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Home My WebLink About05.G- Parks, Recreation & Community Services S G .<- RESOLUTION (ID # 3816) DOC ID: 3816 D CITY OF SAN BERNARDINO — REQUEST FOR COUNCIL ACTION Grant From: Mickey Valdivia M/CC Meeting Date: 06/15/2015 Prepared by: Mitch Assumma, (909) 384- 5233 Dept: Parks, Recreation & Community Ward(s): All Services Subject: Resolution of the Mayor and Common Council of the City of San Bernardino Ratifying the Submission of a Grant Application to Kaiser Permanente Operation Splash Regional Community Benefit Grant Program in the Amount of $27,000, Accepting the Grant Award, and Allocating the Grant Award to Support the Summer Aquatics Program. (#3816) Current Business Registration Certificate: Not Applicable Financial Impact: Account Budgeted Amount: $444,370.33 Account No. 001-380-0069-XXXX-0000 Account Description: Aquatics Balance as of: July 1, 2014: $444,370.33 Balance after approval of this item: Aquatics Program Total = $457,870.33; Grant Contribution Total = $27,000 Since the Aquatics Season falls in two fiscal years, the current balance noted here includes only half the total grant award at $13,500 applied to FY2014-2015, with the other half to be applied to FY2015-2016. With the acceptance of this grant award, $27,000 in funds for this program will be appropriated into grant fund revenue Account No. 123-380-0000-4695 as a Contribution Sponsorship (non-Federal or State Grant) and an expenditure appropriation of$27,000 in Account No. 001-380- 0069-XXXX-0979 per the attached FY 2014-15 and FY 2015-16 Object Code Budgets. There is no City cash match requirement, though the funds may only be used per the grantor to subsidize the program and not replace full expenses. The Finance Department is requested to incorporate the changes into the FY 2014-15 and FY 2015- 16 budgets as follows: FY 2014-15: $8,315 into line item 5014 (Salaries Temp/Part-time); $150 into misc. benefits; $2,884 into line item 5111(Materials and Supplies); $1,860 into line item 5174 (Printing Charges); and $291 into 5602 (Worker's Compensation). FY 2015-16: $12,471 into line item 5014 (Salaries Temp/Part-time); $224 into misc. benefits; $368 into line item 5111(Materials and Supplies); and $437 into 5602 (Worker's Compensation). Motion: Adopt the Resolution. Synopsis of Previous Council Action: May 5, 2014 Mayor and Common Council accepted a $30,000 Grant Award (Contribution Sponsorship) from California Community Foundation Updated: 6/10/2015 by Jolena E. Grider D I Packef Pg. 102' 3816 and authorized the appropriation of $30,000 in additional grant expenditures for the parks, Recreation and Community Services Department's 2014 Summer Aquatics Program. April 29, 2014 Grant Committee approved the acceptance of a contribution sponsorship from Kaiser Permanente Operation Splash Regional Community Benefit Grant Program for funding in the amount of $30,000 for the 2014 Summer Aquatics Season. May 6, 2013 Mayor and Common Council accepted a grant award from Kaiser Permanente Operation Splash Regional Community Benefit Grant Program for funding in the amount of $30,000 and ratified the submittal of an on-line grant application upon invite to Kaiser Permanente Fontana and Ontario Medical Centers Community Benefit Grant Program for funding in the amount of $25,000 to provide for the Parks, Recreation and Community Services Department for the 2013 Summer Aquatics Season. March 19, 2012 Mayor and Common Council ratified the submittal of an on-line grant application to Kaiser Permanente Regional Operation Splash Community Benefit Grant Program in the amount of $30,000 for funding of aquatics programs in 2012 Season. December 20, 2010 Mayor and Council ratified submittal of a grant application to Kaiser Permanente Operation Splash Regional Community Benefit Grants Program in the amount of $20,000 to provide the Parks, Recreation and Community Services Department Aquatics Program for the 2011 Summer Season. December 21, 2009 Mayor and Council ratified the submittal of a Letter of Interest to Kaiser Permanente Fontana Medical Center Community Benefit Grants Program for funding in the amount of $25,000 to provide the Parks, Recreation and Community Services Department Swim Program at Nunez Pool for the 2010 Summer Season. August 3, 2009 Mayor and Council ratified the submittal of a grant application to Kaiser Permanente Operation Splash Regional Community Benefit Grants Program for funding in the amount of $20,000 to augment the Parks, Recreation and Community Services Department Swim Program for the 2009 Summer Season. Background: The Department continues to pursue other funding opportunities to supplement aquatics programming and provide greater access for the public to community pools as a means to improve overall fitness and health of the community residents in light of a diminished economy. The Department has been awarded two grants from Kaiser Permanente Community Benefit Grants Programs in the past six fiscal years and one of those two the past seven years; one from the local Fontana & Ontario Medical Center and the second from the Kaiser Southern California Regional Headquarters. The Grants totaled $20,000 in 2009, $43,000 in 2010, $40,000 in 2011, $48,000 in 2012, $45,000 in 2013, and $30,000 for the 2014 Aquatics Season, enabling the swimming pools at Ruben Updated: 6/10/2015 by Jolena E. Grider D I Packet Pg. 103 5.G 3816 Campos/Nunez, Meadowbrook/Hernandez and Mill Parks to remain open (on a limited basis) throughout the traditional summer season. The grants also provided for limited free swimming lessons for low-income youth at Ruben Campos/Nunez and Hernandez pools and for the initiation and continuation of a Junior Lifeguard Program at the Jerry Lewis Family Swim Center. Kaiser is once again awarding grants for the upcoming summer season. The awarding of a Community Benefit Grant from Regional Kaiser Permanente Operation Splash Program in the amount of $27,000, will allow the Department to fund four activities: 1) offer low-income youth ages 6-17 years the opportunity to learn how to swim or to advance their swimming skills at no cost at Ruben Campos/Nunez Pool, 2) provide greater access for low-income patrons to community pools by offering pool passes for those who cannot afford the regular fees at Ruben Campos/Nunez Pool, 3) continue to offer the Junior Lifeguard Program for a third season at low cost for under-privileged San Bernardino youth, ages 11-15 years at the Jerry Lewis Family Swim Center, and 4) promote the Re Think Your Drink campaign . Furthermore, the Department was recently notified that a local Fontana Kaiser grant application of $25,000 had not been awarded this year, which in years past had been used to subsidize open recreational swim and swim classes at Nunez Pool. The Regional Kaiser contribution will now make possible low-income scholarships for open swim and learn-to-swim programs at Nunez Pool, that the local Fontana Kaiser grant used to provide, expanding access to pools by under- privileged youth. ff Is A portion of the total grant amount ($5,000) is required toward funding a Re Think Your Drink campaign designed to get youth and adults (swim patrons) to consume less sugary beverages in their daily life's routine through nutrition education. This season staff will be providing healthy drink educational material to all pool visitors, including grocery totes with the Re Think Your Drink logo imprinted, conducting a Beverage Exchange Program at the Jerry Lewis Swim Center, posting banners at pool facilities, and showing a series of video promotions and demonstrations to increase the awareness of this important health issue. The on-line application with the Regional Kaiser office was submitted in November 2014 and awarded in January 2015, and the check was received in mid-April. City Attorney Review: Supporting Documents: RESOLUTION KAISER CONTRIBUTION - 2015 Summer Aquatics (DOC) Exhibit "B" - 2015 Kaiser Grant Award (PDF) Exhibit "A" - 2015 Kaiser Regional On-Line Application & Attachments (PDF) Exhibit "C" - 2015 Kaiser Grant - 2Yr Budget Allocation by Object Code (PDF) Updated: 6/10/2015 by Jolena E. Grider D Packet Pg. 104 1 RESOLUTION NO. RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF 2 M SAN BERNARDINO RATIFYING THE SUBMISSION OF A GRANT APPLICATION Cr 3 TO KAISER PERMANENTE OPERATION SPLASH REGIONAL COMMUNITY a BENEFIT GRANT PROGRAM IN THE AMOUNT OF $27,000, ACCEPTING THE °' 4 GRANT AWARD, AND ALLOCATING THE GRANT AWARD TO SUPPORT THE E 5 SUMMER AQUATICS PROGRAM. 0 6 BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL OF THE CITY OF `;' 7 SAN BERNARDINO AS FOLLOWS: o SECTION 1. That the Mayor and Common Council hereby ratify the submission of 8 L O 9 the grant application to the Kaiser Permanente Regional Operation Splash Community Benefit v m N 10 Grants Program ("Kaiser Grants Program"), marked as Exhibit "A" and incorporated herein �e 11 `° by reference as fully as though set forth at length. M 12 U 13 14 SECTION 2. That the Mayor and Common Council hereby accept the Kaiser Grants Q 15 Program award of $27,000 and authorize the City Manager, or his designee, to execute the E 16 N LO Letter of Agreement from the California Community Foundation, marked as Exhibit "B" and 0 17 N incorporated herein by reference as fully as though set forth at length. o 18 19 20 SECTION 3. That the Director of Finance, or his designee, is authorized to allocate o U 21 the $27,000 in accepted grant funds to the FY 2014-2015 and FY 2015-2016 Object Codes in w 22 the amounts shown on the attachment marked as Exhibit "C" and incorporated herein by �e Z 23 °- reference as fully as though set forth at length. 24 0 w 25 26 E 27 /// 28 a 1 Packet Pg. 105' S.G.a RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF 1 SAN BERNARDINO RATIFYING THE SUBMISSION OF A GRANT APPLICATION 2 TO KAISER PERMANENTE OPERATION SPLASH REGIONAL COMMUNITY 2 BENEFIT GRANT PROGRAM IN THE AMOUNT OF $27,000, ACCEPTING THE a 3 GRANT AWARD, AND ALLOCATING THE GRANT AWARD TO SUPPORT THE d SUMMER AQUATICS PROGRAM. E 4 E 5 LO 6 I HEREBY CERTIFY that the foregoing Resolution was duly adopted by the Mayor and N I c 7 Common Council of the City of San Bernardino at a joint regular meeting thereof, held on the 0 8 day of , 2015, by the following vote, to wit: 0 9 Council Members: AYES NAYS ABSTAIN ABSENT N 10 Y MARQUEZ 11 T- oo BARRIOS 12 N 13 VALDIVIA U 14 SHORETT a E 15 NICKEL 16 JOHNSON o 17 N MULVIHILL 0 18 m 19 Georgeann Hanna, City Clerk 20 0 The foregoing resolution is hereby approved this day of , 2015. v 21 w D a 22 R. CAREY DAVIS, Mayor Z 23 City of San Bernardino 0 Approved as to Form: D 24 GARY D. SAENZ, City Attorney 0 m 25 w 26 By: 27 r 28 a 2 Packet Pg. 1016 EXHIBIT "A" April 2, 2015 CALI FORN lA COMMUNITY FOUNOnTION Building de Future Mr. Mitch Assumma Of LOS Angeles City of San Bernardino - Parks, Recreation, and Community Services Department 201 North E Street, Suite 301 San Bernardino, CA 92401 BOARD OF DIRECTORS - Cynthia AnnTeltes,Ph.D, Dear Mr. Assumma: Chair E At the recommendation of the Kaiser Permanente Southern California Fund for E Tom Unterman Chair Elect Charitable Contributions, a donor advised fund at the California Community cn Foundation, we are pleased to award City of San Bernardino this check in the r James E.Berliner amount of$27,000.00. This grant is designated for the following purpose: N Louise Henry Bryson C • Over a one year funding period beginning April 1,2015 through April 1, 2 Dr.Patrick Dovrling 2016 for Operation Splash: City of San Bernardino. David W.Fleming By endorsing, depositing or cashing this check you certify that the grant will: o Meloni M.Hallock 0 • Be used to fulfill a charitable purpose. L Preston L.C.Johnson • Not fulfill a legally binding pledge or financial obligation of the donor n Joanne Corday Kozberg advisor/s. Y • Not provide any material benefit or privilege to the donor advisor/s or any Clelvin D.Lindsey individual related to the donor advisor/s (e.g., membership benefits, event Robert W.Lovelace tickets, goods bought at auction, religious benefit, etc.). M a Todd Quinn Please note that because this grant was made from a component fund held at the 3 Paul Schulz California Community Foundation, a 501(c)(3) public charity,neither the donor nor Q the foundation require a receipt for tax purposes. In addition, we ask that you kindly = Jean Bixby Smith not send any general mailings to the Foundation unless otherwise requested. LD Melanie Staggs `- tn ThareseTucker If you have any questions, please contact a member of the Grants Management Y Catherine L.Unger Team at(213) 239-2330. On behalf of the donor and California Community LO Foundation, I wish you much continued success. N Fidel Vargas Sonia Mane De Leon de Vega Sincerely, m Y Ronald T.Vera Marllu Guzman Marie Brooks Washington Grants and Fund Operations Specialist X X W PRESIDENT&CEO G Antonia Hernandez Enclosure: Check#65245 E t GENERAL COUNSEL V William C.Choi CC: Donor 0 Q 221 S.Figueroa St.,Suite 400,Los Angeles,CA 90012 TE L:213.413.4130 FAX:213,363.2046 EMAIL:info @calfund.org calfund.or rn'=_ n� wnss ar_cn_t e�ry. rui LETTER OF AGREEMENT CALIFORNIA COMMUNITY FOUNDATION OBO KAISER FOUNDATION HOSPITALS,SOUTHERN CALIFORNIA REGION COMMUNITY BENEFIT CHARITABLE CONTRIBUTIONS PROGRAM This Letter of Agreement(hereinafter"Agreement")is entered into by and between the California Community Foundation, (the"Foundation"),a California nonprofit public benefit corporation,Kaiser Foundation Hospitals, a California nonprofit,public benefit corporation 2 (hereinafter"KFH")and City of San Bernardino,Tax ID 95-6000772,a charter city organized in the State of California and not subject to federal or state income tax. Q L Q� This Agreement sets forth the understanding of the parties hereto as to the terms and E conditions under which the Foundation at the recommendation of KFH shall donate funds in the N amount of$27,000.00 payable over a one year funding period beginning April 1,2015 LO through April 1,2016 for 2015 Operation Splash: City of San Bernardino. Such terms and N conditions are as follows: _ 0 41 1. Tax Exemption Status: Grantee represents that at all times relevant herein, it is a charter city organized in the State of California and not subject to federal or state income tax. 0 U 2. Purpose of Grant. Grantee shall use entire Grant to support the specific goals, objectives, activities, and outcomes as stated in the Grantee's funding application and,for Grants greater Y than$25,000, as submitted in the Work Plan. ILO 3. Expenditure of Funds. This Grant(together with any income earned upon investment of co grant funds)is made for the purpose outlined in the Grantee's Work Plan and may not be 2 expended for any other purpose without KFH's prior written approval. 3 Q 4. Prohibited Uses. In no event shall Grantee use any of the funds from this Grant to(a) support a political campaign,(b) support or attempt to influence any government legislation, L except making available the results of non-partisan analysis, study or research,or(c)grant an N award to another party or for any purpose other than one specified in Section 170(c)(2)(b) of the Y Internal Revenue Code of 1986 as amended. LO T N 5. Return of Funds.The Foundation reserves the right to discontinue,modify or withhold payments to be made under this Agreement or to require a total or partial return of any funds, !n including any unexpended funds under the following conditions: (a) If KFH, in its sole discretion,determines that the Grantee has not performed in x accordance with this Agreement or has failed to comply with any term or condition W r of this Agreement. (b) If Grantee loses its status as an eligible Grantee under Paragraph 1 above. s (c) Any portion of the funds is not used for the approved purpose (d) Such action is necessary to comply with the requirements of any law or regulation Q applicable to Grantee or to KFH or to this Grant. � Community Benefit-Letter of Agr eement Tracking number for this grant is 20642502 1 of 4 Packet Pg. 108' 5.G.b 6. Records Audits and Site Visits. KFH is authorized to condu ct audits, includin g on-site audits, at any time during the term of this Grant and within four years after completion of the Grant. Grantee shall allow KFH and its representatives, at its request,to have reasonable access during regular business hours to Grantee's files,records, accounts,personnel and client or other beneficiaries for the purpose of making such audits,verifications or program evaluations as KFH deems necessary or appropriate concerning this Grant. Grantee shall maintain accounting records sufficient to identify the Grant and to whom and for what purpose such funds are expended for at least four(4)years after the Grant has been expended. Y 7. No Assignment or Delegation. Grantee may not assign, or otherwise transfer,any rights Cr or delegates any of Grantee's obligations under this Agreement without prior written approval from KFH. E 8. Records and Reports. Grantee shall submit written progress report(s)to KFH in r accordance with the due dates stated on the Grant Summary(Attachment). Grantee shall be primarily responsible for the content of the evaluation report. If KFH 0 determines IRB approval is necessary, as part of the evaluation process, Grantee shall follow KFH IRB approval processes and procedures. o U 9. Required Notification. Grantee is required to provide KFH with immediate written y notification of any change in Grantee's tax exempt status or when Grantee is unable to expend Y the grant funds for the approved purposes described in the Work Plan. 00 10. Identification of KFH. Grantee shall identify KFH as a supporting organization in all n published material relating to the subject matter of this Grant. Whenever possible and -0 appropriate, Grantee shall publicly acknowledge KFH for this Grant. a 11. Equal Employment Opportunity. Grantee agrees to comply with and be bound by the o nondiscrimination and affirmative action clauses contained in: Executive Order 11246,as L amended,relative to equal opportunity for all persons without regard to race,color,religion, sex N or national origin;the Vocational Rehabilitation Act of 1973,as amended,relative to the Y employment of qualified handicapped individuals without discrimination based upon their r physical or mental handicaps;the Vietnam Era Veterans Readjustment Assistance Act of 1974, N CD as amended,relative to the employment of disabled veterans and veterans of the Vietnam Era, _' and the implementing rules and regulations prescribed by the Secretary of Labor in Title 41, Part m 60 of the Code of Federal Regulations (CFR). X 12. Immigration Act Requirements. Grantee shall comply during the term of this Agreement w with the provisions of the Immigration Reform and Control Act of 1986 and any regulations promulgated thereunder. Grantee hereby certifies that it has obtained a properly completed E Employment Eligibility Certificate(INS Form 1-9)for each worker performing services related o to the program described in the Work Plan. Q Community Benefit-Letter of Agreement Tracking number for this grant is 20642502 2 of 4 Packet Pg. 109 5.G.b 13. Licensing and Credentials. Grantee agrees to maintain,in full force and effect,all required governmental or professional licenses and credentials for itself, its facilities and for its employees and all other persons engaged in work in conjunction with this Grant. 14. Payment of Grant. Payment may be made from the Kaiser Permanente Southern California Fund for Charitable Contributions, a component fund of the Foundation. (a) First payment by the Foundation will be contingent upon a signed Agreement between the Foundation,KFH and Grantee. (b) Subsequent payments(if any) are contingent upon compliance with this Agreement, including timely receipt of reports as outlined in Paragraph 8 above. Q L d E E IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date Cn first above written. "' 0 N Kaiser Foundation Hospitals Grantee o .2 By: By: o Angela C Mi ey Valdivia v Managing Director, Community Benefit Director of Parks,Recreation and Community Kaiser Foundation Hospitals Services Y City of San Bernardino T f- (�' Date: Date: v L California Community Foundation California Community Foundation a c 'Ln V By: L a� N Print: JN YO Print: LO T Title: Title: (V m Date: Date: , X w c E .c U R Q Community Benefit-Letter of Agreement Tracking number for this grant is 20642502 3 of 4 Packet Pg. 110 5.G.b • LETTER OF AGREEMENT Attachment GRANT SUMMARY GRANT NUMBER: 20642502 DATE AUTHORIZED: December 17,2014 GRANTEE NAME: City of San Bernardino- . Parks,Recreation and Community Services Department AMOUNT: $27,000.00 over 12 months Grantee Address: 201 North E Street, Suite 301 .2 San Bernardino, CA 92401 Cr Q CONTACT,TITLE: Mr. Mitch Assumma, Interim Recreation Division Manager E E TELEPHONE: (909) 384-5132 FAX: (909) 384-5160 CB PROJECT MANAGER: Roberta Tinajero, Community Benefit Program Manager c Phone: (626)405-5999 Email: so.cal.grants kp.org C14 0 41 GRANT PURPOSE: 2015 Operation Splash: City of San Bernardino �� L Y GRANT OBJECTIVES: 0 1. Provide swim lessons to 80 low-income youth. L a� 2. Provide swim passes to at least 60 low-income families in San Bernardino. Y To Q3. Provide at least 30 low-income youth with junior lifeguard training. M 4. Implement a Rethink Your Drink campaign at four swimming pool locations. •` 3 a GRANT PERIOD: Start date: 4/1/2015 End Date: 4/1/2016 a� NARRATIVE AND FINANCIAL REPORTS DUE: Requirement Due Date Final Report May 2, 2016 N m J.d .Q x W .V Q� E s U f0 w Q City of San Bernardino-Parks,Recreation and Community Services Department Grant ff 20642502 CB Grant Summary Stream of Work: Page 4 of 4 Packet Pg. 111° 5.G.b Check Date: 4/1/2015 CALIFORNIA COMMUNITY FOUNDATION cheokNumaer: 65245 fo: City of San Bernardino Parks,Recreation,and Community Services De partment : _Totals. .00- $270 00.01 27,00000 o t t $27,000. $0 GE-DA-15-120368-1 3/24/2015 KP#20642502 wo 1$27,000. L d cEc G Cn T �", 4�AW.Y.ry. �'4.