-07-2007) Page 11 Page 1 of 3 ATTACHMENT A MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health 0 CCG ❑ I&E ❑ MIP Grant Number: 05-45320 Objective Number. 5 FISCAL YEAR: 2007-2008 ACTIVITIES/TASKS NEEDED TO COMPLETE THIS OBJECTIVE Steps needed to complete objective by June 30`h Projected Staff Assigned Timeframe 12. Mentees will complete a pre-survey. Pre-surveys will be submitted quarterly to Public 07/07-06/08 MC (Sub) Health. 13. Mentees will complete a post-survey. Post-surveys will be submitted quarterly to Public 07107-06/08 MC (Sub)/HES I/ Health. Data will be analyzed. Evaluator(Sub) 14. Review data analysis with Public Health and make changes to improve program 07/07-06/08 MC (Sub)/HES II/ effectiveness. HES 1 15. Quarterly reports will be submitted on forms provided by Public Health and reviewed 07/07-06/08 MC (Sub)/HES II Eby Public Health. 116. Quarterly invoices for actual expenditures will be submitted with copies of back-up 07/07-06/08 MC (Sub)/HES II documentation, and will be reviewed by Public Health. I T PP(CCG, I&E, MIP1 Workplan Template(06-07-2007) Page 12 Page 2 of 3 ATTACHMENT A MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health 0 CCG ❑ I&E ❑ MIP Grant Number: 05-45320 Objective Number: 5 FISCAL YEAR: 2007-2008 SITES OF SERVICE FOR THIS INTERVENTION City of San Bernardino Parks, Recreation Community Services 1 Department, Mentoring Program. 7' 2 San Bernardino City Unified School District Schools $ 3. 9. 4. 10. 5. 11. 6. 12. DOCUMENTATION AND EVALUATION Process and Outcome Measures: 1. From pre/post-surveys, 80% of established mentees regularly participating in the program, will indicate progress on at least 1 life goal, relative to their Relationship Goals Contract. 2. From pre/post-surveys, 80% of established mentees regularly participating in the program, will demonstrate higher perceptions of(a)mentor support, (b)self-worth, & (c)general future thinking and life goals. I Workplan Revision Date: 08/30/07 TPP fCCG, I&E, MIP]Workplan Template(12-14-06) Rev 05-30-07 Pagel3 Page 3 of 3 ATTACHMENT B FOCUS PROJECT BUDGET CITY OF SAN BERNARDINO DEPT. of PARKS, RECREATION, AND COMMUNITY SERVICES JULY, 1 2007 THROUGH JUNE 30, 2008 PERSONNEL Mentor Coordinator 100% 42,000 SUBTOTAL PERSONNEL 42,000 FRINGE BENEFITS @29.21% 12,268 TOTAL PERSONNEL $ 54,268 TRAVEL AND PER DIEM $ 732 SUNCONTRACTS $ - OTHER COSTS TOTAL OTHER COSTS $ - INDIRECT COSTS $ - TOTAL PROJECT COSTS $ 55,000 Page 1 of 2 ATTACHMENT B FOCUS PROJECT BUDGET CITY OF SAN BERNARDINO DEPT. of PARKS, RECREATION, AND COMMUNITY SERVICES JULY 1, 2007 THROUGH JUNE 30, 2008 Budget Justification PERSONNEL......................................................................................... $42,000 Mentor Coordinator - $42,000. $3,500 per month x 100% x 12 months for Salary and Holiday pay. Under direction, directs, managers, supervises and coordinates the activiities and operations of the Mentor Program; coordinates assigned activiites with other divisions, departments and outside agencies; and perfomrs related work as required. Attends and schedules all meetins and makes presentations of the FOCUS Project as required. Fringe Benefits: Approximately 29.21% of Total Personnel......................... $12,268 TOTAL PERSONNEL............................................................................... $54,268 TRAVEL AND PER DIEM.......................................................................... $732 Estimated Mentor Coordinator to travel approximately 29 miles per week, for 52 weeks a year. Traveling includes outreach to the San Bernardino Unified School District schools, Community Centers, Family Visitation, Advisory Board Meetings, Focus Meetings, Event Planning, and visiting local Community Business for Sponsorship/Donations. 29 miles per week @ $0.485 per mile for 52 weeks = $731.38 for the year. TOTAL PROJECT COSTS........................................................................ $55,000 Page 2 of 2 ::,L.: _�.:,:k=}c;„,;,;.riL:�,__�.':r:_._,..,.,��:w,,- '•„,;;= --:�:�-4�.___:_�:.,..r.:.;;._.:•AYtachment C-- Bud et Summary 9 CDPH 05-45320 Page 1 of 5 State dlifol nia—Health and Human Servk Ay�,7cy California Department of Public Health '^ '!)CDPH MARK B HOR70N,MD,MSPH ARNOLD SCHY/ARZENEGGER Director Govern.'r November 2, 2007 Ms. Kelly Hoffman Project Director San Bernardino County Department of Public Health 799 E. Rialto Avenue .San Bernardino, CA 92415-0011 Dear Ms. Hoffman: ALTERNATE YEAR AGREEMENT FUNDING APPLICATION (AFA) APPROVAL FOR AGREEMENT# 05-45320 for Fiscal Year 07-08. The Maternal, Child and Adolescent Health/Office of Family Planning (MCAH/OFP) Branch of the California Department of Public Health (CDPH) approves your Annual Alternate Year Agreement Funding Application package as submitted for fiscal year (FY) 07-08 for administration of the MCAH/OFP Programs. The Alternate Year AFA submission process allows you to annually update your MCAH/OFP Program(s)AFA documents to reflect current funding and staff levels for .each new fiscal year. In order to carry out the program(s) outlined in your approved Work plan and the enclosed budget document, during the period of July 2007 through June 2008, the MCAH/OFP Branch will reimburse expenditures to the program(s) below up to the following amount: Community Challenge Grant $210;000 Matemal,Child and Adolescent Health/Office of Family Planning Branch/Center for Family Health 1615 Capitol Avenue,MS 8305,P.O.Box 997420 Sacramento,CA 95899-7420 (916)650-0275 Inleme;Address: veww.cclott a.gov Attachment C - Budget Summary CDPH 05-45320 Page 2of5 1P Ms, Kelly Hoffman November 2, 2007 Page 2 The availability of State General Funds is based upon the appropriation of funding in the Governor's FY 2007-2008 budget. Reimbursement of invoices is subject to compliance with all federal and state requirements pertaining to the State MCAH/OFP Program and adherence to all applicable regulations and CDPH MCAH/OFP Branch policies and procedures. Please ensure that all necessary individuals within your Agency are notified of this approval and that the enclosed documents are carefully reviewed. This approval letter constitutes a binding agreement. If any of the information contained in the enclosed Annual Alternate Year AFA submission documents are incorrect or different from that negotiated, please contact your Contract Manager me, at (916) 650-0347 within 14 calendar days from the date of this letter. Non-response constitutes acceptance of the enclosed documents. Sincerely, Gloria Gastelum Contract Manager Maternal, Child and Adolescent Health/ Office of Family Planning Branch Enclosures cc: Paul Biane Executive Director San Bernardino County Department of Public Health 351 N..Mountain Ave., 3`1 Floor San Bernardino, CA 92415-0010 Martha Torres-Montoya Program Consultant Maternal Child and Adolescent Health/ i Office of Family Planning Branch MS 8400 P.O. Box 997420 Sacramento, CA 95899-7420 j CENTRAL FILE Attachment C,- Budget Summary CDPH 05-45320 Page 3 of 5 �t 6,N14-+�- .