`.'•. .�'''. 'rp"x; ' _ r.,. •i,S+:..9 ..t' b ��yr +A Mf. 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'yM1 '' � yie�''� ;:i ``x'�u T L '� .t x._ '$�r f.' �,�. l(•,::.�. �VA°• a n'.'Y� � ��7WOy810NA7Uf�E$�R�1�`} p'aVEFi' ., .9 �k�ni..%J. :'§:.,�''•:•:�.;, ��v ,:�,, 'y a`�4,r :`s.:�e� e. t �r:�a' ` '� �"' f6 r�'t�n..k'.•M S3` .5: �Y w'C i fd',,. , _ 'q} '" :`ty>' 1af .- QRDR'° ° '_ ` rkga RQCrea�t�t?�7��i; nl ©mmumtySil �patment , . y �:•. =�, z, _ v ' 4 3 wad -:.'�1.-r Y,, iil' :1' r L yt,Itey�3 C, r z: ;,b: a ca SIT G�df�U nRB 4n0 A din �w 442. �' '?�a�i- .,r,,,�;-4th'•'". sA.7... ,",�:'�' tv �N [t'06524Sit" 22242L73i: SO 90P3119 11' LO r C7 N m Y X,1 tL Y E U fC r a Packet Pg. 112 1v1y recount !#T KAISER PERMJ NEWE,s, 0- N 2 Cr Account: assumma_mi @sbcity.org Change E-mail/Password Email Us Logoui d Last Log in: 11/10/2014 2:01 PM GMT-05:00 E E Applications Requirements U) LO 0 Applications N 'i C Show In Progress Applications. v L d Application Name Project Title Requested ID Last Updated Action Y co 0 M N r� G N E L V lC a r- .2 c0 2 Q CL a • J C O iC C 2 Q. L d _N Y U) V- C) N Q X W C d E 0 a https://www.grantrequest.com/SID_946/default.asp?SA=AM&SESID=13854&MSG=Thank+You%21 packet Pg. 113 it Mitch Assumma =rom: Kaiser Permanente Online Application <mail @grantapplication.com> Sent: Wednesday, November 12, 2014 1:29 PM To: Mitch Assumma M Subject: Your Application Submission a- a L Q� Thank you for your submission. Your Operation Splash Community Benefit Grants Program application has E been submitted successfully,and the tracking number is 107522. Please do not reply to this email address(kp- in LO community @kp.org). If you have questions about your application,please use the contact information designated in your application form. N c For your records,here is a copy of the contents of your application. L Y /0 V L Welcome! N Community Benefit Program Overview Y in As one of the nation's leading not-for-profit, integrated health care systems, Kaiser Permanente seeks to make co positive contributions to the communities we serve. The Community Benefit Grants Program provides Kaiser -- Permanente the opportunity to respond to requests from eligible organizations whose work aligns with our funding priorities. U Healthy Eating Active Living Y a Kaiser Permanente developed the Healthy Eating Active Living (HEAL)program to address the growing obesity o epidemic. This multifaceted, long-term approach includes health care leadership, community investment, partnerships p and public policy change. Kaiser Permanente is working to promote healthy eating and active living by enabling transformation in communities and generating lasting health improvement overtime. Kaiser Permanente's HEAL a investments strive to empower communities to transform their neighborhoods; schools,workplaces,and health care Q settings so that healthy food is convenient and affordable physical activity is part of daily life. J C Operation Splash Objectives 0 Operation Splash was launched to increase opportunities for safe physical activity in low-income neighborhoods. In 0 past years, Operation Splash funding has mainly focused on support for aquatic programming. o! L d The objectives of the Kaiser Permanente Operation Splash program are to: Y • Facilitate physical activity in communities where health disparities:are greatest and opportunities for safe c physical activity are often scarce; C4 • Teach children and adults basic water safety and swimming skills in order to prevent drowning and promote Q life-long physical activity. • Educate Operation Splash participants about the lack of nutritional content of sugary drinks and encourage the consumption of water by participating in a Healthy Beverage Campaign. E w r c m Funding Parameters • Operation Splash grants are intended to augment existing budget resources in order to increase the number a i Packet Pg. 114 of participants. • Funds are intended for neighborhoods with barriers to safe and affordable physical activity. • Operation Splash aquatic activities should target low-income school-age children and adults for whom cost may be a barrier to participate in swimming programs. • One year of funding will be considered from invited municipalities and organizations. Proposals will be accepted by invitation only. u • Funding amounts will take into account the number of people served, the number of participating pools, and Cr the organization's overall budget for recreation programs. L m E Funds may be requested to provide the following activities free of charge in neighborhoods with barriers to safe and E affordable physical activity, Applicants need not include all activities. cn LO • Learn-to swim programs, which equip children and/or adults with water safety and swimming skills cC14 • Swim passes to allow children and adults to use public pool facilities for free = 0 Funds may not be requested for psi C • Transportation to swim meets and other sporting events o • Festivals and celebrations v • Infant swim programs m • Day camp programs Y • Refreshments • Backfilling budget gaps. Grant funds are intended to expand participation for low-income community co co members. c E Partnership Expectations Kaiser Permanente would like to co-host launch events/press conferences with each partner in Operation Splash. a< Partners may also be asked to work with Kaiser Permanente to promote the program. Activities may include: _ 0 • Incorporating the Kaiser Permanente logo on program materials, 9 • Coordinating with Kaiser Permanente regional and local medical center Public Affairs staff, and a • Participating in a joint media release Q c O Timeline 0 Applications must be received by Friday, November 14,2014 by 2:00 p.m. Q! Mandatory phone interviews will be scheduled following proposal submission. Applicants should plan for a one-hour w phone call to discuss their proposals and planned activities. o Y Ln Notification of funding decisions: Late February o N The grant will start April 1, 2015 (subject to change.) Q Online Submission Process x w Save or bookmark the link that was sent to you via e-mail after you created your account. For your a convenience, it is: https://www.GrantReguest.com/SID 946?SA-AM. Use this to access any Kaiser Permanente E Community Benefit applications you started and/or submitted through our online application process. 4 2 Packet Pg. 115 ` 5Gc T, In addition to this online request for proposal submission process, you should have been provided in an email from us with two documents titled: N • Budget Template • Evaluation Plan Template a Q Both documents need to be completed and attached to this online application along with the other required a, documentation. Please see the last page of this application fora list of all required documents. E E We suggest that you review the questions and requirements of the grant application by viewing a printer-friendly U) version of the form at the top of this page: c N Prior to submitting your online application, you will be able to review.your grant application for completeness. Please o note that once a grant application has been submitted, it cannot be edited or resubmitted. When you are working on 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: 0 L • Can view a history of submissions • Will receive a submission acknowledgement Y <o 0o M Questions Please direct any content-related questions to: E c� • Roberta Tinajero-Frankel, Roberta.D.TinajeroQkp.org or(626)405-5329 c Please direct any technical questions regarding the application process to • Katherine Murphy, So.Cal.Grants(ftp.orq or(626)405-5999 Q d m c J Organization Information = O Tax Information c Organization's Legal Name This is the name that appears on your IRS Determination letter, other legal documentation, or Form 990. L City of San Bernardino - Parks, Recreation and Community Services Department N Y Organization's Tax ID#(EIN or TIN) Ln 0 Use the following format: N If you use a fiscal agent and do not have an EIN or TIN, enter"x"and complete the Fiscal Agent section of this application. Q 95-6000772 X W Tax Status c 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 section of this application. Government or Public Agency a 3 Packet Pg. 116 Organization Contact Information Organization Name U Please use the name as it appears on your letterhead. City of San Bernardino - Parks, Recreation and Community Services Department a i v Street Address E E Please enter a street address. Do not use a post office box. in 201 North E Street, Suite 301 L' 0 N = O City San Bernardino 0 U State d CA Y Zip Code M 92401 N _ d Organization's General Phone Number E Please use the following format: (###)### r w (909) 384-5233 a 06 _ 0 Organization's General Fax Number U Please use the following format: (###)### - CL (909) 384-5160 a Q _ Organization's Main E-mail Address C assumma_mi @sbcity.org _ 0 Organization's Web Address(URL) Please use the following format:www.example.com http://www.sbcity.org Y Annual Total Organization Budget N 220,578,424 a Annual Total Department Budget 6,317,129 w _ d Organizational Capacity s Date the Organization was Established 4 Packet Pg. 117 If you do not know the exact date, please use January 1st of the year of establishment. 01/01/1854 N Organization's History U Brief summary of your organization's history. Limit your answer to 300 words C The City of San Bernardino ("City") is one of Southern California's most historic communities. E Incorporated in 1854, it is a city of 218,000 residents in 59.3 square miles at 1,049 feet above sea E level. As the county seat of San Bernardino County, it lies in the midst of the booming Inland N Empire region. The City was founded early in Califor a N C a Background Information Brief summary of the organization's mission,goal(s), and the communities/localities and populations served. o Limit your answer to 300 words v Creating Community through People, Parks, and Programs: The Department of Parks, Recreation N and Community Services is committed to providing quality services, programs, and activities for all Y 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 M programs, special events, aquatics, trips/tours, volunteer management and outdoor play. �- N C E V Current Programs and Activities Q Describe the organization's current programs; activities; as well as recent accomplishments,awards, and/or 06 recognition received. o Limit your answer to 300 words 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 Q Bernardino community. We create community through people, parks and programs and espouse the public leisure industry's mantra that"Parks Make Life Better". In the Aquatics division alone for S the 2014 Season, we have successfully provided open swim to more than 26,241 visitors, taught o 506 youth in swim lessons and the Junior Lifeguard Program students at 18 workshops/class sessions, assisted 428 low-income family members through 88 family swim passes gain access to 0 pools, and offered 12 water safety and lifeguard certification classes. Through the partnership with Operation Splash Kaiser Regional Grants that funded summer aquatics programming (Jr. Lifeguard, Learn-to-Swim and free swim passes) our city pools improved physical fitness activity N for low-income members and provided safe and affordable relief to the summer heat for San Y Bernardino residents. The City remains a Playful City, USA, despite even deeper financial cuts in both the FY2013-14 and FY2014-15 Budgets due to the City's recent bankruptcy declaration in N 2013. The Department also published two web-supported activity guides advertising and -' highlighting the partnership with Kaiser and services offered through aquatics. In addition to pools a and community centers, the department continues to offer after-school programs, senior services, 12 and therapeutic recreation to regional visitors. w d E Organization Attestation s Packet Pg. 118 5.Gc To ensure that Kaiser Permanente completes its due diligence, each organization requesting a contribution must answer the following questions. Conflict of Interest 2 Kaiser Permanente asks each organization requesting a contribution to disclose any relationships with Kaiser Permanente that may be,or appear to be, a conflict of interest. Such relationships may not create actual conflicts of Cr interest and do not necessarily prohibit your organization from receiving a contribution. However, they must be L disclosed in order for Kaiser Permanente to complete its due diligence. E E Do any Kaiser Permanente executives, managers, directors, physicians, or other employees or their family members: LO • Serve as a board member, director, officer, manager, employee or fiduciary agent of your organization; N • Have a compensation arrangement or financial interest with your organization; or • Hold any position of substantial influence with respect to your organization? 0 No 0 U Conflict of Interest Details N • If you answered Yes above, in the text box below enter the name of the Kaiser Permanente employee or their Y family member and describe the nature of the relationship with your organization. • If you answered No above, enter"NIA" in the text box below. co M N/A E If you are unaware of any relationship at this time but become aware of one during the application process or grant period we ask that you still disclose the relationship by contacting Kaiser Permanente at So.Cal.Grants CDAo.orq with 0 the subject line: Grant Question COL C 06 C 0 Participation by Government Official Does a Member of Congress, Executive Branch Official, State Official, or their staff: `2 .Q • Serve as a board member, director, officer, manager, employee or fiduciary agent of your organization; or • Have a compensation arrangement or financial interest with your organization;or 0 J • Hold any position of substantial influence with respect to your organization? O m No 0 0 0 Participation Details • If you answered Yes above, in the text box below enter the name of the Member of Congress, Executive Branch Official, State Official, or their staff and describe the nature of the relationship with your organization. Y • If you answered No above, enter"N/A" in the text box below. "' 0 N N/A a Recognition of Government Official s Will any portion of this contribution request be used to honor or recognize the achievements of a Member of w Congress, Executive Branch Official, State Official, or their staff? c No E U Recognition Details Q 6 Packet Pg. 119 5.G.c • If you answered Yes above, in the text box below enter the name, title, and affiliation of the official and provide a brief description of the honor. • If you answered No above, enter"N/A"in the text box below. N 2 NIA a Q PAC &COPE L Does your organization have a political action committee(PAC)or committee on political education (COPE)? E No U) to 0 PAC & COPE Details N • If you answered Yes above, in the text box below enter whether or not any portion of this contribution request o will be used to support the PAC or COPE or any program that will support or oppose candidates for public office or political party. i • If you answered No above, enter"N/A"in the text box below. o U L N/A N Nondiscrimination Policy or Statement_ w Does your organization have a policy or statement that prohibits discrimination on the basis of sex, age, economic M status, educational background, race, color, ancestry, national origin, sexual orientation, gender expression, gender identity, or marital status? Yes E g U Non-Prosteytizing Q For a religious or faith-based organization, will the proceeds be used to support general operations, services and 06 programs of the congregation/membership/students, or to advance religious doctrine or philosophy? o N/A Q C. Fiscal Agent Information If your organization will be using a fiscal agent, please.complete the following information. If not, please = J select'Next' (at the bottom of the page). o Fiscal Agent Contact Information o Fiscal Agent's Legal Name As it appears on the IRS determination letter or Form 990 N Y U1 r Fiscal Agent's Tax ID# N xx-xxxxxxx - Q t X Fiscal Agent's Mailing Address w Street Address, City, State, and Zip Code (9-digit code, if known) d E s Y Q 7 Packet Pg. 120 Fiscal Agent's Contact Prefix, First and Last Name of the Chief Executive of the Fiscal Agent 0 2 ca Fiscal Agent Contact Title a d E Fiscal Agent's Contact Phone Number in Please use the following format: (###)####### LO 0 N O Fiscal Agent's Contact E-mail Address 'i a+ _ O V Fiscal Agent Organization Attestation N To ensure that Kaiser Permanente completes its due.diligence, each organization requesting a contribution must Y answer the following questions about the fiscal agent organization. ca 00 Conflict of Interest (Fiscal Agent) Kaiser Permanente asks each fiscal agent organization requesting a contribution to disclose any relationships with Kaiser Permanente that may be, or appear to be, a conflict of interest. Such relationships may not create actual d conflicts of interest and do not necessarily prohibit the requesting organization from receiving a contribution. However, they must be disclosed in order for Kaiser Permanente to complete its due diligence. ;a Q Answer the following question as it pertains to the Fiscal Agent Organization: 09 Do any Kaiser Permanente executives, managers, directors, physicians, or other employees or their family members; o 41 co • Serve as a board member, director, officer, manager, employee or fiduciary agent; or a Have a compensation arrangement or financial interest; or C • Hold any position of substantial influence? • If Yes, in the text box below enter the name of the Kaiser Permanente employee or their family c member and describe the nature of the relationship with the fiscal agent organization. • If No, enter"No" in the text box below. p �a 0 as or If you are unaware of any relationship at this time.but become aware of one during the application process or grant N period we ask that you still disclose the relationship by contacting Kaiser Permanente San Diego Medical Center A Community Benefit Grants Program at So.Cal.Grants(a)kp.orcr with the subject line: Grant Question COI. Y 0 N PAC&COPE (Fiscal Agent) Please answer Yes or No: Does the fiscal agent organization have a political action committee(PAC)or committee a on political education (COPE)? t If Yes, indicate whether or not any portion of this contribution request will be used to support the PAC or COPE or any w program that will support or oppose candidates for public office or political party: c d E Participation by Government Official(Fiscal Agent) a s Packet Pg. 121'i Does a Member of Congress, Executive Branch Official, State Official, or their staff: • Serve as a board member, director, officer, manager, employee or fiduciary agent of the fiscal agent organization; or N • Have a compensation arrangement or financial interest with the fiscal agent organization; or • Hold any position of substantial influence with respect to the fiscal agent organization? • If Yes, in the text box below, enter the name of the Member of Congress, Executive Branch Official, s State Official, or their staff and describe the nature of the relationship with the fiscal agent a organization. E • If No,enter"No" in the text box below. E N LO 0 N PAC & COPE(Fiscal Agent) o Does the fiscal agent organization have a political action committee(PAC)or committee on political education (COPE)? C 0 • If Yes, in the text box below, enter whether or not any portion of this contribution request will be used to v support the PAC or COPE or any program that will support or oppose candidates for public office or political N party. Y • If No, enter"No"in the text box below. cc w M N r.+ C Nondiscrimination Policy (Fiscal Agent) E t Does the fiscal agent organization have a policy or statement that prohibits discrimination on the basis of sex, age, economic status, educational background, race, color, ancestry, national origin, sexual orientation, gender expression, Q gender identity, or marital status? C ? C Please enter Yes or No in the text box below. 0 NA .Q CL Non-Proselytizing(Fiscal Agent) � S If the fiscal agent is a religious or faith-based organization, will the proceeds be used to support general operations, S services and programs of the congregation/membership/students, or to advance religious doctrine or philosophy? Please enter Yes, No, or Not Applicable in the text box below. C 0 0 L Contact Information N 'co Organization Chief Executive Y LO Please enter the following information for your agency's Executive Director, CEO, or President: N e( Prefix w Mr. X w First Name Mickey U Last Name Q 9 Packet Pg. 122 . 5Gc Valdivia Title N Director of !'arks, Recreation and Community Services .2 s Phone a L Please use the following format: (###)### E E (909) 384-5030 LO Fax o N Please use the following format: {###)###-#### a 0 (909) 384-5160 L .1+ E-mail o U valdivia_mi @sbcity.org N Y Request Contact Information Please select this box if the project contact for this proposal is the same as the contact previously provided M for the Chief Executive(CEO, President, or Executive Director.) N No = E If the project contact is not the same as the Chief Executive, please complete the following information for the project contact of this proposal. Q 06 c Prefix o Mr. Q a a First Name ai c Mitch 0 Last Name c Assumma a� a: L Title N Community Recreation Manager Y Ln 0 Phone `" Please use the following format: (909) 384-5132 X w Fax Please use the following format: (###}###-#### (909) 384-5160 a io Packet Pg. 123 5 G.c E-mail assumma_mi @sbcity.org N Grant Request Request Information Q Please provide the following information for your Operation Splash.proposal: E E Project Title cn Please provide a title that describes the project you are proposing o Limit your answer to 10 words. N 2015 Operation Splash: City of San Bernardino 0 Project Start Date 04/01/2015 ° U d N Project End Date 03/31/2016 00 M Amount of funding you are requesting N Please enter the amount of funding you are requesting. $27,000 E s U Total Project Budget `t 06 Please enter the total cost of the project you are proposing. _ 0 $283,108 0 CL Is this project new or continuing work? B Continuing 0 Proposal Narrative In the section below, please describe the need or problem your project addresses,what capacity your organization o has to address this need, your proposed program, and challenges and/or barriers that may impede the work you are m proposing. Include data used to highlight and/or justify the need for this project and cite the references used. N Y Summary `O Please provide a one or two sentence description of your project. N Limit your answer to 25 words. Open Swim:Hernandez and Delmann Heights Pools, Learn-To-Swim:Hernandez Pool, Junior a w Lifeguard:Jerry LewisSwim Center, and ReThink Your Drink for low-income patrons to encourage healthy and active lifestyles. w _ d E s Community Characteristics Q Packet Pg. 124 5Gc � Describe the geographic community you will serve, including statistics on population, race/ethnicity, household income, weight, and fitness levels. The City of San Bernardino Parks, Recreation and Community Services Department serves the residents within the City of San Bernardino boundaries. The 2010 U.S. Census reports that San Bernardino had a population of 209,924. Population density was 3,519.6 people per square mile. The racial makeup of San Bernardino was 60% Hispanic or Latino, 18.2% White, 15%African Cr American, 4% Asian, 1.3% Native American, and 1.5% Other. Out of 59,283 households, 50.1% a had children under the age of 18 living in them, with 22.8% had a female householder with no E husband present and 8.9% had a male householder with no wife present. The average family size E was 3.9. The population has 32% under the age of 18, 12.7% ages 18 to 24, 26.8% ages 25 to 44, 20.6% ages 45 to 64, and 7.9% ages 65 or older. The median household income in 2011 was $40,161; whereas the median household income in the State is $61,632. The percentage of N residents living in poverty in 2011 was 28.6% (1.3% lower than 2009). The unemployed o percentage for the City residents is still above the State average at over 11%. The foreign-born population percentage is well above the State average.. r San Bernardino County is the fourth most obese region in the United States at 25.7%with two out o Of three residents considered overweight or obese. According to UCLA's Center for Healthy Policy Research, the City of San Bernardino has an overwieght/obesity rate at 43.9% per the 2010 N California Physical Fitness Test results of 5th, 7th, & 9th Grade students. According to the Kaiser Y Permanente 2010. Community Needs Assessment Summary of Key Findings, 20.6 % of teens 12 to 19 years old are either overweight or obese. Furthermore, in 2009, 64.1% of girls ages 16 to 23 co were overweight or obese, versus 30.7% of boys in this age group; girls get less physical exercise N than boys. The County has the third highest heart disease rate in the State. 71% of school children do not meet the fitness standards. In the San Bernardino City Unified School District in E the 2008-09 school year, only 22% of 5th, 7th, and 9th grade students were able to meet the California Dept. of Education fitness standards (6 out of 6 measures tested). In addition, 40% of 5th, 7th, and 9th grade students were overweight or obese (did not meet the fitness standard for body composition), and 58% of 5th, 7th, and 9th grade students did not meet the fitness standard o for aerobic capacity. The death rate due to cardiovascular disease (including heart disease, stroke, and hypertension) is 69% higher in City of San Bernardino than in California overall. The Q death rate due to diabetes mellitus is 95% higher in City of San Bernardino than in California a overall. The death rate due to motor vehicle accidents is 170% higher in City of San Bernardino than in California overall. The death rate due to all causes of death is 56% higher in City of San Bernardino than in California overall. There are six times as many unhealthy food retail outlets as o healthy. Two-thirds of adults are not meeting recommended physical activity levels. 0 m Q! L d N Primary Objectives Y Ln List three(3)to five(5) primary objectives for the proposed project. o N PRCSD's primary mission through the aquatics activities and facilities is to promote healthier ' lifestyles, water safety awareness, and a higher quality of life among community residents. This is a one piece of the plan to reduce childhood obesity. A more fit community will help extend lives, reduce healthcare costs, reduce juvenile crime and delinquency, and attract greater business x investment to further the quality of life of our residents. Water play is also a great means for W improving intergenerational family unity. Objective #1: Save lives through the provision of safe learn-to-swim activities that prevent E drownings, especially among youth. Objective #2: Provide junior lifeguard training programs to prepare youth for jobs in lifeguard a 12 Packet Pg. 125 service. Objective #3: Offer swim play opportunities to under-privileged families that promotes safe and healthy physical activity. Objective #4: Engage the low-income pool-attending community at four pool locations and other community partners in a ReThink Your Drink campaign. a Q L E Number of People Expected to Reach or Serve per Objective N For each objective, list the number of unduplicated individuals your program(s)will reach. do r Provide learn-to-swim lessons to 80 low-income youth at the Hernandez Neighborhood Pool. N Provide at least 40 low-income youth with junior lifeguard training at the Jerry Lewis Family Swim Center. Provide swim passes to at least 60 low-income families in San Bernardino for use at Hernandez L and Mill Pools. _ Provide Rethink Your Drink educational material and programming to 600 pool attendees in swim 0 classes, junior lifeguard, and family swim passes activities; 80 low-income Youth Empowerment N members; and over 30,000 open swim participants. The effect of Rethink Your Drink promotion Y upon health improvement specifically is unknown. 00 M Total Number of People Expected to Reach or Serve How many unduplicated individuals will your program(s) reach in total? E r 30,000+ w Q Objective Plans&Activities 06 Describe the activities your organization will undertake to accomplish the objectives. Include details on the duration ° and frequency of activities. (For example, the learn to swim session runs for 10 days over two weeks and each class is.45 minutes in duration.) Specify key staff who will be responsible for the activities. Q CL The learn-to-swim program will be taught by certified water safety instructors. There will be five two-week sessions taught to the general public ages 6-17 years in the summer season. Each daily class is 45 minutes in duration, four days a week, M-Th, with a group size of 8-10. The Junior Lifeguard Program will be offered at the popular Jerry Lewis Family Swim Center in o three 3-week sessions each, four days per week, 45 minutes per daily class. There will be 12-15 students per session, taught by a certified Lifeguard Instructor Trainer or Pool Manager during the 0 regular swim lesson days and times to attract additional interest. Open recreational swim will be promoted to the general public Monday through Saturday in two daily sessions (1:00pm-3:00pm and 3:30pm-5:30pm). All ages are welcome to attend. Pool passes for low-income patrons will be issued prior to opening and throughout the course of the LO season. Rethink Your Drink literature will be made available daily to all pool patrons at four locations (Jerry N Lewis Family Swim Center, Nunez, Hernandez, and Mill Pools) during the Swim Season of a Memorial Day through Labor Day, including pre-season school rental groups at the Jerry Lewis Y Swim Center (over 3,000 attendees), along with banner postings. Long-term promotional items such as water bottles will be handed out at 10-min. end-of-session workshops to each registered w participant of swim classes and junior lifeguard program and other community events, especially at the Operation Splash Kickoff Event/SwimFest and the Summer Reading Program Awards E Event. A Beverage Exchange Program will remain available to all out of the Jerry Lewis Family Swim Center to not only the aquatics audience but also low-income Youth Empowerment a 13 Packet Pg. 126 participants, who will serve as good role models for their peers, and the Summer Reading Program participants. These participants will also lead in a healthy-choice Vending Machine campaign highlighting the sugary beverage controversy. The campaign will also be marketed to libraries through the Summer Reading Program,,Summer Movies-In-The-Park, YMCA, Head Start U families, Boys & Girls Club, El Sol Family Resource Center, and other community partners. a L E Measurable Outcomes For each primary objective listed above, provide a measureable outcome. It is important that outcomes be U) measurable, meaningful, and related directly to your objectives. Describe how progress and accomplishments will be c defined and measured for each outcome listed above. Provide specific information on methods for collecting the data, and specific indicators. 0 The City of San Bernardino offers an aquatics program 10 weeks in duration over the summer months only. Pool Managers and Community Center staff will assist city residents in the Hernandez neighborhood with the registration of 80 individuals into the 2-week learn-to-swim o class sessions (5 sessions) by offering onsite assistance in both Spanish and English. Each learn- to-swim participant will be logged into a hard-copy registration sheet that will be trackable in the y computerized registration system utilized by the Department. Daily attendance will be maintained Y by the swim instructor on site. This data will be recorded daily by the Pool Manager to the Recreation Supervisor and reported in a Monthly Status Report to the Director of Parks, co Recreation and Community Services. A total of 30 under-privileged youth ages 11 to 15 years will be given job training skills in lifesaving at the Jerry Lewis Family Swim Center in preparation for Lifeguard and Water Safety Instructor E certification for future employment opportunities. Both on-site registration and at the Main Office U registration will be offered to low-income qualifying patrons. Registration is tracked through a RecNet, a computerized registration system, and attendance will be logged daily on-site. 06 Coordination and supervision of the training will be provided by a certified Instructor Trainer of the o American Red Cross Guard Start Program; each participant will be required to meet the emergency care procedures as outlined in the GuardStart: Lifeguarding Tomorrow workbook, with both classroom and practical in-water activities. Promotion of the program by direct flier distribution to schools for grades 5-8. 9th Grade Freshmen at each of the City's 4 primary High Schools will also be approached to participate through their water polo and swim programs. A minimum of 60 family pool passes will be issued to qualifying patrons in the Delmann Heights o and Hernandez neighborhoods. Scholarship Applications will be provided to the Delmann Heights and Hernandez Community Centers, as well as the Norton Space and Aeronautic Academy o (adjoining Mill Pool) at pre-season start, both in Spanish and English, from which a laminated Family Pool Pass can be issued on-site upon application approval by an authorized Manager. A notebook of pool passes issued will contain a log of each immediate family member and their age N who are covered by the pass. The pass may be used at the Hernandez and Delmann Heights Y Ln Pools, and there is no limit as to how often the pass may be used. Admittance to the pool will be controlled through a single entry point in order to properly record attendance/participation by the N Recreation Aide attendant or other staff. The Pool Manager is responsible for collecting the daily a attendance data and reporting it on the Daily Attendance/Deposit Sheet, which the Recreation Supervisor consolidates weekly. A computer posting will be available by the Administration Office Staff into the RecNet computerized registration system maintained by the Department. Attendance w that records daily visitation for the open swim portion of the project will be readily available by the project's termination date. All printed Rethink Your Drink literature will get into the hands of swim patrons repeatedly over the hot summer months; hence, all literature will be dispersed/picked up. Periodic surveys in the form w a 14 Packet Pg. 127 5.G.c of a short questionnaire will help us qualify the effectiveness of the message. Pledge Cards will help track the participation of all members, including the Summer Reading Program participants and other youth-serving partners. In addition, the Beverage Exchange Program will produce a minimum of 300 exchanges of sugary drinks with water or non-sweetened tea. Several more Rethink Your Drink banners will be strategically posted throughout the City, water bottles, and other promotional materials will be planned to maximize visibility. The effectiveness of the healthy- a choice vending machine campaign will be based upon a comparison of before and after sales L information and random customer satisfaction surveys. A successful swim program with large E attendance will maximize the audience, along with our partners, to whom the campaign is primarily M intended. Consistently warm to hot weather will only improve results. 0 N O Challenges and Opportunities Provide relevant information on challenges, both internal and external, confronting the proposed project. Describe how you will mitigate those risks. 0 The biggest challenge is matching the services provided to the needs of the community. Open swim will be offered to the general public one week after the close of the School Calendar for .0 Summer Break, as what was started three seasons ago, due to the earlier break for summer by Y the San Bernardino City Unified School District. For those few schools on a year-round schedule, oo an early afternoon session (1:00pm-3:00pm) and a late afternoon session (3:30pm-5:30pm) session are still offered. Cooler weather also reduces the amount of water play activity; hence, a N later in the day start is more encouraging of participation. A low-income community coupled with a CD poor economy continues to make communication another challenge. On-going relationships with E regular community center patrons who are neighborhood families will be actively sought in Y promotion of the swim activities through fliers, word-of-mouth, and other postings and a opportunities (civic group meetings, adjacent community serving facilities/churches/daycare 06 centers/etc.) Gaining back the Delmann Heights community is a new promotional challenge, in o which an active dialogue with the local community groups/organizations such as the Neighborhood Cluster Association, several local churches, Job Corps, and the Head Start Q program will be a good start. Partnering with County Public Health and First 5 in offering a Kickoff a Event is a true blessing in getting this message out to the entire City. Regarding an internal challenge, which is an inherent diminishing pool of qualified lifesaving personnel, the City will offer training and certification classes sponsored by the American Red o Cross directly to the community by maintaining on staff American Red Cross Certified Trainers;. hence, an application will be handed directly to each class graduate to work within our 0 organization. The City will also conduct its own re-certification training as one part of its staff retention program. Junior Lifegard attendees also become future applicants for lifesaving jobs. d A challenge for the ReThink Your Drink campaign is inherent in receipt of the funding dollars in M time to help justify the priority of all personnel spending, which has been made more difficult as we In continue to work through the City's Bankruptcy. The City's Charter amendment issues to reduce o the high cost of public safety services has created a residual cutback in services, especially in N part-time lifeguarding services and pool maintenance. a r X W Community Outreach In the following section, please describe your outreach plan for informing residents about Operation Splash activities. _ U 15 Packet Pg. 128 Targeting Participants How will you target low-income participants for the program(s)? The best method for targeting low-income participant for learn-to-swim classes and pool pass issuance is through word-of-mouth referral and flier marketing. With one of the lowest Median 2 Family Incomes in the country, San Bernardino residents are likely to be a "walking" clientele. A Cr host of partners and user groups of our community centers and other park facilities already exists a (Boys & Girls Clubs of San Bernardino, YMCA, Salvation Army, Goodwill, Head Start, Arrowhead United Way, Inland Congregation El Sol Neighborhood Educational Center, Office of Neighborly E Services, SB Community Service Center, Little League groups, etc.). These sources will be cn provided Scholarship Applications and promotional fliers. Many churches also sponsor human T interest groups and non-profits who can be tapped into as a referral source (Inland Congregations N United For Change, Catholic Charities, Lutheran Disaster Services, New Hope Missionary Baptist Church, Victory Outreach Resource Center, Young Visionaries Youth Leadership Academy, 2 Ecclesia Christian Fellowship, etc.). A host of government agencies who are involved in providing .2 all types of assistance to low-income patrons (San Bernardino County Department of Public o Health, public libraries, SB County Department of Children and Family Services, Community Action Partnership, SB County Probation, City of SB Neighborhood Watch, 30 Neighborhood N Cluster Associations, Mexican Consolate, etc.) will be provided promotional materials. Flier distribution to public and private charter schools and PTA's will be utilized to market the Junior Y Lifeguard Program, in addition to routine PTA's to media sources, such as newsprint, T.V., and radio. The City will also continue to utilize available technology such as the Department's Home Page www.cityofsbcity.org (and various social media: Twitter/Facebook applications. For some of cn the Rethink Your Drink projects and the Junior Lifeguard Program, the SB Unified School District will be instrumental in dispersal of promotional fliers as well as the direct approach to the source: teachers, coaches, nurses, and administrators. Y r_ 0 Eligibility U U How will you define and determine eligibility? a Q Eligibility will be determined through a Youth Scholarship Program application process that the City has utilized for many years. Residency and income verification is included in the process. q Poverty guidelines provided by the Federal Register serve as the foundation for the approval of o free services, with a sliding scale of percentage subsidy. To expedite service delivery, facility managers on-site are provided the authority to approve the Form and attached documentation. o Forms are provided in both Spanish and English. Furthermore, since over 87% of the students in the SB Unified School District already qualify for a low-cost or no-cost Federally subsidized meal, promotion through the District's system will satisfy this guideline. y 'o Y Ln 0 N Tracking a Describe how you will track participation in the program(s). r As already noted, participation is tracked through a combination of real-time computerized x registration and reporting (RecNet) system and manual log sheets. Monthly Status Reports are W provided off daily activity and deposit sheets maintained by frontline staff and cash register tapes at each pool location, as well as by the nutrition and Youth Empowerment Staff. Regarding the E Learn-To-Swim classes and Junior Lifeguard Program, effectiveness in course instruction will be noted by an evaluation of responses to brief surveys of each participant at the end of each session Q 16 Packet Pg. 129' M' � 5 IG C ` to ensure quality instruction and patron satisfaction. The ReThink Your Drink campaign educational and promotional materials produced will be fully dispersed. N t1 lII Communications&Visibility 4 L Launch Date Provide the anticipated launch date for your program. E June 5, 2015 LO LO r 0 N Visibility Describe plans to communicate your progress and results to an external audience(e.g., newsletters, press releases, 0 presentations). Promotion of all activities of the 2015 Aquatics Season will begin no later than eight weeks prior to the Launch Date (Kick-Off Event), allowing for sufficient time for low-income service recipients to submit their completed scholarship applications and pre-register for pool passes and learn-to- y swim class space. It will also allow for time needed to process purchases of promotional materials Y and the like, as well to secure long-term promotional materials such as the water bottles and short-term fliers/recipe and pledge cards/posters/banners for the ReThink Your Drink campaign. co Other aquatics activities such a school, church, and community group rentals and lifeguard/WSI/water safety certification classes will precede the learn-to-swim, junior lifeguard, and 0 open swim activities to also serve as marketing outlets. Registration will be on-going. Marketing to 4) target groups will be accomplished by production and distribution of fliers in both Spanish and English. The Learn-To-Swim and Junior Lifeguard fliers will be issued to all students of the San Bernardino City Unified School District in grades 5-8, as well as youth-serving organizations, a service groups, churches, large businesses, community centers and other public buildings. 