��nztryRequired!i,�„ ! .T"��. 'Y t 4-r II ;Data fransfees autornat�calt}ffrom Wor[cstteet�`-;,� .. ,..• ..rx.w�F�F-., Program Community Challenge Grant Grantee Name: San Bernardino County Department of Public Health Grant Num:=r: 05-:5320 Grant': _or 3 cf 5 Fiscal Year: 2007-2008 Budget Period: 7/1107-6/30108 Initial Allotment: 0 . .s 'i z � '� ,;fir' - rr �MOR ��ENSc�CAI°GOJR!Ea 's ORIGINS U GL= 1 PERSONNEL 87,310 ':'= 1< ?.: `h < y. 4���iF.tin tt' ?�' Ys• 1 r y-d,•S,7y.'�� t....y;.v..,a.x _., ....__ < i -..L_ ...�..... ....-"...?.an fi�ue... ._..._....w1,L5."S�x.,�':�r .......:ae.•.:ara, 2 OPERATING EXPENSES 13,454 � to .� s.!.lt- 7r � .i �-,r.. t�. C�, r ,".t. -+F s -s4C.�3 '�- Y: S}- «:!r.'•<, - ..::uH.... .. .. .. .....:-'ti�,`.... -a.�ar:..-c_ ...., :3 t.:�..�... .�...4`�s.•1s,. E.....a1.:Jr: - 3 SUBCONTRACTORS 93,000 L7,-+.��. .��. :'� ....:: _.M.�IL� :,,,......_.,..,,.;�:y_. ,r.•_S.R':?4: t,., .,.'..:Sf:'.T.si�,. 4 OTHER COSTS 7,505 'Y �_`,il�f:.r......,....i',,vr::. .t .�P 5!..• .:•'�'� .t.;�xic�:- t.: -°-�.� -,c ..] f}::::.o.... t � 5 INDIRECT COSTS(10%MAX) _-- -..-- 10.00% 8,731 r r� TOTAL EXPENDITURES I 210,000 : e.>1se On; Evaluation r p.es/CO(je5_r.,.f. L1,9115 Total Evz:ivation Costs c 52544,-r�y of Bubgct — R gEt X10 tJO�c�• � 10.45ao Budget Summary 7/13/2007 V:01.0"'.0 1 of Attachment C —Budget Summary CDPH 05-45320 Page 4of5 Program Community Challenge Grant Grantee Nam::ISan Bernardino County Department of Public Health C0 Grant Number:,05-45320- Grant Year: 3 of 5 Fiscal Year: 2007-2008 Budget Period:17/1/07-6/30/08 ' azt9Pi �c�t tdE1 DETAIL " " ANNUA' iE1C!L' ts* �` C:,a sific►tiara.._ilea r• Al a '3r,D" - - ---- . KH +Hcafth t :!on Sceci gist II - 59,000 10.0% -_ 5.90_0 2 +EG Health Specialist 1 " - — 51,119 70.0% 35,783 3 YS JHealfli Education Assistant I 45,552 50.0% 22,776 4 0 — 0 _ 0 0.0%. 5 U 10 - 0 I 0.0% 6 10 0 -- j— - 0 0.0% 7 10 0 I G , 0.0% 5 (0 0 0 1 0.0% a 0 0 --- — —---- 0 Q.0% 10 U 0 1 0 0.0` 11 0 0 _-- 0 O.00iu TOTAL WAGES 64,459 AVERAGE FRINGE BENEFIT RATE 35.45% TOTAL BE JEFITS 22,851 PERS0NNE E CP TS ` 87,310 _ :irtY i fit• c! _ i " DPEf1.�T1NG XRCN�lSE '°� 4; �^ O Cy GEfe .,..a. �''' �:...Z� t.]tZ- 1 Training-Project Staff 2,413 2 General Expense-Office Supplies 1,913 3 Copying/Printing/Quolicating 2,415 4 Travel-Project Ste:' 6,713 5 0 __ _ 0 6 0 � I 0 I._ - -- -- - --- .__.---- {0 ---- 0 0 10 1 0 10 !0 0 12 10 0 ' tai '-IY •.r^ �� � /r �. 6M,�,N ;OT:'._ CPERATINdt-2 „ r . 13,454 Budgct S-m-zri -- 7113/2?07 V'01.07.09, 2 03 Attachment C -Budget Summary CDPH 05-45320 Page 5 of 5 Program Community Challenge Grant Grantee Name: San Bernardino County Department of Public Health Grant Num!)er: 05-45320 Grant Year:13 of 5 Fiscal Year: 2007-2008 Budget Perir•d;17/1107-6/30108 SU r,^TF At tsryt . ": �CT04 1011,. x IN t9�DGEt7' 1 Progrerrn 55,000 2 ins Council _28,000 Nexus Consul'ing- ', Ichae! I:lattheYrs 10.000 4 10 0 0 0 0 0 0 7 0 j 0 3 0 0 0 0 — 0 0 j0 -------- 0 11 0 0 L SCiBCbNT0.4(f PcN'�,�ES ii r w 93,000 OT =P C0 3-Z i-WER-aR—%- 1111 1 Educational PY aterials 1,789 2 Incentives — ( 1,958 3 Food _ j 2,100 3 Transportation-F.a=.!°ar:,^i r•,_— 1,658 5 pg 0 10 0 u 0 3 10 0 0 0 0 10 0 Q 11 0 Q 12 10 — -- G iTtLL 0THF:� Cb,ST'EXPE�SES`�'��� '�";fir 7,505 Budget Summary 7113/2007 V:01.0T0; 3 of 3 Exhibit "A" FOR COUNTY USE ONLY B EL New Vendor Code Dept Contract Number { Change / Cancel SANBERN772 SC PHL A 02-1166 A-5 1 County Department Dept. Orgn. Contractor's License No- �/ Public Health PHL PHL County Department Contract Representative Telephone Total Contract Amount County of San Bernardino Susan Strong, Prog Mgr (909)335-1084 $290,000 F A S Contract Type (Revenue M Encumbered 7 Unencumbered Other STANDARD CONTRACT If not encumbered or revenue contract type, provide reason: Commodity Code (Contract Start Date Contract End Date Original Amount JAmendment Amount 8/1/2002 1 6/30/2008 $45,000 $ 55,000 Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No Amount AAA PHL 0813 200 2445 $55,000 Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JO6 No. Amount Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No. Amount Project Name Estimated Payment Total by Fiscal Year FY Amount I/D FY Amount I/D CCG- FOCUS Project 07-08 $55,000 1 THIS CONTRACT is entered into in the State of California by and between the County of San Bernardino, hereinafter called ,he County, and Name City of San Bernardino- Parks& Recreation Department hereinafter called Contractor Address 547 North Sierra Way San Bernardino, CA 92410 Telephone Federal ID No.or Social Security No. (909) 384 - 5233 IT IS HEREBY AGREED AS FOLLOWS: (Use space below and additional bond sheets. Set forth service to be rendered, amount to be paid, manner of payment, time for performance or completion, determination of satisfactory performance and cause for termination,other terms and conditions, and attach plans,specifications,and addenda,if any.) Amendment No. 5 It is hereby agreed to amend Contract number 02-1166 as follows: Section V: Fiscal Provisions Paragraph A "Maximum Reimbursement," Item 1, is amended to read, "The maximum amount of reimbursement under the Contract shall not exceed $290,000 ($45,000 for FY 2002-2003, $45,000 for FY 2003-2004; $45,000 for FY 2004-2005; $45,000 for FY 2005-2006, $55,000 for FY 2006-2007'. and $55,000 for FY 2007-2008), and is subject to availability of funds to the County. The consideration to be paid to the Contractor as provided