06 Periodic press releases with photos will be dispersd to a local and regional media list, on the City's o website, and public cable access Channel 3 (IEMG). Announcements and recognitions of the 0 contribution will be provided at several televised City Council Meetings and at other Parks and a Recreation Commission Meetings. Grant successes are also highlighted at the annual budget a review and development meeting for the department and at the monthly department head meetings. A media event is proposed for the discarding of the beverages acquired through the Beverage Exchange { "End-of-Summer Sugar FLUSH"). O 0 a o! L Other Support N Funding and Collaborative Partners Y Other partners involved in coordination, collaboration, and/or provision of this project. Please list and describe. o American Red Cross is the primary health and safety certifying body for the City's program staff. N The San Bernardino County Environmental Health Division and County Fire Department a Hazardous Materials Division both work closely with the City to ensure proper public pool Q operation and sanitation/code compliance. The independent San Bernardino Water Department x currently supplements a portion of the City's water costs and is collaborating with the City on W various water conservation programs due to the the State's drought severity conditions. Swim activities at the 9th Street Community Center Pool (Boys & Girls Club) are provided through a E partnership with the Boys & Girls Club of San Bernardino, although an underground plumbing break and equipment failure have delayed pool use at the present time. In addition, several a 17 Packet Pg. 130 teachers, coaches, and administrators of the San Bernardiono City Unified School District assist the Department in various roles as a part of a joint use of facilities agreement between the City and School District (and a means to promote for Junior Lifeguard participants). There are a host of community groups that serve similar clientele. The PRCSD will be working closely with the City Library's Summer Reading Program students, as well as co-planning of the Operation Splash 3 Kick-Off Event with County First 5 and County Public Health. a L cd cGc G Kaiser Permanente Involvement L List Kaiser Permanente physicians and/or employees involved with your organization and/or project. c N NONE r_ L i+ O Other Kaiser Permanente Requests v L List other pending proposals to Kaiser Permanente. (include amount and purpose.) y If you have no pending proposals, please type"None." 1 to Kaiser Fontana & Ontario Medical Center Community Benefit Grants Program, $25,000: Learn-To- Swim and free open swim to low-income patrons at the Nunez Pool (invitation to apply in December 2014 is probable). 0 E Healthy Beverage Campaign Who is the target of the Healthy Beverage Campaign message? Q The City of San Bernardino through its Rethink Your Drink campaign will target all patrons of swim C activities, all ages and both genders, including low-income registered swim lesson, junior 0 lifeguard, and family pass recipients from the community's general populace of 213,000+. Particular outreach will be made to the Youth Empowerment pre-teen and teen participants at Q local community centers, as well as various community group partners and other public agencies. a The City Library Summer Reading Program participants are also targeted. W J C 0 C Through what channels will the audiences receive that message? a� All printed Rethink Your Drink literature will get into the hands of swim patrons repeatedly over the hot summer months; hence, all literature will be dispersed/picked up. Periodic surveys in the form y of a short questionnaire will help us qualify the effectiveness of the message. Pledge Cards will Y help track the participation of all members, including the Summer Reading Program participants Ln and other youth-serving partners. A successful swim program with large attendance will maximize N the audience to whom the campaign is primarily intended. The San Bernardino City Unified School District will assist the City through various communication methods in dispersing the information a (free swim instruction,junior lifeguard program, family passes included). X W u c m How will you know the audiences received the message? E Through distribution of hard copy literature (especially a simple Rethink Your Drink Fact Sheet) a �s Packet Pg. 131 5 G.c and periodic simple questionnaire will we be able to see greater effectiveness of our campaign. In addition, the receipt of Pledge Cards, the Exchange of beverages, the distribution of the water 4 bottles, and the attendance at highlighted events will be a marker of how well the message was received by the target audience. a L How will you train your staff to deliver that message? The Rethink Your Drink information will be included as an agenda item at all aquatics staff In- in Service Training sessions, as well as at monthly Community Center staff meetings (each LO community center manager will share with front-line staff as well). All aquatics staff will be given N full administrative support to embellish the "message" to the fullest; new promotional ideas are r_ always accepted and implemented as feasible. In most circumstances, the skill sets and resources 2 of the staff leadership has already been tapped for this purpose (for instance, the Recreation Supervisor has 24 years experience oversighting aquatics physical activities management and is a PE instructor by trade, and the Recreation Coordinator guiding the Youth Empowerment group is L) an experienced videographer and student of graphic design as well as partially-funded through a y grant of the California Nutrition Network). The County of San Bernardino Public Health is also Y available to provide the training for presenting the anti-sugary beverage message to each pool manager/presenter. `. CO M N r+ C d How will staff serve as.a role model for the Healthy Beverage Campaign message? At all in-house departmental staff meetings the employees are treated to healthy meeting snacks and drinks, as well as at staff socials such as recognition luncheons and holiday events. The < Rethink Your Drink publications will be incorporated into the City's Intranet web page that is o accessible to all City employees. A role model/mentor section of the annual Department Employee p Staff In-Service Training Day will include the Rethink Your Drink campaign at the May/June 2015 Training. All Staff are encouraged to maintain the same Pledge as the target audience, including a encouragement to engage in healthy snacks and meals from home rather than fast-food CD purchases; vending machine purchases are discouraged. S 0 C 0 How will you measure success of the campaign? It is difficult to know what the success of our individual actions will be; but, we hope to see the city- wide health statistics improve over the next decade. We will deliver the message to the 30,000+ N target population as noted, in which participation is recorded and reported periodically. Having Y Rethink Your Drink literature provided to each swim activity participant is a success in itself... and o the more people involved in swim activities the greater the potential effect of the campaign. The N Youth Empowerment and others' Pledge Cards and numbers of beverages exchanged will allow a us to know that the message has been given, and awareness through staff as role models will w reinforce that message. Periodic surveys will be used to serve as additional reminders of the campaign ideals, at which time feedback can help us qualify some of that success as well, w d E How will your facilities reinforce that message? a 19 Packet:Pg. 132 The Rethink Your Drink message will be reinforced through the Department's Seasonal website posting, through flier handouts at public front desk displays, through banner postings, and as reportable Department successes to City Council, Parks and Recreation Commission, Senior Affiars Commission and other public meetings. a Q L Request Demographics E Please provide the following information about the group(s)targeted by your proposal cn T 0 N Population Served _ Please select the top three(3) populations served. ° Broader Community Ethnic Minority o Low-Moderate Income L Age Group of the Population Served N If your project will serve all ages listed, please select"All,"Otherwise, please select all that apply. Y (0-12) Children (13-17) Teens oo All Ages Gender of the Population Served If your project will serve all genders listed, please select"All."Otherwise, select the primary population. All Q Ethnicity of the Population Served o Please select all that apply, with the primary population selected first. Please select"Other"if your project serves an M ethnicity not listed. .Q American Indian or Alaska Native a Asian = Asian -Vietnamese J South Asian (Incl Indian, Pakistani, Afghani) O Black -African-American Black- Other Black 0 Latino/Hispanic Middle Eastern d Native Hawaiian Pacific Islander Y Ln White o N Attachments a Title File Name s 1. Tax Exempt Status CityofSanBernardino IRS Tax Exempt w Status.pdf 3. List of Officers and City of San Bernardino of Officers E Directors & Directors 2014.pdf U 4. Evaluation Plan City of San Bernardino Evaluation Plan a zo Packet Pg. 133 2015 - OpenSwimSwimPass.pdf • 4. Evaluation Plan City of San Bernardino Evaluation Plan 2015 -JuniorLifeguard.pdf 4. Evaluation Plan City of San Bernardino Evaluation Plan 2015 - LearnToSwim.pdf City of San Bernardino Evaluation Plan_ Cr 4. Evaluation Plan 2015 - RethinkYourDrink.pdf Q L 5. Budget Template City of San Bernardino Budaet.pdf E 6. Program Budget Narrative Budget of San Bernardino Program Budget Narrative 2015.pdf to 7. Pool List City of San Bernardino Pool Lists.pdf o 8. W9 City of San Bernardino W-9.pdf N City of San Bernardino Organization o 10. Organization Budget Budget 2014-245 - Adopted Budget CityofSB - FY2014-15.pdf City of San Bernardino Organization 0 10. Organization Budget Budget FY2014-15 PRCSDepartment L Bud get.pdf N 9. Audited Financial City of San Y Statement Bernardino AuditedFinancialStatement, 2012.pdf co 6. Program Budget Narrative CityofSanBernardino ProgBudgetNar- Job Descriptions.pdf CityofSanBernardino ProgBud etcNar- 6. Program Budget Narrative Staff RosterAquatics 2014.pdf 2. Cover Letter City of San Bernardino Cover w Letter.pdf 06 Files attached to this form may be deleted 120 days after submission. .2 CL a CD ' J C O t0 C O M d d N .. Y r 0 N Q t k W C d E t V Q 21 Packet Pg. 134 ��' �]CC Department of the Treasury v IRS Internal Revenue Service ` P.O. Box 2508 In reply refer to : 0248221235 Cincinnati OH 45201 Oct . 30 , 2009 LTR 40760 EO 95-6000772 000000 00 - 000,14241 BODC: TE 2 s Q L CITY OF SAN BERNARDINO CITY HALL E MICHAEL GOMEZ 300 N D ST Cn . 'j SN BERNRDNO CA 92418-0001 N C O 003426 +' Federal Identification Number : 95-6000772 Person to Contact : April Howard 0 Toll. Free Telephone Number: 1-877-829-5500 L) a� N Dear Taxpayer: Y 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 0 to you . W E GOVERNMENTAL UNITS U Governmental units , such as States and their political subdivisions , are not generally subject to federal income tax . Political d subdivisions of a State are entities with one or more of the 06 c sovereign powers of the State such as the power to tax. Typically O they include counties or municipalities and their agencies or 2 departments . Charitable contributions to governmental units are - tax-deductible under section 170 (c) ( 1) of the Internal Revenue Code 0 if made for a public purpose , d c ENTITIES MEETING THE REQUIREMENTS OF SECTION 115( 1) An entity that is not a governmental unit but that performs an c O essential government function may not be subject to federal income tax, pursuant to Code section 115(1) . The income of such entities is = 0 excluded from the definition of gross income as longs 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 m subdivision of a State, or the District of Columbia. Contributions .m made to entities whose income is excluded income under section 115 Y may not be tax deductible to contributors. 0 N TAX-EXEMPT CHARITABLE ORGANIZATIONS ' An organization affiliated with a State , county , or municipal Q 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 w 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 E circumstances . See Revenue Procedure 2003-12 , 2003-1 C .B. 316 . Q Packet Pg. 135 W 5Gc ° 0248221235 Oct . 30 , 2009 LTR 4076C EO 95-6000772 000000 00 00014242 W M CITY OF SAN BERNARDINO CITY HALL Cr MICHAEL GOMEZ L 300 N D ST a) SN BERNRDWO CA 92418-0001 E N Ln 0 N Most entities must file a Form 1023, Application for Recognition = of Exemption Under Section 501 ( c) ) (3) of the Internal Revenue Code , o to request a determination that the organization is exempt front � federal income tax under 501(c) (3) of the Code and that charitable contributions are tax deductible to contributors under section 0 0 170 (c) (2) . In addition , private foundations and other persons V sometimes want assurance that their grants or contributions are made N to a governmental unit or a public charity. Generally, grantors and contributors may rely on the status of governmental units based on Y State or local law. Form 1023 and Publication 4220 , Applying for cs� 501 (c) (3) Tax-Exempt Status , are available online at www.irs .gov/eo. M We hope this general information will be of assistance to you. This y letter , however, does not determine that you have any particular (D tax status . If you are unsure of your status as a governmental unit E 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) . o If you have any questions, please call us at the telephone number U shown in the heading of this letter. Q CL CD a Sincerely Yours , J C 0 0 0 Michele M. Sullivan , Oper . Mgr . Accounts Management Operations I N Y LO 0 N a X w ..: _ v E r a Packet Pg. 136 Mickey Valdivia Director of Parks,Recreation&Community Services y { c vM Q San Bernar ii o E Std U) November 3,2014 `_ 0 N C O Community Benefit Grants Program Kaiser Permanente Public Affairs Office Attn: Roberta Tinajero-Frankel c 393 E.Walnut Street,2nd Floor tj Pasadena,CA 91188 L m N Dear Ms.Tinajero-Frankel: Y The City of San Bernardino is in receipt of your invitation to apply for funds for Operation Splash 2015. We are proud to T_ once again share in this opportunity to address serious public health issues such as youth obesity through water play activity, alongside the Kaiser Permanente family. This challenge begins with healthy environments that include accessible parks and safe"swim playgrounds" such as with pools, spray apparatus, and waterslides. The high poverty rate, low median family a income levels,and the growth in the Hispanic/Latino and African American populations,who are disproportionately affected E by overweight and obesity,even further stresses the resources of the San Bernardino community to affect lasting good health changes. We desperately need to ensure our residents get consistent access to our aquatics facilities and activities during summer months;our summer aquatics programs are a focal point for healthy eating and active living. Q _ 06 Operation Splash this past 2014 Aquatics Season helped us collectively provide for 26,241 active-play visits to our o programmed water play facilities,drowning prevention learn-to-swim lessons for 474 patrons,and the life skills development for future employment of 32 Junior Lifeguard recipients between the ages of 11 and 14 years. Indeed, we issued 88 pool 9 passes to low-income qualifying residents representing 428 family members, which is an increase of 32% over last year Q despite a decline in total city-wide activity in open swim by 19%. Furthermore, we continue to educate the community in Q making healthier food choices through our active promotion of the Rethink Your Drink campaign to the aquatics audience c through the distribution of over 8,000 flier copies,posting of a dozen banners and four dozen posters, and dispersal of 2,000 in Rethink Your Drink lapel pins and refrigerator magnets. Despite our current financial challenges as a city,the Department of 0 Parks, Recreation and Community Services will build on our successes in furthering opportunities for our low-income residents to gain greater access to our swim facilities through free swim passes, improve basic water safety and swimming o skills through learn-to-swim classes, obtain useful job training skills in lifeguarding through offering a junior lifeguard •2 program,and become better educated on healthy beverage selection through the Rethink Your Drink campaign.We truly feel we are making a difference even with recent fiscal year budget reductions at the lowest resource level in over a decade. I thank you for your past support of our efforts and hope we can continue to partner with Kaiser through your Community Y Benefit Program to be a service arm to the San Bernardino community in improving its community health through long-term, LO sustainable change embodied in Operation Splash. N Sincerely, Q K Mickey Valdivia w Director c "Parks Make Life Better" c� cc: Allen J.Parker,City Manager Q Enclosures Packet Pg. 137 Elected Officials �hs,rtY' y�`'y�+,•-3•-.._,,^. -' L R. Carey Davis at E Mayor R. Carey Davis is the 28th Mayor of the City of San Bernardino. His agenda of restoring fiscal sanity is focused on LO emerging the City from its current fiscal condition,creating CD economic opportunities for our residents, and increasing the `° quality of life. o Read more about R. Carey Davis L O • U q Virginia Marquez A Virginia Marquez was elected as the 1st Ward City Councilwoman in November of 2009 and on March 1, . <r 2010, she took the oath of office and was officially sworn o in to duty. N a•+ _ N Read more about Virginia Marquez Q Benito J. Barrios 06 Benito J. Barrios grew up in San Bernardino California and graduated from Pacific High School in 1993. Five 2 days after graduating from high school, Benito went to Q boot camp and on September 17th 1993, he became a Q United States Marine. c J Read more about Benito J. Barrios = 0 O j John Valdivia Elected November 2011 with nearly 70% of the total N vote, Councilman John Valdivia is committed to neighborhood values, and grew up in San Bernardino. LO 0 Read more about John Valdivia N Q 4 1 c I'" x w a� E U Q Packet Pg. 138 F/ Fred Shorett Z. y ; N Fred Shorett, a 3rd-generation San Bernardino resident and small businessman was elected to represent the s p Q citizens of the 4th Ward in a Special Election in March of 2009. He received more than 72% of the total vote. E E Cn LO Read more about Fred Shorett c Henry Nickel o .a Henry Nickel was elected the 5th Ward City Council c _•;� Member in a special election on February 4, o 2014. Council Member Henry Nickel serves as a member m s t of the Ways and Means Committee, the Legislative Review Committee... Y s' ca Read more about Henry Nickel 00 I'M M ° . Rikke Van Johnson c m .: E Rikke Van Johnson was elected to the City Council in h' November 2003 and was sworn in to represent the Q . .w t<� residents of the Sixth Ward of the City of San � Bernardino on March 1, 2004. He was re-elected to 0 his third term on the City Council in November of 0 2011. His current term will expire in March 2016. Q a Read more about Rikke Van Johnson c 41 / .NGO ° O James L. Mulvihill • ' C O Born July 13, 1944 in Kansas City, Missouri where he lived until the death of his father in 1957. Then moved L to Buffalo N.Y. where he graduated from Amherst .A Central High School in 1962... Y LO 0 N Read more about James L. Mulvihill ^d /''�;,::: �� .u.,�.. n,N.....