herein shall be in full payment for all of the Contractor's services and expenses incurred in the performance hereof, including travel and per diem. Auditor/Controller-Recorder Use Only ❑Contract Database ❑FAS Input Date Keyed By Page _I_of_3_ °imbursement of invoices shall be based on items included in Attachment B – Project Budget. All reimbursement to the .,)ntractor shall be contingent upon the submission by the Contractor and approval by the County, of the herein required reports, invoices, and supporting documentation. Paragraph C, "Invoices," Item 2, is amended to read, "The Contractor shall maintain documentation for all expenditures claimed for reimbursement from the County under the Contract. The Contractor shall only be reimbursed for expenses that are substantiated by the supporting documentation submitted. Invoices shall be submitted to the address below. All other notices shall be mailed to the address shown in Section X (A). County of San Bernardino Department of Public Health Reproductive Health 800 E. Lugonia, Suite F Redlands, CA 92374 Contractor shall accept all payments from County via electronic funds transfer(EFT) directly deposited into the Contractor's designated checking or other bank account. Contractor shall promptly comply with directions and accurately complete forms provided by County required to process EFT payments. Section VIII: Contract Term The term is amended to read, "This Contract is effective as of August 1, 2002 and is being extended from its amended expiration date of June 30, 2007 to expire on June 30, 2008, but may be terminated earlier in accordance with provisions of Section IX, "Early Termination." ction X: General Provisions Paragraph A, County contact information, is amended to read, "COUNTY: County of San Bernardino Department of Public Health Reproductive Health Program Attention: Susan Strong, Program Manager 800 E. Lugonia, Suite F Redlands, CA 92374" ATTACHMENT A: Worknlan: Add Attachment A, titled"Workplan for Fiscal Year 2007-2008." ATTACHMENT B: Proiect Budget: Add Attachment B, titled"FOCUS Project Budget." Auditor/Controller-Recorder Use Onl 0 Contract Database ©FAS in Date Keyed By Page –2—of–3— ATTACHMENT C: CDPH Budtlet Summary: Add Attachment C. titled "Budget Summary CDPH 05-45320." dated November 2, 2007. All other terms and conditions of the Contract shall remain in full force and effect. COUNTY OF SAN BERNARDINO City of San Bernardino (Print or type name of corporation, company, contractor. etc.) ► By Do- Paul Biane, Chairman, Board of Supervisors (Authorized signature-sign in blue ink) Dated: Name Fred Wilson (Print or type name of person signing contract) SIGNED AND CERTIFIED THAT A COPY OF THIS DOCUMENT HAS BEEN DELIVERED TO THE Title City Manager CHAIRMAN OF THE BOARD (Print or Type) Dena M. Smith Dated: Clerk of the Board of Supervisors of the County of San Bernardino By Address 300 North "D" Street Deputy San Bernardino, CA 92418 Approved to al For Reviewed by Contract Compliance Presented to BOS for Signature Charl s L l6rVbeputy CouCounsel Jim Lindley, Interim Director Date Date Date 7 PIZOATED AS TO FORM: jaa I^s l;{. Penman, City Attorney V r'1 By: 3w Auditor/Controller-Recorder Use Only ❑Contract Database ❑FAS Input Date Keyed By Page –3—of–3— ATTACHMENT A MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health CCG ❑ I&E ❑ MIP Grant Number: 05-45320 FISCAL YEAR: 2007-2008 WORKPLAN GOAL: Promote and support the development of self-assured, future-oriented youth contributing positively to society Objective Number: 5 Strategy: Mentoring Sub-Strategy: Formal Adult to Youth Mentoring PARTICIPANTS TO BE SERVED ACTIVITIES/TASKS NEEDED TO COMPLETE THIS OBJECTIVE Projected/Target Steps needed to complete objective by Projected Number of Participants: 25 June 301h. Timeframe Staff Assigned By Gender 1. Recruit adult mentors for at least 25 07/07-12/07 Mentoring Coordinator ❑ Females ❑ Males j2f Both mentees via community presentations, print (MC) (Sub) By Age Group and telecast ads, and personal contacts. ❑ 11 and younger 2. Attend regular FOCUS collaborative 07/07-06/08 MC (Sub) 012-14 meetings with Public Health (Lead Agency). ❑ 15-19 ❑ 20—25 3. Screen volunteer mentors, including 07/07-12/07 MC (Sub) ❑ 26 and older fingerprinting and background checks. By Ethnic Group ❑ African American 4.Accept referrals for youth mentees from 07/07-06/08 MC (Sub) 0 Anglo/White I San Bernardino City Unified School District ❑Asian and collaborative partners. ❑ Filipino ® Latino/Hispanic 5. Provide initial and on-going training for 07/07-06/08 MC (Sub) ❑ Native American mentors, including but not limited to, ❑ Pacific Islander information on mentoring program rules & Other regulations, related legal issues, INTERVENTION appropriate mentoring activities, and reporting requirements. ® Multi-Session Intervention • Number of sessions: 24 6. Collaborate with Public Health to provide 07/07-06/08 MC (Sub)/HES I • Minutes per session: 60 teen pregnancy prevention (TPP)training I I workshops to any new mentors. 01 Single Session/Other Intervention 7. Match at least 25 mentees with mentors. i 07/07-06/08 MC (Sub) CURRICULUM DESCRIPTION [For Multi-Session Intervention] 8. Mentors and mentees will complete a 07/07-06/08 MC (Sub) Relationship Goals Contract to establish 3 Title(s): general life goals to work on together for N/A(No curriculum for mentoring activities) one hour a week for a six month period. 9. Provide quarterly support meeting for 07/07-06/08 MC (Sub) mentors. � � I 10. Provide TPP education to parents of 07/07-06/08 I MC (Sub)/HES I/HEA ❑ Evaluated or ❑ Non-Evaluated mentees. Plan and conduct 1 parent ❑ Original or ❑ Modified educational workshop for parents of mentees in collaboration with Public Health. Is this strategy part of the Statewide 11. Maintain documentation of mentor/ 07/07-06/08 MC (Sub) Evaluation? mentee contact hours and activities. Submit Yes 4 No documentation quarterly to Public Health. TPP[CCG, I&E, MIPI Workplan Template(06-07-2007) Page 11 Page 1 of 3 ATTACHMENT A MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health 0 CCG ❑ I&E ❑ MIP Grant Number: 05-45320 Objective Number: 5 FISCAL YEAR: 2007-2008 ACTIVITIESITASKS NEEDED TO COMPLETE THIS OBJECTIVE Steps needed to complete objective by June 30`" Projected Staff Assigned Timeframe � 12. Mentees will complete a pre-survey. Pre-surveys will be submitted quarterly to Public 07/07-06/08 MC (Sub) Health. 13. Mentees will complete a post-survey. Post-surveys will be submitted quarterly to Public 07/07-06/08 MC (Sub)/HES I/ Health. Data will be analyzed. Evaluator(Sub) 14. Review data analysis with Public Health and make changes to improve program 07/07-06/08 MC (Sub)/HES II/ effectiveness. HES I 15. Quarterly reports will be submitted on forms provided by Public Health and reviewed 07/07-06/08 MC (Sub)/HES II by Public Health. 16. Quarterly invoices for actual expenditures will be submitted with copies of back-up 07/07-06/08 MC (Sub)/HES 11 documentation, and will be reviewed by Public Health. I I I i TPP[CCG, I&E, MIP]Workplan Template(06-07-2007) Page 12 Page 2 of 3 ATTACHMENT A MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health CCG ❑ I&E ❑ MIP Grant Number: 05-45320 Objective Number: 5 FISCAL YEAR: 2007-2008 SITES OF SERVICE FOR THIS INTERVENTION City of San Bernardino Parks, Recreation Community Services 1 Department, Mentoring Program. 7 2 San Bernardino City Unified School District Schools 8. 3. g. 4. 10. 5. 11. 6. 12. DOCUMENTATION AND EVALUATION Process and Outcome Measures: 1. From pre/post-surveys, 80% of established mentees regularly participating in the program, will indicate progress on at least 1 life goal, relative to their Relationship Goals Contract. 2. From pre/post-surveys, 80% of established mentees regularly participating in the program, will demonstrate higher perceptions of(a) mentor support, (b)self-worth, & (c)general future thinking and life goals. Workplan Revision Date: 08/30/07 TPP[CCG, I&E, MIP]Workplan Template(12-14-06) Rev 05-30-07 Page13 Page 3 of 3 ATTACHMENT B FOCUS PROJECT BUDGET CITY OF SAN BERNARDINO DEPT. of PARKS, RECREATION, AND COMMUNITY SERVICES JULY, 1 2007 THROUGH JUNE 30, 2008 PERSONNEL Mentor Coordinator 100% 42,000 SUBTOTAL PERSONNEL 42.000 FRINGE BENEFITS @29.21% 12,268 TOTAL PERSONNEL $ 54,268 TRAVEL AND PER DIEM $ 732 SUNCONTRACTS $ _ OTHER COSTS TOTAL OTHER COSTS $ _ INDIRECT COSTS $ _ TOTAL PROJECT COSTS $ 55,000 s i z Page 1 of 2 ATTACHMENT B FOCUS PROJECT BUDGET CITY OF SAN BERNARDINO DEPT. of PARKS, RECREATION, AND COMMUNITY SERVICES JULY 1, 2007 THROUGH JUNE 30, 2008 Budget Justification PERSONNEL......................................................................................... $42,000 Mentor Coordinator - $42,000. $3.500 per month x 100% x 12 months for Salary and Holiday pay. Under direction, directs, managers, supervises and coordinates the activiities and operations of the Mentor Program; coordinates assigned activiites with other divisions, departments and outside agencies; and perfomrs related work as required. Attends and schedules all meetins and makes presentations of the FOCUS Project as required. Fringe Benefits: Approximately 29.21% of Total Personnel......................... $12,268 TOTALPERSONNEL............................................................................... $54,268 TRAVEL AND PER DIEM.......................................................................... $732 Estimated Mentor Coordinator to travel approximately 29 miles per week, for 52 weeks a year. Traveling includes outreach to the San Bernardino Unified School District schools, Community Centers, Family Visitation, Advisory Board Meetings, Focus Meetings, Event Planning, and visiting local Community Business for Sponsorship/Donations. 29 miles per week @ $0.485 per mile for 52 weeks = $731.38 for the year. TOTAL PROJECT COSTS........................................................................ $55,000 Page 2 of 2 Budget Summary CDPH 05-45320 Page 1 of 5 State,. .,dlifornia—Health and Human Servic 'Ay,;ocy `�.,. California Department of Public Health `_`a ,.. -!)CDPH MARK B HORTON,MO,MSPH _ ARNOLD SCHWARZENEGGER Diredor Govemer November 2, 2007 Ms. Kelly Hoffman Project Director San Bernardino County Department of Public Health 799 E. Rialto Avenue .San Bernardino, CA 92415-0011 Dear Ms. Hoffman: ALTERNATE YEAR AGREEMENT FUNDING APPLICATION (AFA) APPROVAL FOR AGREEMENT#05-45320 for Fiscal Year 07-08. The Maternal, Child and Adolescent Health/Office of Family Planning (MCAH/OFP) Branch of the California Department of Public Health (CDPH) approves your Annual Alternate Year Agreement Funding Application package as submitted for fiscal year (FY) 07-08 for administration of the MCAH/OFP Programs. The Alternate Year AFA submission process allows you to annually update your MCAH/OFP Program(s)AFA documents to reflect current funding and staff levels for .each new fiscal year. In order to carry out the program(s) outlined in your approved Work plan and the enclosed budget document, during the period of July 2007 through June 2008, the MCAH/OFP Branch will reimburse expenditures to the program(s) below up to the following amount: Community Challenge Grant $210;000 i i Maternal,Child and Adolescent Health/Office of Family Planning Branch/Center for Family Health 1615 Capitol Avenue,MS 8305,P.O.Box 997420 Sacramento,CA 95899-7420 (916)650-0275 . internet Address: www.cdph.ca.goy Attachment C - Budget Summary CDPH 05-45320 Page 2 of 5 Ms, Kelly Hoffman November 2, 2007 Page 2 The availability of State General Funds is based upon the appropriation of funding in the Governor's FY 2007-2008 budget. Reimbursement of invoices is subject to compliance with all federal and state requirements pertaining to the State MCAH/OFP Program and adherence to all applicable regulations and CDPH MCAH/OFP Branch policies and procedures. Please ensure that all necessary individuals within your Agency are noted of this approval and that the enclosed documents are carefully reviewed, This approval letter constitutes a binding agreement. If any of the information contained in the enclosed Annual Alternate Year AFA submission documents are incorrect or different from that negotiated, please contact your Contract Manager me, at (916) 650-0347 within 14 calendar days from the date of this letter. Non-response constitutes acceptance of the enclosed documents. Sincerely, Gloria Gastelum Contract Manager Maternal, Child and Adolescent Health/ Office of Family Planning Branch Enclosures cc: Paul Biane Executive Director San Bernardino County Department of Public Health 351 N. Mountain Ave., 3`d Floor San Bernardino, CA 92415-0010 Martha Torres-Montoya Program Consultant Maternal Child and Adolescent Health/ ' Office of Family Planning Branch MS 8400 P.O. Box 997420 Sacramento, CA 95899-7420 CENTRAL FILE i i i Attachment C.