� FIX cn:r .t ..�.. . n., s,''�4,'^��il ✓r` ; �`2. "�r4F.: .Q X w c a� E s U w a Packet Pg. 139 N U t0 Photo not a available Gary D. Saenz E E U) LO Iwo WIN C Georgeann "Gigi" Hanna := Georgeann "Gigi" Hanna is a native of Blue Mound, Illinois, who moved to California when she was 9 years v old. The youngest of four children, she graduated from L high school in Pasadena, received her Bachelor of Arts in U) Journalism from Humboldt State University... Y Read more about the Clerk's Office `c oo M ii K"s = David C. Kennedy � E The City Treasurer is a part-time position elected at large Cz to a four-year term. The City Treasurer is responsible for ¢ RV 1 overseeing City investments and related policies as " established by the Common Council. o �o U Read more about David C. Kennedy S c O c 0 o! L Y LO 0 N Q r X W C d E U Z • Q Packet Pg. 140 5,G.c a m N y:, 0 ° A O ° _ rna N mro U 4 c a� N c v ca a) ° o ro o E m v c c a N U 3 N w v c m c a m N Q 700 si c °« a0 , a-aimo•� ai�•o o d U - 0.'NO 2O l` m O-O t E C o r V L H__ U 0 on CF ZA °- O a) ° N� � c•- ° aci0 v o C U E N .N-. 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Emaomo � o� � > a. m 0 Packet Pg. 144 5.G.c 04 KAISER PERMANENTE cNj Benefit Grant;x Prograi�:-;�;�::�, ,x. '��;1 ;:� ,`•,; � a ax � Organization Name: City of San Bernardino - PRCSD Project Title: Operation Splash 2015 Date: 11/14/2014 0 N Learn-to-Swim(Hernandez Pool);Junior Lifeguard Program Request from Other (Jerry Lewis Family Swim Center);Open Swim(Swim Passes Kaiser In-Kind TOTAL p (Hernandez&Mill Pools)&Rethink Your Drink Kaiser Foundation Contribution BUDGET Hosipitals of Income PERSONNEL/STAFFING EXPENSES �- (List title and %on project) 0 0 1 Aquatics Rec. Su v. (P/T) -45% $ 5,400.00 $ 5,400.00 v 2 Coord./Instr.Trainer Jr.L/G Program)-100% $ 1,108.00 $ 1,108.00 U) 3 Pool Manager I&II-50%/100% $ 4,877.00 $ 4,877.00 f° Y 4 Senior Lifeguard -50%/100% $ 4,066.00 5 Life uard Cashier/Cust./Maint. -50%/100% $ 4,999.00 $ 4,999.00 6 Recreation Coordinator(RYD)-5% $ 336.00 $ 336.00 rn Subtotal, Person nel/Staffi ng Expenses $ 20,786.00 $ $ - $ 20,786.00 w Benefits( 5.3 %of Personnel) $ 1,101.66 $ 1,101.66 TOTAL, PERSONNEL $ 21,887.66 $ $ - $ 21,887.66 PROGRAM/OPERATING EXPENSES 06 Office Supplies -forms, certs., passes $ 140.00 $ 140.00 c O Communications(e.g.,printing,copying)JrLIG:13,000 copies plus +' 4,000 swim filers @ 8cents ea. $ 1,360.00 $ 1,360.00 V Communications(e.g.,printing,copying)-Rethink Your brink materialsthandouts and banners $ 500.00 $ 500.00 CL Customized promo items(refrigerator magnets,pins)for Rethink Q Your Drink $ 2,200.00 $ 2'200.06 y Water&unsweetened tea for Rethink Your Drink Summer Beverage S Exchange Program $ 300.00 $ 300.00 J Jr.UG Handbooks -$12 X 10ea. $ 240.00 $ 240.00 = O Learn-to-Swim Teaching Aides $ 200.00 $ 200.00 C c First Aid Supplies $ 50.00 $ 50.00 2 Suppt'I Custodial&Maintenance Supplies $ 122.34 $ 122.34 M (D L TOTAL,PROGRAM EXPENSES $ 5,112.34 $ - $ - $ 5,112.34 tr�i INDIRECT/OVERHEAD EXPENSE* Y (_%of Expenses) $ - `n r TOTAL EXPENSES °. (Personnel + Program + Indirect) $ 27,000.00 $ 717 - $ 27,000.00 Q Created 10113105; Revised 09108/2010 t. Kaiser Foundation Hospitals,Southern California Region .Q K * Note: It is the policy of Kaiser Foundation Hospitals that administrative overhead or indirect costs up to a maximum of w 15 percent of total direct costs will be allowed. The following items must be omitted from the total direct costs c calculation: subcontracts,capital improvements,and equipment purchases. E E s Q Packet Pg. 145 5 G:c Operation SPLASH City of San Bernardino—PRCSD Project Description: �a Aquatics activity planning and facilities management are an essential part of municipal a recreation and leisure services delivery. Operation SPLASH funding allows the Department of Q Parks, Recreation and Community Services to increase access to community pools via issuance of pool passes for those who cannot afford to attend Hernandez and Delmann Heights Pools, E which are located in disadvantaged areas of the City. The Department will also offer the N opportunity for low-income youth(ages 6-17 years) to learn how to swim at the Hernandez Pool c and continue to offer to the under-privileged San Bernardino community at large a N comprehensive Junior Lifeguard Program at a heavily reduced cost for ages 11 to 15 years. A o summer only Junior Lifeguard Program will be offered at the Jerry Lewis Family Swim Center. The Department will also re-launch this summer a"Rethink Your Drink" campaign marketed to the aquatics activities participants at each of four pool locations, as well as through various o community group partners. Continuity in these programs is critical in affecting community behavioral change in health.habits. The community is coming to expect these activities with y enthusiasm. Y Narrative Justification: o Learn-to-Swim: The Hernandez Pool is located in downtown San Bernardino and serves a "walking" clientele. The staff at the Hernandez Pool (1 Pool Manager, 1 Senior Lifeguard, 1 E Lifeguard) are certified swim instructors. Learn-to-swim classes will be taught from 6:OOpm- 6:45pm, following open swim. Five 2-week swim sessions, M-Th, will be taught to two classes Q of 8-10 students each session (64-80 novice swimmers). Office supplies include 08 reporting/recording materials and certificates of completion for each student. Other expenses are o to replace learn-to-swim aides as needed and other training items and for basic custodial supplies , (toiletries and cleaning supplies)for direct use of bathhouse facilities. Q Junior Lifeguard Program: Personnel expenses cover the coordinator of the overall program, who is Instructor Trainer certified, with some planning time to promote the program ahead of time and also to complete post-season reporting and evaluation. Promotion of the program by o direct flier distribution to schools is critical; paper and printing will be accomplished with in- �a house services at City Hall. Handbooks, purchased from the American Red Cross (Guardstart o Program), are provided to each student. Staff and activities at the Jerry Lewis Family Swim Center will assist students in providing practical on-the-job mentoring opportunities. Three 3- L week sessions, 4-days per week, 45-minutes per day will be taught to 10-15 students each N session at the Jerry Lewis Family Swim Center from June — August only. Students at age 16 Y LO years (post program) will be encouraged to attend local City-sponsored Lifeguard and Water Safety Instructor certification courses to qualify them for jobs within the City of San Bernardino. N Swim Passes: Personnel Expenses cover the cost for one Pool Manager, one Senior Lifeguard, Q and one Lifeguard at each of two pools: Hernandez and Delmann Heights. The Delmann s Heights Pool is a new challenge for us since it was poorly programmed by the Boys& Girls Club w prior to the summer of 2014. 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:OOpm-3:OOpm & 3:30pm-5:30pm for a 10-week summer season only. Additional funding will allow the Department to offer the second of the two daily swim sessions for which swim pass users may attend either. Basic custodial supplies Q (toiletries, cleaning) and office supplies (swim passes, forms/reporting sheets, reg. materials) are Packet,Pg. 146 5.G.c included. 3,000 visitations are projected between the two sites, both daily sessions, in this 10- week season. Pool passes will be issued to qualifying attendees; the majority of attendees will likely qualify for free family swim passes and attend as a family 2-3 days per week (approximately 60-70 family passes, one pass represents a family of 4 on average). A minimal y user fee(50 cents-$2.00 per visit)may be collected for all others. a Rethink Your Drink: The Department's Recreation Supervisor and the Recreation Coordinator L in charge of coordinating nutrition education activities as a member of the California Nutrition Network will assist the Youth Empowerment members at less than 5 hours a week for 12 weeks E over the summer months. Operating expenses for the campaign will include the purchase of U) In promotional items (long-term messaging/reminder), such as water bottles to encourage families to drink more water, handed out to all swim class,junior lifeguard, and family pass patrons. This N year the Youth Empowerment members will be challenged to design posters to display near city- .2 owned vending machines to promote the awareness of reducing the consumption of sugary beverages. Printed materials for Rethink Your Drink will also be purchased and distributed to all open swim participants on a daily basis, in addition to what materials can be acquired from San o Bernardino County Public Health. A few more 4'X6' banners will also be purchased and posted U throughout the City at public facilities to continue the "brand" or "message" recognition. A N special 5-minute demonstration and/or video promoting healthy drink alternatives will be shown Y on the last day of each two-week swim session(5 sessions, 3 swim class sites). Low-income pre- teens and teens that participate in the Youth Empowerment program (approx.. 80) will also be co able to take another summer Pledge. A "Sugar Flush" event will take place at the close of Summer following the Beverage Exchange with the entire aquatics audience, requiring the purchase of water and unsweetened tea to exchange for sugary beverages that will be discarded E down the drain,hopefully gaining the attention of media. a C 0 M U Q sa a Q J 0 C O d L d N Y 0 N Q t X W C d E s U a Packet Pg. 147 5:G.c f/! LIST OF CITY OF SAN BERNARDINO POOLS M rr a Mill Pool l lernandez Center Pool (swinii Nas:es & l..earn-To-Stvim) 533 E. Central Ave 222 N. Lugo Ave. E E (909) 384--5422 (909) 384-5420 rn Ln CD Del.mann heights Pool(Sw:im Passes)Nunez Pool(Swim Passes&Learn-To-Swim) 2969 N. Flores Ave 1717 W. 51 St (909) 384-5418 (909) 384-5421 •2 Boys & Girls Club Pool Center for Individual Development 1180 West Ninth Street 8088 Palm Lane ° U (909) 888-6751 (909) 384-5426, Cynthia Alvarado-Crawford N .lorry 1..,ewis Family Swint C.,enter(Jttnlor l:ll'e uRI'd ht"C14'_'r£lfn} `� 831 East Highland Avenue (909) 384-5419 v N ar CONTACT: Jason Siegersma,Aquatics Recreation Supervisor, 909-841-6709 Mitch Assumma, Community Recreation Manager, 909-384-5132, 909-772-0330 E Note: All pools are maintained by the City of San Bernardino, except the C.I.D. is maintained by Q the San Bernardino City Schools and managed by City of San Bernardino PRCSD. In addition, 06 the Boys & Girls Club of San Bernardino manages the aquatics programs of the Boys&Girls o Club Pool (9"'Street Community Center). The Delmann Heights Pool was managed by the Boys M & Girls Club prior to the Summer of 2014. Arrangements with the Norton Space and Aeronautic Q Academy, a San Bernardino County Schools Charter School. to utilize the Mill Pool adjoining Q their campus for Summer School Session are in the preliminary discussions for 2015. J C 0 O d L Q� A Y Ln 0 N Q t k W C d E V Q Packet Pg. 148'' 5.G.c Form W-9 Request for Taxpayer Give Form to the (Rev.August 2013) requester.Do not Identification Number and Certification send to the IRS. Department of the Treasury y Internal Revenue Service U Name(as shown on your income tax return) City of San Bernardino City Hall N Business name/disregarded entity name,if different from above Q i m d CD E CU -Q Check appropriate box for federal tax classification: Exemptions(see instructions): c E O ❑Individual/sole proprietor ❑ C Corporation ❑ S Corporation ❑ Partnership ❑TrusUestate ut a o Exempt payee code(if any) 3 v ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► Exemption from FATCA reporting O 0 2 � y code(if any) C (V EL o ❑ Other(see instructions)► U Address(number,street,and apt.or suite no.) Requester's name and address(optional) O • a.+ u 300 N."D"Street City,state,and ZIP code m y, � C m San Bernardino CA,92418 p List account number(s)here(optional) fJ i d Mn •. Taxpayer Identification Number(TIN) M Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name"line Soclai security number Y to avoid 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 -m - oo entities,it is your employer identification number(EIN).If you do not have a number,see How to get a �j M T1N on page 3. Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification number y C number to enter. 6 1 0 0 1 0 7 7 2 Certification 5 _.._ tv Under penalties of perjury, I certify that: Q 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 C 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 2 no longer subject to backup withholding,and tip U 3. 1 am a U.S.citizen or other U.S.person(defined below),and rL 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. CL Q 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 m 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 c interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and J generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the c instructions on page 3. O Sign signature y Community Recreation Manager 6 U.S.pHere erson 11. Date 11- 0 General Instructions withholding tax on foreign partners'share of effectively connected income,and Q 4.Certify that FATCA code(s)entered on this form{if any)indicating that you are Section references are to the Internal Revenue Code unless otherwise noted. exempt from the FATCA reporting,is correct. d Future developments.The IRS has created a page on IRS.gov for information Note.If you are a U.S.person and a requester gives you a form other than Form N about Form W-9,at www.irs.gov/w9.Information about any future developments W-9 to request your TIN,you must use the requester's form if it is substantially affecting Form W-9(such as legislation enacted after we release It)will be posted similar to this Form W-9. Y on that page. Definition of a U.S.person.For federal tax purposes,you are considered a U.S. LO Purpose of Form person if you are: N A person who is required to file an information return with the IRS must obtain your •An individual who is a U.S.citizen or U.S.resident alien, correct taxpayer identification number(TIN)to report,for example,income paid to •A partnership,corporation,company,or association created or organized in the Q you;payments made to you in settlement of payment card and third party network United States or under the laws of the United States, transactions,real estate transactions,mortgage interest you paid,acquisition or •An estate(other than a foreign estate),or abandonment of secured property,cancellation of debt,or contributions you made . to an IRA. A domestic trust(as defined in Regulations section 301.7701 7). s Use Form W-9 only if you are a U.S.person(including a resident alien),to Special rules for partnerships.Partnerships that conduct a trade or business in X provide your correct TIN to the person requesting it(the requester)and,when the United States are generally required to pay a withholding tax under section W 1446 on any foreign partners'share of effectively connected taxable income from applicable,to: +% such business.Further,in certain cases where a Form W-9 has not been received, C 1.Certify that the TIN you are giving is correct(or you are wafting for a number the rules under section 1446 require a partnership to presume that a partner is a d to be issued), foreign person,and pay the section 1446 withholding tax.Therefore,if you are a E 2.Certify that you are not subject to backup withholding,or U.S.person that is a partner in a partnership conducting a trade or business in the U 3.Claim exemption from backup withholding if you are a U,S.exempt payee.If United States,provide Form W-9 to the partnership to establish your U.S.status applicable,you are also certifying that as a U.S.person,your allocable share of and avoid section 1446 withholding on your share of partnership income. any partnership income from a U.S.trade or business is not subject to the Q Cat.No.10231X Form W-9(Rev,8-2013) Packet Pg. 149 Form W-9 iRev.8-2013) Page 2 In the cases below,the following person must give Form W-9 to the partnership Updating Your Information for purposes of establishing its U.S.status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business You must provide updated information to any person to whom you claimed to be N in the United States: an exempt payee if you are no longer an exempt payee and anticipate receiving v •In the case of a disregarded entity with a U.S.owner,the U.S,owner of the reportable payments in the future from this person.For example,you may need to disregarded entity and not the entity, provide updated information if you are a C corporation that elects to be an S :3 corporation,or if you no longer are tax exempt.In addition,you must furnish a new a' •In tho case of a grantor trust with a U.S.grantor or other U.S.owner,generally, Form W-9 if the name or TIN changes for the account,for example,if the grantor < the U.S.grantor or other U.S.owner of the grantor trust and not the trust,and of a grantor trust dies. i- O •In the case of a U.S.trust(other than a grantor trust),the U.S.trust(other than a Penalties E grantor trust)and not the beneficiaries of the trust. E Foreign person.If you are a foreign person or the U.S.branch of a foreign bank Failure to furnish TIN.if you fail to furnish your correct TIN to a requester,you are that has elected to be treated as a U.S.person,do not use Form W-9.Instead,use subject to a penalty of$50 for each such failure unless your failure is due to N the appropriate Form W-8 or Form 8233(see Publication 515,Withholding of Tax reasonable cause and not to willful neglect. to on Nonresident Aliens and Foreign Entities). Civil penalty for false Information with respect to withholding.If you make a o Nonresident alien who becomes a resident alien.Generally,only a nonresident false statement with no reasonable basis that results in no backup withholding. N alien individual may use the terms of a tax treaty to reduce or eliminate U.S.tax on you are subject to a$500 penalty, certain types of income.However,most tax treaties contain a provision known as O a"saving clause."Exceptions specified In the saving clause may permit an Criminal penalty for falsifying information.Willfully falsifying certifications or exemption from tax to continue for certain types of income even after the payee affirmations may subject you to criminal penalties including fines and/or has otherwise become a U.S.resident alien for tax purposes. imprisonment. If you are a U.S.resident alien who is relying on an exception contained in the Misuse of TINS.If the requester discloses or uses TINS in violation of federal law, L saving clause of a tax treaty to claim an exemption from U.S.tax on certain types the requester may be subject to civil and criminal penalties. of income,you must attach a statement to Farm W-9 that specifies the following V five items: Specific Instructions 1.The treaty country.Generally,this must be the same treaty under which you y claimed exemption from tax as a nonresident alien. Name to 2.The treaty article addressing the income. If you are an individual,you must generally enter the name shown on your income 3,The article number(or location)in the tax treaty that contains the saving tax return.However,if you have changed your last name,for instance,due to Y clause and its exceptions. marriage without informing the Social Security Administration of the name change, 4.The type and amount of income that qualifies for the exemption from tax. enter your first name,the last name shown on your social security card,and your new last name. oo 5.Sufficient facts to justify the exemption from tax under the terms of the treaty If the account is in joint names,list first,and then circle,the name of the person article. or entity whose number you entered in Part I of the form. N Example.Article 20 of the U.S.