= Budget Summary CDPH 05-45320 Page 3 of 5 t)ata,Fnfr�yMeyuired1Tt , (Data transfersauto tatiCat(y`�fr�rn,VYarkshee) Program Community Challenge Grant Grantee Name: San Bernardino County Department of Public Health Grant Number: 05-15320 G,2nt's e,,e: 3 cf 5 Fiscal Year: 2007-2008 Budget Period: 711/07-6/30/08 Initial Allotment: 0 Xu�?��,�`., �` J;' t�,ie+ria.TS. �� ''�«or• � , ' i'.9AJr MEKPENSLGATEGQ] I£S ��ORiG1t11w i , �� sewn..•- " ��' '� N t 1 PERSONNEL 2 87,310 .�:_..�-.,1..ii.:'�.,r. r..-.�� _ _,.�.J.:....,......:..��rTi2.. "``.,..t ur... ._ ..u+±n�s•,�w�'{'^_Y;.:t`-Se. ,.....n >vr1, 2 OPERATING EXPENSES 13,154 .... ...il ._,. .....� ...... ...::•.1.,a. v.�,�s�M� r 3 SUBCONTRACTORS 93,000 .�...t:.,..a:'f1...;.f..}�...1........ ,... ... _ ,. .. .....,... l.. .....•L.1....+v....,�•...e..,rt...7)�.'�. ...:3.LR.i...�.: ..:ci::. 4 {OTHER COSTS 7,505 ,.t �I a I,F t Fwjf• �-y ^ _ r � /•:.,tif IMY...S:--r.....t. ...�..r....., .. t Ma: .... ..�1. `......S x.r`S f-' _.....tl.,.:s..:� t,? A$.. 5 INDIRECT COSTS(10%MAX) 10,00% 8,731 TOTAL_EXPENDITURES ( 210,000 4 ' Evaluation .' s.e Gnly P es/Codes, 21,946 r Taal E aluation Costs LB. get' ?�1 px tAmo t' . ��� - r ,�:; ,.� :r-,,_�•m= ao cf Budget Budget Summary 711312007 V:01.07.08 1 of 3 • •�.v .TrTt..- ✓VV VI...t VVITIts1I-1t\ t Attachment C— Budget Summary CDPH 05-45320 Page 4of5 Program Community Challenge Grant Grantee Name: San Bernardino County Department of Public Health Grant Number: 05-45320- Grant Year: 3 of 5 Fiscal Year: 2007-2008 Budget Period.17/1/07-6/30108 A �L ` Pa Ottr'C� DETAI( � ' y ' a' 1als ' L t t :,:h�zficsn? rtlets+� M'A{L�AR'���r,�3Sf._°.' D,tjEt7��s i IKH Health Edl,,:anon SpcC.i;aist 11 59,000 L_ 10A/0 5,900 2 ,IEG Health Eriucalion Specialist 1 51,119 70.0%1 35,783 3 YS- - IHealtii Education Assistant 45,552 50.0°io 22,776 4 0 0 0 0 0. %, U ._._._ 0 0 ( 0.0% 6 10 p 0 __.�� 0.( % 7 U 0 0 �� 0.0% 8 10 k) 0 1 0.0% � 0 0 __------- 0 0.0°l0 10 0 11 10_ 0 ---- 0 0.0%� 12 j0 0 0 0.0% TOTAL WAG ES AVERAGE FRINGE BENEFIT RATE -35.45% TOTAL BENEFITS 22,851 g 0T ,L F'EF;SQNNE r�Cf?E �,' d i 87,310 M. .p:`.', r+ RAT11'4- XRCNSE S-91110"�11"x M& 1 Training-Project Staff - 2,413 2 General Expense-Office Supplies 1,913 3 Copying/Printing/Duplicating 2,415 4 Travel-Project Sta'`^ 6,713 5 0 6 0 7 0 ------- -- 0 P, Io I 0 10 {o 1 0 _. 11 0 0 12 0 _ 0 OTP— GPERATING' E>X E, SE 13,454 Budget 5-m rar/ -1 3120 Q7 V:01.07.08 2 of 3 Attachment C -Budget Summary CDPH 05-45320 Page 5 of 5 Progrjm Community Challenge Grant Grantee Name:13an Bernardino County Department of Public Health (� Grant Num!)or: 05-45320 Grant Yenr: 3 of 5 Fiscal Ycar: 2007-2008 Budget Perir d:!7/1/07-6/30/08 r 5. ✓^„iti c--�"c ^��.i r._ zr- uk ar mil! i., TPA t OR5„DE7�11t 1 Prograrn_ 55,000 ? Arts Council -..--- --Y� _ 28,000 3 Nexus Con sul'.in^_-..;;ch3e!f Iattheev<> 10.000 10 0 5 0 0 6 0 0 7 10 --_ 0 P J ;0 0 0 11 0 _ _....—. 0 12 0 0 AL iIJ_rr,f.,TRAC T C�XPE+j v'?. ,i'e�..•,; 93,000 > v ),ET 1 P — cdu ational v"a'rr;als 1,789 2 incentives 1.958 3 Food - i 2,100 4 Transportation-Fw,':3-!Par(icioar.s_ 1,658 5--a0 0 `3 I0 0 0 —-_ _ _ 0 _...._- ..__ 8 10 — 0 0 0 0 11 0 0 12 10 0 OTHFR COST�EYrP� PS - "`�t'�: z �`" _ � t'���x� k� 7,505 Budget Summary "111312007 V:01.07.08 3 of 3 3 Exhibit "A" FOR COUNTY USE ONLY _ New Vendor Code Dept Contract Number Ro Change 1 f SANBERN772 SC PHL A 02-1166 A-5 Cancel County Department Dept Orgn. Contractor's License No. Public Health PHL . PHL County Department Contract Representative Telephone Total Contract Amount County of San Bernardino Susan Strong, Prog Mgr (909)335-1084 $ 290,000 F A S Contract Type Revenue Encumbered 171 Unencumbered Other: STANDARD CONTRACT If not encumbered or revenue contract type, provide reason: Commodity Code Contract Start Date Contract End Date Original Amount Amendment Amount 8/1/2002 6/30/2008 $45,000 $55,000 Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No Amount AAA PHL 0813 200 2445 $55,000 Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No. Amount Fund Dept. Organization Appr. Obj/Rev Source GRC/PROJ/JOB No. Amount Project Name Estimated Payment Total by Fiscal Year FY Amount I/D FY Amount I/D CCG- FOCUS Project 07-08 $55,000 1 _ - -HIS CONTRACT is entered into in the State of California by and between the County of San Bernardino, hereinafter called .; one County, and Name City of San Bernardino- Parks& Recreation Department hereinafter called Contractor Address 547 North Sierra Way San Bernardino, CA 92410 Telephone Federal ID No.or Social Security No. (909) 384 - 5233 IT IS HEREBY AGREED AS FOLLOWS: (Use space below and additional bond sheets Set forth service to be rendered, amount to be paid, manner of payment, time for performance or completion, determination of satisfactory performance and cause for termination,other terms and conditions,and attach plans,specifications,and addenda,if any.) Amendment No. 5 It is hereby agreed to amend Contract number 02-1166 as follows: Section V; Fiscal Provisions Paragraph A "Maximum Reimbursement" Item 1, is amended to read, "The maximum amount of reimbursement under the Contract shall not exceed $290,000 ($45,000 for FY 2002-2003; $45,000 for FY 2003-2004; $45,000 for FY 2004-2005; $45,000 for FY 2005-2006; $55,000 for FY 2006-2007, and $55,000 for FY 2007-2008), and is subject to availability of funds to the County. The consideration to be paid to the Contractor as provided herein shall be in full payment for all of the Contractor's services and expenses incurred in the performance hereof, including travel and per diem. Auditor./Controller-Recorder Use Only 0 Contract Database ❑FAS ' Input Date J Keyed By I Page _1_of_3_ �imbursement of invoices shall be based on items included in Attachment B – Project Budget. All reimbursement to the —Contractor shall be contingent upon the