-China income tax treaty allows an exemption Sole proprietor.Enter your individual name as shown on your income tax return from tax for scholarship Income received by a Chinese student temporarily present on the"Name"line.You may enter your business,trade,or"doing business as in the United States.Under U-S.law,this student will become a resident alien for (DBA)"name on the"Business name/disregarded entity name"tine. E tax purposes if his or her stay in the United States exceeds 5 calendar years. However,paragraph 2 of the first Protocol to the U.S.-China treaty(dated April 30, Partnership,C Corporation,or S Corporation.Enter the entity's name on the V 1984)allows the provisions of Article 20 to continue to apply even after the "Name"line and any business,trade,or"doing business as(DBA)name"on the to Chinese student becomes a resident alien of the United States.A Chinese student "Business name/disregarded entity name'line. Q who qualifies for this exception(under paragraph 2 of the first protocol)and is Disregarded entity.For U.S.federal tax purposes,an entity that is disregarded as relying on this exception to claim an exemption from tax on his or her scholarship an entity separate from its owner is treated as a"disregarded entity." See ot$ or fellowship income would attach to Form W-9 a statement that includes the Regulation section 301.7701-2(c)(2)(iii).Enter the owner's name on the"Name" C information described above to support that exemption. line.The name of the entity entered on the"Name"line should never be a O If you are a nonresident alien or a foreign entity,give the requester the disregarded entity.The name on the"Name"line must be the name shown on the ' appropriate completed Form W-8 or Form 8233. income tax return on which the income should be reported.For example,if a U What is backup withholding?Persons making certain payments to you must foreign LLC that is treated as a disregarded entity for U.S.federal tax purposes has a single owner that is a U.S,person,the U.S.owner's name is required to be CL under certain conditions withhold and pay to the IRS a percentage of such provided on the"Name"line.If the direct owner of the entity is also a disregarded CL payments.This is called"backup withholding." Payments that may be subject to entity,enter the first owner that is not disregarded for federal tax purposes.Enter Q backup withholding include interest,tax-exempt interest,dividends,broker and the disregarded entity's name on the"Business name/disregarded entity name" C barter exchange transactions,rents,royalties,nonemployee pay,payments made line.If the owner of the disregarded entity is a foreign person,the owner must in settlement of payment card and third party network transactions,and certain appropriate complete an ate Form W-B instead of a Form W-9. This is the case even if J payments from fishing boat operators.Real estate transactions are not subject to backup withholding. the foreign ro reign parson has a U.S.TIN. � You will not be subject to backup withholding on payments you receive if you Note.Check the appropriate box for the U.S.federal tax classification the give the requester your correct TIN,make the proper certifications,and report all person whose name is entered on the"Name"line(Individual/sole proprietor, Partnership,C Corporation,S Corporation,Trust/estate). _ your taxable interest and dividends on your tax return. O Limited Liability Company(LLC).If the person identified on the"Name"line is an Payments you receive will be subject to backup LLC,check the"Limited liability company'box only and enter the appropriate withholding if: code for the U.S.federal tax classification in the space provided.If you are an LLC that is treated as a partnership for U.S.federal tax purposes,enter"P"for 1.You do not furnish your TIN to the requester, partnership.If you are an LLC that has filed a Form 8832 or a Form 2553 to be y 2.You do not certify your TIN when required(see the Part 11 instructions on page taxed as a corporation,enter"C"for C corporation or"S"for S corporation,as N 3 for details), appropriate.If you are an LLC that is disregarded as an entity separate from its tC 3.The IRS tells the requester that you furnished an incorrect TIN, owner under Regulation section 301.7701-3(except for employment and excise Y tax),do not check the LLC box unless the owner of the LLC(required to be U) 4,The IRS tells you that you are subject to backup withholding because you did identified on the"Name"line)is another LLC that is not disregarded for U.S. not report all your interest and dividends on your tax return(for reportable interest federal tax purposes,If the LLC is disregarded as an entity separate from its and dividends only),or owner,enter the appropriate tax classification of the owner identified on the N 5.You do not certify to the requester that you are not subject to backup "Name"line. withholding under 4 above(for reportable interest and dividend accounts opened Other entities.Enter your business name as shown on required U.S.federal tax Q after 1983 only). documents on the"Name"line.This name should match the name shown on the Certain payees and payments are exempt from backup withholding.See Exempt charter or other legal document creating the entity.You may enter any business, s payee code on page 3 and the separate Instructions for the Requester of Form trade,or DBA name on the"Business name/disregarded entity name"line. W-9 for more information. X Also see Special rules for partnerships on page 1. Exemptions W What is FATCA reporting?The Foreign Account Tax Compliance Act(FATCA) If you are exempt from backup withholding and/or FATCA reporting,enter in the e requires a participating foreign financial institution to report all United States Exemptions box,any code(s)that may apply to you.See Exempt payee code and d account holders that are specified United States persons.Certain payees are Exemption from FATCA reporting code on page 3, is exempt from FATCA reporting.See Exemption from FATCA reporting code on page 3 and the Instructions for the Requester of Form W-9 for more information. d Packet Pg. 150 Form W-9(Rev.8-2013) Page 3 Exempt payee code.Generally,individuals(including sole proprietors)are not G—A real estate investment trust exempt from backup withholding.Corporations are exempt from backup H—A regulated Investment company as defined in section 851 or an entity withholding for certain payments,such as interest and dividends.Corporations are registered at all times during the tax year under the Investment Company Act of U not exempt from backup withholding for payments made in settlement of payment 1940 ±� card or third party network transactions. M Note.If you are exempt from backup withholding,you should still complete this I—A common trust fund as defined in section 584(a) 3 form to avoid possible erroneous backup withholding. J—A bank as defined in section 581 tS Q The following codes identify payees that are exempt from backup withholding: K—A broker s 1—An organization exempt from tax under section 501(a),any IRA,or a L—A trust exempt from tax under section 664 or described in section 4947(a)(1) custodial account under section 403(b)(7)if the account satisfies the requirements M—A tax exempt trust under a section 403(b)plan or section 457(8)plan E of section 401(f)(2) :3 2—The United States or any of its agencies or instrumentalities Part I.Taxpayer Identification Number(TIN) N 3—A state,the District of Columbia,a possession of the United States,or any of Enter your TIN in the appropriate box.If you are a resident alien and you do not Lr) their political subdivisions or instrumentalities have and are not eligible to get an SSN,your TIN is your IRS individual taxpayer identification number(ITIN).Enter it in the social security number box,if you do not N 4—A foreign government or any of its political subdivisions,agencies,or have an ITIN,see How to get a TIN below. I instrumentalities 5—A corporation If you are a sole proprietor and you have an EIN,you may enter either your SSN O or EIN.However,the IRS prefers that you use your SSN. 6—A dealer in securities or commodities required to register in the United States,the District of Columbia,or a possession of the United States If you are asingle-member LLC that is disregarded as an entity separate from its owner(see Limited Liability Company(LLC)on page 2),enter the owner's SSN(or 7—A futures commission merchant registered with the Commodity Futures EIN,if the owner has one).Do not enter the disregarded entity's EIN.If the LLC is Trading Commission classified as a corporation or partnership,enter the entity's EIN. 8—A real estate investment trust Note.See the chart on page 4 for further clarification of name and TIN �j 9—An entity registered at all times during the tax year under the Investment combinations. i Company Act of 1940 How to get a TIN.If you do not have a TIN,apply for one immediately.To apply 10—A common trust fund operated by a bank under section 584(a) for an SSN,get Form SS-5,Application for a Social Security Card,from your local to Social Security Administration office or get this form online at www.ssa.gov.You 11—A financial institution may also get this form by calling 1-800-772-1213.Use Form W-7,Application for Y 12—A middleman known in the investment community as a nominee or IRS Individual Taxpayer Identification Number,to apply for an ITIN,or Form SS-4, custodian Application for Employer Identification Number,to apply for an EIN.You can apply r 13—A trust exempt from tax under section 664 or described In section 4947 for an EIN online by accessing the IRS website at www.irs.gov/businesses and 00 clicking on Employer Identification Number(EIN)under Starting a Business.You The following chart shows types of payments that may be exempt from backup can get Farms W-7 and SS-4 from the IRS by visiting IRS.gov or by calling 1-800- withholding.The chart applies to the exempt payees listed above,1 through 13. TAX-FORM(1-1300-829-3676). W If you are asked to complete Form W-9 but do not have a TIN,apply for a TIN IF the payment is for... THEN the payment is exempt for... and write"Applied For"in the space for the TIN,sign and date the form,and give it to the requester.For interest and dividend payments,and certain payments made Interest and dividend payments AI I exempt payees except with respect to readily tradable instruments,generally you will have 60 days to get U for 7 a TIN and give it to the requester before you are subject to backup withholding on payments.The 60-day rule does not apply to other types of payments.You will be 0 Broker transactions Exempt payees 1 through 4 and 6 subject to backup withholding on all such payments until you provide your TIN to through 11 and all C corporations.S the requester. 06 corporations must not enter an exempt Note.Entering"Applied For'means that you have already applied for a TIN or that C payee code because they are exempt you intend to apply for one soon. O only for sales of noncovered securities Caution:R disregarded U,S.entity that has a foreign owner must use the iD acquired prior to 20i 2. U appropriate Form tN-8. _ Barter exchange transactions and Exempt payees 1 through 4 patronage dividends Part II.Certification Q Payments over$600 required to be Generally, payees To establish to the withholding agent that you are a U.S.person,or resident alien, Y q Y sign Form W-9.You maybe requested to sign by the withholding agent even if reported and direct sales over$5,000 1 through 52 items 1,4,or 5 below indicate otherwise. J For a joint account,only the person whose TIN is shown in Part I should sign Payments made in settlement of Exempt payees 1 through 4 (when required).In the case of a disregarded entity,the person identified on the Q payment card or third party network "Name"line must sign.Exempt payees,see Exempt payee code earlier. _ transactions Signature requirements.Complete the certification as indicated in items 1 to C I See Form 1099-MISC,Miscellaneous Income,and its instructions. through 5 below. p 2 However,the following payments made to a corporation and reportable on Form 1.Interest,dividend,and barter exchange accounts opened before 1984 t) 1099-MISC are not exempt from backup withholding:medical and health care and broker accounts considered active during 1983.You must give your d payments,attomeys'fees,gross proceeds paid to an attorney,and payments for correct TIN,but you do not have to sign the certification. services paid by a federal executive agency. 2.Interest,dividend,broker,and barter exchange accounts opened after N Exemption from FATCA reporting code.The following codes identify payees 1983 and broker accounts considered inactive during 1983.You must sign the that are exempt from reporting under FATCA.These codes apply to persons certification or backup withholding will apply.If you are subject to backup ca submitting this form for accounts maintained outside of the United States by withholding and you are merely providing your correct TIN to the requester,you Y certain foreign financial institutions.Therefore,if you are only submitting this form must cross out item 2 in the certification before signing the form, u7 for an account you hold in the United States,you may leave this field blank. 3.Real estate transactions.You must sign the certification.You may cross out O Consult with the person requesting this form if you are uncertain if the financial item 2 of the certification. C4 institution is subject to these requirements. 4.Other payments.You must give your correct TIN,but you do not have to sign A—An organization exempt from tax under section 501(a)or any individual the certification unless you have been notified that you have previously given an Q retirement plan as defined in section 7701(a)(37) incorrect TIN."Other payments"include payments made in the course of the - requester's trade or business for rents,royalties,goods(other than bills for ±' 8—The United States or any of its agencies or Instrumentalities merchandise),medical and health care services(including payments to C—A state,the District of Columbia,a possession of the United States,or any corporations),payments to a nonemployee for services,payments made in of their political subdivisions or instrumentalities settlement of payment card and third party network transactions,payments to X D—A corporation the stock of which is regularly traded on one or more certain fishing boat crew members and fishermen,and gross proceeds paid to Ll! established securities markets,as described in Reg.section 1.1472-1(c)(1)(i) attorneys(including payments to corporations). E—A corporation that is a member of the same expanded affiliated group as a 5.Mortgage Interest paid by you,acquisition or abandonment of secured y corporation described in Reg.section 1.1472-1(c)(1)(i) property,cancellation of debt,qualified tuition program payments(under E section 529),IRA,Coverdell ESA,Archer MSA or HSA contributions or s F—A dealer in securities,commodities,or derivative financial instruments distributions,and pension distributions.You must give your correct TIN,but you V (including notional principal contracts,futures,forwards,and options)that is do not have to sign the certification. Y registered as such under the laws of the United States or any state Q Packet Pg. 151 5.G.c Form W-9(Rev.8-2013) Page 4 What Name and Number To Give the Requester 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. For this type of account: Give name and SSN of. ft U 1.Individual The individual Secure Your Tax Records from Identity Theft 2.Two or more individuals Joint The actual owner of the account or, Identity theft occurs when someone uses your personal information such as your account) if combined funds,the first name,social security number(SSN),or other identifying information,without your Cr individual on the account' permission,to commit fraud or other crimes.An identity thief may use your SSN to Q get a job or may file a tax return using your SSN to receive a refund. L 3.Custodian account of a minor The minor' To reduce your risk: tv (Uniform Gift to Minors Act) E 4.a.The usual revocable savings The grantor-trustee' •Protect your SSN, E trust(grantor is also trustee) •Ensure your employer is protecting your SSN,and O b.So-called trust account that is The actual owner' •Be careful when choosing a tax preparer. N not a legal or valid trust under If your tax records are affected by identity theft and you receive a notice from T_ state law the IRS,respond right away to the name and phone number printed on the IRS N 5.Sole proprietorship or disregarded The owner' notice or letter. entity owned by an individual ' 6.Grantor trust filing nder Optional The grantor` If your tax records are not currently or wall t, Identity theft but you think you C g P are at risk due to a lost or stolen purse or wallet,questionable credit card activity 0 Form 1099 Filing Method 1 (see or credit report,contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit ;p Regulation section 1.671-4(b)(2)(i)(A)) Form 14039. .0 For this type of account: Give name and EIN of: For more information,see Publication 4535,Identity Theft Prevention and Victim i 7.Disregarded entity not owned by an The owner Assistance. individual Victims of identity theft who are experiencing economic harm or a system O 8.A valid trust,estate,or pension trust Legal entity' problem,or are seeking help in resolving tax problems that have not been resolved U 9.Corporation or LLC electing The corporation through normal channels,may be eligible for Taxpayer Advocate Service(TAS) 5- assistance.You can reach TAS by calling the TAS toll-free case intake line at N corporate status on Form 8832 or 1-877-777-4778 or TTY/TDD 1-B00.829-4059. Form 2553 10.Association,club,religious, The organization Protect yourself from suspicious tes de designed phiso mi schemes, a basin is the Y charitable,educational,or other creation and use of email and websites designed to mimic legitimate business tax-exempt organization emails and websites.The most common act is sending an email to a user falsely cti claiming to be an established legitimate enterprise in an attempt to scam the user r' 11.Partnership or multi-member LLC The partnership into surrendering private Information that will be used for identity theft. M 12.A broker or registered nominee The broker or nominee The IRS does not initiate contacts with taxpayers via emails_Also,the IRS does 13.Account with the Department of The public entity not request personal detailed information through email or ask taxpayers for the +; Agriculture in the name of a public PIN numbers,passwords,or similar secret access information for their credit card, O entity(such as a state or local bank,or other financial accounts. N government,school district,or If you receive an unsolicited email claiming to be from the IRS,forward this E prison)that receives agricultural message to phishingOlrs.gov.You may also report misuse of the IRS name,logo, V program payments or other IRS property to the Treasury Inspector General for Tax Administration at (a 14.Grantor trust filing under the Form The trust 1-800-366-4484.You can forward suspicious emails to the Federal Trade .+ 1041 Filing Method or the Optional Commission at:spam®uce.gov or contact them at www.ftc.gov/idtheff or 1-877- Q Form 1099 Filing Method 2(see IDTHEFT(1-877-438-4338). 06 Regulation section 1.671-4(b)(2)(i)(B)) Visit IRS.gov to learn more about identity theft and how to reduce your risk. G _O 'List first and circle the name of the person whose number you furnish.If only one parsonon a joint account has an SSN,that person's number must be furnished. U_ a Circle the minor's name and furnish the minor's SSN. 'You must show your Individual name and you may also enter your business or"DBA"name on Q the"Business name/disregarded entity"name line.You may use either your SSN or EIN(If you C( have one),but the IRS encourages you to use your SSN. N 'List first and circle the name of the trust,estate,or pension trust.)Do not furnish the TIN of the C personal representative or trustee unless the legal entity itself is not designated in the account title.)Also see Special rules for partnerships on page 1. r C *Note.Grantor also must provide a Form W-9 to trustee of trust. 0 C O N L Y U) CD r N Q Privacy Act Notice 'X X Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons(including federal agencies)who are required to file information returns with Lu the IRS to report interest,dividends,or certain other income paid to you;mortgage interest you paid;the acquisition or abandonment of secured property;the cancellation ; of debt;or contributions you made to an IRA,Archer MSA,or HSA.The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information.Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities,states,the District d of Columbia,and U.S.commonwealths and possessions for use in administering their laws.The information also may be disclosed to other countries under a treaty,to E federal and state agencies to enforce civil and criminal laws,or to federal law enforcement and intelligence agencies to combat terrorism.You must provide your TIN V whether or not you are required to file a tax return.Under section 3406,payers must generally withhold a percentage of taxable interest,dividend,and certain other M payments to a payee who does not give a TIN to the payer.Certain penalties may also apply for providing false or fraudulent information. Q Packet Pg. 152 5.G.c 2014-245 City of San Bernardino Expenditure by Category-Primary Funds N By Department&Fund Fiscal Year 2014.2015 L 010 Mayor 204,912 74,'256 130,006 68,275 41,442 518,885• 020 Common Council 364,824 200,455 53,800 66,891 685,970 030 City Clerk 667,692 3D4,861 342,998 92,125 54,403 1,462,679 040 City Treasurer 113,8$2 61,254 - 2,518 177,604 T 050 City Attorney 1,347,372 447,897 643,014 365,466 - 71,94D 2,875,689 N 09D General Government' - 4111250 5,634,400 177,800 3,004,057 9,227,507 ' 100 City Manager 913,835 285,320 81,000 31,200 - 81,212 1,392,567 = 110 Human Resource 331,816 119,707 47,000 57,700 54,643 604,866 p 120 Finance 1,034,258 365,662 20,000 . - 54,700 126,307 1,600,928 140 Civil Service 249,778 75,126 1,340 5,531 29,083 360,858 180 Community Development 2,616,354 613,228 395,600 - 46,350 - 134,625 3,806,157 C 200 Fire* 18,137,326 6,223,058 428,120 964,107 88,521 2,230,254 28,071,386 (Oj 210 Police* 33,125,948 14,334,407 1,030,923 25,000 5,205,280 - 5,594,392 55,315,951 i- 3RO Parks Recreation&Community 1,385,734 392,835 1,338,100 43,000 324,441 2,833,018 6,317,129 N 400 public Works° _ 1,573,138 570,352 629,287 430,150 1733 437 4,936 364 M Total General Fund 62A66,819 24,473,670 10,720,442 69,340 3,877,525 3,092,$78 13,054,166 117,354-6-6- 105 Llbraryfund 843,127 209,479 14,216 - 12.3,390 193,069 1,383,275 M 106 Cemetery fund 43,092 16,205 123,132 15,040 34,910 232,379 107 Cable tv fund 35,000 220,000 38,000 15,000 308,000 108 Asset forfeiture - - 91,300 170,900 - 262,200 O 111 AD2766 air quality 38,730 17,821 - 21,40D 77,951 E 116 Emergency Solutions Grant 14.231 99,984 35,256 200,0170 335,240 v 117 Home Improvement Part 14.239 - - 9,759,000 3,759,COD +a 118 Gang and street asset forfeiture - 25,000 25,000 50,000 d 119 CDBG 291,169 94,304 1,624,000 45,000 48B,900 2,543,374 06 120 NelghborhoodStabll.Prog(NSP1) 118001000 11800,000 0 121 SETA 1,728,571 164,070 247,100 73,500 1,239,496 71,651 3,524,388 123 Federal&state grant Programs 2,468,831 748,764 270,224 150,000 621;654 60,458 4,319,931 K 124 Animal control 1,114,384 389,306 134,050 100,000 202,800 192,641 2,133,181 V 126 Gas tax fund 1,398,801 465,548 3,112,500 496,200 505,906 5,978,955 7 Q 129 1/2 cent sales&road tax 193,680 72,094 9,430,80D 241,600 9,938,174 Q 132 Sewer line maintenance 1,123,433 415,489 1,100,247 204,800 184,050 3,028,019 1 133 Baseball stadium - - 85,643 85,643 Po J 334 Soccerfieid 147,596 20,365 22,000 72,000 60,220 322,181 1 _ 208 Verdemont capital project - 135,OD0 135,000 O 242 Street construction fund 300,000 300,000 245 Sewer line construction - 1,145,000 1,145,000 247 Cultural development constructic 280,000 280 000 O 248 Storm drain construction - 1,222,500 1,222,500 254 Assessment district res 126,312 42,892 595,000 25,692 366,249 1,156,145 261 Law enforcement faclltlesDIF - 30,000 30,000 d 262 Fire supression/medic 1 153,560 3D7,560 263 Local regional circulation 410,000 410,000 Y 264 Regional circutatlon system 2,560,000 2,560,000 41 269 Quimby act parkland 375,000 375 000 e- 356 AD 1015 new pine debt service - 51,198 0 51,198' 04 527 Integrated waste management 3,696,992 1,396,83B 1,520,763 7,859,309 2,286,170 4,172,017 20,932,075 621 Central services fund 40,992 15,771 1,000 71,000 128,763 Q 629 Liability insurance fund 119,806 42,503 205,200 3,320,200 3,687,709 , 630 Telephone support fund 158,843 62,663 308,500 656,800 44,000 9,6B0 1,240,486 631 Utility fund 40,992 15,771 5,204,887 88,SD9 5,438,659 X 635 fleet services fund 1,186,456 477,509 19,000 4,558,600 158,783 6,352,347 LLI �g78 Workers compensation 147,693 60,400 420,121 3,813,440 4,441,654 ,579 Information technology 1,032,111 374,326 394,000 105,343 1,102 311 645,000 53,591 3,706,682 = Total Other Funds 16,078,595 5,087,368 32,094,647 428,843 30,129,510 3,772,337 6,149,869 93 982,689 d E Total All Funds 78,145,415 29,561,038 42,815,089 498,183 34007,035 6,864,915 19 203,034 1 2I1�337,208 v �.®�o,osxf+msui v� � ft3 *Does not include Tranfers in/out or other Adjustments I Q IPacket Pg. 153 5.G.c 2014-245 City of San Bernardino Fund Summary Fiscal Year 2014- 2015 s a Fund Expenses Revenue Ending Balance 001 General 123,618,331 (123,809,391) 191,060 E 105 Library fund 1,383,275 (1,383,330) 55 U) LO 106 Cemetery fund 232,379 (254,111) 21,732 c 107 Cable tv fund 308,000 (267,115) (40,885) `;' 108 Asset forfeiture 262,200 (601,500) 339,300 0 111 AB2766 air quality 77,951 (255,200) 177,249 116 Emergency Solutions Grant 14.231 335,240 (262,136) (73,104) 117 Nome Improvement Part 14.239 3,759,000 (5,400,000) 1,641,000 0 118 Gang and street asset forfeiture 50,000 (30,300) (19,700) d 119 CDBG 2,543,374 (3,152,124) 608,750 N 120 Neighborhood Stabil, Prog(NSPI) 1,800,000 (1,800,000) - Y 121 SBETA 3,524,388 (5,780,656) 2,256,268 m P 123 Federal&state grant programs 4,319,931 (3,187,712) (1,132,219) CO 124 Animal control 2,133,181 (2,031,135) (102,046) N 126 Gas tax fund 5,978,955 (5,421,932) (557,023) 129 1/2 cent sales& road tax 9,938,174 (3,055,630) (6,882,544) s 132 Sewer line maintenance 3,728,019 (3,264,000) (464,019) 133 Baseball stadium 85,643 (85,643) 0 Q 134 Soccer field 322,181 (804,230) 482,049 06 208 Verdemont capital project 135,000 - (135,000) 0 242 Street construction fund 300,000 (2,212,300) 1,912,300 245 Sewer line construction 1,145,000 (255,000) (890,000) a 247 Cultural development constructio . 280,000 (750,000) 470,000 a 248 Storm drain construction 1,222,500 (100,001) (1,122,499) 254 Assessment district res 1,156,145 (1,236,144) 79,999 J 261 Law enforcement facilties DIF 30,000 (73,932) 43,932 0 262 Fire supression/medic f 307,560 - (307,560) c 263 Local regional circulation 410,000 (261,584) (148,416) , 264 Regional circulation system 2,560,000 (1,793,954) (766,046) tY 269 Quimby act parkland 375,000 - (375,000) y 356 AD 1015 new pine debt service 51,198 - (51,198) 527 Integrated waste management 23,132,075 (24,644,800) 1,512,725 LO 621 Central services fund 128,763 (153,646) 24,883 N 629 Liability insurance fund p , 51, (3,240,665) (447,044)630 Telephone sup rt f nd. U dated (1,17 ) (69,875)631 Utility fund ( epNacing pages 2, 9, 381$ 32,(�,99t 343,136 .Q 635 Fleet services fund 6,352,347 (5,593,655) (758,692) x 678 Workers compensation 4,441,654 (4,439,854) (1,800) w 679 Information technology 3,706,682 (3,706,682) - �Total 220,501,000 64: 1 1.1 E s �o a Packet Pg. 154 5.G.c 2014-245 CITY OF SAN BERNARDINO FUNDED FULL-TIME POSITIONS BY DEPARTMENT Y FY 2013 FY 201,q F-Y s M General Puncl Q 010 Mayor 2• 2 3 E 020 Common Council 11 11 11 E 030 City Clerk 8 10 11 Cn 040 City Treasurer 3 4 3 o 050 City Attorney 15 16 14 N 100 City Manager 5 6 8 0 110 Human Resource 4 3 5 120 Finance 19 14 15 140 Civ1I Service 3 3 3 ° 0 180 Community Development 56 20 39 N 200 Fire 165 165 148 Y 210 Police 380 410 391 380 Parks 17 23 19 co 400 Public Works 42 48 31 "� M, Total General Fund 730 735 701 c d N E Other Funds Library 16 15 11a :r Q } Cemetery 2 1 1 06 Air Quality 1 1 1 o ESG 0 0 2 CDBG 5 5 4 Q CL SBETA 13 14 14 Q a� GRANTS 2 7 20 �. Animal Control 20 22 24 Gas Tax 0 0 31 Sewer 15 17 24 o Assessment Districts 3 12 2 d IWM 88 88 90 Print Shop 1 1 1 N Liability 2 3 2 co Telephone 1 4 5 Ln Utility 1 1 1 N Fleet 22 24 24 Q Worker's Compensation 4 0 2 Information Technology 14 13 13 L CIP 0 0 12 w } HOME 0 1 1 c Soccer Field 1 1 1 E Total Other Funds 211 2z8 285 Grand total 941 963 985 Q Packet Pg. 155 ,..y�.. `Q: q1 p� 5.G.c 1 U O O ~ O If1 M 00 W to Oi b I� I� CO Iti V1 [t V' IA O N 1\ f` '�- ® Q� N N V' M N .�+ .~ ti N n ^ n h W N T �n O N l» ONO 4 Oc cl M O O p H O 0 } 10 V' VOf ti M M t•m Ln O O m M CO .-i N .-i a0 , co N w p Hh N f1 ° Q 'O } W M Cl C, V' 0 0 0 N v + + !, LO h O N 00 n 0 Ln V' co � } Ln 00 0 0 0 0 IU © U + M ~ N N N N M + + N N N N --i Co + W O °a3 :3 ° a cr �` In co Ln O O O f, n n m O N fh d• O .4 O Ln 01 O O 00 O O O 0 0 Ln N Ln .-L P 01 ON D1 tD O O O Ln .-i ��Ppp p N O O �A pO h con - O O N O O O O p Op L Ln Ln QM. n Ln LOn LOlI - W N N N O m O 1D Ln O C N m 000 M NO � tDD M P C Ln ,(e1 fa co N V' LD OO fT ON�Ef n 01 N a 1 O N 1� d• 1D N O O [t �A W U I� O �+ n Gc s C n 1 CO d N N N M M LMD,Nf A 7 V N M 00 M N G i. 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O c O Q ° m a v .. o ;; u E o CD w c N v o d c b Ep y+ L al E '^ n co v ry O r E Lr O d N °� fO n U H d til' a A+ C) .Q 'O @ X LL' •G I6 y b C d N •C :' C W =O O N ,7L m Y °- vl O m Z' d' w a c ,� c v lun c a�i o b '^ .c °• rn ° Y v •c ° Q1 d �' E a 0/ S c m c a O m m o rn e N n ° a k a a v v m m o i o E E a o m E n u E a` v c w `aj c a a a E E O a a d c � ro �y a N " c L a L $ @ m a�i E' o 0 M .� a ^ 'd o m m 2 In d o m e `ca9 aui Ln rn co u y t M v +: a .v. o 0 0 0 °� v ° u _ to E rn ,� m r u O C o w ° y C o E v m v E m `m m c� v v ° L° Y O N V 47 M O m m C m w N c al E Q 'G O N O m ¢ E l°j ItR v� cn o, °' ` N a_ x � x V) °a3 w a a o .'9 c9 I- w C7 }s I� E _ V v 0 v m m N U LL, a E c a z ° N a a` a Q Q c 'i W Q a pv A 'o In 1D N Co x � T ID N w D1 .+ N N N 7 In H ID .+ N M � In o N 0 N 111 .••i N N N N N N N 0 0 0 0 0 0 0 0 0 0 -�I U N fN N N O O O O O Co N N ti N Ill to t0 0 0 tD ID tD to 1D ¢ I1- tl' •I' �' V' In Vl In In 111 In I/'1 Ifl Ifl I l In In In In 0 In N to vl In In In In I!'1 Packet iPg. 164 5.G.c '° o o c n N v- Lo '� v }� m Zo vi O ® M 00 ^ N P CL off} aim O a a Cgo N Q 2 V u N 0 a 4� yo o m o L cf V 4 b Q� � N l C r 6 M O E _ L p G N! N Ch u Q m ~ N LO ® LL Q v o N ID C11 CLa D M H M °u r ft ~ V o m E Vj u � V! w�A W Y IAA O °o o 0° 0 00 U to C N IV o, ll� oh ^ S E m Cli Vi V Q M 10 M AF IL u N N N Q 06 O Rf ° E « a V 0] p IV Q d a' a C) 'o° m M �M Q N N ^ O N 4N4 N I{5 v 0 Lu I- I- d z w Z Z w fC a a y ¢ Y Ln o 0 U u Ln N i� 0 r o � x w o � v c La o C 0 v � O w 9 a � Packet,P 165 O O n w a• N M O O CR cq Q` b LJ Q In N V' C6 M al O M C9 o 00 00 a � VH... Ls-i OJ N ui CO 1n H N CO hl 4 N tV 0, m ~ O M M � O I 7 M W "o � �0 a rq r rl 0 Y N w w en 0 0 N Q 2 ah V! Uf d a-J Q) CL ( N M O M a } N o e m M M e * fV f1 0 j � N M } C-4 N N } O o rr iJ4- a in O M N 01 a: l0 O O O c0 l0 O t0 c � N r0 n d' N O o Oo O N N O N N L IR Q) a .�-t Lo O Vnj co co O d' O n ^ n y L, C � N N OO v T OD H t0 Iii pOppl N �h cCc O� C .N-I V' V' 1100 Lmn N M G V O M MN� M M Ln m F VY V! � U U V LO ® O ib c Q„ a N o M rh a; n o 0 o p np� n o n ^ (V 'j O 10 N Ln r ^ W N ti O O O O N T N 00 It In w n n n O I.J.. LY Ln tn �� (, a b a O b a 0 O n a 0 0 b 0 V O O O O O O O O O O O O O O b O cn E LU co s v 0 0 0 0 0 0 0 0 0 0 0 0 b b b `1 c g a o o q o 0 q o 0 0 0 0 0 0 t0 ° ° ° 00 v u ~ +� C E a t0 0 0 H Ln w O V' 10 O $ .D N N CO 7 O, O tl� O� M - V tn i0 l0 k0 S In ID O yr V! Q W c O-O O O O O O O O O P O O O O O Ol C 0 0 0 0 0 O_ O 0 0 C? O O O O ++ N M C:> m � C a Q Q a d 'D O O 9. O b '0 N O O O N N O 0 0 N u t0 O {. 9 d' O O O g 0 0 0 J CL •O N .-1 O .M-i W O O 10 %0 �0 0 7 N N Op �1 at O O a1 M O GO I ,ti n N ll1 Vi t0 le �D I O ¢ N M V R O iR� VF 0 B 0 ¢ . ¢ ¢ F O O D o � c LU m w w m N 2 y _ 3 z z z u w w w 1 Q Y _ E a 11 u. E rn xa� E c oo .i W .a o C V N N M r v° a N4 o Ln N 2? Q 2 y a $ a R C g v E E o .- .-1 aE m c a a o a C W a a Q m` _ E w E O c a �' O a b 0 w E � � � E co - 0 d � (ej G 16 u C N 0/ � O C � V (PJ !6 < W N C 0) b N ¢ �p N ¢ U a N i� .. .. Ln H z d 4 4 G W O L Ca( ..... O a u+ w N N co N O j QIL 10n ta 1 n t°n Vb1 1.0 lan In Ian Q' Packet Pg. 166. 0 0 m 0 M h 0 M lO h h 0 0 �"� O 098 0 0 0 00 w O W O N N O N O m N N U V' Vl N .i [V Di to lO O O O O C] m O O N N O V' O N O N IIl01 IOn O h a N P O M IO OI N CO ID a T ,N-I N r1 N h Q In IT N � ai I Ifl U O ID m N h fT aI N N 4A m N O W N ti Ill W N M lG V- N W P r.- M M C, Q o 1OD IOD a \. '~ 4Pr Vi• Vh p1 O a a Ind 4- + + e o o p } } } } } u] M h .+ O u1 M O W M O O O O a0 .� 0 0 N 0 + + .ti z .ti a N N ti � Na .� ,-' aI ti + + M M M c cr N 0 0 0 Cl 0 V W O a\ 0 0 0 O In 0 0 0 0 0 0 m 0 V' O 't 0 0 OJ^h h h a 0 0 0 0 rl T M M O 'T O � G 0 O M 0 0 0 O O 10 0 Ill O .-I O O O N N N y_ IO T ;p O Oi M �p OD I!I I/l fV .-i l0 [6 00 O Li t� O Di .-i t) V, N O ID .-+ W (T V' O N OD .--I .r N O N N N N I/I VI ,� h tf/ f M N N CO 0 N N IA OD �D IA M N I� (T IA O Ic 05 N fA .-I 7 ,-i .� N vi N tD W f� ,-i ai fl - en in U Q m ~ N u LO e® Q c 00, °O, °O, C0 °o �p '' m '' „N� m O M N O O O O O O O o .D h o O iD O co �D 0 'D N �� O O ap a� O O? O N In O N n 0 0 0 O o g m O h 0 O 0 0 0 V; Vf 'C; O N N 1� N M d' O QI O N M M O N O N N IV N r' iR T m 'd .--� W m N `"^ N h N h M W 0 IT V' VT t V to M ID a1 Ib C O .Mi h G tD 7 Q v Oi �aCp O0O�� O N M 1` N .-1 10 N co M 7 7 V' � N M M .--t 0 LL dF Sfr 4 0 0 0 0 0 O O O O O O O h M 0 0 0 0•O 0 0 0 0 0 0 I/1 0 0 0 0 0 to Cl to •L+ UJ 0 0 0 0 0 0 0 0 0 0 0 0 f" 0 0 0 0 0 0 0 0 0 0 0 1 O O O O O a1 T ID 0 0 In N N M � 0 IP I[! Q rw "* " U v v E r: ^ o a+ co pDCppi y_ U tA' Vi NF G> c N W v� .0 vt O O O O O c o o O O O O O O O O O O O O O O O O O O 0 O O O O O O O Y C O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O 0 `Ga t � � O+Pl 00 c c v U � t7 O O O O O a h ol O N a, 0 0 0 Q 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C. 0 w m W N O O O O O O GO N O M 0 a O Q 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O_ ID IO tD •p O (V �[Gp tY (V 6 IL�n{{ O O N O ko q, W GO O to O O N O O M O O O O -� fn U9 M W N 7 OD 4 O 0�0 O trO1 co ID N M M INa U O ti Ill N lil U 6 al N .-+ 00 n N N .-I n .+ .-I O� N Lo .-I Q *� N' N N jn - to M N N h N N R '"I n n n V � •� N fPr iPr a N O O O O O O Cl O O O O O O O O O O O C O O 0 O O O 0 O O O O 0 O O O 0 O O O O_ O O O O O O O O O O O O O O C O O O O O O O O O O O O O O O - .4•I mE 011# , 0 CD C V � •Q a 0 0 0 0 0 0 h Ol O N m 0 0 0 0 0 0 0 p O o O O 0 0 O O 0 0 O O W w w 0 a m o 0 0 0 0 o m N o .-I pMp o 0 p Op 0 p Op 0 �C�}! 0 0 0p 0 0 0 0 0p 0p 0 0o 0 0 ID tD ID p Oj • n W .�-I M v~i CO 7 0 0 N O n 6 N O N S a N O O vi b N N N 'O m m [D V� N Q cl O O a0 O � U` . b to M M 00 b t() O .--t In In Il'I O Q O m m N '+ 0 f, N N h �"� ."� a+ N IA .-r V� ^I N N N ti .m-I N N Vt b4 M (6 0/ is Q IL H N F p N L u LU E N ¢ Y a o o a o u) E U c M r p a co ` N O H V c y c a 'n N I o o o m y n o a Fn Q p '� c o m u v u v ° U` O y c E c c 2 c a E ° ati E E y CL v c y m a o E M a+ N a u ro c 25 .cm. •p o• c a y m 9i �pp m x a O d a e7 m 2 O ,E a c a C N QI p N d G o f6 'O H ° w a ` '-' a t^ c vii c g c a •m a c .N a a a a p, LL cr ° c d = E ° E a v a c a n E Imo ' E E v� t c U Q d C EEi E E 2' v E m `-l' "' m L c m E " L $ m ° M LJ.I In N of o N a m��aqq o a n y L^ co c c ti Q. n 0 0� ap7 C w RE E I' w •a_ a� t' E c ti r vo v° U M O �° w c v O W v c N m E 3 a m N L M Q o Y7 m G a > > y c a ao = z fn D z f F fn ri S I- S z W a a O to O c7 H cn fn LL v m m V M W o p o a r r w a. �'O W d' h m U r1 1 IO h (b a1 .-I N 7 ti N to ID O H N 7 1!1 .-1 .+ N to ai 41 C C N N N N N N N .-� -+ .M-I M-I .Ma M H � h h h c0 T O O O O T O1 V O O O O O O O O O O Lm .+ m L-n .-I m -M in .4 to IO IO IO DI QI 4 LL to In to N m N N In 1fl M In Il'1 to In In M to N H In In v7 ttl vl in m lA In h O\ IY Packet Pg. 167 §:. } 4 @E Ln � q ? m Ci C, m 0 . ( � / ® 9 + % g 2 � � . ® p © « M � � � � � � � E Ln e s § E uo \ A r ƒ u . m Q m Co§ C6 g G \ � z � u {4.1 c, o / Q ) Co Co ° � .. j \ . \ E . . . E u J 4 § � -13 IS = E - / k . E k � < 2 \ / � Ln o rl \ t o \ \ ) (D [ } k k § � ) ) _ LU o LO \ . Ln 04 $ m . < CD 7 C \ - m . — w } ) o ) E = e u. , , . .. . . � , . J . / J Packet Pg. 16 5Gc R M O O O p o 0 0 l LD n O O CO N o1 In 0 0 w l N 0 0 0 O O O 1D �D v N O OO W N O OI S a 0 - 0 aD N N O O Q TI V ID .-1 O rl O n n IA ® O� lD o� f"M N QD Ln M O iFt O O OD O �D n M O .'.n • 01 W .-1 n n n W O� In [h �O vl N 01 O r oo a oo o n ^ 'D a r Ln , o � W �� 4 � IV .-i O a` n N 5 n b N O o 0 0 0 0 < I� O t\ O �+ N O 0 a 0 0 In N M 0 0 0 V © N U W N O n n M b LD In M M j c2f W + O U' _ Q LA OOD M O t�0 O S S S O O 1�D \ND M � Co NNy oq n LQ S O O S O N m S O S C? L tp ° � Di Q O o o 0 O 0 •+ M n 'i ID M M �r11 o p 0 0 o M m 0 0 0 o y i C OD 00 M O O a a S O M M .-i In M O o� o O m aD N S N 0 0 n W O O a o C .{J N 7 LA In O LD O a b 0 0 0 LO O W Lr v N 13 N N N I!1 - Ln O C W O O D G CO 6 of N N m O o V'D m w Oo kD ON ON I•, O U'i O Ln 7 O C m G r1 m Ln M .N-1 W N w W .-1 'c7• ID M ID Ln M t G V Q D F rl lq- A+4 L7 Zn ¢ LO o 1� N l'DD S M O O b O O S M M N M � M W 0G1• O! O O O O O n W O O O b N �{`� I� O ti c0 O OD DO N (V M N N 1D b 'D - ALm s m S Ln - 4 co Z_ h W O C b0 N M l� N — M Ln Ln Ln N M = 64 +Pr iPr Q CL v ~ to O O b O O O O O O O d a O O O a O a O O p• O O O O O b b O O o 0 d O O O O O O O O O O o O O O o O O 4 O C S C� O O O O O O O O O O =' \/+ ID U E u w L y O O O a a a O b O O O O O O O O CO O O O O O O O O o o O O O O O Y C CO O O O O O O O O O O O O O O O O O 0 O O O O O O O O O O O O O t 40R - r CO � C M a Lu N V pp d N N O O O O S O O O O O S S S S O O LLn O n O O O O S S S a O O O 6 a 'O 0 0 0 0 0 0 0 0 0 0 0 0 0 lD O Co �D L` N O O O O O O O O o O O O '� 0 0 0 oo co 0 0 0 0 0 0 In co Ot O M O m tD O N O 1l'1 0 0 0 0 0 0 0 0 u E m Ln O M O O 0 0 0 0 0 0 0 0 In O o, Ln n O N In W N O Ln .-i O a a 0 Q N O VJ Vr W N Lfj O 1l] V LO - N L1) (3 01 1X1 O 111 u'i U tl' O V h M .Ni m N co n N In T �D n M 1D +R U1 Vt Eft a od pp p C o O O S S S S O S O O_ S S S O O O O O S S O S O O S O O b S O O O O p W d O O O O O 0 0 O (a a O a O a U pCj .M-i tOD l0D M a ID •Q. Q Q. a 0 0 0 0 0 0 0 0 0 0 0 0 b o o d' o+ v O o 0 0 0 o 0 0 0 C. 0 o 0 0 0 p 0 0 0 0 0 o S o a o 0 0 0 n S n k1 opp 0 O 0a 0 0 0 0 0 0 0 0 0 J O S a S a CO oo S S b a d a b CO Oai 0 M O ln+l tN0 4 lan O LOn V S S S S o CD V] O 1n 0 0 O O O O O S O Ln O 1T Vl W 1� O N In W U1 O VT .d O 0 ¢ L\ O b 7 OD L['1 O L' '• ' N N O, O, Ln m 7 O N-1 W n .N-I m n m ^ Ln Dt 1D _ m VM VF 64 O O N 1 ��(D/ F- u) F Fo- 0 i C w y a ELu e Y w cn E In 'C u � E a LO E E Co U Q V ul Ln N uA v°'i w v°Ji _o LZ{ u iz 1 y m ° tip e 2 0 v O C a1 .n C p •N p '� u OW a UiU ly u°1i 9 z api °Ji E ap' y� pE �' y n o m a�i V1 p W d C u M In K m y 07 �1 a "C p .Q •d y � y O .Q La Y 12 n m a p 5 p Ct a v v o p K c n c N v c d o o f -4 t En '.-O � E ` n v � c y e n �f0 a '�' X y v w ? O V w 1 E E E v m E u� cDi C W v �9 C m v oZ$ p Q c m aL o7S p 0. Q a'. °1 �' `' E c v1 m R u L p •T 01 0 dd �' O E C W 'i1 LL E c M ' .i y '^ E d a d S 'n e m y rn y .N o p 10 �o W O ` '0 E dr o o N v Y '3 _ :Q '° m E c a E 0 C o 00 _?5 m o c p M ° 1`Ra °' i2 2 c °aL r`�'D E a } „ -5 lY a s Q 9 a o E Ln v1 o _ S F (n ¢ h v m � O ' w o o v 'n c ~ W a` n. O Q a Q w� v .......... p a w O a N Ln O O W N W W Nr Ln �D N w D1 .+ N N N 7 ul N v Ln 1D C u C N M tD O N n'1 LO W N N N N r1 N M I� n n O O O O U Vl Ln b Ln Ln Ln Qp O O O O O O O .•( N W .-� W .-( N Ln Ln In 7 Q tl' Q' q- �• In to In Lrl Ln In In Ln 111 Ln Ln Ln Ln N Ln In Ln Ln N Packet Pg.- 169 4J O O O O O S.O_ d' ID 7 N- d' M O 10 ,-i O N N N I� n n O H r O N N N ai Vl "o .Pi r, 7 O t7' W .O-� N Ol O Dm H N N .-1 Ifl H Ln -Q N N Vl a� O O O N Ot tD IA ey Y M N N N VO• N .�-� M W O1 h N O N �: Oa yr V O L p N O O p 0 0 0 0 0 0 0 C O L c � C O� O O O O 4 0 0 0 O S CpO W cq I 00 0o0 ^ L, oN O O O S 00 000 000 M W 53 I!I O 01 W C ,�.1 M � �° O O O O T m ON O Ol O 'O N t0 G v 1� ri W It1 c0 a0 a0 ODD [O Q� 7 co M C Ln ,Q m In i L, m N � m O N U Q m F D L U) LT u LO 0 o °o, °o, °O °o 0 0 0 °a, °o, Oo '+ `+ `� m N v m cm) N p ° m m � pr{p c6 m M i _ �Up m � m m t\ O S 'Q v L V O O O o O O G O O O Q O O O O O C> o t _ m G � � v � U � rn m Ln Ah 1w in 4ft w .c Cl C. 0 0 0 0 o O 0 O o 0 0 0 0 0 0 0 0 0 Y c o 0 0 o a 0 a o a o 0 0 0 0 0 0 o a o v a �p Xt; °w°ur °.n Ova °rr CO m v a � F N V � a 0 0 0 0 0 0 0 0 0 0 0 N N N O N M O O �^ C UQI 0 0 0 0 0 0 0 0 0 0 0 a! a� al O ati O O O O a O N M m Cl O O C7 0 O O a O O [ C O O O O O O O O 00 001 N O� O U wm O to 00 c0 O O - '-I O O ID . N w ID lD ^ O UR 01 V' - Q 0 Vs ih t+ Op LQ +s+ 06 C O O O S O O O S O O O O Q ;j0 O O O O O O O O O O O O O 0 O O O O O O O O O O O O O S Ln O p O N m .� 00 00 co I/l 2 rn to M f' O'1 M I`N'1 M .Q Q W' , M Q 0 0 0 O O 0 0 0 0 N N N N M O co m 0 0 0 o a o a S S "d a m rn o+ O D; 0 0 0 l r+ In O O O O In 1 O O O S S fV o N O LA a m O O O O - H - O - O ¢ J ry N N M ,Ny v N N N n N Ln - 2 V O r m m N M 0 J¢ ¢ 3 N p p F L h v 'c h ui C (y ° w 'y w w v i w w f/1 � w w W t��J 0 w w tD �C UJ LO V t/l Y1 M T- o 4 C eh C II1 N m m ri T{ r Q F V > ry y ly0 S LC Q O E tl II'- L c 2 P E E N v m c W 8 V of o 00 LS y,i O w OO d L LO y � L 0. u O L. U M 0 V p u N iv ut C ¢ y� c E u°.. c� � � � F� a 6 v m Q) C� w O C 01 w ~ d .. ......... p 'fl N N M N O N co 7 kO C V 7 C O o O O 0 1� S lO0 S kD \O tD 10 0 O N N ¢ lL Ln In lf1 lf] l!l H'1 1n un Ln V) m !Y Gc 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 U class.Specifications are not intended to reflect all duties performed within the job. s SUMMARY DESCRIPTION Q Under general supervision,plans, organizes, and implements assigned City-wide recreation, social E or cultural programs of average difficulty; supervises assigned full-time, part-time and grant funded staff; and performs related work as required. LO 0 ORGANIZATIONAL RELATIONSHIPS `~ The class of Recreation Supervisor is the journey level in the recreation series. Supervision is received from o a Senior Recreation Supervisor. Supervision is exercised over full-time ,part-time, grant funded, and volunteer staff. .a c REPRESENTATIVE DUTIES U The following duties are typical for positions in this classification. Any single position may not perform all of these N duties andlor may perform similar related duties not listed here: x 1. Provides courteous and expeditious customer service to the general public and City department staffs. cs� r 00 M 2. Ability to supervise multiple recreation facilities/centers;multiple city-wide recreation program areas; and/or supervise a major recreation/soccer complex/facility. m E 3. Evaluates adequacy of recreational, social or cultural services. 