submission by the Contractor and approval by the County, of the herein required reports, invoices,and supporting documentation. Paragraph C. "Invoices," Item 2, is amended to read, "The Contractor shall maintain documentation for all expenditures claimed for reimbursement from the County under the Contract. The Contractor shall only be reimbursed for expenses that are substantiated by the supporting documentation submitted. Invoices shall be submitted to the address below. All other notices shall be mailed to the address shown in Section X (A). County of San Bernardino Department of Public Health Reproductive Health 800 E. Lugonia, Suite F Redlands, CA 92374 Contractor shall accept all payments from County via electronic funds transfer(EFT) directly deposited into the Contractor's designated checking or other bank account. Contractor shall promptly comply with directions and accurately complete forms provided by County required to process EFT payments. Section VIII: Contract Term The term is amended to read, "This Contract is effective as of August 1, 2002 and is being extended from its amended expiration date of June 30, 2007 to expire on June 30, 2008, but may be terminated earlier in accordance with provisions of Section IX, "Early Termination." oection X: General Provisions Paragraph A, County contact information, is amended to read, "COUNTY: County of San Bernardino Department of Public Health Reproductive Health Program Attention: Susan Strong, Program Manager 800 E. Lugonia, Suite F Redlands, CA 92374" ATTACHMENT A: Workplan: Add Attachment A, titled"Workplan for Fiscal Year 2007-2008." ATTACHMENT B: Proiect Budget: Add Attachment B,titled"FOCUS Project Budget." Auditor/Controller-Recorder_Use Only ❑Contract Database ❑FAS Input Date Keyed By Page —2—of–3— ATTACHMENT C: CDPH Budget Summary: Add Attachment C. titled "Budget Summary CDPH 05-45320," dated November 2, 2007. All other terms and conditions of the Contract shall remain in full force and effect. COUNTY OF SAN BERNARDINO City of San Bernardino (Print or type name of corporation. company, contractor, etc.) ► By ► Paul Biane, Chairman, Board of Supervisors (Authorized signature-sign in blue ink) Dated: Name Fred Wilson (Print or type name of person signing contract) SIGNED AND CERTIFIED THAT A COPY OF THIS DOCUMENT HAS BEEN DELIVERED TO THE Title City Manager CHAIRMAN OF THE BOARD (Print or Type) Dena M. Smith Dated: Clerk of the Board of Supervisors of the County of San Bernardino By Address 300 North "D° Street Deputy San Bernardino. CA 92418 Approved al F m Reviewed by Contract Compliance Presented to BOS for Signature Charl s L in. Deputy Lo ty Counsel Jim Lindley, Interim Director Date Date Date OVED AS TO FORM: Janney F. Penman, City Attorney By: Auditor/Controller-Recorder Use Onl ❑Contract Database ❑FAS Input Date Keyed By Page _3_of–3— ATTACHMENT A MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health _ CCG ❑ I&E ❑ MIP Grant Number: 05-45320 FISCAL YEAR: 2007-2008 WORKPLAN GOAL: Promote and support the development of self-assured, future-oriented youth contributing positively to society Objective Number: 5 Strategy: Mentoring Sub-Strategy: Formal Adult to Youth Mentoring PARTICIPANTS TO BE SERVED ACTIVITIESITASKS NEEDED TO COMPLETE THIS OBJECTIVE Projected/Target Steps needed to complete objective 5 by Projected h Staff Assigned Number of Participants: June 30' . Timeframe B Gender Y 1. Recruit adult mentors for at least 25 07/07-12/07 Mentoring Coordinator ❑ Females ❑ Males Both mentees via community presentations, print (MC) (Sub) By Age Group and telecast ads, and personal contacts. ❑ 11 and younger 2.Attend regular FOCUS collaborative 07/07-06/08 MC (Sub) IZI 12— 14 meetings with Public Health (Lead Agency). 015- 19 020-25 3. Screen volunteer mentors, including 07/07-12/07 MC (Sub) ❑ 26 and older fingerprinting and background checks. By Ethnic Group 0 African American 4. Accept referrals for youth mentees from 07/07-06/08 MC (Sub) 64 Anglo/White San Bernardino City Unified School District ❑Asian and collaborative partners. ❑ Filipino ® Latino/Hispanic 5. Provide initial and on-going training for 07/07-06/08 MC (Sub) ❑ Native American mentors, including but not limited to, ❑ Pacific Islander information on mentoring program rules & ❑ Other regulations, related legal issues, INTERVENTION appropriate mentoring activities, and reporting requirements. ® Multi-Session Intervention • Number of sessions: 24 6. Collaborate with Public Health to provide 07/07-06/08 MC (Sub)/HES I • Minutes per session: 60 teen pregnancy prevention (TPP)training workshops to any new mentors. ❑ Single Session/Other Intervention 7. Match at least 25 mentees with mentors. 07/07-06/08 MC (Sub) CURRICULUM DESCRIPTION [For Multi-Session Intervention] 8. Mentors and mentees will complete a 07/07-06/08 MC (Sub) Relationship Goals Contract to establish 3 Title(s): general life goals to work on together for N/A(No curriculum for mentoring activities) one hour a week for a six month period. 9. Provide quarterly support meeting for 07/07-06/08 MC (Sub) mentors. 10. Provide TPP education to parents of 07/07-06/08 MC (Sub)/HES I/HEA ❑ Evaluated or ❑ Non-Evaluated mentees. Plan and conduct 1 parent ❑ Original or ❑ Modified educational workshop for parents of mentees in collaboration with Public Health. Is this strategy part of the Statewide 11. Maintain documentation of mentor/ 07/07-06/08 MC (Sub) Evaluation? mentee contact hours and activities. Submit ❑ Yes 0 No documentation quarterly to Public Health. TPP[CCG, I&E, MIP]Workplan Template(06-07-2007) Page 11 Page 1 of 3 ATTACHMENT A MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health 0 CCG ❑ I&E ❑ MIP Grant Number: 05-45320 Objective Number: 5 FISCAL YEAR: 2007-2008 ACTIVITIES/TASKS NEEDED TO COMPLETE THIS OBJECTIVE Steps needed to complete objective by June 30`h Projected Staff Assigned Timeframe 12. Mentees will complete a pre-survey. Pre-surveys will be submitted quarterly to Public 07/07-06/08 MC (Sub) Health. 13. Mentees will complete a post-survey. Post-surveys will be submitted quarterly to Public 07/07-06/08 MC (Sub)/HES I/ Health. Data will be analyzed. Evaluator(Sub) I � 114. Review data analysis with Public Health and make changes to improve program 07/07-06/08 MC (Sub)/HES II/ effectiveness. HES 1 15. Quarterly reports will be submitted on forms provided by Public Health and reviewed 07/07-06/08 MC (Sub)/HES II by Public Health. 16. Quarterly invoices for actual expenditures will be submitted with copies of back-up 07/07-06/08 MC (Sub)/HES II documentation, and will be reviewed by Public Health. I TPP[CCG, I&E, MIP]Workplan Template(06-07-2007) Page 12 Page 2 of 3 ATTACHMENT A MCAH/Office of Family Planning Branch Agency Name: San Bernardino County Department of Public Health 0 CCG ❑ I&E ❑ MIP Grant Number: 05-45320 Objective Number: 5 FISCAL YEAR: 2007-2008 SITES OF SERVICE FOR THIS INTERVENTION City of San Bernardino Parks, Recreation Community Services 1 Department, Mentoring Program. 7 2 San Bernardino City Unified School District Schools 8 3. 9. 4. 10. 5. 11. 6. 12. DOCUMENTATION AND EVALUATION Process and Outcome Measures: 1. From pre/post-surveys, 80% of established mentees regularly participating in the program, will indicate progress on at least 1 life goal, relative to their Relationship Goals Contract. 2. From pre/post-surveys, 80% of established mentees regularly participating in the program, will demonstrate higher perceptions of(a) mentor support, (b)self-worth, & (c) general future thinking and life goals. I I Workplan Revision Date: 08/30/07 TPP[CCG, I&E, MIP]Workplan Template(12-14-06) Rev 05-30-07 Page13 Page 3 of 3 ATTACHMENT B FOCUS PROJECT BUDGET CITY OF SAN BERNARDINO DEPT. of PARKS, RECREATION, AND COMMUNITY SERVICES JULY, 1 2007 THROUGH JUNE 30, 2008 PERSONNEL Mentor Coordinator 100% 42,000 SUBTOTAL PERSONNEL 42,000 FRINGE BENEFITS @29.21% 12,268 TOTAL PERSONNEL $ 54,268 TRAVEL AND PER DIEM $ 732 SUNCONTRACTS $ _ OTHER COSTS TOTAL OTHER COSTS $ _ INDIRECT COSTS $ _ TOTAL PROJECT COSTS $ 55,000 Page 1 of 2 i ATTACHMENT B FOCUS PROJECT BUDGET CITY OF SAN BERNARDINO DEPT. of PARKS, RECREATION, AND COMMUNITY SERVICES JULY 1, 2007 THROUGH JUNE 30, 2008 Budget Justification PERSONNEL......................................................................................... $42,000 Mentor Coordinator - $42,000. $3,500 per month x 100% x 12 months for Salary and Holiday pay. Under direction, directs, managers, supervises and coordinates the activiities and operations of the Mentor Program; coordinates assigned activiites with other divisions, departments and outside agencies; and perfomrs related work as required. Attends and schedules all meetins and makes presentations of the FOCUS Project as required. Fringe Benefits: Approximately 29.21% of Total Personnel......................... $12,268 TOTALPERSONNEL............................................................................... $54,268 TRAVEL AND PER DIEM.......................................................................... $732 Estimated Mentor Coordinator to travel approximately 29 miles per week, for 52 weeks a year. Traveling includes outreach to the San Bernardino Unified School District schools, Community Centers, Family Visitation, Advisory Board Meetings, Focus Meetings, Event Planning, and visiting local Community Business for Sponsorship/Donations. 29 miles per week @ $0.485 per mile for 52 weeks = $731.38 for the year. TOTAL PROJECT COSTS........................................................................ $55,000 Page 2 of 2 Budget Summary CDPH 05-45320 Page 1 of 5 State, . .dlifornia—Health and Human Servi( Ay�7cy ,.-- California Department of Public Health ®)Cli�PH MARK 8 HORTON,MD,MSPH ARNOLDSCHWARZENEGGER Director Goverrw November 2, 2007 Ms. Kelly Hoffman Project Director San Bernardino County Department of Public Health 799 E. Rialto Avenue San Bernardino, CA 92415-0011 Dear Ms. Hoffman: ALTERNATE YEAR AGREEMENT FUNDING APPLICATION (AFA) APPROVAL FOR AGREEMENT#05-45320 for Fiscal Year 07-08. The Maternal, Child and Adolescent Health/Office of Family Planning (MCAH/OFP) Branch of the California Department of Public Health (CDPH) approves your Annual Alternate Year Agreement Funding Application package as submitted for fiscal year (FY) 07-08 for administration of the MCAH/OFP Programs. The Alternate Year AFA submission process allows you to annually update your MCAH/OFP Program(s) AFA documents to reflect current funding and staff levels for .each new fiscal year. In order to carry out the program(s) outlined in your approved Work plan and the enclosed budget document, during the period of July 2007 through June 2008, the MCAH/OFP Branch will reimburse expenditures to the program's) below up to the following amount: Community Challenge Grant $210,000 i Maternal,Child and Adolescent Health/Office of Family Planning Branch/Center for Family Health 1615 Capitol Avenue,MS 8305,P.O.Box 997420 Sacramento,CA 95899-7420 (916)650-0275 . Internet Address www.cdph_ca.aov Attachment C - Budget Summary CDPH 05-45320 Page 2 of 5 Ms. Kelly Hoffman November 2, 2007 Page 2 The availability of State General Funds is based upon the appropriation of funding in the Governor's FY 2007-2008 budget. Reimbursement of invoices is subject to compliance with all federal and state requirements pertaining to the State MCAH/OFP Program and adherence to all applicable regulations and CDPH MCAH/OFP Branch policies and procedures. Please ensure that all necessary individuals within your Agency are notified of this approval and that the enclosed documents are carefully reviewed, This approval letter constitutes a binding agreement. If any of the information contained in the enclosed Annual Alternate Year AFA submission documents are incorrect or different from that negotiated, please contact your Contract Manager me, at (916) 650-0347 within 14 calendar days from the date of this letter. Non-response constitutes acceptance of the enclosed documents. Sincerely, Gloria Gastelum Contract Manager Maternal, Child and Adolescent Health/ Office of Family Planning Branch Enclosures cc: Paul Biane Executive Director San Bernardino County Department of Public Health 351 N. Mountain Ave., 3`d Floor San Bernardino, CA 92415-0010 Martha Torres-Montoya Program Consultant Maternal Child and Adolescent Health/ Office of Family Planning Branch MS 8400 P.O. Box 997420 t Sacramento, CA 95899-7420 CENTRAL FILE i Attachment C,—Budget Summary CDPH 05-45320 Page 3 of 5 t- � (Dat-�transfersa%�tanafucalfjrfrom"Warksttee�) Program Community Challenge Grant Grantee Name: San Bernardino County Department of Public Health E. Grant Numt, r, 05-1532, Grant Yc.,!' 