0 4. Plans,organizes and implements assigned City-wide social,cultural and recreational programs; plans Q and directs periodic events such as tournaments, City-wide programs and festivals; establishes 06 C schedules and methods for providing assigned recreation services. o w M U 5. Instructs recreation participants in one or more activities. .2 CL CL Q 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 0 FU leaders in the methods and procedures of programs and activities; demonstrates methods of = 0 organizing and teaching programs and activities; works with employees to correct deficiencies; implements discipline procedures. o= L 8. Responds to requests for information and assistance from the public regarding assigned recreation M programs and facility use and rental procedures; interprets City recreation policy to participants and Y W the general public, c N 4. Communicates with school district and college officials regarding facility use. Q 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. x w 11. Collects,counts,receipts,and transmits cash. E 12. Requisitions materials and equipment. r a Page- 1 Packet Pg. 171 CITY OF SAN BERNARDINO Recreation Supervisor(Continued) 13. Secures the interest and support of neighborhood community groups;promotes and publicizes social, y 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. Q L 15. Performs related work as required. E E Cn QUALIFICATIONS r 0 Knowledee of: `V Methods and techniques of developing and organizing group recreation and social activities; o 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; o Record keeping methods; v Public relations principles and techniques; N Basic budgetary principles and procedures; Business math. Y co T AI)Ill to: M Analyze and evaluate community needs and work with community organizations in developing recreation programs; c Formulate and execute a variety of programs; Q E 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; 06 Listen to complaints and take appropriate action; 2 Understand and carry out oral and written instructions; v Communicate clearly and concisely,both orally and in writing; C. Establish and maintain effective relationships with those contacted in the course of work. a W c Minimum Oualifications: —i 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 o requirements,four(4)years as a Community Center Manager with the City of San Bernardino. L License or Certificate; m N Possession of a valid Class"C"California Drivers'License is required. For out-of state applicants, a Y valid driver's license is required. A valid Class"C"California's Driver's License must be obtained Ln within ten(10)days of appointment(CA Vehicle Code 12405c). o N PHYSICAL DEMANDS AND WORKING ENVIRONMENT a 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 -Q perform the essential job functions. x W Environment: Normal office setting; occasional work indoors and out in a variety of environmental d conditions including hot, cold or damp weather with exposure to noises, vibrations, odors or dust; E 0 some travel to attend meetings. v Q Page-2 Packet Pg.172 I CITY OF SAN BERNARDINO Recreation Supervisor(Continued) Ph sue: Incumbents require sufficient mobility to work in an office setting and operate office y equipment;to travel to various locations;transport materials and supplies weighing up to 50 pounds. ..2 Vision: See in the normal visual range with or without correction; vision sufficient to read small Q print,computer screens and other printed documents. (D E Hearin Hear in the normal audio range with or without correction. N n LO T- C) N APPROVED: DATE: Director of Human Resources CSB APPROVED DATE: o U HR/Job Descriptions/Class&Comp App:Recreation.Supv.20912 N 'ca Y 0 o M U) C N E t U Rf Q 06 C O t0 U Q Q • Q d C J C 0 fQ C O d d N Y LO 0 N Q w t x w c a� E 4 Page-3 'Packet Pg. 173 S.G.c POOL MANAGER II (Part-Time) 2 JOB DESCRIPTION a L Q� Under general supervision, plans and supervises the operation of a large or year-round public E swim center; accomplishes specialized work in protecting life, preventing accidents, enforcing safety regulations and providing instructions; and,performs related work as required. LO 0 N REPRESENTATIVE DUTIES 0 41 Provides courteous and expeditious customer service to the general public and City department staffs. c 0 U Assists the Recreation Supervisor in scheduling and programming swimming pool facilities: 0) 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 Y enforced and that no hazard to safety is created; warns swimmers of improper activities or co danger. N Coordinates swim class registration; assigns and coordinates instructions; coordinates and supervises lifeguard duties; enforces pool regulations and water safety policies; rescues E swimmers in distress or danger of drowning; administers first aid in the event of injury; o administers artificial respiration if required; inspects pool facilities, equipment and water to ensure that they are safe and usable. 06 _ 0 Supervises and assists in cleaning the pool and related facilities and equipment; accomplishes U chlorine residual or other water tests; maintains records and charts of water test results and a records of accidents; adds chemicals to pool water. a a� 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 o and procedures related to the management and operation of facilities and program. r_ O Routinely adheres to and maintains a positive attitude towards City and Department goals; and, performs other related work as required. y MINIMUM QUALIFICATIONS Y LO 0 Age 18 or older and graduation from high school or GED equivalent and a minimum of two (2) N years full-time paid experience in instructing or supervising water recreational activities. a Additional qualifying experience may be substituted for the required education on a year-for- year basis to a maximum of two (2)years. x w Possession of a valid Red Cross Lifeguard Training, YMCA Lifeguard or Ellis and Associates c Lifeguard Certificate and Red Cross Water Safety Instructor's (WSI) Certificate or YMCA E B a Page 1 of 3 Packet P.g.174 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 2 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 a Certificate or American Red Cross CPR for the Professional Rescuer Certificate are required. E E All certificates must be valid for the duration of employment. in Possession of a valid Class "C" California Driver's License is required. For out-of-state N 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). 0 GENERAL QUALIFICATIONS 0 U Knowledge of. y Water hazards, lifesaving techniques and rescue methods; Y First aid as applied to accidents in water and surrounding areas; CO Policies,rules and regulations governing swimming pool operation; Swim lesson organization, administration and implementation procedures; r Effective personnel management and motivation. Ability to: r AVON d Swim with proficiency and endurance for possible rescues; 06 c Evaluate situations and adopt intelligent methods of action; 0 Remain calm and efficient in stressful situations; Maintain constant observation of an assigned area and note any sign of impending Q trouble; Q Prevent dangerous situations from arising; Recognize emergencies and take appropriate actions; Supervise subordinate lifeguards,volunteers or support staff; o Establish and maintain effective-working relationships with those contacted in the course c of work; 0 Effectively instruct persons in the techniques of swimming and water safety; Follow oral and written instructions; a, Transport materials and supplies weighing up to 40 pounds; Y See in the normal visual range with or without correction; LO Hear in the normal audio range with or without corrections; o Work indoors and outdoors in a variety of environmental conditions, including high temperatures,humidity, moisture and distracting noises. Q Handle and account for cash deposits of daily recreational swim and swim lesson s receipts. x Iw c d E s Q Page 2of3 Packet Pg. 175 ORGANIZATION RELATIONSHIPS The Pool Manager II is a working supervisory position in the Recreation Division of the Parks, Recreation and Community Services Department. Works under the supervision of a Recreation d Supervisor. Supervises subordinate lifeguards and swim instructors at a specified location. E E 0 LO 0 N APPROVED: DATE: O Director of Human Resources n �L O U O y CSB APPROVED: Y oo M N . - --•-. , .�'.�� --- i:��v i�`�1. h4 11 ��'_�:= .. � '`�_.. ..`�` C=1 E c� Q c O .Q CL a J C O !0 C O N Q' L d N Y LO 0 N Q r t K W C O E a Page 3 of 3 Packet Pg. 176 POOL MANAGER I (Part-Time) �a s q JOB DESCRIPTION E E Under general supervision, plans and supervises the operation of a public swimming pool; in accomplishes specialized work in protecting life,preventing accidents, enforcing safety regulations LO and providing instructions;and,performs related work as required. N c REPRESENTATIVE DUTIES Provides courteous and expeditious customer service to the general public and City department 0 staffs. v L Assists the Recreation Supervisor in scheduling and programming swimming pool facilities; serves Y 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 co and that no hazard to safety is created;warns swimmers of improper activities or danger. N w 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. a 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. Q CL Maintains effective public relations with users of the pool and surrounding park grounds; a d supervises all pool personnel at a s p ecified pool facility; ensures implementation of all policies and J procedures related to the management and operation of facilities and program. 0 Routinely adheres to and maintains a positive attitude towards City and Department goals; and, c performs other related work as required. MINIMUM QUALIFICATIONS y M Age 18 or older and Y g graduation from high school or GED equivalent and a minimum of one (1) Ln year full-time paid experience in instructing or supervising water recreational activities. Additional N qualifying experience may be substituted for the required education on a year-for-year basis to a Q maximum of two(2)years. _ Possession of a valid Red Cross Lifeguard Training, YMCA Lifeguard or Ellis and Associates x Lifeguard Certificate and Red Cross Water Safety Instructor's (WSI) Certificate or YMCA w SKIPPERS/Progressive Instructor Certificate and a Red Cross Standard First Aid Certificate or d American Red Cross Community First Aid and Safety Certificate or National Safety Council E U 0 a Page 1 of 3 Packet Pg. 177 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. s Q All certificates must be valid for the duration of employment. c, E E 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 r within(10)days of appointment(CA Vehicle Code 12405c). N GENERAL QUALIFICATIONS .0, Knowledge of- 0 U Water hazards, lifesaving techniques and rescue methods; N First aid as applied to accidents in water and surrounding area; Policies,rules and regulations governing swimming pool operation. to CO Ability to: N w Swim with proficiency and endurance for possible rescues; Evaluate situations and adopt intelligent methods of action; Remain calm and efficient in stressful situations; 0 06 Maintain constant observation of an assigned area and note any sign of impending trouble; Q Prevent dangerous situations from arising; C Recognize emergencies and take appropriate action; . Supervise subordinate lifeguards,volunteers or support staff; U Maintain records and prepare reports; a Establish and maintain effective working relationships with those contacted in the course of Q d work; J Effectively instruct persons in the techniques of swimming and water safety; c Follow oral and written instructions; 0 Transport materials and supplies weighing up to 40 pounds; o See in the normal visual range with or without correction; Hear in the normal audio range with or without correction; L Work indoors and outdoors in a variety of environmental conditions, including high N temperatures,humidity,moisture and distracting noises. Y LO 0 N Q r .Q t X W C d E .0 U Q Page 2 of 3 Packet Pg. 178 ORGANIZATION RELATIONSHIPS N C1 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 a Supervisor. Supervises subordinate lifeguards at a specified location. E E U) LO 0 N O APPROVED: DATE: , Director of Human Resources C O U L m N CSB APPROVED: Y Co M HR/Job Descriptions/Class&Comp App:Pool.Manager.1.00331 N c a� E s a 06 C O �a U Q CL Q O C J C 0 C O N Q' L d N Y T- CI N Q t k W a.: C O E s V Q Page 3 of 3 Packet Pg. 179 SENIOR LIFEGUARD {Part-Time} R JOB DESCRIPTION Q L Under general supervision, assists in supervising the operation of a public swimming pool; E accomplishes specialized work in protecting life,preventing accidents, enforcing safety regulations LO and providing instructions; and p erforms related work as required. May supervise site durin g absence of Pool Manager. N REPRESENTATIVE DUTIES O Provides courteous and expeditious customer service to the general public and City department c staffs. 0 U L d 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 Y enforced and that no hazard to safety is created; warns swimmers of improper activities or danger; co enforces pool regulations and water safety policies; rescues swimmers in distress or danger of eo drowning;administers first aid in the event of injury; administers artificial respiration,if necessary. c a� 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 r swimming; assists the Pool Manager and other Senior Lifeguards with chlorine residual and other Q water tests. c 0 r 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 Q of the facilities and program. c Routinely adheres to and maintains a positive attitude towards the City and Department goals; and O performs other related work as required. _ O MINIMUM QUALIFICATIONS L d 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 LO SKIPPERS/Progressive Instructor Certificate and a Red Cross Standard First Aid Certificate or N CD 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 Q 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 X be 17 years of age or older. W w Al a� 1 certificates must be valid for the duration of employment. E U Q Packet Pg: 180 GENERAL QUALIFICATIONS Knowledge of: 2 Water hazards,lifesaving techniques and rescue methods; Q First aid as applied to accidents in water and surrounding area; Policies,rules and regulations governing swimming pool operation. E Abili to: LO 0 Swim with proficiency and endurance for possible rescues; N Evaluate situations and adopt intelligent methods of action: o 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; 0 Recognize emergencies and take appropriate action; Supervise subordinate lifeguards,volunteers or support staff; Maintain records and prepare reports; Y Establish and maintain effective working relationships with those contacted in the course of work; M 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; E .c See in the normal visual range with or without correction; Hear in the normal audio range with or without correction; d Work indoors and outdoors in a variety of environmental conditions, including high 06 temperatures,humidity,moisture and distracting noises. o �o ORGANIZATION RELATIONSHIPS a The Senior Lifeguard is a working supervisory position in the Recreation Division of the Parks, c Recreation and Community Services Department. Works under the supervision of a Pool Manager or Recreation Supervisor. May supervise subordinate lifeguards. o FO _ 0 APPROVED: DATE: Director of Human Resources N CSB APPROVED: Y LO 0 N HWJob Descriptions-New:00283.Senior.Lifeguard.PT 4/22/97 Q w :E x W m E �a Packet Pg. 181 LIFEGUARD (Part-Time) 2 a JOB DESCRIPTION E E Under general supervision, accomplishes specialized work in protecting life, assisting in cn instructions, and assisting in the operation of public swimming pools; and performs related work as Ln 0 required. N REPRESENTATIVE DUTIES 0 Provides courteous and expeditious customer service to the general public and City department 0 staffs. v L d Supervises swimming activities in and around a City pool to ensure that policies, rules and Y 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. CO M Rescues swimmers in distress or danger of drowning; administers first aid in the event of injury; administers artificial respiration if required. 4) 0 Assists in cleaning the pool and related facilities, and equipment; and assists in instructing classes r in fundamentals of swimming. a Routinely adheres to and maintains a positive attitude towards City and Department goals; and performs other related work as required. � CL CL MINIMUM QUALIFICATIONS a a� c 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 0 Community First Aid and Safety Certificate or National Safety Council Standard First Aid o 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. N Y All certificates must be valid for the duration of employment. 0 N GENERAL QUALIFICATIONS ' Q Knowledge of X Water hazards,lifesaving techniques and rescue methods; `" First aid as applied to accidents in water and surrounding area; 0 Policies,rules and regulations governing swimming pool operation. E U a Packet Pg. 182 Abili to: Co N U a+ Swim with proficiency and endurance for possible rescues; Evaluate situations and adopt intelligent methods of action: B Remain calm and efficient in stressful situations; d Maintain constant observation of an assigned area and note any sign of impending trouble; E Prevent dangerous situations from arising; Cn Recognize emergencies and take appropriate action; LO Supervise volunteers and support staff; N Maintain records and prepare reports; a 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; c Follow oral and written instructions; v Transport materials and supplies weighing up to 40 pounds; N See in the normal visual range with or without correction; Y Hear in the normal audio range with or without correction; Work indoors and outdoors in a variety of environmental conditions, including high oo temperatures,humidity,moisture and distracting noises. N c ORGANIZATION RELATIONSHIPS CD U 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 a Manger of Recreation Supervisor. o U .Q APPROVED: DATE: Q d Director of Human Resources CSB APPROVED: 5/13/97 0 0 0 HR/Job Descriptions/Class&Comp App:Lifeguard.PT.00133 L d N •t6 Y r O N Q S k W C W E U a Packet Pg. 183 N U Aquatics Staff 2014 Cr Amaro, Mia 863-1887 649-2529 `t Apodaca,Destiny 827-2863 Cashier Armenta,Tiffany 473-1965 693-0773 E Ballard,Ash 499-6235 Beavers,Tony 800-7978 U) LO Bigham, Moriah 936-5106 746-8105 VII Blount,Misty (951)288-0201 (951)509-6738 °N Brickey, Lindsey 648-2316 Bridges,Jeri 499-4707 0 Centeno,Alejandra 543-8482 543-9061 Chacon, Michael 702-2013 -Q Cosper,Trisha 8773282 8381984 Demetrion-Boatright 887-1826 (951)206-4261 0 Dyar, Eric 921-2447 946-0212 U Garcia,Jaime 954-7125 d Gehrke,Jordan 289-3977 882-3022 A Gonzales,Jasmine 327-5468 Y Gordilio, Daniel 578-7246 Hukk, Mr. 246-5540 f° Hunt,Christine 486-2206 M Jara,Angela 644-2267 Lo Kocher, Kaitlyn 567-7649 827-6687 Mc Gowan,Danielle 9617652 Merriam,Amber 496-2867 Messenger,Carolyn 733-3557 U Messner,Taylor 499-8538 �. Nicholson,Courtney (951)901-9856 (951)789-6698 Q Ortiz,Yajaira 06 Pedroza,Alexis 825-7795 749-1225 0 Peterson,Jennifer 503-3873 422-0385 Placensia, Caroline 289-7828 U Ramos,Tracey 725-3536 864-1840 Q Rivera, Fanny 522-1364 a. Saenz, Elaine 498-6219 553-9943 `D m Salas. Brandon 474-1279 S Salcedo, Nihtzya 499-4707 Sellers, Shaun (951)641-1163 (951)653-6075 Smith,Chris 231-7066 0 Stewart,Rachel 886-8875 663-4022 c Tanner,Garrett 844-4933 0 Vasquez, Josh 543-9903 m Verdugo,Arianna (760)693-8081 Wallace,Megan 952-2393 N Wilkerson,Jimmy Wilson, Steve (925)914-1054 Y Wright, Lileanna 886-3250 LO f 0 N Q .c X w c a� E s U r Q Packet Pg. 184 58L '15d 1O)IOed Q a 3 m x S 1 O J O i , ^ n � � �M•O-I N � � , , rp r � r w i � ^ � i n W O O C f Q N O m wi m N CTl n W O M 4 N N W rq G1 r-t N = � a W c tip CD a 0, ' ° 0 l 1M � 0 p 1 M { D n .n L n v � W 0 LL N � �; W N , MEsll �p N M w w Q W W n N O E _ n Lo z t�3 Q m a C Z• a f 0 uj @ �g In w rn Q~I M O N T tr1 IA M w a co m n ^� N O r � ~ 0 [Fg9 p�qc 4 �yn U_ 0 CD cr m .W O e � 0 Ld S , u y c v w RX 6 $ �s 6 E Q U o � � ° o am y 8 a L _ 2't E f9 c C. $ B p� V) u 8 a E ~ L a <D a ► -s `m oy D : c /��p� 8� y .� (•'f � �n 10 f� CO O� � N rl N t'1 N P 1A l0 t0 f"1 N u� �. 0 0 $ m 4 v LU p'J'S 99 IOMOBd m x s 0 N V p N - O N W C O N -i C7F4 CA co o T. 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