3 cf 5 Fiscal Year: 2007-2008 Budget Period: 7/1107-6/30/08 Initial Allotment: 0 k-- '""!S'!AJ -{f'Et15E GAl) GO ORIG[N` s , 1 PERSONNEL 87,310 .,5.-.r:.ia,.Fy,.c'%. .e ......,. .. . ... ...._......,. ,.. .....,c. ��.�� t ��4.,t�fv�.+••�l"'r 'T'�.�r � _a-.::lt 2 OPERATING EXPENSES 13,454 t :F) •� 7 \t aGY �»., y..;l li t !.. + �t 1 r� N ! � .„. 5, .�. .... ....... _ ...r., s..,`�....c..1,3r 5.��3.Y�..t ..t��:�......�.'45..�'�.a.-...�.'FJ..:... .N:f..:Kt��,.N•` 3 SUBCONTRACTORS.. 93,000 - 4 OTHER COSTS 7.505 •..,.�.,y� r ur ti n s r }���%Af w!".7 nfrr _ -�ICr.. -.i.1: - yy}. � x r�1. t� -o. *a• r..2• `� � .+ t- r 5 INDIRECT COSTS(10%MAX) _ 10.00% _ c £57oi TOTAL EXPENDITURES 1 210,000 Evaluation —_—_- � AT pes/Codes t 21,946 " �T :! Total Evaluation Costs % G� 2544 t 3 i 33 o, f it 113. wiaa= 210 000 10.4 5°'b. mo %of Budget Budget Summary 7/13/2007 V:01.07.03 1 of 3 .rilrr Attachment C— Budget Summary CDPH 05-45320 Page 4of5 Program Community Challenge Grant Grantee Name: San Bernardino County Department of Public Health Grant Number: 05-4532D- Grant Year: 3 of 5 Fiscal Year: 2007-2008 Budget Period:17/1/07-6/30/08 SOt NEL DE TAI ,{NaDA r# E, F � ?si£�ats f;czfianr>1eu;4� 5'ALQRY _ jKH jHeafth E '.,c3i.on S•ceci list 11 59,000 10.0% 5.900 2 JEG lHealth Etfu;ation Specialist 1 51,119 70.0% --� 35,783 3 YS !Health Education Assistant 45,552 50.0% 22,776 5 0 �0 0 0.0%1 6 j0 10 — 0I 0.0% 7 10 10 0 0.0% 6 lo 0 _ V 0 0.0°0 g 0 0 _ 0 0.0% 10 0 0 U 0.0°x. 11 i0 -.....__. 0 0 0.0%1 _ 12 10 0 0 o,o%# _ TOTAL WAGES 64,459 AVERAGE FRINGE BENEFIT RATE 35.45% TOTAL BENEFITS 22,851 O,Tr,L pEPSOtJNEE �CP �I'i,£$ � 87,310 , D�PERriTIfJG X PENSE- DEtNA i� y U {� ;GETrz 1 Training-Project Staff 2,413 2 General Expense-Office Supplies 1,913 3 Copying/Printing/Cuol;catin9 2,415 4 Travel-Project SIP': 5 0 0 0 0 0 7 0 -- 0 -.�.r. ifl 1 0 10 10 0 11 0 Of 12 1 0 0 M'� OT:'__ CPERATING' FJCTfSE; rr` 13,454 Budget S..mn-ary 711312007 V:01.07.08 2 of Attachment C - Budget Summary CDPH 05-45320 Page 5 of 5 Program Community Challenge Grant Grantee Name: San Bernardino County Department of Public Health !� Grant Num!�er: 05-45320 Grant Year: 3 of 5 Fiscal Ycar: 2007-2008 Budget Peric•d:17/1/07-6/30/08 .S�J_ (-,,,,.'TRACTORS ?,E-N N5 , �i7�:+�..n4 �' 4•,bv Zt.:. '`'�' .,fir,,,,,,3` ��X ,_ _......._. _ 1 Prograrn 55,000 2 Arts Council 28,000 3 N<,3xus Consul:in:•- .�chase!f,tatll:ev;s 10.000 y 10 _..---- 0 5 jo 0 6 0 0 7 10 0 5 10 0 i0 0 0 11 0 0 112 0 0 jj CC U AL 93,000 AN # _ 0 T H E P co-,-,,,---, 1 Educational kliatcrial` 1,789 2 incentives L 1,958 3 Food __---. ----__._. 2,100 4 Transportation-Fw`!.ct Par'cipan's 1,668 0 i6 10 0 7 0 0 8 0 0 9 0 0 10 0 0 11 0 0 112 10 0 a I L GTFER _W r o .. 7,505?S Budget Summary 7/13/2007 V:01.07.03 3 of 3 DEPARTMENT OF PUBLIC HEALTH _ - _ COUNTY OF SAN BERNARDINO .-ao rNrr .E OF PUBLIC HEALTH ADMINISTRATION r, 351 North Mt.View Avenue,Third Floor......... San Bernardino,CA 92415.0010 `F JIM LINDLEY (909)387.9146......... Fax (909)387-6228 Interim Public Health Director PAULA MEARES-CONRAD Interim Assistant Director of Public Health MARGARET BEED,MD,MPN Health Officer February 4, 2008 Fred Wilson, City Manager City of San Bernardino 547 North Sierra Way San Bernardino, CA 92410 RE: CCG — FOCUS Project Contract for FY 07-08 Dear Mr. Wilson: Enclosed are two (2) original contracts between San Bernardino County Department of Public Health and your agency for the FOCUS Project services. Please sign and return the two (2) original contracts after your agency approval and signature to: County Of San Bernardino Department of Public Health Contracts/ Special Projects Unit. 351 North Mt. View Avenue, 2nd Floor San Bernardino, CA 92415 Attn: Yvonne Suarez A fully executed copy of the Contract will be forwarded to you after all required signatures are received and it is authorized by the San Bernardino County Board of Supervisors. If you have any questions or require assistance, please feel free to contact me at (909) 387-6608. Thank you for your assistance in this matter. Sincerely, Suarez Sta yst II rtm Dep nt of Public Health MARK UFFER Board of Supervisors County Administrative Officer BRAD MITZELFELT...............First District DENNIS HANSBERGER.....Third District PAUL BIANE........ .....Second District GARY C.OVITT...................Fourth District JOSIE GONZALES.........................Fifth District 2008-114 DEPARTMENT OF PUBLIC HEALTH COUNTY OF SAN BERNARDINO { aovivrr aNi MUMNAanuyo OFFICE OF PUBLIC HEALTH ADMINISTRATION 351 North Mt.View Avenue,Third Floor......... San Bernardino,CA 92415.0010 JIM LINDLEY (909)387-9146......... Fax (909)387-6228 Interim Public Health Director PAULA MEARES-CONRAD Interim Assistant Director of Public Health MARGARET BEED,MD,MPN Health Officer February 4, 2008 Fred Wilson, City Manager City of San Bernardino 547 North Sierra Way San Bernardino, CA 92410 RE: CCG — FOCUS Project Contract for FY 07-08 Dear Mr. Wilson: Enclosed are two (2) original contracts between San Bernardino County Department of Public Health and your agency for the FOCUS Project services. Please sign and return the two (2) original contracts after your agency approval and signature to: County Of San Bernardino Department of Public Health Contracts/ Special Projects Unit. 351 North Mt. View Avenue, 2nd Floor San Bernardino, CA 92415 Attn: Yvonne Suarez A fully executed copy of the Contract will be forwarded to you after all required signatures are received and it is authorized by the San Bernardino County Board of Supervisors. If you have any questions or require assistance, please feel free to contact me at (909) 387-6608. Thank you for your assistance in this matter. Sincerely, *vn uarez y st II nt of Public Health MARK UFFER Board of Supervisors County Administrative Officer BRAD MITZELFELT...............First District DENNIS HANSBERGER.....Third District PAUL BIANE..............Second District GARY C.OVITT...................Fourth District JOSIE GONZALES.........................Fifth District